• 제목/요약/키워드: Vertical augmentation

검색결과 107건 처리시간 0.024초

Improvement of fibrosed scar tissue elongation using self-inflatable expander

  • Jung, Gyu-Un;Kim, Jin-Woo;Pang, Eun-Kyoung;Kim, Sun-Jong
    • 대한치과의사협회지
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    • 제54권7호
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    • pp.501-512
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    • 2016
  • We evaluated a self-inflatable osmotic tissue expander for its utility in creating sufficient soft tissue elongation for primary closure after bone grafting. Six patients with alveolar defects who required vertical augmentation of >6 mm before implant placement were enrolled. All had more than three prior surgeries, and flap advancement for primary coverage was restricted by severely fibrosed scars. Expanders were inserted beneath the flap and fixed with a screw. After 4 weeks, expander removal and bone grafting were performed simultaneously. A vertical block autograft and guided bone regeneration and distraction osteogenesis were performed. Expansion was sufficient to cover the grafted area without additional periosteal incision. Complications included mucosal perforation and displacement of the expander. All augmentation procedures healed uneventfully and the osseous implants were successfully placed. The tissue expander may facilitate primary closure by increasing soft tissue volume. In our experience, this device is effective, rapid, and minimally invasive, especially in fibrous scar tissue.

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입자층(粒子層)을 이용(利用)한 열교환기(熱交換器) 개발(開發)에 관(關)한 연구(硏究)(II) - 유동층형(流動層形) 이중관식(二重管式) 열교환기(熱交換器)의 전열특성(傳熱特性)에 대한 실험적(實驗的) 연구(硏究)(병행류식(竝行流式)) (Development of a Particle Bed Heat Exchanger(II) -An Experimental Study on Heat Transfer Characteristics of Fluidized Bed Heat Exchanger with Double Pipe (Parallelflow))

  • 김광철;류지오;양한주;서정윤
    • 설비공학논문집
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    • 제2권2호
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    • pp.127-136
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    • 1990
  • Air-solid bed has been known to be an effective heat transfer augmentation device which could be applied to heat exchangers. In this study, pressure drop and heat transfer characteristics of vertical annular fluidized bed heat exchanger with air flowing through were studied experimentally. The experiments was conducted to calculate overall heat transfer coefficient on fluidized bed heat exchangers immersed single vertical tube and investigate minimum fluidized velocity in fluidized bed of alumina beads and steel balls. The influence of flow direction, particle diameter, the heights of static bed and air mass fluidizing velocity has been examined. The experimental results showed the optimum operating condition and effective static bed height for fluidized bed heat exchangers. For the same power loss, comparisions of heat transfer effect between the fluidized bed heat exchanger and the single phase forced convetion heat exchanger indicate that both miniaturization of heat exchanger and heat transfer augmentation at low flow velocity are possible by application of the air-solid to heat exchangers.

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Effectiveness of Autogenous Tooth Bone Graft Combined with Growth Factor: Prospective Cohort Study

  • Ahn, Kyo-Jin;Kim, Young-Kyun;Yun, Pil-Young;Lee, Bu-Kyu
    • Journal of Korean Dental Science
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    • 제6권2호
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    • pp.50-57
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    • 2013
  • Purpose: Autogenous tooth bone graft is proven to be efficient. We evaluated the bone healing effect and clinical capabilities of autogenous tooth bone materials as a scaffold when growth factor is used together with this material. Materials and Methods: Subjects were those who needed implant placement and bone graft because of missing tooth or alveolar bone defect and who kept their autogenous tooth or needed extraction of other tooth. Group I included autogenous tooth bone graft with growth factor, whereas Group II had only autogenous tooth bone graft. We investigated the bone healing state through computed tomography taken just before surgery and 3 to 4 months after surgery to evaluate the effectiveness of bone graft. Group I had 9 patients, whereas Group II had 5 patients. We compared the pre- and post-operative increase of the Hounsfield unit and bone height by analyzing the computed tomography images. Result: Sinus bone grafts numbered 8 cases, and vertical ridge augmentation was performed together with 3 cases of these. Vertical ridge augmentation was performed in 2 cases, and horizontal ridge augmentation in 1 case alone. Socket graft was done in 3 cases. The post-operative mean value of the Hounsfield unit was 960 in Group I and 836.7 in Group II, but the increase was almost similar, i.e., 636.9 in Group I and 634.7 in Group II on the average. Increase of bone height was 7.6 mm in Group I and 11.1 mm in Group II on the average. This difference was attributable to the fact that most of the cases were sinus bone graft in Group II. Conclusion: In this study, we suggest the possibility of autogenous tooth bone graft materials as a scaffold besides their bone healing ability.

합성골 이식재인 Macroporous biphasic calcium phosphate를 이용한 사람의 상악동 거상술-증례 보고 (Maxillary Sinus Augmentation Using Macroporous Biphasic Calcium Phosphate ($MBCP^{TM}$) : Three Case Report With Histologic Evaluation)

  • 이지현;정의원;김창성;최성호;조규성
    • Journal of Periodontal and Implant Science
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    • 제36권2호
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    • pp.567-577
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    • 2006
  • Background Several bone grafting materials have been used in sinus augmentation procedures. Macroporous Biphasic Calcium Phosphate($MBCP^{TM}$) consists of the mixture of 60% HA and 40% ${\beta}-TCP$. Therefore, it can provide good scaffold for the new bone to grow owing to HA, in the other hand, it can have bioactivity for bone remodeling owing to ${\beta}-TCP$. The purpose of this study was to evaluate bone formation following maxillary sinus augmentation using $MBCP^{TM}$ by means of histologic analysis. Material and Method $MBCP^{TM}$ was placed as a primary bone substitute for maxillary sinus augmentation. Three patients were selected after evalaution of their medical dental examination. $MBCP^{TM}$ only, $MBCP^{TM}$ combined with Irradicated cancellous bone and $MBCP^{TM}$ combined with autogenous bone were used for each patient. After about eight months, bone biopsies were harvested for histologic evaluation and fixtures installed. Results Eight months after surgery we observed new vital bone surrounding $MBCP^{TM}$ particle and the amount of new bone was about 30% even though there were discrepancies between specimens. This case report documents that $MBCP^{TM}$ when used as a grafting material for sinus floor augmentation whether combined other bone graft material or not, may lead to the predictable results for dental implants on posterior maxillary area with insufficient vertical height for fixture installation.

소셜큐레이션과 광고 - 버티컬 SNS에서 표현된 패션브랜드 이미지의 메시지 전략 - (Social curation as an advertising tool - Message strategy of fashion brand images on vertical SNS -)

  • 신인준;이규혜
    • 복식문화연구
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    • 제23권3호
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    • pp.498-511
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    • 2015
  • This paper examines advertising images of fashion brands in vertical social network site (SNS) from the viewpoints of message strategies. Vertical social network sites are types of social curation systems applied to social networking, where information is selected, organized, and maintained. Fashion brands communicate with consumers by presenting images on vertical SNSs, anticipating improvements in brand image, popularity, and loyalty. Those images portray content for particular brands and seasonal concepts, thus creating paths for product sales information. Marketing via SNSs corresponds to relationship marketing, which refers to long-term interrelationship and value augmentation between the company and consumer, and viral advertising, which relies on word of mouth distribution via social network platforms. Taylor's six-segment message strategy wheel, often used for analyzing viral ads, was applied to conduct a content analysis of the images. A total of 2,656 images of fashion brands advertised on Instagram were selected and analyzed. Results indicated that brand values were somewhat related to the number of followers. Follower rankings and comment rankings were also correlated. In general, fashion brands projected sensory messages most often. Acute need and rational messages were less common than other messages. Sports brands and luxury brands presented sensory messages, whereas fast fashion brands projected routine images most often. Fashion brands promoted on vertical SNSs should portray advertising images that combine message strategies

다양한 골증대술을 동반한 상악전치부 임플란트 식립 증례 (Maxillary Anterior Implant Placement with Various Bone Agumentation on Atrophic Thin Ridge : Case Reports)

  • 지영덕;조이수
    • 구강회복응용과학지
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    • 제23권2호
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    • pp.145-155
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    • 2007
  • The advent of osseointegration and advances in biomaterials and techniques have contributed to increased application of dental implants in the restoration of maxillary partial edentulous patients. Often, in these patients, soft and hard tissue defects result from a variety of causes, such as infection, trauma, and tooth loss. These create an anatomically less favorable foundation for ideal implant placement. Reconstruction of the atrophic maxillary alveolar bone through a variety of regenerative surgical procedures has become predictable; it may be necessary prior to implant placement or simultaneously at the time of implant surgery to provide a restoration with a good long-term prognosis. Regenerative procedures are used for horizontal and vertical ridge augmentation. Many different techniques exist for effective bone augmentation. The approach is largely dependent on the extent of the defect and specific procedures to be performed for the implant reconstruction. It is most appropriate to use an evidenced-based approach when a treatment plan is being developed for bone augmentation cases. The cases presented in this article clinically demonstrate the efficacy of using a autogenous block graft, guided bone regeneration, ridge split, immediated implant placement technique on the atrophic maxillary area.

Architecture Design for Maritime Centimeter-Level GNSS Augmentation Service and Initial Experimental Results on Testbed Network

  • Kim, Gimin;Jeon, TaeHyeong;Song, Jaeyoung;Park, Sul Gee;Park, Sang Hyun
    • Journal of Positioning, Navigation, and Timing
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    • 제11권4호
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    • pp.269-277
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    • 2022
  • In this paper, we overview the system development status of the national maritime precise point positioning-real-time kinematic (PPP-RTK) service in Korea, also known as the Precise POsitioning and INTegrity monitoring (POINT) system. The development of the POINT service began in 2020, and the open service is scheduled to start in 2025. The architecture of the POINT system is composed of three provider-side facilities-a reference station, monitoring station, and central control station-and one user-side receiver platform. Here, we propose the detailed functionality of each component considering unidirectional broadcasting of augmentation data. To meet the centimeter-level user positioning accuracy in maritime coverage, new reference stations were installed. Each reference station operates with a dual receiver and dual antenna to reduce the risk of malfunctioning, which can deteriorate the availability of the POINT service. The initial experimental results of a testbed from corrections generated from the testbed network, including newly installed reference stations, are presented. The results show that the horizontal and vertical accuracies satisfy 2.63 cm and 5.77 cm, respectively. For the purpose of (near) real-time broadcasting of POINT correction data, we designed a correction message format including satellite orbit, satellite clock, satellite signal bias, ionospheric delay, tropospheric delay, and coordinate transformation parameters. The (near) real-time experimental setup utilizing (near) real-time processing of testbed network data and the designed message format are proposed for future testing and verification of the system.

입자층(粒子層)을 이용(利用)한 열교환기(熱交換器) 개발(開發)에 관(關)한 연구(硏究)(IV) -고정층(固定層) 열교환기(熱交換器)의 전열특성(傳熱特性)에 대한 실험적(實驗的) 연구(硏究) (Development of a Particle Bed Heat Exchanger (IV) -An Experimental Study on Heat Transfer Characteristics of Fixed Bed Heat Exchanger)

  • 양한주;서정윤
    • 설비공학논문집
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    • 제2권3호
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    • pp.234-242
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    • 1990
  • In this study, heat transfer characteristics of vertical fixed bed with air flowing through were experimentally investigated. The experiments were conducted for cases where heat was transfer steady state conditions from an immersed cylindrical heated to the surrounding fixed ved of steel balls. Based on the experimental data, the optimum conditions for heat transfer augmentation have been determined and shows in empirical forms. For the same power loss, comparison of heat transfer effect between the fixed bed and single phase forced convection device indicates that both miniaturization of heat exchange device and heat transfer augmentation at low flow velocity are possible by application of the fixed bed to heat exchangers. The present results could provide a useful design information for the heat exchangers where fixed beds are used.

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A Study on the Verification Method for KASS Control Station

  • Kim, Koontack;Won, Dae Hee;Park, Yeol;Lee, Eunsung
    • Journal of Positioning, Navigation, and Timing
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    • 제10권3호
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    • pp.221-228
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    • 2021
  • The Korea Augmentation Satellite System (KASS) is a Korean Satellite Based Augmentation System (SBAS) that has been under development since 2014 with the goal of providing Approach Procedure with Vertical guidance (APV)-I Safety of Life (SoL) services. KASS Control Station (KCS) is a subsystem that controls and monitors KASS systems. It also serves to store data generated by KASS. KCS has now completed detailed design and implementation and verification is in progress. This paper presents verification procedures and verification items for KCS verification activities and presents management measures for defects occurring during the verification phase.

수직골 증대술에서 $\beta$-Tricalciumphosphate/Hydroxyapatite 골 이식재 입자 크기의 영향 (Effects of different sizes of Hydroxyapatite/$\beta$-Tricalcium phosphate particles on vertical bone augmentation)

  • 허중보;정동희;김지선;신상완
    • 대한치과보철학회지
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    • 제48권4호
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    • pp.259-265
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    • 2010
  • 연구 목적: $\beta$-Tricalcium phosphate/Hydroxyapatite ($\beta$-TCP/HA) 입자가 혼합된 합성 골 이식재의 particle size가 토끼의 두개골에서 타이타늄 메쉬를 이용해 시행된 골유도 재생술의 결과에 미치는 영향을 평가하고자 하였다. 연구 재료 및 방법: 여섯 마리의 수컷 뉴질랜드 산 백토끼 (5 kg)를 이용하여 실험 하였다. 토끼 두개골의 정 중앙을 절개하고 전층 판막을 형성하여 박리하였다. 두개골의 네 부위에 6 mm 직경의 트레핀 바 (XTP 5406; Dentium, Seoul, Korea)로 원형의 홈을 형성한 후 blood supply를 위해 원형의 홈안에 1 mm 직경의 라운드 바로 다섯 개의 작은 구멍을 형성하였다. 형성된 네 개의 홈 위에 표준화되어 맞춤 제작된 반구형 타이타늄 메쉬 (높이 3 mm, 직경 6 mm; Dentium, Seoul, Korea)를 위치시키고 세 개의 2 mm 길이의 티타늄 핀 (Dentium, Seoul, Korea)을 이용하여 고정하였다. 대조군은 이식재를 포함시키지 않았고 나머지 타이타늄 메쉬들은 실험군으로서 서로 다른 세 가지 크기의 이식재를 각각 담아서 고정하였다. 이식재 ($Osteon^{(R)}$, Dentium, Seoul, Korea)의 성분은 HA와 $\beta$-TCP ($\beta$-TCP/HA)가 혼합되어 있는 합성골 이식재이며 실험군으로 사용한 이식재의 크기는 각각 small (0.3 - 0.5 mm), medium (0.5 - 1.0 mm), large (1.0 - 2.0 mm) size 였다. 8주의 치유기간 후에 토끼를 희생시킨 후 조직 표본을 제작하고 CCD 카메라 (Polaroid DMC2 digital Microscope Camera (Polaroid Corporation, Cambridge, MA 02139, USA))가 부착되어 있는 광학 현미경 (Olympus BX, Tokyo, Japan)을 이용하여 두 가지 배율 (12.5배, 40배)로 조직학적 소견을 관찰하였다. 신생 골부위와 남은 골이식재 부위의 넓이를 측정하여 타이타늄 메쉬 내부 공간에서 차지하는 면적의 비율(%)을 구하였다. 그 수치들을 Mann-Whitney U-test와 Wilcoxon signed rank-test를 이용하여 통계 분석하였다 ($\alpha$ = .05). 결과: 대조군과 $\beta$-TCP/HA를 이식한 나머지 세 군의 신생골 형성을 비교하면 통계적으로 유의하게 $\beta$-TCP/HA를 이식한 군에서 신생골 형성이 더 많았다 (P = .003). 서로 다른 particle size 간 비교에서는 신생골 형성에 있어서 통계적으로 유의한 차이는 없었다. 하지만 형성된 수직골 총량 (신생골과 이식골의 면적의 합)을 각 그룹 간에 비교해 보면 대조군보다 $\beta$-TCP/HA를 이식한 군이 통계적으로 더 많은 비율을 나타내었고 (P = .001), 특히 $\beta$-TCP/HA 이식 군간 비교에서는 medium size 군이 large particle size 군보다 통계적으로 더 큰 면적을 나타내었다 (P = .039). 그러나 large particle size 군과 small particle size 군 사이 그리고 medium size 군과 small particle size 군 사이에는 통계적으로 유의한 차이를 보이지 않았다 (P> .05). 결론: 티타늄 메쉬를 이용한 수직골 증대술에서 $\beta$-TCP/HA 합성골을 사용하는 경우 수직골 형성에 기여하며 특히 medium size (0.5 - 1.0 mm)의 $\beta$-TCP/HA 이식재가 large size 이식재 보다 더 우수한 수직골 형성의 결과를 보였다.