• The Journal of the Korean dental association
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• v.58 no.1
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• pp.8-18
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• 2019

This case report presents results for gingival recession coverage following gingival grafting and for gingival biotype enhancements by visualizing soft tissue volume changes using intraoral three-dimensional scanning. A 28 year old female patient with multiple gingival recessions and a 19 year old female patient with a single gingival recession on mandibular anterior area were treated. Root coverage was performed in both cases using autogenous subepithelial connective tissue harvested from palate. Intraoral 3D scan data were obatained presurgery and at 3 months, 1 year, and 2 years postsurgery. The recession areas were recovered successfully by subepithelial connective tissue graft combined with pedicle flap repositioning, and the patients showed neither further recurrence nor post-operative complication. Soft tissue biotype changes were identified by superimposing and analyzing scan data, revealing that gingival biotype was enhanced in both cases. These cases suggest that SCTG could be advantageous in terms of the gingival biotype enhancement, as well as gingival recession coverage, and intraoral 3D scanning might be suitable for assessing post-surgical gingival biotype change.

• Journal of Oral Medicine and Pain
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• v.26 no.2
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• pp.157-160
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• 2001

Facial nerve paralysis(or Bell's palsy) which commonly occurs unilaterally, gives rise to paralysis of facial expression muscle. This condition is classified into symptomatic facial nerve paralysis due to intracranial tumor, post operative trauma, etc. and idiopathic facial nerve paralysis. To explain the etiology of idiopathic facial nerve paralysis, many hypothesis including ischemic theory, viral infection, exposure to cold, immune theory etc. were suggested, but there is no agreement at this point. The method to evaluate the facial nerve paralysis, when it occurs, consists of three stage scale method, image thechnics like CT and MRI, laboratory test to examine the antibody titers of viral infection, neurophysiologic test to evaluate the degree and prognosis of paralysis. Treatment includes medication, stellate ganglion block(SGB), surgery, physical therapy and other home care therapy. In medication, systemic steroids, vitamins, vasodilating-drug and ATP drugs were used. SGB was also used repeatedly to attempt the improvement of circulation and to stimulate the recovery of nerve function. Physical therapy including electric acupuncture stimulation therapy(EAST) and hot pack was used to prevent the muscle atrophy. When No response was showed to this conservative therapies, surgery was considered. After treating two patients complaining of Bell's palsy with medication(systemic steroids) and EAST, favorable result was obtained. so author report the case of facial nerve paralysis.

• The Journal of the Korean dental association
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• v.52 no.8
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• pp.456-463
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• 2014

Caries Management by Risk Assessment (CAMBRA), published by California Dental Association in 2003, is a customized caries care system that classifies individuals' caries risk into 4 risk groups based on objective evidences and provides chemical treatments targeted for each caries risk level. However, this system was not only developed but also optimized for situation in the United States, resulting into many limitations to be used in Korea, and thus Korean CAMBRA (K-CAMBRA) that considers the clinical situation in Korea needs to be developed. K-CAMBRA includes various techniques that are newly developed in order to overcome the limitations. First, Q-ray, a new optical technology, is utilized in order to avoid the subjectivity of visual inspection during assessment of disease indicators and risk factors. Moreover, Cariview? that reflects the paradigm shift in cariology as a new form of caries assessment kit is used. In addition, considering the situation in Korea, where it is impossible to use high concentration fluoride product, Oral pack with a customized tray is added to increase the contact time of chemical substance. CAMBRA is believed to be the key clinical tool that overcomes the limitations of the paradigm of the conventional restoration-based surgical model of dentistry. Furthermore, it can be expected that Korean dentists can act as oral physicians who are able to control and care individuals' caries risk rather than operative experts who only care about the outcome of caries.

• Journal of The Korean Dental Society of Anesthesiology
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• v.11 no.2
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• pp.159-163
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• 2011

Vasovagal syncope accounts for the majority of adverse events that occur in dental offices and is normally related to emotional or somatic factors. The factors trigger intense parasympathetic state, leading to bradycardia and hypotension. We experienced a case of vasovagal syncope just before general anesthesia. A 49-year-old woman with alveolar bone deficiency on maxilla and mandible was planned to undergo an alveolar bone graft with mandibular body under general anesthesia. She didn't have any histories of disease, medication or syncope. Though she showed a little anxiety from admission, she had no pre-operative medication. After she was guided to the operating room, she had signs and symptoms of vasovagal syncope without any prodromes. The patient was resuscitated soon only by the conservative treatment and was operated under general anesthesia.

• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.141-147
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• 1980

The sealing effect of a few cavity liners upon the dentinal tubule were studied in vitro. The materials employed in this study were Silcot (SP$\'{E}$CIALIT$\'{E}$S SEPTODONT, M.-T. GENDRAULT, Pharmacien), Hypo-Cal(Ellman Dental Mfg.Co.Inc.), Cavity Lining(De Trey), and Copaute(Harry J. Bosworth Co.). Freshly extracted human teeth were devided into 5 groups by age-under twenty, twenties, thirties, forties, and over fifty. Class V cavities were prepared routinely. The cavity walls of eight teeth of each group were lined by Silcot, Copalite, Cavity Lining, and Hypo-Cal. Remaining eight were not lined as a control. These specimens were immersed in dye solution (2 gm eosin Y to 800 cc distilled water) for 48 hours to allow maximum dye penetration into dentinal tubules. Each specimen was sectioned longitudinally including Class V cavity floor under water spray. Dye penetration into dentinal tubules were examined and following results were obtained. 1. Liners used on this study showed more or less dye penetration into dentinal tubules. But compared with the teeth without lining, the dye penetration of lined specimens were decreased. 2. Of these liners tested, Silcot was the most effective sealer upon the dentinal tubules. Copalite was the moderate sealer and Cavity Lining showed a tendency similar to Copalite. Hypo-Cal revealed the greatest dye penetration. 3. As the age was increased, the more the dye penetration into the dentinal tubules was decreased.

• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.37-50
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• 1980

Scanning Electron Microscopic (SEM) examination on the labial surface of 91 permanent upper incisors were made after etching procedure with phosphoric acid, sulfuric acid, nitric acid, hydro chloric acid, oxalic acid, formic acid, citric acid and zinc phosphate liquid for 2 minutes. Following results were obtained. 1. In the surfaces etched by 10%. 50% phosphoric acid, 50% sulfuric acid, 10%. 30% nitric acid, 10%. 50% oxalic acid, 10%. 30%. 50% formic acid, 30%. 50% citric acid and zinc phosphate liquid, there appeared to be a preferential removal of prism cores, but in the surfaces etched by 10% phosphoric acid, 50% nitric acid, 10%. 30% hydrochloric acid and 30% oxalic acid, the prism peripheries were removed preferentially. 2. According to Silverstone classification on enamel etching pattern the surface treated by zinc phosphate liquid, 30. 50% citric acid, 10%. 30%. 50% formic acid, 10%. 50% oxalic acid, 10%. 30% nitric acid, 50% sulfuric acid and 10%. 50%. phosphoric acid showed Type 1, and etched by 30% oxalic acid, 10%. 30% hydrochloric acid, 50% nitric acid and 10% phosphoric acid showed Type II. Etching of prism cores was by far the most common occurence. The changes produced could be related to intrinsic differences in histology and / or solubility of enamel.

• Restorative Dentistry and Endodontics
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• v.7 no.1
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• pp.17-24
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• 1981

The purpose of this study is to compare the shape of the apical regions of root canals after instrumentation by various enlarging instruments. 120 extracted, single-rooted human teeth were seperated into 4 experimental groups. Each group provided 30 teeth for experimental use. Group 1 root canals instrumented by the hand-operated Reamer. Group 2 root canals instrumented by the hand-operated H-file. Group 3 root canals instrumented by the hand-operated K-file. Group 4 root canals instrumented by the automated Giromatic file. The results were as follows: 1. The degree of the roundness of the apical regions of root canal walls: 1) Hand-operated instruments were superior to the automated Giromatic file. 2) The Reamer was the most effective instrument among hand-operated instruments 3) There was little difference between the H-file and the K-file. 2. The degree of the smoothness of the apical regions of root canal walls: 1) Root canal walls instrumented by the hand-operated Reamer, H-file and, K-file were generally smooth, and there was little difference among them. 2) Root canal walls instrumented by the automated Giromatic file showed many irregular canal walls. 3. The existance of organic debris in the apical regions of root canals: All organic debris is not removed from root canals, and there was little difference between hand-operated instruments and the automated Giromatic instrument in removing organic debris.

• Restorative Dentistry and Endodontics
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• v.7 no.1
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• pp.7-15
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• 1981

This study was conducted to compare the cleansing effect of various irrigants and the function of the quantity of irrigants in apical region. One hundred sixty single rooted teeth were divided into four groups and fourty teeth in each group were individually enlarged and irrigated with each of four irrigants as they would be during clinical condition. The four tested irrigants were Normal saline solution, 3.5% NaOCl, 15% EDTA, and 50% Citric acid. In each group, twenty teeth were flushed with 2cc of each irrigant and another twenty teeth with 5cc of same irrigant after use of each instrument. After final flush and dry, the roots were split longitudinally and the degree of cleansing at apical portion were evaluated under Stereoscope by three observers. The typical specimens of each group were also examined under Scanning electron microscope. The results were as follows. 1. There were no significant difference of cleansing effect among the tested irrigants. 2. 5cc flushed groups have more samples that have high degree of cleansing than 2cc flushed groups. 3. The canals irrigated with 2cc showed the presence of many dentin chips, tissue debris and smeared layer, whereas the 5cc groups revealed relatively clean canal surface and less smeared layer under Scanning electron microscope. 4. The teeth flushed with 5cc of EDTA and with 5cc of Citric acid showed the most clean canal surface at Scanning fictures.

• Restorative Dentistry and Endodontics
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• v.7 no.1
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• pp.59-63
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• 1981

Ninety four human mandibular third molars were chosen to study the anatomy of the root canal. The experimental teeth were injected with china ink, decalcified, cleared and used in study, in vitro, to determine the number of root, the number of root canals, canals per root, frequency and location of transverse anastomoses, frequency and location of lateral canals and frequency of the apical deltas. The results were as follows: 1. Most of the teeth showed two canals, but 17.0% of the teeth were found to have one canal, 17.0% of them three canals, 3.2% of them four canals and l.1% of them five canals. 2. In so far as observing one canal per root, 17.0% of the teeth were found to have one canal in single-rooted tooth, 48.9% of them in mesial root and 58.5% of them in distal root. 3. In roots with two or three canals, the separated apical foramen appeared in 55.6% in single-rooted tooth, 64.3% in mesial side and 80.0% in distal side, and the common apical foramen appeared in 44.4% in single-rooted tooth, 35.7% in mesial side and 20.0% in distal side. 4. Of the two root canals in one root, 19.1% of the canals were found to have transverse anastomoses and were usually located in the apical third of the root. 5. 63.8% of 94 teeth were found to have lateral canals, and ramifications were mainly located in the apical third of the root.

• Restorative Dentistry and Endodontics
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• v.4 no.1
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• pp.11-16
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• 1978

This experimental study was made to investigate the effect of the "Hi-Pol" composite resin on the human dental pulp. 38 cavities of healthy permanent teeth were divided into 5 groups which were used as experimental materials. Group 1: Zinc Oxide-Euginol paste was applied to the cavities as controls $\cdots\;\cdots8$ cases Group 2: "Hi-Pol"*filling with Dycal** base $\cdots\;\cdots9$ cases Group 3: "Hi-Pol" filling without Dycal base $\cdots\;\cdots9$ cases Groud 4: Adaptic*** filling with Dycal base $\cdots\;\cdots6$ cases Group 5: Adaptic filling without Dycal base $\cdots\;\cdots6$ cases The treated teeth were extracted after 1 week, 2 weeks, 3 weeks and 4 weeks and processed for histological study. The results obtained from this experimental study were as follows; 1. The controls applied zinc oxide-eugenol showed the minimal pulp response and group 3 and group 5 showed the most severe pulp response. 2. In group 3 and group 5, the severity of pulp response increased in intensity according to the time elapsed. 3. In group 2 and group 4, the mild pulp response was found in earlier stage and the repairing process could be observed in later stage. * Boo-Pyung Co., Korea ** L. D. Caulk Co., Milford, Del. 19963 *** Johnson and Johnson Co., New Brunswick, NJ 08903.