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The reduction methods of operator's radiation dose for portable dental X-ray machines

  • Cho, Jeong-Yeon;Han, Won-Jeong
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.160-164
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    • 2012
  • Objectives: This study was aimed to investigate the methods to reduce operator's radiation dose when taking intraoral radiographs with portable dental X-ray machines. Materials and Methods: Two kinds of portable dental X-ray machines (DX3000, Dexcowin and Rextar, Posdion) were used. Operator's radiation dose was measured with an 1,800 cc ionization chamber (RadCal Corp.) at the hand level of X-ray tubehead and at the operator's chest and waist levels with and without the backscatter shield. The operator's radiation dose at the hand level was measured with and without lead gloves and with long and short cones. Results: The backscatter shield reduced operator's radiation dose at the hand level of X-ray tubehead to 23 - 32%, the lead gloves to 26 - 31%, and long cone to 48 - 52%. And the backscatter shield reduced operator's radiation dose at the operator's chest and waist levels to 0.1 - 37%. Conclusions: When portable dental X-ray systems are used, it is recommended to select X-ray machine attached with a backscatter shield and a long cone and to wear the lead gloves.

Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography

  • Karanxha, Lorena;Kim, Hee-Jin;Hong, Sung-Ok;Lee, Wan;Kim, Pyung-Sik;Min, Kyung-San
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.175-179
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    • 2012
  • The aim of this study was to present a method for endodontic management of a maxillary first molar with unusual C-shaped morphology of the buccal root verified by cone-beam computed tomography (CBCT) images. This rare anatomical variation was confirmed using CBCT, and nonsurgical endodontic treatment was performed by meticulous evaluation of the pulpal floor. Posttreatment image revealed 3 independent canals in the buccal root obturated efficiently to the accepted lengths in all 3 canals. Our study describes a unique C-shaped variation of the root canal system in a maxillary first molar, involving the 3 buccal canals. In addition, our study highlights the usefulness of CBCT imaging for accurate diagnosis and management of this unusual canal morphology.

Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus

  • Ali, Afzal;Arslan, Hakan
    • Restorative Dentistry and Endodontics
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    • v.44 no.4
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    • pp.38.1-38.8
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    • 2019
  • Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.

Cyclic fatigue resistance of the WaveOne Gold Glider, ProGlider, and the One G glide path instruments in double-curvature canals

  • Kirici, Damla;Kustarci, Alper
    • Restorative Dentistry and Endodontics
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    • v.44 no.4
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    • pp.36.1-36.6
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    • 2019
  • Objectives: The aim of this study was to compare the cyclic fatigue resistance of the WaveOne Gold Glider, ProGlider and One G glide path instruments in artificial doublecurvature canals. Materials and Methods: This study included 15 WaveOne Gold Glider (size 15/0.08), 15 ProGlider (size 16/0.08), and 15 One G (size 16/0.06) nickel titanium files. The files were used in accordance with the manufacturer's instructions until they were broken in artificial double-curvature canals made of stainless steel. The time to fracture was recorded via a digital stopwatch and the number of rotations until fracture was also calculated. The data were statistically analyzed via the Kruskal-Wallis test. Results: The highest average number of rotations until fracture of the files was found for the WaveOne Gold Glider, followed by ProGlider and One G in order. Statistically significant differences were present between all groups of files (p < 0.05). Conclusions: In our study, the resistance of the WaveOne Gold Glider nickel-titanium (Ni-Ti) file to cyclic fatigue in S-shaped curved canals was found to be higher than that of the ProGlider and One G Ni-Ti files.

Smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation

  • Poletto, Daniel;Poletto, Ana Claudia;Cavalaro, Andressa;Machado, Ricardo;Cosme-Silva, Leopoldo;Garbelini, Cassia Cilene Dezan;Hoeppner, Marcio Grama
    • Restorative Dentistry and Endodontics
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    • v.42 no.4
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    • pp.324-331
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    • 2017
  • Objectives: This study evaluated smear layer removal by different chemical solutions used with or without ultrasonic activation after post preparation. Materials and Methods: Forty-five extracted uniradicular human mandibular premolars with single canals were treated endodontically. The cervical and middle thirds of the fillings were then removed, and the specimens were divided into 9 groups: G1, saline solution (NaCl); G2, 2.5% sodium hypochlorite (NaOCl); G3, 2% chlorhexidine (CHX); G4, 11.5% polyacrylic acid (PAA); G5, 17% ethylenediaminetetraacetic acid (EDTA). For the groups 6, 7, 8, and 9, the same solutions used in the groups 2, 3, 4, and 5 were used, respectively, but activated with ultrasonic activation. Afterwards, the roots were analyzed by a score considering the images obtained from a scanning electron microscope. Results: EDTA achieved the best performance compared with the other solutions evaluated regardless of the irrigation method (p < 0.05). Conclusions: Ultrasonic activation did not significantly influence smear layer removal.

Effect of three nanobiomaterials on microhardness of bleached enamel

  • Khoroushi, Maryam;Shirban, Farinaz;Kaveh, Sara;Doustfateme, Samaneh
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.196-201
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    • 2016
  • Objectives: The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. Materials and Methods: The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens ($2{\times}3{\times}4 mm$) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Results: Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001). Conclusions: Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

Esthetic enhancement of a traumatized anterior tooth with a combination of forced eruption and tooth alignment: a case report

  • Kang, So-Hee;Ha, Jung-Hong;Jin, Myoung-Uk;Kim, Sung-Kyo;Kim, Young-Kyung
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.210-217
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    • 2016
  • Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result.

Application of quantitative light-induced fluorescence to determine the depth of demineralization of dental fluorosis in enamel microabrasion: a case report

  • Park, Tae-Young;Choi, Han-Sol;Ku, Hee-Won;Kim, Hyun-Su;Lee, Yoo-Jin;Min, Jeong-Bum
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.225-230
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    • 2016
  • Enamel microabrasion has become accepted as a conservative, nonrestorative method of removing intrinsic and superficial dysmineralization defects from dental fluorosis, restoring esthetics with minimal loss of enamel. However, it can be difficult to determine if restoration is necessary in dental fluorosis, because the lesion depth is often not easily recognized. This case report presents a method for analysis of enamel hypoplasia that uses quantitative light-induced fluorescence (QLF) followed by a combination of enamel microabrasion with carbamide peroxide home bleaching. We describe the utility of QLF when selecting a conservative treatment plan and confirming treatment efficacy. In this case, the treatment plan was based on QLF analysis, and the selected combination treatment of microabrasion and bleaching had good results.

Theorie des Spracherwerbs und der Erwerb des Deutschen (언어습득론과 독일어의 습득)

  • Hong Upyong
    • Koreanishche Zeitschrift fur Deutsche Sprachwissenschaft
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    • v.2
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    • pp.343-370
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    • 2000
  • Im Rahmen der Prinzipien- und Parametertheorie (PPT) stellt man sich vor, $da\ss$ dem Menschen die Universalgrammatik (UG) angeboren ist, die aus einer kleinen Anzahl sprachuniversieller Prinzipien und je nach der Sprache unterschiedlich zu belegender offener Parameter besteht. Die UG Prinzipien $m\"{u}ssen$ demnach nicht gelemt werden; sie bilden von vomherein eine invariante Komponente des sprachlichen Wissens. $Demgegen\"{u}ber$ sollen die jeweilige Parameter der UG im Verlauf des Spracherwerbs aufgrund des sprachlichen Inputs mit Werten der Zielsprache belegt werden. Nach dieser Ansicht ist der Spracherwerb im Grunde als $Proze{\ss}$ der 'Parameterbelegungen' aufzufassen. In der vorliegenden Arbeit ist demonstriert worden, $da{\ss}$ die PPT eine vielversprechende Grundlage fur die empirische Untersuchung zum Erwerb des Deutschen bietet. Bisherige Ergebnisse aus Untersuchungen zum Erwerb der Reflexiv-Bindung beim Erst- sowie Zweitspracherwerb wurden vorgestellt und im Hinblick auf die $M\"{o}glichkeit$ der weiteren Untersuchung zum Zweitspracherwerb des Deutschen durch Koreaner diskutiert. Der Schwerpunkt der Diskussion wurde auf die Frage gelegt, wie die Theorie des Parameters mit Ergebnissen aus Untersuchungen zur Parameterbelegung beim Spracherwerb interagiert. Auf psychologisch bzw. kognitionswissenschaftlich orientierte $Ans\"{a}tze$ zum Spracherwerb konnte in der vorliegenden Arbeit nicht eingagangen werden. Durch die $Mitber\"{u}cksichtigung\;beider\;Ans\"{a}tze\;w\"{u}rde$ jedoch das Thema 'der Erwerb des Deutschen' die Angewandte Deutsche Sprachwissenschaft in Korea noch mehr anreichern.

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Hypoesthesia after IAN block anesthesia with lidocaine: management of mild to moderate nerve injury

  • Moon, Sungjoo;Lee, Seung-Jong;Kim, Euiseong;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.4
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    • pp.232-235
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    • 2012
  • Hypoesthesia after an inferior alveolar nerve (IAN) block does not commonly occur, but some cases are reported. The causes of hypoesthesia include a needle injury or toxicity of local anesthetic agents, and the incidence itself can cause stress to both dentists and patients. This case presents a hypoesthesia on mental nerve area followed by IAN block anesthesia with 2% lidocaine. Prescription of steroids for a week was performed and periodic follow up was done. After 1 wk, the symptoms got much better and after 4 mon, hypoesthesia completely disappeared. During this healing period, only early steroid medication was prescribed. In most cases, hypoesthesia is resolved within 6 mon, but being aware of etiology and the treatment options of hypoesthesia is important. Because the hypoesthesia caused by IAN block anesthesia is a mild to moderate nerve injury, early detection of symptom and prescription of steroids could be helpful for improvement of the hypoesthesia.