• Title/Summary/Keyword: 근관 치료

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Post-endodontic Restoration on Erupting Permanent First Molars Using Endocrown with a Polyglass Composite Resin: Report of Two Cases (맹출 중인 제1대구치의 근관 치료 후 엔도크라운을 통한 수복 증례 보고)

  • Jeong, Hyuntae;Kim, Seonmi;Kim, Jaehwan;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.111-118
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    • 2019
  • Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.

ENDODONTIC FALRE-UPS INCIDENCE AND RELATED FACTORS (근관치료시 flare-up 발생빈도와 관련요소에 관한 연구)

  • Jung, Hye-Young;Park, Sang-Hyuk;Choi, Gi-Woon
    • Restorative Dentistry and Endodontics
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    • v.30 no.2
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    • pp.102-111
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    • 2005
  • The purpose of this study was to assess the incidence of flare-ups among patients who received endodontic treatment and to examine the correlation with pre-operative and operative variables. Analysis was in two aspects (a) overall incidence of flare-ups as expressed by a percentage of all patients visits and (b) percentage of flare-ups that occurred as related to various factors suck as patient demo-graphics, diagnosis, and treatment procedures. 1. From the 840 teeth which were examined in this study, the total number of flare-ups was 13. 2. As to gender of patients, there was no significant difference in flare-ups. 3. As to tooth groups, there was no significant difference in flare-ups. 4. In the teeth with pre-operative symptom, there was a statistically significant higher incidence of flare-ups than the teeth without it. 5. In the teeth with apical periodontitis, there was a statistically significant higher incidence of flare-ups. 6. As to pulp and periapical status. non-vital teeth had a higher incidence as compared with vital teeth, irreversible pulpitis. 7. Multi-visit treatment resulted in the higher incidence of flare-ups than one visit treatment. 8. Re-treatment procedures had a statistically significant higher incidence of flare-ups than root canal treatment. In this study, overall percentages of flare-ups was $1.55\%$. It showed a statistically significant higher incidence related to pre-operative symptom, apical periodontitis, and re-treatment. There was no significant difference in flare-ups related to gender, tooth groups, and fistula.

근관치료에서 Ca(OH)₂의 사용

  • Jeong, Gwan-Hui
    • The Journal of the Korean dental association
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    • v.20 no.11 s.162
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    • pp.929-932
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    • 1982
  • Calcium Hydoxide는 치수복(pulp capping), 생활치수절단술(vital pulpotomy)등에서 bactericidal effect 때문에 많은 사용을 하고 있으며, 최근에는 무수치(pulpless teeth)와 관련된 치근단병소가 있는 경우, 미완성치근단인 경우, 치근흡수, 횡주치근파절(Transverse root fracture)등의 경우에서도 Ca(OH)₂paste를 사용하여 성공적인 근관치료를 할 수 있다. 근관의 instrumentation 과 irrigation후 근과 dressing 은 약 1주일간 행하고 Ca(OH)₂paste를 건조된 근관내에 넣는다. 이때 치근단(root apex)으로부터 약 3~5mm 되게 저속으로 아주 가볍고 부드러운 압력을 가하여 Ca(OH)₂paste를 cotton pellet로 밀어넣고 Sealing(가봉)한다. 이 Temporary sealing은 1개월이상 견딜수 있도록 Cement 또는 Amalgam filling 함이 좋다. Ca(OH)₂paste의 제법은 normal irrigating agents 와 minimal filing으로 시행한다.

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Effects of various root canal sealers on tooth discoloration and internal bleaching (근관치료용 실러가 치아변색과 실활치 미백에 미치는 영향)

  • Kim, Yi-San;Choi, Sung-Hyeon;Youn, Kyeong-Eun;Jang, Ji-Hyun;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann;Lee, Bin-Na
    • Korean Journal of Dental Materials
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    • v.46 no.1
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    • pp.1-10
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    • 2019
  • There are several causes of tooth discoloration following root canal treatment. In this study, we evaluated the effects of sealers on tooth discoloration and internal bleaching. Twenty-four teeth were divided into 4 groups: control group, AH plus, Endosequece BC, and MTA fillapex group. Root canal filling was performed using each sealer conventionally and non-vital bleaching was performed with sodium perborate. The L, a, and b values were measured using Vita easyshade. Tooth discoloration after root canal treatment occurs irrespective of the type of sealers and may cause discoloration with only gutta-percha cone. The effect of non-vital bleaching following the use of calcium silicate-based sealers such as Endosequece BC and MTA fillapex was higher than that of AH plus. Therefore, it needs careful use of sealers in endodontics and calcium silicate-based sealers have advantages of bleaching in case of discolored tooth.

Efficacy of retreatment NiTi files for root canals filled with calcium silicate-based sealer (칼슘실리케이트 계열 실러로 충전한 근관에서 재치료용 NiTi 파일의 효율성)

  • Jae-Yun, Hyun;Kyung-Mo, Cho;Se-Hee, Park;Yoon, Lee;Yoon-Joo, Lee;Jin-Woo, Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.213-221
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    • 2022
  • Purpose: The efficacy of the amount of sealer in the root canal and two retreatment NiTi file systems in removing filling materials. Materials and Methods: Extracted premolars with a single root canal were selected for this study. After access opening and root canal preparation up to size #40/.06, the specimens were randomly divided into four groups. Gutta percha (GP) tapers of .06 or .04 were used for each group and filled using a single-cone filling technique with CeraSeal, a calcium silicate-based sealer. Each group was retreated either using the ProTaper Universal Retreatment System (PTUR) or the Hyflex Remover (HR). The time taken to remove the filling material, the amounts of apically extruded debris, and canal cleanliness were measured and compared. Results: The amount of sealer did not affect the efficiency when removing the filling materials. However, the filling material was removed faster in the HR group than in the PTUR group. Two types of NiTi files showed similar retreatment effects in the amounts of apically extruded debris and in the degree of canal cleanliness. Conclusion: The amount of sealer in canal filling had no significant effect on retreatability. Retreatment with HR removed filling materials is faster than PTUR. There was no difference in other removal efficiencies according to the type of retreatment NiTi file.

Comparison vibration characteristics of several wireless endodontic handpieces (여러 근관치료용 무선 핸드피스의 진동양상 비교)

  • Lee, Bo-Kyung;Lee, Yoon;Park, Se-Hee;Cho, Kyung-Mo;Kim, Jin-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.2
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    • pp.81-89
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    • 2022
  • Purpose: Wireless endodontic handpieces (WEH) are widely used in dental clinics due to their convenience and portability. This study aimed to compare the vibration magnitudes and patterns generated by five WEH. Materials and Methods: Vibration acceleration of five WEH (X-Smart IQ, E connect S, Endo A Class, ENDOIT, and TRAUS ENDO) in the rotary and reciprocating motion was measured with accelerometer The average vibration acceleration was analyzed using the t-test, Welch's ANOVA test, and Dunnett T3 test at P < 0.05. Results: In all WEH, the average vibration acceleration in reciprocating motion was significantly higher than that in rotary motion (P < 0.001). In rotary motion, repeated vibration graphs of constant amplitude were obtained without sudden changes in the magnitude of vibration, and the average vibration acceleration value was high in the order of X Smart IQ, Endo A Class, ENDOIT, E Connect S, and TRAUS ENDO (P < 0.001), there was no statistically significant difference between X Smart IQ and Endo A Class. In reciprocating motion, a vibration graph was obtained in which large amplitude peaks appear at specific points within one cycle are repeated. The average vibration acceleration value was highest in the order of X Smart IQ, E Connect S, Endo A class, ENDOIT, and TRAUS ENDO (P < 0.001). Conclusion: Regardless of the type of WEH, greater vibration occurred in the reciprocating motion than in the rotary motion (P < 0.001). In the reciprocating motion, there was a difference in vibration for all handpieces (P < 0.001).

The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste (수산화칼슘제재의 과충전이 발생한 치근단 병소 증례에서 진단과 치료 계획의 중요성)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Choi, Youn-Kyung;Kim, So-Yeun;Jeon, Hye-Mi;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.2
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    • pp.95-100
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    • 2021
  • Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.