• 제목/요약/키워드: Separated instruments

검색결과 25건 처리시간 0.024초

Retrieval of a separated nickel-titanium instrument using a modified 18-guage needle and cyanoacrylate glue: a case report

  • Andrabi, Syed Mukhtar-Un-Nisar;Kumar, Ashok;Iftekhar, Huma;Alam, Sharique
    • Restorative Dentistry and Endodontics
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    • 제38권2호
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    • pp.93-97
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    • 2013
  • During root canal preparation procedures, the potential for instrument breakage is always present. When instrument breakage occurs, it leads to anxiety of the clinician and as well as a metallic obstruction of the canal which hinders further cleaning and shaping. Separated instruments must always be attempted for retrieval and if retrieval is not possible bypass should be tried. With the increased use of nickel-titanium (NiTi) instruments the incidence of separated instruments has increased. A considerable amount of research has been done to understand the various factors related to the fracture of NiTi instruments to minimize its occurrence. This paper presents a review of the literature regarding the fracture of NiTi instruments and also describes a case report showing the use of a modified 18-guage needle and cyanoacrylate glue to retrieve a separated NiTi instrument from the mesiolingual canal of a mandibular first molar.

Comparative evaluation of the effectiveness of ultrasonic tips versus the Terauchi file retrieval kit for the removal of separated endodontic instruments

  • Pruthi, Preeti Jain;Nawal, Ruchika Roongta;Talwar, Sangeeta;Verma, Mahesh
    • Restorative Dentistry and Endodontics
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    • 제45권2호
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    • pp.14.1-14.7
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    • 2020
  • Objective: The aim of this study was to perform a comparative evaluation of the effectiveness of ultrasonic tips versus the Terauchi file retrieval kit (TFRK) for the removal of broken endodontic instruments. Materials and Methods: A total of 80 extracted human first mandibular molars with moderate root canal curvature were selected. Following access cavity preparation canal patency was established with a size 10/15 K-file in the mesiobuccal canals of all teeth. The teeth were divided into 2 groups of 40 teeth each: the P group (ProUltra tips) and the T group (TFRK). Each group was further subdivided into 2 smaller groups of 20 teeth each according to whether ProTaper F1 rotary instruments were fractured in either the coronal third (C constituting the PC and TC groups) or the middle third (M constituting the PM and TM groups). Instrument retrieval was performed using either ProUltra tips or the TFRK. Results: The overall success rate at removing the separated instrument was 90% in group P and 95% in group T (p > 0.05) The mean time for instrument removal was higher with the ultrasonic tips than with the TFRK (p > 0.05). Conclusion: Both systems are acceptable clinical tools for instrument retrieval but the loop device in the TFRK requires slightly more dexterity than is needed for the ProUltra tips.

근관 내 File의 파절 시 대처 방안 (MANAGEMENT OF SEPARATED FILE IN THE ROOT CANAL)

  • 김혜정;장훈상;박세희;조경모;김진우
    • Restorative Dentistry and Endodontics
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    • 제31권3호
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    • pp.161-168
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    • 2006
  • 근관형성을 하는 과정에서 기구가 파절될 가능성은 언제나 존재한다. File을 비롯하여 lentulo spiral, Gates-Glidden (GG) bur 또는 여타의 이물질도 근관 내에 남겨질 수 있다. 근래에는 수동 file에 비해 많은 장점을 가지고 있는 회전식 nickel-titanium (NiTi) file의 사용이 보편화 되고 있으나 기구의 높은 파절 경향이 문제가 되고 있다. NiTi file의 파절은 매우 빠른 시간내에 일어나고 예측이 불가능하며 임상가에게 정신적 stress를 가져다. 주기 때문에 임상가로 하여금 niTi file의 사용을 주저하게 만들기도 한다. 근관 내 기구가 파절되면 제거하는 것이 가장 최선의 해결 방법이다. 초음파 기기와 미세 현미경의 사용으로 파절된 기구의 제거율이 높아지고 있지만 제거하는 것이 쉬운 일만은 아니며 항상 제거가 가능한 것도 아니다. 그러므로 예방이 최선의 방법이라 할 수 있다. 본 증례에서는 근관 내 file이 파절된 경우에 있어 여러 가지 대처 방안에 대해 보고하고자 한다.

치위생(학)과 학생의 치과감염관리에 관한 인식현황 (Current conditions regarding dental infection management recognition of students in the department of dental hygiene)

  • 이연경;김순덕
    • 한국치위생학회지
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    • 제9권3호
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    • pp.468-478
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    • 2009
  • This research was performed to provide basic data for the development of infection related dental hygiene studies by surveying the current condition of recognition among students in the department of dental hygiene toward hospital infection management while receiving the following results by using a personal self-administered survey method targeting 303 students in the department of dental hygiene from certain areas. 1. With the current condition of recognition on the sanitization and sterilization of instruments among students in the department of dental hygiene(study), the rate at which surgical instruments are to be sterilized with autoclaves was 79.9% which was relatively higher than other instruments while it was shown that prosthetic instruments for treatment was 56.4%, conservative instruments for treatment was 51.8%, and ultrasonic scaler tip was 51.1% while the way syringe tips(36.1%) and the dental anesthetic apparatus(27.9%) were revealed to require sanitization by alcohol. 2. The 'hand wash' area was the highest with 4.71 while the 'materials and environment management' area and 'equipment management' area appeared high respectively with 4.43 and 4.41. 3. With the current condition of recognition on equipment management, 'equipments used for contagious patients are separately washed after a one-time use and must be sterilized or separated-and-discarded' was the highest with 4.82 while 'sterilization equipments with humidity or water on it are considered contaminated and are not used' showed the lowest recognition level with 3.90. 4. Regarding the current condition of materials and environment management, 'contagious and general trash are separated and discarded' was the highest with 4.70 while 'the refrigerator for medicine storage is cleaned on a regular basis once a month' was revealed as the lowest with 4.11. 5. With the current condition of recognition on hand washing, 'one must wash their hands after coming in contact with contagious patients, was the highest with 4.90 while washing hands after taking off gloves' appeared as the lowest with 4.51 point. To conclude department of dental hygiene there is to infection management and necessary about organization disinfecting and pasteurization to strengthen an education in order raising a stamp helping practical ratio about the infection management which whole, is from presence at a sickbed and connection does and about the infection management which is substantial and educational program development leads feed with the fact that deepening studying which is continuous must become accomplished becomes.

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Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study

  • Liliana Machado Ruivo;Marcos de Azevedo Rios;Alexandre Mascarenhas Villela;Alexandre Sigrist de Martin;Augusto Shoji Kato;Rina Andrea Pelegrine;Ana Flavia Almeida Barbosa;Emmanuel Joao Nogueira Leal Silva;Carlos Eduardo da Silveira Bueno
    • Restorative Dentistry and Endodontics
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    • 제46권4호
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    • pp.49.1-49.8
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    • 2021
  • Objectives: To evaluate the fracture incidence of Reciproc R25 instruments (VDW) used during non-surgical root canal retreatments performed by students in a postgraduate endodontic program. Materials and Methods: From the analysis of clinical record cards and periapical radiographs of root canal retreatments performed by postgraduate students using the Reciproc R25, a total of 1,016 teeth (2,544 root canals) were selected. The instruments were discarded after a single use. The general incidence of instrument fractures and its frequency was analyzed considering the group of teeth and the root thirds where the fractures occurred. Statistical analysis was performed using the χ2 test (p < 0.01). Results: Seven instruments were separated during the procedures. The percentage of fracture in relation to the number of instrumented canals was 0.27% and 0.68% in relation to the number of instrumented teeth. Four fractures occurred in maxillary molars, 1 in a mandibular molar, 1 in a mandibular premolar and 1 in a maxillary incisor. A greater number of fractures was observed in molars when compared with the number of fractures observed in the other dental groups (p < 0.01). Considering all of the instrument fractures, 71.43% were located in the apical third and 28.57% in the middle third (p < 0.01). One instrument fragment was removed, one bypassed, while in 5 cases, the instrument fragment remained inside the root canal. Conclusions: The use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.

Superconducting Tunnel Junction Detectors for Mass Spectrometry

  • Ohkubo, M.;Zen, N.;Kitazume, T.;Ukibe, M.;Shiki, S.;Koike, M.
    • Progress in Superconductivity
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    • 제14권2호
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    • pp.77-81
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    • 2012
  • With conventional mass spectrometry (MS), ions are separated according to mass/charge (m/z) ratios. We must speculate the z values to obtain the m values. Superconducting tunnel junction (STJ) detectors can solve this problem, and true mass spectrometry becomes possible instead of m/z spectrometry. The STJ detectors were installed in MS instruments with a variety of ion sources. As an example, we report fragmentation analysis of a non-covalent protein complex of hemoglobin.

소형 2중-급전 4-배열 미앤더 모노폴 안테나 (A Low Profile Dual-Microstripline-Fed 4-Arrayed Meander Monopole Antenna)

  • 장용웅;이상우
    • 방송공학회논문지
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    • 제23권6호
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    • pp.925-930
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    • 2018
  • 본 논문에서는 분리된 4-조각 매쉬형 반사판을 갖는 소형 이중 4-배열 미앤더 모노폴 안테나를 제안한다. 십자형 요소와 4-소각 매쉬형 반사판은 복사패턴 특성과 안테나 이득 개선에 기여했다. 제안된 안테나의 실험치는, 다이폴과 같은 복사패턴 특성을 보였다. 제작된 안테나의 최대 이득 실험치는 약 2.89dBi 로 나타났으며, 이것은 소형 안테나에서는 비교적 높은 이득 특성을 나타낸 것이다. 이 안테나는 이동통신 RFID 리더용, 의료용기기, 방송용, 홈네트워킹, 그리고 다른 소형 고이득 시스템에 응용될 수 있다.

Efficiency of Superconducting Gravimeter Observations and Future Prospects

  • Neumeyer Juergen
    • 대한원격탐사학회지
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    • 제21권1호
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    • pp.15-29
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    • 2005
  • Superconducting Gravimeters (SG) are the most sensitive instruments for measuring temporal gravity variations. The gravimeter is an integrating sensor therefore the gravity variations caused by different sources must be separated for studying a special effect by applying different models and data analysis methods. The present reduction methods for gravity variations induced by atmosphere and hydrosphere including the ocean and the detection and determination of the most surface gravity effects are shown. Some examples demonstrate the combination of ground (SG) and space techniques especially the combination of SG with GRACE satellite derived temporal gravity variations. Resulting from the performance of the SG and the applied data analysis methods some proposals are made for future SG applications.

모바일 복합 단말기 사용자 만족: 기대-불일치 접근 (User Satisfaction of Mobile Convergence Device: The Expectation and Disconfirmation Approach)

  • 이승창;서응교
    • 유통과학연구
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    • 제10권11호
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    • pp.89-99
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    • 2012
  • Purpose - Mobile devices, especially mobile terminals capable of telecommunication and wireless connectivity, are leading the advancements in consumer electronics. Digital convergence drives the functions of various devices, such as cellular phones, MP3 players, personal digital assistants, and gaming, into a single device. This trend would continue and applications such as digital audio and video streaming (including personalized content delivery mechanisms) would soon be on a handheld device. As customers want mobile convergence devices, manufacturers are driving new initiatives in the emerging mobile device market. Given the roles played by device design and service content in user satisfaction of a mobile convergence device, this study focuses on identifying and measuring the constructs for the process by which user satisfaction is achieved. This study synthesizes the expectation-disconfirmation paradigm with empirical theories in user satisfaction. Device and service levels are separated, and nine key constructs for user satisfaction of mobile convergence devices are proposed. Insight into this process could help web-based businesses to improve user satisfaction, thus enhancing the effectiveness of e-commerce for sellers and buyers. Research design, data, methodology - This study draws on three users of mobile convergence devices as examples. To test there search model and hypotheses, survey questionnaires were sent to 607 mobile device users. Mobile device users were initially identified from several members, and subjects were randomly drawn. Data from 577 survey responses were finally analyzed. The unit of measurement and analysis in this research study is at a personal level. Results - The measurements for the constructs were developed and tested in a two-phase study. In the first phase, the device and service dimensions were identified, and instruments for measuring them were developed and tested. In the second phase, using the salient dimensions of the device and service as the formulating first-order factors, instruments were developed and empirically tested to measure satisfaction of the device and service. In measuring satisfaction of mobile convergence devices, the critical tasks are to identify the key constructs of such user satisfaction and to develop validated instruments to measure them. Hence, the results of this study have immediate implications for businesses and for research in user satisfaction of mobile convergence devices. Conclusions - This study provides reliable instruments for operationalizing key constructs in the analysis of user satisfaction of mobile convergence devices within the expectation-disconfirmation paradigm. Hence, convergence device makers will be able to examine whether their websites meet their customers' expectations by examining the device aspect of the mobile convergence device customers, and the service aspect expectations and disconfirmation. Moreover, the introduction of expectation and disconfirmation constructs brings the marketing aspect of convergence devices into focus for such retailers, an aspect crucial to the effective design of websites for online businesses. In addition,this study provides the metrics required to initiate future studies on user satisfaction of mobile convergence devices.

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Discrimination of Korean Tobacco's Aroma and Tastes using the Eloctronic Nose/Tongue and Their feasibility in Tobacco Sensory Evaluation

  • Lee Whan-Woo;Lee Seung-Yong;Shon Hyun-Joo;Kim Young-Hoh
    • 한국연초학회지
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    • 제27권1호
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    • pp.134-140
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    • 2005
  • The purpose of this study was the discrimination of different tobacco types by the E-Nose/tongue and the analysis of what human sensory attributes are correlated with e-instrument's sensors. Samples were made from five groups of Korean domestic tobacco leaves, aged burley and not aged, aged flue-cured and not aged and blending types of the four. Instrumental tests were conducted to discriminate characteristics among different tobacco samples by the E-Nose and the E-Tongue. Sensory attributes of tobacco tastes were impact, irritation, bitterness, hay-like, tobacco taste, smoke volume, smoke pungent and mouth cleanness. STATISTICA software was used to analyze correlation between the human sensory data and the raw data of e-instruments. Discrimination analysis can be achieved using principal components analysis (PCA) and discriminant factorial analysis(DFA). As a result, impact, bitterness, irritation, smoke volume and smoke pungent of human sensory attributes were correlated with data from the several clustered E-Nose sensors(p < 0.10). And bitterness, irritation, and smoke pungent of human sensory attributes were correlated with data from the E-Tongue sensors(p < 0.10). PCA plot by the E-Nose shows that aged tobacco and not aged were discriminated and DFA plot shows that three groups(aged burley, not aged burley and flue-cured) were discriminated. PCA plot by the E- Tongue shows that flue-cured tobacco was separated from burley. Our results indicated that the e-instruments are sensitive enough to distinguish among tobacco types and their several sensors are reacted to the human sensory attributes.