• 대한심미치과학회지
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• 제7권1호
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• pp.6-17
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• 1998

치아미백은 100여년전 이상부터 시행되어 왔으나, 지난 4반세기 동안의 생활치아 미백술의 표준적인 방법은 과산화수소와 열원을 사용하거나, 열원과 광원을 복합해서 사용하는 것이었다. 이 술식의 단점은 술식의 복잡성, 많은 비용, 결과의 불확실성과 환자의 불편이었다. 1989년 3월에 치과계에서는 Haywood와 Heyman에 의해 발표된 새로운 생활치아 미백술(Night Guard Vital Bleaching)을 도입했다. 치아구조에 대한 carbamide peroxide의 화학적 효과를 알고 있었으면 수년 전에 개발되었을 아주 간단한 치료술식이다. 이 방법은 시술이 쉽고, 사용 되는 재료의 높은 안전성, 낮은 치료비, 높은 성공률로 최근 다시 치아미백 붐을 일으키는데 일조를 하고 있으며, 생활치아 미백술의 표준적인 방법으로 신속히 자리잡아가고 있다.

• Restorative Dentistry and Endodontics
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• 제24권3호
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• pp.453-464
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• 1999

The non-vital bleaching technique has been used widely as a very effective treatment method on discolored non-vital teeth. But periodontal tissue deterioration and cervical external root resorption have been reported because of the high toxicity of hydrogen peroxide in bleaching agents. So in previous studies, placement of base over the root canal obturation prior to bleaching has been suggested in order to prevent microleakage of bleaching agents, however, the effectiveness of base is still controversial. The purpose of this study was to evaluate the effects of base and root canal sealer on prevention of leakage of bleaching agents in non-vital bleaching. Fifty-two extracted sound teeth with single root were used. For root canal obturation, Tubuli seal$^{(R)}$(Kerr Co., USA) was used in 39 teeth and in others, AH-26$^{(R)}$(De Trey Dentsply, Inc., Switzerland) was used as a root canal sealer. 26 teeth among the teeth obturated with Tubuli seal$^{(R)}$ were divided into two groups, and Dentin cement$^{(R)}$(GC corp., Japan) and JRM$^{(R)}$(De Trey Dentsply, Inc. Germany) were used in each group as a intracanal base. In all teeth, non-vital bleaching using bleaching agent mixed with methylene blue dye was performed and all specimens were stored in $37^{\circ}C$ water bath for 72 hours. After sectioning longitudinally, the depth of dye leakage was measured with digital vernier calipers under the stereobinocular microscope using ${\times}40$ magnification. It can be concluded as follows: 1. The microleakage of bleaching agent was observed ill all groups regardless of type of the base and the sealer. 2. The microleakage in the groups using AH-26$^{(R)}$ as a sealer was significantly reduced (p<0.05). 3. In the groups with intracanal base, micro leakage was observed through almost the whole depth of the base and there was no significant difference between Dentin cement$^{(R)}$ and IRM$^{(R)}$ group(p>0.05). In conclusion, all the basing materials and the sealers in this study did not prevent the microleakage of bleaching agent. Therefore further studies and attempts to seal off the pulp chamber will be necessary.

• Restorative Dentistry and Endodontics
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• 제27권4호
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• pp.441-447
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• 2002

The bleaching of discolored nonvital teeth is conservative treatment that satisfy the cosmetic desire. The most common method for this treatment, walking bleaching, is using 30% hydrogen peroxide and sodium perborate. Many alternatives are suggested for preventing the external cervical root resorption that is the common complication of the nonvital teeth bleaching with 30% hydrogen peroxide The same extent of oxidation reactions as that resulted by the bleaching with the application of 30% hydrogen peroxide and sodium perborate can also be acquired more safely by materials that contain 10% carbamide peroxide, used primarily for the bleaching of vital teeth. Therefore, this study was performed to evaluate the efficacy of 10% and 15% carbamide peroxide bleaching gel in nonvatal teeth bleaching. The internal bleaching of intentionally discolored teeth was performed in vitro with 10% carbamide peroxide (Group 1), 15% carbamide peroxide (Group 2), mixture of distilled water and sodium perborate (Group 3), and mixture of 30% hydrogen peroxide and sodium perborate (Group 4). The bleaching materials were refreshed following 3, 6, 9 and 12 days. To evaluate the bleaching effect, the color change of the crowns was measured at 1, 2, 3, 4, 7 and 15 days of bleaching using the colorimeter. The results were as follows：1. L$^*$ and $\Delta$E$^*$ values were increased with time in all bleaching agents (p<0.01). 2. There was no significant difference in L$^*$ and $\Delta$E$^*$ value among bleaching agents. 3. $\Delta$E$^*$ value higher than 3 was shown after 3 days of bleaching with 10% carbamide peroxide gel, 1 day with 15% carbamide poroxide gel, 4 days with mixture sodium perborate and distilled water and 4 days with mixture sodium perborate and 30% hydrogen peroride, respectively. These results revealed that the use of 10% and 15% carbamide peroxide bleaching gel in non-vital teeth bleaching is as effective as mixture of distilled water and sodium perborate and mixture of 30% hydrogen peroxide and sodium perborate. Accordingly, carbamide peroxide could be used clinically to bleach discolored non-vital teeth.

• Restorative Dentistry and Endodontics
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• 제31권2호
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• pp.79-85
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• 2006

생활치 미백제와 알콜 전처리 과정이 상아질 접착에 미치는 영향을 평가하고자 발거치 55개의 치관부 협측 상아질면에서 $Opalescence^{(R)}$(Ultradent사 미국)로 미백처리 후 즉시 $One-step^{(R)}$ 상아질 접착제(Bisco사, 미국)를 전 처치한 $Z-250^{(R)}$ 복합레진(3M-ESPE사, 미국) 접착군, 미백처리 2주후 레진 접착군, 미백처리 후 70% 에탄올 처리군, 그리고 미백처리하지 않은 대조군으로 나누어 실험한 다음 전단접착강도를 측정하고 95% 유의수준에서 일원변량분석법으로 통계분석 하였다. 생활치 미백제가 상아질 접착력을 현저히 감소시켰다. 미백처리 2주 후 레진 접착군은 미백처리하지 않은 대조군과 유의한 차이가 나타나지 않았으며 70% 에탄을 처리군은 미백처리하지 않은 대조군보다는 접착력이 낮았으나, 미백처리 2주 후 레진 접착군과는 차이가 없고 즉시 접착군보다는 높은 접착강도를 나타내었다. 따라서 임상에서 치아미백 후 즉시 레진수복을 할 경우, 에탄올로 전처리하면 상아질에서 레진 접착력을 회복할 수 있을 것으로 사료된다.

• 대한치과의사협회지
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• 제36권2호통권345호
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• pp.90-93
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• 1998

• 대한치과의사협회지
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• 제36권1호통권344호
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• pp.13-15
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• 1998

• 대한치과의사협회지
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• 제36권3호통권346호
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• pp.170-172
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• 1998

• 대한치과재료학회지
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• 제46권1호
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• pp.1-10
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• 2019

근관치료 후 발생하는 치아변색은 여러 가지 원인에 의해 나타나는 것으로 알려져 있다. 본 실험은 근관치료 후 치아변색이 일어나는 여러 원인 중 실러 종류에 따른 영향을 평가하고 변색을 치료하기 위한 방법으로 실활치 미백을 시행할 경우 미백 효과 정도를 비교해 보는 것이다. 24개의 치아를 대조군, AH plus, Endosequece BC, MTA fillapex군 4개의 군으로 나누어 실험하였다. 실러를 사용하여 통상적인 방법으로 근관충전을 시행한 후 과붕산나트륨을 이용하여 실활치 미백을 시행 하였다. 그 후 Vita easyshade를 사용하여 치아의 색을 CIE L^*a^*b 시스템으로 측정하였다. 근관충전 후 변색실험에서 대조군과 모든 실험군에서 시간에 따라 치아의 색이 변하였다. 미백제의 효과에 대해서는 Endosequence BC와 MTA fillapex에서 AH plus군에 비해 미백효과가 유의하게 높은 결과가 나타냈다. 본 연구를 바탕으로 근관치료 시 실러의 주의 깊은 사용이 필요하며, epoxy resin 계열에 비해 Calcium silicate 계열의 실러로 인한 치아 변색에서 과붕산나트륨을 이용한 미백은 효율적일 수 있다.

• Restorative Dentistry and Endodontics
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• 제26권5호
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• pp.399-408
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• 2001

Tooth bleaching has been prevailing recently for its ability to recover the color and shape of natural teeth without reduction of tooth material. However, it has been reported that bleaching procedure adversely affects the adhesive bond strength of composite resin to tooth. At the same time the bond strength was reported to be regained by application of some chemical agents. The purpose of this in vitro study was to investigate the effect of the removal of residual peroxide on the composite- enamel adhesion and also evaluated fracture mode between resin and enamel after bleaching. Sixty extracted human anterior and premolars teeth were divided into 5 groups and bleached by combined technique using of office bleaching with 35 % hydrogen peroxide and matrix bleaching with 10% carbamide peroxide for 4 weeks. After bleaching, the labial surfaces of each tooth were treated with catalase, 70% ethyl alcohol, distilled water and filled with composite resin. Shear bond strength was tested and the fractured surfaces were also examined with SEM. Analysis revealed significantly higher bond strength values. (p＜0.05) for catalase-treated specimens, but water-treated specimens showed reduction of bond strength, alcohol- treated specimens had medium value between the two groups(p＜0.05). The fracture mode was shown that the catalase group and the alcohol group had cohesive failure but the water sprayed group had adhesive failure. It was concluded that the peroxide residues in tooth after bleaching seems to be removed by gradual diffusion and the free radical oxygen from peroxide prevents polymerization by combining catalyst in the resin monomer. Therefore it may be possible to eliminate the adverse effect on the adhesion of composite resin to enamel after bleaching by using water displacement solution or dentin bonding agent including it for effective removal of residual peroxide.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2007년도 Spring Scientific Meeting(the 127th) of Korean Academy if Conservative Dentistry
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• pp.288-288
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• 2007