• 제목/요약/키워드: restoration techniques

검색결과 481건 처리시간 0.033초

확장 광배근 피판거상 시 공여부 장액종의 예방을 위한 피브린 실란트의 효과에 대한 후향적 연구 (Effect of Fibrin Sealant in Extended Lattisimus Dorsi Flap Donor Site: Retrospective Study)

  • 조현우;유대현;탁관철
    • Archives of Plastic Surgery
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    • 제35권3호
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    • pp.267-272
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    • 2008
  • Purpose: Donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. One of preventive treatments is to use the fibrin sealant in donor site before closure. Experimentally, it has been used successfully in the prevention of latissimus donor site seroma, but its clinical efficacy and results were very controversial. Thus, the purpose of this study is to evaluate the clinical efficacy and to determine the optimal dose of fibrin sealant. Methods: A retrospective study was done of patients operated under same surgical conditions by one operator with variable doses of fibrin sealant. The study group consisted of 60 consecutive patients who underwent breast reconstruction with extended latissimus flap reconstructions from January 2005 to December 2006. Patients were divided into 4 group by applied fibrin sealant amount(group 1=0 mL, group 2=1 mL, group 3=2 mL, group 4=4 mL). Retrospective data were obtained from total postoperative drainage amount, time from surgery to drain removal, and incidence and quantity of seroma formation in matched patients group. Results: Total drainage amount decreased relative to the amount of fibrin sealant. The seroma formation rate of 30% in the study group 4 was significantly less than group 1 rate of 71%(p<0.05). It was an improvement over the rates of as much as 79% described previously in the literature. Also, time from surgery to drain removal was shortened significantly in group 4 patients(p<0.05). Conclusion: The use of fibrin sealant in the extended latissimus dorsi flap donor site appears effective in preventing seroma. However, important factors to obtain lower seroma formation rates are proper techniques and proper amounts such as the authors suggested amount: $0.01mL/cm^2$ with spray type fibrin sealant.

5급와동의 복합레진 충전에 관한 유한요소법적 응력분석 (FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION ACCORDING TO CAVITY DESIGN OF CLASS V COMPOSITE RESIN FILLING)

  • 엄정문;권혁춘;손호현;조병훈;임영일
    • Restorative Dentistry and Endodontics
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    • 제24권1호
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    • pp.67-75
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    • 1999
  • The use of composite restorative materials is established due to continuing improvements in the materials and restorative techniques. Composite resins are widely used for the restoration of cervical lesions because of esthetics, good physical properties and working time. There are several types of cavity design for class V composite resin filling, but inappropriate cavity form may affect bonding failure, microleakage and fracture during mastication. Cavity preparations for composite materials should be as conservative as possible. The extent of the preparation is usually determined by the size, shape, and location of the defect. The design of the cavity preparation to receive a composite restoration may vary depending on several factors. In this study, 5 types of class V cavity were prepared on each maxillary central incisor. The types are; 1) V-shape, 2) round(U) shape, 3) box form, 4) box form with incisal bevel and 5) box form with incisal bevel and grooves for axial line angles. After restoration, in order to observe the concentration of stress at bonding surfaces of teeth and restorations, developing a 2-dimensional finite element model of labiopalatal section in tooth, surrounding bone, periodontal ligament and gingiva, based on the measurements by Wheeler, loading force from direction of 45 degrees from lingual side near the incisal edge was applied. This study analysed Von Mises stress with SuperSap finite element analysis program(Algor Interactive System, Inc.). The results were as follows : 1. Stress concentration was prevalent at tooth-resin bonding surface of cervical side on each model. 2. In model 2 without line angle, stress was distributed evenly. 3. Preparing bevel eliminated stress concentration much or less at line angle. 4. Model with round-shape distributed stress concentration more evenly than box-type model with sharp line angle, therefore decreased possibility of fracture. 5. Adding grooves to line angles had no effect of decreasing stress concentration to the area.

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충남 광역생태네트워크 자연녹지의 훼손지 식생구조 변화 (A Study on Vegetation Structure Changes between Natural land and Damaged land in Regional Ecological Network at Chungnam Province)

  • 송주현;윤충원;조용현;강희경
    • 한국환경복원기술학회지
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    • 제20권2호
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    • pp.13-35
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    • 2017
  • This study was carried out to analyze vegetation structure and change of the disturbed area in forest ecosystem(FE), riparian ecosystem(RE) and coastal ecosystem(CE) related to Regional Ecological Network at Chungnam province through constancy and dominance analysis, species diversity index, similarity index and canonical correlation analysis. Data were collected from April to October in 2015. As a result of constancy and dominance analysis of forest disturbed area, non-effective species(NES) was 30 species(17.0%), exported species(ES) was 98 species(55.7%) and imported species(IS) was 48 species(27.3%) among the total 176 species, respectively. In riparian disturbed area with total 139 species, there were 16 NES(11.5%), 98 ES(70.5%) and 25 IS(18.0%) respectively. In coastal disturbed area with 140 species, there were 20 NES(14.3%), 88 ES(62.9%) and 32 IS(22.9%) respectively. In all types of disturbed areas, the ratio of ES was higher than IS. As a result of species diversity, species richness and shannon's diversity index of disturbed area decreased in all kinds of crown strata such as tree, subtree, shrub and herb layer compared to the control area. As a result of similarity index, that of each type between control site and disturbed site was 0.374 in FE, 0.329 in CE and 0.259 in RE in the order. As a result of the CCA analysis, the number of present species, vine plants ratio and exported species ratio in disturbed area of FE and RE were decreased, and the naturalized plant ratio, imported species ratio and herb ratio were increased. But environmental factors of CE were not shown any clear tendency. In conclusion, many species occupied in control site disappeared into the disturbed area, and the naturalized plants and herb species were abundantly imported in the area. Therefore, it was considered that this study could be applied to the development of long-term and short-term ecological restoration techniques in view of vegetation changes.

원주 법천사지 지광국사탑의 표면오염 및 성인 해석 (Interpretation of Surface Contamination and Genesis on the Stupa of the State Preceptor Jigwang from the Beopcheonsaji Temple Site in Wonju, Korea)

  • 강산하;이주목;이규혜;김사덕;이찬희
    • 보존과학회지
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    • 제34권3호
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    • pp.211-225
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    • 2018
  • 원주 법천사지 지광국사탑(국보 제101호)은 고려시대(11세기 경)에 조성된, 양식과 기법이 매우 뛰어난 승탑이다. 1912년에 일본 오사카로 무단 반출되었다가 반환되었으며, 한국전쟁기간에 큰 손상을 입었다. 이후 모르타르와 같은 재료를 사용하여 보수되었으며, 이 과정에서 국립고궁박물관 옆으로 이건되었다. 지광국사탑의 표면오염은 대부분 보수재료를 중심으로 나타난다. 변색 등급이 높은 흑화는 북측면과 앙시에서 비교적 높은 점유율을 보였다. 이는 상대적인 수분유지시간에 따른 것으로 해석된다. 표면오염물은 대부분 방해석과 석고이며, 특히 흑화부위는 2차적으로 대기오염물질의 영향을 받았다. 상대적으로 변색도가 낮은 석재에서도 조암광물사이에서 염결정이 확인되며 부분적으로 표면을 피복하고 있다. 지광국사탑은 보수과정에서 사용된 모르타르가 열화되면서 용해된 석회물질의 영향으로 탑신 전반에 걸쳐 변색에 의한 손상이 넓게 나타난 것으로 해석된다. 따라서 보존처리 과정에서 표면오염물 제거와 세정 및 탈염처리를 통해 염에 의한 물리화학적 손상을 제어할 필요가 있다.

사막화방지(沙漠化防止) 및 방사기술개발(防沙技術開發)에 관한 연구(硏究)(II) - 중국(中國)의 경관(景觀)-생태(生態) 방호림조성기술(防護林造成技術) 및 효과분석(效果分析) - (Studies on the Desertification and Sand Industry Development(II) - Analysis of Silvicultural Techniques and Effects of Landscape-Eco Shelterbelt Establishment -)

  • 우보명;이경준;전기성;김경훈;최형태;이승현;이병권;김소연;이상호;전정일
    • 한국환경복원기술학회지
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    • 제3권3호
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    • pp.81-99
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    • 2000
  • The shelterbelts are very important to conserve and protect the sandy land, vegetation coverage, farmland, livestock and human life in the desertified land. The shelterbelts are constructed by the several row-plantings of high-adaptable species in the desertified land. The shelterbelts have various kind of type, and there are shelterbelts for conservation of farmland in dry the region, the protective shelterbelts (windbreaks for blowing-sand, artificial sanddune fixation by revegetation, and construction of farmland shelterbelts to protect farmland and pasture from wind erosion, etc.) in the semi-dry steppe, shelterbelts around the villages and oasis for sanddune fixation, shelterbelts for protection of railroads, and so on. The shelterbelts consist of main she1terbelts and minor shelterbelts. The main shelterbelts were constructed by being perpendicular to main wind direction, and the minor shelterbelts were constructed by being perpendicular to the main shelterbelts. Generally, the width of shelterbelts is 8~20m, and the number of row-planting is 4~10. The grid sizes of shelterbelts networks are $400{\times}400m$, $300{\times}500m$, $100{\times}200m$, and so on, and there are ventilation type and closing type in the type of shelterbelt. The width, number of row-planting, grid size and type of shelterbelt are selected by the local characteristics. The effects of shelterbelts are mainly the climate improvement and mitigation, such as prevention of occurrence of strong wind, cold wind and blowing-sand. And, the other effects of shelterbelts are effect of reforestation, increase of agricultural productions, establishment of greenbelts and green forests, construction of landscape-eco shelterbelts, improvement of life environment of local villages, supply of fuel wood and agricultural wood, land amelioration, effect of revegetation and restoration of desertified land, and so on. The kinds of the tree species mainly used for the construction of shelterbelts have differences between regions, but main species are Populus euphratica, Populus simonii, Populus bolleana, Populus tomentosa, Salix flavida, Salix mongolica, Tamarix chinensis, Hedysarum scoparium, and so on.

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황룡사구층목탑 가구 및 결구기법에 관한 추론적 고찰 (A Study on Structure Composition and Joining Methods of Pyungjwa-Floor in Nine Floor Wooden Stupa of HWANGYONGSA Temple)

  • 황세옥
    • 헤리티지:역사와 과학
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    • 제46권1호
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    • pp.140-159
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    • 2013
  • 황룡사구층목탑은 신라시대에 백제인 아비지(阿非知)에 의해 설계 시공된 우리나라 최고(最高)의 목탑으로 선덕왕 12년(643)에 시작되어 646년에 완성된 후 1238년 고려시대 몽고의 침입으로 소실될 때까지 오랫동안 한국 목탑의 전형으로 볼 수 있다. 그러나 황룡사구층목탑의 복원에 관한 기존 연구에도 불구하고, 이미 발굴된 유구와 유물, 문헌적 자료를 통하여 새롭게 고찰될 부분이 있다. 특히 황룡사구층목탑의 가구구조와 결구에 관한 연구는 복원을 위한 중요한 근거가 될 수 있음에도 그동안 우리나라 전통기법과 양식에 바탕을 둔 목탑의 구조적 조형적 특성을 규명하기보다는 관련 주변 국가와의 교류를 고려하여 목탑의 보편적 특성 규명에 치우쳐 왔다는 생각마저 든다. 이에 본고에서는 구조적으로 해석될 수 있는 해당 목탑에 관한 문헌의 재해석과 건립 당시인 7세기 전후 국내의 관련 유구 및 선학의 연구를 바탕으로, 황룡사구층목탑의 가구구조와 결구의 기법을 구체적으로 분석 고찰하였다. 즉, 평면의 기둥배치 모형도, 중요부위별 결구방식, 하앙재 및 추녀 뒤뿌리의 결구방식, 사천주 및 심주의 결구방식 등을 추정 제시하였다. 본인은 이러한 연구를 통하여 한국 고대목탑건축의 연구자료에 활용함은 물론 구조기법과 결구기법의 실체에 한 걸음 더 접근할 수 있는 계기가 마련될 것으로 본다.

Effect of the restorative technique on load-bearing capacity, cusp deflection, and stress distribution of endodontically-treated premolars with MOD restoration

  • da Rocha, Daniel Maranha;Tribst, Joao Paulo Mendes;Ausiello, Pietro;Dal Piva, Amanda Maria de Oliveira;Rocha, Milena Cerqueira da;Di Nicolo, Rebeca;Borges, Alexandre Luiz Souto
    • Restorative Dentistry and Endodontics
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    • 제44권3호
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    • pp.33.1-33.12
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    • 2019
  • Objectives: To evaluate the influence of the restorative technique on the mechanical response of endodontically-treated upper premolars with mesio-occluso-distal (MOD) cavity. Materials and Methods: Forty-eight premolars received MOD preparation (4 groups, n = 12) with different restorative techniques: glass ionomer cement + composite resin (the GIC group), a metallic post + composite resin (the MP group), a fiberglass post + composite resin (the FGP group), or no endodontic treatment + restoration with composite resin (the CR group). Cusp strain and load-bearing capacity were evaluated. One-way analysis of variance and the Tukey test were used with ${\alpha}=5%$. Finite element analysis (FEA) was used to calculate displacement and tensile stress for the teeth and restorations. Results: MP showed the highest cusp (p = 0.027) deflection ($24.28{\pm}5.09{\mu}m/{\mu}m$), followed by FGP ($20.61{\pm}5.05{\mu}m/{\mu}m$), CR ($17.62{\pm}7.00{\mu}m/{\mu}m$), and GIC ($17.62{\pm}7.00{\mu}m/{\mu}m$). For load-bearing, CR ($38.89{\pm}3.24N$) showed the highest, followed by GIC ($37.51{\pm}6.69N$), FGP ($29.80{\pm}10.03N$), and MP ($18.41{\pm}4.15N$) (p = 0.001) value. FEA showed similar behavior in the restorations in all groups, while MP showed the highest stress concentration in the tooth and post. Conclusions: There is no mechanical advantage in using intraradicular posts for endodontically-treated premolars requiring MOD restoration. Filling the pulp chamber with GIC and restoring the tooth with only CR showed the most promising results for cusp deflection, failure load, and stress distribution.

접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 심미적인 치은 연상 변연 도재 부분피개관 수복 증례 (Clinical performance of esthetic ceramic partial-coverage restorations with supra-gingival margin using minimally invasive tooth preparation method according to the concept of adhesive dentistry)

  • 홍명식;최유성;이종혁;하승룡
    • 대한치과보철학회지
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    • 제59권3호
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    • pp.319-332
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    • 2021
  • 심미적인 도재 재료와 레진 시멘트의 비약적인 발전으로 임상에서 금속도재관에서 전부도재관으로의 전환이 활발히 이루어지고 있으며, 도재 수복물 제작 시 그에 적합한 형태와 기술을 이용하여야 그 장점을 최대화할 수 있다. 최근 법랑질을 최대한 보존하고 접착 효율을 높이는 최소 침습적 치아 삭제법을 적용하여 치은 연상 변연을 가진 심미적인 도재 부분피 개관 수복방법이 소개되었는데, 이를 통해 치질 삭제의 최소화, 시멘트 제거의 용이성 등 여러 장점들을 얻을 수 있다고 보고된다. 또한 이 제작법은 치은 압배사의 삽입이 불필요하여 치은 압배사 삽입에 소요되는 시간을 절약할 수 있으며 환자의 불편감도 감소시킬 수 있다. 더 나아가 치은 열구액이나 혈액의 개입 없이 명확하게 변연을 채득할 수 있어 더 정확한 수복물 제작이 가능하다고 보고된다. 본 증례에서는 각각 해당 치아 부위에 부분적인 결함이 있는 환자에서 통상적인 전부피개관이 아닌 접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 치은 연상 변연 도재 부분피개관으로 다양한 제작 방법을 활용하여 수복함으로써 불필요한 치아 삭제를 방지하고 잔존 치질을 최대한 보존할 수 있었다. 치료 후 환자와 술자 모두 심미적, 기능적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

보철 치료시 전치부 치조제 결손부의 처치 (Correction of anterior ridge defect for conventional prosthesis)

  • 정재은;김태일;설양조;이용무;구영;류인철;정종평;한수부
    • Journal of Periodontal and Implant Science
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    • 제38권4호
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    • pp.729-736
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    • 2008
  • Purpose: Anterior ridge defect after tooth extraction results in unfavorable appearance. Ridge augmentation procedures should be preceded by careful surgical-prosthetic treatment planning, and various techniques can be used in anterior ridge augmentation. Materials and Methods: Three patients showed deformed ridges after tooth extraction. Three different techniques ; onlay-interpositional connective tissue graft; bovine hydroxyapatite graft with free connective tissue graft; bovine hydroxyapatite graft with resorbable collagen membrane following free connective tissue graft; were used for anterior ridge augmentation. Result: Soft tissue graft can be used in small amount of ridge defect, hard tissue graft combined with soft tissue graft can be used in large amount of ridge defect. After ridge augmentation, about three months of healing period, augmented tissue was stabilized. The final restoration was initiated after this healing period, and the tissue form was maintained stable. Conclusion: Careful diagnosis and surgical-prosthetic treatment planning with joint consultation prior to surgery should be performed in order to attain an optimal esthetic results.

코드은닉을 이용한 역공학 방지 악성코드 분석방법 연구 (A New Analysis Method for Packed Malicious Codes)

  • 이경률;임강빈
    • 한국항행학회논문지
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    • 제16권3호
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    • pp.488-494
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    • 2012
  • 본 논문은 악성코드가 사용하는 자기방어기법을 방식에 따라 분류하고, 악의적인 코드를 보호하는 방법의 일종인 패킹에 대해 소개하였으며, 패킹을 이용하는 악성코드를 보다 빠르게 분석할 수 있는 방안을 제시하였다. 패킹기법은 악의적인 코드를 은닉하고 실행 시에 복원하는 기술로서 패킹된 악성코드를 분석하기 위해서는 복원 후의 진입점을 찾는 것이 필요하다. 기존에는 진입점 수집을 위하여 악성코드의 패킹 관련 코드를 자세히 분석하여야만 했다. 그러나 본 논문에서는 이를 대신하여 악성코드를 생성한 표준 라이브러리 코드 일부를 탐색하는 방법을 제시하였다. 제시한 방안을 실제로 구현하여 보다 신속히 분석할 수 있음을 증명하였다.