• Title/Summary/Keyword: Restorative treatment

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THE CHANGES IN PRACTICE PATTERN AND PATIENT DISTRIBUTION FOR LAST 5 YEARS(2000-2005) IN THE DEPARTMENT OF PEDIATRIC DENTISTRY AT SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (최근 5년간(2000-2005) 서울대학교 치과병원 소아치과의 진료현황 변화 및 신환분포에 대한 조사)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Kim, Chong-Chul;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.673-677
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    • 2006
  • The spectrum of pediatric dentistry has been changing recently, due to many socioeconomic changes and developments in dental materials. The purpose of this study was to recognize the changing pattern in pediatric dental treatment and to present the direction for pediatric dentistry in the future. Patient distribution and practice trends were reviewed based on the patient records of the department of pediatric dentistry, Seoul National University Dental Hospital, from 2000 to 2005. Results were as follows ; 1. In 2000, preventive treatments comprised 14.5%, restorative treatments 52.6%, surgical treatments 11.4% and orthodontic treatments 21.5%. In 2005, the percentages were changed to 12.1%, 38.3%, 13.7%, and 35.9% respectively, showing a decline in preventive and restorative treatments and an increase in surgical and orthodontic treatments. 2. In restorative treatments, the proportion of amalgam, stainless steel crown restoration and pulp treatments decreased, and that of glass ionomer and resin restoration increased. 3. The number of out-patients increased from 2000 to 2002, and decreased thereafter. 4. In 2005, the average age of patients decreased from that of 2000.

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Effect of Early Waterproof on Color Stability and Translucency Change of Glass-ionomer Cement (초기 방습이 글래스아이오노머 시멘트의 색안정성 및 투명도 변화에 미치는 영향)

  • Jeong, Seon-Wa;Kim, Sun-Hun;Oh, Won-Mann
    • Restorative Dentistry and Endodontics
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    • v.19 no.1
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    • pp.124-134
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    • 1994
  • The shade of restorative materials is very important for successful restoration esthetically harmonized with the natural tooth. The purpose of this study was to evaluate the color stability and the opacity change of conventional chemical setting and visible light curing glass-ionomer cements for restorative esthetic filling. Specimens of each brand (GC Fuji II and Fuji II LC) were uniformly prepared and divided into three groups: In group l(control group), the specimens received no surface treatment; in group 2, the specimens were coated with varnish and the excess gently blown off; and in group 3. the specimens were coated with light-cured bonding resin and irradiated by a visible light curing unit for 20 seconds on both sides. All specimens were stored in distilled water at $37^{\circ}C$ and checked after for 24 hours. 2 months. 4 months, 6 months. and 8 months. The color characteristics($L^*,\;a^*,\;b^*$) and the opacity(Y%) of all the samples were measured by a spectrocolorimeter and the total color differences(${\Delta}E^*$) and opacity changes(${\Delta}Y%$) were computed. The following results were obtained : 1. The total tolor differences in all groups increased with time. 2. The total color differences of the LC groups after immersion for 8 months in distilled water at $37^{\circ}C$ were lower than those of GC groups(p<0.01), and the total color differences of the varnish or the light-cured bonding resin coated groups were lower than those of the control group with glass-ionomer cements which had no surface treatment(p<0.01). 3. In all groups the translucency decreased with time. 4. In the control group and the varnish coating group. the opacity changes of the GC groups were lower than those of the LC groups(p<0.01) and in the light-cured bonding resin coated group, there was no significant difference between the GC group and the LC group. 5. The opacity changes of the varnish or the light-cured bonding resin coated groups were lower than those of the control group(p<0.01). These results suggest that color change and opacity of conventional chemical setting and light cured glass-ionomer cement were increased with time, and the color changes and the opacity changes of a control group after immersion for 8 months in distilled water at $37^{\circ}C$ were greater than those of the varnish or the light-cured bonding resin coated groups.

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The effect of tooth bleaching agent contained 15% carbamide peroxide on the color, microhardness and surface roughness of tooth-colored restorative materials by using pH cycling model (pH 순환 모형을 이용하여 15% 과산화요소를 함유한 치아미백제가 심미수복재의 색, 미세경도 및 거칠기에 미치는 영향)

  • Park, So-Young;Song, Min-Ji;Jeon, Su-Young;Kim, Sun-Young;Shim, Youn-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.351-360
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    • 2013
  • Objectives : The purpose of this study was to evaluate the effects of tooth bleaching agent contained 15% carbamide peroxide on the color, microhardness and surface roughness of tooth-colored restorative materials by using pH cycling model. Methods : Four types of tooth-colored restorative materials, including a composite resin(Filtek Z350 ; Z350), a flowable composite resin(Filtek P60 : P60), a compomer(Dyract$^{(R)}$ AP ; DY), and a glass-ionomer cement(KetacTM Molar Easymix ; KM). were used in the study. Eighty-eight specimens of each material were fabricated, randomly divided into two groups(n=44): experimental group(15% carbamide peroxide) and control group(distilled water). These groups were then divided into four subgroups(n=11). All groups were bleached 4 hours per day for 14 days using pH cycling model. The authors measured the color, microhardness, and roughness of the specimens before and after bleaching. The data were analyzed with ANOVA and T-test. Results : Z350 and P60 showed a slight color change(${\Delta}E^*$), whereas DY and KM showed significantly color change(p<0.05). Among them, the greatest color change was observed in DY. Percentage microhardness loss(PML) of the distilled water group was 1.8 to 5.1%, and 15% peroxide peroxide group was 5.0 to 25.2%. Microhardness of DY and KM showed a statistically significant decrease(p<0.05). Roughness was increased in all groups after bleaching. Z350 and P60 does not have a significant difference(p>0.05), however DY and KM significantly increased more than the 0.2 ${\mu}m$(p<0.05). Conclusions : The effects of bleaching on restorative materials were material dependent. It is necessary to consider the type of the material before starting the treatment.

Low-temperature aging and drying treatments of restorative rice to improve its microbial safety and texture (복원용 밥의 미생물 안전성 및 식감 향상을 위한 저온 숙성 및 건조 처리)

  • Cheon, Hee Soon;Cho, Won-Il;Chung, Myong-Soo;Choi, Jun-Bong
    • Korean Journal of Food Science and Technology
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    • v.51 no.1
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    • pp.29-34
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    • 2019
  • In this study, a commercial production stepwise method for restorative rice with high quality and microbial safety was developed. The stepwise treatment method included steaming, refrigerated aging, and low temperature drying. The soaking rice was steamed twice at $90-100^{\circ}C$, and then, the rice was aged at $0-10^{\circ}C$, frozen at $-20^{\circ}C$, and dried at low temperatures with 5 m/s wind speed at $1-20^{\circ}C$ and 85% relative humidity. Applying the three steps improved sensory qualities compared with the conventional hot air drying and made storage at room temperature for 3 months possible. Specifically, the moisture content of the restorative rice was increased to 30%, which was 4.3 times higher than the 7% of the conventional air dried rice, and the rice grain shape was well maintained. The texture and appearance of the three-step rice were significantly improved (p<0.05) in a sensory evaluation.

CBCT-based assessment of root canal treatment using micro-CT reference images

  • Lamira, Alessando;Mazzi-Chaves, Jardel Francisco;Nicolielo, Laura Ferreira Pinheiro;Leoni, Graziela Bianchi;Silva-Sousa, Alice Correa;Silva-Sousa, Yara Terezinha Correa;Pauwels, Ruben;Buls, Nico;Jacobs, Reinhilde;Sousa-Neto, Manoel Damiao
    • Imaging Science in Dentistry
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    • v.52 no.3
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    • pp.245-258
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    • 2022
  • Purpose: This study compared the root canal anatomy between cone-beam computed tomography (CBCT) and micro-computed tomography (micro-CT) images before and after biomechanical preparation and root canal filling. Materials and Methods: Isthmus-containing mesial roots of mandibular molars(n=14) were scanned by micro-CT and 3 CBCT devices: 3D Accuitomo 170 (ACC), NewTom 5G (N5G) and NewTom VGi evo (NEVO). Two calibrated observers evaluated the images for 2-dimensional quantitative parameters, the presence of debris or root perforation, and filling quality in the root canal and isthmus. The kappa coefficient, analysis of variance, and the Tukey test were used for statistical analyses(α=5%). Results: Substantial intra-observer agreement (κ=0.63) was found between micro-CT and ACC, N5G, and NEVO. Debris detection was difficult using ACC (42.9%), N5G (40.0%), and NEVO (40%), with no agreement between micro-CT and ACC, N5G, and NEVO (0.05<κ<0.12). After biomechanical preparation, 2.4%-4.8% of CBCT images showed root perforation that was absent on micro-CT. The 2D parameters showed satisfactory reproducibility between micro-CT and ACC, N5G, and NEVO (intraclass correlation coefficient: 0.60-0.73). Partially filled isthmuses were observed in 2.9% of the ACC images, 8.8% of the N5G and NEVO images, and 26.5% of the micro-CT images, with no agreement between micro-CT and ACC, and poor agreement between micro-CT and N5G and NEVO. Excellent agreement was found for area, perimeter, and the major and minor diameters, while the roundness measures were satisfactory. Conclusion: CBCT images aided in isthmus detection and classification, but did not allow their classification after biomechanical preparation and root canal filling.

Autogenous tooth transplantation for replacing a lost tooth: case reports

  • Kang, Ji-Youn;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann;Lee, Bin-Na
    • Restorative Dentistry and Endodontics
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    • v.38 no.1
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    • pp.48-51
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    • 2013
  • The autogenous tooth transplantation is an alternative treatment replacing a missing tooth when a suitable donor tooth is available. It is also a successful treatment option to save significant amount of time and cost comparing implants or conventional prosthetics. These cases, which required single tooth extraction due to deep caries and severe periodontal disease, could have good results by transplanting non-functional but sound donor tooth to the extraction site.

New Application of Endosseous Implants - Implant Mediated Drug Delivery System(IMDDS) (임상가를 위한 특집 3 - 임플란트의 새로운 응용 - 임플란트 매개 약물 전달 시스템)

  • Park, Young-Seok;Lee, Shin-Jae;Hwang, Chee Il
    • The Journal of the Korean dental association
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    • v.52 no.9
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    • pp.550-557
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    • 2014
  • The restorative treatment with dental implants in edentulous patients has been a well documented treatment modality proven in experimental studies and long-term clinical investigations. The aim of this paper is to introduce the implant mediated drug delivery system as a novel application of endosseous implants. The system is composed of hollow cylindric implants which has multiple microholes for drug delivery. For this purpose, the general outlines of drug delivery system and drug delivery route is discussed briefly. In addition, this paper deals with the results of experiments done up to now and the future perspective of the system.

Management of failed periodontal surgical intervention for a furcal lesion with a nonsurgical endodontic approach

  • Asgary, Saeed;Fazlyab, Mahta
    • Restorative Dentistry and Endodontics
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    • v.39 no.2
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    • pp.115-119
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    • 2014
  • As long as the prognosis of teeth remains a matter of concern, the endodontic-periodontal relationship will be considered a challenge for the clinician. Many etiologic factors, including bacteria, fungi, and viruses, plus other contributing factors, such as trauma, root resorptions/perforations, and dental malformations, play a role in the co-occurrence of endodontic and periodontal lesions. Whatever the cause, a correct diagnosis on which to base the treatment plan is the key to successful maintenance of the tooth. This article reports the successful endodontic management of a furcation lesion in a mandibular molar that was nonresponsive to a previous periodontal surgical graft. The case had presented a diagnostic challenge for the clinicians, and this article reviews the key points that can lead to a correct diagnosis and treatment planning.

Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report

  • Hwang, Soon-Kong;Ha, Jung-Hong;Jin, Myoung-Uk;Kim, Sung-Kyo;Kim, Young-Kyung
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.165-169
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    • 2012
  • Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin

  • Shin, Joo-Hee;Kim, Ryan Jin-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.180-184
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    • 2012
  • Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.