• 제목/요약/키워드: Root-end filling material

검색결과 19건 처리시간 0.023초

유한요소법을 이용한 치근단절제술후 근첨의 응력분포에 관한 연구 (FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN ROOT-END RESECTED TEETH)

  • 이세준;최호영;민병순;박상진;최기운
    • Restorative Dentistry and Endodontics
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    • 제23권1호
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    • pp.163-174
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    • 1998
  • The purpose of this study is to evaluate the distribution of stress in the root end resected teeth. The finite element method was used to compare stresses along the root and retrograde filling material in seven two-dimensional models of mandibular 2nd premolar. Each model was endodontic treatment and gold crown' restoration. Each model divided with amagam core restoration or gold casting post restoration. Thus each model divided with shape of root end resection, depth of retropreparation and exposure length of root in the bony cavity. The seven models were classified as in the table 1 below. A load of 500N was applied $45^{\circ}$ diagonally on the lingual slope of the buccal cusp. These mode were analyzed with two dimensional finite element methods. The results of this study were as follows : 1. The maximum tensile stress along the inner canal wall was shown on the model 7. 2. When the model 1 was compared with the model 5, the maximum tensile stress along the inner canal wall showed the model 1. 3. Less equivalent stress was shown on the model 6 and more equivalent stress was shown on the model 4. 4. More shear stress was shown on the retrograde filling material of the model 7. 5. The models with increased length of exposed root in the bony cavity demonstrated a gradual increase to the tensile stress in X direction which occurred approximately a boundary between the bone and exposed root in' the bony cavity. 6. The model which had a case of matching the apex of post and a boundary between the bone and exposed root in the bony cavity demonstrated more increase tensile stress in X direction than other models.

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MTA와 4-META/MMA & TBB레진 혼합 재료의 치근단 미세누출에 관한 연구 (APICAL MICROLEAKAGE OF MTA WITH 4-META/MMA & TBB RESIN AS A ROOT-END FILLING MATERIAL)

  • 김진철;김미리;고현정;양원경
    • Restorative Dentistry and Endodontics
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    • 제34권4호
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    • pp.371-376
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    • 2009
  • 이 연구에서는 Mineral Trioxide Aggregate (MTA)와 4-methacryloxyethyl trimellitate anhydride (4-META) / methyl methacrylate (MMA) & tri-n-butylborane (TBB) 레진을 혼합하여 치근단 역충전 재료로 사용하였을 때의 미세누출을 MTA, 포틀랜드 시멘트와 비교하였다. 발치된 사람 치아의 근관형성 및 충전 후 치근단 절제와 역충전 와동을 형성하였다. MTA, Portland cement, MTA와 4-META/MMA & TBB레진을 혼합한 각각의 재료로 치근단을 역충전한 후 methylene blue dye에 72시간 동안 침적하여 염료가 침투한 길이를 10배 현미경 하에서 측정하였다. MTA와 4-META/MMA & TBB 레진 혼합 충전 군에서는 포틀랜드 시멘트나 MTA 충전군보다 통계적으로 유의하게 적은 미세 누출을 보였으며, 포틀랜드 시멘트와 MTA 충전군의 미세 누출 정도는 통계적으로 차이가 없었다. 이 실험의 결과로 보아 MTA와 4-META/MMA & TBB레진 혼합 재료는 치근단 역충전시 포틀랜드 시멘트나 MTA에 비해 낮은 초기 미세누출을 보여, 치근단 봉쇄 효과가 우수한 것으로 사료된다.

Fluid transport model을 이용한 치근단 역충전 재료의 혈액오염시 미세누출평가 (EVALUATION OF MICROLEAKAGE WITH RETROGRADE FILLING MATERIALS IN BLOOD CONTAMINATION USING FLUID TRANSPORT MODEL)

  • 안효순;장인호;이세준;이광원
    • Restorative Dentistry and Endodontics
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    • 제27권1호
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    • pp.24-33
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    • 2002
  • Leakage studies have been performed frequently, since a fluid-tight seal provided by various dental fill-ing materials has been considered clinically important. The leakage of the various root-end filling materials has been widely investigated mostly dye penetration method. These dye studies cannot offer any information about the quality of the seal of a test material over a long period of time The purpose of this study was to evaluate the microleakage of root end cavities in blood contamination filed amalgam, intermediate restorative material(IRM), light cured glass ionomer cement(GI) and mineral trioxide aggregate(MTA) by means of a modified fluid transport model. Fifty standard human root sections, each 5mm high and with a central pulp lumen of 3mm in diameter, were and filled with our commonly used or potential root end fill ing materials after they were contaminated with blood. At 24h. 72h, 1, 2, 4, 8, and 12 weeks after filling, leakage along these filling materials was determined under a low pressure of 10KPa(0.1atm) using a fluid transport model. The results were as follows : 1 MTA group showed a tendency of decreasing percent of gross leakage (20m1/day) in process of time, whereas the other materials showed a tendency of increasing in the process time. 2. At the all time interval, GI group leaked significantly less than amalgam group and IRM group (p<0.05). 3. At the 4 weeks, the percentage of gross leakage in MTA group decreased to 0% thereafter, the low per-centage of gross leakage was maintained in MTA group until the end of the experiment, whereas the percentage in IRM group increased to 100% 4. At the 12 weeks, percentage of gross leakage was significantly low in MTA group(0%), comparison with GI group(40%), amalgam group(90%) and IRM group(100%), but there was no significant difference between latter two materials.

수종 수복재의 조골세포 유사세포 증식 및 골조직 반응에 미치는 영향 (EFFECTS OF SOME RESTORATIVE MATERIALS ON THE PROLIFERATION OF OSTEOBLASTIC CELL AND THE TISSUE REACTION OF BONE)

  • 김현선;홍찬의;김종여
    • Restorative Dentistry and Endodontics
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    • 제22권1호
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    • pp.305-324
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    • 1997
  • Numerous materials such as amalgam, IRM, SuperEBA, dessicated ZOE, and Ketac-Silver have been used as a root-end filling material or to repair furcation perforations. But so far no material has been found to satisfy all of the requirements of an ideal restorative material. Recently, mineral trioxide aggregate (MTA) has been suggested for use as a root end filling material and for the repair of furcation perforations. The purpose of this study was to compare the effect of MTA on the proliferation of MC3T3/E1 osteoblastic cell, formation of bone nodule, alkaline phosphatase activity, and finally the tissue reaction of bone with those of amalgam, IRM, SuperEBA, dessicated ZOE, and Ketac-Silver. The following conclusions were drawn within the limits of the experimental results : 1. MTA showed a excellent proliferation of osteoblastic cell and Ketac-Silver showed moderate proliferation of osteoblastic cell. The rest of test materials showed no proliferation of osteoblastic cell. 2. Many of definite bone nodules were found in the MTA group. In contrast, Ketac-Silver group showed no definite bone formation but only showed mild sign of bone formation. 3. Alkaline phosphatase activity of Ketac-Silver and MTA showed similar results. But both of them showed higher activity than that of other materials (p<0.005). 4. The tissue reaction to implanted MTA in the calbarium of mouse was milder than that observed with other materials. The tissue reaction of dessicated ZOE showed the worst results among the test materials.

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근관 충전재 및 치근단 역충전재의 방사선 불투과성에 관한 비교 연구 (A COMPARATIVE STUDY ON RADIOPACITY OF CANAL FILLING AND RETROGRADE ROOT-END FILLING MATERIALS)

  • 김용상;김서경;황윤찬;황인남;오원만
    • Restorative Dentistry and Endodontics
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    • 제33권2호
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    • pp.107-114
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    • 2008
  • 본 실험에서는 다양한 방사선 노출 조건에 따른 aluminum step wedge에 대한 광학 밀도를 알아보고, 그 중 적절한 노출조건을 선택하여 수종의 근관 충전재와 치근단 역충전재의 방사선 불투과성 정도를 평가, 비교하였다. 방사선 불투과성의 기준을 위해 11개의 step으로 구성된 aluminum step wedge를 제작하여, 60 kVp, 70 kVp 관전압 상태에서 각각 0.2, 0.,3, 0.4초와 0.2, 0.3, 0.33초의 노출시간으로 교합 필름상에서 방사선 촬영 후 적절한 노출조건을 구하였다. 직경 5 mm, 각각의 두께 0.5, 1.0, 1.5, 2.0, 2.5, 3.0 mm인 10종 (Gutta-percha, amalgam, Super $EBA^{(R)}$, MTA, $IRM^{(R)}$, Fuji II LC, $Dyract^{(R)}$ AP AH, $26^{(R)}$, $Sealapex^{TM}$, Tubli-$Seal^{TM}$)의 근관 충전재와 치근단 역충전재 시편을 각 재료와 두께당 10개씩 제작한 후, 동일한 두께의 상아질 시편, aluminum step wedge와 함께 정해진 노출조건에 따라 방사선 촬영을 하였다. 모든 필름은 자동현상기로 현상하였다. 시편의 흑화도를 densitometer (Model 07-443, Victoreen Inc, Cleveland, Ohio, USA)로 5회 반복 측정 후, 평균값을 구하여 회귀분석 후 알루미늄 두께로 환산하였다. 얻어진 정보를 분석하여 다음의 결과를 얻었다. 1. 관전압 60 kVp에서 노출시간 0.2, 0.3, 0.4초, 70 kVp에서 0.2, 0.3. 0.33초로 변화를 주어 방사선 촬영을 하였을 때, 흑화도가 0.5-2.5 사이여야 한다는 ISO No. 6876 규격에 가장 적합한 것은 60 kVp, 0.2초일 경우였다. 2. 측정된 근관 충전재와 치근단 역충전재들의 방사선 불투과성 모두 ISO No.4049 규격에 적합하였다. 3. 광중합형 글래스 아이오노머 (Fuji II LC)와 컴포머 (Dyract)를 제외하고는 ANSI/ADA specification (2000) 또는 ISO No. 6876 (2001)규격이 제시한 최소한 3 mm Al 이상의 방사선 불투과성을 지녀야 한다는 규격에 적합하였다. 이상의 결과는 본 실험에 사용된 수종의 근관 충전재와 치근단 역충전재 중 Fuji II LC와 Dyract를 제외하고 모두 규격에 적합한 방사선 불투과성을 가지고 있음을 시사한다.

Comparison of the sealing ability of various bioceramic materials for endodontic surgery

  • Benjamin Rencher ;Ana M. Chang ;Hanson Fong;James D. Johnson;Avina Paranjpe
    • Restorative Dentistry and Endodontics
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    • 제46권3호
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    • pp.35.1-35.11
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    • 2021
  • Objectives: Endosequence Bioceramic Root Repair Material (BC-RRM) is used in endodontic microsurgery. It is available as a paste and a putty. However, no studies to date have examined the sealing ability of these forms alone or in combination as root-end filling materials. Hence, this study aimed to compare the sealing properties of these 2 forms of BC-RRM. Materials and Methods: Forty-two extracted upper anterior teeth were divided into 3 experimental groups, a positive and negative control. After the root canal treatment, the root ends were resected, retroprepared and retrofilled with either putty, paste + putty or mineral trioxide aggregate (MTA). The teeth were mounted in tubes so the apical 3 mm was submerged in Brain Heart Infusion (BHI) broth. The coronal portions of the canals were inoculated with Enterococcus faecalis and BHI broth and incubated for 30 days. The broth in the tubes was analyzed for colony forming units to check for leakage of bacteria from the canal. The teeth from the groups were sectioned and analyzed using scanning electron microscopy (SEM). The Kruskal-Wallis test and analysis of variance were used to analyze the data with a significance level p < 0.05. Results: The BC-RRM and MTA groups showed similar sealing ability. The positive control showed leakage in all samples. The SEM imaging showed the presence of bacteria in all experimental groups at the material-tooth interface. Conclusions: No significant differences were noted in the experimental groups, providing sufficient evidence that any combination could be effectively used during endodontic microsurgery.

치근단 역충전와동의 건조방법이 폐쇄성에 미치는 영향 (INFLUENCES OF DRY METHODS OF RETROCAVITY ON THE APICAL SEAL)

  • 이정태;김성교
    • Restorative Dentistry and Endodontics
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    • 제24권1호
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    • pp.166-179
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    • 1999
  • 외과적 근관치료에서 근단부의 폐쇄성은 성공에 필수적이다. 그리고 외과적 근관치료시 근단부 역충전와동은 습기나 혈액에 의해 오염되기 쉬우며 와동을 이상적으로 건조하기가 항상 용이하지는 않다. 본 연구의 목적은 미세 치근단 수술법에서 치근단 역충전와동의 건조 방법이 폐쇄성에 미치는 영향을 연구하고자 함이다. 치근단 폐쇄성은 근단 누출 및 충전물-와벽 적합성으로 평가하였다. 치근단 역충전와동 건조방법에 따른 치근단 누출을 평가하기 위해서는 최근에 발거된 상악 대구치 구개측치근 125개를 와동건조 방법 및 혈액오염에 따라 4개의 군으로 분류하여 실험하였다. 각 시편치아에서 근관을 형성하고 측방가압법으로 충전한 후 각 군에 따라 저속 다이아몬드 절단기를 이용하여 치근단 3 mm를 절제하였으며 초음파 스테인레스 스틸 기구를 이용하여 깊이 3mm의 역충전 와동을 형성하고 IRM, Super EBA 또는 복합레진으로 역충전하였다. 시편을 2% methylene blue 용액에 7일간 침잠시킨 후 35% 질산 용액에서 용해시킨 다음, 원심분리한 상층액을 비색계를 이용하여 누출 색소의 흡광도를 측정하였다. 결과치는 이원변량분석법과 Duncan's Multiple Range Test를 이용하여 분석하였다. 역충전 와동 건조방법에 따른 충전물-와벽 적합성을 평가하기 위해서는 상악 제 1대구치의 구개측 치근 12개를 상기와 같이 4개 군으로 분류하여 근관충전, 역충전와동 형성, 와동 건조 및 역충전을 실험하였으며, 다음과 같은 결과를 얻었다. 1. 압축공기나 paper point로 와동을 건조한 군이, 역충전 와동을 IRM 간이충전재, Super EBA 시멘트 및 복합레진으로 충전한 경우 공히, cottton pellet 만으로 와동을 건조한 군에 비해 적은 치큰단 누출을 나타내었는데 이는 Super EBA 시멘트 충전군에서만 유의한 차이를 나타내었다(p<0.05). 그러나 충전재료에 관계없이 paper point로 와동을 건조한 군과 압축공기로 건조한 군 사이에는 유의한 누출의 차이가 나타나지 않았다. 2. 압축공기로 와동을 건조한 경우에는, 복합레진으로 충전한 군이 IRM이나 Super EBA로 충전한 군에 비해 유의하게 적은 치근단 누출을 나타내었다(p<0.05). 3. 와동을 혈액으로 오염시킨 경우에는, 역충전 와동을 IRM, Super EBA 및 복합레진으로 충전한 군 공히, 압축공기로 와동내부를 건조한 경우에 비해 유의하게 많은 치큰단 누출을 나타내었다(p<0.05). 4. IRM 간이충전재나 Super EBA 시멘트로 역충전와동을 충전한 경우, 와동측벽의 외측 1/2이 내측 1/2에 비해 넓은 충전물-치질 사이 틈을 나타내었다. 5. IRM 간이충전재, Super EBA 시멘트 및 복합레진으로 역충전와동을 충전한 경우 공히, 와동이 혈액에 의해 오염되었거나 와동을 cotton pellet으로만 건조한 경우가 paper point나 압축공기로 와동을 건조한 경우에 비해 와동기저부에 큰 틈을 나타내는 양상을 보였다.

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Endodontic micro-resurgery and guided tissue regeneration of a periapical cyst associated to recurrent root perforation: a case report

  • Fernando Cordova-Malca;Hernan Coaguila-Llerena;Lucia Garre-Arnillas;Jorge Rayo-Iparraguirre;Gisele Faria
    • Restorative Dentistry and Endodontics
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    • 제47권4호
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    • pp.35.1-35.9
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    • 2022
  • Although the success rates of microsurgery and micro-resurgery are very high, the influence of a recurrent perforation combined with radicular cyst remains unclear. A 21-year-old white female patient had a history of root perforation in a previously treated right maxillary lateral incisor. Analysis using cone-beam computed tomography (CBCT) revealed an extensive and well-defined periapical radiolucency, involving the buccal and palatal bone plate. The perforation was sealed with bioceramic material (Biodentine) in the pre-surgical phase. In the surgical phase, guided tissue regeneration (GTR) was performed by combining xenograft (lyophilized bovine bone) and autologous platelet-rich fibrin applied to the bone defect. The root-end preparation was done using an ultrasonic tip. The retrograde filling was performed using a bioceramic material (Biodentine). Histopathological analysis confirmed a radicular cyst. The patient returned to her referring practitioner to continue the restorative procedures. CBCT analysis after 1-year recall revealed another perforation in the same place as the first intervention, ultimately treated by micro-resurgery using the same protocol with GTR, and a bioceramic material (MTA Angelus). The 2-year recall showed healing and bone neoformation. In conclusion, endodontic micro-resurgery with GTR showed long-term favorable results when a radicular cyst and a recurrent perforation compromised the success.

Apicoectomy of maxillary anterior teeth through a piezoelectric bony-window osteotomy: two case reports introducing a new technique to preserve cortical bone

  • Hirsch, Viola;Kohli, Meetu R.;Kim, Syngcuk
    • Restorative Dentistry and Endodontics
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    • 제41권4호
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    • pp.310-315
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    • 2016
  • Two case reports describing a new technique of creating a repositionable piezoelectric bony window osteotomy during apicoectomy in order to preserve bone and act as an autologous graft for the surgical site are described. Endodontic microsurgery of anterior teeth with an intact cortical plate and large periapical lesion generally involves removal of a significant amount of healthy bone in order to enucleate the diseased tissue and manage root ends. In the reported cases, apicoectomy was performed on the lateral incisors of two patients. A piezoelectric device was used to create and elevate a bony window at the surgical site, instead of drilling and destroying bone while making an osteotomy with conventional burs. Routine microsurgical procedures - lesion enucleation, root-end resection, and filling - were carried out through this window preparation. The bony window was repositioned to the original site and the soft tissue sutured. The cases were re-evaluated clinically and radiographically after a period of 12 - 24 months. At follow-up, radiographic healing was observed. No additional grafting material was needed despite the extent of the lesions. The indication for this procedure is when teeth present with an intact or near-intact buccal cortical plate and a large apical lesion to preserve the bone and use it as an autologous graft.