• 제목/요약/키워드: Pulp therapy

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Antioxidant therapy enhances pulpal healing in bleached teeth

  • Lima, Adriano Fonseca;Marques, Marcelo Rocha;Soares, Diana Gabriela;Hebling, Josimeri;Marchi, Giselle Maria;de Souza Costa, Carlos Alberto
    • Restorative Dentistry and Endodontics
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    • v.41 no.1
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    • pp.44-54
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    • 2016
  • Objectives: The purpose of this study was to evaluate the histopathological effects of an antioxidant therapy on the pulp tissue of rat teeth exposed to a bleaching gel with 35% hydrogen peroxide. Materials and Methods: Forty rats were subjected to oral ingestion by gavage of distilled water (DW) or ascorbic acid (AA) 90 min before the bleaching therapy. For the bleaching treatment, the agent was applied twice for 5 min each to buccal surfaces of the first right mandibular molars. Then, the animals were sacrificed at 6 hr, 24 hr, 3 day, or 7 day post-bleaching, and the teeth were processed for microscopic evaluation of the pulp tissue. Results: At 6 hr, the pulp tissue showed moderate inflammatory reactions in all teeth of both groups. In the DW and AA groups, 100% and 80% of teeth exhibited pulp tissue with significant necrosis and intense tissue disorganization, respectively. At 24 hr, the AA-treated group demonstrated a greater regenerative capability than the DW group, with less intense inflammatory reaction and new odontoblast layer formation in 60% of the teeth. For up to the 7 day period, the areas of pulpal necrosis were replaced by viable connective tissue, and the dentin was underlined by differentiated odontoblast-like cells in most teeth of both groups. Conclusions: A slight reduction in initial pulpal damage during post-bleaching was promoted by AA therapy. However, the pulp tissue of AA-treated animals featured faster regenerative potential over time.

Preoperative Factors of Immature First Permanent Molars Treated with Vital Pulp Therapy (생활치수치료를 시행한 미성숙 제1대구치의 술전 상태)

  • Lim, Heejung;Lee, Eungyung;Park, Soyoung;Jeong, Taesung;Shin, Jonghyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.176-183
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    • 2021
  • This study aimed to analyze the preoperative factors of immature first molars treated with vital pulp therapy and to find out their correlation in pediatric patients. From May 2014 to January 2020, 523 patients and 1,242 immature first molars were investigated. Factors including age, sex, tooth location, Molar-incisor hypomineralization (MIH), caries cavity location, and history of previous restoration were evaluated. As a result of the study, the vital pulp therapy group had 5.56 times more MIH, 3.39 times more mesial cavities, and 8.73 times more distal cavities. In order to avoid vital pulp therapy in immature first molar, early diagnosis and active management of MIH and preventive treatment of mesial and distal caries are necessary after its immediate eruption.

Nonvital Pulp Therapy of Elongation of Roots of Mandibular Cheek Teeth in Pet Rabbits (애완토끼에서 과잉성장된 하악치아의치신경치료 연구)

  • Park, Cheon-Sik;Cha, Se-Yeoun;Kang, Min;Kim, Jury;Jeong, Soon-Wuk;Jang, Hyung-Kwan
    • Journal of Veterinary Clinics
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    • v.29 no.6
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    • pp.474-482
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    • 2012
  • Elongation of cheek teeth roots in pet rabbits is very common, and is associated with malocclusion followed by reduced appetite, salivation, periapical abscess, and epiphora. Conservative methods including medication, drainage, irrigation, tooth trimming, intraoral and extraoral extraction, surgical treatment of periapical abscessation, and diet control have been adapted as the only treatments to resolve elongation of teeth roots. However, remaining challenges include the long-term period of cure and recurrence. This study was performed to investigate the possibility of nonvital pulp therapy on elongation of the mandibular cheek teeth roots in pet rabbits. Thirty-one pet rabbits with dental problems due to root elongation were submitted. Ten pet rabbits among them were treated by nonvital pulp therapy procedures (group A), while the others were treated by conservative methods (group B). Appetite improved within 1-5 days after nonvital pulp therapy and the treatment was discontinued 1 month postoperatively in group A. Abscess occurred in another site not treated with nonvital pulp therapy in only two rabbits. Growth of the mandibular cheek teeth treated with nonvital pulp therapy stopped, resulting in malocclusion, intraoral inflammation from the enamel spur, and abscess of the teeth roots. In the group B rabbits treated with conservative therapy, partial drainage, long term medication, recurrent oral trimming and control of repeated oral inflammation occurred. Consequently, buccotomy or tooth extraction was performed in group B. Owners were satisfied with nonvital pulp therapy preventing dental root abscess and repeated troubles including inflammation and malocclusion and reduction of the treatment period. These results suggest that nonvital pulp therapy can be performed on pet rabbits with elongation of mandibular cheek teeth roots.

A Case of Root Canal Treatment and Crown Therapy on Fractured Canine Teeth of Lion (골절된 사자 견치의 근관치료 및 Crown 장착 1례)

  • 이기환;신남식;권수완;김양범;이은창;정성목;이충호;김완희;권오경
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.298-298
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    • 2000
  • Seven years old male lion in Everland Zoo has three fractured canine tooth. To avoid the risk of a possible fracture with pulp exposure after restroration of largest abration defects, endodontic therapy was performed. The pulp chamber was filled with calcium hydroxide, zinc oxide cement and gutta percha. We also installed the Crown prosthesis was installed in fractured canine tooth to protect the tooth and to improve the cosmetics and function of the tooth. The lion could eat in one day and there were no any signs of dental problem. It is the obvious prophylactic procedure for wild animal is the inclusion of an oral examination at every opportunity to handle the animal. It is considered that crown prosthesis after endodontic therapy was useful for maintaining normal physiological function and for provention of additional fracture or complication.

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THE CLINICAL AND ROENTGENOGRAPHICAL STUDY OF NON-VITAL THERAPY OF PRIMARY MOLAR (실활유구치(失活乳臼齒) 치료(治療)의 임상적(臨床的) 및 X-선학적(線學的) 연구(硏究))

  • Cha, Bong-Ik
    • Journal of the korean academy of Pediatric Dentistry
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    • v.6 no.1
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    • pp.15-20
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    • 1979
  • Sixty non-vital primary molars of forty six children who were patients at the Pedodontic Department of Seoul University Hospital, aged from 2 years 7 months to 9 years 1 month were performed for coronal pulp therapy. For the evaluation of non-vital pulp therapy, the author observed those teeth both clinically and roentgenographically. The results were as follows: 1. Coronal therapy of non-vital tooth can be accepted as one of the ordinary methods at the view of the save of tooth, time and simplicity. 2. The results were satisfactory 78.3% clinically and 68.3% roentgenographically. 3. The dissatisfactory signs were a) Clinical view There were dissatisfactory signs on 13 cases. (1) 2 teeth had fistulous opening. (2) 11 teeth reacted to purcussion and mobility. b) Roentgenographical view There were dissatisfactory signs on 19 cases. (1) 13 teeth showed roentgenolucency at bifurcation area. (2) 2 teeth showed pathological root resorption. (3) 4 teeth showed periodontal thickening.

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Manufacturing of natural dyed pulp for interior materials -Estimation of wallpaper properties mach from natural dyed pulp- (천연염료를 이용한 건축내장용 색 펄프 제조 -색 펄프로 제조한 벽지의 적합성-)

  • Go, In-Hee;Nam, Hyun-Ju;Choi, Tea-Ho;Shin, Yoo-Su
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2011.10a
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    • pp.271-277
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    • 2011
  • Recently increasing eco-efficiency of natural dyeing has become an important topic. The purpose of this study was to manufacture colored pulp for interior materials by combining color therapy and natural dyeing. For this purpose, through experiments with water-bleed, K/S value and chroma changes of samples in pulp for interior materials.

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VITAL PULP THERAPY USING PLATELET-RICH FIBRIN IN AN IMMATURE PERMANENT TOOTH : CASE REPORTS (미성숙 영구치에서 혈소판 농축 섬유소를 적용한 생활 치수 치료 : 증례보고)

  • Lee, Ka-Young;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.120-126
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    • 2013
  • Preserving the pulp is important in the treatment of carious pulp exposure in young permanent teeth. Pulpotomy is a vital pulp therapy in which a portion of the coronal pulp tissue is surgically removed, and the remaining radicular tissue is covered with suitable material that protects the pulp from further injury and permits and promotes healing. It is important to develop biocompatible treatment directed at maintaining pulp vitality and increasing tooth longevity. Platelet-rich fibrin (PRF) has been referred to as a second-generation platelet concentrate. Two clinical cases in which PRF was applied as a medicament after pulpotomy of an immature permanent tooth are presented. After isolation, caries removal and pulpotomy with PRF was performed. A layer of mineral trioxide aggregate (MTA) was placed over the PRF, and the final restoration was performed. Postoperatively, the patient had no pain or discomfort, and follow-up radiographs revealed normal periodontal ligament space and trabecular bone pattern.

ANTIMICROBIAL EFFECT OF MINOCYCLINE EMBEDDED IN POLYCAPROLACTONE ON NECROTIC CANAL (괴사치수 근관에서 항생제 국소약물송달제제의 항균효과에 관한 연구)

  • Kwon, Soo-Kyoung;Yoom, Soo-Han
    • Restorative Dentistry and Endodontics
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    • v.16 no.1
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    • pp.226-235
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    • 1991
  • Therapeutic use of antibiotics in the pulpal disease should reduce the clinical symptoms and pathogenic microflora in the pulp. The purpose of this study was focused on local drug delivery into the root canal in endodontic therapy. Monolithic films from polycaprolactone and polyethylene glycol preparations with minocycline were prepared, and then the antimicrobial effect of these films on necrotic canal was tested. A total 17 necrotized pulp teeth were sampled before and 1 week after insertion of film into the pulp. Bacterial culture were performed with anaerobical condition and seeded in the 5 selective and non - selective media for 7 days in $37^{\circ}C$ of anaerobic chamber. Bacterial identification were performed with Gram staining, biochemical test, and API kit There was significantly decreased of anaerobic and aerobic microflora of 13 among 17 patients after therapy. Among the identified microflora, Streptococcus species, black - pigmented species and Fusobacterium species were significantly reduced 1 week after treatment with local delivery antibiotics. Furthermore, clinical symptoms included in pain and local swelling were continuousely reduced after therapy. These results suggest that local drug delivery with minocycline is effeicient to treat the endodontic involved teeth for releasing clinical symptoms and microbiological shifting.

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Survival rate of stainless steel crown restorations according to depth of caries in primary molars (유구치에서 우식의 깊이에 따른 기성 금속관 수복물 생존율 연구)

  • Yoo, Hyunkyoung;Ra, Jiyoung;Lee, Jewoo
    • The Journal of the Korean dental association
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    • v.57 no.10
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    • pp.569-578
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    • 2019
  • The purpose of this retrospective study was to compare outcome of preformed stainless steel crown restorations according to depth of caries in primary molars. The study subjects consisted primary molars having dentin caries extending at least one-fourth of dentin without signs and symptoms of irreversible pulpitis. A total 295 primary molars received preformed stainless steel crown restorations without any base materials were included in this study. Survival rates were compared using a Kaplan-Meier analysis test. There was no significant difference between depth of caries and survival period in primary molars. And also there was no significant difference with or without pulp therapy. The results of this study suggest that neither the amount of caries nor pulp therapy affect the survival period of primary molars significantly. Proper restoration is more important to achieve sealing for stopping caries progression.

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AN EXPERIMENTAL STUDY ON THE EFFECTS OF DOG'S PULPAL HEALING AFTER COBALT-60 IRRADIATION (성견에 있어서 Cobalt-60 조사가 치수치유과정에 미치는 영향에 관한 연구)

  • Park, Dong-Soo
    • Restorative Dentistry and Endodontics
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    • v.9 no.1
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    • pp.15-24
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    • 1983
  • Irradiation is frequently employed as the sole therapy for oral cancer. These irradiated patients presents peculiar and progressive dental problems. But there is only scanty informations concerning specific approaches to endodontic treatment for head and neck cancer patients who have been subjected to tumorcidal doses of radiation therapy. The purpose of the present study was to determine the effects of cobalt-60 radiation on the pulpal healing of dogs after the direct pulp capping. As the experimental animals, 10 dogs (above 7-8 months after birth) were divided into 3 groups (Control, Group I, Group II). The cobalt-60 was irradiated to the Group I and Group II each 1,009 and 1,562.5 rads as single dose. As the capping material Dycal$^{(R)}$(L.D. Caulk company) was selected. After the direct pulp capping the dogs were sacrified 1, 2, 3, 4, week interval and made the original slides cut with a thickness of 8 microns and stained with hematoxylin and eosin. After examination and comparision of all specimen, the results of this study were drawn as follows; 1. The formation of reparative dentin was observed from the 1st week in the Control group, the 2nd week in the Group I & II. The few and irregular tuble structure was appeared in the 4th week in the Control group only, but failed in the Group I & II. 2. The continuity of dentin bridge was appeared in the 3rd week in all group and the degeneration of odontoblast in the 1st week of the Group II. 3. The congestion and hemorrhage in the pulp tissue were observed in all groups until 3rd week. The inflammation was appeared within the 2nd week in the Group I and especially marked in the Group II, but absent in the Control group. 4. In cases Dycal into the pulp tissue deeply, the local necrosis of pulp and decrease of dentin formation was observed.

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