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        성장기 아동의 single tooth scissors bite의 교정 치료: 증례 보고

        김지인,현홍근,김영재,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

        A scissors bite in the posterior teeth occurs when the upper teeth are positioned totally buccal to the lower teeth in centric occlusion, either unilaterally or bilaterally. This malocclusion can result from either excessive width of the maxilla or deficient width of the mandible, or sometimes combination of the both. Scissors bite, when left untreated without a proper dental intervention, interferes with the normal mandibular growth leading to a state where consequent disharmony in dental arch width evokes occlusal disturbances. Therefore, early preventive orthodontic treatment is necessary in patients with scissors bite. Scissors bite rarely involves anterior and posterior sites concuttently across the dental arch but usually affect single tooth. Even in the single tooth scissors bite cases, more likely to be met in the clinical fields, immediate dental intervention is indicated because continuous occlusal forces that exacerbate the already adverse axis of the posterior teeth. In this case study, patients with single tooth scissors bite, each 7, 14, 12, and 16 years old, were each treated with criss-cross elastic, fixed appliance, removable appliance, and miniscrews. With the proper selection of appliances appropriate to each specific cases, good treatment outcome can be achieved without resulting any side effects. 중심교합위의 상태에서 편측 혹은 양측으로 상악 구치부의 치아가 하악 구치부의 협측으로 위치한 경우를 scissors bite라 고 한다. 이는 상악의 폭경이 크거나 하악의 폭경이 좁은 경우 발생한다. Scissors bite의 경우 방치하게 되면 하악의 성장이 방해받게 되고 그 결과, 악궁 폭경의 부조화가 심해져 저작 장애를 일으킬 수 있으므로 조기 차단 교정이 반드시 필요하다. 실제 임상에서는 여러 치아의 scissors bite보다 최후방 구치 혹은 그 외 하나의 구치만의 single tooth scissors bite(STSB)을 보이는 경우가 많다. 이러한 STSB의 경우도 방치하게 되면 저작력으로 인하여 구치의 각도가 더욱 악화되므로 즉각적인 치료가 필요하다. 본 증례에서는 STSB를 보이는 7세, 14세, 12세, 16세의 환자에게 각각 criss-cross elastic, 고정성 장치, 가철성 장치, miniscrew를 사용하여 치료한 증례를 보고하였다. 각 환자의 증례에 적합한 장치를 잘 선택하여 사용한다면 치아를 정출시키는 등의 부작용을 야기하지 않고 양호한 결과를 얻을 수 있을 것이다

      • KCI등재

        New method for an evaluation of the esthetical improvements resulting from a mandibular angle reduction

        Joo-Hwan Kim,Se-Jin Han,Moon-Young Kim 대한구강악안면외과학회 2017 대한구강악안면외과학회지 Vol.43 No.4

        Objectives: This paper proposes Han’s ratio as an objective and quantitative comparative result obtained from pre and postoperative data in patients with a mandibular angle reduction. Materials and Methods: Thirty patients, 12 men and 18 women, who visited the Department of Oral and Maxillofacial Surgery with the chief com-plaints of skeletal mandibular prognathism and prominent mandibular angle were selected. The subjects were classified into 3 groups according to the types of surgical procedures involved. Group A consisted of patients who underwent mandibular angle resection and mandibular setback. Group B was comprised of patients with mandibular angle resection, mandibular setback and genioplasty. Group C consisted of patients with mandibular angle resection, mandibular setback, Le Fort I osteotomy, and genioplasty. The landmarks placed in pre and postoperative frontal photographs were used to obtain the Han’s ratio in each group. The Han’s ratios were compared pre- and postoperation and according to the surgical techniques applied. Results: Of the 3 groups who had undergone a mandibular angle resection, all showed a statistically significant increase in Han’s ratio. On the other hand, there was no statistically significant difference based on the surgical techniques used. Conclusion: The ratio of the lateral lower face proposed in this study is a potential indicator of postoperative esthetic enhancement in mandibular angle reduction surgery.

      • KCI등재

        아저해농도(亞沮害濃度)의 항균물질이 mutans streptococci의 세포표면성질과 독력인자에 미치는 영향

        김영재,한세현,이상훈,장기택,김종철 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

        아저해농도(亞沮害濃度)란 세포의 성장을 저해하는 최소 저해 농도(minimum inhibitory concentration; MIC)이하의 농도를 말하는데, 적용된 화학물질의 동력학에 따라 항균물질은 반드시 이러한 농도로 존재하는 시기를 거치게 되며, 아저해농도의 항균물질은 세포의 성장을 저해하지는 않지만 세균의 대사와 성장에 스트레스로 작용하게 되어 세포의 성질과 독력인자 발현에 영향을 줄 수 있을 것이다. 본 연구는 여러 항균물질의 최소저해농도를 결정하고 아저해농도의 항균물질이 존재 시 세포 성질과 독력 인자에 미치는 영향을 알아보고, 치아우식증의 예방에 대한 화학적 접근법의 효용성을 조사하기 위해 계획되었다. 연구대상 세균으로는 mutans그룹 streptococci 중 두 가지 대표적인 세균종인 S. mutans (S. mutans Ingbritt)와 S. sobrinus (S. sobrinus 6715-7) 를 사용하였고 화학물질 8종 (Sanguinaria extract; SG, Chlorhexidine digluconate; CHX, Fluoride; F, Propolis; PP, Hydrogen peroxide; HP, Triclosan; TC, Sodium dodecyl sulfate; SDS, Cetylpyridinium chloride; CC) 을 단계 희석하여 배지에 첨가하여 최소저해농도를 구하였으며 아저해농도의 항균물질을 배지에 첨가하여 5% CO₂존재 하에 37℃에서 배양하여 이러한 항균물질을 첨가하지 않은 배지에서 배양한 세균과 성장속도, 산생성능, 체표소수성, 수산화인회석에의 부착능, glucan생성능, 세균응집능 등을 비교 관찰하였다. 아저해농도의 항균물질은 세포의 성장과 체표소수성, 타액 처리한 수산화인회석에 대한 세균의 부착과 glucan합성에 영향을 주는 것이 관찰되었다. 또한 12시간 배양 후 S. mutans와 S. sobrinus 모두에서 대조군에 비해 통계적으로 유의하게 최종 pH가 높게 나타나 산생성능이 억제되는 것이 관찰되었다 (p<0.05). 세균을 proteinase K로 전처리한 경우 처리하지 않았을 때 보다 세균응집역가가 증가하거나 응집이 관찰되지 않았다. 본 연구의 결과에 따르면 각각의 항균물질은 아저해농도에서도 알려진 작용기전과 유사하게 세균의 성질에 영향을 주었고 이러한 농도에서도 지속적으로 세균을 억제할 수 있었다. 따라서 이러한 항균물질의 사용은 치아우식증의 효과적 예방법의 하나가 될 수 있다. Subinhibitory concentrations (sub-MICs) refer to concentrations below minimum inhibitory concentrations (MICs). The antimicrobial agents may be present at relatively high concentration, at least higher than bacterial MIC and thereafter be desorbed off a surface and function at sub-MICs, perhaps by interfering with bacterial metabolism. Consequently, the aim of this study was to determine the effects of growth, in the presence of sub-MICs of antimicrobial agents, on the cell surface properties and virulence factors of mutans streptococci and to investigate the efficacy of a chemical approach in vitro. Streptococcus mutans Ingbritt and Streptococcus sobrinus 6715-7 were used. Eight antimicrobial agents (Sanguinaria extract;SG, Chlorhexidine digluconate;CHX, Fluoride; F, Propolis;PP, Hydrogen peroxide;HP, Triclosan;TC, Sodium dodecyl sulfate;SDS, Cetylpyridinium chloride; CC) were diluted serially in broth to determine MICs and to compare the growth rate, acid production, hydrophobicity, adhesion activity to saliva coated hydroxyapatite, glucan synthesis and cellular aggregation of experiment groups (in the presence of sub-MICs) with those of control (in the absence of antimicrobial agents). Sub-MICs of antimicrobial agents affected the growth of cells, hydrophobicity, and adhesion of bacteria to saliva coated hydroxyapatite and glucan synthesis. They also resulted in a significant reduction in pH after 12 hours (p<0.05). By cells pretreated with proteinase K. either the aggregation induced by antimicrobial agents was completely inhibited or the aggregation titers were markedly increased. According to the results of the present study, each antimicrobial agent at sub-MICs could affect similar as its known action mechanism and could continually inhibit cariogenic bacteria a t such concentrations. Thus, the use of these antimicrobial agents would be one of the effective methods to prevent dental caries.

      • 구륜 이동 로봇의 위치추정을 위한 퍼지-유전자 제어기

        한철웅,김종수,류평,오금곤,박세승 조선대학교 전자정보통신연구소 2000 電子情報通信硏究所論文誌 Vol.3 No.1

        지능제어 기법중 하나인 퍼지-유전자 알고리즘은 매개변수 불확실성을 갖는 시스템을 제어하기 위한 새로운 제어 기법으로 사용되어지고 있다. 유전자 알고리즘에서, 돌연변이율은 국부적 최소화에 수렴하는 것을 방지하기 위하여 크게 설정하여야만 하지만, 전역 수렴 속도가 감소하는 문제점을 가지고 있다. 이러한 문제점을 개선하기 위하여 퍼지 논리와 유전자 알고리즘을 사용하여 제어기를 설계한다. 본 논문에서는 구륜이동 로봇의 목적궤적을 추적할 수 있는 제어기 설계를 제안한다. 제안된 제어기의 유용성은 모의실험을 통하여 보인다. Genetic algorithms, one of intelligent control methods, is used as new control approach to control the system including the parameter uncertainties In the genetic algorithm, the mutation rate must be set to high to prevent the convergence to local minimum, but it has the problem that the global convergence speed is decreased To enhance this problem, we design the controller by using the fuzzy logic and the genetic algorithm In this paper, we propose the controller design to track to the desired trajectory of the wheeled-mobile robot The validity of the proposed controller is showed through the simulation.

      • 韓國의 肝吸蟲症에 관한 臨床的 硏究

        金名世,李駿商,林漢鍾 고려대학교 의과대학 1982 고려대 의대 잡지 Vol.19 No.1

        For understanding of the significance on clinical features of clonorchiasis, the authors carried out the examinations for hematology, blood biochemistry and clinical symptoms on the patients whose stools were positive eggs of clonorchis sinensis in several endemic areas in Korea. A total of 287 clonorchiasis patients were examined with the stools by Stoll's egg counting method for the intensity of infection. The patients were divided into light, moderate Ⅰ & Ⅱ, heavy and very heavy infection groups depending upon the number of eggs per gm, of feces(EPG). All the calculated mean values for each items with standard deviation of hematological and blood bichemical tests were compared with those of the normal values and the detailed clinical symptoms according to the intensity of infection were analyzed. The results obtained are as follows: 1. The mean values of hematologic findings in each group of infection were within the normal limit except eosinophil counts. In the changes of hematological values by means of intensity of infection, the mean values of hemoglobin, hematocrit, RBC, WBC and eosinophil counts were increased in accordance with the intensity of infection. 2. To observe the occurrence of anemia in the patients infected with C. sinensis, the mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) were compared in each group of infection. But all the values were shown within normal value. 3. All the mean values of blood biochemistry in each group of infection were within the normal limit. However the mean values of GPT, GOT, alkaline phosphatase, bilirubin and cholesterol were increased in accordance with the intensity of infection. Whereas, the mean values of total protein, albumin and A/G ratio were decreased. 4. The subjective symptoms of human clonorchiasis were increased by the higher intensity of infection. Among chief complaints, asthenia, lassitude and mental depression were most common as generalized symptoms, but as gastrointestinal symptoms, abdominal discomfort, epigastric pain and indigestion were most frequent. In physical examination, hepatomegaly, epigastric tenderness and jaundice were found most frequently. Even in the light infection group, over 60 per cent of patients complained the subjective symptoms. 5. With the above results, the changes in the fields of hematology, blood biochemistry and the clinical symptoms by means of intensity of infection were discussed for the specific clinical features of clonorchiasis.

      • 栗谷의 學問과 退溪 : 學的 影響과 性理學說을 中心으로

        김세한 安東大學附設 安東文化硏究所 1983 安東文化 Vol.4 No.-

        This manuscript is a thesis expressed afragment of my usual concerns. Taking the advantage of the rapidly changing transition of times, at this juncture a great national Jeap which directs highly developed industrialized society reflectively brings us the collapse upon ourselves of the view of the traditional ethics, morality and national traditional philosophy. Before unfold the above title, the point and summary is thrown off an old sectarian prejudice on what is called the foremost scholar of the Yongnam School(He lived in Kyongsang province, followers of his school was called that.): Toe-gye, Yi Hwang(1501∼1570) and the master of the Kiho School(Because many of his, followers lived in Kyonggi and Chungchong provinces.): Yul-gok, Yi I(1536∼1584) of Yi Dynasty. Reconsidering their inheritances of scholastic influence, I have attempted to illuminate them on the aspects of morality and philosophy of our modern society. Followings are the editing order of the thesis; 1. The background of period and a brief personal history. 2. The meeting with Toe-gye. 3. The entering upon office and life in seclusion. 4. The academic reverence about Toe-gye. 5. The inheritance of Confucian spirit. 6. The different view of the Li-Ki synthesis. 7. The philosophy of Sung(of Sincerity). 8. The theory of human mind and moral mind, character and emotion. 9. The theory of Sadan chiljung(which means dualism: Li maneuvers itself first, and be followed by Ki is Sadan. Ki exerts itself, Li thus "rides over" Ki is Chiljung. 10. The administrative ability. The summary and point of this thesis is that the dominating thoughts of Yul-gok is also the basis of Chung-tzu's neo-Confucianism. His learning attitude and philosophy of living for his morality is still bound by Confucianism; therefore in the establishment of his learning course, he seems to have been influenced by Toe-gye's Confucian spirit. The ultimate object of Yul-gok's learning was in the reproduction of an ideal society of Yo and Sun period in the ancient China. Therefore he made royal-politics, and philosophy-politics his political doctrine. He worshipped Chungam, Cho Kwang-jo(1482∼1519) as a stateman, and respected Toe-gye, Yi Hwang as a scholar. It can be said that the ideological inheritance of these two scholars, Toe-gye and Yul-gok has intensively summarized the core of the human life in the view of Confucian morality, ethics and pursuit of a profound philosophy of reason which makes the genera principles. As it were, in this summary the above two scholars show that they have systematized and proved theoretically that the ideological tendency of our ancestores and the standard of value of the human life were based on the Confucian moral Jaw and the view of ethics.

      • 자동설계 프로그램을 이용한 비구면 렌즈의 가공 및 검증에 관한 연구

        김수용,한민식,김세민,김태호,전언찬 한국공작기계학회 2005 한국공작기계학회 춘계학술대회논문집 Vol.2005 No.-

        An aspheric lens is one of a key point optical element in the optical industry. The feature of an aspheric lens is not to have the spherical aberration. An aspheric lens is also essential element for high-precision and light-weight in the optical machine. Generally it have been used in a tailor progression an aspheric lens modelling much. In this study we applied a lay back-tracer using a index of refraction to draw a creative aspheric lens. Also we developed the automatic design program for aspheric lens. We manufactured the aspheric lens and executed a comparison experiment for refraction situation of shape and straightness experiment to inspect the drawn aspheric lens in this study.

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