• Restorative Dentistry and Endodontics
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• 제39권3호
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• pp.149-154
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• 2014

Objectives: This study was performed to evaluate the cytotoxicity of four calcium silicate-based endodontic cements at different storage times after mixing. Materials and Methods: Capillary tubes were filled with Biodentine (Septodont), Calcium Enriched Mixture (CEM cement, BioniqueDent), Tech Biosealer Endo (Tech Biosealer) and ProRoot MTA (Dentsply Tulsa Dental). Empty tubes and tubes containing Dycal were used as negative and positive control groups respectively. Filled capillary tubes were kept in 0.2 mL microtubes and incubated at $37^{\circ}C$. Each material was divided into 3 groups for testing at intervals of 24 hr, 7 day and 28 day after mixing. Human monocytes were isolated from peripheral blood mononuclear cells and cocultered with 24 hr, 7 day and 28 day samples of different materials for 24 and 48 hr. Cell viability was evaluated using an MTT assay. Results: In all groups, the viability of monocytes significantly improved with increasing storage time regardless of the incubation time (p < 0.001). After 24 hr of incubation, there was no significant difference between the materials regarding monocyte viability. However, at 48 hr of incubation, ProRoot MTA and Biodentine were less cytotoxic than CEM cement and Biosealer (p < 0.01). Conclusions: Biodentine and ProRoot MTA had similar biocompatibility. Mixing ProRoot MTA with PBS in place of distilled water had no effect on its biocompatibility. Biosealer and CEM cement after 48 hr of incubation were significantly more cytotoxic to on monocyte cells compared to ProRoot MTA and Biodentine.

• Restorative Dentistry and Endodontics
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• 제14권2호
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• pp.49-64
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• 1989

The purpose of this study was to evaluate the effect of several materials on the healing process of apical wound. Sixteen mandibular premolars obtained from 4 healthy dogs were used for this study. Under general anesthesia, the pulpal chamber of each tooth was opened and the pulps were extirpated. The root canals were then instrumented with H-file and irrigated with physiologic saline solution ; the apices were purposely perforated and enlarged with the engine K-reamer. In the experimental groups, apical wounds were filled with one of calcium hydroxide, hydroxylapatite, and tricalcium phosphate materials, mixture of each materials and physiologic saline solution, with a lentulo spiral. In the control group, apical wounds were not filled with any material. All the root canals were filled by the lateral condensation technique with gutta-percha cone and ZOE sealer. The access opening of all the teeth were closed with amalgam. On the 10, 20, 40 and 60th day after experiment, experimental animals were sacrificed. Segments of jaws, each containing one tooth, were fixed in 10% formalin solution and decalcified in Plank-Rychlo solution. The specimens were embedded in paraffin and serially sectioned to an average thickness of $6{\mu}m$. The sections were stained by hematoxylin-eosin and Masson's trichrome stain method and examined under light microscope. The results were as follows : 1. In the experimental groups, the new bone formations were observed in apical wounds. 2. Fourty days later, apical wounds were healed by granulation tissue in the experimental groups, but were not healed by granulation tissue in the control group, and the healing process of experimental groups were more rapid than that of control group. 3. Sixty days later, chronic inflammation disappeared in the experimental groups, and the materials used showed biologic affinity to the periapical tissue. 4. In all the groups, the resorption of cementum appeared on the 10th and 20th day after experiment, and the deposition of cementum appeared on the 40th and 60th day after experiment, especially showing narrowness of apical foramen due to newly formed cementum in calcium hydroxide group. 5. Calcum hydroxide and tricalcium phosphate particles were gradually resolved, but hydroxylapatite particles were not resolved through the experimental period.

• Restorative Dentistry and Endodontics
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• 제26권2호
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• pp.111-120
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• 2001

Calcium hydroxide pastes is widely used in conventional endodontics. Along with the expanded clinical use of calcium hydroxide, literatures suggest mixing calcium hydroxide with other substance. Among added substances the vehicle plays the most importance role in the overall process because it is directly related with the velocity of ionic dissociation of $Ca^{2+}$ and OH ion. In this study, we evalutated and compared periapical tissue response and root resorption after canal was filled with mixture of saline and calcium hydroxide(Junsei Chemical Co.. Japan) as a aqueous vehicle, Metapaste(Meta Co., Korea) as a viscous vehicle paste, Vitapex(Neo Dental, Japan) as a oily vehicle paste and IRM(Caulk Dentsply, USA) in replantation of rat molar. A total of 31 maxillary first molars of Sprague-Dawley female rats, 30 days old were used. The upper 1st molar was extracted and the mesiobuccal canal was filled with mixture of saline and calcium hydroxide, Metapaste, Vitapex. IRM and then replanted. Rats were sacrificed 3 weeks after replantation. the maxillae were removed. section of 4 micron were cut and stained with hematoxylin-eosin, Apical tissue response were observed under light microscope. The results were as follows: 1. Saline mixing group and Metapaste group were significant different in fibrous capsule width compared to Vitapex group and IRM group(P<0.05). 2. Saline mixing group. Metapaste group. Vitapex group and IRM group did not prevent root resorption and there were no statistical difference. 3. In saline mixing group and Metapaste group. loss of pastes were observed in all samples. From the results of our study. we observed loss of pastes in saline mixing group and Metapaste group because of water soluble property and assumed it was related to inflammation in apical area and sealing ability of material. So, we should study and develop calcium hydroxide vehicle which is easily removed and more stable and because of only 3 weeks observation we need more evaluation in long period.

• Restorative Dentistry and Endodontics
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• 제26권2호
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• pp.162-170
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• 2001

The purpose of this study was to investigate the effect of cavity configurations on the marginal leakage of class 5 glass ionomer cement and composite resin restorations. Four types of cavities such as saucer shape. notch shape. combined shape(notch shape occlusally and saucer shape gingivally). and U shape were prepared on the buccal and lingual surfaces of 80 extracted premolars(40 cavities for each shape). Occlusal cavity margins were placed at enamel and cervical margins were placed at dentin. 10 cavities of each shape were restored with Ketac Fil as a conventional glass ionomer cement. Fuji II LC improved as a resin modified glass ionomer cement, Z 100 as a hybrid composite resin. and Tetric Flow as a flowable composite resin (40 cavities for each material). After thermocycling, teeth were immersed in 5% basic fuchsin solution for 6 hours and sectioned longitudinally in a buccolingual direction through the center of the restoration. The dye penetrations at the tooth restoration interface were examined by stereomicroscope. The Result were as follows 1. In saucer shape, notch shape and combined shape, composite resin restorations showed lesser leakage than glass ionomer restorations(p<0.05) and in U shape. Tetric Flow showed the least marginal leakage and others were decreased as Z 100. Fuji II LC improved, Ketac Fil in that order. There were statistically significant difference between Tetric Flow and Fuji II LC improved. Ketac Fil and between Z 100 and Ketac Fil(p<0.05). 2. In Ketac Fil restoration group, saucer shape showed the highest marginal leakage and U shape showed the least marginal leakage and others were decreased as notch shape, combined shape in that order. There were statistically significant difference between saucer shape and combined shape, U shape and between notch shape and U shape(p<0.05). 3. In Fuji II LC improved restoration group, U shape showed the least marginal leakage. There were statistically significant difference between U shape and other three shapes(p<0.05). 4. The cavity configuration had no significant effect on marginal leakage of composite resin restorations(p>0.05).

• 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.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.622-636
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• 1997

Glass ionomer cements, which had been developed in 1972, were widely used as an agent for cementation, base, pit and fissure sealant, and esthetic filling material with the advantages of excellent biocompatibility, anti-cariogenic fluoride release. Specimens were made to evaluate the color change of Glass ionomer cement with a newly developed improved Fuji II Le. Specimens for color change study with cement thickness of 1, 2, 3mm were made and those for the study of color shift pattern were made with the assumption that new mid-shade can be made by mixing of equal amount of both shades in 2mm thickness. After 24 hours in a $37^{\circ}C$ incubator, CIELAB color spaces were evaluated with a spectrophotometer. The results were as follows ; 1. All specimens discolored to dark and blue with an increased thickness in all shades (p<0.05). 2. There were significant $a^*$ space (red-green direction) changes in every A, B, C, D shade series except the relationship between 1mm and 2mm thickness groups in B shade series. But the changes were irregular, i.e., each shade series has its own pattern. 3. Each shade series showed its own specific color shift pattern in all $L^*$, $a^*$, $b^*$ spaces. 4. B shade series showed less amont of changes in ${\Delta}{\pm}E$ than those of A and C shade series (p<0.05), but there was no significant difference in ${\Delta}E$ within each shade series.

• Restorative Dentistry and Endodontics
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• 제31권5호
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• pp.352-358
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• 2006

본 연구는 코어용 이중 중합 레진의 중합도에 미치는 두께의 영향과 빛이 감소된 깊은 와동에서 자가 중합에 의한 영향을 조사하고자 하였다. Luxacore Dual과 Luxacore Self (DMG Inc, Hamburg, Germany) 두 종류의 코어용 레진 수복재를 지름 10 mm, 두께가 2, 4, 6, 8 mm 의 Teflon mold에 주입하고 자가중합 시키거나 혹은 $500 mW/cm^2$의 광도로 제조자의 지시에 따라 중합 후 $37^{\circ}C$ 증류수에 24시간동안 저장하였다. 각 시편의 윗면과 아랫면에서 Knoop's hardness를 측정하였다. 결과는 ANOVA로 통계 분석 하였고 Tukey's test로 사후 검정하였다. Luxacore Self와 Luxacore Dual을 자가중합 시킨 군의 중합도는 두께에 따른 영향을 받지 않았다. Luxacore dual을 광중합한 경우 중합은 2 mm, 4 mm와 6 (적층충전) mm군에서는 밑면의 효과적인 중합이 일어났으나 8 (적층충전) mm군, 6, 8 (단일충전) mm군은 밑면에서 불완전한 중합을 보였다 (p < 0.05). 따라서 이 실험 결과에 의하면 4 mm를 초과하는 경우 단일충전보다 적층충전이 더 좋은 것으로 나타났다.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.85-93
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• 1986

The purpose of this study was to investigate the curing effect of visible light through tooth substance, 0.5mm, 1.0mm thickness of enamel and dentin were prepared. Experimental specimen were made by Bisfil M & Silux packing into cylindrical brass mold 6.0mm in diameter, 2.0mm and 3.0mm, in height. All specimen were irradiated by visible light (Grip type) model No. SDL-50 Shofu Co.) for 30 seconds through tooth substance. Experimental groups were classified into enamel group (group 1) and dentin group (group 2) according to the thickness of tooth materials and then were divided into 2 subgroups (0.5mm group and 1.0mm group). In experimental groups, visible light irradiated to the specimen through either 0.5mm in thick or 1.0mm in think of tooth material. In Control group specimen were prepared by direct irradiation on the specimen surface of visible light without through tooth substance. The hardness was measured with a Barcol hardness tester (Barber-Colman Co. U.S.A.) for each prepared specimen. The results were as follows: 1. In control group, there were higher hardness values than those of in experimental group. 2. In experimental groups, 0.5mm groups had higher hardness values than 1.0mm groups did. 3. The hardness value at top surface of the specimen were higher than the hardness of bottom surface in each group. 4. Bisfil M had higher hardness values than Silux. 5. In all specimen of 3.0mm height polymerization effect was not occurred at bottom surface except Bisfil M in control group.

• Restorative Dentistry and Endodontics
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• 제10권1호
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• pp.31-42
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• 1984

The toxic effect of adhesive resins on the dog's pulp tissue was studied with 70 teeth from 5 dogs. The experimental materials were Clearfil, a mixture of Clearfil with calcium hydroxide powder, Panavia-EX, and a mixture of Panavia-EX with calcium hydroxide powder. As a control group, calcium hydroxide powder was used. Each material was placed on the pulpotomized tissue surface. After 3 days, 1, 2,4, and 6 weeks, the teeth and apical tissue were processed routinly and stained with hematoxylin and eosin. Pathological tissue changes due to the toxicity of adhesive resins were observed by light microscope, and the pH of Panavia-EX and the Bonding agent of Clearfil were measured. Following were the results; 1. In the group of calcium hydroxide powder, slight inflammatory change was observed in the pulpotomized surface and adjacent pulp tissue on 3 day. 1 week case showed incomplete dentin bridge. The remaining pulp tissue was normalized according to the days elapsed. 2. In the group of Clearfil, early inflammatory change revealed in the superificial portion of the remaining pulp tissue on 3 day. The inflammation spreaded over the total pulp tissue and partial necrosis was observed in 1 week and 2 week cases. Total necrosis of pulp tissue and moderate inflammatory change at the apical tissue was noticed in 4 week and 6 week cases. 3. In the group of Panavia-EX, moderate inflammatory change appeared in the superficial pulp tissue on 3 day, and severe inflammatory change over all pulp tissue found in 1 week case. Pulp necrosis was obvious in 2 week case. 4 week and 6 week cases were totally necrotized up to the periapical tissue. 4. In the groups of mixtures with calcium hydroxide powder, the pulp tissue destruction was retarded, compared with the groups of Clearfil and Panavia-EX. 5. Panavia-EX was more destructive than Clearfil. 6. The acidity of freshly mixed Bonding agent of Cleafil was pH 4.0, and that of Panavia-EX was pH 2.0.

• Restorative Dentistry and Endodontics
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• 제27권3호
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• pp.257-269
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• 2002

Objective : The purpose of this study was to evaluate the resin infiltration into dentin of one-bottle adhesive systems and self-etching primer bonded to Class V cavities using confocal laser scanning microscope(CLSM). Material and Methods : Forty Class V cavities were prepared from freshly extracted caries-free Human teeth. These teeth were divided into two groups based on the presence of cervical abrasion: Group I, cervical abrasion : Group II, wedge-shaped cavity preparation. Resin-dentin interfaces were produced with two one-bottle dentin bonding systems-ONE COAT BOND(OCB; Coltene$^R$) and Syntac$^R$SPrint$^{TM}$(SS; VIVADENT)-, one self-etching priming system-CLEARFIL$^{TM}$ SE BOND (SB : KURARAY)- and one multi-step dentin bonding system-Scotchbond$^{TM}$Multi-Purpose (SBMP, 3M Dental Products)-as control according to manufacturers' instructions. Cavities were restored with Spectrum$^{R}$(Dentsply). Specimens were immersed in saline for 24 hours and sectioned longitudinally with a low-speed diamond disc. The resin-dentin interfaces were microscopically observed using CLSM. The quality of resin-infiltrated dentin layers were evaluated by five dentists using 0~4 scale. Results : Confocal laser scanning microscopal investigations using primer labeled with rhodamine B showed that the penetration of the primer occurred along the cavity margins. Statistical analysis using one-way ANOVA followed by Duncan's Multiple Range test revealed that the primer penetration of the group 2(wedge-shaped cavity preparation) was more effective than group 1(cervical abrasion) and that of the gingival interfaces was more effective than the occlusal interfaces. In the one-bottle dentin bonding systems, the resin penetration score of OCB was compatible to SBMP, but those of SS and self-etching priming system, SB were lower than SBMP.