Orthodontic treatment of gummy smile by maxillary total intrusion with a midpalatal absolute anchorage system

This article describes the orthodontic treatment of a 31-year-old Korean female patient with gummy smile and crowding. The patient showed excessive gingival display in both the anterior and posterior areas and a large difference in gingival heights between the anterior and posterior teeth in the maxilla. To correct the gummy smile, we elected to intrude the entire maxillary dentition instead of focusing only on the maxillary anterior teeth. Alignment and leveling were performed, and a midpalatal absolute anchorage system as well as a modified lingual arch was designed to achieve posterosuperior movement of the entire upper dentition. The active treatment period was 18 months. The gummy smile and crowding were corrected, and the results were stable at 21 months post-treatment.OAIID:oai:osos.snu.ac.kr:snu2013-01/102/0000004298/7SEQ:7PERF_CD:SNU2013-01EVAL_ITEM_CD:102USER_ID:0000004298ADJUST_YN:YEMP_ID:A072100DEPT_CD:852CITE_RATE:.537FILENAME:hongyk-maas-gummy0smile-kjo-2013.pdfDEPT_NM:치의과학과SCOPUS_YN:YCONFIRM:

Physically based equation representing the forcing-driven precipitation in climate models

This study aims to improve our understanding of the response of precipitation to forcings by proposing a physically-based equation that resolves simulated precipitation based on the atmospheric energy budget. The equation considers the balance between latent heat release by precipitation and the sum of the slow response by tropospheric temperature changes and the fast response by abrupt radiative forcing (RF) changes. The equation is tuned with three parameters for each climate model and then adequately reproduces time-varying precipitation. By decomposing the equation, we highlight the slow response as the largest contributor to forcing-driven responses and uncertainty sizes in simulations. The second largest one to uncertainty is the fast-RF response from aerosols or greenhouse gases (GHG), depending on the low or highest Coupled Model Intercomparison Projection 6 future scenarios. The likely range of precipitation change at specific warming levels under GHG removal (GGR) and solar radiation management (SRM) mitigation plans is evaluated by a simple model optimizing the relationship between temperature and decomposed contributions from multi-simulations under three scenarios. The results indicate that GGR has more severe effects from aerosols than GHG for a 1.5 K warming, resulting in 0.91%–1.62% increases in precipitation. In contrast, SRM pathways project much drier conditions than GGR results due to the tropospheric cooling and remaining anthropogenic radiative heating. Overall, the proposed physically-based equation, the decomposition analysis, and our simple model provide valuable insights into the uncertainties under different forcings and mitigation pathways, highlighting the importance of slow and fast responses to human-induced forcings in shaping future precipitation changes

Volcanic-induced global monsoon drying modulated by diverse El Nino responses

International audienceThere remains large intersimulation spread in the hydrologic responses to tropical volcanic eruptions, and identifying the sources of diverse responses has important implications for assessing the side effects of solar geoengineering and improving decadal predictions. Here, we show that the intersimulation spread in the global monsoon drying response strongly relates to diverse El Niño responses to tropical eruptions. Most of the coupled climate models simulate El Niño-like equatorial eastern Pacific warming after volcanic eruptions but with different amplitudes, which drive a large spread of summer monsoon weakening and corresponding precipitation reduction. Two factors are further identified for the diverse El Niño responses. Different volcanic forcings induce systematic differences in the Maritime Continent drying and subsequent westerly winds over equatorial western Pacific, varying El Niño intensity. The internally generated warm water volume over the equatorial western Pacific in the pre-eruption month also contributes to the diverse El Niño development

Attribution of the 2015 record high sea surface temperatures over the central equatorial Pacific and tropical Indian Ocean

This study assessed the anthropogenic contribution to the 2015 record-breaking high sea surface temperatures (SSTs) observed in the central equatorial Pacific and tropical Indian Ocean. Considering a close link between extreme warm events in these regions, we conducted a joint attribution analysis using a fraction of attributable risk approach. Probability of occurrence of such extreme anomalies and long-term trends for the two oceanic regions were compared between CMIP5 multi-model simulations with and without anthropogenic forcing. Results show that the excessive warming in both regions is well beyond the range of natural variability and robustly attributable to human activities due to greenhouse gas increase. We further explored associated mechanisms including the Bjerknes feedback and background anthropogenic warming. It is concluded that background warming was the main contribution to the 2015 extreme SST event over the central equatorial Pacific Ocean on a developing El Niño condition, which in turn induced the extreme SST event over the tropical Indian Ocean through the atmospheric bridge effect.113Ysciescopu

Human-caused Indo-Pacific warm pool expansion

The Indo-Pacific warm pool (IPWP) has warmed and grown substantially during the past century. The IPWP is Earth's largest region of warm sea surface temperatures (SSTs), has the highest rainfall, and is fundamental to global atmospheric circulation and hydrological cycle. The region has also experienced the world's highest rates of sea-level rise in recent decades, indicating large increases in ocean heat content and leading to substantial impacts on small island states in the region. Previous studies have considered mechanisms for the basin-scale ocean warming, but not the causes of the observed IPWP expansion, where expansion in the Indian Ocean has far exceeded that in the Pacific Ocean. We identify human and natural contributions to the observed IPWP changes since the 1950s by comparing observations with climate model simulations using an optimal fingerprinting technique. Greenhouse gas forcing is found to be the dominant cause of the observed increases in IPWP intensity and size, whereas natural fluctuations associated with the Pacific Decadal Oscillation have played a smaller yet significant role. Further, we show that the shape and impact of human-induced IPWP growth could be asymmetric between the Indian and Pacific basins, the causes of which remain uncertain. Human-induced changes in the IPWP have important implications for understanding and projecting related changes in monsoonal rainfall, and frequency or intensity of tropical storms, which have profound socioeconomic consequences.116Yscopu