• Title/Summary/Keyword: 치근활택술

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Healing Following Transplantation of Periodontitis-Affected Roots with Calcium Sulfate in the Extraction Socket (Calcium Sulfate가 성견 발치와내에서 치주질환이환 치근이식과 치조골 재생에 미치는 영향)

  • Chai, Jung- Kiu;Kim, Chong-Kwan;Cho, Kyoo- Sung;Moon, Ik-Sang;Kim, Jin;Han, Soo-Boo;Choi, Sang-Mook
    • Journal of Periodontal and Implant Science
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    • v.26 no.3
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    • pp.579-589
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    • 1996
  • 이 연구의 목적은 치주질환에 이환된 성견의 치근을 활택술 후 발치와에 이식하였을 때 calcium sulfate 골이식이 치근흡수와 치근유착을 지연시키는가를 알아보고자 하는 것이다.성견의 제2, 제3 소구치 주위의 치조골을 제거하여 분지부를 노출시키고, 8주간 교정사를 결찰하여 실험적 만성치주염을 유발하였다. 치관을 제거하고, 치근을 반분하고, 활택한 후 발치하였다. 발치된 치근을 둘로 나누어 각각을 우측에는 calcium sulfate와 함께, 좌측에는 이식재 없이 이식하였다. 12주간의 치유 후 조직학적으로 관찰하였다. 대조군에서는 흠의 치관쪽으로 치근흡수와 치근유착이 일어났고, 실험군에서는 성견 결합조직과 calcium sulfate가 위치하였던 공간이 관찰 되었고 치근흡수는 지연되었다. 이 연구에 나타난 바에 의하면, 치근 이식시 calcium sulfate 의 사용은 치조골로부터의 육아조직을 배제하고 치근흡수와 치근유착을 지연할 수 있는 것으로 생각된다.

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The Effectiveness of Subgingival Scaling and Root Planing via Closed Approach in Calculus Removal (치은연하 치석제거 및 치근활택술의 치석제거 효과에 대한 임상적 연구)

  • Kim, Sung-Jo
    • Journal of Periodontal and Implant Science
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    • v.28 no.2
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    • pp.371-376
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    • 1998
  • This study presents an evaluation of the effectiveness of nonsurgical subgingival scaling and root planing related to initial pocket depth, type of teeth, and individual root surfaces. A total of 110 teeth designated for periodontal surgery in 67 patients with marginal periodontitis were selected and received thorough scaling and root planing with standard rigid Gracey curettes. After a healing period of 4 to 8 weeks, residual calculus was assessed at the time of periodontal surgery following the reflection of mucoperiosteal flap. The results demonstrated a high correlation between the percentage of residual calculus and initial pocket depth. It was further noted that tooth type and involved root surface also influenced the rate of calculus remnant. The results of this study suggest that complete removal of subgingival calculus utilizing conventional instrumentation via closed approach is rare.

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THE COMPARISON OF CITRIC ACID AND TETRACYCLINE HCL ON TREATED ROOT SURFACES ON THE PROLIFERATION AND SPREADING OF PERIODONTAL LIGAMENT CELLS (치근면 탈회제인 테트라시이클린과 구연산이 치주인대세포 증식과 전개에 미치는 영향에 대한 비교)

  • Park, Jae-Wan;Lee, Jae-Mok;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.25 no.3
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    • pp.587-602
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    • 1995
  • The purpose of this study was to compare the effects of citric acid and tetracycline HCI application to the root surfaces of periodontally diseased teeth on the proliferation and spreading of human periodontal ligament cells. The roots were prepared so that the comparison could be made among root planed, citric acid treated and tetracycline HCI treated surfaces. In the cell proliferation experiment, human periodontal ligament cells at a concentration of $1{\times}10^5$ cells/ml were seeded in each culture well with specimens and incubated for 6 hours. Then, the specimens were transferred to a fresh culture well and incubated for 24, 48, 72 hours respectively. The cell counting was done after trypsinization. In the cell spreading experiment, $1{\times}10^4$ cells/ml were seeded in each culture well and incubated for 30min, 6 hours and 24 hours at 37.5$^{\circ}C$ in a $CO_2$ incubator. Then, all specimens were fixed with phosphate buffered glutaraldehydes, postfixed with phosphate buffered osmium tetraoxide, stained with phosphate buffered tannic acid, dehydrated in ethanol, dried at a critical point, coated with gold and examined under a scanning electron microscope. The results were as follows:In the cell proliferation experiments, the number of attached cells increased more in the tetracycline treated group than in the other groups. In the initial attachment, the appearance of the tetracycline treated the groups was slightly more spread out than in the other groups. After 6 hours of incubation, it was observed in most of the cells that cell morphologic alteration went from ovoid shapes sto spindle shapes. After 24 hours of incubation, the cells of all groups had a fusiform appearance and were connected to each other by numerous cytoplasmic processes. The tetracycline and citric acid treated groups had a similar spreading appearance of periodontal ligament cells, but the tetracycline treated group was more effective in the cell proliferation than the citric acid group.

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THE EFFECTS OF VARIOUS TETRACYCLINE HCL CONCENTRATION TREATED ROOW SURFACES ON PROLIFERATION AND SPREADING OF PERIODONTAL LIGAMENT CELLS (다양한 농도의 테트라사이클린로 처리된 치근면이 치주인대세포의 증식과 전개에 미치는 영향)

  • Jung, Oh-Chul;Sun, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.24 no.3
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    • pp.581-596
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    • 1994
  • This in vitro study was undertaken to obtain optimal tetracycline concentration that aids proliferation and spreading of human periodontal ligament cells, for clinical application in root surfaces of periodontally diseased teeth. Periodontal ligament cells used in this study were obtained from explants of periodontal ligament of 1st premolar teeth which were extracted for the purpose of orthodontic treatment. The cells were cultured in Dulbecco's Modified Eagle Medium(DMEM) supplemented with 100 U/ml penicillin, $100\;{\mu}g/ml$ streptomycin and 10% FBS at $37^{\circ}C$, 100% humidity, 5% $CO_2-95%$ air. Cells were used between the third to 4th passage. After root planing of periodontally extracted teeth, the root slabs were cut with carborundum disk. In the cell proliferation experiment, experimental groups were root planing only group, immersed groups in 25, 50, 75, 100, 150mg/ml aqueous solution of Tetracycline HCl followed by a vigorous rinse in PBS. Human PDL cells at concentration of $1{\times}10^5\;cells/ml$ were seeded in each culture well which contained root slabs and incubated for 6 hours. Then, all of the root slabs were moved into new 24 culture well and incubated 24, 48 and 72 hours. The cell counting was done by inverted phase contrast microscope after trypsinization. The following results were obtained. The cell number was increased in order root planing only group, 25, 150, 50, 75, 100mg/ml of Tetracycline HCl treated group in 24, 48 and 72 hours. The maximal cell number was obtained when the root slabs were immersed in solution with 100mg/ml of Tetracycline HCl. There were statistically significant between the root planing only group and 75, 100 mg/ml of Tetracycline HCl treated group in 24 hours, between the root planing only group and 100mg/ml of Tetracycline HCl treated group in 48 hours, between the root planing only group and 50, 75, 100mg/ml of Tetracycline HCl treated group, between 25 and 100mg/ml of Tetracycline HCl treated group in 72 hours(p<0.05). In the cell spreading experiment, after 30 minutes of incubated, in the root planing only group, the cells were generally round in shape. The cell surface was mostly covered with blebs. The cells started to attach to root surface by cytoplasmic extension in 50, 100mg/ml of Tetracycline HCl treated groups, more numerous cells attached to root surface than root planing only group. Many orifices of dentinal tubule were exposed, cells showed radially spreaded cytoplasm and unspreaded central region of the cell was covered with blebs. After 6 hours of incubation, in the root planing only group, cells showed radially spreaded cytoplasm and were attached flat appearance. In 50, 100mg/ml of Tetracycline HCl treated groups, cellular margin was concaved and cytoplasm showed elongated appearance with polarity. After 24 hours of incubation, in the root planing group, cells showed characteristic polarity. In 50, 100mg/ml of Tetracycline HCl treated groups, cells showed more elongated and spindle - like appearance.

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Antimicrobial Activities of Root Surfaces Treated with Tetracycline-Containing Gel and a Mixture of Tetracycline and Citric Acid-Containing Gel : In Vitro study (테트라사이클린 및 테트라사이클린-구연산 혼합젤로 처리한 치근면의 항미생물 활성 변화에 관한 연구)

  • Cheong, Hee-Sun;Han, Soo-Boo;Shim, Chang-Koo
    • Journal of Periodontal and Implant Science
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    • v.25 no.2
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    • pp.372-385
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    • 1995
  • 본 연구의 목적은 비외과적 치주치료시 부가적으로 사용하기 위해 실험적으로 개발한 젤 형태의 테트라사이클린 및 테트라사이클린-구연산 혼합젤의 치근면에 대한 시간에 따른 활성도를 측정하고, 이를 용액 형태의 테트라사이클린 제제 또는 클로르헥시딘 들과 비교하는 것이다. 6명의 환자로 부터 18개의 발치된 치아를 실험대상으로 하였으며, 치아는 발치한 즉시 치석제거술과 치근활택술을 시행한 후 각 각 4개씩 4군으로 나누어 다옴과 같은 처치롤 하였다 ; 1) O.1% 클로르핵시딘 용액에 5분간 침전; 2) 50mg/ml의 테트라사이클린 용액에 5분간 침전; 3) 5% 테트라사이클린 젤에 5 분간 처리 ; 4) 테트라사이클린-구연산 혼합첼로 5 분간 처치; 5) 그리고 2개의 치아는 대조군으로서 멸균된 생리식염수에 5분간 처리하였다. 침전후 치아는 1ml의 tris-buffered saline이 담긴 용기에 옮겨 24시간 간격으로 탈착된 TBS용액올 교체하면서 실온에서 22일간 보관하였다. Porphyromonas gingivalis를 indicator organism으로 하여 microtiter assay를 이용하여 홉광도를 측정 함으로써 제거 된 용액 의 항 미생물 활성올 측정하였다. 1. 50mg/ml 의 테트라사이클린 수용액에 침전되었던 군은 생리식염수로 처리한 군에 비하여 17 일간 클로르헥시딘으로 처리한 군에 비하여는 16일간 항미생물 활성에 있어서 유의성 있는 차이를 보였다. 2. 테트라사이클린 젤과 테트라사이클린-구연산 혼합첼로 처리한 군은 대조군에 비하여 각 각 4일과 3일 까지 활성올 보였다. 3. 0.1% 클로르핵시딘 용액으로 처리한 군은 생리식염수로 처치한 군에 비하여 24시간 밖에 활성을 나타내지 못했다. 4. 전반척으로 테트라사이클린-구연산 혼합첼로 처리한 군에 비하여 테트라사이클린 첼로 처리한 군의 활성이 높았으나 유의성 있는 차이롤 보이지는 않았다.

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TOPICAL APPLICATION OF TETRACYCLINE GEL IN SCALING AND ROOT PLANING (치석제거 및 치근활택술 시에 테트라싸이클린 젤의 국소적 도포)

  • Han, Soo-Boo;Lee, Jae-Il;Heo, Jeong-Mi;Chang, Mee-Kyung;Shim, Chang-Koo;Lee, Chul-Woo
    • Journal of Periodontal and Implant Science
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    • v.23 no.3
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    • pp.647-658
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    • 1993
  • The purpose of this study is to examine the influence of 5% tetracycline(Tc) gel on healing of gingival tissue and change of diseased root surface when used with nonsurgical procedure. 7 patients with advanced periodontitis were received thorough scaling and root planning, followed by saline irrigation on 10 randomly selected control teeth and Tc gel application for 5 minutes with specifically designed plastic instrument of 10 test teeth in contralateral side. At 0, 1, 7, 14, and 21 days after treatment, biopsy and extraction were carried out. At day 7, Tc group showed decreased inflammation and delayed proliferation of pocket epithelium in comparison with control group which was continued for all experimental days. Scanning electron microscopic finding revealed demineralized and cleaned root surface with exposed dentinal tubules in Tc gel group. In the present study, clinically successful result is expected with combined use of nonsurgical periodontal therapy and intrapocket application of Tc gel.

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THE EFFECTS OF TOPICAL CITRIC ACID AND FIBRIN APPLICATIONS ON THE PERIODONTAL REGENERATION OF EXPERIMENTAL DEFECTS IN DOGS (구연산과 섬유소의 치근면 도포가 성견 치주조직 재생에 미치는 영향)

  • Kim, Doe-Gyeun;Park, Jae-Wan;Lee, Jae-Mok;Suh, Jo-Young
    • Journal of Periodontal and Implant Science
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    • v.24 no.1
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    • pp.26-38
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    • 1994
  • The purpose of this study was to evaluate the effects of citric acid and fibrin on the regeneration of periodontal tissues using 4 normal canines of five dogs. Mucoperiosteal flap was raised and experimental defects were made at the buccal root surfaces about $4{\times}6mm$ in length. The denuded root surfaces were covered using coronally repositioning technique after root planing alone at left lower canine, root planing plus fibrin at rigth lower canine, root planing plus citric acid at left upper canine or root planning plus citric acid and fibrin at right upper canine. All of the specimens were tangentially cut(about $3-5{\mu}m$)and available for histologic analysis 1, 3, 7, 14 and 21 days after operations. The results were as follows : At one' day after operations, the amounts of fibrin were similarly higher in the group I, II and III than control group and at 3 days after operations, the apical migrations of the long junctional epithelium were prominent in the control group and group I. At 7 days after operations, the fibrin meshworks of each group were partly changed to the collagen fibers and characteristics of the fibers were almost collagenous rather than fibrinous at 14 days after operations and at 21 days after operations, the orientation of collagen fibers were partly normal in group II and group III, but not in control group and group I. Root resorptions were visible in group II and group III at 14 days after operations and more significant in group II than group III at 21 days.

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