• Title/Summary/Keyword: 표백술

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변색된 생활치아의 표백술

  • Lee, Jeong-Seok;Choe, Seong-Geun;Park, Dong-Su
    • The Journal of the Korean dental association
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    • v.20 no.11 s.162
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    • pp.921-926
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    • 1982
  • 치과의술의 발전과 시회·경제적인 인식의 발달로 심미안이 높아져 치과학 영역에서도 미적개념이 자연적인 것으로 환원하는 추세에 맞춰 치수치료시에 환자가 치료후 변색에 대한 우려를 종종 표시한다. 이러한 변색된 무수치아에 대한 표백술은 오래전부터 사용되어 왔으나 구강내 생활치아 모두가 전신적인 질환 및 환경요인등에 의하여 변색될 경우의 표백술은 아주 최근에 소개된 데 불구하며 (Cohen, 1970), 아직 널리 사용되지 않는 실정이다. Cohen의 보고이후 Arens(1972, 5증례), Corcoran(1974, 6증례), Cohen(1979, 18증례)의 테트라싸이크린에 의해 변색된 생활치아의 성공적인 표백술에 대한 보고가 있었으며, McInn(1966), Bailey와 Christen(1968), 그리고 Wayman과 Cooley(1981)에 의한 불소중독증에 걸린 변색생활치아의 표백술이 보고되었다. 이에 간편한 생활치아의 표백술을 소개하고자 한다.

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TREATMENT OF TOOTH DISCOLORATION ASSOCIATED WITH TRIPLE ANTIBIOTIC THERAPY: CASE REPORTS (미성숙영구치의 복합항생제 적용에 의한 변색의 처치: 증례보고)

  • Bak, So-Yeon;Kim, Young-Jae;Kim, Jung-Wook;Jan, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Hyun, Hong-Keun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.43-50
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    • 2012
  • The concept of revascularization of necrotic pulps regained interest and became an alternative conservative treatment option for young permanent teeth with immature roots. Revascularization of immature teeth with apical periodontitis depends mainly on disinfection of the canal. Since the infection of the root canal system is considered to be polymicrobial, a combination of drugs would be needed to treat the diverse flora. A triple antibiotic mixture of metronidazole, ciprofloxacin, and minocycline was used as an intracanal medicament. However, discoloration was developed after applying the triple antibiotic mixture. It is believed that the marked discoloration is related to the use of minocycline. The aim of this article was to present cases of coronal discoloration after triple antibiotic therapy in immature tooth and was treated with bleaching technique to control coronal discoloration. In conclusion, revascularization by using triple antibiotics promotes a paradigm shift in treating endodontically involved permanent teeth. However, we should understand that triple antibiotics containing minocycline induces tooth discoloration. Further research to prevent coronal discoloration should be investigated and suggested for the safe use of triple antibiotics.

TREATMENT OF MINOCYCLINE STAINED NON-VITAL TOOTH (Minocycline에 의해 변색된 실활치의 치료)

  • Kim, Dae-Eop;Lee, Kwang-Hee;Cho, Jin-Hyung;Cho, Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.131-138
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    • 2006
  • A mixture of metronidazole, ciprofloxacin and minocycline(3Mix) in distilled water or in a root canal sealer were used to disinfect the infected endodontic and periapical lesions. It has been well acknowledged in recent literature that minocycline, a semisynthetic tetracycline derivative, causes discolorations in adult teeth and various other collagenous tissues. In these cases, pulp treatments were finished successfully using a combination of antibiotics but severe discolorations of the teeth were observed. Discolored non-vital posterior tooth was treated using the prosthodontic procedure. And anterior tooth was successfully treated using the walking bleach technique. Bleaching was performed by temporarily placing a mixture of sodium perborate and distilled water into the pulp chamber. There were significant esthetic improvement.

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THE COMPARISON OF MICROLEAKAGE ON INTRACORONAL RESTORATION AFTER NON-VITAL BLEACHING (실활치 표백술 후 치관내 수복물의 미세누출에 관한 비교)

  • Jung, Jae-Eun;Lee, Hee-Joo;Hur, Bock
    • Restorative Dentistry and Endodontics
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    • v.28 no.1
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    • pp.57-63
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    • 2003
  • The purpose of the present study were to evaluate microleakage of a fourth generation dentin-bonding agent following a walking bleaching treatment, to determine the effect of temporary postbleaching dressing with calcium hydroxide on microleakage and to investigate the effect of delayed intracoronal restoration on microleakage. The results of this study were as follows : 1. Bleached groups showed more microleakage than unbleached group 2. Immediately restored group following bleaching procedure showed the highest microleakage score. 3. One-week delayed restorations showed less microleakage but there were no statistically significant difference between group II and III. 4. Provisional dressing with calcium hydroxide had no influence on microleakage. It is necessary to know the time that has elapsed from the bleaching treatment to the restoration procedure to achieve optimal seal, as well as to reduce the risk of microleakage in adhesive restoration.

DEGREE OF COLOR CHANGE AND DYE DEPOSITION ONTO COMPOSITE RESINS AFTER OFFICE BLEACHING IN VITRO (표백술에 의한 복합 레진의 색변화와 색소 침착 정도)

  • Choi, Nak-Won;Son, Ho-Hyun
    • Restorative Dentistry and Endodontics
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    • v.25 no.4
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    • pp.599-605
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    • 2000
  • Among the effects of tooth bleaching on composite resins, degree of color change and dye deposition onto composite resins after office bleaching were investigated in vitro. Seventy two disc-shaped resin samples were fabricated with hybrid type composite resin, Z-100 under 3 different environments(24 samples for each environment) characterized by 3 kinds of light-curing intensity and duration($250mW/cm^2$-20sec., $250mW/cm^2$-40sec., $550mW/cm^2$-20sec.). As control, one-third samples of each group were not treated with bleaching agent. The remaining two-thirds samples of each group were treated with bleaching agent(bleaching group). Then, before thermocycling procedure in coffee bath, the half of the samples treated with bleaching agent were polished(polishing group) with polishing system. SofLex, but the other half(not-polishing group) and control group were not polished. Another 72 samples were also made with microfilled type composite resin. Sillux Plus and treated according to the experimental procedures mentioned above. The color of each resin sample was measured before bleaching, after bleaching, and after thermocycling preceded by bleaching. And color difference was evaluated. It was concluded as follows: 1. The amount of color change of resin samples after office bleaching was not statistically significant(p>0.05). But the samples which were treated with bleaching agent showed more color change than that of control group. 2. After thermocycling in coffee bath, the amount of color change of resin samples between control and bleaching group was not statistically significant(p>0.05). 3. After thermocycling in coffee bath, the polishing procedure of resin samples showed no statistically significant difference(p>0.05) between polishing and not-polishing group in the aspect of color change.

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THE EFFECT OF REMOVAL OF RESIDUAL PEROXIDE ON THE SHEAR BOND STRENGTH AND THE FRACTURE MODE OF COMPOSITE RESIN-ENAMEL AFTER TOOTH BLEACHING (생활치 표백술 후 수종의 자유 산소기 제거제 처리가 복합 레진-법랑질 전단 접착 강도 및 파절 양상에 미치는 영향)

  • 임경란;금기연;김애리;장수미
    • Restorative Dentistry and Endodontics
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    • v.26 no.5
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    • pp.399-408
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    • 2001
  • Tooth bleaching has been prevailing recently for its ability to recover the color and shape of natural teeth without reduction of tooth material. However, it has been reported that bleaching procedure adversely affects the adhesive bond strength of composite resin to tooth. At the same time the bond strength was reported to be regained by application of some chemical agents. The purpose of this in vitro study was to investigate the effect of the removal of residual peroxide on the composite- enamel adhesion and also evaluated fracture mode between resin and enamel after bleaching. Sixty extracted human anterior and premolars teeth were divided into 5 groups and bleached by combined technique using of office bleaching with 35 % hydrogen peroxide and matrix bleaching with 10% carbamide peroxide for 4 weeks. After bleaching, the labial surfaces of each tooth were treated with catalase, 70% ethyl alcohol, distilled water and filled with composite resin. Shear bond strength was tested and the fractured surfaces were also examined with SEM. Analysis revealed significantly higher bond strength values. (p<0.05) for catalase-treated specimens, but water-treated specimens showed reduction of bond strength, alcohol- treated specimens had medium value between the two groups(p<0.05). The fracture mode was shown that the catalase group and the alcohol group had cohesive failure but the water sprayed group had adhesive failure. It was concluded that the peroxide residues in tooth after bleaching seems to be removed by gradual diffusion and the free radical oxygen from peroxide prevents polymerization by combining catalyst in the resin monomer. Therefore it may be possible to eliminate the adverse effect on the adhesion of composite resin to enamel after bleaching by using water displacement solution or dentin bonding agent including it for effective removal of residual peroxide.

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오존 이용의 변천과 장래전망

  • 대한전기협회
    • JOURNAL OF ELECTRICAL WORLD
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    • s.271
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    • pp.63-68
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    • 1999
  • 오존(Ozone) 이용의 역사는 19세기의 음료수 살균으로 거슬러 올라간다. 그후 선택적 화학반응을 이용한 화학합성, 1970년대의 공해대책시대의 배수(排水)탈색(脫色)$\cdot$탈취(脫臭), 수질 유지로 진전되어 왔다. 최근에는 특히 여러 가지 제품의 제조프로세스 등에서 환경부하가 적고 생산성이 좋은 프로세스가 요청되고 있어, 그러한 관점에서도 분해 후 무해한 산소로 되돌아가는 산화제인 오존의 활용이 기대를 모으고 있다. 기술면에서는 오존 단독처리에 더하여 과산화수소나 자외선과의 병용에 의한 촉진산화처리, 생물처리와의 병용처리 등 반응속도의 향상, 비처리물질의 확대를 겨냥한 새로운 반응기술, 대용량$\cdot$고농도 오조나이저(Ozonizer), 클린 오조나이저 등, 적용분야의 확대를 가능케 하는 오존발생기술, 하드웨어 기술의 진보가 현저하다. 최근에는 이 최신기술과 다른 기술과의 복합에 의한 새로운 제안도 많이 나오고 있으며, 수처리를 중심으로 신(新)프로세스에 더하여, 예를 들면 펄프 표백(漂白) 프로세스와 반도체 제조프로세스 등에의 적용이 급속하게 확대되는 경향이 있어, 바야흐로 새로운 분야를 개척하게 됨으로써 고객의 요구가 다시 신기술을 일으키는 쪽으로 돌아가고 있다고 할 수 있다.

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