• Title/Summary/Keyword: Resin canal

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Calcium silicate-based root canal sealers: a literature review

  • Lim, Miyoung;Jung, Chanyong;Shin, Dong-Hoon;Cho, Yong-bum;Song, Minju
    • Restorative Dentistry and Endodontics
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    • 제45권3호
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    • pp.35.1-35.17
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    • 2020
  • Epoxy resin-based sealers are currently widely used, and several studies have considered AH Plus to be the gold-standard sealer. However, it still has limitations, including possible mutagenicity, cytotoxicity, inflammatory response, and hydrophobicity. Drawing upon the advantages of mineral trioxide aggregate, calcium silicate-based sealers were introduced with high levels of biocompatibility and hydrophilicity. Because of the hydrophilic environment in root canals, water resorption and solubility of root canal sealers are important factors contributing to their stability. Sealers displaying lower microleakage and stronger push-out bond strength are also needed to endure the dynamic tooth environment. Although the physical properties of calcium silicate-based sealers meet International Organization for Standardization recommendations, and they have consistently reported to be biocompatible, they have not overcome conventional resin-based sealers in actual practice. Therefore, further studies aiming to improve the physical properties of calcium silicate-based sealers are needed.

만곡 근관에서 다양한 엔진 구동형 Nickel-Titanium 파일의 근관 성형능력에 대한 연구 (A Study on the Shaping Ability of Three Different Rotary Nickel-Titanium Instruments in Simulated Curved Root Canal)

  • 김경아;전성민;권수미;이광원;유미경
    • 구강회복응용과학지
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    • 제23권4호
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    • pp.293-302
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    • 2007
  • I. Objectives The purpose of this study was to compare the shaping ability between the single length technique performed with Mtwo instruments (VDW, Munich, Germany) and the crown-down technique using K3 (SybronEndo, West Collins, CA, USA) and RaCe (FKG, La Chaux-de-Fonds, Switzerland) instruments. II. Materials & Methods Forty five curved canals in resin blocks were equally divided in to three groups. Group 1 (Mtwo) was instrumented used the full length of canal according to the manufacturer's instructions. The simulated canals was prepared to an instrument size of 35, 0.04 taper canal terminus. In group 2 (Race) and group 3 (K3) was instrumented in a crown-down manner and prepared to an instrument size of 30, 0.06 taper canal terminus. Pre- and post-instrumentation images were scanned and assessment of canal shape was completed with a computer image analysis program. Material removal was measured at 7 measuring points, beginning 1mm from the end point of preparation. Differenced of centering ratio were statistically analyzed using One-way ANOVA followed by Duncan's test. II. Results & Conclusion There was no significant difference on 1, 2, 3 and 7mm measuring point. At 4 and 5 measuring point, significant difference showed between the Mtow instruments and other two instruments. (p<0.05)

Osteoplasty in Acute Vertebral Burst Fractures

  • Park, Sang-Kyu;Bak, Koang-Hum;Cheong, Jin-Hwan;Kim, Jae-Min;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.90-94
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    • 2006
  • Objective : Acute vertebral burst fractures warrant extensive fixation and fusion on the spine. Osteoplasty [vertebroplasty with high density resin without vertebral expansion] has been used to treat osteoporotic vertebral compression fractures. We report our experiences with osteoplasty in acute vertebral burst fractures. Methods : Twenty-eight cases of acute vertebral burst fracture were operated with osteoplasty. Eighteen patients had osteoporosis concurrently. Preoperative MRI was performed in all cases to find fracture level and to evaluate the severity of injury. Preoperative CT revealed burst fracture in the series. The patients with severe ligament injury or spinal canal compromise were excluded from indication. Osteoplasty was performed under local anesthesia and high density polymethylmethacrylate[PMMA] was injected carefully avoiding cement leakage into spinal canal. The procedure was performed unilaterally in 21 cases and bilaterally in 7 cases. The patients were allowed to ambulate right after surgery. Most patients discharged within 5 days and followed up at least 6 months. Results : There were 12 men and 16 women with average age of 45.3[28-82]. Five patients had 2 level fractures and 2 patients had 3 level fractures. The average injection volume was 5.6cc per level Average VAS [Visual Analogue Scale] improved 26mm after surgery. The immediate postoperative X-ray showed 2 cases of filler spillage into spinal canal and 4 cases of leakage into the retroperitoneal space. One patient with intraspinal leakage was underwent the laminectomy to remove the resin. Conclusion : Osteoplasty is a safe and new treatment option in the burst fractures. Osteoplasty with minimally invasive technique reduced the hospital stay and recovery time in vertebral fracture patients.

Influence of glide path on the screw-in effect and torque of nickel-titanium rotary files in simulated resin root canals

  • Ha, Jung-Hong;Park, Sang-Shin
    • Restorative Dentistry and Endodontics
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    • 제37권4호
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    • pp.215-219
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    • 2012
  • Objectives: The purpose of this study was to investigate the screw-in effect and torque generation depending on the size of glide path during root canal preparation. Materials and Methods: Forty Endo-Training Blocks (REF A 0177, Dentsply Maillefer) were used. They were divided into 4 groups. For groups 1, 2, 3, and 4, the glide path was established with ISO #13 Path File (Dentsply Maillefer), #15 NiTi K-file NITIFLEX (Dentsply Maillefer), modified #16 Path File (equivalent to #18), and #20 NiTi K-file NITIFLEX, respectively. The screw-in force and resultant torque were measured using a custom-made experimental apparatus while canals were instrumented with ProTaper S1 (Dentsply Maillefer) at a constant speed of 300 rpm with an automated pecking motion. A statistical analysis was performed using one-way analysis of variance and the Duncan post hoc comparison test. Results: Group 4 showed lowest screw-in effect ($2.796{\pm}0.134$) among the groups (p < 0.05). Torque was inversely proportional to the glide path of each group. In #20 glide path group, the screw-in effect and torque decreased at the last 1 mm from the apical terminus. However, in the other groups, the decrease of the screw-in effect and torque did not occur in the last 1 mm from the apical terminus. Conclusions: The establishment of a larger glide path before NiTi rotary instrumentation appears to be appropriate for safely shaping the canal. It is recommended to establish #20 glide path with NiTi file when using ProTaper NiTi rotary instruments system safely.

Push-out bond strength and dentinal tubule penetration of different root canal sealers used with coated core materials

  • Sungur, Derya Deniz;Purali, Nuhan;Cosgun, Erdal;Calt, Semra
    • Restorative Dentistry and Endodontics
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    • 제41권2호
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    • pp.114-120
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    • 2016
  • Objectives: The aim of this study was to compare the push-out bond strength and dentinal tubule penetration of root canal sealers used with coated core materials and conventional gutta-percha. Materials and Methods: A total of 72 single-rooted human mandibular incisors were instrumented with NiTi rotary files with irrigation of 2.5% NaOCl. The smear layer was removed with 17% ethylenediaminetetraacetic acid (EDTA). Specimens were assigned into four groups according to the obturation system: Group 1, EndoRez (Ultradent Product Inc.); Group 2, Activ GP (Brasseler); Group 3, SmartSeal (DFRP Ltd. Villa Farm); Group 4, AH 26 (Dentsply de Trey)/gutta-percha (GP). For push-out bond strength measurement, two horizontal slices were obtained from each specimen (n = 20). To compare dentinal tubule penetration, remaining 32 roots assigned to 4 groups as above were obturated with 0.1% Rhodamine B labeled sealers. One horizontal slice was obtained from the middle third of each specimen (n = 8) and scanned under confocal laser scanning electron microscope. Tubule penetration area, depth, and percentage were measured. Kruskall-Wallis test was used for statistical analysis. Results: EndoRez showed significantly lower push-out bond strength than the others (p < 0.05). No significant difference was found amongst the groups in terms of percentage of sealer penetration. SmartSeal showed the least penetration than the others (p < 0.05). Conclusions: The bond strength and sealer penetration of resin-and glass ionomer-based sealers used with coated core was not superior to resin-based sealer used with conventional GP. Dentinal tubule penetration has limited effect on bond strength. The use of conventional GP with sealer seems to be sufficient in terms of push-out bond strength.

C-shaped canal의 절단면 분석을 통한 근관형태의 변화와 근관과 치아외벽간의 최소거리 분석에 관한 연구 (CROSS-SECTIONAL MORPHOLOGY AND MINIMUM CANAL WALL WIDTHS IN C-SHAPED ROOT OF MANDIBULAR MOLARS)

  • 송병철;조용범
    • Restorative Dentistry and Endodontics
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    • 제32권1호
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    • pp.37-46
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    • 2007
  • C-shape 근관은 주로 하악 제 2대구치에서 보이는 해부학적 변이 형태로서, 그 특징은 각 근관을 연결하는 fin이나 web이 존재한다. 이런 해부학적으로 복잡함은 근관치료시에 세정과 성형 및 근관충전을 방해하며, 과다한 기구 조작시에 뜻하지 않는 천공을 유발하기도 한다. 이 연구의 목적은 C-shape 치근을 가진 하악 제2 대구치의 해부학적인 형태와 치근의 위치에 따른 최소 근관벽 두께에 대하여 연구하고자 하였다. 발거된 하악 대구치중 C-shape 치근을 가진 치아를 30개 선별하여 방사선 사진 및 협측, 설측, 치근단 부위를 디지털 카메라를 이용하여 촬영하였다. 자가 중합형 교정용 레진 (Orthodontics resin, Densply/Caulk, U.S.A)을 이용하여 치관부를 제거한 치아를 매몰한 후 각각의 시편을 Accutom-50 (Struers, Denmark)에 고정시켜 1 mm 간격으로 절단, 연마한 다음 절단면을 수술용현미경에 연결된 디지털 카메라 (Coolpix 995, Nikon, Tokyo, Japan)를 이용하여 각각의 상을 촬영하였다. 30개 치아에서 촬영한 197개의 치아단면을 Root thickness gauge program을 이용하여 근관형태의 변화를 분류하고 부위별 근관과 치아외벽 사이에 존재하는 상아질의 최소두께에 대해 연구 분석하였다. 1. 근관입구에서 C I이 가장 많이 (73%) 관찰되었으나 치근단부로 갈수록 근관 형태의 다양한 변화를 보여 C II와 C III의 근관형태가 많이 관찰되었으며, 11 개의 (36%)치아에서는 근관입구에서 치근단부까지 근관형태의 변화를 보이지 않았다. 근관입구에서 단지 2개의 치아에서 나타난 C III type은 치근단부로 갈수록 높은 발현빈도를 나타내었다. 2. C-shape 근관은 근관입구 부위에서는 continuous 나 semicolon canal을 가지나 치근단부로 갈수록 2개나 3개의 근관을 갖는 경우가 많다. 3.평균적인 근관과 치질사이의 최소거리는 근첨부의 설측부위에서 나타났다.

하악 절치의 근관계에 관한 연구 (THE CANAL SYSTEM OF MANDIBULAR INCISORS)

  • 임은미;최호영;박상진;최기운
    • Restorative Dentistry and Endodontics
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    • 제27권4호
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    • pp.432-440
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    • 2002
  • The purpose of this study is to identificate root canal system including ideal access placement, root curvature, canal configuration, incidence of isthmus in mandibular incisors for success of endodontic treatment. 200 mandibular incisors were selected. The ideal access placement was determimed as follows. The teeth there radiographed from mesiodistal and buccolingual views using intraoral dental film. The image was divided into coronal, middle and apical third using the proximal film. Straight line access was determined by measuring the faciolingual canal width and placing points at midway point between the buccal and lingual wall at the junction of the middle and apical third and at the juntion of coronal and middle third of the root canal. A line was drawn connecting these two points extending through the crown of the tooth. The point at which the line crossed the external crown surface was recorded as facial, incisal, lingual. Degree of root curvature was determined by Schneider Protractor Method. Both section method and clearing method were used in this study. By section method, 100 mandibular incisors were embedded in clear resin and transeverse serial sectioned at 0.5, 1.0, 2.0, 3.0, 4.0, 5.0mm level from root apex. The resected surfaces were stained by methylene blue and examined under $\times$40 magnification with a stereomicroscope. By clearing method, 100 mandibular incisors were cleared in methysalicylate after decalcification with 10% nitric acid and evaluated under $\times$18 magnification with a stereomicroscope. The results were as follows ; 1. 29% had the center of the plotted straight-line access facial to incisal edge, whereas 71% had straight-line access at the incisal edge. When incisal wear classified as extensive, the straight-line access was plotted on the incisal edge 95.5%. When incisal wear classified as slight/none, the straight-line access was plotted on the facial 65.9%. 2. Degree of curvature of main canal was straight or almost straight, and only 10% in buccolingual direction had a degree of curvature greater than 20 degrees and 5.5% in mesiodistal direction had. 3. In section method, canal configuration analysis showed that 51% of the specimen classified as type I, 27% as type II, 12% as type III, 10% as type IV. For theses setions with two canals, the incidence of an isthmus was 36.7%, 64.3%, 79.2%, 96.3%, 97.4%, 97.6% at each level and highest in 3~5mm sections. 4. In clearing method, canal configuration analysis showed that 74% of the specimen classified as type I, 11% as type II, 6% as type III, 9% as type IV. These results suggested that traditional access from lingual should be moved as far toward the incisal as possible to locate and debride the lingual canal and root canal system should be cleaned, shaped completely and obturated three dimensionally for successful endodontic treatment.

근관 충전용 MTA의 밀폐 효과와 작업 시간 평가 (Evaluation of Sealing Effect and Working Time of Root Canal Filling MTA Materials)

  • 김효진;김영진;남순현;권태엽;김현정
    • 대한소아치과학회지
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    • 제43권2호
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    • pp.129-136
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    • 2016
  • 본 연구의 목적은 근관 충전재로서 MTA(Endoseal, Endoseal MTA)의 밀폐 효과와 효율을 평가하는 것이다. 총 106개의 발거된 단근치가 사용되었으며, 충전된 실러에 따라 AH군(AH-26), PR군(ProRoot MTA), ES군(Endoseal), EM군(Endoseal MTA)으로 나누어졌고, 모든 충전시 소요 시간이 측정되었다. 그 군들은 다시 A 하위군, B 하위군으로 나누어 근관벽과의 밀폐성과 상아세관내 실러의 침투도를 각각 평가하였다. 결과는 근관 충전용 MTA는 AH-26에 비해 근관벽과의 밀폐성과 상아세관 침투도는 떨어졌으며, ProRoot MTA와 비교시 근관벽과의 밀폐성은 차이가 없었지만, 상아세관 침투도는 높았다. 작업 시간은 근관 충전용 MTA가 ProRoot MTA와 AH-26에 비해 짧았다. 결론적으로 근관 충전용 MTA는 레진계 실러보다 근관 밀폐 효과는 떨어지지만 MTA가 필요한 근관 충전시 효과적인 대안이 될 수 있다.

만곡근관의 확대시 기구에 따른 형태변화에 관한 연구 (TRANSPORTATION OF CURVED CANAL AFTER CANAL ENLARGEMENT ACCORDING TO FILING INSTRUMENTS)

  • 이석종;신영근;황호길
    • Restorative Dentistry and Endodontics
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    • 제24권3호
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    • pp.503-510
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    • 1999
  • The purpose of this study was to evaluate the amount of transportation of original canal, zip formation, permanent deformation and fracture of instruments after canal enlargement. In this study, the 60 resin blocks that have curved canals were randomly divided into 3 experimental groups with 20 teeth each according to instrument types and filling methods for canal enlargement. The curved canals of each experimental groups were enlarged to No 40 ISO size with the K-flexo stainless steel file (Group 1), Engine-driven Ni-Ti Profile new series(Group 2) and Engine-driven Ni-Ti Quantec 2000 series(Group 3) according to the manufacturer's recommendation. Pre- and postoperative X-rays were taken at same position and the films were scanned and the canal images were traced to determine the canal curvature according to the method of Schneider. The amount of reduction in canal curvature were calculated between pre- and postoperative X-rays. In addition to zip formation, permanent deformation and fracture of instruments were examined after canal enlargement. The results were as follows : 1. All experimental groups showed some loss of canal curvature after instrumentation. There was a significant change in curvature between before and after instrumentation in each group(p<0.001). 2. Engine-driven Ni-Ti instrumentations resulted in an average loss of curvature of 2.36 degrees for Profile new series, 3.43 degrees for Quantec series, and hand instrumentation showed an average loss of curvature of 6.48 degrees for K-flexo file. There was a statistical significant difference between hand instrumentation and engine-driven Ni-Ti instrumentations(p<0.05). But there was no statistical difference between Profile new series and Quantec series. 3. There were many apical zip formations in group 1(Hand instrumentation). But there were no apical zip formations in group 2,3(Engine-driven Ni-Ti instrumentation). 4. The instrument deformation occured 9 cases in group 1(K-flexo file), 2 cases in group 2(Profile new series) and 3 cases in group 3(Quantec) after instrumentation. And the instrument fracture occured 1 case in each group. The results showed that the engine-driven Ni-Ti instruments, if we use carefully according to manufacturer's recommendations, can be use effectively for instrumenting the curved root canals in case of the MAF was over size 40.

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울진 금강송재의 재질: 수지구 및 방사조직의 출현형태 (Property of Uljin-Geumgangsong Wood (Pinus densiflora forma erecta Uyeki): Appearance Pattern of Resin Canal and Ray)

  • 김동우;황성욱;이원희
    • Journal of the Korean Wood Science and Technology
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    • 제42권1호
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    • pp.78-87
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    • 2014
  • 울진산 금강송재의 재질발현 수령의 판단기준에 대해 검토하기 위해, 소나무(Pinus densiflora Sieb. et Zucc.)와 울진금강송(Pinus densiflora forma erecta Uyeki) 대표목의 물리적 성질을 조사한 결과, 다음과 같은 결과를 얻었다. 울진금강송의 기건밀도는 소나무재보다 약 20% 이상 높았다. 또한 심재율은 70% 이상이었다. 단위면적($1mm^2$)당 수직수지구의 분포수는 0.3개로서 울진금강송이 소나무보다 약 40% 높았다. 수직수지구의 평균 직경은 소나무 $67.8{\mu}m$, 울진금강송 $67.3{\sim}69.9{\mu}m$로서 수종 간 큰 차이는 없었으며, 연륜수가 증가함에 따라 직경도 함께 증가하는 경향이 나타났다. 수평수지구의 분포수는 울진금강송-1이 소나무와 울진금강송-2 보다 약 55% 높은 값을 나타내었다. 소나무와 울진금강송-2의 수지구 분포수는 연륜이 증가함에 따라 감소하였으나, 울진금강송-1은 연륜 증가와 함께 증가하는 상반된 결과를 나타내었다. 방사조직 분포수는 수종 간의 뚜렷한 차이가 나타나지 않았으며, 동일 수종 내 조재와 만재 사이에서도 차이가 없었다. 연륜이 증가함에 따라 소나무와 울진금강송 모두 방사조직의 분포수가 감소하였다. 방사조직의 세포고는 소나무가 비교적 높았으며, 조재와 만재 사이의 차이는 없었다. 본 연구결과, 울진금강송의 재질발현 기준 수령은 약 150년인 것으로 판단되었다.