도재 수복용 복합레진의 색 안정성에 관한 연구

신미란,조혜원,진태호,Shin Mee-Ran,Cho Hye-Won,Jin Tai-Ho 대한치과보철학회 1991 대한치과보철학회지 Vol.29 No.3

The purpose of this study was to investigate the color stability of 3 porcelain repair composite resins Twenty specimens of each composite resin were made and ten specimens were polished at 10 minutes after polymerization, and the others were polished at 48 hours after polymerization. For 60 days, the color characteristics were measured by fiber-optic colorimeter (Model Tc-6FX, Tokyo Denshoku Co.). The obtained results were as follows: 1. The changes of $a^*$ value and $b^*$ value in composite resin polished at 10min. after polymerization were greater than those of composite resins polished at 48 hrs. after polymerization. 2. The $a^*$ values of all composite resins were increased and the $b^*$ values were decreased. 3. The $L^*$ values were decreased in composite resin manufactured by K & B Co., which were polished at 10min. after polymerization, but increased in composite resin manufactured by K & M Co., polished at 48 hrs. after polymerization.

유색 및 백색 지르코니아 세라믹 코핑의 코핑 디자인에 따른 파절 하중과 변연 적합성

신미란,김민정,오상천,Shin, Mee-Ran,Kim, Min-Jeong,Oh, Sang-Chun 대한치과보철학회 2009 대한치과보철학회지 Vol.47 No.4

연구목적: 본 연구는 유색 및 백색 지르코니아 세라믹으로 제작된 코핑의 디자인에 따른 지르코니아 세라믹 코핑의 파절 하중과 변연 적합성을 평가한 것으로 그 결과를 임상에 응용하는데 도움을 주고자 하였다. 연구재료 및 방법: CAD/CAM system (Everset, KAVO Dental GmbH, Biberach, Germany)을 이용하여, 80개의 상악 제1 소구치 세라믹 코핑을 제작하되, 1그룹은 전체적으로 균일하게 0.3 mm로, 2그룹은 협면 0.3 mm 설면 0.6 mm, 3그룹은 전체 0.6 mm 균일하게, 4그룹은 협면 0.6 mm 설면 1.0 mm로 디자인하고, 유색 (I) 및 백색 (II) 지르코니아 코핑을 각 그룹당 10개가 되게 하였다. 소성직후와 조정 후 코핑의 변연 적합성을 Video Microscope System (sv-35, Sometech, Seoul, Korea)를 이용하여 100배율로 관찰하였고, 금속 주 모형에 코핑을 강화형 글래스아이오노머 시멘트로 합착 후 Universal Testing Machine (Instron 4467, Norwood, MA, USA)을 이용하여 파절 하중을 측정하여, one-way ANOVA test 를 시행하여 결과를 분석하였다. 결과: 1. CAD/CAM 지르코니아 코핑의 파절 하중은 1그룹, 2와 3그룹, 그리고 4그룹간에 유의성있는 차이를 보였으며 I4, II4의 파절 하중값이 가장 컸다. 2. 코핑의 디자인이 같고 색이 다른 그룹간의 비교에서는 전 그룹 모두 파절 하중값의 유의성은 없었다. 3. 소성 직후 변연 오차 측정값은 I2그룹을 제외한 전 그룹에서 협측 측정점에서 변연오차가 가장 큰 경향을 보였다. 4. 소성 직후 변연 오차 측정값은 I 그룹 지르코니아 그룹에서 그룹별 전체적인 변연적합도를 보았을 때 그룹간에 유의한 차이는 없었다 (P>.05). 5. 소성직후 변연 오차 측정값은 백색 지르코니아 그룹에서 그룹별 전체적인 변연 적합도를 보았을때 II1그룹의 변연 오차가 가장 컸다 (P<.05). 6. 소성직후 변연오차 측정값은 디자인이 같은 그룹의 유색, 백색 비교에서, I1와 II1그룹을 제외한 나머지 그룹에서 백색 지르코니아의 변연 적합도가 더 좋았다 (P<.05). 7. 내면 조정 후에는 색상화 및 지르코니아 코어 디자인에 따른 전 그룹간 변연 적합도의 차이는 없었다 (P>.05). 결론: 지르코니아 코핑 디자인과 색상화에 따른 변연 적합성은 소성 직후에는 다소 차이가 있었으나 내면 조정을 하면 임상 사용에는 무리가 없을 것으로 판단되었고, 파절강도 강화를 위해 코핑의 두께는 가급적 두꺼워야 하나, 가시면 (순면, 협면)의 심미성(반투명성)을 고려할 경우 가시면을 0.3 mm로 얇게 해도 파절 강도에 큰 영향을 주지 않는 것으로 사료되었다. Purpose: The purpose of this study was to compare the marginal fitness and fracture load of the zirconia copings according to the design with different thickness and coloration. Material and methods: The evaluation was based on 80 zirconia copings. Zirconia copings were fabricated in design with different thicknesses using CAD/CAM system (Everset, KAVO dental GmbH, Biberach, Germany). The designs of copings were divided into four groups. The first group consisted of copings with uniform thickness of 0.3 mm. The thickness in the second group was 0.3 mm on the buccal surface and 0.6 mm on the lingual surface. The third group consisted of coping with uniform thickness of 0.6 mm. The thickness in the fourth group was 0.6 mm on the buccal surface and 1mm on the lingual surface. Each group consisted of 10 colored and 10 uncolored copings. Half of the copings (40) processed with a milling system according to the specific design were sent to be given a color (A3) through saturation in special dye by a manufacturing company. Just after sintering, the marginal discrepancies of copings were measured on the buccal, lingual, mesial and distal surfaces of metal die, under a Video Microscope System (sv-35, Sometech, Seoul, Korea) at a magnification of $\times$ 100. It was remeasured after the adjusting of the inner surface. Next, all copings were luted to the metal dies using reinforced cement {GC FujiCEM (GC Corp. Tokyo, Japan)} and mounted on the testing jig in a Universal Testing Machine (Instron 4467, Norwood, MA, USA). The results were analyzed statistically using the one-way ANOVA test. Results: The obtained results were as follow: 1. The measured value of marginal discrepancy right after sintering was the greatest in the contraction of the buccal area in all groups, except for group I2. 2. There was no significant difference of marginal fitness among the groups in the colored zirconia group (P<.05). 3. When the marginal fitness among the groups in the uncolored zirconia group was considered, group II2 had the smallest marginal discrepancy. 4. When the colored and uncolored groups with the same design were compared, there was a significant difference between I1 and II1 groups. In group 2, 3, and 4, the uncolored zirconia had the greatest marginal fitness (P<.05). 5. After adjustment of inner surface, there was no significant difference in the marginal fitness in all groups when color and design of the zirconia coping were compared. 6. The fracture load of CAD/CAM zirconia copings showed significant difference in group 1, 2, 3, and 4. I4 and II4 had the strongest fracture load. 7. When groups with different color and same design were compared, all colored groups showed greater fracture load (P>.05), with no significance. Conclusion: There was difference in the marginal fitness according to the design and coloration of zirconia copings right after sintering, but it was decided that the copings may well be used clinically if the inner surface are adjusted. The copings should be thick enough for the reinforcement of fracture strength. But considering the esthetics of the visible surfaces (labial and buccal surface), the thickness of copings may be a little thin, without giving any significant effect on the fracture strength. This type of design may be considered when giving priority to preservation of tooth or esthetics.

청폐사간탕(淸肺瀉肝湯)이 $CCl_4$로 유발(誘發)된 휜쥐의 간손상(肝損傷)에 마치는 영향(影響)

신미란,허운영,김달래,전종원,김정열,Shin, Mee-Ran,Heo, Woon-Yeong,Kim, DaI-Rae,Jeon, Jong-Weon,Kim, Jeong-Yeol 사상체질의학회 2005 사상체질의학회지 Vol.17 No.1

1. Objectives The present study was carried out to investigate the effects of Chungpyesagan-tang on the $CCI_4-induced$ Liver Damage in Rats. 2. Methods Sprague-Dawley rats were devided into 5 experimental groups : Normal, $NS+CCI_4(Solid$ extract of $CCI_4$ injection group after Normal Saline feed), $CP+CCI_4(Solid$ extract of $CCI_4$ injection group after Chungpyesagantang feed), $CCI_4+NS(Nomal$ Saline feed group after $CCI_4$ injection), $CCI_4+CP(Solid$ extract of Chungpyesagantang feed group after $CCI_4$ injection). Biochemical assays for serum enzyme activities such as AST, ALT, ALP, BUN, Creatinine, Uric Acid, Total Protein, Albumin, Total Cholesterol, Triglyceride, Glucose, and mRNA Revelation of Cytochrome p450 and activities such as LPO(Lipid Peroxidation), GSH(Glutathione), GST(Glutathione-S- Transferase), Glutathione Reductase, Glutathione Peroxidase, SOD(Superoxide Dismutase), Catalase, Hydroxyproline, and ${\beta}-Glucuronidase$ were performed. 3. Results 1) $CP+CCI_4$ showed significantly lower relation of Cytochrome p450 than $NS+CCI_4$. 2) As to LPO Hydroxyproline, $CCI_4+CP$ showed significantly lower activity than $CCI_4+NS$. 3) As to GSH GST Glutathione Peroxidase Catalase, $CP+CCI_4$ showed higher activity than $NS+CCI_4$, $CCI_4+CP$ showed significantly higher activity than $CCI_4+NS$. 4) As to Glutathione Reductase SOD, $CCI_4+CP$ showed significantly higher activity than $CCI_4+NS$. 5) As to ${\beta}-Glucuronidase$, $CP+CCI_4$ showed signficantly lower activity than $NS+CCI_4$. 4. Conclusions Chungpyesagantang has the recovering effects on the $CCI_4-induced$ Liver Damage.

사상체질별(四象體質別) 이소편(利小便) 약물(藥物)의 효능(效能)에 관한 연구(硏究)

신미란,김정렬,전종원,김달래,심규헌,Shin, Mee-Ran,Kim, Jung-Yul,Jeon, Jung-Won,Kim, Dal-Rae,Sim, Gyu-Heoun 사상체질의학회 2003 사상체질의학회지 Vol.15 No.3

The aim of this thesis is to examine the effect of the diuretics in the Sasang constitutional medicine those are not categorized to the diuretic in the established herbal medicine by the way of measuring the change of body edema and the quantity of body moisture through the inbody test, along with the urine volume taken for 24 hours 1. We medicated the diuretic suggested by the DongyiSuseBowon東醫壽世保元 into the tested group and measured the change of the urine volume, the quantity of body moisture and the degree of body edema. The results are the followings below. 1) Soeumin The change in the urine volume and body moisture showed no responsibility, but the degree of body edema decreased with the responsibility. 2) Soyangin All of the degree of body edema and the urine volume, and body moisture showed decrease. 3) Taeumin The urine volume and body moisture increased but showed no responsibility. Also the degree of body edema decreased within the normal limit which can not be accepted. 4) The medicine of the Sasang Constitutional Medicine can not be simply thought to be the diuretic, but it has the function that excretes the moisture which functions negatively in the body and causes edema, as well as the function of the adjustment of metabolism that preserves the normal amount of moisture. This is the good example which is the concept of the adjustment therapy suggested by The Sasang Constitutional Medicine 2. Through the results above, we can find that the diuretic suggested by The Sasang Constitutional Medicine functions in the way that is differently explained by the herbal medicine.

부분 무치악 환자에서 텔레스코프 시스템을 적용한 전악 수복 증례

신미란(Mee-Ran Shin) 대한턱관절교합학회 2007 구강회복응용과학지 Vol.23 No.2

성견에 발치 후 즉시 임플란트 식립시 RBM 처리된 임플란트의 골융합에 관한 연구

선기종,박재영,정은경,신미란,김윤상,피성희,신형식,유형근,Sun, Ki-Jong,Park, Jae-Young,Jung, Eun-Gyeong,Shin, Mee-Ran,Kim, Yun-Sang,Pi, Sung-Hee,Shin, Hyung-shik,You, Hyung-Keun 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.2

Recently, immediately after losing teeth. implant placement has been greatly attempted. Implant can help restoration of tooth functions within short time. This study was an attempt to examine the extent of osseointergation when the implants will be placed immediately after teeth extraction using domestic implant systems. Implants were inserted in beagle dogs and evaluated the clinical, radiological, histological and histomorphometric assay at 6 weeks and 12 weeks. For experimental materals, $STAGE-1^{(R)}$($4.1{\times}8mm$, Lifecore, USA), $SS-III^{(R)}$($4.0{\times}8mm$, OSSTEM, Korea) and $IFI^{(R)}$($4.0{\times}8mm$, Dio, Korea) implants treated with RBM were placed. All the placed site showed normal results without fail and inflammation clinically and radiologically. As a result of measurement by periotest, it showed $-2\;{\sim}\;-5$ and stable status comprehensively. There was no statistically significant difference among implants(p<0.05). Bone tissue adjacent to implant showed increased marrow tissue at 6 weeks. Nevertheless, osteogenic structure was not observed remarkably. In a 12 weeks opinion, bone tissue composed of osseointegration along implant interface showed significantly decreased marrow tissue containing central vessels unlike a 6 weeks opinion and matured compact bone whose osteogenic structure is well formed. BIC were 42.4%, 32.0% and 34.9%, respectively in 6 weeks and there was no statistically significant difference among group(p<0.05). In 12 weeks, BIC were 58.8%, 61.9% and 57.5%. respectively and there was no statistically significant difference among groups(p<0.05). It is considered that all 3 implant systems are suitable for immediate implant placement.

전환(轉換) 장애(障碍)를 동반한 태음인(太陰人) 화병(火病) 환자의 증례

한동윤,이상민,김민종,신미란,양상묵,심규헌,김달래,정운기,Han, Dong-Youn,Lee, Sang-Min,Kim, Min-Jong,Shin, Mee-Ran,Yang, Sang-Mook,Shim, Gyu-Heoun,Kim, Dal-Rae,Jung, Woon-Ki 사상체질의학회 2005 사상체질의학회지 Vol.17 No.3

1. Objectives The purpose of this case is to report a Taeumin, who was examined as Hwa-Byeong, received a medical treatment with Cheongsimyeonja-tang and consult of Sasang Constitutional Medicine. 2. Methods We examined this patient as Hwa-Byeong by using Hwa-Byeong Diagnostic Interview Schedule(HBDIS) and we also diagnosed a patient's mental state by using MMPI to understand a human instinct of the patient. Additionally, we used QSCC II and PSCC to distinguish a patient's Sasang Constitution. 3. Results We received a positive result by using prescription as Cheongsimyeonja-tang and consult according to a patient's Sasang Constitutional Medicine. 4. Conclusions We suggested that the patient would receive steady treatments as consult of Sasang Constitutional Medicine and medicinal therapy afterwards.

뇌경색(腦硬塞) 후 발생한 태음인(太陰人) 무도병(舞蹈病)에 대한 증례

정운기,김은이,이상민,신미란,최재완,윤지영,김달래,한동윤,Jung, Woon-Ki,Kim, Eun-Yi,Lee, Sang-Min,Shin, Mee-Ran,Choi, Jae-Wan,Yoon, Ji-Yung,Kim, Dal-Rae,Han, Dong-Youn 사상체질의학회 2005 사상체질의학회지 Vol.17 No.3

1. Objectives The primary purpose of this case is to report that a Taeurnin patients with Chorea originated after Cerebral infarction was treated with 'Yeoldahanso-tang(熱多寒少湯)' and then her symptoms improved 2. Methods We diagnosed her as Chorea originated after Cerebral infarction. So we treated her with 'Yeoldahanso-tang(熱多寒少湯)'. 3. Results After we treated her with 'Yeoldahanso-tang(熱多寒少湯)', her symptoms improved. 4. Conclusions 'Yeoldahanso-tang(熱多寒少湯)' may have an effect on Treatment Chorea originated after Cerebral infarction of Taeurnin.

코핑 디자인과 시멘트에 따른 지르코니아 도재관의 파절 저항성

심헌보,김유진,김민정,신미란,오상천,Sim, Hun-Bo,Kim, Yu-Jin,Kim, Min-Jeong,Shin, Mee-Ran,Oh, Sang-Chun 대한치과보철학회 2010 대한치과보철학회지 Vol.48 No.3

연구 목적: 본 연구는 지르코니아 코핑의 다양한 디자인과 시멘트 종류에 따른 지르코니아 도재관의 파절 저항성과 변연 적합도를 평가하고자 하였다. 연구 재료 및 방법: CAD/CAM system (Everest, KAVO Dental GmbH, Biberach, Germany)을 이용하여, 다양한 두께를 가진 지르코니아 코핑을 디자인하고 제작하였다. 80개의 코핑을 디자인에 따라 20개씩 4개의 그룹으로 분류하였으며, 각 그룹은 다시 시멘트 종류에 따라 시편을 10개씩 나누어 2개의 소그룹으로 분류하였다. Group I은 전체적으로 균일하게 0.3 mm로, group II는 협면과 협측 교합면은 0.3 mm, 설면과 설측 교합면을 0.6 mm, group III은전체0.6 mm 균일하게, Group IV는 협면과 협측 교합면은 0.6 mm 설면과 설측 교합면을 1.0 mm로 디자인 하였다. Putty index를 이용해 같은 크기와 형태의 지르코니아 도재관을 축성 후, 완성하였다. 미세 경도측정기의 현미경 (Matsuzawa, MXT-70, Japan)으로 도재관의 변연 적합도를 측정하였고, 만능시험기 (Z020, Zwick, Germany)를 이용하여 cross-head speed를 1 mm/min로 도재관이 파절될 때까지 수직 하중을 가해 파절 저항성을 측정하였다. One-way ANOVA와 two-way ANOVA 를 이용해 그 결과를 비교 분석 하였으며, 사후 검정으로 Duncan's multiple range test ($\alpha$=0.05)를 사용하였다. 결과:1. 코핑 디자인에 따른 변연적합성은 유의한 차이가 있었다 (P<.05). 2. 임시합착제 (Cavitec$^{(R)}$)로 합착한 군에서 코핑 디자인에 따른 지르코니아 도재관의 파절강도는 유의한 차이가 있었다 (P<.05). 3. 영구접착제 (Panavia-$F^{(R)}$)로 접착한 군에서 코핑 디자인에 따른 지르코니아 도재관의 파절강도는 통계학적인 유의차가 없었다 (P>.05). 4. 시멘트의 종류에 따른 동일한 디자인사이에서의 파절강도는 group I과 group II에서 Panavia-F 접착군이 Cavitec$^{(R)}$ 접착군보다 통계학적으로 유의성 있게 높았다 (P<.05). 5. 도재관의 파절 양상은 지르코니아 코핑의 디자인에 따른 차이는 없었으며, 시멘트의 종류에 따라 Cavitec$^{(R)}$ 접착군에서는 시편이 완전 분리되는 전부 파절, Panavia-$F^{(R)}$ 접착군에서는 전장 도재층에서만 파절되는 부분파절이 주로 나타났다. 결론: 제한된 결과이기는 하나 심미성을 위해 가시면을 얇게 하고 강도를 위해 비가시면의 지르코니아 코핑을 두껍게 하는, 즉 기능에 따라 두께를 달리 하는 세라믹 하부구조 디자인이 임상에서 선택적으로 활용될 수 있을 것으로 사료되었다. Purpose: The purpose was to compare the marginal fidelity and the fracture resistance of the zirconia crowns according to the various coping designs with different thicknesses and cement types. Materials and methods: Zirconia copings were designed and fabricated with various thicknesses using the CAD/CAM system (Everest, KaVo Dental GmbH, Biberach., Germany). Eighty zirconia copings were divided into 4 groups (Group I: even 0.3 mm thickness, Group II: 0.3 mm thickness on the buccal surface and the buccal half of occlusal surface and the 0.6 mm thickness on the lingual surface and the lingual half of occlusal surface, Group III: even 0.6 mm thickness, Group IV: 0.6 mm thickness on the buccal surface and the buccal half of occlusal surface and the 1.0 mm thickness on the lingual surface and the lingual half of occlusal surface) of 20. By using a putty index, zirconia crowns with the same size and contour were fabricated. Each group was divided into two subgroups by type of cement: Cavitec$^{(R)}$ (Kerr Co, USA) and Panavia-$F^{(R)}$ (Kuraray Medical Inc, Japan). After the cementation of the crowns with a static load compressor, the marginal fidelity of the zirconia crowns were measured at margins on the buccal, lingual, mesial and distal surfaces, using a microscope of microhardness tester (Matsuzawa, MXT-70, Japan, ${\times}100$). The fracture resistance of each crown was measured using a universal testing machine (Z020, Zwick, Germany) at a crosshead speed of 1 mm/min. The results were analyzed statistically by the two-way ANOVA and oneway ANOVA and Duncan's multiple range test at $\alpha$=.05. Results: Group I and III showed the smallest marginal fidelity, while group II demonstrated the largest value in Cavitec$^{(R)}$ subgroup (P<.05). For fracture resistance, group III and IV were significantly higher than group I and II in Cavitec$^{(R)}$ subgroup (P<.05). The fracture resistances of Panavia-$F^{(R)}$ subgroup were not significantly different among the groups (P>.05). Panavia-$F^{(R)}$ subgroup showed significantly higher fracture resistance than Cavitec$^{(R)}$ subgroup in group I and II (P<.05). Conclusion: Within the limitation of this study, considering fracture resistance or marginal fidelity and esthetics, a functional ceramic substructure design of the coping with slim visible surface can be used for esthetic purposes, or a thick invisible surface to support the veneering ceramic can be used depending on the priority.

성견에서 즉시 임플란트 식립시 국내 임플란트에서의 골 유착반응에 관한 연구

서정윤,이욱재,이종철,신미란,김윤상,피성희,신형식,유형근,Seo, Jung-Yoon,Lee, Wook-Jae,Lee, Jong-cheol,Shin, Mee-Ran,Kim, Yun-Sang,Pi, Sung-Hee,Shin, Hyung-Shik,You, Hyung-Keun 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.2

This study was attempted to evaluate home-manufactured implants by placing $Stage-1^{(R)}$ Implant (Lifecore, Co., USA) whose surface is treated with REM that has already been varified clinically,$Chaorum^{(R)}$ Implant(Chaorum Co., Korea) whose surface treatment is same as that of Stage-1 Implant and $Atlas^{(R)}$ Implant(Cewellmedi Co., Korea) whose surface is treated with anodic oxidation immediately after the teeth of experimental animals were extracted to compare histological findings among them. Stage-l Implant(diameter: 3.5mm, length: IOmm), Chaorum Implant(diameter: 3.3mm, length: 8.5mm) and Cowell medi Implant(diameter: 4.0mm, length: 8.0mm) were placed into the mandible premolars of 2 adult beagle dogs immediately after their teeth were extracted, and then histological findings were analyzed at 6 weeks. After those implants were inserted directly after their teeth were extracted, the results of periotest were recorded, radiography was done, the subjects went through thorough control for 6 weeks, and then comparison among periotest, radiography and histological finding was made. After comparison of those findings, the values of periotest were satisfactory and bone healing was relatively satisfactory on radiography at 6 weeks. For osseointegration with the bone tissue, Stage-1 was 45.3%, Chaorum 55.3%, and Cowellmedi 52.5%, which was a satisfactory result. Although implant surgery immediately after teeth were extracted involves difficulties among recent implant surgeries, it is being frequently used in that it may reduce surgery hours, the frequency of surgery, and bone loss for patients. This experiment was conducted to evaluate the technological levels of home-manufactured implants that have been remarkably developed in recent years and in conclusion, those implants showed nearly similar result.