• Title/Summary/Keyword: functional impression

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Comparative observations of lingualized occlusion and monoplane occlusion in the treatment of severe atrophy of edentulous mandible (심한 하악 치조골 흡수를 보이는 환자에서 설측 교두 교합과 단일평면 교합을 비교 관찰한 의치 수복 증례)

  • Ahn, Gyo-zin;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.127-136
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    • 2018
  • The patient who has severely absorbed residual ridges, treatments are challenging to satisfy many factors: support, retention, stability, etc. The neutral zone or monoplane occlusion with non-anatomical tooth would be helpful to get additional retention and stability. The monoplane occlusion has been used long time because it can eliminate horizontal forces and many other advantages. The lingualized occlusion was introduced to improve chewing efficiency and esthetics. But from a stability aspect, it seems controversy between monoplane occlusion and lingualized occlusion. This case report shows the results of the treat two flat residual ridge patients using functional impression; piezography, and made 2 other dentures with monoplane and lingualized occlusion that patient can select denture.

Surgical Treatment of Constrictive Pericarditis (만성 교약성 심낭염의 외과적 치료)

  • 유회성
    • Journal of Chest Surgery
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    • v.8 no.2
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    • pp.101-108
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    • 1975
  • Since 1959 the authors experienced 43 cases of chronic constrictive pericarditis treated surgically at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seonl. Of 43 cases, detailed patients' records could be obtainable in 36 cases, and most of our studies. were made on the basis of these 36 available cases. About 84 per cent of the cases were male with several pediatric cases, and duration of symptoms ranged between 2 months and 10 years. The diagnosis of this condition is not difficult, however, about half of our cases were previously treated under the impression rf various other conditions such as liver cirrhosis or nephrotic syndrome at other hospitals and clinics. Many of our cases showed hepatic functional disturbances and about 89 per cent of the cases showed reversed A/G ratio, and we are sure that some of them had so-called protein losing enteropathy. Three of 36 cases showed normal electrocardiogram, and most peculiar electrocardiographic findings were ST or T changes and low amplitude of QRS complexes. Seven cases showed auricular fibrillation and five had first degree A-V block. Mean preoperative peripheral venous pressure at the antecubital fossa and arm-to-tongue circulation time were 273 mm $H_2O$and 20.2 seconds, respectively, and they were markedly reduced postoperatively to 152 mm $H_2O$ and 13 seconds, respectively. Several different approaches were made with various extents of pericardial decortication according to patients' condition and probably surgeon's preference. In 12 cases we met cardiovascular injuries during decortication and one of them died of massive bleeding through the torn right atrium, and we experienced excellent postoperative result in a grave case operated on just a small pericardial window. Eleven of 35 cases were tuberculous pericarditis and others were non-specific pericarditis histopathologically, and 6 of total 43 cases operated on passed away by various ways with the mortality rate of 13.9 per cent.

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Toe Tissue Transfer for Reconstruction of Damaged Digits due to Electrical Burns

  • Kim, Hyung-Do;Hwang, So-Min;Lim, Kwang-Ryeol;Jung, Yong-Hui;Ahn, Sung-Min;Song, Jennifer K.
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.138-142
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    • 2012
  • Background : Electrical burns are one of the most devastating types of injuries, and can be characterized by the conduction of electric current through the deeper soft tissue such as vessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is very frequently underestimated on initial impression. Methods : From July 1999 to June 2006, we performed 15 cases of toe tissue transfer for the reconstruction of finger defects caused by electrical burns. We performed preoperative range of motion exercise, early excision, and coverage of the digital defect with toe tissue transfer. Results : We obtained satisfactory results in both functional and aesthetic aspects in all 15 cases without specific complications. Static two-point discrimination results in the transferred toe cases ranged from 8 to 11 mm, with an average of 9.5 mm. The mean range of motion of the transferred toe was $20^{\circ}$ to $36^{\circ}$ in the distal interphalangeal joint, $16^{\circ}$ to $45^{\circ}$ in the proximal interphalangeal joint, and $15^{\circ}$ to $35^{\circ}$ in the metacarpophalangeal joint. All of the patients were relatively satisfied with the function and appearance of their new digits. Conclusions : The strategic management of electrical injury to the hands can be both challenging and complex. Because the optimal surgical method is free tissue transfer, maintenance of vascular integrity among various physiological changes works as a determining factor for the postoperative outcome following the reconstruction.

THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF MANDIBULAR STRESSES OF COMPLETE DENTURE OCCLUSION (하악 총의치 교합형태에 따른 하부조직에 미치는 교합력 양태의 3차원적 유합요소법 해석)

  • Lee Young-Soo;Yoo Kwang-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.2
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    • pp.286-318
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    • 1992
  • The objective of preventive dentistry is the maintenance of a healthy dentition for the life of a patient. Unfortunately, if an individual has not received the benefit of a comprehensive program of preventive dentistry and has finally reached the edentulous state, as a consequence, he receives a set of complete denture. Dentures are mechanical devices and subject to the principles of mechanics. In some cases, the general health and nutritional status of the patient are felt to be the causative factors. But, the most important thing in residual ridge resorption is felt to be caused by the unequal distribution of functional forces. This study was to analyze mandibular stresses of complete denture occlusion by three dimensional finite element method. The results were as follows ; 1. As deformation and stress distribution of the complete denture of the mandible were concentrated on the upper lingual side of the mandible, alveolar ridge resorption of the mandible occurred from lingual side to labio-buccal side. 2. Analyzing by three dimensional F. E. M., the mandible is a very effective form for tolerating stress and deformation biomechanically. 3. According to the concentration of stress distibution in the upper buccal side of the lower posteriors, buccal shelf area must be a primary stress bearing area in the lower complete denture. 4. Lower complete denture moved horizontally to the balancing side under lateral occlusal force. 5. Bilateral balanced occlusion should be constructed in the complete denture for denture stability, especially in the protrusive movement. 6. Physical property of the denture base material was as important for stress distribution in the denture base as or even more than that in the mandible. 7. Impression technique is very important because of most of stress was concentrated between them due to close contact of the mandible and the denture base.

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Computational design of mould sprue for injection moulding thermoplastics

  • Lakkannan, Muralidhar;Mohan Kumar, G.C.;Kadoli, Ravikiran
    • Journal of Computational Design and Engineering
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    • v.3 no.1
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    • pp.37-52
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    • 2016
  • To injection mould polymers, designing mould is a key task involving several critical decisions with direct implications to yield quality, productivity and frugality. One prominent decision among them is specifying sprue-bush conduit expansion as it significantly influences overall injection moulding; abstruseness anguish in its design criteria deceives direct determination. Intuitively designers decide it wisely and then exasperate by optimising or manipulating processing parameters. To overwhelm that anomaly this research aims at proposing an ideal design criteria holistically for all polymeric materials also tend as a functional assessment metric towards perfection i.e., criteria to specify sprue conduit size before mould development. Accordingly, a priori analytical criterion was deduced quantitatively as expansion ratio from ubiquitous empirical relationships specifically a.k.a an exclusive expansion angle imperatively configured for injectant properties. Its computational intelligence advantage was leveraged to augment functionality of perfectly injecting into an impression gap, while synchronising both injector capacity and desired moulding features. For comprehensiveness, it was continuously sensitised over infinite scale as an explicit factor dependent on in-situ spatio-temporal injectant state perplexity with discrete slope and altitude for each polymeric character. In which congregant ranges of apparent viscosity and shear thinning index were conceived to characteristically assort most thermoplastics. Thereon results accorded aggressive conduit expansion widening for viscous incrust, while a very aggressive narrowing for shear thinning encrust; among them apparent viscosity had relative dominance. This important rationale would certainly form a priori design basis as well diagnose filling issues causing several defects. Like this the proposed generic design criteria, being simple would immensely benefit mould designers besides serve as an inexpensive preventive cliché to moulders. Its adaption ease to practice manifests a hope of injection moulding extremely alluring polymers. Therefore, we concluded that appreciating injectant's polymeric character to design exclusive sprue bush offers a definite a priori advantage.

Human Skeletal X-ray Projection Images Applied Fashion Design (인체 골격의 X-ray 투사 이미지를 활용한 패션디자인)

  • Park, Jungin;Lee, Younhee
    • Journal of the Korea Fashion and Costume Design Association
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    • v.17 no.3
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    • pp.13-27
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    • 2015
  • The purpose of this study is to understand the general process from textile design till fashion design and to understand the relation between the body structure by using the x-ray technique. The research method was to see background of the anatomic feature and human skeletal X-ray projection through historical aspect of publications, the Internet, and paper. In terms of production, in order to present a design that takes into account the unique silhouette of the human body without distorting the shape of the human skeleton, X-ray images that were reconstituted using a computer graphic tool (Photoshop CS) were reproduced into the fabric as intense images through the digital Textile Printing technique that is capable of expressing fine and delicate details, and applied into the design. An original design was developed that emphasized the impression of the human body being projected and the shape of the human skeleton realistically expressed in terms of silhouette and detail. The results are as follows: First, Body has a anatomic formative characteristic and its formativeness becomes as a great motive for the artistic expression and thereby it becomes more unique and available for new design expression. Second, Using the 'body frame' as the motive of the research, there's mainly tried to make an unique expression. Third, according to reconstructing human skeletal X-ray projection by using Adobe Photoshop CS2, it can be expressed strong and unique design. Forth, DTP which is being used as an essential technique, expresses the body frame realistically and being used the special type of functional product and silk. Likewise by discovering the diverse formativeness of our body frame and reflecting the sense of humanity into the pieces there's been able to make and develop an unique fashion design. I sincerely hope there is a hug progress in this research in this area.

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Approach to complicated fully edentulous case: from the diagnosis to the definitive denture (총의치 난증례에 대한 접근법: 진단부터 최종의치까지)

  • Oh, Jina;Lee, Hyunmin;Paek, Janghyun;Noh, Kwantae;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.250-255
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    • 2015
  • In fully edentulous cases, which are accompanied by severe residual ridge resorption and impairment of supporting tissues of complete dentures, proper diagnosis and systemic treatment planning are required for the improvement in retention, stability, and support of prosthesis. Provisional restoration, while it is unfamiliar in complete denture restoration, can be used as a valuable tool, which makes possible to evaluate the stability of complete dentures and receive feedback from patients in complex clinical situations. In this case, a provisional denture was used to improve stability of impression, polished, and occlusal surfaces of complete denture, and to consider esthetic requirements before final denture construction. The result was clinically satisfactory in terms of functional and esthetical aspects.

Clinical case of implant restoration using customized healing abutment (맞춤형 치유 지대주를 이용한 임플란트 수복 증례)

  • Park, Jung-Wan;Hong, Min-Ho;Lee, Kyu-Bok
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.222-227
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    • 2015
  • Aesthetic impression is emphasized in the recent field of implant restoration. However, there is limitation of creating proper shape of soft tissue as well as cervical emergence profile due to the use of pre-existing healing abutment in the process of initial post-operative soft tissue healing period. Designing the shape of abutment into the final customized abutment instead of its original shape helped to achieve more aesthetic implant restoration by applying healing abutment which could minimize the malposition and recession of soft tissue. In this study, soft tissue healing was promoted using the post-operative customized healing abutment and thereby obtained the result of more aesthetic and functional restoration by minimizing displacement of soft tissue in the process of applying final customized abutment.

Complete denture fabrication of edentulous patient with severe alveolar bone resorption using suction mechanism: A case report (치조제 흡수가 심한 무치악 환자에서 흡착원리를 이용한 총의치 수복 증례)

  • Kim, Hyun-Ah;Yun, Kwi-Dug;Jo, Yu-Jin;Yang, Hongso;Park, Sang-Won;Park, Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.130-136
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    • 2020
  • Fabrication of complete denture with suction mechanism was introduced to enhance the retention and stability of denture by sealing around the denture border by forming negative pressure on the inner side of denture base during functional movement such as swallowing or masticating. Mandibular suction dentures reduce denture dislodging force during opening by taking preliminary impression without pressure on retromolar pad area in rest position. In this case, fabrication of complete denture using suction mechanism for an edentulous patient with severe alveolar bone resorption allowed us to clinically enhance retention and stability of denture and improve satisfaction of patient.

Development of Functional Indoor Apparel Considering Toddlers' Behavioral Characteristics - Focus on 3-6-Year Old Boys - (유아(幼兒)의 특성을 고려한 기능적 실내복 디자인 개발 - 만 3-6세 남아를 중심으로 -)

  • Nam, Young-Ran;Choi, Hei-Sun
    • Journal of the Korean Society of Costume
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    • v.63 no.1
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    • pp.81-96
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    • 2013
  • We interviewed and surveyed parents of 3 to 6-year-old boys in order to determine designs for indoor apparel that appealed to toddlers. In addition, on the basis of the behavioral characteristics of such boys, improvements in the development of indoor apparels were suggested. Parents preferred indoor apparels because it could be worn as underwear when the kid is outdoors and as outerwear when indoors. These apparels were popular with toddlers. Therefore, indoor apparel that gives the impression of outerwear while performing the function of underwear was designed. Underwear fabric was used, but outerwear apparel design was partially adopted. In order to improve the activity, fabric that could be stretched in any direction was used for the sleeves and pant legs, while organic fabric with soft texture was used for the trunk part of the apparel. Dark-colored material was used for the chest and elbow parts of the clothes in order to prevent contamination in these parts. In particular, a bib was used to prevent contamination in the chest part. Given that toddlers engage in many activities, the fabric needed to be durable, so this led to thick materials being used for the knee part. As certain parents complained about the short length for tops, we increased the length of the tops by 5cm. In the survey items that investigated overall wearability, ease, and suitability for toddlers' activities, the test apparel obtained a higher score than existing apparel did. This indicates that the overall suitability of the newly designed apparel was improved.