Cone beam형 전산화단층촬영법을 이용한 하악과두의 골변화에 관한 연구

이지운,김형섭,송주섭,김경아,고광준 대한구강악안면방사선학회 2007 Imaging Science in Dentistry Vol.37 No.3

Purpose : To assess bone changes of mandibular condyle using cone beam computed tomography (CBCT) in temporomandibular disorder (TMD) Patients. Materials and Methods : 314 temporomandibular joints (TMJs) images of 163 TMD patients were examined at the Department of Oral and Maxillofacial Radiology, Chonbuk National University. The images were obtained by PSR9000N (Asahi Roentgen Co., Japan) and reconstructed by using Asahivision software (Asahi Roentgen Co.,Japan). The CBCT images were examined three times with four weeks interval by three radiologists. Bone changes of mandibular condyle such as flattening, sclerosis, erosion and osteophyte formation were observed in sagittal, axial, coronal and 3 dimensional images of the mandibular condyle. The statistical analysis was performed using SPSS 12.0. Intra-and interobserver agreement were performed by 3 radiologists without the knowledge of clinical information. Results : Osteophyte (2.9%) was found more frequently on anterior surface of the mandibular condyle. Erosion (31.8%) was found more frequently on anterior and medial surfaces of the mandibular condyle. The intraobserver agreement was good to excellent(k=0.78-0.84), but interobserver agreement was fair(k=0.45). Conclusion : CBCT can provide high qualified images of bone changes of the TMJ with axial, coronal and 3 dimensional images.

역위 매복된 상악 중절치의 교정적 처치를 통한 치근 형성유도

이상호,이창섭,임광호,장은영 大韓小兒齒科學會 1999 大韓小兒齒科學會誌 Vol.26 No.4

미맹출된 상악 중절치는 비교적 흔히 임상에서 8세이상의 아동에서 관찰될 수 있다. 맹출실패의 원인으로는 치배의 비정상적인 발육이 언급되는데 아직 명백히 밝혀지지는 않았지만, 이는 외상이나 선행유치의 치근단 감염으로 유발될 수 있다. 본 증례는 외상의 병력이 없어 유치의 치근단 감염에 의한 상악 중절치의 매복을 고려해 볼 수 있다. 치아의 맹출과 Hertwig's epithelial root sheath 에 의한 지속적인 치근 발육을 유도하기 위해서는 외과적 노출과 가철성 장치를 이용한 교정적 견인이 치료방법으로 시행될수 있다. 본 증례는 역위 매복으로 인해 치근의 만곡이 예상되며 치근의 발육이 지연된 치아를 치근형성 전 조기에 가철성 장치를 이용한 교정적 견인에 의해 정상적인 맹출과 인접치와 유사한 치근 발육이 얻어졌다. 하지만 향후 완전한 치근 형성 유무에 대한 주기적인 검진과 부착치은 획들을 위한 치주적인 처치가 필요하리라 사료된다. It is a relatively common clinical experience to see an unerupted maxillary central incisor. This phenomenon is apparent at the dental age of almost eight years and over. Among the possible cause for failure of eruption, ectopic development of the tooth germ is mentioned. This is not fully understood but trauma or periapical imflammation of primary predecessors is accepted. The case with no history of trauma may be impacted by the periapical imflammation of primary predecessors. For bringing into the tooth eruption and the continued normal root development by the Hertwig's epithelial root sheath, there are early considered of surgical invention and orthodontic traction with removable appliance. We reported successful treatment for inverted maxillary central incisor with proper eruption and normal root development by forced eruption using removable appliance. But further observation will be required to evaluate the final root development state and amount of keratinized attachment gingiva.

군위지역 오이 시설 재배지의 토양특성 변화

이동훈,최충렬,김광섭,김평열,서정우,박만 경북대학교 농업과학기술연구소 2006 慶北大農學誌 Vol.24 No.-

군위군 오이재배지역을 정밀토양도를 이용하며 토양특성을 조사하구 군위군 노지 및 시설오이 재배지토양의 물리화학적 특성을 조사하여, 연작과 관행적인 토양관리로 인하여 저하된 토양의 이화학적 특성을 오이재배에 적합한 토양으로 개량하기 위한 기초자료로 이용하고자 토양조사를 실시하였다. 조사지역은 군위군 군위읍 외랑리 오이재배단지로서 주요토양통은 토양토에 나타난 단북통과 신정들이 가장 넓게 분포하였으며, 점토함량은 시설재배지내 토양의 경우 양토이었으며, 시설재배지의 외부 토양의 경우 23.8%로 높게 나타났다. 오이 재배지 토양의 화학적 특성 결과에 대한 오이재배지 토양의 적정범위와비교하여 보면 일반적인 화학적 성질에서 서는 유효인산의 함량이 적정범위보다 높은 것을 알 수 있으며, 치환성 양이온 함량은 시설재배지의 외부토양은 적정범위에 속하나 시설재배지 내부토양은 모두 높은 것으로 나타났으며, 최상부 토양은 매우 높으나 l0cm이하는 깊이에 따라 뚜렷한 차이는 없었다. 오이 재배지 토양 중 중금속 함량은 모두 기준치보다 높게 나타났는데, 구리의 함량이 시설재배지가 노지재배지보다 높게 나타났다. The soils of plastic film houses in which intensive cultivation takes place suffer from the serious problems such as severe salinity and accumulation of heavy metals etc. The objective of this research was to examine the change in soil properties with repeated cucumber cultivation under plastic film house at Gunwi-Gun area. The soils were classified mainly to Danbuk and SinJung series. Clay content is lower in the soils of plastic film house than in the field soil. Available P205 and exchangeable cations were accumulated at the level higher than the optimum range. The content of extractable heavy metals were higher in the soils of plastic film house than in those of the field. For optimum yield, much attention should be paied to the management of soils by the pre-soil survey.

Obturator를 이용한 함치성 낭종의 처치 및 이환된 치아의 맹출 유도

이상호,이창섭,임광호,임철승 大韓小兒齒科學會 1999 大韓小兒齒科學會誌 Vol.26 No.4

함치성 낭종은 법랑질 형성이 완료된 후 법랑상피층 사이나 치관과 이 상피 사이에 액체가 축척되어 발생한다. 10대와 20대에서 호발하며 6-7세는 9.1%를 차지한다. 또한 상하악 어느 곳에서나 발생될 수 있으나, 하악 제 3 대구치에서 가장 많이 발생되며, 상악 견치, 하악 제 2 소구치, 상악 제 3 대구치 순으로 발생된다. 모든 악골 낭종 중 16.6%를 차지하고 있으며, 남자가 여자에 비해 약간 높은 발생 빈도를 나타낸다. 함치성 낭종의 치료로는 조대술과 적출술이 있는데 치아의 맹출력이 왕성한 연령이며 변위된 치아의 보존이 요구될 때는 조대술이 추천되고 있다. 본 증례는 함치성 낭종에 이환되어 조선대학교 소아치과에 내원한 환아에서 obturator를 이용한 조대술을 시행하여 이환된 치아를 정상 위치로 맹출 유도하고 다음과 같은 결론을 얻었다. 1. Obturator를 이용한 조대술만으로 함치성 낭종에 이환되어 심하게 변위되었던 영구치는 특별한 교정적 처치없이 대부분 정상 위치로 맹출하였다. 2. 법랑질 저형성과 치근 형태 이상이 일부 증례에서 관찰되었다. 3. 골 팽창 부위와 결손 부위는 특별한 감염이나 재발 없이 치유되었다. The dentigerous cysts originate through alteration of the reduced enamel epithelium after amelogenesis is completed, with accumulation of fluid between the layers of the enamel epithelium, or between this epithelium and the tooth crown. Next to the radicular cyst, they are the second most common type of odontogenic cyst. They occur over a wide age range with a peak frequency in the 2nd to 3rd decade. A substantial majority involve the mandibular third molars, followed in order of frequency by the maxillary permanent canines, mandibular second premolars, and maxillary third molars. With regard to the treatment of these cysts, the marsupialization procedure with obturator is recommended during the age when the eruptive force of the teeth is still strong. It can be effective when preservation of the displaced teeth is desirable. We treated the dentigerous cyst by marsupialization with obturator and guided the eruption of involved teeth to normal position. And we got the results as follows : 1. Severely dislocated teeth associated with dentigerous cyst erupted into proper position. 2. The enamel hypoplasia and the root deformity were observed some cases. 3. The bone expansion and defect were healed without infection and recurrence.

자폐아동의 기본운동교육프로그램 참가가 지각운동능력발달에 미치는 영향

이창섭,이명휘,현광석,이창규,조병준 한국특수체육학회 2003 한국특수체육학회지 Vol.11 No.1

The purpose of this study was to examine how the program of basic movement can influence and change the capability of perceptive movement among the children with autism. Four subjects (age3-5) participated in the specially designed program, three times a week for four weeks. For the purpose of this study, Oseretsky's Motor Development Test and PMDT(perception-Movement development Diagnosis Test) were used. The results were as follows; First, the upper limb performance of the children with autism showed significant changes by the movement education program. Second, along with the development of upper limb performance, the motor development index of the children with autism showed significant changes. Third, the Oseretsky spectrum of movement, of the children with autism responded to the order of mono-movement capability, hand-movement and co-operative movement. Fourth, the movement education program was more effective for the children with autism than for the retarded children in view of motor development capability. Fifth, the movement education program was more effective for the child with autism of multi-movement characteristics.

Pendulum 장치의 상악대구치의 원심이동에 대한 효과

이창섭,김재광,강덕일,송광철,정현구,이상호 대한소아치과학회 2001 大韓小兒齒科學會誌 Vol.28 No.3

Ⅱ급 치성교합을 가진 환자에서는 I급 구치부 교합관계를 형성하기 위하여 상악 대구치의 원심이동이 필요하다 본 연구에서는 pendulum장치를 이용한 상악 대구치의 원심이동시 대구치의 이동양상과 고정원의 전방이동 및 정출정도 등 치아와 골격에 미치는 영향을 평가하기 위하여 시행되었다. 상악 제1대구치를 원심이동시켜 1급 구치관계가 형성된 19명의 환자 (남: 8명. 여: 11명, 평균연령 11.68±1.52세)에서 장치 장착 전과 장치제거 직후에 얻어진 측면두부방사선사진을 비교 ·분석하여 다음과 같은 결과를 얻었다. 1.I급 교합관계를 형성하기 위해서 제 1대구치는 평균 2.94± 1.54mm 원심이동하였으며 . 1.17±0.97mm 함입되었고, 소요기간은 평균 18.13±7.95일이었다. 2.고정 원으로 사용된 치아는 1.34± 1.40mm로 유의하게 전방 이동하였으며, 0.48±0.99mm 정출되었다. 또한 절치는 유의한 전방이동 및 순측경사가 발생하였다(P<0.05) . 3.구개평면과 하악평면이 이루는 각은 유의한 증가를 보였다(P(0.05). 4.제1소구치 또는 제1유구치가 고정 원으로 이용된 경우 제2소구치 또는 제2유구치가 이용된 경우 보다 전방이동이 증가하였다(P<0.005). 5. 제2대구치의 발육단계에 따른 제1대구치 및 제2대구치의 이동양상은 어떤 항목과도 유의성이 없었다(P<0.05). 6.얻어진 총 공간 중 74%는 제1대구치의 원심이동이,26%는 소구치의 전방이동에 의하여 얻어졌다. 이상의 결과를 종합하여 볼 때 pendulum appliance는 상악 대구치의 원심이동에 매우 효과적이었으며. 고정원의 소실을 최소화하기 위해 제2유구치 또는 제 2소구치가 포함되어야 한다. 또한 제1대구치의 원심경사는 필연적으로 일어나며. 이를 최소화하기 위한 노력이 계속되어야 할 것으로 사료된다. Treatment of class Ⅱ malocclusions require distalization of maxillary molars into class I relationship. Intra-arch distal molar movement techniques have recently assumed an important role in young patients. In this study, the dental and skeletal effects of the pendulum appliance were evaluated by means of cephalometric radi-ographs. The samples were consisted of 19 patients: 11 females and 8 males, mean age 11.68± 1.52 years. Measurements were obtained from cephalometric prior to and the day of removal of the pendulum appliance. Treatment changes were analyzed. The following results were obtain : 1. The pendulum appliance produced 2.94±1.54mm distal molar movement with a mean intrusion of 1 17± 0.97mm, mean period 18.13±7.95 weeks. 2. The anchor tooth was 1.34± 1.40mm forward movement and 0.48±0.99mm extrusion, and labial tilting of incisors. 3. The angle between palatal plane and mandibular plane increased significantly 4 There was no significant difference in according to 2nd molar position. 5. Total movement was consisted of 74% distal movement of 1st molar and 26% forward movement of the an-chor tooth

初期引張力을 받는 보의 分數調波 振動에 關한 硏究

노광춘,이규섭,박영필 연세대학교 산업기술연구소 1984 논문집 Vol.16 No.1

Subharmonic vibration of order 1/2 of a simply supported uniform beam subjected to initial tention is studied for a concentrated lateral harmonic excitation force. Theoretical analysis is carried out by assumming the deflection as a superposition of linear eigenfunctions. Harmonic balance method is used for the steady state solution. The steady state solutions are obtained by using Newton-Raphson method. Experiments are carried out and show good agreement with the theoretical results.

상악동거상술을 이용한 인공치아 이식 치험례

우순섭,장윤성,김태균,이영수,심광섭,유광희 한양대학교 의과대학 1999 한양의대 학술지 Vol.19 No.1

Recently many dentists would like to select the implant installation for the restoration of partially or fully edentulous patient. Usually, it is needed at least 8mm of alveolar bone height for implant installation. But, in many cases, the implant installation is impossible due to anatomic limitation such as maxillary sinus, floor of nose, mandibular canal, lack of width, etc. So, dentists must come over these limitations by methods of sinus lift, nerve repositioning, transmandibular implant etc. Especially, a lot of ridges have inadequate bone height at the upper molar edentulous areas, and to insert implant for such sites represents low success rate. So, autogenous or allogenic or alloplastic bone can be grafted before or at the same thme with implant installation. We report a case of 22 year-old woman who was performed implant installation successfully by using sinus lift technique with iliac block bone graft to a patient whose low alveolar bone height made common implantation impossible. Now, she exerts good occlusive function at the time of 15 months after the operation.

한국인 두경부암종 환자에서 Cytochrome P450 1A1,2E1 및 N-acetyltransferase 2 효소의 다형성 분석에 따른 유전적 감수성에 대한 연구

심광섭,김태균,우순섭,이영수,공구 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.4

Individual genetic susceptibilities to cancers may result from several factors including differences in xeno-biotics metabolism to chemical carcinogens, DNA repair, altered oncogenes and suppressor genes, and environmental carcinogen exposures. Among them, genetic polymorphisms of metabolizing enzymes to chemical carcinogens have been recognized as a major important host factors in human cancers. They have two main types of enzymes: the· phase I cytochrome P-450 mediating enzymes (CYPs) and phase Ⅱ conjugating enzymes. The purpose of this study is to determine the frequencies of genotypes of phase I (CYP1A1 and CYP2E1) and phase Ⅱ (NAT2) metabolizing enzymes in healthy control and head and neck cancer patients of Korean and to identify the relative high risk genotypes of these metabolizing enzymes to head and neck cancer in Korean. The author has analyzed 132 head and neck cancer patients and 113 healthy controls using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) . The results were as following; 1.The frequencies of genotypes of CYP1A1, CYP2El and NAT2 in healthy control were as following; CYP1A1 exon 7 polymorphism; Ile / Ile: Ile/Val: Va1/Va1 = 59.3%: 36.3%: 4.4% CYP2El Pst I polymorphism, C1/Cl: C1/C2: C2/C2 = 61.1%: 32.1%: 6.2% NAT2 polymorphism; F/F: F/S: S/S = 43.4%: 48.7%: 8.0% 2.In analysis of phase I enzyme, Val/Val genotype in CYP1A1 exon 7 polymorphism and C2/C2 genotype in CYP2El Pst I polymorphism were associated with relative high risks to head and neck cancers (Odds' ratio: 2.09 and 1.37, respectively). 3.Among the genotypes of NAT2 enzyme polymorphism, S/S genotype of NAT2 enzyme had 1.03 times of relative risk to head and neck cancers. 4.In combined genotyping of CYP1A1, CYP2El, and NAT2 enzymes polymorphisms, the patients with Va1/Va1 and Cl/Cl, C2/C2 and fast acetylator, and Va1/Va1 and fast acetylator had higher relative risks than the patients with each baseline of combined genotypes (Odds' ratio: 2.82, 1.98 and 2.1, respectively) . These results suggest the combined genotypes of Va1/Va1 and Cl/Cl , C2/C2 and fast acetylator, and Val/Val and fast acetylator were more susceptible to head and neck cancers in Korean. And genotyping of metabolizing enzymes could be useful for predicting individual susceptibility to head and neck cancer.

구순구개열 환아의 조기 악정형치료에 관한 증례

임광호,이창섭,이상호,윤태원 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.3

Cleft lip and palate is the most common malformation in the craniofacial region. The patients with cleft lip and palate have functional problem such as, speech, feeding and respiratory as well as esthetic problem. So, treatment should be done by multidiciplinary team approach. The role of pediatric dentist in the team is advicement for feeding method, guidance of normal growth, caries control and preventive orthodontics. In cleft lip and palate patients, maxillary arch after cheiloplasty is usually collapsed by excessive tension of the scar. This collapse increase the difficulty of later orthodontic treatment. Therefore, the maxillary arch segments should be moved and retaind to normal position as soon as cheiloplasty is done to reduce the need and difficulty of orthodontic treatment. This concept is called by the early orthopedic treatment in cleft lip and palate. Also, this orthopedic appliance works as feeding applince to normal feeding and weight gain We reported two cases of early orthopedic treatment with favorable result in complete bilateral cleft lip and palate patients after cheiloplasty. Patients showed normal weight and their maxillary arch widths were increased.