Ⅱ급 1류 부정교합 환자에서 Bionator의 적응증에 관한 연구

안석준,김종태,서정훈 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.1

본 연구의 목적은 bionator를 사용한 II급 1류 부정교합 환자의 치료후 결과를 토대로 치료전에 치료후 결과를 예측할 수 있는 항목들을 알아봄으로써 성장하는 II급 1류 부정교합을 가진 환자들의 치료에 도움을 얻는데 있다. bionator를 사용한 앵글 II급 1류 부정교합 환자 48명의 치료후 두부방사선계측사진을 통해 치료결과가 양호한 군(1군)과 치료결과가 불량한 군(2군)으로 나눈 후 양군의 치료전 측모두부방사선계측사진의 비교분석을 통해 두군 사이에 차이를 보이는 계측항목들을 알아보았고, 판별분석을 통해 다음의 결과를 얻을 수 있었다. 1. 치료전 골격계측 항목으로는 ANB, facial convexity angle, AB to facial plane angle 등이, 치성계측 항목으로는 L1 to A-Pog, U1 to facial plane, L1 to facial plane 등이, 연조직 계측항목으로는 Ricketts esthetic line 상에서 상, 하순의 돌출 도가 양군 사이에 유의한 차를 보였다(SAS t-test, p<0.05). 2. 판별분석을 통해 유의성있게 나타나는 항목의 순위를 본 결과 L1 to facial plane, 하순의 돌출도, ANB과 FMIA등이 양군의 치료결과의 예측에 도움을 주는 것으로 나타났다. 3. 증감판별분석을 통해 서로 독립적이며 상관계수가 높은 3개의 변수- L1 to facial plane, articular angle, ANB -를 선택하였으며, 이를 토대로 판별식을 도출하였다. The purpose of this study was to evaluate the indications of bionator in Class II division 1 malocclusion. The 48 subjects were classified into good result group(group1) and poor result group(group2) in reference to posttreatment molar relation, posttreatment overbite and overjet, posttreatment profile, and relapse. Pretreatment lateral cephalograms were calculated and evaluated by t-test and stepwise discriminant analysis. The results were as follows; 1.In jaw bone relationship, ANB, facial convexity angle, AB to facial plane angle were significantly different between two treatment groups. In denture pattern, L1 to facial plane, L1 to A-Pog, FMIA, and U1 to facial plane were significantly different and in soft tissue profile, protuberance of lower lip and upper lip were significantly different between two treatment groups. 2.The results in according to discriminant analysis stated that L1 to facial lane, ANB, FMIA and protuberance of lower lip help prediction of treatment result of bionator. 3.3 major influential variables were obtained by stepwise discriminant analysi - L1 to facial plane, articular angle and ANB difference. And Fisher discriminant function was made by these three major variables.

자일리톨과 불화나트륨을 함유한 저작성 정제가 교정환자의 구강위생에 미치는 영향에 관한 임상시험

유상훈,안석준,이신재,백승학,김태우,장영일,남동석 대한치과교정학회 2003 대한치과교정학회지 Vol.33 No.2

본 연구는 불화나트륨과 자일리톨 성분으로 구성된 구강 청정용 저작성 정제(덴포정, 하미즐, 부천, 경기)가 교정치료 중인 환자의 구강위생 상태에 미치는 영향을 알아보기 위해 시행되었다. 교정치료 중인 18세 이상의 성인 환자 30명을 대상으로 약제 상요 전, 2주 후, 4주 후에 피험자의 상악과 하악 전치 부위 및 구치 부위에서 각각 치은 지수, 치은 출혈 지수, 치태 지수를 측정하여 다음과 같은 결과를 얻었다. 1. 상하악 전치부와 구치부 모두에서 치태 지수가 약제 사용 전에 비해 사용 2주 후와 4주 후 유의성 있게 감소하였다(p<0.05). 또한, 적용 2주 후와 4주 후의 지수를 비교하였을 때 4주 후에 좀 더 개선된 경향을 보였으나, 통계적 유의성은 나타나지 않았다(p<0.05). 2. 치은 지수, 치은 출혈 지수도 상하악 전치부와 구치부 모두에서 적용 전에 비하여 2주 후와 4주 후 유의성 있게 감소하였다(p<0.05). 적용 2주 후와 4주 후의 지수의 비교 검증에서 통계학적으로 유의할 만한 차이가 보이지 않아 구강위생 상태의 개선이 계속 유지됨을 보였다. 본 연구의 결과는 치태 지수, 치은 지수, 치은 출혈 지수가 실험 정제 적용 후에 감소하여 구강위생 상태가 개선되었음을 보였다. 이러한 결과를 통해 덴포정을 교정치료 중인 환자에서 부가적으로 사용하였을 경우 치주조직의 건강을 증진시키는데 도움을 줄 수 있으리라고 생각된다. The aim of this study was to evaluate the effect a chewable tablet containing sodium fluoride and xylitol (DenPo, Hamizzle, Bucheon, Kyungki) on the oral hygiene state in the orthodontic patients. The subjects consisted of 30 adult orthodontic patients, who have worn the fixed orthodontic appliance at least 6 months. They were instructed to use the tablet forth a day. Gingival index (GI), plaque index (PI), and sulcus bleeding index (SBI) of upper and lower anterior and posterior regions were measured before using the tablet (TO), 2 weeks after using the tablet (T1), and 4 weeks after using the tablet (T2). The data were analyzed with Wilcoxon signed ranks tests. The results were as follows ; 1. PI was decreased significantly in the T1 and T2 stage compared with TO stage in the both anterior and posterior regions (p<0.05). Although PI was decreased in the T2 stage compared with T1, there was not statistical significance(p>0.05). 2. GI and SBI showed similar results compared with PL. In the T1 and T2 stage, there was statistically significant decrease in the GI and SBI (p<0.05). This study showed that the DenPo tablet could be used as an adjunct to improve oral hygiene in the orthodontic patients. The decrease of the indices may suggest that DenPo tablet could be effective in the plaque removal and prevention of gingival inflammation in the orthodontic patients.

韓國의 合作企業經營形態에 관한 硏究

黃大錫,李勳燮 건국대학교 1974 學術誌 Vol.17 No.1

The writer considers that there are about seven types in the combined management forms, i. e. macro-pyramid tripe, capital participation type, management participation type, umbrella type, industry ownership-offering type, international compound type, industry techinque-offering type. In general, should these combined management forms be introduced into this country, the international business activities will raise up the domestic standard of employment and promote the exportations. Besides, as the excellent techniques which the international enterprise posses will become familiar, they would not only favour the domestic enterprise with so many advantages, but alsocontribute to the efficiency of the management under the principle of competition. On the other hand, if we view the Korean enterprises in the economic and political phase, they will not only get rid of the financial pressure in paying the foreign debts, but also become to consider the national security as well as the effective share of the international market as indispensable problems. Thus, the Korean enterprise has found the factors through the combined management forms, which would solve these problems. However, if the combined enterprises would be looted as soundly as name and reality agree, the writer considers that the three promises, such as the prevention of economic dependency, obtainment of managing polder, and securing of markets and sources of supply, should be simultaneously achieved in the combined enterprise.

Ⅱ급 1류 부정교합에서 bionator의 치료효과에 관한 유한요소법적 연구

안석준,서정훈 대한치과교정학회 1996 대한치과교정학회지 Vol.26 No.2

본 연구의 목적은 Ⅱ급 1류 부정교합에서 BIONATOR를 사용한 환자의 치료 전후 두부방사선계측사진에 유한 요소법을 적용하여 나타난 변화를 각 요소별로 나타내며, 이러한 변화와 치료에 영향을 미치는 인자들 간의 연관성을 살펴보는데 있다. 앵글 Ⅱ급 1류 부정교합을 가진 73명을 치료결과가 양호한 군(1군)과 치료결과가 불량한 군(2군)으로 나눈 후 각각의 치료효과에 대한 유한요소분석을 실시한 후 성별간, 치료결과군간 및 치료시작시기와의 유의성을 검증하였으며(SAS ANOVA, P<0.05), 치료기간과의 상관관계를 살펴보았다. 또한 치료결과가 다르게 나오는 이유를 보고자 두개저의 길이(Ba-N)를 기준으로 1군에서 2군으로 유한요소분석을 실시하여 다음의 결과를 얻을 수 있었다. 1. 치료효과와 성별간, 치료결과군간 사이에 유의한 차이가 없었다 (p>0.05). 2. 치료시작 연령과 치료효과 사이에 유의한 차이가 없었다(p>0.05). 3. 치료효과와 치료기간 사이에서는 상악체, 상악절치, 하악절치, 전안면, 전상안면, 전하안면, 하악지 등을 대표하는 유한요소에서 유의한 차이(p<0.05)가 있었으나, 상관관계는 높지 않았다. 4. 유한요소 분석 결과 골격보다는 치아를 대표하는 요소의 변화가 더 컸다. 특히 상악절치의 위치, 하악절치의 위치, overbite 등을 나타내는 요소의 변화를 뚜렷하게 관찰할 수 있었다. 5. 치료결과가 다르게 나타나는 이유를 두개저(Ba-N)길이를 중심으로 유한요소로 분석한 결과 두군사이에 골격 및 차아의 위치에서 상당한 차이가 있음을 관찰할 수 있었다. 치료결과가 나쁜 군에서 상악의 후하방 회전, 하악의 후방위치, 상악전치의 상대적인 설측경사, 하악절치의 상대적인 순측경사 등을 관찰할 수 있었다. The purpose of this study was to evaluate treatment effects of bionator in ClassⅡ division 1 malocclusion by FEM(Finite Element Method). The 73 subjects were classified into good result group and poor result group in reference to posttreatment molar relation, posttreatment overbite and overject, posttreatment profile, and relapse. Pretreatment and posttreatment lateral cephalograms were taken and FEM was performed. The results were as follow; 1. There was no statistical significance in treatment changes between the sexes, and between the treatment result groups. 2. Treatment changes were not significantly different among the age groups. 3. The effect of treatment period groups on skeletal and dentoalveolar changes were analyzed using ANOVA. Body of maxilla, upper incisor, anterior face, ramus, upper anterior face, lower anterior face and treatment effect were correlated with the treatment period, but correlation coefficients were low. 4. The results of present investigation confirm that ClassⅡ bionator can assist in the correction of Class Ⅱ division 1 malocclusion, mainly due to dentoalveolar changes. 5. There is significant difference in skeletal and dentoalveolar pattern between good result group and poor result group. In poor result group, maxilla was relatively downward and backward rotated, mandible was relatively backward rotated, upper incisor was in relatively lingual position, lower incisor was in relatively labial position.

혈행화된 두개골 피판을 이용한 안와저 및 안와하연의 재건술 치험례

정윤규,이훈범,김석원,봉정표,김균태,김주봉 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.5

A number of methods have been introduced for support the orbital floor following a maxillectomy without orbital exenteration or severe facial trauma. These methods including skin graft and muscular sling provided the unsatisfactory results, like as diplopia, orbital ptosis, enophthalmos and severe facial deformity. Therefore the bone and soft tissue reconstructions using microvascular free flaps were performed recently by many surgeons, but long time operation, donor site morbidity, postoperative large scar, and ptosis of the flap were pointed out as disadvantages of free flap reconstruction. Vascularized calvarial bone flap, a modified method of free calvarial bone graft, was adequate for reconstruction of the orbital floor and the infraorbital rim as a horizontal buttress, especially in case of poor vascular bed and postradiated state. The authors introduced the vascularized calvarial bone flap for the orbital floor and the infraorbital rim reconstruction in 3 cases of maxillectomy, and could be obtained satisfactory results aesthetically and functionally.

수술-교정 치료 환자의 통제 소재

이신재,안석준,백승학,김태우,장영일,양원식,서정훈,남동석 대한치과교정학회 2002 대한치과교정학회지 Vol.32 No.4

교정치료와 악교정 수술을 필요로 하는 환자가 점증하는 현 시점에 비추어, 이에 대한 기술적인 측면의 발전과는 달리 수술-교정 치료 환자에 대한 정신사회학적 혹은 정신심리적 양상에 대한 객관적인 정보는 그리 많은 주목을 받는 편이 아니었다. 수술-교정치료는 과학적인 치료과정이긴 하지만, 어느 정도 심미적 혹은 예술적인 측면을 지니는 선택 치료의 면모를 지닌다. 그러므로 치료에 대한 환자의 주관적인 느낌은 치료 기술이나 치료의 의학적 성공 여부보다 더 큰 영향을 미칠 수 있다. 그러므로, 수술-교정 (혹은 교정) 치료에 대한 환자의 반응을 예측하기 위한 정신심리적인 정보는 치료에 유용한 지표가 될 수 있다고 가정할 수 있다. 통제 소재에 대한 연구는 인간의 다양한 행동을 예측하기 위한 유용한 지표로 알려져 왔는데, 본 연구에서는 42명의 수술-교정치료 환자와 성별/연령별로 표본 추출된 42명의 통상적 교정치료 환자를 대상으로 삼아 정신=심리적 비교 및 분석의 방법으로 두 가지 종류의 내외 통제 소재(internal/external locus of control) 검사를 시행하였다. 그 결과 수술-교정치료군에서만 남자가 여자에 비하여 낮은 외적 통제(높은 내적 통제)의 경향을 보였다. 결론적으로 수술-교정치료 환자의 정신심리적 기반은 성형 수술 환자와는 달리 교정치료 환자와 유사한 경향을 지닌 것으로 생각되었다. Surgical-orthodontic treatment is an increasingly more common dental procedure whose unique psycho-social or psychological feature has not been fairly quantified objectively. Since the treatment of a surgical-orthodontic (or orthodontic) patient is part science and part art, a subjective recognition of a patient about his or her own treatment may be more important than technical success during and after treatment. Therefore, the knowledge of the patient''s underlying psychological status could be useful in the prediction of patient's response to surgical-orthodontic (or orthodontic) treatment. The purpose of this study was to investigate and evaluate the psychological difference between conventional orthodontic patient and surgical-orthodontic patient by using locus of control (LOC) examination. Locus of control scale has been proven to be extremely useful in the prediction of a variety of human behaviors. Two types of locus of control data (I-score, Internal locus of control score ; E-score, External locus of control score) were obtained for 42 surgical-orthodontic patients and randomly selected 42 conventional orthodontic patients (as a control group) matched for age and gender. No statistically significant difference was observed in the scale of internal and external locus of control between the groups of surgical-orthodontic patients, males showed lower E-score (external locus of control score, higher internal locus of control tendency) than females. The results of this study suggested that the psychological background of surgical-orthodontic patients, in contrast with that of cosmetic surgery patients, has a similar disposition with that of orthodontic patients.

국내에서 분리된 Extended-Spectrum β-Lactamase 생성 Escherichia coli와 Klebsiella pneumoniae의 빈도 및 유형

홍성근,김선주,정성훈,장철훈,조성란,안지영,신종희,이혜수,송원근,어영,염종화,용동은,이경원,정윤섭 대한임상미샐물학회 2003 Annals of clinical microbiology Vol.6 No.2

유리피판을 이용한 하인두-식도 재건 치험례

봉정표,정윤규,이훈범,김주봉,이재화,나동균,김석원 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

Hypopharyngo-esophageal cancer is usually found at late stage. Its main treatment is surgical intervention and it often requires radical resection. Reconstruction of the hypopharyngo-esophageal defect after the resection of carcinomas of the hypopharynx and the cervical esophagus has traditionally been carried out with deltopectoral or musculocutaneous flap. Another approach is to reconstruct the defect with the colon or stomach. Recent advances in microvascular surgical techniques have resulted in one stage reconstruction with free flap. Both jejunal free flap and radial forearm free flap is a good alternative for the reconstruction of hypopharyngo-esophageal defect. Six cases of the radial forearm flap and nine cases of the jejunal flap were used to reconstructed the hypopharyngo-esophageal defect in 15 patients. In jejunal free flap, upper margin was reconstructed with end to side anastomosis and lower margin with end to end anastomosis. In radial forearm free flap, we used trapezoid shaped flap and tubed by complete or partial tubing according to the condition of the defects. Stricture and fistula are troublesome complications. The complications were peritonitis(n=1) and fistula(n=1). We concluded that both forearm and jejunal free flap is a useful alternative in reconstruction of hypopharynx and cervical esophagus.

두겹의 실리콘 판을 이용한 새로운 도서형 피막피판에 대한 연구

홍준표,정윤규,김석원,이훈범 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.4

The search for a new flap with minimal donor morbidity has been pursued by many plastic surgeons. Numerous donor sites available for microsurgical composite tissue transplantation have been described owing to the tremendous advances made in the field of microsurgery. To be suifable for use as a free flap, a sizable vessel must be included within the tissue, leading to significant donor morbidity. There have been studies for prefabrication of an axial pattern flap in an effort to create a new flap, but most of these methods relied solely on revascularization of a preexisting composite tissue. Our experiment, using an isolated femoral artery and vein as the main pedicle, led to formation of a capsule flap through a normal foreign body reaction between 2 silastic sheet implants. On this induced capsule flap, a skin graft was performed and a total of 40 axial pattern capsulo-cutaneous flaps from 20 Sprague-Dawley rats were successfully obtained after nearly 12 weeks through 4 stages of experiment, including a delay procedure at the second stage. Pathology revealed neovascularization, and abundantly impregnated vascular structures near the pedicle were observed along with random pattern collagen fibers. The skin graft took 100% on this newlyformed axial pattern capsular flap and thus implied that the capsule structure was able to survive on it`s own and was able to support skin grafts. This new flap using only the isolated artery and vein structure can be induced according to various needs with minimal donor morbidity.

복직근 및 박근 근피판술을 이용한 골반 및 서혜부 연부조직 결손의 재건

이재화,정윤규,김주봉,유대현,황성관,이훈범,김석원 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6

Many operations for the reconstruction of the pelvic area have been studied until now. The local muscle flap is often used for the closure of these complex wound. But, these local muscle flaps may not be available for reconstruction due to the factors of infection, radiation, and surgical trauma. Since rectus abdominis muscle and gracilis muscle were introduced, their use has been steadily increased for the reconstruction of soft tissue defect of the pelvic area. Inferiorly based rectus abdominis muscle flap and the gracilis muscle flap have been adopted for well-vascularized soft tissue coverage of the defect of pelvis and groin area. These techniques were utilized in seven patients. Of these patients, rectus abdominis muscle flap was used on four patients and three patients were treated with gracilis muscle flap. Among these, chronic osteomyelitis of pelvic bone has been managed with inferiorly based rectus abdominis muscle flap in three patients. No complication has been found. The mean postoperative follow-up period was 26 months, with a range of 12 to 39 months. In conclusion, these muscles are functionally expandable , and provide adequate tissue volume with sufficient blood supply away from the zone of injury, and readily transposed into the pelvis and groin area through subcutaneous tunnel, and serve as an antibiotic delivery system that aids in the eradication of infection. These findings suggest a reconstructive option for the defect of pelvis and groin, and/or bone infection in this area.