• 치과방사선
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• 제27권2호
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• pp.83-90
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• 1997

This study was performed to demonstrate the effect of linear or nonlinear contrast enhancement on subtraction images. Three different textures were radiograped on dental film. The first radiograph was taken without the presence of an object. the second, which showed trabucular bone, was taken of the molar area of a human. the third radiograph was taken of the coronal part of molars. Each film was digitized into a 1312 x 1024 pixel x 8 bit depth matrix by means of a Nikon 35 mm film scanner(LS-3510AF, Japan) with fixed gain and internal dark current correction to maintain constant illumination. The scanner was interfaced to a Macintosh Le ill computer(Apple Computer, Charlotte, N.C) This resulted in three pairs of images, including different textures-plain, bone and enamel. Digital regular, linearly and nonlinearly enhanced subtraction was performed. Computer software was ,used to simulate lesions in the shape of a 2D-Gaussian curve on each of a pair of images. The each subtraction images were presented in a random sequence to two groups of 10 observers(students and dentists). ROC analysis was used to compare observer performance. The following results were obtained ; 1. All of LCE subtraction, equalized subtraction and regular subtraction images of plain texture were diagnosed the best by far. 2. The data revealed a siginificant LCE effect in both the student group and the expert group. 3. Clinical expertise was a helphul factor for the observers in this study.

• Restorative Dentistry and Endodontics
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• 제37권3호
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• pp.155-159
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• 2012

Objectives: To investigate the effect of dentin moisture degree and air-drying time on dentin-bond strength of two different one-step self-etching adhesive systems. Materials and Methods: Twenty-four human third molars were used for microtensile bond strength testing of G-Bond and Clearfil $S^3$ Bond. The dentin surface was either blot-dried or air-dried before applying these adhesive agents. After application of the adhesive agent, three different air drying times were evaluated: 1, 5, and 10 sec. Composite resin was build up to 4 mm thickness and light cured for 40 sec with 2 separate layers. Then the tooth was sectioned and trimmed to measure the microtensile bond strength using a universal testing machine. The measured bond strengths were analyzed with three-way ANOVA and regression analysis was done (p = 0.05). Results: All three factors, materials, dentin wetness and air drying time, showed significant effect on the microtensile bond strength. Clearfil $S^3$ Bond, dry dentin surface and 10 sec air drying time showed higher bond strength. Conclusions: Within the limitation of this experiment, air drying time after the application of the one-step self-etching adhesive agent was the most significant factor affecting the bond strength, followed by the material difference and dentin moisture before applying the adhesive agent.

• International Journal of Oral Biology
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• 제37권3호
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• pp.85-90
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• 2012

Periodontal disease induces an increased incidence of tooth loss, particularly in cases with an associated loss of alveolar bone and periodontal ligaments. In this study, alveolar bone loss was detected by micro-computed tomography (CT) following exposure to E. coli lipopolysaccharide (LPS) in a streptozotocin (STZ)-induced diabetic mouse model. A 10 mg/ml dosage of E. coli LPS was applied between the first, second and third molars of the mice three times a week for 10 weeks. The loss of periodontal ligaments and alveolar processes was then evaluated by micro-CT using two and three dimensional microstructure morphometric parameters. In the diabetic mice, E. coli LPS induced the destruction of periodontal ligaments and loss of alveolar process spaces. The distances between periodontal ligaments were significantly widened in the STZ-LPS group compared with the untreated STZ group. The 10 mg/ml exposure to E. coli LPS in the STZ mice also resulted in a significant decrease in the alveolar bone volume fraction. The results of our study suggest that alveolar bone loss can be readily detected by volumetric micro-CT analysis as an increase in the distance between periodontal ligaments and in the alveolar process length.

• 대한치과의사협회지
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• 제53권12호
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• pp.958-966
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• 2015

Objective: Sodium hypochlorite (NaOCl) decreases the bond strength of resin composite. The purpose of this study was to compare the effect of antioxidant and superficial dentin surface removal on the microtensile bond strength of NaOCl-treated dentin. Materials and Methods: Twenty non-carious human third molars were used in this study. The dentin surfaces were treated with 5.25% NaOCl for 10 min, followed either by treatment with 10% ascorbic acid or superficial dentin surface removal. Two-step self-etch adhesive and resin composite were used for restoration. The bonded specimens were subjected to the microtensile bond strength test. Statistical analysis was performed using one-way analysis of variance (ANOVA) and Tukey's test (p < 0.05). Results: The bond strength after removal of the superficial dentin surface following NaOCl irrigation was similar to that in the control group. The group treated with 10% ascorbic acid demonstrated significantly higher bond strength than the other groups. Conclusion: NaOCl irrigation-induced reduction in dentin bond strength could be recovered by either treatment with 10% ascorbic acid or simple removal of the superficial dentin surface.

• Restorative Dentistry and Endodontics
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• 제38권4호
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• pp.227-233
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• 2013

Objectives: The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. Materials and Methods: A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation. Results: All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples. Conclusions: This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.

• Restorative Dentistry and Endodontics
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• 제45권3호
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• pp.36.1-36.10
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• 2020

Objectives: This study aims to assess the effect of universal adhesives pretreatment on the bond strength of resin-modified glass ionomer cement to dentin. Materials and Methods: Fifty caries-free human third molars were employed. The teeth were randomly assigned into five groups (n = 10) based on dentin surface pretreatments: Single Bond Universal (3M Oral Care), Gluma Bond Universal (Heraeus Kulzer), Prime&Bond Elect (Dentsply), Cavity Conditioner (GC) and control (no surface treatment). After Fuji II LC (GC) was bonded to the dentin surfaces, the specimens were stored for 7 days at 37℃. The specimens were segmented into microspecimens, and the microspecimens were subjugated to microtensile bond strength testing (1.0 mm/min). The modes of failure analyzed using a stereomicroscope and scanning electron microscopy. Data were statistically analyzed with one-way analysis of variance and Duncan tests (p = 0.05). Results: The surface pretreatments with the universal adhesives and conditioner increased the bond strength of Fuji II LC to dentin (p < 0.05). Single Bond Universal and Gluma Bond Universal provided higher bond strength to Fuji II LC than Cavity Conditioner (p < 0.05). The bond strengths obtained from Prime&Bond Elect and Cavity Conditioner were not statistically different (p > 0.05). Conclusions: The universal adhesives and polyacrylic acid conditioner could increase the bond strength of resin-modified glass ionomer cement (RMGIC) to dentin. The use of universal adhesives before the application of RMGIC may be more beneficial in improving bond strength.

• Imaging Science in Dentistry
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• 제48권4호
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• pp.277-281
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• 2018

Purpose: This study was performed to investigate the relationship between sleep bruxism(SB) and pulpal calcifications in young women. Materials and Methods: A total of 100 female participants between 20 and 31 years of age who were referred to our radiology clinic for a dental check-up, including 59 SB and 41 non-SB patients, were sampled for the analysis. SB was diagnosed based on the American Academy of Sleep Medicine criteria. All teeth were evaluated on digital panoramic radiographs to detect pulpal calcifications, except third molars, teeth with root canal treatment, and teeth with root resorption. Binary logistic regression analysis was used to determine the risk factors for pulpal calcifications. The Spearman correlation coefficient was applied and the Pearson chi-square test was used for categorical variables. To test intra-examiner reproducibility, Cohen kappa analysis was applied. P values <.05 were considered to indicate statistical significance. Results: A total of 2800 teeth were evaluated (1652 teeth from SB patients and 1148 from non-SB patients), and 61% of patients had at least 1 dental pulpal calcification. No statistically significant relationship was found between SB and pulpal calcifications (P>0.05). In SB patients, the total number of pulpal calcifications was 129, while in non-SB patients, it was 84. Binary logistic analysis showed that SB was not a risk factor for the presence of pulpal calcifications(odds ratio, 1.19; 95% CI, 0.52-2.69, P>.05). Conclusion: No relationship was found between SB and pulpal calcifications.

• Restorative Dentistry and Endodontics
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• 제47권3호
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• pp.28.1-28.12
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• 2022

Objectives: Metalloproteinase-inhibiting agents, such as chitosan, can prevent collagen degradation in demineralized dental substrates, thereby improving the adhesive interface. This study evaluated the bond strength (BS) and chemical and morphological characterization of the adhesive interface after applying chitosan solution to demineralized dentin. Materials and Methods: The 80 third molars were selected. Forty teeth underwent caries induction using the pH cycling method. The teeth were divided according to the treatment: distilled water (control) and 2.5% chitosan solution. The surfaces were restored using adhesive and composite resins. Half of the specimens in each group were aged, and the other half underwent immediate analyses. The teeth were sectioned and underwent the microtensile bond strength test (µTBS), and chemical and morphological analyses using energy-dispersive spectroscopy and scanning electron microscopy, respectively. Data analysis was performed using 3-way analysis of variance. Results: For µTBS, sound dentin was superior to demineralized dentin (p < 0.001), chitosan-treated specimens had higher bond strength than the untreated ones (p < 0.001), and those that underwent immediate analysis had higher values than the aged specimens (p = 0.019). No significant differences were observed in the chemical or morphological compositions. Conclusions: Chitosan treatment improved bond strength both immediately and after aging, even in demineralized dentin.

• 치위생과학회지
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• 제13권2호
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• pp.203-212
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• 2013

한국 땃쥐속 우수리땃쥐 Crocidura lasiura와 작은땃쥐 C. suaveolens, 뒤쥐속 뒤쥐 Sorex caecutiens의 치아형태와 법랑질 표면의 함유물을 EDX를 이용하여 정성 분석하였다. 우수리땃쥐와 작은땃쥐의 경우, 치식은 I3/1 C1/1 P1/1 M3/3=28이었고, 상악 제1대구치와 제2대구치는 5개의 교두들로 만들어진 균형이 맞지 않는 W형을 가지고 있었고, 상악 제3 대구치는 상악 제1대구치와 제2대구치의 3/1크기였으며, 상악 제1절치는 2개의 다른 크기의 갈고리 모양이었으며, 하악 제1 절치는 매끈하였다. 뒤쥐의 경우, 치식은 I3/1 C1/1 P3/1 M3/3=32이었고, 상악 제1대구치와 제2대 구치는 균형이 맞는 W형을 가졌고 상악 제3대구치는 다른 대구치의 약 절반 크기였으며, 상악 제1절치는 2개의 비슷한 크기의 갈고리 모양이었으며 하악 제1절치는 매끈하지않은 톱니모양이었다. 치아와 두개골 측정치 비교에서 우수리땃쥐가 3종 중 가장 컸으나(p<0.001), 작은땃쥐와 뒤쥐는 크기에서 차이가 없었다(p>0.05). EDX를 이용한 하악 제1절치와 하악 제1대구치의 법랑질 표본의 정성적 분석으로부터, C, O, P, Ca, Cu가 모든 표본에서 검출되었고 Pb는 몇몇 표본에서만 검출되었다. 3종들에서 이들의 함유량은 통계적 차이를 보이지 않았다(p>0.05). Fe는 붉게 착색된 치아를 가지는 뒤쥐의 법랑질 표면에서만 검출되었다. 따라 서 Fe가 치아의 붉은 착색의 원인이다. 이상의 결과들은 치아 끝의 색을 포함한 치아 형태학적 특징들이 땃쥐속과 뒤쥐속의 분류키가 될 수 있음을 시사하고 있다.

• 대한치과교정학회지
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• 제33권2호
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• pp.103-111
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• 2003

본 연구는 실험적 치아이동 후 보정기간 동안 교합이 치주조직섬유의 물리적 강도에 미치는 영향을 알아보고자 시행되었다. 체중 200g 내외의 Sprague-Dawley계 백서 수컷에서 상악 양측 제1대구치와 2대구치 사이에 교정용 고무줄을 삽입하여 4일 동안 치아를 이동시킨 다음, 각 실험동물의 하악 좌측 제1, 2, 3대구치를 발치하여 우측은 대합치가 있는 교합측으로, 좌측은 비교합측으로 구분하였다. 상악 제1대구치와 2대구치 사이의 인접면에 유지구를 형성하고 광중합형 레진으로 채워 보정을 시행한 후 시작 0일, 4일, 8일, 12일, 16일 또는 20일 경과한 후 백서를 희생시킨 다음, 만능물성 시험기를 이용하여 상악 제1대구치를 발치할 때 필요한 최대인장강도를 측정 좌우간 비교 분석하여 다음과 같은 결과를 얻었다. 1 교합측은 비보정군에서 보정 4일, 8일, 12일, 16일, 20일군으로 갈수록 최대 인장강도가 증가하였고, 보정 12일군 이후부터 통계적으로 유의한 차이를 보였다(p<0.05). 2. 비교합측은 비보정 군에서 보정 4일, 8일, 12일, 16일, 20일군으로 갈수록 최대 인장강도가 증가하는 경 향을 보였으나 통계적으로 유의한 차이를 보이지 않았다(p>0.05). 3. 교합측과 비교합측의 최대인장강도를 비교한 결과 보정 8일군까지 통계적으로 유의한 차이를 보이지 않았으나 (p>0.05), 보정 12일군 이후 보정 20일군까지 통계적으로 유의한 차이를 보였다(p<0.05). 이상의 결과는 실험적 치아이동 후 보정기간 동안 교합이 치주조직 섬유의 재형성에 영향을 미침으로 보정장치의 선택, 기간설정 등 보정계획 시 교합에 대한 고려가 필요함을 시사하였다.