• Title/Summary/Keyword: Molar restoration

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THE IATROGENIC DAMAGES OF THE FIRST MOLARS FOLLOWING THE STAINLESS STEEL CROWN RESTORATION THE SECOND PRIMARY MOLARS (제 2유구치 기성금관 수복에 따른 제 1대구치의 의원성 손상)

  • Bae, Ik-Hyun;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.153-158
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    • 2004
  • Preformed stainless steel crown is an useful restorative material for the treatment of badly broken down primary teeth. However iatrogenic damage to adjacent teeth might occur during the process of tooth reduction. Such damages might lead to plaque accumulation and increase the risks of caries initiation. Especially the damage can make a problem in the first permanent molar. Purpose of this study was to investigate an iatrogenic damage to the first permanent molar during preparation of second primary molar for preformed stainless steel crown. Twelve children restored with preformed stainless steel crown to second primary molar were selected. Contact areas were separated with separation elastics, and tooth surfaces were cleaned. After taking negative impression using vinylpolysiloxane impression material, the specimens were examined by scanning electron microscope for the detection of iatrogenic damage. The prevalence of iatrogenic damage was 66.7% and variable appearances and So we can suggest that when preparing teeth for preformed stainless steel crown, we should be careful about adjacent teeth not to make an iatrogenic damage.

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REAL-TIME MEASUREMENT OF DENTINAL TUBULAR FLUID FLOW DURING AND AFTER AMALGAM AND COMPOSITE RESTORATIONS (아말감과 복합레진의 수복 과정과 수복 후 발생하는 상아세관액 흐름의 실시간 측정)

  • Kim, Sun-Young;Cho, Byeong-Hoon;Baek, Seung-Ho;Lim, Bum-Sun;Lee, In-Bog
    • Restorative Dentistry and Endodontics
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    • v.34 no.6
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    • pp.467-476
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    • 2009
  • The aim of this study was to measure the dentinal tubular fluid flow (DFF) during and after amalgam and composite restorations. A newly designed fluid flow measurement instrument was made. A third molar cut at 3 mm apical from the CEJ was connected to the flow measuring device under a hydrostatic pressure of 15 $cmH_2O$. Class I cavity was prepared and restored with either amalgam (Copalite varnish and Bestaloy) or composite (Z-250 with ScotchBond MultiPurpose: MP, Single Bond 2: SB, Clearfil SE Bond: CE and Easy Bond: EB as bonding systems). The DFF was measured from the intact tooth state through restoration procedures to 30 minutes after restoration, and re-measured at 3 and 7days after restoration. Inward fluid flow (IF) during cavity preparation was followed by outward flow (OF) after preparation, In amalgam restoration, the OF changed to IF during amalgam filling and slight OF followed after finishing. In composite restoration, application CE and EB showed a continuous OF and air-dry increased rapidly the OF until light-curing, whereas in MP and SB, rinse and dry caused IF and OF, respectively. Application of hydrophobic bonding resin in MP and CE caused a decrease in flow rate or even slight IF. Light-curing of adhesive and composite showed an abrupt IF. There was no statistically significant difference in the reduction of DFF among the materials at 30 min. 3 and 7 days after restoration (p > 0.05).

Effects on the tissue reaction using compomer & Ketac Silver in the maxillary furcation in the beagle dogs (Compomer와 Ketac Silver로 성견 상악 이개부 병소 충전시 조직반응에 미치는 영향)

  • Ryu, Jea-Youn;Lim, Sung-Bin;Chung, Chin-Hyung;Lee, Chong-Heon
    • Journal of Periodontal and Implant Science
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    • v.33 no.4
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    • pp.705-715
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    • 2003
  • Procedures for treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap surgery, hemisection, tunneling or extraction, to regenerative therapies using bone grafting or guided tissue regenerative therapy, or a combination of both. Several clinical evaluations using regenerative techniques have reported the potential for osseous repair of treated furcation invasions. Regenerative treatment of maxillary molars are more difficult due to the multiple root anatomy and multiple furcation entrances therefore, purpose of this study was to evaluated histologically compomer and Ketac Silver as a barrier in the treatment of a bi-furcated maxillary premolar. Five adult beagle dogs were used in this experiment. With intrasulcular and crestal incision, mucoperiostcal flap was elevated. Following decortication with 1/2 high speed round bur, furcation defect was made on maxillary premolar. 2 month later one premolar was filled with compomer and the other premolar was filled with Ketac Silver. After 4, 8 weeks, the animals were sacrificed by vascular perfusion. Tissue block was excised including the tooth and prepared for light microscope with H-E staining. Results were as follows. 1. Compomer & Ketac Silver restoration were encapsulated fine connective tissue. 2. In 4 weeks, compomer & Ketac Silver restoration slightly infiltrated inflammatory cells but not disturb the new bone or new cementum formation. 3. In 8 weeks, compomer & Ketac Silver restoration were less infiltrated iflammatory cell and encapsulated fine connective tissue. 4. Therefore, compomer & Ketac Silver filling to the grade III maxillary furcations with multiple root anatomy and multiple furcation entrances is possible clinical method and this technique is useful method for maxillary furcation involvement but it is thought that periodic maintenance should be needed

The rate and stability of mandibular block bone graft in recent 5 years

  • Park, Jong-Cheol;Kim, Yun-Ho;Choi, Hong-Seok;Oh, Jong-Shik;Shin, Sang-Hun;Kim, Yong-Deok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.21.1-21.6
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    • 2017
  • Background: The purposes of the present study were to compare implant stabilities of mandibular block bone graft and bovine bone graft and to evaluate influencing factors for implant stability in mandibular block bone (MBB) graft. Methods: This retrospective study investigated 1224 cases and 389 patients treated by one surgeon in the Department of Oral and Maxillofacial Surgery of Pusan National University Dental Hospital (Yangsan, Korea) between January 2010 and December 2014. Proportions that MBB graft cases constitute in all implant restoration cases and in all bone graft cases were measured. Implant stability quotient (ISQ) values were achieved by the same surgeon before loading. The average ISQ values of the experimental groups were compared. In addition, ISQ values of influencing factors, such as age, sex, implant size, and implant placement site, were compared within the MBB group using $Osstell^{TM}$ Mentor ($Osstell^{(R)}$, $G{\ddot{o}}teborg$, Sweden). Paired t test and ANOVA were conducted for statistical analysis with a significance level of 0.05. Results: Fifty-five percent of all implant restoration cases performed bone graft while MBB cases constituted 34% of all implant restoration cases and 61% of all bone graft cases. Comparing ISQ values according to bone graft materials, the MBB group manifested sufficient implant stability by presenting comparable ISQ value to that of the experimental group without bone graft. Among the reviewed factors, females, mandibular molar regions, and implants in larger diameter displayed greater implant stabilities. Conclusions: Satisfactory implant stability was accomplished upon administration of MBB graft. Within the limitation of this study, gender, implant site, and implant diameter were speculated to influence on implant stability in MBB graft.

A COMPARISON OF GLASS IONOMER vs RESIN RESTORATION IN MICROLEAKAGE PATTERN OF PRIMARY AND PERMANENT TEETH (유치와 영구치에 수복된 레진과 글라스 아이오노머 수복물의 미세누출 양상에 관한 비교연구)

  • Jun, Kyung-Hyun;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.47-61
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    • 1998
  • The purpose of this study was to compare the microleakage pattern of glass ionomer with resin restoration in microleakage pattern of primary and permanent teeth. Microscopical observation of interface between tooth structure and restoration was also performed. 80 and 8 sound molar teeth were used for the microleakage test and SEM study respectively. Data were analyzed statistically using ANOVA test and/or t-Test. The results of the present study were as follows: 1. According to the result of microleakage pattern between primary and permanent tooth, primary tooth generally showed more micro leakage than permanent tooth in all groups (p<.05). 2. In the resin-filled groups, occlusal margin was shown to have more microleakage than gingival margin(p<.05). Whereas the glass ionomer-filled groups showed no statistically significant differences between them(p>.05). 3. No statistically significant differences in microleakage could be found between two different resin groups(p>.05), while Fuji II LC group showed less microleakage than Ketac-Fil group(p>.05). 4. The various type hybrid layer was evident under SEM in resin-filled groups both in primary and permanent teeth with generally thicker layer in primary group. Among glass-ionomer group, Fuji II LC group showed more intact adhesion to tooth surface than Ketac-Fil group

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THE EFFECT OF SANDWICH TECHNIQUE USING FLOWABLE COMPOSITE RESIN BASE ON THE MICROLEAKAGEIN CLASS II CAVITIES OF MOLAR (구치부 제2급 와동에서 고흐름성 복합레진을 이용한 적층 충전술식의 미세누출에 미치는 영향)

  • Lee, Kang;Hong, Chan-Ui
    • Restorative Dentistry and Endodontics
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    • v.27 no.5
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    • pp.502-514
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    • 2002
  • The aim of this study was to evaluate the marginal adaptation of direct class II sandwich restoration with packable composites(P-60), resin modified glass ionomer cement(Fuji-II LC), flowable compomer(Dyract Flow), flowable composites(Filtek Flow) in comparison with total bond restorations. In addition, for sandwich restorations, influence of different sandwich techniques was also evaluated. Large butt-joint box typed class II cavites with cervical margins 1mm below the cemento-enamel junction were cut into 70 extracted human molars. The cavities(7 groups, n=10) were filled using a closed/open sandwich restoration or total bond restoration technique with materials according to the manufacturer's recommandation using the single-component bonding agent for each system. Teeth were thermocycled 500 times between 5$^{\circ}C$ and 55$^{\circ}C$ with 30-second dwell time. The teeth were then coated with nail polish 1mm short of the restoration, placed in a 2% methylene blue for 24 hours, and sectioned with diamond wheel. Sections were examined with a stereoscope to determine the extent of microleakage. Dentine /Cementum margins were analyzed for microleakage on scale of 0(no leakage) to 4(entire axial wall) and interface between materials, on scale of 0(no leakage) to 3(axial wall). Results were evaluated with Kruskal Wallis Test, corrected for ties, to determine whether there were statistically significant differences among the seven groups. Pairs of groups were analyzed using the Student-Newman-Keuls Method and Dunn s Method. The results were as follows : 1. All groups showed some micoleakage in cervical portion. But there were no microleakage in interface between materials. 2. Closed sandwich restorations with Fuji-II LC and Filtek Flow had significantly lower leakage rating than total restorations with only P-60. However, open sandwich restorations with Dyract Flow showed significantly higher (P<0.05) 3. Closed sandwich restorations had significantly lower leakage rating than total restorations. However open sandwich restoration s showed significantly higher (P<0.05). 4. Sandwich restorations with Fuji-II LC were iou$.$or leakage than only P-60. Filtek Flow, Dyract Flow. But there were no statistically differences among the materials. From the results above, it could be concluded, closed sandwich restorations was effective in reducing microleakage of class II restorations. The best results showing the least microleakage were for the closed sandwich technique with Fuji-II LC and Filtek Flow.

제1대구치교합거상으로 일어나는 상하악교두거상거리의 증가에 관한 계측

  • Lee, Myung-Chong
    • The Journal of the Korean dental association
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    • v.12 no.9
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    • pp.691-694
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    • 1974
  • The trends of restoration on abrased teethis mostly based on gnathology or on practical experience. This study was performed on plaster models from 60 young men whose teeth and occlusion are clinically normal. A pair, upper and lower models, were mounted on HANAU articulator. Iron ball bearing 0.2mm 0.5mm 0.7mm and 1.0mm in diameter was attached on mesiobuccal cusp of upper first molar. [table I] Long ribbon shape of cold cure resin was inserted and jaw was closed gently so as not to move disturb original position of iron ball. The resin bite registration was measured minimun thickness from each lingual cusps of upper jaw and buccal cusps of lower jaw by means of Bowley gauge. The results were as follows (graph). 1) The distance from upper lingual cusps and lower buccal cusps: backward cusps showed smaller than standard cusp (upper mesio-buccal cusp) and forward cusps showed longer than standard. 2) The measurements from upper lingual cusps are not coincide with lower buccal cusps.

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Observation of Occlusal Relations for Production to Dental Prosthetics of Dogs (중형견 치과보철물 제작을 위한 교합관계 관찰)

  • Park, Yu-Jin;Choi, Sung-Min
    • Journal of Technologic Dentistry
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    • v.38 no.3
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    • pp.203-208
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    • 2016
  • Purpose: This study introduces the production process of dog's dental prosthesis using an automated dental prosthetics technology. The occlusal interaction of dog's dental prosthesis was observed. Methods: This study was proceeded with dog's the mandibular first molar teeth. The 3D CAD designed to 3D model specimens was observed by CAD software. and The specimens designed to 3D model specimens was observed occlusal interaction by using articulator. Results: Occlusal contact point in prosthetic specimens were observed in buccal surface. and 98% of the size of the crown is the best occlusal relationship. Conclusion: Observation of occlusal relations result to 98% of the size of the crown is the best.

Comparative evaluation of micro-shear bond strength to different luting procedures of ceramics to dentin

  • Lee, Yoon-Jeong;Park, Sang-Jin;Choi, Kyoung-Kyu
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.569-569
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    • 2003
  • I. Objectives The purpose of this study was to evaluate the effort of a modified luting procedure called "dual bonding technique" by compare micro-shear bond strength to different luting procedures of ceramics to dentin. II. Materials and Methods Eighty-four freshly extracted caries-and restoration-free human third molar were embedded in epoxy resin using acrylic ring. Flat superficial occlusal dentin surfaces were obtained, initially using a Low speed diamond saw and exposed detin surface was group with #600-grit SiC paper.(omitted)

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Fabrication of a custom polyetherketoneketone post-and-core with digital technology

  • Ju-Hyoung Lee;Gyu-Heon Lee
    • Journal of Technologic Dentistry
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    • v.46 no.1
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    • pp.15-19
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    • 2024
  • An ideal post material should have physical properties similar to those of dentin. Post materials with high elastic moduli may cause root fractures. This clinical report describes the treatment of a severely damaged tooth using a recently introduced material. Polyetherketoneketone (PEKK) is a semicrystalline high-performance thermoplastic polymer. PEKK is a promising material for custom post-and-core fabrication because of its elasticity close to that of dentin, good shock absorbance, machinability, and low cost. A laboratory scanner was used to digitize the conventional impression of a severely damaged maxillary right first molar. A custom PEKK post-and-core was designed and milled using computer-aided design and computer-aided manufacturing technology. Using the proposed technique, a custom PEKK post-and-core was fabricated accurately and human error was reduced. Restoration was luted with resin cement. Custom PEKK post-and-core restorations are a viable alternative for treating severely damaged teeth.