• Title/Summary/Keyword: Tooth sensitivity

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The effect of metal artifacts on the identification of vertical root fractures using different fields of view in cone-beam computed tomography

  • Moudi, Ehsan;Haghanifar, Sina;Madani, Zahrasadat;Bijani, Ali;Nabavi, Zeynab Sadat
    • Imaging Science in Dentistry
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    • v.45 no.3
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    • pp.147-151
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    • 2015
  • Purpose: The aim of this study was to investigate the effects of metal artifacts on the accurate diagnosis of root fractures using cone-beam computed tomography (CBCT) images with large and small/limited fields of view (FOVs). Materials and Methods: Forty extracted molar and premolar teeth were collected. Access canals were made in all teeth using a rotary system. In half of the teeth, fractures were created by the application of mild pressure with a hammer. The teeth were then randomly put into a wax rim on an acryl base designed in the shape of a mandible. CBCT scans were obtained using a Newtom 5G system with FOVs of $18cm{\times}16cm$ and $6cm{\times}6cm$. A metal pin was then placed into each tooth, and CBCT imaging was again performed using the same fields of view. All scans were evaluated by two oral and maxillofacial radiologists. The specificity, sensitivity, positive predictive value, negative predictive value, and likelihood ratios (positive and negative) were calculated. Result: The maximum levels of sensitivity and specificity (100% and 100%, respectively) were observed in small-volume CBCT scans of teeth without pins. The highest negative predictive value was found in the small-volume group without pins, whereas the positive predictive value was 100% in all groups except the large-volume group with pins. Conclusion: The specificity of CBCT decreased with the presence of a pin in the large-volume group, but not in the small-volume group.

Tooth surface treatment strategies for adhesive cementation

  • Rohr, Nadja;Fischer, Jens
    • The Journal of Advanced Prosthodontics
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    • v.9 no.2
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    • pp.85-92
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    • 2017
  • PURPOSE. The aim of this study was to evaluate the effect of tooth surface pre-treatment steps on shear bond strength, which is essential for understanding the adhesive cementation process. MATERIALS AND METHODS. Shear bond strengths of different cements with various tooth surface treatments (none, etching, priming, or etching and priming) on enamel and dentin of human teeth were measured using the Swiss shear test design. Three adhesives (Permaflo DC, Panavia F 2.0, and Panavia V5) and one self-adhesive cement (Panavia SA plus) were included in this study. The interface of the cement and the tooth surface with the different pre-treatments was analyzed using SEM. pH values of the cements and primers were measured. RESULTS. The highest bond strength values for all cements were achieved with etching and primer on enamel ($25.6{\pm}5.3-32.3{\pm}10.4MPa$). On dentin, etching and priming produced the highest bond strength values for all cements ($8.6{\pm}2.9-11.7{\pm}3.5MPa$) except for Panavia V5, which achieved significantly higher bond strengths when pre-treated with primer only ($15.3{\pm}4.1MPa$). Shear bond strength values were correlated with the micro-retentive surface topography of enamel and the tag length on dentin except for Panavia V5, which revealed the highest bond strength with primer application only without etching, resulting in short but sturdy tags. CONCLUSION. The highest bond strength can be achieved for Panavia F 2.0, Permaflo DC, and Panavia SA plus when the tooth substrate is previously etched and the respective primer is applied. The new cement Panavia V5 displayed low technique-sensitivity and attained significantly higher adhesion of all tested cements to dentin when only primer was applied.

Fabrication and Characteristics of the Hall Sensor Using Differential Detection Method (차동검출방식을 이용한 홀 센서의 제작 및 특성)

  • Jeong, W.C.;Nam, T.C.
    • Journal of Sensor Science and Technology
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    • v.7 no.4
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    • pp.225-233
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    • 1998
  • The principle, design, and application of a gear-tooth sensor for the rough environmental conditions such as high temperatures of up to $150^{\circ}C$ are studied. The rotation of a tooth wheel is detected by a couple of Hall elements manufactured on the SIMOX wafer by a methode of differential detection using bipolar silicon technology. The product sensitivity of the Hall element is about 510 V/AT over a wide temperature range of $-40^{\circ}C{\sim}150^{\circ}C$. The differential Hall sensor makes the maximum possible distance between sensor and tooth wheel wider than that when single Hall element is used over a wide temperature range, and the maximum detectable distance is 4.5mm at driving current of 4mA.

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Identify Hypoid gear whine noise for Deflection test and Transmission error measurement (하이포이드 기어의 소음원인규명을 위한 디플렉션 테스트와 전달에러 측정에 대한 연구)

  • Choi, Byung-Jae;Oh, Jae-Eung;Park, Sang-Kil
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2008.11a
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    • pp.91-98
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    • 2008
  • Hypoid gears are widely used in rear drive and 4WD vehicle axles. Investigation of their sensitivity to deflections is one of the most important aspects of their design and optimization procedures. The deflection test is performed in the actual gear mounting using completely processed gear. This test should cover the fun operating range of gear loads from no load to peak load. Under peak load the contact pattern should extend to the tooth boundaries without showing a concentration of the contact pattern at any point on the tooth surface. Transmission error is tested on an axle assembly triaxial real car load condition.

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Identify Hypoid gear whine noise for Deflection test and Transmission error measurement (하이포이드 기어의 소음원인규명을 위한 디플렉션 테스트와 전달에러 측정에 대한 연구)

  • Choi, Byung-Jae;Oh, Jae-Eung;Park, Sang-Kil
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1040-1047
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    • 2008
  • Hypoid gears are widely used in rear drive and 4WD vehicle axles. Investigation of their sensitivity to deflections is one of the most important aspects of their design and optimization procedures. The deflection test is performed in the actual gear mounting using completely processed gear. This test should cover the full operating range of gear loads from no load to peak load. Under peak load the contact pattern should extend to the tooth boundaries without showing a concentration of the contact pattern at any point on the tooth surface. Transmission error is tested on an axle assembly triaxial real car load condition.

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Identify Hypoid Gear Whine Noise for Deflection Test and Transmission Error Measurement (하이포이드 기어의 소음원인규명을 위한 디플렉션 테스트와 전달오차 측정에 대한 연구)

  • Choi, Byung-Jae;Oh, Jae-Eung;Park, Sang-Gil
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.19 no.2
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    • pp.127-137
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    • 2009
  • Hypoid gears are widely used in rear drive and 4WD vehicle axles. Investigation of their sensitivity to deflections is one of the most important aspects of their design and optimization procedures. The deflection test is performed in the actual gear mounting using completely processed gear. This test should cover the full operating range of gear loads from no load to peak load. Under peak load the contact pattern should extend to the tooth boundaries without showing a concentration of the contact pattern at any point on the tooth surface. Transmission error is tested on an axle assembly triaxial real car load condition.

Association between periodontal disease, number of remaining teeth and high-sensitivity C-reactive protein in Korean adults aged 40 and older: Based on data from 2015 Korea National Health and Nutrition Examination Survey (한국 40세 이상 성인의 치주질환, 잔존 치아 수와 고감도 C-반응성 단백의 연관성: 2015 국민건강영양조사 제6기 자료)

  • Cho, Youn-Young
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.303-312
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    • 2020
  • Objectives: The purpose of this study was to investigate the relationship between periodontal disease, number of remaining teeth with high-sensitivity C-Reactive protein in Korean adults aged 40 and older. Methods: The study used the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3), 2015. The study sample consisted of 3,883 aged 40 years or older who had completed the health survey and the health examination. Logistic regression analyses were performed to examine the odds ratios of high-sensitivity C-Reactive protein by periodontal disease and number of remaining teeth, adjusting for demographic characteristics, chronic diseases and oral health behavior-related variables. Results: When the demographic and chronic diseases were adjusted, the risk of high-sensitivity C-Reactive protein (hs-CRP) average 1.23 mg/L or higher was 1.36 times higher in patients with periodontal disease between the ages of 40 and 49, but it was not significant (OR=1.36; 95% CI=0.82-2.23). In addition, in the group of 0~23 remaining teeth aged 40~49 years, the risk of higher than the average 1.23 mg/L of high-sensitivity C-Reactive protein was 2.03 times higher (OR=2.03; 95% CI=1.10-3.74), and 1.49 times higher in 60~69 years (OR=1.07; 95% CI=1.04-2.76). Conclusions: This study found that periodontal disease and tooth loss in Korean adults aged 40 and older was significantly associated with high-sensitivity C-reactive protein.

IN VITRO COMPARISON OF VARIOUS DIAGNOSTIC METHODS OF OCCLUSAL CAR10US LESIONS (교합면 우식병소의 다양한 진단법에 관한 비교연구)

  • Kim, Jae-Gon;Kim, Young-Jin;Kim, Young-Sin;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.613-619
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    • 2001
  • The aims of this study were to compare the accuracy, sensitivity and specificity of cnventional visual examination, radiography and a new laser fluorescence method, KaVo Diagnodent, for the detection of occlusal caries lesions. One hundred sound human premolars and molars which had no restorations or interproximal cavities were tested by three methods. Tooth lesions depth was assessed at histologic examination using Caries detector dye The following results were obtained. 1. Diagnodent show 7.8 in sound tooth, 25.4 in initial caries, 30.5 in enamel caries, and 53.8 in dentin caries with average score 2. Spearman and Pearson relation coefficient was high between tooth-specimen test with dye and Diagnodent(0.736, 0.619), visual examination(0.664, 0.666), and was low between tooth-specimen test with dye and radiographic examination(P<0.01, total) 3. Accuracy of occlusal caries was highest on Diagnodent(65%) and lowest on radiographic examination(35%) 4. In initial caries, the sensitivity and specificity of Diagnodent method was the highest. In enamel caries, the sensitivity of visual examination was the highest and specificity of Diagnodent method was the highest. In dentinal caries, the sensitivity and specificity of Diagnodent method was the highest and sensitivity of visual examination was the lowest.

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Vertical root fracture diagnosis in teeth with metallic posts: Impact of metal artifact reduction and sharpening filters

  • Debora Costa Ruiz;Lucas P. Lopes Rosado;Rocharles Cavalcante Fontenele;Amanda Farias-Gomes;Deborah Queiroz Freitas
    • Imaging Science in Dentistry
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    • v.54 no.2
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    • pp.139-145
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    • 2024
  • Purpose: This study examined the influence of a metal artifact reduction (MAR) tool, sharpening filters, and their combination on the diagnosis of vertical root fracture (VRF) in teeth with metallic posts using cone-beam computed tomography (CBCT). Materials and Methods: Twenty single-rooted human premolars - 9 with VRF and 11 without - were individually placed in a human mandible. A metallic post composed of a cobalt-chromium alloy was inserted into the root canal of each tooth. CBCT scans were then acquired under the following parameters: 8 mA, a 5×5 cm field of view, a voxel size of 0.085 mm, 90 kVp, and with MAR either enabled or disabled. Five oral and maxillofacial radiologists independently evaluated the CBCT exams under each MAR mode and across 3 sharpening filter conditions: no filter, Sharpen 1×, and Sharpen 2×. The diagnostic performance was quantified by the area under the receiver operating characteristic curve (AUC), sensitivity, and specificity. These metrics were compared using 2-way analysis of variance with a significance level of α=5%. Intra- and inter-examiner agreement were assessed using the weighted kappa test. Results: Neither MAR nor the application of sharpening filters significantly impacted AUC or specificity (P>0.05). However, sensitivity increased when MAR was combined with Sharpen 1× and Sharpen 2× (P=0.015). The intra-examiner agreement ranged from fair to substantial (0.34-0.66), while the inter-examiner agreement ranged from fair to moderate (0.27-0.41). Conclusion: MAR in conjunction with sharpening filters improved VRF detection; therefore, their combined use is recommended in cases of suspected VRF.

A STUDY ON MICROLEAKAGE OF COMPOSITE RESIN AFTER SURFACE TREATMENT (표면 처리방법에 따른 복합레진의 미세누출에 관한 실험적 연구)

  • Lee, Chang-Woo;Kim, Jung-Wook;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.103-115
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    • 1998
  • Adhesion of composite resin to tooth structure has been of tremendous signgicance in clinical dentistry. Due to the lack of adhesion between composite restorative resins and enamel and dentin, microleakage occurs at the tooth/restoration interface. This may lead to discoloration, secondary caries, marginal breakdown, postoperative sensitivity, and even pulpal pathology. According to extensive use of composite resin, every effort on improving bonding strength and reducing microleakage between a tooth and composite resin has been continued. This study was conducted to determine the difference in microleakage in enamel and dentin treated with air-abrasion, acid etching and combination when restored with composite resin. Class V cavities were prepared on 30 premolars. The specimens were divided into following groups. group 1:air-abrasion+Scotchbond Multi-purpose group 4 :air-abrasion+All-Bond 2 group 2:acid etching+Scotchbond Multi-purpose group 5 :acid etching+All-Bond 2 group 3:combination+Scotchbond Multi-purpose group 6 :combination+All-Bond 2 #combination:air-abrasion + acid etching The specimens were filled with Z-100 after application of Scotchbond Multi-purpose and All-Bond 2. Thermocycling was conducted by alternately dipping the specimens in $5^{\circ}C$ and $55^{\circ}C$ water for 30 seconds 500 times. 1% methylene blue was applied and the specimens were left for 24 hours at $37^{\circ}C$. After washing out the dye, the tooth was sectioned buccolingually along the axis. The sectioned surface was observed with stereoscope for dye penetration. The author has measured the microleakage in teeth prepared with air-abrasion, acid ethching and combination to study the difference in microleakage following different methods of tooth surface treatment and has come to following results. 1. In comparing microleakage between groups, group 1 and 4 showed statistically significant difference from group 2, 3, 5 and 6(p<0.05). There was no significant difference among group 2, 3, 5, 6(p>0.05) nor between group 1 and 4(p>0.05). 2. In comparing microleakage among tooth surface treatment methods, Air-abrasion group showed significantly more microleakage than acid etching group and combination(airabrasion + acid etching) group(p<0.05). Combination(acid etching+air-abrasion)group tended to show lesser microleakage than acid etching group, but this was not statistically significant(p>0.05). 3. In comparing microleakage between bonding agents, there was no statistically significant difference between Scotch bond Multi-purpose and All-Bond 2(p>0.05).

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