• Title/Summary/Keyword: Repair and Remodeling

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THE EARLY EFFECTS OF SODIUM FLUORIDE ON THE RAPID PALATAL EXPANSION IN GROWING DOGS (유성견의 정중구개봉합 급속확대시 투여된 불화나트륨의 초기 효과에 관한 연구)

  • Lee, Hyun-Kyung;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.28 no.1 s.66
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    • pp.85-97
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    • 1998
  • The purpose of this study was to observe the effects of sodium fluoride on the bony repair and regeneration processes after the rapid palatal expansion in the growing dogs. Eighteen dogs were divided into experimental and control groups. They were in the late mixed dentition. The rapid Palatal expansion was undertaken in all the animals($180^{\circ}$ turn/day) for ten days. The animals were sacrificed on 0, 15 and 45 days after the finish of expansion. One mg NaF/kg of body weight/day were given orally to the experimental group. Blood samples were drawn before and after expansion and the se겨m calcium, phosphate and alkaline phosphatase level were measured. The undecalcified bone section of midpalatal suture area was made, and observed under the light microscopy The results were as follows ; 1. The day after expansion, the infiltration of inflammatory cells were prominent and the new bone formation started at the edges of the two palatal plates bodering the midpalatal suture in both groups. Especially, the newly formed osteoid were very extensive and the osteoblasts lining the osteoid were very active in the experimental group. 2. At fifteen days after expansion, the active osteoblasts lining the osteold at the surface of trabecular bony spicules and active new bone formation were observed in the both groups. However, the cellular activity and new bone formation were more prominent In the experimental group. 3. At forty five days after expansion, the continuous osteoid and new bone formation and active osteoblasts were observed in the experimental group. But these phenomena were not observed in the control group. In the control group, the numerous osteoclasts were adjacent midpalatal suture and the bony remodeling process was begun. The serum alkaline phosphatase level was maintained highly in the experimental group, but decreased in the control. According to the above results, the author reached the conclusion that sodium fluoride has the stimulation effects on the osteoid production of the osteoblasts during the healing process after the rapid Palatal expansion more continuously.

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Early Results of Aortic Valve-sparing Procedures in Patients with Annuloaortic Ectasia (대동맥륜대동맥확장(Annuloaortic Ectasia) 환자에서 대동맥판막을 보존하면서 시행된 대동맥근부 및 상행대동맥 치환술의 단기 성적)

  • Sung Kiick;Park Kay-Hyun;Lee Young Tak;Jun Tae-Gook;Yang Ji-Hyuk;Kim Su Wan;Kim Jin Sun;Cho Sung Woo;Kim Si Wook;Choi Jin Ho;Park Pyo Won
    • Journal of Chest Surgery
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    • v.38 no.7 s.252
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    • pp.483-488
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    • 2005
  • Aortic valve-sparing procedures could reduce valve-related morbidity, but may increase operative risks; therefore, these procedures could not be performed routinely. We attempted to find out the early results while focusing on the operative risks associated with these procedures in our hospital. Material and Method: From May 1996 to July 2003, 26 patients underwent these procedures including 15 patients with Marfan syndrome and 1 patient with Behcet disease. There were 17 men and 9 women with mean age of $37.9\pm19.2$ years (range: 6 months-74 years). Ten patients had ascending aortic dissection, 18 patients had more than moderate degree of aortic valve insufficiency (AI). Two types of valve-sparing procedures were performed: valve reimplantation in 14 and root remodeling in 12 patients. Associated procedures were performed as follows: aortic valve plasty in 6, mitral valve plasty in 5, hemi-arch replacement in 4, total arch replacement in 2, coronary artery bypass surgery in 1 and Maze procedure in 1 patient(s). Result: In four patients, valve-sparing procedures were converted to Bentall procedures during operation. Including these patients, there was no operative deaths, 3 patients underwent re-operation due to bleeding, 1 patient had permanent pacemaker. The median duration of ICU stay was 45.5 hours, the median duration of hospital stay was 10.5 days. In 22 patients excluding 4 converted patients, intraoperative transesophageal echocardiogram (TEE) showed less than mild degree of AI in all except one who had not received intra-operative TEE in the beginning and showed moderate degree of AI at discharge. The mean duration of follow-up was $21.2\pm27.4$ months. All patients were alive except one who died during other departmental surgery. In 3 patients, more than moderate degree of AI was recurred, but there were no reoperation. Conclusion: Aortic valve-sparing procedures could be performed relatively safely in selected patients who had annuloaortic ectasia.

The Validity of Computed to Mography in Diagnosis of Temporomandibular Joint Osteoarthritis (측두하악관절 골관절염 진단에 있어 전산화 단층촬영의 유용성)

  • Jeon, Young-Mi;Choi, Jong-Hoon;Kim, Seong-Taek;Kwon, Jeong-Seung;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • v.33 no.2
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    • pp.195-204
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    • 2008
  • Osteoarthritis is caused by joint degeneration, a process that includes progressive loss of articular cartilage accompanied by attempted repair of articular cartilage, remodeling and sclerosis of subchondral bone, and osteophyte formation. The most common causative factor that either causes or contributes to osteoarthritis is overloading of the articular structures of the joint. The diagnosis of temporomandibular joint(TMJ) osteoarthritis is based on the patient's history and clinical findings such as limited mandibular opening, crepitation and tenderness to palpation on TMJ. The diagnosis is usually confirmed by TMJ radiographs, which will reveal evidence of structural changes in the subarticular bone of the condyle or fossa. Plain radiography techniques such as panoramic, transcranial, transpharyngeal views can be used in most dental offices for evaluation of the TMJs. However, plain radiographs are often limited due to overlapping and distortion of anatomical structures. The aim of this study was to compare the clinical examination and panoramic view with computed tomography for diagnosis of temporomandibular degenerative joint disease, and to compare the findings of condylar bony changes through panoramic radiography with that of computed tomography, hence, to confirm the limitations of clinical and panoramic radiography, and the validity of the computed tomography for diagnosis of temporomandibular degenerative joint disease. The pathophysiology of the TMJ osteoarthritis remains poorly understood, and current treatments are based more on speculation than science, and symptomatic treatments often fail to provide satisfactory pain relief. For diagnosis of TMJ osteoarthritis, clinical examination and radiographic examination for confirmation of the bony changes are essential, and computed tomography are clearly superior to plain radiographs for their limitations.

Study on the Stability Evaluation of Concrete Erosion Control Dam by using Non-destructive Test for Compressive Strength (콘크리트 비파괴시험법을 이용한 사방댐 안정도 평가에 관한 연구)

  • Park, Ki-Hyung;Kim, Min-Sik;Joh, Sung-Ho;Lee, Chang-Woo;Youn, Ho-Joong;Kim, Kyong-Ha
    • Journal of Korean Society of Forest Science
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    • v.102 no.1
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    • pp.90-96
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    • 2013
  • This study was conducted to investigate a stability trend within 6 above average and 4 blow average erosion control dams, which were selected by The Korean Association of Soil and Water Conservation and were built in 1990s in Gyeonggi and Gangwon Province. The study was aimed to measure rebound hardness of upstream face, flood way and downstream face from those dams selected by using 'Concrete Test Hammer'. The main purposes of the study are selection of compression strength prediction equation and scope of wavelength, which successfully demonstrate non-destructive test results for erosion control dams. There is an opportunity to increase disaster prevention ability when stability vulnerability of concrete erosion control dam is detected in a timely manner. Results of the compression strength investigation express that there is a consistency with visual inspection of stability that has been processed by The Korean Association of Soil and Water Conservation. We concluded that a prediction equation, which was developed by Architectural Institute of Japan (AIJ), shows highest suitability in Korean erosion control dams when stability investigation is performed. The detailed criteria for the test result are 'stable', 'detail inspection required' and 'poor' for over 300 $kgf/cm^2$, 250~300 $kgf/cm^2$ and below 250 $kgf/cm^2$ respectively. Standards for stability of Korean erosion control dam and a compression strength prediction equation (that corresponds to the standards of the stability) should be established on the basis of chronological data of erosion control dam compression strength. Systematical approach for stability inspection that carries out remodeling or repair when problem on erosion control structures are detected through visual inspection and simple stability test, is necessary for the future disaster prevention.