• Title/Summary/Keyword: space closure

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Segmented Arch Technique에 의한 최신교정방법IV.(완)

  • Park, Yeong-Cheol
    • The Journal of the Korean dental association
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    • v.24 no.10 s.209
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    • pp.870-876
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    • 1986
  • Segmented Arch technique 은 edgewise mechanics의 한 줄기로서, 미국 코네티컬 주립대학 교정과 과장인 Dr. Burstone에 의하여 1950년대 이래로 꾸준히 개발되어온 치료술식으로서 그 특징을 한마디로 요약하면 생역학적인 개념(biomechanical concept)을 가장 효율적으로 치료에 적용하고자 함에 있다고 하겠다. 저자는 Segmented arch technique의 최근의 경향과 치료이론 및 술식을 다음의 순서로 4회에 걸쳐서 소개하고자 한다. 1. 전치의 Intrusion에 의한 과개교합의 치료법 -Deep Overbite Correction 2. Space closure - 수평방향의 치아이동방법 3. 치근의 이동방법 - Root movement 4. 구치를 Upright 시키는 방법 - Tip back mechanics

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치주 질환을 동반한 상악 정중이개(diastema)환자에 있어 치주-교정-보철 치료의 치험 증례 보고

  • Kim, Tae-Hun;Lee, Seung-Hui
    • The Journal of the Korean dental association
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    • v.36 no.11 s.354
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    • pp.794-799
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    • 1998
  • Many references report that abnormal diastema except temporary diastema existing in mixed dentition period is caused by maxilary heavy labial frenum, malocclusion, progressive periodontal disease, and loss of posterior teeth. We can diagnose patient as diastema caused by periodontal disease, especially, in case of accompanying progressively destructed anterior maxillary alveolar bone defect, and interseptal bone defect. We report Multiple disciplinary approach for diastema associated with periodontal disease. Periodontal treatment(Guided Tissue -Regeneration, alveoloplasty, bone graft), or thodontic treatment (space closure, redistribution), and the final proshodontic restoration for retention were used.

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Transsternal Approach for BPF closure -A Case Report (정중흉골절개를 통한 기관늑막루의 폐쇄술 -1례 보고-)

  • 정원상;양수호;전순호;신성호;김영학;서정국;김경헌;이준영
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.540-543
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    • 1998
  • A patient with post-pneumonectomy empyema was treated sucessfully by modification of Clagett's operation after closure of bronchopleural fistula using a transsternal, transpericardial approach. His primary disease was pulmonary tuberculosis, and he had a past history of left upper lobe lobectomy 34 year ago. Recently recurred pulmonary tuberculosis with aspergilloma in the remaining left lung, empyema with bronchopleural fistula had developed on the post-operative 4th day after completion pneumonectomy. Closed thoracostomy was done at the lowest point of the left pleural cavity immediately. The pleural cavity was irrigated with small amount of normal saline through pigtail catheter. The 2nd operation was done by closure of bronchopleural fistula using a stapler through transsternal, transpericardial approach, and then the pleural space was irrigated with normal saline with Tobramycin which shows sensitivity to isolated organism from pleural cavity. After negative conversion of pleural fluid culture, we performed modified Clagett's operation under local anesthesia. The patient had no evidence of recurrence of empyema and discharged from hospital after 10 days of the 3rd procedure.

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The study on the characteristics of Hyang-Dan focused on the boundary structure (경계구조로 본 향단에 관한 연구)

  • Bang, Moon-Jung;Lee, Chan
    • Korean Institute of Interior Design Journal
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    • v.18 no.6
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    • pp.176-183
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    • 2009
  • This study was intended to define the spatial concept of the boundary structure of the architectural space as well as evaluate the Hyangdan which well represents the features of Korean traditional building in such a way of reviewing the building structure of Korean traditional residential space. The boundary is categorized into visible boundary and invisible boundary which was also functionally classified into the features of isolating, passing, mediating and overlapping. The major elements comprising the boundary structure was analyzed by the characteristic of the pattern so as to define them as the concept of surrounding, duality, hierarchism, continuity and overlapping. Based on such concepts, a boundary structural characteristics of Hyangdan were reevaluated and outlined as follows. The surrounding feature was seen through the outer side of the structure surrounded, two courtyards and eaves, and a duality showing both the closure of main house and openness of detached house was seen through the characteristics of surrounding structure. And the continuous activities toward the inner room and the empty space to link them in a systematic way and repeatedly aligned rooms reveal the overlapping as continuous and transitional space. And finally, an elevated stylobate demonstrates the hierarchical features of the structure.

Chiari Type III : Experience of Outcome for 15 Cases

  • Gabr, Mohamed;Elmataeshy, Mahmoud;Abdullah, Ahmed A.
    • Journal of Korean Neurosurgical Society
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    • v.65 no.6
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    • pp.841-845
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    • 2022
  • Objective : Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The treatment is early operative closure and cerebrospinal fluid diversion (CSF) shunting. Methods : We operated on 15 patients by repair and excision between July 2014 till June 2020 and retrospective data collection was done. Only one patient doesn't need ventriculoperitoneal (VP) shunt and the other 14 patients need a VP shunt. We described stepwise dissection and untethering of the cerebellum from the bony edge to regrowth and herniation of cerebellum again into this potential space and simple dural closure or repair with graft was done. Results : We started with VP in eight patients (53%) and the other seven patients (46.7%) started with excision and then six patients need VP shunt later on because four patients developed CSF leak and two patients developed increased high intracranial tension. Only four patients (26.7%) needed a blood transfusion. Conclusion : There are variations in the outcome and not all cases of Chiari malformation III will die and severe developmental delay is not a must. Proper management and repair carry a good prognosis.

En-masse retraction with a preformed nickel-titanium and stainless steel archwire assembly and temporary skeletal anchorage devices without posterior bonding

  • Jee, Jeong-Hyun;Ahn, Hyo-Won;Seo, Kyung-Won;Kim, Seong-Hun;Kook, Yoon-Ah;Chung, Kyu-Rhim;Nelson, Gerald
    • The korean journal of orthodontics
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    • v.44 no.5
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    • pp.236-245
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    • 2014
  • Objective: To evaluate the therapeutic effects of a preformed assembly of nickel-titanium (NiTi) and stainless steel (SS) archwires (preformed C-wire) combined with temporary skeletal anchorage devices (TSADs) as the sole source of anchorage and to compare these effects with those of a SS version of C-wire (conventional C-wire) for en-masse retraction. Methods: Thirty-one adult female patients with skeletal Class I or II dentoalveolar protrusion, mild-to-moderate anterior crowding (3.0-6.0 mm), and stable Class I posterior occlusion were divided into conventional (n = 15) and preformed (n = 16) C-wire groups. All subjects underwent first premolar extractions and en-masse retraction with preadjusted edgewise anterior brackets, the assigned C-wire, and maxillary C-tubes or C-implants; bonded mesh-tube appliances were used in the mandibular dentition. Differences in pretreatment and post-retraction measurements of skeletal, dental, and soft-tissue cephalometric variables were statistically analyzed. Results: Both groups showed full retraction of the maxillary anterior teeth by controlled tipping and space closure without altered posterior occlusion. However, the preformed C-wire group had a shorter retraction period (by 3.2 months). Furthermore, the maxillary molars in this group showed no significant mesialization, mesial tipping, or extrusion; some mesialization and mesial tipping occurred in the conventional C-wire group. Conclusions: Preformed C-wires combined with maxillary TSADs enable simultaneous leveling and space closure from the beginning of the treatment without maxillary posterior bonding. This allows for faster treatment of dentoalveolar protrusion without unwanted side effects, when compared with conventional C-wire, evidencing its clinical expediency.

Research on the Ejection Gas Generator to Improve Ejecting Performance (사출성능 개선을 위한 사출용 가스발생기 연구)

  • Oh, Seok-Jin;Jang, Seung-Gyo;Cha, Hong-Seok
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.5
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    • pp.383-390
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    • 2013
  • The reduction of the maximum acceleration which causes shock for a missile is very important to prevent abnormal operation of a missile and decrease size and cost of missile components. Because the maximum acceleration created by operation of an ejection gas generator occurs in the initial ejection stage, the design parameters which affect initial ejection stage were examined. The igniter and the nozzle closure were selected as design parameters of a gas generator. The maximum acceleration created by the gas generator was examined experimentally by changing of the design parameters. Finally the reduction effect of the maximum acceleration was compared quantitatively by static fire test of a gas generator. The maximum acceleration of the best model which was applied to each optimal design parameter was about 68% reduced than that of the reference model.

Effect of archwire stiffness and friction on maxillary posterior segment displacement during anterior segment retraction: A three-dimensional finite element analysis

  • Park, Choon-Soo;Yu, Hyung-Seog;Cha, Jung-Yul;Mo, Sung-Seo;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.49 no.6
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    • pp.393-403
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    • 2019
  • Objective: Sliding mechanics using orthodontic miniscrews is widely used to stabilize the anchorage during extraction space closure. However, previous studies have reported that both posterior segment displacement and anterior segment displacement are possible, depending on the mechanical properties of the archwire. The present study aimed to investigate the effect of archwire stiffness and friction change on the displacement pattern of the maxillary posterior segment during anterior segment retraction with orthodontic miniscrews in sliding mechanics. Methods: A three-dimensional finite element model was constructed. The retraction point was set at the archwire level between the lateral incisor and canine, and the orthodontic miniscrew was located at a height of 8 mm from the archwire between the second premolar and first molar. Archwire stiffness was simulated with rectangular stainless steel wires and a rigid body was used as a control. Various friction levels were set for the surface contact model. Displacement patterns for the posterior and anterior segments were compared between the conditions. Results: Both the anterior and posterior segments exhibited backward rotation, regardless of archwire stiffness or friction. Among the conditions tested in this study, the least undesirable rotation was found with low archwire stiffness and low friction. Conclusions: Posterior segment displacement may be unavoidable but reducing the stiffness and friction of the main archwire may minimize unwanted rotations during extraction space closure.

A Numerical Analysis of Supersonic Intake Buzz in an Axisymmetric Ramjet Engine

  • Yeom, Hyo-Won;Sung, Hong-Gye;Yang, Vigor
    • International Journal of Aeronautical and Space Sciences
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    • v.16 no.2
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    • pp.165-176
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    • 2015
  • A numerical analysis was conducted to investigate the inlet buzz and combustion oscillation in an axisymmetric ramjet engine with wedge-type flame holders. The physical model of concern includes the entire engine flow path, extending from the leading edge of the inlet center-body through the exhaust nozzle. The theoretical formulation is based on the Farve-averaged conservation equations of mass, momentum, energy, and species concentration, and accommodates finite-rate chemical kinetics and variable thermo-physical properties. Turbulence closure is achieved using a combined scheme comprising of a low-Reynolds number k-${\varepsilon}$ two-equation model and Sarkar's compressible turbulence model. Detailed flow phenomena such as inlet flow aerodynamics, flame evolution, and acoustic excitation as well as their interactions, are investigated. Mechanisms responsible for driving the inlet buzz are identified and quantified for the engine operating at subcritical conditions.