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      • KCI등재

        의도적 재식술을 시행한 대구치의 단기간의 임상 평가

        최용훈 大韓齒科保存學會 2011 Restorative Dentistry & Endodontics Vol.36 No.1

        목적: 본 후향적 연구의 목적은 의도적 재식술로 치료한 상하악 대구치의 단기간의 치료 결과를 평가하고자 하는 것이다. 환자 및 방법: 본 연구의 대상은 해부학적인 접근의 어려움 및 두꺼운 피질골 또는 하치조 신경, 상악동등과의 근접으로 인해 통상적인 치근단 수술이 불가능하거나 환자가 거부하는 경우 의도적 재식술을 시행한 35개의 상하악 대구치를 대상으로 하였 다. 증례들의 경과 관찰 기간은 1년에서 2년 4개월이었다. 성공률은 임상적 성공과 방사선학적 성공을 기준으로 평가하였다. 결과: 의도적 재식술 과정중 발치 실패가 1증례(3%), 치주 질환 및 염증성 흡수로 발치한 경우가 2증례(6%)였고 구강내에 서 기능하고 있으나 약간의 동요도와 치근의 흡수상이 관찰되는 경우가 3증례(9%)였고 특이한 이상없이 잘 유지되고 있는 경우는 29증례(82%)였다. 결론: 의도적 재식술은 접근성 및 해부학적인 구조등으로 인해 치근단 수술이 불가능한 경우 적절한 증례 선택과 숙련된 술 자에 의해 시술이 이루어진다면 재현성 있고 예지성있는 치료가 될 수 있다. Objectives: This retrospective study evaluated the therapeutic effects of the intentional replantation (IR) procedure performed on the maxillary and mandibular molars of 35 patients. Materials and Methods: For the subjects, IR was performed due to difficulties in anatomically accessing the lesions and/or close proximity to the thick cortical bone, inferior alveolar nerve, or maxillary sinus, which rendered the ordinary periradicular surgery impossible. The patients’progress was followed for a year and up to 2 years and 4 months. The success of the procedure was evaluated in terms of clinical and radiographic success (%). Results: The results revealed the following: (a) 1 case (3%) of failed tooth extraction during IR; (b) 2 cases (6%) of extraction due to periodontal diseases and inflammatory root resorption; (c) 3 cases (9%) of normally functioning teeth in the oral cavity with minor mobility and apical root resorption, and; (d) 29 cases (82%) of normally functioning teeth without obvious problems. Conclusions: IR was confirmed to be a reliably repeatable, predictable treatment option for those who cannot receive conventional periradicular surgery because of anatomic limitations or patient factors. [J Kor Acad Cons Dent 2011;36(1):12-18.]

      • KCI등재

        Clinical evaluation of a new extraction method for intentional replantation

        최용훈,배지현 大韓齒科保存學會 2011 Restorative Dentistry & Endodontics Vol.36 No.3

        연구목적: 의도적 재식술은 재근관치료와 치근단 수술이 곤란하거나 실패한 경우 치아를 유지하기 위한 치료 방법이다. 성공적인 의도적 재식술을 위해서 파절 없는 안전한 발치는 필수적인 과정이다. 이를 위해 최근 의도적 재식술을 위한 비외상성 안전 발치법이 소개되었다. 환자 및 방법: 분당서울대학교 병원 치과 보존과에서 의도적 재식술을 시행한 96명의 환자를 대상으로 하였다. 재근관 치료가 실패하였거나 해부학적 접근의 어려움 등으로 치근단 수술이 곤란한 경우나 환자가 거부한 경우를 대상으로 하였다. 술전교정적 정출술을 약 2-3주간 시행하여 치아의 동요도를 증가시키고 동시에 치주인대의 양을 증가시켰다. 이후 Physics Forceps를 이용하여 발치하였으며 결과에 대해 분석하였다. 결과: 96개의 치아는 상,하악 소구치 또는 대구치였다. 완전한 발치 성공은 93% (n = 89)였으며 제한적인 성공(치근의 일부가 부러짐)은 2% (n = 2), 골절제술을 동반하여 발치한 경우가 5% (n = 5)였다. 임상적인 성공률은 95%였으며 전체적인 발치 성공률은 100% 였다. 결론: 비외상성 안전 발치법은 의도적 재식술을 위해 재현성 있고 예측가능한 발치방법으로 볼 수 있다. Purpose: Intentional replantation (IR) is a suitable treatment option when nonsurgical retreatment and periradicular surgery are unfeasible. For successful IR, fracture-free safe extraction is crucial step. Recently, a new extraction method of atraumatic safe extraction (ASE) for IR has been introduced. Patients and Methods: Ninety-six patients with the following conditions who underwent IR at the Department of Conservative Dentistry, Seoul National University Bundang Hospital, in 2010 were enrolled in this study: failed nonsurgical retreatment and periradicular surgery not recommended because of anatomical limitations or when rejected by the patient. Preoperative orthodontic extrusive force was applied for 2-3 weeks to increase mobility and periodontal ligament volume. A Physics Forceps was used for extraction and the success rate of ASE was assessed. Results: Ninety-six premolars and molars were treated by IR. The complete success rate (no crown and root fracture) was 93% (n = 89); the limited success rates because of partial root tip fracture and partial osteotomy were 2% (n = 2) and 5% (n = 5), respectively. The clinical and overall success rates of ASE were 95% and 100%, respectively; no failure was observed. Conclusions: ASE can be regarded as a reproducible, predictable method of extraction for IR.

      • 지방재정과 정보화

        최용훈 경기연구원 2001 경기논단 Vol.3 No.4

        This article aims at answering the question of whether local governments’financial capacity is the cause of their informatization. It posits two contrasted perspectives to predict the relationship, local financial capacity perspective, strategic choice or new institutionalism. Local financial capacity is measured by three criteria, financial autonomy, soundness, and investment ratio, and informatization by the portion of budget allocated to informatization and the substance of informatization. Findings suggest that local financial capacity as defined in this article is perhaps just a “partial” indicator of informatization by local governments. It is implied that strategic choice or institutional pressures may contribute to the unexplained portion of the relationship between local financial capacity and informatization.

      • KCI등재

        Implementation of Polyacrylamide in the Agricultural Environment and its Recent Review

        최용훈,김민영,김영진,전종길,서명철 한국토양비료학회 2016 한국토양비료학회지 Vol.50 No.4

        Nonpoint sources of pollution (NPS) is defined as diffuse discharges of pollutants (e.g., nutrient, pesticide, sediment, and enteric microorganism) throughout the natural environment and they are associated with a variety of farming practices. Previous studies found that water soluble anionic polyacrylamide (PAM) is one of the highly effective measures for enhancing infiltration, reducing runoff, preventing erosion, controlling nonpoint source of pollutants, and eventually protecting soil and water environment. Potential benefits of PAM treatment in agricultural soil and water environments have been revealed by many research and they include low cost, easy and quick application, and suitability for use with other Best Management Practices (BMPs) for NPS control. This study reviews the various applications of PAM and discusses its further potentials in agricultural environment.

      • Large-Scale Synthesis of Highly Luminescent InP@ZnS Quantum Dots Using Elemental Phosphorus Precursor

        최용훈,김현홍,김성환,김강용,박종남 한국공업화학회 2018 한국공업화학회 연구논문 초록집 Vol.2018 No.0

        InP quantum dots (QDs) are nontoxic emitters, which are considered an alternative to CdSe-based QDs. However, the limited choice and high cost of P precursors have a negative impact on their practical applicability. In this work, we report the large-scale synthesis of highly luminescent InP@ZnS QDs from an elemental P precursor (P4). The size of the InP QDs were controlled by varying the reaction parameters and their quantum yield could be increased up to 60%. Furthermore, possible reaction pathways have been investigated with nuclear magnetic resonance spectroscopy and it was demonstrated that the direct reaction of P4 precursor with In precursor produces InP structures without the formation of intermediate species. The largescale production of InP@ZnS QDs was demonstrated by yielding more than 6 g of QDs per one-batch reaction. We believe that the newly developed approach bears the potential to be widely used for manufacturing inexpensive high-quality QD emitters.

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