• 제목/요약/키워드: Three canals

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상악 제1대구치 근심협측 치근의 근관계에 관한 연구 (THE CANAL SYSTEM IN THE MESIOBUCCAL ROOT OF THE MAXILLARY FIRST MOLAR)

  • 조동현;최호영;박상혁;최기운
    • Restorative Dentistry and Endodontics
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    • 제28권3호
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    • pp.232-240
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    • 2003
  • This study is to investigate the canal system in the mesiobuccal root of the maxillary first molar. 61 maxillary first molars were randomly selected. Serial transverse sections were made perpendicular to the long axis of the mesiobuccal root. Each section was placed in 3% sodium hypochlorite for 24 hours and rinsed in water and dried. The resected surface was stained with 2% methylene blue dye and examined with stereomicroscope. 1 Canal configuration analysis showed that 36.1% of the specimen classified as type I, 16.4% as type II , 37.7% as type III and 9.8% as type IV. 2. Type II canal was merged in one canal within 1 to 4mm of the apex. 40% of type II canal converged at 2mm of the apex. 3. Type IV canal was divided into two canal within 2 to 4mm of the apex. 66.6% of type IV canal branched off at 2mm of the apex. 4. None of the sections had more than two main root canal. 5. 48.4% of the sections in 3mm with two canals contained an isthmusand more than 70% with two canals has isthmus at 4 to 5mm sections. 63.9% of the mesiobuccal root of maxillary first molar had two canaland 76.5% of sections with two canals in 5 MM had an isthmus. Because of this complexity the clinician should always search for extra canal carefullyand root canal system, including an isthmus, should be cleaned and shaped completelyand obturated three dimensionally for successful endodontic treatment.

Assessment of endodontically treated teeth by using different radiographic methods: an ex vivo comparison between CBCT and other radiographic techniques

  • Demiralp, Kemal Ozgur;Kamburoglu, Kivanc;Gungor, Kahraman;Yuksel, Selcen;Demiralp, Gokcen;Ucok, Ozlem
    • Imaging Science in Dentistry
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    • 제42권3호
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    • pp.129-137
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    • 2012
  • Purpose: To compare different radiographic methods for assessing endodontically treated teeth. Materials and Methods: Root canal treatments were applied in 120 extracted mandibular teeth, which were divided into four groups: (1) ideal root canal treatment (60 teeth), (2) insufficient lateral condensation (20 teeth), (3) root canals filled short of the apex (20 teeth), (4) overfilled root canal treatment (20 teeth). The teeth were imaged using intraoral film, panoramic film, digital intraoral systems (CCD and PSP), CCD obtained with portable X-ray source, digital panoramic, and CBCT images obtained at 0.3 $mm^3$ and 0.2 $mm^3$ voxel size. Images were evaluated separately by three observers, twice. Kappa coefficients were calculated. The percentage of correct readings obtained from each modality was calculated and compared using a t-test (p<0.05). Results: The intra-observer kappa for each observer ranged between 0.327 and 0.849. The inter-observer kappa for each observer for both readings ranged between 0.312 and 0.749. For the ideal root canal treatment group, CBCT with 0.2 $mm^3$ voxel images revealed the best results. For insufficient lateral condensation, the best readings were found with periapical film followed by CCD and PSP. The assessment of teeth with root canals filled short of the apex showed the highest percentage of correct readings by CBCT and CCD. For the overfilled canal treatment group, PSP images and conventional periapical film radiographs had the best scores. Conclusion: CBCT was found to be successful in the assessment of teeth with ideal root canal treatment and teeth with canals filled short of the apex.

근관충전 시 수분오염이 치근단 폐쇄성에 미치는 영향에 관한 연구 (A STUDY ON THE EFFECT OF MOISTURE ON APICAL SEALING PROPERTY OF ROOT CANAL)

  • 임성삼;강명회
    • Restorative Dentistry and Endodontics
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    • 제21권2호
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    • pp.628-634
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    • 1996
  • The purpose of this study was to investigate the effect of moisture on apical sealing properties of root canal. Fifty five single rooted human teeth were selected from maxillary and mandibular teeth. After removing crown portion at the cemento-enamel junction, all teeth were routinely prepared with step-back method. And then, the canals were dried with paper point and the teeth were randomly divided into 3 groups of 15 teeth each, and remaining 10 teeth were used as positive and negative control teeth : Group 1 were irrigated with 1ml of 95% alcohol and dried with air and paper point. Group 2 and 3 were intentionally contaminated with 0.05ml of 3.5% NaOCl or saliva, respectively. All the teeth were obturated with sealapex and gutta percha cone by lateral condensation technique, and covered with two coat of nail varnish after 48 hours of obturation. The teeth were immersed in india ink for 1 week and cleaned with methyl salicylate and then the degree of dye penetration were measured with stereomicroscope. The data were analyzed statistically by one-way ANOVA. The results were as follows : 1. All experimental groups showed varying degrees of dye penetration, and the mean degree of dye penetration was 0.1mm to 0.7mm. 2. Saliva contamination group(group 3) showed the highest amount of dye penetration, followed by NaOCl contamination group, then alcohol dried group, but there was no significant difference among three experimental groups. * This results suggest that there was no significant differences of apical leakage after canal obturation between alcohol dried canal and moisture present canals and the use of alcohol instead of paper point is unnecessary to dry the canals prior to canal filling. But other factors such as bacterial contamination and sealer discoloration by moisture must be considered in application of this results to clinical practice.

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In-depth morphological study of mesiobuccal root canal systems in maxillary first molars: review

  • Chang, Seok-Woo;Lee, Jong-Ki;Lee, Yoon;Kum, Kee-Yeon
    • Restorative Dentistry and Endodontics
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    • 제38권1호
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    • pp.2-10
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    • 2013
  • A common failure in endodontic treatment of the permanent maxillary first molars is likely to be caused by an inability to locate, clean, and obturate the second mesiobuccal (MB) canals. Because of the importance of knowledge on these additional canals, there have been numerous studies which investigated the maxillary first molar MB root canal morphology using in vivo and laboratory methods. In this article, the protocols, advantages and disadvantages of various methodologies for in-depth study of maxillary first molar MB root canal morphology were discussed. Furthermore, newly identified configuration types for the establishment of new classification system were suggested based on two image reformatting techniques of micro-computed tomography, which can be useful as a further 'Gold Standard' method for in-depth morphological study of complex root canal systems.

근관 소독제의 효과에 관한 임상적 연구 (A CLINICAL STUDY ON THE EFFECT OF INTRACANAL MEDICATION IN ENDODONTIC TREATMENT)

  • 임성삼
    • Restorative Dentistry and Endodontics
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    • 제16권2호
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    • pp.182-188
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    • 1991
  • The purpose of this study was to clarify the effect of intracana1 medication on the clinical symptoms and the number of visits before canal filling in endodontic treatment The experimental teeth was divided into three groups. The teeth of group 1 was irrigated with saline solution and the teeth of group 2 was irrigated with sodium hypochlorite during biomechanical preparation. The intracanal medicament was not applied in the canals of group 1 and group 2. The teeth of group 3 was irrigated with sodium hypochlorite and hydrogen peroxide during canal enlargement and applied formocresol as intracanal medicament after drying the root canals with paper points. The incidence of interappintment pain and percussion pain after 1 st visit and the number of appointments before canal filling was examined, and the results was statistically compared. The following results were obtained. 1. The incidence of interappointment pain and percussion pain and the number of visits before canal filling was not effected by the types of irrigant and the use of the intracanal medicament 2. There was no significant difference in the incidence of interappintment pain arid percussion pain and the number of appointement before canal filling between vital teeth and non vital teeth, and also between single rooted teeth and multirooted teeth. 3. The use of formocresol as intracanal medicament was not able to aid the elimination of clinical symptoms and to decrease the number of appointment before canal filling.

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Species Identification of Wood Coffins in Chosun Dynasty Period Excavated in Andong Area

  • Eorn, Young-Geun
    • Journal of the Korean Wood Science and Technology
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    • 제27권4호
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    • pp.15-19
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    • 1999
  • Three wood coffins of Chosun Dynasty period buried about 450 years ago were excavated in the sound condition in Andong area in the early 1998. The proprietors of wood coffins were grandparents, Mr. Myoung Jong Lee and Mrs. Mun, and their grandson, Mr. Eung Tae Lee, and the social standing of their family was known to belong to the nobility in those days by the clan genealogy. All the wood coffins investigated through light microscopy had same anatomical characteristics as follows: abrupt to somewhat abrupt tracheid transition from earlywood to latewood; normal longitudinal and horizontal resin canals with thin-walled epithelium; tylosoids in resin canals; bordered pits frequently in 1 row on radial walls of tracheids; 1 or 2 window-like pits per cross-field; uniseriate and fusiform rays; heterogeneous rays composed of body ray parenchyma cells and marginal ray tracheids or homgeneous rays composed of only ray tracheids; dentate ray tracheids; occasional trabeculae traversing tracheids in radial direction. Based on theses microscopic characteristics, all the wood coffins were identified to be Korean red pine (Pinus densiflora) or Korean black pine (Pinus thunbergii). Korean black pine growing naturally in coastal area might not be probable because the site of excavation, Andong area, was mountainous and inland area of Korea Thus, Korean red pine was thought to be the possible species for the wood coffins because of its natural distribution through the Korean Peninsula and the easy availability.

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Optimization of hydraulic section of irrigation canals in cold regions based on a practical model for frost heave

  • Wang, Songhe;Wang, Qinze;An, Peng;Yang, Yugui;Qi, Jilin;Liu, Fengyin
    • Geomechanics and Engineering
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    • 제17권2호
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    • pp.133-143
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    • 2019
  • An optimal hydraulic section is critical for irrigated water conservancy in seasonal frozen ground due to a large proportion of water leakage, as investigated by in-situ surveys. This is highly correlated with the frost heave of underlain soils in cold season. This paper firstly derived a practical model for frost heave of clayey soils, with temperature dependent thermal indexes incorporating phase change effect. A model test carried out on clay was used to verify the rationality of the model. A novel approach for optimizing the cross-section of irrigation canals in cold regions was suggested with live updated geometry characterized by three unique geometric constraints including slope of canal, ratio of practical flow section to the optimal and lining thickness. Allowable frost heave deformation and tensile stress in canal lining are utilized as standard in computation iterating with geometry updating while the construction cost per unit length is regarded as the eventual target in optimization. A typical section along the Jinghui irrigation canal was selected to be optimized with the above requirements satisfied. Results prove that the optimized hydraulic section exhibits smaller frost heave deformation, lower tensile stress and lower construction cost.

플러거 삽입깊이가 근관실러의 치근단 정출에 미치는 영향 (Influence of plugger penetration depth on the apical extrusion of root canal sealer in Continuous Wave of Condensation Technique)

  • 소호영;이영미;김광근;김기옥;김영경;김성교
    • Restorative Dentistry and Endodontics
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    • 제29권5호
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    • pp.439-445
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    • 2004
  • Continuous Wave 가압법으로 근관충전시 플러거 삽입 깊이에 따른 근관실러의 치근단 정출을 평가하고자 직선형의 단근관 및 15번 크기의 치근단공을 가지는 발거된 40개의 치아에서 0.06 경사도 40번 크기가 되게 니켈-티타늄 전동화일인 $ProFile^{\circledR}$로 근관을 형성하고 플러거 삽입깊이를 근단 3, 5 또는 7 mm로 하여 System $B^{TM}$를 이용한 Continuous Wave 가압법 및 측방가압법으로 근관을 충전하였다. 치근단으로 정출된 근관실러의 무게를 측정하여 일원변량분석법과 Duncan's Multiple Range Test로 통계분석하였다. 플러거 삽입깊이 3 mm 또는 5 mm의 Continuous Wave 가압 충전군은 삽입깊이 7 mm 가압충전 군 및 측방가압 충전군에 비해 유의하게 많은 근관실러의 치근단 정출을 나타내었다 (p < 0.05). 그러나 플러거 삽입깊이 3 mm군과 5 mm군 사이 및 플러거 삽입깊이 7 mm Continuous Wave 가압군과 측방가압 군 사이에는 유의한 차이가 나타나지 않았다 (p > 0.05). 본 연구의 결과로 보아 Continuous Wave 가압법으로 근관충전시에는 플러거 삽입깊이가 깊을수록 근관실러의 치근단 정출이 많음을 알 수 있다.

제 IV 형 근관에서 System B Plugger tip의 깊이에 따른 근관 충전 효과 (THE EFFECT OF CANAL OBTURATION ACCORDING TO THE DEPTH OF THE SYSTEM B PLUGGER TIP IN THE TYPE IV CANAL)

  • 최희원;김수미;황호길
    • Restorative Dentistry and Endodontics
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    • 제33권6호
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    • pp.518-525
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    • 2008
  • 본 연구의 목적은 제 IV형 근관에서 Continuous Wave 가압법을 이용하여 충전할 때 System B Plugger tip의 깊이에 따른 근단부 밀폐효과를 평가하기 위함이다. 50개의 J형 만곡을 갖는 레진 블록에 부러진 F3 ProTaper 파일을 이용해 근관장에서 3mm 지점에 ledge를 형성한 후, F1 ProTaper Ni-Ti file을 이용해 레진 블록을 천공시켜 제 IV형 근관을 형성하고 System B Plugger tip의 깊이에 따라 3개의 실험군과 1개의 대조군으로 분류하였다. 제 IV형 근관의 거터퍼쳐와 실러의 길이는 확대경하에서 캘리퍼를 이용해 측정하였고 다음과 같은 결과를 얻었다. 1. 대조군의 설측 근관에서 거터퍼쳐와 실러 모두 관찰되지 않았다. 2. 3 mm군에서는 5 mm 또는 7 mm군에 비해 유의하게 많은 거터퍼쳐의 충전이 관찰되었다 (p<0.05). 3. 7 mm군에서는 유의하게 많은 빈 공간이 관찰되었다 (p<0.05).

ProFile, ProTaperTM K-Flexofile 근관 성형시 근관의 만곡도에 따른 근관 형태 변화 비교연구 (A COMPARATIVE STUDY ON THE CANAL CONFIGURATION AFTER SHAPING BY PROFILE, PROTAPERTM AND K-FLEXOFILE IN SIMULATED CANALS WITH DIFFERENT ANGLES OF CURVATURE)

  • 이보금;김동준;황윤찬;황인남;오원만
    • Restorative Dentistry and Endodontics
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    • 제30권4호
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    • pp.294-302
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    • 2005
  • 본 연구는 ProFile, ProTaper 및 K-Flexofile로 근관 성형시 근관의 만곡도에 따라 근관의 형태가 어떻게 변화하는지를 비교 분석하고자 시행되었다. ISO #15 finger spreader를 15도, 30도 및 45도로 만곡시키고 에폭시 레진으로 각각도의 근관을 갖는 30개의 근관 모형을 제작하였다. 근관의 길이는 18mm로 하였고 근관의 만곡은 근관의 입구로부터 10mm 부위에서 시작하도록 제작하였다. 근관 성형에는 엔진 구동형 니켈-타이타늄 파일인 ProFile과 ProTaper, 수동형 stainless steel 파일인 K-Flexofile을 사용하였다. ProFile과 ProTaper는 제조자의 지시에 따라 크라운다운법으로 근관 성형하였고, K-Flexofile은 스텝백법으로 근관 성형하였다. 근첨부 성형은 #25파일 크기까지 시행하였다. 근관 성형 전 후 이미지를 스캐너를 이용하여 얻고 Photoshop 7.0프로그램을 이용하여 중첩하였다. 이미지 분석 프로그램을 이용하여 치근단 쪽에서부터 1, 2, 3, 4, 5, 6, 7, 8, 9및 10mm부위의 내 외측 폭경 변화와 총폭경 및 근관의 중심축에 대한 근관 변위을 측정하였다. 각 부위에서 내 외측 폭경과 총폭경 및 근관 변위의 유의성 검정을 위해 one-way ANOVA분석을 시행하였으며 각 기구간의 유의성 검정은 Scheffe's test로 사후 분석하였다. 또한 기구의 변형과 파절 여부를 평가한 결과 엔진 구동형 니켈-타이타늄 파일인 ProFile과 ProTaper를 사용하여 근관성형시 수동형 스테인레스 스틸 파일인 K-Flexofile에 비해 근관의 변위를 적게 유발하고 특히 ProFile이 근관 성형시 바람직한 기구임을 시사하였다.