• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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• pp.552-552
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• 2003

The purpose of this study was to quantify the amount of remaining gutta-percha/sealer on the walls of root canals when three types of nickel-titanium rotary instruments and a hand instrument were used to remove these materials. Forty extracted mandibular premolars were prepared by step-back method and obturated with gutta-percha and sealer. Gutta-percha removal for group 1 was done using hand file with chloroform, group 2 using Profile and group 4 using K3. The following factors were evaluated : Time taken to reach working length, total time for gutta-percha removal and number of fractured instruments.(중략)

• Restorative Dentistry and Endodontics
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• 제25권3호
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• pp.390-398
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• 2000

근관형성을 위해 표준화된 근관형성기구에 비해 taper가 큰 기구들이 사용되고 있으며 이를 이용하여 형성된 근관은 taper가 큰 근관의 모양을 갖는다. 근관충전방법에 있어 근관의 크기에 적합한 1차적 gutta-percha cone을 선택할 필요가 있다. 본 연구에서는 .04 및 .06 taper의 전동화일로 형성된 근관에 열연화충전법을 위해 가장 적합한 1차 cone을 선택하기 위한 지침 마련의 목적으로, 근단공의 크기와 근관의 taper에 따른 gutta-percha cone의 근단부 근관 내 적 합도를 평가하였다. ProFile$^{(R)}$ .04 taper와 .06 taper를 이용하여 Crown down 방법으로 60개의 모형근관을 형성하였다. 표준화 gutta-percha cone, Dia-Pro ISO-.04$^{TM}$ 및 .06 gutta-percha cone, MF, F, FM 및 M 크기의 비표준화 gutta-percha cone의 근관 내 적합도는 치근단 5mm의 근관면적에 대한 gutta-percha cone의 점유 면적비(%)로 하였다. .04 taper, 25번 크기의 근관에서는 F, MF 크기의 비표준화 cone이 표준화 cone과 Dia-Pro 180-.04$^{TM}$ 보다 우수한 근관적합도를 나타내었고(p<0.05), 30번 크기의 근관에서는 F, Dia-Pro ISO-.04$^{TM}$, FM 크기의 gutta-percha cone 모두 표준화 cone보다 우수한 근관적합도를 나타내었으나(p<0.05), 35번 크기의 근관에서는 모든 gutta-percha cone 사이에 유의한 차이를 나타내지 않았다(p>0.05) .06 taper, 25번 크기의 근관에서는 사용된 비표준화 cone 모두가 표준화 cone, Dia-Pro ISO-.06$^{TM}$ 보다 나은 근관적합도를 나타내었고(P<0.05), 30번 크기의 근관에서는 표준화 cone을 제외한 나머지 gutta-percha cone에서 유의한 차이를 발견할 수 없었다. 35번 크기의 근관에는 M 크기의 비표준화 cone이 가장 우수한 근관적합도를 보이고 있는 것으로 나타났으며, FM과 Dia-Pro ISO-.06$^{TM}$ 사이에서는 유의한 차이가 나타나지 않았다(p>0.05).

• Restorative Dentistry and Endodontics
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• 제19권2호
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• pp.611-620
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• 1994

The purpose of this study was to evaluate the effect of post space preparation on apical sealing according to the methods and time of gutta percha removal. Forty six extracted single rooted teeth were selected for this study. Forty teeth were used as experimental groups and six teeth as control groups. Forty teeth were routinely prepared by step-back method and obturated with gutta percha cones and zinc oxide-eugenol cement using lateral condensation. All obturated teeth were divided into 4 groups of 10 teeth each. In each group of 1, 2, 3, heated plugger, gate glidden drill and chloroform and K-file were used respectively for post space preparation by removing the gutta percha immediately after obturation. In group 4, post space were prepared with gate glidden drill one week after obturation. In all experimental groups, the post space were prepared so that 4mm of apical gutta percha remained. After post space preparation, apical leakage were measured with electrochemical method for 28 days and analyzed statistically. The following results were obtained ; 1. No statistically significant differences in apical leakage were occured among the experimental groups using heated plugger, gate glidden drill and chloroform and K-file to remove the gutta percha immediately after obturation. 2. No significant difference in apical leakage was found between the teeth prepared post space immediately after obturation and those prepared 1 week after obturation. 3. In all experimental groups, the apical leakage was increased with time passage regardless of the post space preparation time and the gutta percha removal techniques.

• Restorative Dentistry and Endodontics
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• 제31권1호
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• pp.66-71
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• 2006

Continuous Wave 가압법으로 근관충전시 plugger 삽입 깊이에 따른 근관내 gutta-percha 비율을 평가하고자 40개의 발거치아 근관을 0.06 경사도 40번 크기의 $ProFile^{(R)}$로 근관을 형성하고 세 군에서는 plugger 삽입깊이를 근단 3, 5 또는 7 mm로 하여 System $B^{TM}$를 이용하여 Continuous Wave 가압법으로 충전하였고, 한 군에서는 대조군으로서 측방가압법으로 근관을 충전하였다. 충전된 근관은 치근단 1, 2 및 3mm 수준에서 횡절단하여 근관내 gutta-percha 면적비를 계산하고 일원변량분석법을 이용하여 통계분석 하였다. 모든 절단수준에서, Continuous Wave 가압법으로 충전한 군 사이에서는 plugger의 삽입깊이가 깊을수록 높은 gut-ta-percha 면적비를 나타내었고, 측방가압법으로 충전한 군이 plugger의 삽입깊이를 7 mm로 충전한 군보다 높은 gut-ta-percha 면적비를 나타내었다 (p<0.05).

• Restorative Dentistry and Endodontics
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• 제41권1호
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• pp.22-28
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• 2016

Objectives: The goal of this study was to compare the density of gutta-percha root fillings obturated with the following techniques: cold lateral (CL) compaction, ultrasonic lateral (UL) compaction, and warm vertical (WV) compaction. Materials and Methods: Thirty-three extracted mandibular first molars, with two separate mesial canals in each, were selected. After instrumentation, the canals were stratified into three groups based on canal length and curvature, and underwent obturation with one of the techniques. No sealer was used in order to avoid masking any voids. The teeth were imaged pre- and post-obturation using micro-computed tomography. The reconstructed three-dimensional images were analyzed volumetrically to determine the amount of gutta-percha present in every 2 mm segment of the canal. P values < 0.05 were considered to indicate statistical significance. Results: The overall mean volume fraction of gutta-percha was $68.51{\pm}6.75%$ for CL, $86.56{\pm}5.00%$ for UL, and $88.91{\pm}5.16%$ for WV. Significant differences were found between CL and UL and between CL and WV (p < 0.05), but not between UL and WV (p = 0.526). The gutta-percha density of the roots treated with WV and UL increased towards the coronal aspect, but this trend was not noted in the CL group. Conclusions: WV compaction and UL compaction produced a significantly denser gutta-percha root filling than CL compaction. The density of gutta-percha was observed to increase towards the coronal aspect when the former two techniques were used.

• 대한치과의사협회지
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• 제32권10호통권305호
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• pp.741-747
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• 1994

• Restorative Dentistry and Endodontics
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• 제25권3호
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• pp.381-389
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• 2000

Lateral condensation with gutta-percha and sealer has been shown to provide an excellent apical seal; however, the lateral condensation technique has demonstrated less favorable apical leakage results in curved canals when compared with straight canals. Placement of endodontic spreaders to within 1 to 2mm of the root canal working length has been advocated for optimum gutta-percha obturation. Due to their stiffness, stainless-steel(SS) spreaders will often fail to achieve this position in curved canals. Newly marketed nickel-titanium(NT) spreaders may offer an advantage in this regard due to the increased flexibility of these instruments. The purpose of this study was to evaluate the effect of NT finger spreader on the sealing ability in lateral condensation technique, compared with conventional SS finger spreader. Twenty four standardized resin models simulating curved canals(30 degree) were randomly placed into 2 groups and instrumented to a #30 master apical file size with Ni-Ti Profile .04 taper series using step down technique. Each groups was obturated with standardized gutta-percha cone by standard lateral condensation technique using SS finger spreader, NT finger spreader. And then, each model was sectioned horizontally with microtome at 1, 2, 3, 4, 5mm levels from the apex. At each of 5 levels, ratio of the area of gutta-percha was obtained by calculating the area of gutta-percha to the total area of the canal. The data collected were then analyzed statistically using a t test for independent samples. The results as follows ; 1. The total mean ratio of area of gutta-percha was 89.20${\pm}$7.00(%) for SS spreader group. 92.20${\pm}$5.17(%) for NT spreader group. There was statistically significant difference between each group(p<0.05). 2. At 3mm level, the mean ratio of area of gutta-percha was 88.32${\pm}$5.41(%) for SS spreader group, 95.25${\pm}$2.60(%) for NT spreader group. There was statistically significant difference between each group(p<0.05). At 1,2,4mm levels, NT spreader group showed greater mean ratio of area of gutta-percha than SS spreader group, too. But there was no statistically significant difference. 3. At 5mm level, the mean ratio of area of gutta-percha was 91.83${\pm}$3.42(%) for SS spreader group, 87.91${\pm}$3.68(%) for NT spreader group. There was statistically significant difference between each group(p<0.05). This study concluded that the NT spreader demonstrated somewhat favorable apical sealing effect than SS spreader in prepared curved canals. The clinical use of NT spreaders may enhance our ability to create better apical seals in curved canals, but further studies in this area will help clarify some of the remaining areas with which practitioners are concerned, such as compaction forces exerted by NT spreaders.

• Restorative Dentistry and Endodontics
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• 제12권2호
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• pp.17-23
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• 1987

The purpose of this study was to evaluate the sealing properties of endodontic cavity filling materials according to the time intervals after filling. Access cavities were prepared in extracted human premolar or molar teeth and filled with caviton, zinc oxide eugenol cement, zinc oxide eugenol cement with a base of gutta percha stopping and gutta percha stopping. After filling at the intervals of immediate, 2 days and 2 weeks the teeth were immersed for 2 weeks in 1% methylene blue solutions. Longitudinal sections were obtained from approximately center of teeth and the depth of dye penetration into the access cavities were observed by 10${\times}$macrolens. The following results were obtained. I. All the materials experimented showed varying depth of dye penetration. 2. Of the material tested, caviton showed the best marginal sealing qualities regardless of the time intervals after filling and the sealing properties of the gutta percha stopping was the worst. 3. Both in zinc oxide eugenol cement and zinc oxide eugenol cement with a base of gutta percha stopping, the fillings allowed to mature for 2 days in normal saline solution showed the best sealing properties and those with no maturing time revealed the worst sealing qualities. 4. The sealing qualities of zinc oxide eugenol cement with a base of gutta percha stopping revealed slightly lower depth of dye penetration than that of zinc oxide eugenol cements.

• 대한치과의사협회지
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• 제20권12호통권163호
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• pp.1025-1028
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• 1982

1) The authors have had a case of crown fractured upper central incisor with open apex and non vital pulp. 2) The patient was 8 years old female. 3) Apical closure has been induced with the use of calcium hydroxide and gutta percha cone. 4) At nine month after filling with calcium hydroxide and gutta percha cone, apical closure was observed by radiograph. 5) Root canal was permanently filled gutta percha cone and zinc oxide eugenol by the lateral condensation technique.

• Restorative Dentistry and Endodontics
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• 제36권5호
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• pp.377-384
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• 2011

연구목적: 본 연구의 목적은 열연화주입형 gutta percha와 resilon의 온도 변화에 따른 점탄성 변화를 관찰하고 조작성을 비교하기 위함이다. 연구 재료 및 방법: Obtura-II 시스템을 이용하여 세 종류의 gutta percha와 resilon을 $140^{\circ}C$와 $200^{\circ}C$로 가열한 후 사출 온도를 측정하였다. 점도계를 이용하여 온도 변화에 따른 재료들의 점탄성 특성(전단탄성계수, G'; 전단점성계수, G"; 손실 탄젠트, tan${\delta}$; 복소점도, ${\eta}^*$)을 관찰하였다. 점도계와 차동주사열측정기(DSC)로 재료들의 상전이 온도를 측정하였고 가압법으로 $60^{\circ}C$와 $40^{\circ}C$에서 재료들의 점조도를 비교하였다. 결과: 세 종의 gutta perchas는 온도에 따라 서로 다른 점탄성 특성을 나타냈다. $40-50^{\circ}C$에서 연화된 재료의 고체화 상변이가 일어났고, 점도계와 DSC로 측정된 상변이 시작 온도는 유사하였다. 상변이 시작 온도와 가압 시 점조도는 재료들마다 차이를 보였다(p < 0.05). Resilon은 gutta percha와 비슷한 유변학적 특성을 보였다. 결론: 열연화된 근관충전재는 냉각과정 동안 유변학적 특성의 변화를 나타냈고 재료들마다 서로 다른 점탄성 특성은 근관 내주입 시와 충전 시 서로 다른 조작성을 보임을 알 수 있다.