• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.39.1-39.6
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• 2016

Background: Temporomandibular joint (TMJ) ankylosis in children often leads to facial deformity, functional deficit, and negative influence of the psychosocial development, which worsens with growth. The treatment of TMJ ankylosis in the pediatric patient is much more challenging than in adults because of a high incidence of recurrence and unfavorable growth of the mandible. Case report: This is a case report describing sequential management of the left TMJ ankylosis resulted from trauma in early childhood. The multiple surgeries including a costochondral graft and gap arthroplasty using interpositional silicone block were performed, but re-ankylosis of the TMJ occurred after surgery. Alloplastic TMJ prosthesis was conducted to prevent another ankylosis, and signs or symptoms of re-ankylosis were not found. Additional reconstruction surgery was performed to compensate mandibular growth after confirming growth completion. During the first 3 years of long-term follow-up, satisfactory functional and esthetic results were observed. Conclusions: This is to review the sequential management for the recurrent TMJ ankylosis in a growing child. Even though proper healing was expected after reconstruction of the left TMJ with costal cartilage graft, additional surgical interventions, including interpositional arthroplasty, were performed due to re-ankylosis of the affected site. In this case, alloplastic prosthesis could be an option to prevent TMJ re-ankylosis for growing pediatric patients with TMJ ankylosis in the beginning.

• 대한후두음성언어의학회지
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• 제18권2호
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• pp.118-121
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• 2007

Background and Objectives: Silicone, Gore- Tex, Gelfoam, Collagen and autologous fat are used for thyroplasty in case of vocal fold paralysis or paresis. These implants have many advantages, such as biocompatibility, low price and easy handling and accessibility. But additional voice modification is impossible using these materials. So, we design new thyroplasty technique, called balloon thyroplasty using Foley catheter. Materal and Methods: The fresh human larynx was dissected in midline posteriorly. Minithyrotomy hole was created using 5mm cutting burr in the midline of thyroid cartilage. Subperichondrial dissection was done using Duckbill elevator up to vocal process. Balloon catheter(1.5cm balloon size) was inserted through the subperichondrial tunnel. The balloon was inflated to medialize the vocal cord. Results: After ballooning, the true vocal cord medialized mimicking thyroplasty. Conclusion: The authors found that Balloon thyroplasty could be a good candidate for vocal fold medialization technique. The technical refinement and in vivo safety are reserved for the ongoing study.

• 대한치과보철학회지
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• 제40권3호
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• pp.236-245
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• 2002

The acrylic resin was first introduced as denture base materials in 1937 and it is commonly used for denture base fabrication nowadays. Three different curing cycles (Conventional curing cycle, short curing cycle and long curing cycle) and three commercially available heat-activated acrylic resins (Vertex RS, Lucitone 199 and ProBase Hot) were investigated to find the curing cycle and material that showed the minimum shrinkage of the resin during polymerization process. A brass master mold was fabricated and duplicated by additional silicone impression material. Stone molds were made by pouring of type III dental stone (SILKY-ROCK YELLOW, Whip-Mix, Louisville, Kentucky). It was embedded in the flask. Strain gauge and thermocouple were embedded in the specimen. Strain gauge and thermocouple were connected to signal conditioning amplifier and data was recorded by pre-programmed software. The parameters ESmax (Maximum expansion strain), Sb (Strain measured just before deflasking procedure), Sa (Strain measured just after deflasking procedure) and Sf (Strain measured at the end of the experiment) were measured. ${\Delta}$S was calculated from Sb and Sa (${\Delta}$S=Sb-Sa). In the experiment concerned about materials, the parameters 90-ESmax (Maximum expansion strain measured during early 90 minutes of curing procedure), 180-ESmax (Maximum expansion strain measured from 90 minutes to 180 minutes), Sb, Sa, ${\Delta}$S and Sf were measured and the following conclusions were made. 1. The ESmax value of conventional curing cycle showed the largest value and the 180-ESmax value of Lucitone 199 showed the smallest value. 90-ESmax values showed no significant difference (p<0.05). 2. ${\Delta}$S values of conventional curing cycle showed the positive values. ${\Delta}$S values of short curing cycle and long curing cycle showed the negative values. All three materials cured by conventional curing cycle showed the positive values. 3. The Sf values of long curing cycle and ProBase Hot (cured by conventional curing cycle) showed the smallest values.

• 대한치과보철학회지
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• 제39권2호
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• pp.220-229
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• 2001

This study was performed to evaluate the fracture resistance of three improved die stone materials according to water/powder ratio. There are lots of handling conditions which affect the physical properties of improved dental stone, and it's well known that the water/powder ratio significantly affect the strength of die stone. If water/power ratio was incorrect, following disadvantages were showed : (1) susceptibility to dimensional change due to abrasion, (2) limited reproduction of fine detail, (3) lack of strength. The maxillary master casts were made of additional silicone impressions(Exaflex, GC America. Inc. USA). Three type IV die stones such as Fuji Rock (GC Europe Intreleuvenlaan, Leuven, Belgium), Velmix(Kerr, Manufacturing company, USA), and Crytal Rock( Maruishi Gypsum Co. Ltd, Japan) were tested. A total of 160 casts were prepared, separated, and tested on the Instron Testing Machine(Model 4201, Co. USA). The obtained results of this study were as follows : 1. Fuji Reck and Velmix less 3ml than the water/power ratio of manufacturer's instruction showed the highest resistance to fracture. According to increasing water/powder ratio, fracture resistance was significantly increased(P<0.05). Crystal Rock showed the highest fracture value when it was mixed with the water/power ratio of manufacturer's instruction. 2. Water/powder ratio of the manufacturer's instructions and less 3ml than that showed lower fracture value of hand mix than that of vacuum mix. Water/powder ratio of more 3ml, 6ml than manufacturer's instructions was not significantly different between hand mix and vacuum mix(p>0.05). 3. Velmix had the highest viscoelastic value among three die materials when it was mixed with the manufacturer's instruction. Viscoelasticity was decreased according to increasing water/powder ratio.

• 대한치과보철학회지
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• 제40권1호
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• pp.18-29
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• 2002

As the inaccuracy which was made in implant impression prevented passive fit, it needed to solder the sectioned framework at several locations to correct the inaccuracy. Many clinicians have suggested impression techniques which could make passive fit between implant and superstructure. The purpose of this research was to measure and compare the accuracy of three methods of taking impression with the strain amplifier. The experimental groups were classified as follows : Group I : splinted the two parts with $Futar^{(R)}D$ Occlusion. Group II : splinted the two parts with $DuraLay^{(R)}$. Group III ; didn't splint the two parts. The results were as follows ; 1. The values of strain in the vertical and horizontal surfaces were increased in the order of group I, group II and group III. 2. Group 1 showed higher accuracy of the duplicated casts in the vortical and horizontal sur faces than group II and group III (p<0.05). 3. There were no significant differences in the accuracy of the duplicated casts between group II and group III. From the above results, it is considered that the splinting method of impression copings could make an influence on the accuracy of the master casts. To improve the accuracy of the master casts, splinting the squared impression copings with the additional silicone occlusion materials is recommendable.

• 대한치과기공학회지
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• 제39권4호
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• pp.235-242
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• 2017

Purpose: The aim of this study was to evaluate the marginal and internal gap of zirconia copings fabricated by CAD/CAM system and to research the effect of cement space on the fit of zirconia prosthesis. Methods: Zirconia copings were designed using 3shape software and then milled from presintered zirconia blocks by Kavo dental milling machine. The cement space was set at $0{\mu}m$ around the margins for all groups, and additional cement space appling 1 mm above the finish lines of tooth. The samples were classified into 4 groups according to the cement space setting(Cs-0, Cs-40, Cs-80, Cs-120). Replica technique used to investigate marginal and internal gap. The silicone film thickness was recorded using a optical microscope with image software analysis system at 75${\times}$magnification. The assessment performed on the six points in bucco-lingual and mesio-distal sections(4 groups, 10 copings per group, 12 measuring points per coping). The data were statistically analyzed with one-way ANOVA followed by pair-wise Tukey's post hoc tests(${\alpha}$<0.05). Results: Better marginal and internal fit values were exhibited by $80{\mu}m$ cement space. The results showed that different cement space values had statistically significant effect on the marginal and internal gap of zirconia copings(p<0.001). The gap of margin and axial wall area was smaller than that the gap of occlusal area in all groups(p<0.001). Conclusion : Effect of different cement spaces on the marginal and internal gap of zirconia copings.

• 대한가정학회지
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• 제45권2호
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• pp.91-103
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• 2007

The purpose of this study is to investigate the types and functions of brand labels on clothing. We surveyed the materials and manufacturing methods for brand labels by visiting the label stores and label manufacturers. 200 pieces of children's wear were surveyed. The label attributes that were studied were: the number of labels, the location of the labels, the attachment system for the labels, the color of the labels, the materials used to make the labels, manufacturing methods, and the size of the labels. From this investigation a brand label was classified into a main label and a point label. The main results were: 1. Materials such as fabrics, nonwovens, leather, suede, rubber, PVC, silicone, and metals are used for brand labels. The manufacturing methods for brand labels are weaving, printing, high frequency, heating, and molding. 2. More than 54% of clothes have more than two brand labels attached. This percentage exceeds the attaching of only one brand label in rate. An inside brand label is located at a certain place. This inside label uses only fabric material reflecting inherent brand color and design. The outside brand label is located at several places with consideration of the clothes design. This label uses various materials, colors, and characters matching with the clothes. As for the size, an inside label is mainly medium in size, whereas an outside label is small. 3. A brand label is classified into a main label (first label) and a point label (second label), which are defined as follows. A main label indicates the brand name and is located inside at a certain place using an inherent brand design and a fabric material. A point label is an additional label to express brand image and is located outside at various places for decoration using various characters and design and materials.

• Archives of Plastic Surgery
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• 제34권2호
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• pp.222-228
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• 2007

Purpose: Report of the good results of breast reconstruction using Becker permanent tissue expander that showed a short operation time and a quick post-operation recovery time, little side effects and usually superb aesthetic results without the need for additional incisions or donor site morbidity. The authors, after carrying out breast reconstruction operations using Becker permanent tissue expander on patients with appropriate indications, attempted to analyze several factors such as complication rates and patient satisfaction measurements. Methods: 11 cases of breast reconstruction using Becker expander implants were carried out on a total of 10 patients between March 2000 and February 2003. The patients were followed up at outpatient visit for an average of 6 months. Results: The most common post-operation complication was pain resulting from saline injection into the expanders, complained by 5 patients(50%). rib fractures, skin necrosis, implant removal due to infection, and breast cancer recurrence each occurred in 1 patient (9.9%). There was no occurrence of skin contracture complications which occurs frequently in case of silicone implant insertion. Patient complacency was surveyed by patient interviews made right after the operations and during outpatient follow-up periods: 5(50%) patients out of 10 showed excellent, 3(30%) good, and 2(20%) showed fair, leaving no patients who were disappointed with operation results. On routine follow-up, 80% of patients expressed satisfaction with the cosmetic outcome of their post-mastectomy beast reconstruction. Conclusion: Breast reconstruction using the Becker expander is a reliable alternative to other reconstructive methods but good patient selection is essential for satisfactory results.

• The Journal of Advanced Prosthodontics
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• 제11권2호
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• pp.128-137
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• 2019

PURPOSE. The aim of this study was to compare the effect of different finishing and polishing techniques on water absorption, water solubility, and microhardness of ceramic or glass-polymer based computer-aided design and computer-aided manufacturing (CAD/CAM) materials following thermocycling. MATERIALS AND METHODS. 150 disc-shaped specimens were prepared from three different hybrid materials and divided into five subgroups according to the applied surface polishing techniques. All specimens were subjected up to #4000 grit SiC paper grinding. No additional polishing has been done to the control group (Group I). Other polishing procedures were as follows: Group II: two-stage diamond impregnated polishing discs; Group III: yellow colored rubber based silicone discs; Group IV: diamond polishing paste; and Group V: Aluminum oxide polishing discs. Subsequently, 5000-cycles of thermocycling were applied. The analyses were conducted after 24 hours, 7 days, and 30 days of water immersion. Water absorption and water solubility results were analyzed by two-way ANOVA and Tukey post-hoc tests. Besides, microhardness data were compared by Kruskal-Wallis and MannWhitney U tests (P<.05). RESULTS. Surface polishing procedures had significant effects on water absorption and solubility and surface microhardness of resin ceramics (P<.05). Group IV exhibited the lowest water absorption and the highest microhardness values (P<.05). Immersion periods had no effect on the microhardness of hybrid ceramic materials (P>.05). CONCLUSION. Surface finishing and polishing procedures might negatively affect physical properties of hybrid ceramic materials. Nevertheless, immersion periods do not affect the microhardness of the materials. Final polishing by using diamond polishing paste can be recommended for all CAD/CAM materials.

• 대한치과보철학회지
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• 제39권4호
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• pp.351-365
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• 2001

For accurate impression taking, accurate impression material, solid individual tray, and bond strength between impression materials and resin tray are important factors. The purpose of this study was to evaluate tensile bond strength of rubber impression materials to various tray resin materials. This study tested the time dependent tensile bond strength between commercial brands or poly ether, polysulfide, additional silicone impression materials and commercial brands of self curing tray resin. light activited tray resin when applying adhesive Resin specimens were made with 20mm in diameter, 2mm in thickness. 1 made total 360 specimens, 10 per each group and the tensile bond strength was measured by using the Instron($M100EC^{(R)}$, Mecmesin Co., England). The results were as follows ; Comparisons of various impression materials. 1. In case of Impregum $F^{(R)}$, the bond strength of tray resin was decreased in order of SR $Ivolen^{(R)}$, Ostron $100^{(R)}$ Instant tray $mix^{(R)}$, $Lightplast^{(R)}$. All groups excluding Ostron $100^{(R)}$, Instant tray $mix^{(R)}$ are significant difference (p<0.05). Drying time after applying adhesive, the tensile bond strength of tray resin was insignificantly decreased in order of 10 min drying time group. 1 min drying time group. 5 min drying time group. 2. In case of Permlastic $regular^{(R)}$ the bond strength of tray resin was insignificantly decreased in order of Ostron $100^{(R)}$. SR $Ivolen^{(R)}$, Instant tray $mix^{(R)}$ $Lightplast^{(R)}$. About drying time after applying adhesive, the tensile bond strength of tray resin was significantly decreased in order of 5 min drying time group, 10 min drying time group, 1 min drying time group(p<0.05). 3. In case of Exaflex $regular^{(R)}$. the bond strength of tray resin was decreased in order of $Lightplast^{(R)}$, SR $Ivolen^{(R)}$, Instant tray $mix^{(R)}$, Ostron $100^{(R)}$. $Lightplast^{(R)}$ was significant difference(p<0.05). About drying time after applying adhesive, the tensile bond strength of tray resin was decreased in order of 5 min drying time group, 10 min drying time group, 1 min drying time group(p<0.05). Especially 5 min ding time group was significant difference(p<0.05). According to the results of this study, we can see the greatest tensile bond strength when using Impregrm $F^{(R)}$ and Permlastic $regular^{(R)}$ with self curing tray resin, when using Exaflex $regular^{(R)}$ with light activated tray resin In my opinion, adhesive should be dried more than 5 min before impression taking to achieve the greatest tensile bond strength.