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신승일(Seung-Il Shin) 대한치과의사협회 2012 대한치과의사협회지 Vol.50 No.8
The periodontal flap surgery is the most widely utilized surgical procedure to reduce the pocket depth and to access the subgingival root surfaces for scaling and root planing. The diagnosis of the periodontal lesion and the objective of the surgery will dictate the type of flap procedure which will be utilized to obtain the best result. The incisions, type of flap and the selection of suturing design must be planned and executed to fit the problem. Periodontal flaps are designed to preserve gingival integrity and to gain access to root surfaces for residual calculus removal and to thoroughly remove granulation tissue so bone defects can be visualized and treated. Gentle and efficient procedures result in optimum healing and minimal postoperative pain. When flaps need to be repositioned apically or less often, coronally, then the flaps must sit passively at the appropriate level before suturing. To ensure this, buccal and lingual flaps need to be elevated beyond the mucogingival junction so the elasticity of the mucosa allows for flap mobility. Sometimes it may be necessary to extend the flap elevation apically with a split incision approach to minimize the effect of the less elastic periosteum. Vertical incisions can aid in flap positioning by allowing the clinician to suture the flap at a different level to the adjacent untreated gingiva. In osseous periodontal surgery, flaps are apically positioned to minimize postoperative pocket depth. In regenerative periodontal surgery including implant surgery, soft tissue coverage of bony defects, graft materials, membranes, and biologic agents is important so sulcular incisions and tight suturing techniques are crucial.
콘크리트 슬래브 궤도 흙쌓기 구간의 강화노반 두께에 관한 연구
신승진(Shin Seung-Jin),신민호(Shin Min-Ho),박종관(Park Jong Guan),이일화(Lee Il-Wha) 한국철도학회 2007 한국철도학회 학술발표대회논문집 Vol.- No.-
An active application of concrete track is being expected for the future constructions of Korea railroad. For the successful construction and design in embankment section, the roadbed behavior should be reasonably estimated using the proper analysis method. In this research, behaviors of reinforced roadbed constructed with the determined stiffness and thickness at embankment section were estimated through various design parameters and numerical analysis. A three dimensional finite element method was employed to determine the proper reinforced roadbed thickness at embankment section. The displacement and vertical stress caused by train loading were estimated and compared with the field test results. The bearing characteristics of concrete track roadbed were presented. Moreover, the method to determine thickness of reinforced roadbed was proposed.
임플란트주위염시 Porphyromonas gingivalis 섬모유전형의 출현율
신승일,권영혁,박준봉,허익,정종혁,Shin, Seung-Il,Kwon, Young-Hyuk,Park, Joon-Bong,Herr, Yeek,Chung, Jong-Hyuk 대한치주과학회 2005 Journal of Periodontal & Implant Science Vol.35 No.1
Fimbriae (fimA) of Porphyromonas gingivalis are filamentous components on the cell surface and are thought to play an important role in the colonization and invasion of periodontal tissue. P. gnigivalis fimA gene encoding fimbrillin, a subunit of fimbriae, has been classified into 5 genotypes (types I to V) based on the nucleotide sequences. In the present study, we examined the prevalence of these fimA genotypes in patients with dental implant and the relationship between prevalence of these genotypes and peri-implantitis. Dental plaque specimens obtained from 80 peri-implant sulci of 50 patients with dental implants were analyzed by 16S rRNA fimA gene-directed PCR assay. P. gingivalis were detected in 74.4% of the samples of the control group (healthy peri- implant sulci; probing depth<5mm) and in 92.0% of the samples of the test group (peri-implant sulci with peri-iimplantitis; probing $depth{\geqq}5mm$). Among the P. gingivalis-positive samples of the control group, the most prevalent fimA type was type I (29.3%), followed by type II (26.8%). In contrast, a majority among the P. gingivalis-positive samples of the test group was type II (56.S%), followed by type I (43.5%). TypeII fimA genotype organisms were detected more frequently in the test group and a significant difference in the occurrence of type II was observed between test and the control groups. A correlation between specific fimA types and peri-implant health status was found in type II (OR 3.545) and only a weak relationship was revealed in typeIV(OR 3.807). These findings indicate that P. gingivalis strains that possess type II fimA are predominant in peri-implant sulci with peri-implantitis and are closely associated with peri-implant health status. P. gingivalis with type II fimA may be involved in peri-implantitis.