• Title/Summary/Keyword: 수복재료

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Prevention and management of foreign body ingestion and aspiration during the dental treatment (치과 치료에서 발생하는 이물질의 삼킴과 흡인의 예방과 대처)

  • Jeon, Han-Sol;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.63-71
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    • 2018
  • Prosthetic restorations through implants were popularized, and they became routine treatments. Small accessories used in the implant prosthodontic procedure are more likely to slip or fall off the dentist's hands. If the dental appliance or material passes into the upper gastrointestinal tract, there is a high possibility of excretion to the outside of the body without complications, but serious complications may occur depending on the type of foreign body. If the foreign body is passed to the airway, it is an emergency situation, and if it is not done properly, it can be fatal. The purpose of this review report is to investigate the process of foreign body ingestion or aspiration during dental treatment, and the method of prevention and treatment.

A Study on the Radiopacity of Cavity Lining Materials for Posterior Composite Resin Restoration (구치부 복합레진 수복을 위한 와동 이장용 재료의 방사선투과성에 관한 연구)

  • Moon Joo-Hoon;Choi Eui-Rwan
    • Imaging Science in Dentistry
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    • v.30 no.4
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    • pp.243-248
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    • 2000
  • Purpose: The aim of this study was to determine the relative radiopacities of cavity lining materials (Resin-modified Glass Ionomer cement, Compomer and Plowable resin) for posterior composite resin restoration. Material & Methods: Resin-modified glass ionomer cement (Fuji II LC, Vitrebond/sup TM/), Compomers (Dyract /sup (R)/ Compoglass, F2,000, Dyract/sup (R)/ flow Compoglass Flow) and Flowable resins (Tetric/sup (R)/ flow, Aeliteflo/sup TM/ Revolution/sup TM/) were used. Five specimens of 5 mm in diameter and 2 mm thick were fabricated with each material. Human molars were horizontally sectioned 2 mm thick to include both enamel and dentin. The radiopacities of enamel, dentin, cavity lining materials, aluminum step wedge were obtainded from conventional radiograph and NIH image program. Results: All the tested lining materials showed levels of radiopacity the same as or greater than that of dentin. All compomer tested (Dyract, Compoglass, F2,000, Dyract flow, Compoglass Flow) and Vitrebond/sup TM/, Tetric/sup (R)/ flow were more radiopaque than enamel. The radiopacities of Fuji II LC and Revolution/sup TM/ were between enamel and dentin and resin-modified glass ionomer cement, Compomer and Tetric/sup (R)/ flow were greater than those of Revolution/sup TM/, Aeliteflo/sup TM/ or dentin. The level of radiopacity of the tested materials was variable; those with low radiopacity should be avoided in class II restorations, where a clear determination of recurrent caries by the examining clinician could be compromised. Conclusion: Clinician should be able to distinguish these cavity lining materials radiographically from recurrent decay, voids, gaps, or other defects that lead to clinical failure. Utilization of materials ranked more radiopaque than enamel would enable clinicians to distinguish the lining material from tooth structure.

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THE EFFECT OF TOPICAL FLUORIDES ON SURFACE STRUCTURES OF VARIOUS ESTHETIC RESTORATIVE MATERIALS (불소 제재가 심미 수복 재료의 표면 구조에 미치는 영향)

  • Kim, Un-Yong;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.436-448
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    • 1997
  • Topical fluoride application for children is a widely performed procedure in the field of Pediatric Dentistry for its dental caries prevention effects. However, it is recently recognized as having some unwanted effects on several esthetic restorative materials as it roughens the surfaces of the restorative materials. In order to evaluate the surface changes in esthetic restorative materials, the author immersed composite resin, glass ionomer cement, and resin-modified glass ionomer cement specimens in various topical fluoride agents and measured the weight loss and also, examined the specimens under the scanning electron microscope. The followings are the results : 1. All the specimens immersed in APF gel for 4 minutes showed statistically significant weight loss. (paired t-test, P<0.05). 2. There was no statistically significant weight loss for the resin-modified glass ionomer cement and composite resin groups immersed in sodium fluoride solution (paired t-test, P>0.05). 3. When the glass ionomer cement group was immersed in APF gel for 1 and 4 minutes, there was a statistically significant weight loss compare to other esthetic restorative materials (ANOVA, P<0.05). 4. In the resin-modified glass ionomer cement group and the composite resin group, weight loss in the APF gel 4 minutes immersion group was greater than the 1 minute immersion group, and it was statistically significant (ANOVA, P<0.05). 5. When the specimens were examined under scanning electron microscope, the surface changes were greatest in the order of glass ionomer cement, resin-modified glass ionomer cement, composite resin and also in the order of APF gel 4 minute immersion group, 1 minute immersion group, sodium fluoride immersion group, and control group.

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Spectrophotometic analysis of the influence of substrate on the color of dental ceramics (하부구조물 및 두께에 따른 치과 수복용 세라믹의 색조에 대한 분광측색분석)

  • Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.96-103
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    • 2015
  • Purpose: The purpose of this study was to spectrophotometrically evaluate the influence of porcelain layer thickness and substructure. Materials and Methods: Four groups of porcelain specimens (metal and ceramic substructure) was prepared for analysis. Color parameters were measured with spectrophotometer and color difference (${\Delta}E*$) were calculated. T-test and one-way ANOVA test were used to find out significant difference and Tukey test was used to identify where the difference ware. Results: Increasing the thickness of porcelain decreased values (P < 0.05). Increasing the thickness of porcelain on ceramic substructure decreased the $a^*$ (P < 0.05) but, the $b^*$ were not statistically different. Total color difference (${\Delta}E*$) were below 1 when the difference of porcelain thickness were 0.5 mm. Conclusion: The thickness of porcelain are the factor effecting on color. This study will help the color are controlled by changing the thickness of porcelain clinically.

SEM/EDS Evaluation of Gold Bonding Agent Applied on Non-precious Alloys and Cast CP-Ti (도재 소부용 비귀금속 합금과 티타늄에 적용한 Gold Bonding Agent의 전자현미경적 평가)

  • Lee, Jung-Hwan;Ahn, Jae-Seok
    • Journal of dental hygiene science
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    • v.9 no.2
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    • pp.153-160
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    • 2009
  • The purposed of this study was to investigate the effect of Gold bonding agent as intermediate layer between metal substrate and ceramic coating. Gold bonding agent used to seal off any surface porosity, to mask the greyish color of the metal, and to provide an underlying bright golden hue to the ceramic coverage. The adhesion between metal substrate and ceramic is related to diffusion of oxygen during ceramic firing. The oxide layer produced on non-precious alloy anti titanium was considered to have a potentially adverse effect on metal-ceramic bonding. The oxidation characteristics of titanium and non-precious alloys are the main problem. Every group were divided into test and control groups. Control groups are carried out process of degassing for product oxide layer. Au coating was applied on each Ni-Cr, Co-Cr alloys and cp-Ti specimens with difference surface condition or degassing. Specimens surfaces and cutting plane was characterized by SEM/EDS. Results suggested that Au coating is effective barriers to protect metal oxidation during ceramic firing.

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Clinical study on the comparison of gold and zirconia wear in an implant-supported fixed prosthesis (임플란트 지지 고정성 보철물에서 금과 지르코니아의 마모 비교에 대한 임상 연구)

  • Kim, Jee-Hwan;Yang, Seung-Won;Oh, NamSik
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.252-259
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    • 2017
  • Purpose: The purpose of this study was to compare and analyze the wear of a prosthesis for 6 months after restoration with implant-supported fixed dental prosthesis made of either zirconia or gold. Materials and Methods: This study was conducted on patients requiring implant-supported fixed dental prostheses on first or second molar from January, 2015 to January, 2016. A total of 47 prostheses and antagonists were examined. Occlusal surface was recorded by impression of each prosthesis and antagonist 1 week and 6 months after prosthesis delivery. The digital files were created by impression scan. Occlusal shapes of 1 week and 6 months were compared and wear of prostheses and antagonists was analyzed. The Mann-Whitney test was used to analyzed the result data underwent normality test using SPSS (Version 23.0, IBM Corporation) Results: Mann-Whitney test revealed that there was no statistically significant difference in the median amount of mean vertical wear for 6 months in zirconia ($50.84{\mu}m$) and gold ($42.84{\mu}m$) prostheses (P > 0.05). When the opposing teeth were natural, the median amount of mean vertical wear of zirconia and gold prostheses was $47.72{\mu}m$ and $41.97{\mu}m$, respectively, and the median amount of mean vertical wear of enamel was $47.26{\mu}m$ and $44.59{\mu}m$, respectively. Statistical analysis showed no significant difference (P > 0.05). Conclusion: Despite the short study period and the small number of experimental groups, zirconia and gold showed no significant difference in wear during the first 6 months. Opposing natural enamel also showed no significant difference in the wear.

Influence of application methods of one-step self-etching adhesives on microtensile bond strength (한 단계 자가 산부식 접착제의 적용 방식이 미세인장 결합강도에 미치는 효과)

  • Choi, Chul-Kyu;Son, Sung-Ae;Ha, Jin-Hee;Hur, Bock;Kim, Hyeon-Cheol;Kwon, Yong-Hun;Park, Jeong-Kil
    • Restorative Dentistry and Endodontics
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    • v.36 no.3
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    • pp.203-210
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    • 2011
  • Objectives: The purpose of this study was to evaluate the effect of various application methods of one-step self-etch adhesives to microtensile resin-dentin bond strength. Materials and Methods: Thirty-six extracted human molars were used. The teeth were assigned randomly to twelve groups (n = 15), according to the three different adhesive systems (Clearfil Tri-S Bond, Adper Prompt L-Pop, G-Bond) and application methods. The adhesive systems were applied on the dentin as follows: 1) The single coating, 2) The double coating, 3) Manual agitation, 4) Ultrasonic agitation. Following the adhesive application, light-cure composite resin was constructed. The restored teeth were stored in distilled water at room temperature for 24 hours, and prepared 15 specimens per groups. Then microtensile bond strength was measured and the failure mode was examined. Results: Manual agitation and ultrasonic agitation of adhesive significantly increased the microtensile bond strength than single coating and double coating did. Double coating of adhesive significantly increased the microtensile bond strength than single coating did and there was no significant difference between the manual agitation and ultrasonic agitation group. There was significant difference in microtensile bonding strength among all adhesives and Clearfil Tri-S Bond showed the highest bond strength. Conclusions: In one-step self-etching adhesives, there was significant difference according to application methods and type of adhesives. No matter of the material, the manual or ultrasonic agitation of the adhesive showed significantly higher microtensile bond strength.

MARGINAL LEAKAGE OF COMPOSITE RESIN AND COMPOMER RESTORATIONS CURED WITH THREE DIFFERENT LIGHT SOURCES (광중합기 종류에 따른 복합레진과 콤포머의 미세누출에 관한 연구)

  • Park, Chang-Hoo;Yang, Kyu-Ho;Kim, Seon-Mi;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.438-446
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    • 2006
  • The purpose of this study was to evaluate the microleakage of composite resin($Z250^{(R)}$) and compomer(Dyract AP) cured with various curing lights(Elipar $TriLight^{(R)}$, $Flipo^{(R)}$, and Elipar FreeLight $2^{(R)}$). Box-shaped class V cavities were prepared on the buccal and lingual surfaces of extracted human third molars. The sectioned specimens were evaluated for dye penetration and following results were obtained. 1. Regarding microleakage in the enamel margin with different curing light sources, there was no significant difference in Dyract AP whereas $Z250^{(R)}$ with $Flipo^{(R)}$ showed higher microleakage score than those of FreeLight $2^{(R)}$ or $TriLight^{(R)}$(p<0.05). 2. Regarding microleakage in the dentin margin with curing light sources, there were no significant differences in both Dyract AP and $Z250^{(R)}$(p>0.05). 3. Regarding microleakage in the enamel margin with filling materials. there were no significant differences in both filling materials with $Flipo^{(R)}$ whereas $Z250^{(R)}$ showed less microleakage than Dyract AP with FreeLight $2^{(R)}$ or $TriLight^{(R)}$ (p<0.05). 4. Regarding microleakage in the dentin margin with filling materials, there wer no significant differences in both filling materials with $TriLight^{(R)}$ whereas $Z250^{(R)}$ showed less microleakage than Dyract AP with FreeLight $2^{(R)}$ or $Flipo^{(R)}$ (p<0.05). 5. Enamel margin showed less microleakage than dentin margin when filled with Dyract AP and cured with $Flipo^{(R)}$ or FreeLight $2^{(R)}$ (p<0.05), but there were no statistically significant differences between the enamel and the dentin in the rest groups. This study suggested that $Z250^{(R)}$ showed lower microleakage score than Dyract AP. and that $Flipo^{(R)}$ showed higher microleakage score than FreeLight $2^{(R)}$ and $TriLight^{(R)}$ in the enamel margin filled with $Z250^{(R)}$.

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Complication and Failure Analysis of Endodontically Treated Teeth Restored with Post and Cores (포스트로 수복한 근관 치료된 치아의 임상적 상태에 대한 평가)

  • Yun, Mi-Jung;Kim, Mu-Hyon;Jeong, Chang-Mo;Huh, Jung-Bo;Jeon, Yeong-Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.359-370
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    • 2012
  • The endodontically treated tooth is generally restored with post and core, owing to the brittle and the loss of large amount of tooth structure. The purpose of this study was to evaluate the clinical status of fixed prostheses to improve the quality of dental care. In order to assess the clinical status of fixed prostheses, a total of 101 individuals (aged 30-89, 66 women and 35 men loaded with 125 fixed prostheses) who treated in the Department of Prosthodontics, Pusan National University Dental Hospital, between January 1990 to December 2005 were examined. The results of this study were as follows: 1. Length of service of fixed prostheses was $9.7{\pm}3.4$ years (mean), 11.1 years (median). 2. Age and sex of patient was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 3. Location of fixed prostheses was found to have statistically significant influence on longevity of fixed prostheses (P<.05). The longevity of fixed prostheses was low in anterio-posterior combination region (median:9.2 years). 4. Longevity of fixed prostheses made of base metal ceramic(median:12.0 years) and noble metal ceramic (median:11.3 years) is long (P<.05). 5. Number of units in fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 6. Condition of opposing dentition was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 7. Dental caries, periapical disease, tooth fracture were frequent complications. In 51.9% of the cases, abutment state after removing fixed prostheses was needed to be extracted.

PROPOSAL OF NEW DENIAL COLOR-SPACE FOR AESTHETIC DENIAL MATERIALS (치과용 심미 수복 재료들의 색상 연구를 통한 새로운 치과용 색체계의 제안)

  • Oh, Yun-Jeong;Park, Su-Jung;Kim, Dong-Jun;Cho, Hyun-Gu;Hwang, Yun-Chan;Oh, Won-Mann;Hwang, In-Nam
    • Restorative Dentistry and Endodontics
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    • v.32 no.1
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    • pp.19-27
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    • 2007
  • The purpose of this study is to develope new dental color-space system. Twelve kinds of dental composites and one kind of dental porcelain were used in this study. Disk samples (15 mm in diameter, 4 mm in thickness) of used materials were made and sample's CIE $L^*a^*b^*$ value was measured by Spectrocolorimeter (MiniScan XE plus, Model 4000S, diffuse/$8^{\circ}$ viewing mode, 14.3 mm Port diameters, Hunter Lab USA) The range of measured color distribution was analyzed. All the data were applied in the form of T### which is expression unit in CNU Cons Dental Color Chart. The value of $L^*$ lies between 80.40 and 52.70. The value of $a^*$ are between 10.60 and 3.60 and $b^*$ are between 28.40 and 2.21. The average value of $L^*$ is 67.40, and median value is 67.30. The value of $a^*$ are 2.89 and 2.91 respectively. And for the $b^*$, 14.30 and 13.90 were obtained. The data were converted to T### that is the unit count system in CNU-Cons Dental Color Chart. The value of $L^*$ is converted in the first digit of the numbering system. Each unit is 2.0 measured values. The second digit is the value of $a^*$ and is converted new number by 1.0 measured value. For the third digit $b^*$ is replaced and it is 2.0 measured unit apart. T555 was set to the value of $L^*$ ranging from 66.0 to 68.0, value of $a^*$ ranging from 3 to 4 and $b^*$ value ranging from 14 to 16.