구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제33권2호
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  • Pages.97-105
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  • 2017
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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근관치료 시 초음파 세정 기술을 이용한 잔사 제거의 효율성

The efficacy of ultrasonic irrigation technique on debris removal during root canal treatment

  • 김정현 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 김진우 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 조경모 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 박세희 (강릉원주대학교 치과대학 치과보존학교실)
  • Kim, Jeong-Hyeon (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Kim, Jin-Woo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Cho, Kyung-Mo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Park, Se-Hee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry)
  • 투고 : 2017.02.26
  • 심사 : 2017.04.21
  • 발행 : 2017.06.30
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초록

목적: Passive irrigation (PI)과 Passive ultrasonic irrigation (PUI)의 상아질 잔사 제거 효율성을 비교하는 것이다. 연구 재료 및 방법: 16 mm 길이로 표준화된 하악 소구치 치근을 근관 확대 후 종단으로 이등분 하였다. 분리된 한쪽 상아질벽에는 길이 4 mm, 너비 0.2 mm, 깊이 0.5 mm의 표준화된 구를 형성하였고, 반대쪽에는 직경 0.3 mm, 깊이 0.5 mm인 3개의 반구 형태의 함요를 형성하였다. 각 구와 함요에는 NaOCl과 혼합된 상아질 잔사로 채우고, 퍼티 인상재를 사용하여 재조합하였다. Group 1은 PI를 이용하고 Group 2는 PUI를 이용하여 각 근관내를 세정하였다. 현미경과 디지털카메라로 절편의 근관벽을 촬영하고, 구와 함요에 잔존하는 상아질 잔사의 양을 scoring system을 이용하여 평가하였다. 결과: 근관의 중앙 1/3에서 group 1이 group 2에 비해 잔사를 더 많이 제거하였지만, 치근단부에서는 유의한 차이가 없었다. 결론: 하악 소구치에서 근관에 기구가 닿지 못하는 부위를 세정시, 근관의 중앙 1/3에서 PUI를 사용하는 것이 PI에 비해 상아질 잔사의 제거 효율이 우수했지만, 치근단부에서는 PUI와 PI의 유의한 차이가 없었다.

Purpose: The purpose of this study was comparing the efficacy of passive irrigation (PI) and passive ultrasonic irrigation (PUI) for ability to remove debriment of canals. Materials and Methods: Mandibular premolars were decoronated and standardized to 16 mm length. After root canal enlargement and half separating longitudinally, standardized groove of 4 mm length, 0.2 mm width and 0.5 mm depth were formed on the dentin wall of one half. Three depressions in the canal wall of the opposite half, 0.3 mm in diameter and 0.5 mm in depth, were formed. After each groove and depression was filled with dentin debris, two sections of each half were reassembled using impression putty material. In group 1 the canals were irrigated with 2.5% NaOCl by PI. In group 2 the canals were irrigated with 2.5% NaOCl by PUI. Before and after root canal irrigation, the root canal wall of the section was taken with a microscope and a digital camera as images. The amount of dentin debris remaining in grooves and depressions was assessed using a scoring system. Results: There was no significant difference between PI and PUI except for the middle 1/3 of the root canal (P = 0.004). Conclusion: At the middle 1/3 of the root canal, PUI removed more dentine debris than PI. But the removal efficiency of dentin debris is not significantly different between the PUI and PI at the apical area of root canal in mandibular premolars.

키워드

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피인용 문헌

  1. Comparison of various activation methods of root canal irrigants for soft-tissue removal vol.45, pp.1, 2021, https://doi.org/10.21851/obr.45.01.202103.16