• Title/Summary/Keyword: 역충전 재료

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Retrograde filling with Lid technique in periapical surgery: case report (Lid technique을 활용하여 치근단 수술에서 역충전을 시행한 증례 보고)

  • Yoon-Joo Lee;Kyung-Mo Cho;Se-Hee Park;Yoon Lee;Jin-Woo Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.1
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    • pp.45-51
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    • 2023
  • Apical sealing with proper retrograde filling material and technique is the key factor for successful apical surgery. In order to provide impeccable apical sealing and healing, various mechanical and chemical characteristics of retrograde filling material is required. MTA has been used as the gold standard of retrograde filling due to its unprecedented advantages. As MTA has long setting time and difficult handling properties, premixed putty type bioceramic material has been newly developed. For efficient retrofilling with premixed putty type biocreamic material, 'Lid technique' was also proposed. The following cases present apical surgery using newly developed premixed putty type bioceramic material with Lid technique.

APICAL MICROLEAKAGE OF MTA WITH 4-META/MMA & TBB RESIN AS A ROOT-END FILLING MATERIAL (MTA와 4-META/MMA & TBB레진 혼합 재료의 치근단 미세누출에 관한 연구)

  • Kim, Jin-Cheol;Kim, Mi-Ri;Ko, Hyun-Jung;Yang, Won-Kyung
    • Restorative Dentistry and Endodontics
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    • v.34 no.4
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    • pp.371-376
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    • 2009
  • We evaluated in vitro microleakage of Mineral Trioxide Aggregate (MTA) powder with 4-methacryloxyethyl trimellitate anhydride (4-META) / methyl methacrylate (MMA) & tri-n-butylborane (TBB) resin as a retrograde filling material by using methylene blue dye method. Fifty-two single rooted, extracted teeth were instrumented and obturated with gutta percha and AH plus sealer. The apical 3mm of each root was resected and 3mm deep ultrasonic root end preparation was done. External surface of roots was coated with nail varnish. Prepared teeth were randomly divided into five groups; Negative control: completely covered with nail varnish; Positive control: coated with nail varnish except for apical foramen; Group 1 (retrofilled with Portland cement); Group 2 (retrofilled with MTA); Group 3 (retrofilled with MTA powder mixed with 4-META/MMA & TBB resin). Immediately after completion of root-end filling, all specimens were submerged in methylene blue dye for 72 hours in $37^{\circ}C$incubator. The roots were longitudinally sectioned and measured for extent of dye penetration by three different examiners under microscope (${\times}$10). The results were statistically analyzed using one way ANOVA and Turkey's HSD test. No leakage was evident in negative control and complete leakage in positive control group. Group 3 showed significantly less leakage than group 1 and 2 (p < 0.01). There was no significant difference between group 1 and 2 (p > 0.01). It was concluded that MTA powder with 4-META/MMA & TBB resin was excellent in reducing initial apical microleakage.

Leakage of SuperEBA in root-end cavities prepared with 3 new ultrasonic tips : KaVo Isthmus, KaVo T-shape and KiS tip (KAVO ISTHMUS, KAVO T-SHAPE과 KIS TIP의 3종 초음파기구로 형성한 역충전와동의 SUPEREBA 변연누출에 관한 연구)

  • Lee, Woo-Cheol
    • Restorative Dentistry and Endodontics
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    • v.27 no.3
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    • pp.270-276
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    • 2002
  • 치근단 수술시 구동형 수술현미경과 미세수술기구들이 사용됨에 따라 치근단 절제술 후 역충전와동의 효과적인 형성 및 충전을 위해 새로운 초음파기구가 개발되었다 따라서 본 연구에서는 최근 상품화되어 사용되고 있는 초음파기구중 신속하게 역충전와동을 형성할 뿐아니라 충분한 깊이를 제공하여 역충전재료의 변연누출 감소에 효과적인 것으로 알려져 있는 3종의 초음파기구를 사용하여 역 충전와동을 형성 한 후 SuperEBA로 충전하여 그 변연누출을 비교하였다. 모두 56개의 근첨형성이 완료된 단근치를 선택하여 Profile .06를 사용하여 근관형성한 후 음성대조군 2개를 제외한 54개의 치아를 수직가압법으로 충전하였다. 근단부 3mm를 절제한 뒤 KaVo Isthmus, KaVo T-shape 그리고 KiS tip을 각각 18개의 치아에 사용하여 역충전와동을 형성하고 그중 각각 2개의 양성대조군 치아를 제외한 나머지 치아에 SuperEBA로 충전하였다. 각치아는 1% methylene blue dye에 침윤시켜 1주일 후 종절단하여 그 색소침투정도를 측정, 비교하였다. 실험결과 측정된 평균 변연누출은 KaVo Isthmus가 $1.5\pm$1.4mm, KaVo T-shape이 1.7$\pm$1.2mm이고 KiS tip은 1.1$\pm$0.7mm 이었으며, 통계적으로 유의할만한 차이는 없었다. 따라서 초음파기구를 사용한 역충전와동의 임상시술 성공여부는 술자의 편의도와 임상적 사용시 조작능력에 달려 있는 것으로 사료된다.

Physical properties of novel composite using Portland cement for retro-filling material (치근단 역충전용 포틀랜드 시멘트 신복합재료의 물리적 성질 고찰)

  • Lee, Sang-Jin;Cho, Ok-In;Yum, Ji-Wan;Park, Jeong-Kil;Hur, Bock;Kim, Hyeon-Cheol
    • Restorative Dentistry and Endodontics
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    • v.35 no.6
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    • pp.445-452
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    • 2010
  • Objectives: The aim of this study was to compare apical sealing ability and physical properties of MTA, MTA - AH-plus mixture (AMTA) and experimental Portland cement - Epoxy resin mixture (EPPC) for a development of a novel retro-filling material. Materials and Methods: Forty-nine extracted roots were instrumented and filled with gutta-percha. Apical root was resected at 3 mm and the retro-filling cavity was prepared for 3 mm depth. Roots were randomly divided into 3 groups of 15 roots each. The retro-filling was done using MTA, AMTA, and EPPC as the groups divided. Four roots were used as control groups. After setting in humid condition for 24 hours, the roots were immersed in 1% methylene blue dye solution for 72 hours to test the apical leakage. After immersion, the roots were vertically sectioned and photos were taken to evaluate microleakage. Setting times were measured with Vicat apparatus and digital radiographs were taken to evaluate aluminum equivalent thickness using aluminum step wedge. The results of microleakage and setting time were compared between groups using one-way ANOVA and Scheffe's post-hoc comparison at the significance level of 95%. Results: AMTA and EPPC showed less microleakage than MTA group (p < 0.05). AMTA showed the highest radio-opacity than other groups and the novel EPPC showed 5 mm aluminum thickness radio-opacity. EPPC showed the shortest initial and final setting times than other groups while the MTA showed the longest (p < 0.05). Conclusions: Under the condition of this study, the novel composite using Portland cement-Epoxy resin mixture may useful for retro-filling with the properties of favorable leakage resistance, radio-opacity and short setting time.

INFLUENCES OF DRY METHODS OF RETROCAVITY ON THE APICAL SEAL (치근단 역충전와동의 건조방법이 폐쇄성에 미치는 영향)

  • Lee, Jung-Tae;Kim, Sung-Kyo
    • Restorative Dentistry and Endodontics
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    • v.24 no.1
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    • pp.166-179
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    • 1999
  • Apical sealing is essential for the success of surgical endodontic treatment. Root-end cavity is apt to be contaminated with moisture or blood, and is not always easy to be dried completely. The purpose of this study was to evaluate the influence of dry methods of retrocavity on the apical seal in endodontic surgery. Apical seal was investigated through the evaluation of apical leakage and adaptation of filling material over the cavity wall. To investigate the influence of various dry methods on the apical leakage, 125 palatal roots of extracted human maxillary molar teeth were used. The clinical crown of each tooth was removed at 10 mm from the root apex using a slow-speed diamond saw and water spray. Root canals of the all the specimens were prepared with step-back technique and filled with gutta-percha by lateral condensation method. After removing of the coronal 2 mm of filling material, the access cavities were closed with Cavit$^{(R)}$. Two coats of nail polish were applied to the external surface of each root. Apical three millimeters of each root was resected perpendicular to the long axis of the root with a diamond saw. Class I retrograde cavities were prepared with ultrasonic instruments. Retrocavities were washed with physiologic saline solution and dried with various methods or contaminated with human blood. Retrocavities were filled either with IRM, Super EBA or composite resin. All the specimens were immersed in 2% methylene blue solution for 7 days in an incubator at $37^{\circ}C$. The teeth were dissolved in 14 ml of 35% nitric acid solution and the dye present within the root canal system was returned to solution. The leakage of dye was quantitatively measured via spectrophotometric method. The obtained data were analysed statistically using one-way ANOVA and Duncan's Multiple Range Test. To evaluate the influence of various dry methods on the adaptation of filling material over the cavity wall, 12 palatal roots of extracted human maxillary molar teeth were used. After all the roots were prepared and filled, and retrograde cavities were made and filled as above, roots were sectioned longitudinally. Filling-dentin interface of cut surfaces were examined by scanning electron microscope. The results were as follows: 1. Cavities dried with paper point or compressed air showed less leakage than those dried with cotton pellet in Super EBA filled cavity (p<0.05). However, there was no difference between paper point- and compressed air-dried cavities. 2. When cavities were dried with compressed air, dentin-bonded composite resin-filled cavities showed less apical leakage than IRM- or Super EBA-filled ones (p<0.05). 3. Regardless of the filling material, cavities contaminated with human blood showed significantly more apical leakage than those dried with compressed air after saline irrigation (p<0.05). 4. Outer half of the cavity showed larger dentin-filling interface gap than inner half did when cavities were filled with IRM or Super EBA. 5. In all the filling material groups, cavities contaminated with blood or dried with cotton pellets only showed larger defects at the base of the cavity than ones dried with paper points or compressed air.

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Study for Predicting Mechanical Properties Depending on Fiber Orientation in Injection Molded Short-Fiber-Reinforced Plastic Parts (단섬유보강 플라스틱 사풀성형제품의 섬유방향성에 따른 기계적성질 예)

  • 권태헌
    • The Korean Journal of Rheology
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    • v.8 no.2
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    • pp.78-91
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    • 1996
  • 단섬유 보강 플라스틱 복합재료에 사출성형에서 섬유배향은 금형 충전 공정 중의 유동장에 의해 결정되고 섬유의 배향 상태는 역으로 유동장에 영향을 미친다. 단섬유에 의 한 추가적인 응력을 포함하는 Dinh과 Armstrong의 이방성 구성방정식을 충전유동과 섬유 배향의 연계해석에 도입하였다. 충전유동의 해석은 새로운 압력 지배방정식과 에너지 방정 식을 유한요소법과 유한차분법을 이용하여 풀고 동시에 2차 배향 텐서의 변화방정식을 4차 Runge-kutta 방법으로 풀었다. 섬유의 배향상태를 구한 후에 일방향성 복합재료의 Halpin-Tsai 식과 배향 평균모델을 도입하여 사풀성형품의 이방성 기계적 성질이 예측되었 다. 직사각형 캐비티에서 수치해석결과를 실험결과와 비교하였다. 섬유배향과 유동과의 상호 연계작용을 특히 게이트 근처에서 섬유배향에 영향을 미치며 수치해석 결과는 벽면 근처에 서 유동방향으로 배향하는 shell층을 과대 예측함을 알수 있었는데 이는 배향 텐서 변화 방 정식의 최종근사에서 기인하는 오차로 판단된다. 수정된 복합최종 근사를 바탕으로 예측된 이방성 기계적 성질이 기존의 복합최종 근사에 기초한 예측보다 실험 결과에 정량적으로 보 다 잘 일치하였다.

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THE EFFECT OF SEVERAL ROOT-END FILLING MATERIALS ON MG63 OSTEOBLAST-LIKE CELLS (수종의 치근단역충전 재료가 MG63 osteoblast-like cells에 미치는 영향)

  • Lee, Jeong-Ho;Shon, Won-Jun;Lee, Woo-Cheol;Baek, Seung-Ho
    • Restorative Dentistry and Endodontics
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    • v.35 no.3
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    • pp.222-228
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    • 2010
  • The purpose of this study was to compare mineral trioxide aggregate (MTA; Dentsply, Tulsa Dental, Tulsa, OK, USA), which is widely used as root-end filling material, with DiaRoot BioAggregate (DB; Innovative BioCaramix Inc, Vancouver, BC, Canada), newly developed product, by using MG63 osteoblast-like cells. MTA, DB, and Intermediate Restorative Material (IRM; Dentsply Caulk, Milford, DE, USA) were used for root-end filling material while tissue culture plastic was used for control group. Each material was mixed and, the mixtures were left to set for 24 hours. MG63 cells were seeded to each group and then they were cultured for attachment for 4 hours. Following the attachment of cells to the root-end filling material, early cellular response was observed. After another 12 hours'culture, the level of attachment between cells and material was observed and in order to identify the effect of each material to bone formation, transforming growth factor beta1 ($TGF{\beta}1$) and osteocalin (OC) were estimated by using enzyme-linked immunosorbent assay (ELISA), and the amount of alkaline phosphatase (ALP) was also measured. The data were analyzed using one-way ANOVA. As a result, only at OC and the number of cells which were attached to materials, there was no statistical difference between MTA and DB. At other items, there was statistically significant difference in all groups. Although DB has not shown exactly the same cellular response like that of MTA, the number of attached cells shows that biocompatibility of the material and OC indicates bone formation rate. Therefore, if DB is used for root end filling material, it is expected to lead to similar results to MTA.

Coupled Analysis of Injection Molding Filling and Fiber Orientation including In-Plane Velocity Gradient Effect (평면 속도구배 효과를 포함한 사출성형 충전유동과 섬유배향의 연계 해석)

  • 권태헌
    • The Korean Journal of Rheology
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    • v.6 no.2
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    • pp.104-118
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    • 1994
  • 단섬유 보강 플래스틱 재료의 사출성형 충전공정에서 금형재의 유동장이 섬유 배향 상태를 형성하는데 중요한 역할을 할 뿐만 아니라 섬유의 배향상태가 역으로 유동장에 영향 을 미친다. 충전유동과 섬유 배향의 연계해석을 위하여 단섬유에 의한 추가적인 응력을 포 함하는 Dinh과 Armstrong의 이방성 구성방정식을 충전유동의 해석에 도입하였다. 평명방향 으로의 속도구배에 의한 응력을 고려하여 새롭게 유도된 압력 지배방정식과 에너지방정식을 유한요소법과 유한차분법을 이용하여 풀고 동시에 2차배향텐서의 변화방정식을 4차 Runge-kutta 방법을 이용하여 풀었다. 절점 게이트 주변의 확장유동영역과 라인게이트를 통한 수축유동영역에서 평면방향으로의 속도구배에 의한 응력이 유동장에 미치는 영향을 고 찰하였다. 확장유동영역에서는 평면방향으로의 속도구배에 의한 영향이 추가적인 유량으로 나타나면서 주어진 유량조건하에서 평면방향으로의 속도구배에 의한 응력을 고려하지 않은 경우보다 작은 압력구배를 나타냈다. 수축유동영역에서는 위와 반대의 결과를 보였다. 이러 한 경향은 섬유의 부피분율이증가하거나 모양비가 커짐에 따라 증가한다.

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Initial Charge/Discharge of $LiCoO_2$ Composite Cathode with Various Content of Conductive Material for the Lithium ion Battery (리튬이온전지용 $LiCoO_2$정극의 도전재료에 따른 초기 충방전 특성)

  • Doh Chil-Hoon;Moon Seong-In;Yun Mun-Soo;Yun Suong-Kyu;Yum Duk-Hyung;Park Chun-Jun
    • Journal of the Korean Electrochemical Society
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    • v.2 no.3
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    • pp.123-129
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    • 1999
  • Initial electrochemical characteristics of $LiCoO_2$ electrode for lithium ion battery with various content of super s black as conductive material were evaluated through the charge/discharge with the potential range of 4.3V to 2.0V versus $Li^+/Li^+$. The rate of C/4 and C/2 by the 3 electrode test cell composed with an electrolytic solution of 1 mol/l $LiPF_6/EC+DEC(1:3\;by\; weight)$. Lithium was used as reference electrode. High impedance charge behavior was observed at early stage of charge. In the case of $3\%w/w$ of super s black as conductive material, the specific resistance of the high impedance releasing was $3.82\;{\Omega}\;{\cdot}\;g-LiCoCo_2$ at the current density of $0.5 mA/cm^2$, which corresponds 7 times of the specific resistance of electrode $(0.728 g-LiCoO_2)$. At second charge, the specific resistance of the high impedance releasing was 63 mn · g-Lico02, which corresponds 12eio of the specific resistance of electrode and only $1.7\%$ of that of the first charge. The first charge and discharge specific capacities at C/4 rate were 160-161 and $153\~155mAh/g-LiCoO_2$, respectively, to lead $95.4\~96.4\%$ of coulombic efficiencies and ca. $6 mAh/g-LiCoO_2$ of initial irreversible specific capacity. Specific resistance at the end of charge and rest showed low value at content of super s black between 2 and $7\%w/w$, which agreed with characteristics of irreversible specific capacity. Capacity densities were reduced by the increasing the content of conductive material. They were 447 and 431mAh/ml when 2 and $2.9\%w/w$ of super s black were used, respectively, at the rate of C/4.

Study on the Improvement of Cell Performance for the Carbon Electrode by Impregnating $SnO_2$ ($SnO_2$ 첨가에 의한 리튬이차전지용 카본전극의 전지특성 개선)

  • Yang Seung-Jin;Kim Jung-Sik
    • Proceedings of the International Microelectronics And Packaging Society Conference
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    • 2003.11a
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    • pp.157-160
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    • 2003
  • mesocarbon microbeads (MCMB) 카본 분말에 제2상 첨가물로서 소량의 주석산화물$(SnO_2)$을 균일하게 분산 첨가시킴으로서 리튬이차전지의 부극재료로 사용되는 카본 분말의 전지 성능을 개선하였다. 주석산화물 첨가 방법는 전하적정법을 사용하여 Sn을 MCMB 분말에 삽입시키고, 다시 삽입된 Sn이 산화되도록 대기 중에서 $250^{\circ}C$로 1시간동안 후열처리를 하였다. 주석산화물이 첨가된 MCMB 카본분말로 Li/MCMB 전지 cell을 만들어 충방전시험을 수행한 결과, raw MCMB로 만든 전극보다 더 우수한 충방전 용량과 싸이클 특성을 나타내었다. 즉, 주석산화물 삽입에 의해 표면개질된 MCMB 카본 분말은 기존의 MCMB에 비해 높은 초기 방전용량과 충전용량을 나타내었고, 또한 높은 가역 특성과 좋은 cycleability를 보였다. 삽입된 $SnO_2$의 양이 증가할수록 높은 가역용량을 나타내었고 비가역용량 역시 높은 값을 나타내었다.

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