• Title/Summary/Keyword: recession

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Mucogingival surgery for patients under orthodontic treatment (교정 치료 중인 환자의 치주수술)

  • Park, Shin-Young
    • The Journal of the Korean dental association
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    • v.55 no.3
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    • pp.249-256
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    • 2017
  • Gingival recession is one of the common mucogingival problems during the orthodontic treatment. The causes of the gingival recession are similar to gingival recession in patients with periodontal diseases. Accumulation of bacterial deposits around the natural teeth induces the gingival inflammation and gingival recession occurs in the teeth with the lack of the supporting bone. However, malpositioned teeth which are labially positioned teeth or rotated teeth are more risky for gingival recession. Once root is exposed to oral cavity due to gingival recession, the orthodontic tooth movement is compromised and esthetic problems appeared. In addition, excessive gingival recession over the mucogingival junction jeopardizes the oral hygiene control, which has a risk of further gingival recession and bone loss around the tooth. To cover exposed root or to prevent further gingival recession, mucogingival surgery with gingival graft is recommended for the patients under orthodontic treatment. This case report aimed to present the mucogingival treatments of gingival recession observed during orthodontic treatment. Case I had had initial slight gingival recession before the orthodontic treatment. However, during the retraction phases, the gingival recession progressed and the periodontal treatment was referred. In case II, miller Class III gingival recession was occurred after correction of rotation. Both cases were treated by coronally advanced flap with free gingival grafts and recovered to the level of adjacent teeth despite of complete root coverage was not achieved in Case II. After periodontal treatment, orthodontic treatment was successfully completed. In conclusion, mucogingival surgery during the orthodontic treatment is recommended for the successful orthodontic treatment as well as periodontal health.

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Relationship of occlusion and gingival recession (교합과 치은 퇴축과의 관계)

  • Seok, Jeong-Jin;Jeong, Dong-Keun;Kwon, Jin-Hee;Park, So-Young;Ko, Sun-Young;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.139-146
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    • 2006
  • Many factors have been implicated in the etiology of gingival recession, including faulty toothbrushing, the position of the tooth in the arch(malalignment), the presence of inflammation, frenal attachment, impingement of restoration margins, orthodontic treatment and trauma from occlusion. Among the many factors, this study was to evaluate the relationship of occlusion and gingival recession. 640 teeth without other etiologic factors of gingival recession were evaluated in 40 subjects aged 21-59 years. Only 1st, 2nd premolar and molar were included in this study. We recorded nonworking contacts, working contacts, cervical abrasion, sex, gingival recession and evaluated that relation of occlusion and gingival recession. The results of this study were as follows; 1. Teeth with nonworking contacts were significantly more gingival recession than teeth without nonworking contacts.(p<0.01) 2. Teeth with working contacts were significantly more gingival recession than teeth without working contacts.(p<0.01) 3. Teeth with cervical lesion were significantly more gingival recession than teeth without cervical lesion.(p<0.01) 4. Men's teeth were more gingival recession than women's teeth but it was not significant.(p>0.01)

Horizontal Effects of 10-mm Inferior Oblique Recession versus 14-mm Inferior Oblique Recession

  • Kim, Jae Min;Kim, Ungsoo Samuel
    • Korean Journal of Ophthalmology
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    • v.32 no.6
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    • pp.478-482
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    • 2018
  • Purpose: The aim of this study was to investigate the quantitative effect of inferior oblique (IO) 10- and 14-mm recession on postoperative horizontal deviation. Methods: Patients (22 men and 18 women) who underwent IO recession were divided into two groups for comparison studies: group 1 (10-mm IO recession, 15 patients) and group 2 (14-mm IO recession, 25 patients). Preoperative and postoperative horizontal deviations were measured, and the resulting horizontal deviations from the 10- and 14-mm IO recession surgeries were compared. The effects of superior oblique underaction, IO overaction, and combined exodeviation on postoperative horizontal deviation were analyzed. Results: Although group 1 did not show a significant horizontal deviation change after surgery ($1.9{\pm}4.5$ prism diopters [PD], p = 0.452), group 2 had a meaningful horizontal change after 14-mm recession ($2.2{\pm}3.8PD$, p = 0.022). Both groups showed a significant esodrift in horizontal deviation (group 1, p = 0.017; group 2, p = 0.030) in patients with exodeviation over 8 PD. The mean change in horizontal deviation was $6.0{\pm}5.4PD$ for group 1 and $9.0{\pm}5.0PD$ for group 2. Although the amount of superior oblique underaction did not affect the extent of change in horizontal deviation, patients with severe IO overaction showed a significant change in horizontal deviation after 14-mm IO recession. Conclusions: Fourteen-millimeter IO recession could make a statistically significant change in horizontal deviation after surgery. In addition, esodrift should be considered after IO recession in patients with a preoperative exodeviation greater than 8 PD or severe IO overaction.

A Study on the Base Flow Recession Curve Development in the Ssangchi Basin of the Sumjin River (섬진강 쌍치유역의 기저유출 감수곡선식 개발에 관한 연구)

  • 김경수;조기태
    • Journal of the Korean Society of Groundwater Environment
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    • v.7 no.2
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    • pp.66-72
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    • 2000
  • The purpose of this study is establish a recession curve for low flow discharge in the Ssangchi basin. For this study, we selected 34 recession segments and calculated recession constants and initial discharges. The average initial discharge is 0.40 ㎥/sec and the recession constant is 0.86. With using the initial discharge and the recession constant, We got the non-linear recession cure equation. This non-linear equation is more reasonable fit than the linear equation of the recession curve for low flow.

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Clinical study of gingival recession and dentine hyper-sensitivity (치은퇴축과 상아질 지각과민증의 빈도와 분포에 대한 임상적 연구)

  • Park, Ki-Young;Kim, Sung-Jo;Choi, Jeom-Il;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.51-60
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    • 2006
  • Gingival recession is clinically manifested by an apical displacement of the gingival tissue and dentin hypersensitivity is often used to describe a painful condition in which exposed dentin is unduly sensitive to intraoral stimuli. The objects of this study were primarily to investigate the prevalence and distribution of gingival recession and hypersensitivity and secondarily to determine whether a relationship exists between gingival recession and hypersensitivity. The study population was 195 patients (102 males, 93 females) who were attended the department of periodontology, Pusan National University Hospital. 189 patients exhibited gingival recession at least more than 1 tooth, the prevalence was 96.9%. The maxillary and mandibular first premolar and mandibular incisors had the highest prevalence. The majority of patients (139 patients, 71.3%) were diagnosed as having dentin hypersensitivity. Dentin hypersensitivity was determined to 3 seconds application of cold air to the exposed root surface after isolating the test tooth and was commonest in maxillary and mandibular first premolars and mandibular incisors. Relationship between recession and hypersensitivity was analyzed using chi-square test (p=0.05), significant relation (p=0.000) was existed. Gingival recession was more severe, the prevalence of hypersensitivity was higher.

Case Study: Groundwater Recharge Hydrograph in Pyeongchang River (평창강 지하수 함양곡선 연구)

  • Kwak, Jaewon
    • Journal of Wetlands Research
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    • v.23 no.2
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    • pp.173-182
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    • 2021
  • It is important to extract and assess low-flow recession characteristics for water resources management in the upper reaches of a stream. It is difficult to express the groundwater flow recession characteristics for streamflow synthetically. The linear recession model has been widely used by baseflow recession analysis for reason of simplicity and convenience, but recent studies show that nonlinear recession models fit well, and the relationship between the reservoir storage of shallow unconfined aquifers and the groundwater discharge was to be identified as nonlinear in the literature based on the analysis of numerous streamflow recession curves. The objective of the study is to decode these nonlinear characteristics, including evaporation loss, storage, and recharge of groundwater using streamflow. By analyzing the observed time series of streamflow from the study area, which is the Pyeongchang River basin in Korea, the main components of the underlying groundwater balance, namely, discharge, evaporation loss, storage, and recharge, can be identified and quantified. As a result of the study, depletion of groundwater by evapotranspiration losses through the water uptake of tree roots was found to bias the recession curves and the estimated reservoir parameters. The seasonality of both rainfall and potential evaporation, analysis of the recession curves, stratified according to time of the year, allowed the quantification of evapotranspiration loss as a function of a calendar month and stored groundwater storage.

Gingival recession of lower anterior incisors in orthodontic treatment (교정치료시 하악 전치부 치은퇴축의 고려)

  • Kim, Yun-Sang;Cho, Jin-Hyoung
    • Journal of Periodontal and Implant Science
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    • v.38 no.2
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    • pp.215-224
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    • 2008
  • Purpose: These case reports show the orthodontic treatment of lower anterior incisors with gingival recession. Materials and Methods: Three cases were treated by an orthodontist and a periodontist. Each case had lingually tilted lower anterior incisors, anterior crossbite and skeletal Cl III pattern. Results: A variety of etiological factors were thought to cause gingival recession: aging, oral hygiene, tooth malpositioning, occlusal trauma. Conclusion: Due to the interaction among many possible contributing factors, it is difficult to predict whether further gingival recession may occur at a given site. The position and the movement of the lower anterior incisors with gingival recession are important factors in diagnosis and orthodontic treatment planning.

Treatment of Multiple Gingival Recessions Using Vestibular Incision Subperiosteal Tunnel Access with Platelet-rich Fibrin: Two Cases Reports

  • Sung-Min Hwang;Jo-Young Suh
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.218-226
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    • 2023
  • Treatment of multiple gingival recession defects is usually more challenging than that of single gingival recession. Various techniques for the treatment of multiple gingival recession have been established. Recently, vestibular incision subperiosteal tunnel access (VISTA) technique has been considered to exhibit high predictive ability. Connective tissue graft (CTG) has also been considered a gold standard technique owing to its high predictability of root coverage. However, this technique requires a suitable donor site and has clinical disadvantages, such as additional pain. Thus, in this case presentation, platelet-rich fibrin (PRF) was used as an alternative material for CTG along with VISTA. We herein report cases of two patients with Miller's class I and III multiple gingival recession defects, respectively. These patients underwent VISTA along with the use of a PRF membrane. They were followed up for 12 months postoperatively, and their clinical parameters, including probing depth, depth of gingival recession, clinical attachment level, and width of attached gingiva at baseline and at 2, 6, and 12 months postoperatively, were assessed. The patient with class 1 recession defects exhibited a significant amount of root coverage, which remained stable during the follow-up period. Whereas the patient with class 3 recession defects had lesser amount of coverage compared to class 1 patient. The partial coverage observed may be attributed to not only anatomical factors but also the technique-sensitive nature of the procedure. Considering these results, the use of VISTA along with PRF is a viable option for treating gingival recession, as it does not cause discomfort to patients. However, various factors need to be considered during the surgical procedure.

Baseflow and Streamflow Simulation Applying Baseflow Recession Constants in Individual Sub-watersheds (소유역 별 기저유출 감수상수를 적용한 유량 및 기저유출 모의)

  • Han, Jeong Ho;Lim, Kyoung Jae;Jung, Younghun
    • Journal of The Korean Society of Agricultural Engineers
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    • v.59 no.6
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    • pp.101-108
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    • 2017
  • This study attempted to improve the accuracy of streamflow and baseflow prediction of Soil and Water Assessment Tool (SWAT) by applying baselfow recession constants for each sub-watershed. This study set two different scenarios (S1 and S2) to evaluate the impact of application of baseflow recession constants for each sub-watershed on streamflow prediction. In S1, Only the baseflow recession constant obtained from the streamflow station located in the final outlet of study area was applied for whole sub-watersheds. In S2, baseflow recession constants obtained from six different streamflow stations were applied for each sub-watershed. Then, baseflow was separated form the measured streamflow data and the predicted streamflow of S1 and S2 using Web-based Hydrograph Analysis Tool (WHAT). The results showed Nash-Sutcliff efficiency (NSE) and $R^2$ of S2 were a little higher than these of S1 in both streamflow and baseflow prediction results. However, it is important that S2 reflected physical meaning of baseflow recess. Also, recession part of hydrograph in S2 was calibrated better than that of S1 compared to the measured hydrograph.

Recession Characteristics Analysis of Ssangchi Watershed (쌍치유역의 감수특성 분석)

  • 이재형;윤재민;이희주;박정인
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 1999.10c
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    • pp.459-464
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    • 1999
  • The objective of this study is to analyze hydrologic recessiioon curve at the outlet of the ssangchi basin. For the development of recession equation, the initial discharge(Q0) and the recession parameters are estimated . It is shown that the accurate estimates of recession curve is easily obtained . The obtained parameters can be related to the basin characteristics, drainge area, and the total stream length so that they can be used for the development of the regional low flow estimation model.

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