• Restorative Dentistry and Endodontics
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• 제24권4호
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• pp.628-632
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• 1999

Currently electronic apex locators have been widely used to determine working length in endodontic treatment. According to Manufacture's recommendation, it is beneficial to find the working length before instrumenting the canal. However, in crown-down pressureless technique, working length of tooth is established following coronal instrumentation 3mm short of radiographic apex. In narrow canals, mechanically formed constriction might be established by coronal instrumentation in some distance from anatomical constriction. The purpose of this study was to evaluate the accuracy of Root-ZX in the canal with mechanical constriction following considerable coronal enlargement with ProFile .06 series. The 40 root canals in 30 extracted mandibular molars were accessed, and their actual length (AL) established by passing a size 10 file just through the minor apical foramen. The teeth were then embedded in an acrylic container with normal saline. The initial canal length(IL) was measured with Root-ZX by negotiating a size 10 file to the apical constriction. The canal was sequentially enlarged to size 40 with ProFile .06 file 3mm short of actual length. The enlarged final canal lengths (FL) were obtained with a size 15 file. The average values of IL, FL were calculated and compared using Repeated measures Analysis of Variance followed Turkey's Studentized Range test. The results were obtained as follows: 1. The initial canal length was 0.12mm shorter than actual canal length(P>0.05). 2. The differences between initial canal length and final canal length were not significant(P>0.05). 3. As a result of this study, regardless of mechanically formed constriction. Root-ZX differentiated between mechanical and anatomic constriction.

• 대한소아치과학회지
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• 제47권3호
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• pp.277-292
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• 2020

유치 및 미성숙영구치의 치수치료는 소아 및 청소년 영역에서 빈번하게 행하지는 치료이며, 임상 양상과 치수 진단 뿐만 아니라 환아 및 보호자, 술자의 환경에 영향을 받는다. 이 연구의 목적은 실제 임상에서 행해지는 치수치료의 현황에 대한 조사와 더불어 치료방법을 선택하게 된 배경에 대해 조사하는 것이다. 이 연구는 소아치과학회 회원을 대상으로 총 153명의 설문조사 결과지를 바탕으로 시행되었으며, 2010년부터 2018년까지의 건강보험심사평가원의 통계자료를 함께 분석하였다. 설문조사 결과와 건강보험심사평가원의 통계자료 모두 유치의 1-visit pulpectomy가 가장 활발하게 시행되고 있는 술식으로 나타났으며, 유치열기 또는 혼합치열기 어린이에서 Ni-Ti file의 사용 빈도가 증가하였다. 미성숙영구치의 치료에서는 개인치과의원에서 치수재생치료의 시행 빈도가 대학병원보다 낮은 것으로 나타났다.

• Restorative Dentistry and Endodontics
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• 제46권1호
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• pp.6.1-6.10
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• 2021

Objectives: The aim of this study was to evaluate the corrosion resistance of heat-treated (Reciproc and WaveOne) and non-heat-treated (ProTaper and Mtwo) superelastic nickel-titanium endodontic files when immersed in a 5.25% sodium hypochlorite solution. Materials and Methods: Anodic polarization curves were obtained with potential sweeps that began at the open circuit potential or corrosion potential (E_corr). The pitting potential (E_pit) was identified on the anodic polarization curve as the potential at which a sudden increase in current was observed. The micromorphology of the 28 tested files was analyzed before and after the electrochemical assay using scanning electron microscope (SEM). The data were analyzed using 1-way analysis of variance with the post hoc Bonferroni test (for E_corr) and the Student t-test for independent samples (for E_pit). Results: The mean E_corr values were 0.506 V for ProTaper, 0.348 V for Mtwo, 0.542 V for Reciproc, and 0.321 V for WaveOne files. Only WaveOne and Protaper files exhibited pitting corrosion, with E_pit values of 0.879 V and 0.904 V, respectively. On the SEM images of the ProTaper and WaveOne files, cavities suggestive of pitting corrosion were detected. Conclusions: Signs of corrosion were observed in both heat-treated and non-heat-treated files. Of the evaluated files, WaveOne (a heat-treated file) and ProTaper (a non-heat-treated file) exhibited the lowest corrosion resistance.

• Restorative Dentistry and Endodontics
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• 제30권3호
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• pp.184-192
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• 2005

회전식 NiTi file은쉽게 파절되는 단점이 있으나 이에 대한 연구는 아직 부족하다. 본 연구에서는 회전식 NiTi file을 이용해 실제 치아에서 근관을 형성하고, 이 때 발생하는 파절 및 변형을 연구, 분석하였다. 상악 대구치의 근심협측 치근 (n = 150)과 하악 대구치의 근심치근 (n = 150)을 실험대상으로 하여 Profile, ProTaper 및 K3로 각각 근관형성 하였다. 각 file은 파절되거나 변형이 생길 때까지 계속하여 사용한 다음 그 사용횟수를 기록하였다. 파절의 양상을 관찰하기 위해 방사선 및 주사현미경 사진을 촬영하였다. 1 세 군간의 유의할만한 사용횟수의 차이는 없었다. 2. Flaring file 간의 비교에서는 K3의 사용횟수가 통계적으로 유의성 있게 적었으며 (p < 0.05), shaping file 간에는 유의할만한 차이가 없었다. 3, 회전식 NiTi file의 파절은 근관의 최대 만곡부에서 발생하였다. 4. 주사전자현미경으로 파절면을 관찰한 결과 연성파괴의 전형적인 양상인 얕은 딤플이 관찰되었다. 일반적으로 회전식 NiTi file의 평균 사용횟수는 제조회사의 사용지침보다는 길었으며, NiTi file의 수명에 대한 새로운 사용지침을 만들기 위한 부가적인 연구가 있어야 되리라 사료된다.

• Restorative Dentistry and Endodontics
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• 제28권1호
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• pp.41-49
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• 2003

There are increasing usage of Nickel-Titanium rotary files in modern clinical endodontic treatment because it is effective and faster than hand filing due to reduced step. This study was conducted to evaluate the effect of canal preparations using 3 different rotary Nickel-Titanium files that has different cross sectional shape and taper on the maintenance of canal curvature. Simulated resin block were instrumented with Profile(Dentsply, USA), GT rotary files(Dentsply, USA), Hero 642(Micro-Mega France), and Pro-Taper(Dentsply, USA). The image of Pre-instrumentation and Post-instrumentation were acquired using digital camera and overspreaded in the computer. Then the total differences of canal diameter, deviation at the outer portion of curvature, deviation at the inner portion of curvature, movement of center of the canal and the centering ratio at the pre-determined level from the apex were measured. Results were statistically analyzed by means of ANOVA, followed by Scheffe test at a significance level of 0.05. The results were as follows； 1. Deviation at the outer portion of curvature, deviation at the inner portion of curvature were showed largest in Pro-Taper so also did in the total differences of canal diameter(p＜0.05). 2. All the groups showed movements of center Profile combined with GT rotary files and Hero 642 has no difference but Pro-Taper showed the most deviation(p＜0.05). 3. At the 1, 2, 3mm level from the apex movements of center directed toward the outer portion of curvature, but in 4, 5 mm level directed toward the inner portion of curvature(p＜0.05). As a results of this study, it could be concluded that combined use of other Nickel-Titanium rotary files is strongly recommended when use Pro-Taper file because it could be remove too much canal structure and also made more deviation of canal curvature than others.

• Restorative Dentistry and Endodontics
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• 제44권1호
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• pp.2.1-2.6
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• 2019

Objectives: The purpose of this research was to identify the top 10 most-cited articles on the management of fractured or broken instruments and to perform a bibliometric analysis thereof. Materials and Methods: Published articles related to fractured instruments were screened from online databases, such as Web of Science, Scopus, PubMed, and ScienceDirect, and highly cited papers, with at least 50 citations since publication, were identified. The most-cited articles were selected and analysed with regard to publication title, authorship, the journal of publication, year, institution, country of origin, article type, and number of citations. Results: The top 10 most-cited articles were from various journals. Most were published in the Journal of Endodontics, followed by the International Endodontic Journal, and Dental Traumatology. The leading countries were Australia, Israel, Switzerland, the USA, and Germany, and the leading institution was the University of Melbourne. The majority of articles among the top 10 articles were clinical research studies (n = 8), followed by a basic research article and a non-systematic review article. Conclusions: This bibliometric analysis revealed interesting information about scientific progress in endodontics regarding fractured instruments. Overall, clinical research studies and basic research articles published in high-impact endodontic journals had the highest citation rates.

• 대한치과의사협회지
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• 제52권12호
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• pp.734-743
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• 2014

Objectives: By introduced reciprocation motion file in dentistry, dentists benefit simple canal shaping procedure and time-saving. But, reciprocation motion generates uncomfortable vibration to doctors and patients. Because there was no study about this consideration, this study compared vibration pattern and power generated from reciprocation motion motor and conventional rotary motor. Materials & Methods: One conventional rotary motor; X-Smart (Dentsply Maillefer, Ballaigues, Switzerland); and two reciprocating motors; WaveOne Motor (Dentsply Maillefer, Ballaigues, Switzerland) and X-SMART PLUS (Dentsply Maillefer, Ballaigues, Switzerland); were used in this study. Triaxial $ICP^{(R)}$ Accelerometer (Model 356A12, PCB piezotronics, New York, USA) was attached on motor's handpiece head, and was measured tri-axial vibratory acceleration with NI Sound and Vibration Assistant 2009 software (National Instruments, Texas, USA). Mean vibratory acceleration and maximum vibratory acceleration was measured on fixed position and handed position. The results of vibratory acceleration were statistically analyzed using ANOVA and multiple comparisons are made using Turkey's test at p<0.05 level. Results: Reciprocating motors showed higher mean vibratory acceleration and maximum vibratory acceleration than conventional rotary motor (p<0.05). Between reciprocating motors, X-SMART PLUS had lower mean vibratory acceleration and maximum vibratory acceleration than WaveOne Motor (p<0.05). Conclusion: Reciprocating motors generate more vibration than conventional rotary motor. Further study about effect of vibration to dentist and patient is needed. And it seems to be necessary to make a standard about vibration level in endodontic motors.

• Restorative Dentistry and Endodontics
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• 제28권6호
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• pp.485-490
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• 2003

Complete understanding of the exterior and interior structure of the tooth would be prerequisite to the successful clinical results, especially in the restorative and endodontic treatment. Although three-dimensional reconstruction method using x-ray microtomography could not be used in clinical cases, it may be the best way to reconstruct the morphologic characteristics of the tooth structure in detail without destructing the tooth itself. This study was done to three dimensionally reconstruct every teeth in the arch in order to increase the understanding about the endodontic treatment and to promote the effective restorative treatment by upgrading the knowledge of the tooth morphology. After placing tooth between the microfocus x-ray tube and the image intensifier to obtain two-dimensional images of each level. scanning was done under the condition of 80 keV, $100{\;}\mu\textrm{m}$, 16.8 magnification with the spot size of $8{\;}\mu\textrm{m}$. Cross-section pixel size of $16.28{\;}\mu\textrm{m}$ and 48.83 cross-section to cross-section distance were also used. From the results of this study, precise three dimensional reconstructed images of every teeth could be obtained. Furthermore, it was possible to see image that showed interested area only, for example. enamel portion only, pulp and dentin area without enamel structure, pulp only, combination image of enamel and pulp, etc. It was also possible to see transparent image without some part of tooth structure. This image might be used as a guide when restoring and preparing the full and partial crown by showing the positional and morphological relationship between the pulp and the outer tooth structure. Another profit may be related with the fact that it would promote the understanding of the interior structure by making observation of the auto-rotating image of AVI file from the various direction possible.

• Restorative Dentistry and Endodontics
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• 제20권2호
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• pp.758-767
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• 1995

The purpose of this study was to evaluate canal shaping ability after canal preparation by using engine-driven nickel-titanium file and endosonic file in curved canals. 30 mesiobuccal canals of molars extracted within recent 3 months were divided into 3 groups. Group I and group II were prepared by using engine-driven nickel-titanium Gates-Glidden drill type and the engine-driven nickel-titanium file type. Group III prepared by using en do sonic file. The image of preinstrumented canals was taken by X-ray. The image of postinstrumented canal was taken by X-ray in the same condition of preinstrumentation. A magnified X-ray image on magnifier screen was traced and then compared the preinstrumentated canal image with the postinstrumentated canal image by superimposing method. The following results were obtained : 1. In the change of canal curvature, the engine-driven nickel-titanium Gates-Glidden drill type showed the least change and the ultrasonically filing showed the greatest change. 2. In the percentage of canal enlargement, the engine-driven nickel-titanium file type was greatest at all level(p<0.05), the apex of all group was the greatest, the difference of ultrasonically filing group showed greater between apex and cervix. 3. The percentage of canal enlargement on convex side was greater than that of on concave side in apex of each group(p<0.05). In the ultrasonically filing group, both sides of canal enlargement showed sharply difference(p<0.01). 4. The percentage of canal enlargement on convex side was greater than that of on concave side in the third of cervix of the engine-driven nickel-titanium file type and the ultrasonically filling. The percentage of canal enlargement of convex and concave side in the third of middle of the engine-driven nickel-titanium Gates-Glidden drill type show a similar canal enlargement between convex side and concave side. As above result, the engine-driven nickel-titanium file type was greater in canal enlargement than the other instruments. The engine-driven nickel-titanium Gates-Glidden dirll type was efficient endodontic instrument for curved canal preparation because it was least change in canal curvature.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.176-181
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• 2016

Objectives: This study aimed to compare two nickel-titanium systems (rotary vs. reciprocating) for their acceptance by undergraduate students who experienced nickel-titanium (NiTi) instruments for the first time. Materials and Methods: Eighty-one sophomore dental students were first taught on manual root canal preparation with stainless-steel files. After that, they were instructed on the use of ProTaper Universal system (PTU, Dentsply Maillefer), then the WaveOne (WO, Dentsply Maillefer). They practiced with each system on 2 extracted molars, before using those files to shape the buccal or mesial canals of additional first molars. A questionnaire was completed after using each file system, seeking students' perception about 'Ease of use', 'Flexibility', 'Cutting-efficiency', 'Screwing-effect', 'Feeling-safety', and 'Instrumentation-time' of the NiTi files, relative to stainless-steel instrumentation, on a 5-point Likert-type scale. They were also requested to indicate their preference between the two systems. Data was compared between groups using t-test, and with Chi-square test for correlation of each perception value with the preferred choice (p = 0.05). Results: Among the 81 students, 55 indicated their preferred file system as WO and 22 as PTU. All scores were greater than 4 (better) for both systems, compared with stainless-steel files, except for 'Screwing-effect' for PTU. The scores for WO in the categories of 'Flexibility', 'Screwing-effect', and 'Feeling-safety' were significantly higher scores than those of PTU. A significant association between the 'Screwing-effect' and students' preference for WO was observed. Conclusions: Novice operators preferred nickel-titanium instruments to stainless-steel, and majority of them opted for reciprocating file instead of continuous rotating system.