• Title/Summary/Keyword: Root filling

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Clinical evaluation of tooth replantation and transplantation of old patients (노인 환자에 있어서 치아 재식술 및 이식술의 임상적 고찰)

  • Ha, Jung-Hong;Jin, Myoung Uk
    • The Journal of the Korean dental association
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    • v.50 no.8
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    • pp.507-515
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    • 2012
  • The purpose of this article is to discuss the effect of aging on the treatment of replantation and transplantation of teeth in old patients. I case of replantation and 2 cases of transplantations in old patients are reported in this article. Patients aged 65 and over are included. They had several problems such as periapical lesion, crack or foot fractures. In those cases, the replantation and transplantation were treatment of choice. White ProRoot MTA was used in apical retrograde filling and perforation repair. After replantation and transplantation of teeth, follow-up visits showed signs of healing in 3 cases. Considerations and indications for replantation and transplantation are not much affected by age. Old patients are aware that replantation and transplantation can be performed comfortably and that age is not a factor in prediction success.

Comparison of apical seal with or without the use of dentin adhesive system

  • Lee, Min-Jo;Choi, Kyoung-Kyu;Choi, Gi-Woon
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.600-600
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    • 2003
  • I. Objectives Effective endodontic obturation must provide a complete, three-dimensional filling of the root canal system, preventing the communication of fluids between root canal and surrounding periapical tissues. The objective of this study was to compare the apical leakage with or without the use of dentin adhesive system. II. Materials and Methods Forth extracted human teeth with single canals were decoronated. Root canals were instrumented using GT rotary files and Profile .04 file up to #40, 1mm short of the apex. After each instrumentation, copious irrigation with 5.25% sodium hypochlorite solution and confirmation of apical patency were performed.(omitted)

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Maxillary first molar with 7 root canals diagnosed using cone-beam computed tomography

  • Rodrigues, Evaldo;Braitt, Antonio Henrique;Galvao, Bruno Ferraz;da Silva, Emmanuel Joao Nogueira Leal
    • Restorative Dentistry and Endodontics
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    • v.42 no.1
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    • pp.60-64
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    • 2017
  • Root canal anatomy is complex, and the recognition of anatomic variations could be a challenge for clinicians. This case report describes the importance of cone beam computed tomographyic (CBCT) imaging during endodontic treatment. A 23 year old woman was referred by her general dental practitioner with the chief complaint of spontaneous pain in her right posterior maxilla. From the clinical and radiographic findings, a diagnosis of symptomatic irreversible pulpitis was made and endodontic treatment was suggested to the patient. The patient underwent CBCT examination, and CBCT scan slices revealed seven canals: three mesiobuccal (MB1, MB2, and MB3), two distobuccal (DB1 and DB2), and two palatal (P1 and P2). Canals were successfully treated with reciprocating files and filled using single-cone filling technique. Precise knowledge of root canal morphology and its variation is important during root canal treatment. CBCT examination is an excellent tool for identifying and managing these complex root canal systems.

Nerve Injury from Overfilled Calcium Hydroxide Root Canal Filling Paste for Maxillary Lateral Incisor Endodontic Treatment (상악 측절치 근관치료 중 수산화칼슘 호제근충제 과충전으로 인하여 발생한 신경손상의 치험례)

  • Na, Kwang Myung;Kim, Jong-Bae;Chin, Byung-Rho;Kim, Jin-Wook;Kim, Chin-Soo;Kwon, Tae-Geon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.4
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    • pp.260-264
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    • 2013
  • Calcium hydroxide root canal filing paste (vitapex) is widely used as canal filling paste for infected canal. However, chemical burn is possible because of the high alkali base of calcium hydroxide. A 57-year old woman was admitted to our clinic for consistent dull pain and paresthesia in the left upper lip, zygoma and buccal cheek area, which developed during an endodontic treatment of the left lateral incisor. Radiographic finding showed radiopaque material, which exits from the left incisor root apex, and was within the left canine and first premolar buccal soft tissue. The overfilled Vitapex extended to the soft tissue was surgically curetted. The result of the surgical curettage was favorable. Though slight hypoesthesia on the upper lip was still remained, paresthesia on zygomatic and buccal cheek area was completely recovered. As far as we know, this is the first case report of infraorbital nerve damage from overfilled Vitapex material.

Effect of ultrasonic cleaning on the bond strength of fiber posts in oval canals filled with a premixed bioceramic root canal sealer

  • Bengoa, Fernando Pena;Arze, Maria Consuelo Magasich;Noguera, Cristobal Macchiavello;Moreira, Luiz Felipe Nunes;Kato, Augusto Shoji;Da Silveira Bueno, Carlos Eduardo
    • Restorative Dentistry and Endodontics
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    • v.45 no.2
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    • pp.19.1-19.8
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    • 2020
  • Objective: This study aimed to evaluate the effect of ultrasonic cleaning of the intracanal post space on the bond strength of fiber posts in oval canals filled with a premixed bioceramic (Bio-C Sealer [BIOC]) root canal sealer. Materials and Methods: Fifty premolars were endodontically prepared and divided into 5 groups (n = 10), based on the type of root canal filling material used and the post space cleaning protocol. A1: gutta-percha + AH Plus (AHP) and post space preparation with ultrasonic cleaning, A2: gutta-percha + BIOC and post space preparation with ultrasonic cleaning, B1: gutta-percha + AHP and post space preparation, B2: gutta-percha + BIOC and post space preparation, C: control group. Fiber posts were cemented with a self-adhesive luting material, and 1 mm thick slices were sectioned from the middle and cervical third to evaluate the remaining filling material microscopically. The samples were subjected to a push-out test to analyze the bond strength of the fiber post, and the results were analyzed with the Shapiro-Wilk, Bonferroni, Kruskal-Wallis, and Mann-Whitney tests (p < 0.05). Failure modes were evaluated using optical microscopy. Results: The results showed that the fiber posts cemented in canals sealed with BIOC had lower bond strength than those sealed with AHP. The ultrasonic cleaning of the post space improved the bond strength of fiber posts in canals sealed with AHP, but not with BIOC. Conclusions: BIOC decreased the bond strength of fiber posts in oval canals, regardless of ultrasonic cleaning.

A STUDY ON THE FRACTURE MODES AND FAILURE LOADS OF THE VARIOUS TYPES OF RESTORATION FOR THE ENDODONTICALLY TREATED ANTERIOR TEETH (전치부 근관충전후 수복형태에 따른 파절형태 및 파단하중에 관한 연구)

  • Park, Young-Sook;Choi, Sung-Keun
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.45-51
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    • 1982
  • An endodontically treated tooth is likely to be brittle than a vital tooth. Internal structure of the tooth has been weakened due to a significant removal of dentin by coronal access, canal preparation. There are many controversies concerning with various methods of reinforcing an intact anterior tooth that has endodontic treatment. In this experiment, 128 extracted maxillary anterior teeth were endodontically treated, and prepared with 4 methods of restorations; Composite resin filling with zinc phosphate cement, composite resin filling without zinc phosphate cement, composite resin filling with post, and metal crown with post. An Instron testing machine was used to measure the fracture loads of the specimens. The means of the failure loads for the 4 groups were compared by F-test statistically and the failure modes were observed. The results were as follows; 1. There were no statistically significant difference between the failure loads of the four methods of restoration. 2. Teeth without post were fractured in a horizontal or oblique plane through upper or middle third of the root. 3. In the posted teeth, fractures were occurred around the post. 4. In the metal crowned teeth with post, the fracture were occurred around the post or coronal area.

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THE EFFECT OF THE TRICALCIUM PHOSPHATE AND VITAPEX ON THE DOGS' PERIAPICAL TISSUES (Tricalcium phosphate와 Vitapex가 치근단 조직에 미치는 영향에 관한 실험적 연구)

  • Choi, Gi-Won
    • Restorative Dentistry and Endodontics
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    • v.14 no.1
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    • pp.71-84
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    • 1989
  • The purpose of this study was to evaluate the effect of tricalcium phosphate and Vitapex on the dogs' periapical tissues. Twenty mandibular premolars from 5 healthy dogs were used for this study. After the animals were anesthetized intramuscularly, pulp chambers were open and pulp tissue was extirpated with a barbed broach and H-file. Then the working length of the root canal was measured with H-file and pulp tissue was completely removed. Before the actual canal filling, the root canals of twenty teeth have been experimentally infected with opening the pulp chamber for 5 weeks. Periapical radiographs of the experimental teeth were taken to monitor the periapical pathological condition. Each root apex of 20 premolars was perforated with engine reamer and the root canals were enlarged with No. 30-60 H-files. They were divided into treated as follows. Control group: The root canal was filled with gutta-percha. Experimental group 1: The canal was dried with sterile paper points and mixture of tricalcium phosphate and physiological saline was overfilled beyond the root apex with a lentulo spiral. Then the root canal was filled gutta-percha and lateral condensation and the pulp chamber was filled with Caviton. Experimental group 2: The root canals were overfilled with Vitapex and were treated in the same manner as those in experimental group 1 At 1,2,3, and 8 weeks after experiment, the periapical tissues including the alveolar bone were fixed with 10% formalin solution for I week and decalcified with Plank-Rycho solution for 5 weeks. The specimens were embedded in paraffin and serial sections were cut into a thickness of 6 ${\mu}m$ at the plane of the root apex. Hematoxyline-eosin and Masson's trichrome stain were made for the histo-pathological examinations. The results were as follows: 1. Ingrowth of collagen fiber was observed from 1 week in control group and experimental groups. 2. The rate of bone formation of experimental group 1 was accelerated more than that of experimental group 2. 3. Resorption of cementum was seen in control group, but apposition of cementum was seen in experimental groups.

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Comparison of warm gutta-percha condensation techniques in ribbon shaped canal : weight of filled gutta-percha after canal obturation

  • Kim, Hyun-Hee;Cho, Kyung-Mo;Kim, Jin-Woo
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.573.1-573
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    • 2001
  • The purpose of this study to evaluate several wann gutta-percha filling techniques using weight changes of resin blocks before and after canal filling in ribbon shaped canal. Simulated ribbon shaped root canals in 30 transparent resin blocks were instrumented to #40 using 06 taper Profile. 15 resin blocks were obturated with gutta-percha using cold lateral condensation. Warm lateral condensation using the Endotec II was then accomplished on the same 15 blocks. Another 15 resin blocks were obturated using the System B.(omitted)

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AN EXPERIMENTAL STUDY ON THE MARGINAL LEAKAGE OF SEVERAL CANAL FILLING MATERIALS (수종근관충전재의 변연누출에 관한 실험적 연구)

  • Yoon, Soo-Han
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.155-159
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    • 1982
  • The author has studied comparatively the sealing quality of conventional Z.O.E. cement, chloropercha and FR cement by means of penetration of 2% methylene blue solution through the apex of human teeth in 112 cases as the time elapsed. The results were as follows; 1. All the specimen, of which dye immersion time is three days, showed dye penetration of low degree unrelated to the kinds of root canal cement and the degree of dye penetration was increased as the time elapsed. 2. Of all the experimental group, the Z.O.E. cement group showed the lowest degree of dye penetration and the FR filling group showed the highest degree of dye penetration. 3. The degree of dye penetration of FR cement group was higher than that of the Z.O.E. cement group but lower than that of the chloropercha group.

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AN in vitro STUDY OF THE CORONAL LEAKAGE OF TWO ROOT CANAL FILLING TECHNIQUE USING ANAEROBIC BACTERIAL LEAKAGE MODEL (근관 충전된 치아에서의 혐기성세균을 이용한 치관부 미세누출측정에 관한 연구)

  • Kim, Jin-Woo
    • Restorative Dentistry and Endodontics
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    • v.24 no.3
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    • pp.490-494
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    • 1999
  • The aim of this in vitro study was to investigate the coronal leakage of obligate anaerobes into root canals obturated with two different techniques. 48 extracted human teeth with straight, single root canals were prepared with crown-down technique with Profile under copious irrigation until the master apical file was size 40. The teeth were divided randomly into experimental groups (40 teeth) and control groups (8 teeth). In the experimental groups, 20 teeth were obturated with lateral condensation and other 20 teeth were obturated with continuous wave technique with System B. Coronal leakage of two root canal filing technique was evaluated using anaerobic bacterial leakage model with Fusobacterium nucleatum(ATCC 25586) for 60 days. The results were as follows 1. The incidence of bacterial leakage of experimental groups was 65% in group 1 (lateral condensation) and 60% in group 2 (continuous wave technique with System B). This difference was not statistically significant (P>0.05). 2. There was no statistically significant difference(P>0.05) in leakage score between group 1 (lateral condensation) and group2 (continuous wave technique with System B).

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