구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제30권2호
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  • Pages.131-137
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  • 2014
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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다양한 거칠기의 알루미늄 옥사이드(Al2O3) 연마석을 이용한 치주기구 날 세우기의 효율성 비교

Comparing the efficiency of periodontal instrument sharpening using aluminum oxide stones with different levels of roughness

  • Kim, Yong-Gun (Department of Periodontology, School of Dentistry, Kyungpook National University)
  • 투고 : 2014.03.21
  • 심사 : 2014.04.21
  • 발행 : 2014.06.30
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초록

목적: 이 연구는 다양한 거칠기를 가진 알루미늄 옥사이드 연마석으로 치주기구 날 세우기를 시행시 연마석의 거칠기에 따른 치주기구 날 세우기의 효율성 및 마모도를 비교 평가하였다. 연구 재료 및 방법: 30개의 No. 9 - 10 그레이시 큐렛이 사용되었고, 모든 큐렛은 치석제거술 및 치근활택술을 시행함으로써 날을 무디게 만들고 3가지 그룹(240, 600, 800 grit)으로 임의로 나누었다. 치주기구의 예민도는 연마석을 최대 20회 기구에 적용한 후 평가되었고, 마모도는 최대 80회 후 기구 날의 끝 1 mm와 2 mm에서 기구 날의 폭으로 평가되었다. 결과: 치주기구 예민도는 5회와 10회 상하 운동시 240 grit에서 유의하게 높게 나타났으며(P < 0.001), 15회, 20회에서는 유의한 차이는 없었다(P > 0.05). 마모도는 240 grit의 경우 600 grit과 800 grit에 비해 약간 높게 나타났지만 통계적 유의성은 없었다. 결론: 알루미늄 옥사이드 연마석의 입자가 클수록 치주기구 날 세우기의 효율성은 증가하였다. 하지만 기구의 마모에 유의해야 한다.

Purpose: This study examined the efficiency and wear of periodontal instrument sharpening using aluminum oxide stones with different levels of roughness. Materials and Methods: Thirty new No. 9-10 Gracey curets were used in this study. All curets had become dull after scaling and root planing. After similar blunting, the instruments were divided randomly into three groups (240, 600, 800 grit) containing 10 curets each. The stones were applied correctly to the lateral surface of each curet to maintain the $70-80^{\circ}$ angle. After resharpening, sharpness of the curets was examined by an optical microscope. After 20, 40, 60, and 80 strokes, the wear was measured at 1 mm and 2 mm from the tip of the cutting edge using a digital caliper. The data was analyzed statistically using analysis of variance (ANOVA) with repeated measures, 2-way ANOVA, and a Fisher's exact test. Results: The degree of sharpness increased significantly (P < 0.001) as the number of sharpening strokes grew for all stones. A comparison of the degree of sharpness on the same number of strokes showed that the 240 grit group significantly excelled the other groups on 5 and 10 strokes, respectively (P < 0.001). The mean wear showed no statistically significant difference among the groups (P > 0.05). Conclusion: The efficiency of Gracey curet resharpening was enhanced with more coarse stones, though we should consider the wear of the instrument during resharpening.

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참고문헌

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