• Title/Summary/Keyword: 와동 형태

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5 Year Cumulative Survival Rate of Composite Resin Restorations in Permanent First Molars (제1대구치 복합레진 수복의 5년 누적 생존율)

  • Jung, Yoonsun;Shin, Jisun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.310-317
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    • 2019
  • The purpose of this retrospective study was to evaluate the survival rate of composite resin restorations in permanent first molars in pediatric patients focusing on the influence of risk factors related to patients and teeth. 172 patients (6 - 12 years old) who had their permanent first molars restored with composite resin from July 2010 to July 2012 were investigated. From the dental records, the influence of the risk factors on the survival of restorations was assessed. Location of teeth, classification of cavities, patients' age and caries risk were included as risk factors in this study. The caries risks of patients were evaluated by the value of the decayed-missing-filled teeth index with the records of patients taken at 5 years old. Among 354 restorations, 272 restorations retained and 82 restorations were replaced. The overall cumulative survival rate at 5 years was 73.9%. The main reason for replacement of restorations was secondary caries (81.7%). Patients with older age group and with lower caries risk group showed higher survival rate of restorations. No statistically significant influence was detected between the survival rates and the possible risk factors : location of teeth, patients' age and caries risk. The survival rate of restorations was significantly affected by the classification of the cavities (p = 0.002).

COINCIDENCE BETWEEN RADIOGRAPHS AND CLEARING SAMPLES ON THE ROOT CANAL SYSTEMS OF SINGLE HOOTED PREMOLARS (단근 소구치의 근관계에 관한 방사선 사진과 투명표본 간의 일치도)

  • Hwang, Ho-Keel;Kang, Ho-Min;Seo, Kang
    • Restorative Dentistry and Endodontics
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    • v.30 no.6
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    • pp.461-469
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    • 2005
  • The aim of this study was to compare the root canal systems of maxillary and mandibular premolars that had a single root using radiographs and clearing samples. 142 single rooted premolars were selected and mesio-distal and bucco-lingual views were radiographed using intra-oral dental standard films. Four equally trained examiners classify the root canal types from the developed radiographs. After opening the tooth for access, it was stored in $5\%$ NaOCl to dissolve the pulp tissue. Indian ink was then injected into the pulp cavity to stain the pulp tissue. It was cleared in methyl salicylate after being decalcified with $5\%$ nitric acid for 48 hours, and the root canal type was evaluated at a magnification of $\times$ 20 using a stereomicroscope. The results are as follows ; There were statistically significant differences between the radiographs and clearing samples of the root canal types among examiners (p < 0.05). There might be differences in the root canal types among examiners when the same radiograph is used. Therefore, considering the difficulty in estimating the root canal types, clinicians need to be careful when interpreting radiographs before root canal therapy.

A STUDY ON MICROLEAKAGE OF SEALED AMALGAM RESTORATION (Sealed amalgam restoration의 미세누출에 관한 연구)

  • Lee, Sang-Heon;Lee, Jae-Cheoun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.54-61
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    • 2000
  • Amalgam, though a widely used dental material, does not bond to the tooth substrate Therefore, retentive preparation of the cavity is necessary. Such amalgam restorations, until corrosion products form and plug the margin, will show significant marginal leakage. Unless this is prevented early on, saliva and bacteria may enter the cavity causing postoperative hypersensitivity, dissolution and collapse of the restoration, discoloration of the margin and secondary caries, leading to shortened life-span of the restoration and pulpal pathosis. Recently, a method of restoration has been introduced whereby tooth material can be preserved, cavity margin can be sealed and preventive treatment of pit and fissure can be administered while retaining all the advantages of conventional amalgam restorations. Such sealed amalgams involve removing the carious lesion without extending the cavity for prevention and using pit and fissure sealants to seal cavity margins and pit and fissures to reduce microleakage. In this study, finishing of the amalgam and sealant application were performed after different intervals following of amalgam restoration to compare the microleakage of sealed and conventional amalgam restorations. Thirty bicuspids were prepared with Class V cavity preparations on the buccal and lingual surfaces. After amalgam placement, they were divided into the following groups and treated accordingly. Group 1 : Polishing after 24 hours Group 2 : Immediate sealant application without polishing Group 3 : No polishing, but sealant applied after thermocycling 500 times After treatment, the samples were thermocycled 500 times between $5^{\circ}C$ and $55^{\circ}C$ with a dwell time of 30 seconds. After thermocycling, the samples were dipped into 1% methylene blue kept in a $37^{\circ}C$ incubator at 100% humidity for 24 hours. The teeth were then embedded in resin and cut bucco-lingually along the tooth axis and observed with a stereomicroscope to determine the degree of microleakage, The following results were obtained : 1. Group 2 showed the least microleakeage, while group 1 showed the greatest. 2. Group 1 showed significantly greater microleakage compared to group 2 (p<0.05). However, no significant differences were found between group 1 and 3(p>0.05). No significant differences in microleakage were also found between cup 2 and 3(p<0.05).

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THE INFLUENCE OF CAVITY CONFIGURATION ON THE MICROTENSILE BOND STRENGTH BETWEEN COMPOSITE RESIN AND DENTIN (와동의 형태가 상아질과 복합레진 사이의 미세인장결합강도에 미치는 영향)

  • Kim, Ye-Mi;Park, Jeong-Won;Lee, Chan-Young;Song, Yoon-Jung;Seo, Deok-Kyu;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • v.33 no.5
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    • pp.472-480
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    • 2008
  • This study was conducted to evaluate the influence of the C-factor on the bond strength of a 6th generation self-etching system by measuring the microtensile bond strength of four types of restorations classified by different C-factors with an identical depth of dentin. Eighty human molars were divided into four experimental groups, each of which had a C-factor of 0.25, 2, 3 or 4. Each group was then further divided into four subgroups based on the adhesive and composite resin used. The adhesives used for this study were AQ Bond Plus (Sun Medical, Japan) and XenoIII (DENTSPLY, Germany). And composite resins used were fantasists (Sun Medical, Japan) and Ceram-X mono (DENTSPLY, Germany). The results were then analyzed using one-way ANOVA, a Tukey's test, and a Pearson's correlation test and were as follows. 1. There was no significant difference among C-factor groups with the exception of groups of Xeno III and Ceram-X mono (p<0.05). 2. There was no significant difference between any of the adhesives and composite resins in groups with C-factor 0.25, 2 and 4. 3. There was no correlation between the change in C-factor and microtensile bond strength in the Fantasista groups. It was concluded that the C-factor of cavities does not have a significant effect on the microtensile bond strength of the restorations when cavities of the same depth of dentin are restored using composite resin in conjunction with the 6th generation self-etching system.

A Combustion Characteristics of Attached Jet Flame under the Regular Oscillation (규칙적인 진동 하에서 노즐 부착된 제트화염의 연소특성)

  • Kim, Dae-Won;Lee, Kee-Man
    • Fire Science and Engineering
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    • v.23 no.1
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    • pp.55-62
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    • 2009
  • A general combustion characteristics of forcing nonpremixed jet in laminar flow rates have been conducted experimentally to investigate the effect of forcing amplitude with the resonant frequency of fuel tube. There are two patterns of the flame lift-off feature according to the velocity increasing; one has the decreasing values of forcing amplitude on the lift-off occurrence when a fuel exit velocity is increasing, while the other has the increasing values. These mean that there are the different mechanisms in the lift-off stability of forced jet diffusion flame. Especially, the characteristics of attached jet flame regime are concentrically observed with flame lengths, shapes, flow response and velocity profiles at the nozzle exit as the central figure. The notable observations are that the flame enlogation, in-homing flame and the occurrence of a vortical motion turnabout have happened according to the increase of forcing amplitude. It is understood by the velocity measurements and visualization methods that these phenomena have been relevance to an entrainment of surrounding oxygen into the fuel nozzle as the negative part of the fluctuating velocity has begun at the inner part of the fuel nozzle.

An Experimental Study on the Effects of the Margin Designs and Composite Resins on the Marginal Leakage of Class V Resin Restorations (V 급 와동 변연부 형태 및 복합레진 종류에 따른 변연 누출에 관한 실험적 연구)

  • Sin, Yong-Pil;Lee, Chan-Young;Lee, Seung-Jong;Lee, Chung-Suck
    • Restorative Dentistry and Endodontics
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    • v.12 no.1
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    • pp.107-116
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    • 1986
  • The primary aim of this study was to assess the effects of the margin designs and composite resins on the marginal leakage of Class V resin restorations. 60 Class V cavities with $90^{\circ}$ butt joint, 60 with $45^{\circ}$ bevel joint, and 60 with concave joint were prepared on the labial surfaces of 38 extracted anterior teeth and the buccal and lingual surfaces of 71 premolars, and classified as the butt group, bevel group and concave group, respectively. After completion of the cavity preparation, Heliosit${(R)}$ was filled in 20 butt joint cavities, 20 bevel joint cavities, and 20 concave cavities. And Hi-Pol$^{(R)}$ and Palfique$^{(R)}$ were filled in the same manner, respectively. After finishing, all specimens were subjected manually to 50 thermal cycles at $4^{\circ}C$, $37^{\circ}C$, and $60^{\circ}C$. They were immersed in 0.5% methylene blue solution for 24 hours, and buccolingually sectioned with sectioning machine. The sectioned specimens were examined under the light microscope. The results indicated the following: 1. The bevel group showed the least amount of marginal leakage compared with the other two design groups, but the statistical analysis showed no significant difference at the 95% confidence level. 2. Hi-Pol$^{(R)}$ group showed the most severe marginal leakage compared with the other composite resin materials, but there was no significant difference in the groups. 3. The bevel-Heliosit$^{(R)}$ subgroup, which was filled with Heliosit$^{(R)}$ in the beveled cavities, showed the least amount of marginal leakage, but there was no significance in all the subgroups.

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COMPARISON OF MARGINAL LEAKAGE OF WEDGE-SHAPED CLASS V CAVITY ACCORDING TO RESTORATIVE MATERIALS (쐐기 형태의 5급와동에서 수복재료에 따른 변연 미세누출의 비교)

  • Jang, Hyun-Joo;Lee, Hee-Joo;Hur, Bock
    • Restorative Dentistry and Endodontics
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    • v.25 no.1
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    • pp.56-62
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    • 2000
  • The purpose of this study was to assess the effects of restorative materials on the marginal leakage of wedge-shaped class V cavity. The study was performed in vitro in 25 defect-free permanent, extracted teeth. Wedge-shaped class V cavities were prepared and then the teeth were randomly selected and restored according to the following. Group A : restoration with Tetric Ceram(composite resin) Group B : restoration with Tetric flow(flowable resin) Group C : restoration with Compoglass after acid etching(compomer) Group D : restoration with Compoglass(compomer) Group E : restoration with Fuji II LC improved(resin-modified GIC) After thermocycling, the specimens were immersed in 5% basic fuchsin solution for 6 hours and sectioned longitudinally through the center of the restoration. The degree of marginal leakage was measured as the extent of dye penetration under the stereomicroscope. The data were analysed using one-way ANOVA. When significant differences found, multiple comparisons were made using Duncan's Multiple Range Test. The results were as follows: 1. The occlusal margins of all groups except for Fuji II LC improved showed lesser leakage than gingival margins and there was statistically significant difference(p<0.05). 2. At the occlusal margins, group A, B showed same marginal leakage scores, and others were decreased as group C, D, E in that order. There were statistically significant difference between group A, Band group D, E, group C and group E(p<0.05). 3. At the gingival margins, group B, C showed same marginal leakage scores, and others were decreased as group A, D, E in that order. But there was statistically significant difference between group B, C and group E(p<0.05). 4. In the Compoglass restoration, acid-etching technique was beneficial for marginal sealing ability at all of margins. But there was no statistically significant difference (p>0.05). In the restorations for wedge-shaped class V cavities, resin restoration with acid etching technique is recommended.

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A THREE DIMENSIONAL FINITE ELEMENT ANALYSIS WITH CAVITY DESIGN ON FRACTURE OF COMPOSITE RESIN INLAY RESTORED TOOTH (복합레진 인레이 수복시 와동형태에 따른 치아파절에 관한 유한요소법적 연구)

  • Kim, Chull-Soon;Min, Byung-Soon
    • Restorative Dentistry and Endodontics
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    • v.19 no.1
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    • pp.231-254
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    • 1994
  • Fracture of cusp, on posterior teeth, especially those carious or restored, is major cause of tooth loss. Inappropriate treatments, such as unnecessarily wide cavity preparations, increase the potential of further trauma and possible fracture of the remaining tooth structures. Fracture potential may be directly related to the stresses exerted upon the tooth during masticatory function. The purpose of this study is to evaluate the fracture resistance of tooth, restored with composite resin inlay. In this study, MOD inlay cavity prepared on maxillary first premolar and restored with composite resin inlay. Three dimensional finite element models with eight nodes isoparametric solid element, developed by serial grinding-photographing technique. These models have various occlusal isthmus and depth of cavity, 1/2, 1/3 and 1/4 of isthmus width and 0.7, 0.85 and 1.0 of depth of cavity. The magnitude of load was 474 N and 172 N as presented to maximal biting force and normal chewing force. These loads applied onto ridges of buccal and lingual cusp. These models analyzed with three dimensional finite element method. The results of this study were as follows : 1. There is no difference of displacement between width of occlusal isthmus and depth of cavity. 2. The stress concentrated at bucco-mesial comer, bucco-disal comer, pulpal line angle and the interface area between internal slopes of cusp and resin inlay. 3. The vector of stress direct to buccal and lingual side from center of cavity, to tooth surface going on to enamel. The magnitude of vector increase from occlusal surface to cervix. 4. The crack of tooth start interface area, between internal slop of buccal cusp and resin inlay. It progresses through buccopulpal line angle to cervix at buccomesial and buccodistal comer. 5. The influence with depth of cavity to fracture of tooth was more than width of isthmus. 6. It would be favorable to make the isthmus width narrower than a third of the intercuspal distance and depth of cavity is below 1 : 0.7.

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THE INFLUENCE OF DIFFERENT ACCESS CAVITY DESIGNS ON THE FRACTURE STRENGTH IN ENDODONTICALLY TREATED MANDIBULAR ANTERIOR TEETH (근관와동형태에 따른 근관치료된 하악절치의 파절강도)

  • Lee Young-Gyun;Shin Hye-Jin;Park Se-Hee;Cho Kyung-Mo;Kim Jin-Woo
    • Restorative Dentistry and Endodontics
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    • v.29 no.6
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    • pp.515-519
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    • 2004
  • Straight access cavity design allows the operator to locate all canals, helps in proper cleaning and shaping, ultimately facilitates the obturation of the canal system. However, change in the fracture strength according to the access cavity designs was not clearly demonstrated yet. The purpose of this study was to determine the influence of different access cavity designs on the fracture strength in endodontically treated mandibular anterior teeth. Recently extracted mandibular anterior teeth that have no caries, cervical abrasion, and fracture were divided into three groups (Group 1 : conventional lingual access cavity, Group 2 : straight access cavity, Group 3 : extended straight access cavity) according to the cavity designs. After conventional endodontic treatment, cavities were filled with resin core material. Compressive loads parallel to the long axis of the teeth were applied at a crosshead speed of 2mm/min until the fracture occurred. The fracture strength analyzed with ANOV A and the Scheffe test at the 95% confidence level. The results of this study were as follows: 1. The mean fracture strength decrease in following sequence Group 1 (4558.90{\;}\pm{\;}77.40{\;}N$), Group 2 ($494.07{\;}\pm{\;}123.98{\;}N) and Group 3 ($267.33{\;}\pm{\;}27.02{\;}N). 2. There was significant difference between Group 3 and other groups (P = 0.00). Considering advantage of direct access to apical third and results of this study, straight access cavity is recommended for access cavity form of the mandibular anterior teeth.

Interventional Treatments for Femoropopliteal Arterial Disease and Recent Updates (대퇴슬와동맥의 인터벤션과 최신 지견)

  • Minuk Kim;Soo Buem Cho
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.527-540
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    • 2021
  • Peripheral arterial occlusive disease (PAOD) of the femoropopliteal artery is commonly caused by atherosclerosis. It can present with varying clinical symptoms depending on the degree of disease, ranging from intermittent claudication to critical limb ischemia and tissue loss. Therefore, appropriate and timely treatment is required to improve symptoms and salvage the affected limbs. Interventional approaches for femoropopliteal arterial disease commonly include percutaneous transluminal angioplasty, atherectomy, and stent placement. Over the years, endovascular recanalization has been widely performed for treating PAOD due to continuous developments in its techniques and availability of dedicated devices with the inherent advantage of being minimal invasive. In this review, we introduce various types of endovascular treatment methods, discuss the results of clinical research from existing literature, and illustrate the treatment procedures using representative images.