• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.2
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• pp.165-172
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• 2006

A direct pulp capping with different medicaments has been attempted for a long time. The most commonly used among those is the calcium hydroxide. In primary teeth, however, a success rate of direct pulp capping with calcium hydroxide has been reported to be lower than that of pulpotomy. The disappointing results of calcium hydroxide have prompted the search for other capping materials. Lately, several researchers suggested an application of adhesive resin-based composite systems as a capping material. They claimed that when an exposed vital pulp is capped directly with bonding resin, the pulp tissue is free of inflammation or necrosis without clinical symptoms. The aim of this study was to compare short-term effects of the bonding resin which was applied on the mechanically exposed vital pulp tissue and those of direct pulp capping with calcium hydroxide. The second objective was to compare success rates of the primary teeth which already underwent physiologic root resorption and those of the teeth which had not undergone physiologic root resorption yet, in each capping material groups. The vital, healthy pulp of forty-one primary teeth were exposed mechanically during a cavity preparation. They were divided into two groups: Group 1(n=21) underwent capping with bonding resin, and group 2(n=20) underwent capping with calcium hydroxide. Then these two groups were subdivided into two groups in each : the teeth which show physiologic root resorption and the teeth without root resorption. All of the sample teeth were restored with composite resin. Clinical evaluations such as percussion test, ice test, EPT, were recorded and also before- and after- standard x-ray films were compared and evaluated to decide whether the case was successful or not. Evaluation was performed at least 3 months after the capping materials. The results were as follows 1. There was no difference in success rate between group 1 and group 2. 2. Success rate of the teeth with physiologic root resorption was higher than that of the teeth without physiologic root resorption in group 1 and group 2. 3. There was no difference in success rate between anterior teeth and posterior teeth.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.110-115
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• 2003

Dens evaginatus is an anomalous tooth development arising during morphodifferentiation. It is most often reported in premolar, and familial occurrence has been reported. The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. Pathosis of the pulp can occur before complete root formation with cessation of root development. A rational and conservative approach to the management of dens evaginatus in vital teeth includes early diagnosis and treatment to prevent fracture or attrition of the tubercle. This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. When presented with a case of dens evaginatus in a nonvital tooth with incomplete root development, the treatment of choice has been extraction, apexification. We report two cases of dens evaginatus that appear in two sisters. In the elder, a periapical lesion on radiographs is shown, and it is treated by calcium hydroxide apexification. The other sister is early recognized of dens evaginatus, it is treated using glass ionomer cement reinforcing with sequential grinding.

• Restorative Dentistry and Endodontics
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• v.31 no.3
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• pp.203-214
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• 2006

Dental pulp is a loose, mesenchymal tissue almost entirely enclosed in the dentin. It consists of cells, ground substance, and neural and vascular supplies. Damage to the dental pulp by mechanical, chemical, thermal, and microbial irritants can provoke various types of inflammatory response. Pulpal inflammation leads to the tissue degradation, which is mediated in part by Matrix metalloproteinase leads to accelerate extracellular matrix degradation with pathological pathway We have now investigated the induction of MMPs and inflammatory cytokines by Lipopolysaccharide (LPS) control of inflammatory mediators by peroxisome proliferator-activated receptors (PPARs). Human dental pulp cells exposed to various concentrations of LPS ($1-10{\mu}g/ml$) revealed elevated levels of MMP-2 and MMP-9 at 24 hrs of culture. LPS also stimulated the production of ICAM-1, VCAM-1, $IL-1{\beta},\;and\;TNF-{\alpha}$. Adenovirus $PPAR{\gamma}\;(Ad/PPAR{\gamma})\;and\;PPAR{\gamma}$ agonist rosiglitazone reduced the synthesis of MMPs, adhesion molecules and pro-inflammatory cytokines. The inhibitory effect of $Ad/PPAR{\gamma}$ was higher than that of $PPAR{\gamma}$ agonist. These result offer new insights in regard to the anti-inflammatory potential of $PPAR{\gamma}$ in human dental pulp cell.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.41 no.6
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• pp.43-49
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• 2004

Electric pulp test is a method to examine the vitality of dental pulp using physical and chemical stimulation. During the pulp test, the current stimulates intradental nerve, and it makes patients painful. In this paper, we measured each activating response EMG in anterior belly of digastric muscle, voice, and finger movement during the pulp test by increasing stimulus intensity gradually. We also measured excessive stimulus time from the activating responses (EMG, voice, and finger movement) to the end of the stimulation. We measured and analyzed excessive stimulus time for each stimulus detecting method. As a result, we developed automatic stimulus breaker using the human responses to stimulus during electric pulp test. We reduced the excessive stimulus time by disconnecting the pulp tester stimulus output rapidly in 10 ms after activating human response.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2012.05a
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• pp.861-862
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• 2012

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.2
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• pp.305-309
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• 2009

Dens evaginatus is a dental anomaly most commonly seen in premolar teeth in which a tubercle or protuberance projects from either the center of the occlusal surface or the buccal triangular ridge. These tubercles are easily fractured from mastication as the tooth erupts and frequently leads to pulp necrosis as a common complication. To prevent these sequelae, prophylactic treatment soon after the tooth starts erupting is essential. These preventive treatments include, selective grinding and protection of the tubercle by pit and fissure sealant. When the tooth does shows signs of pulp necrosis and apical periodontitis, endodontic procedures are needed. Apexification and apexogenesis are usually the treatment of choice for the affected teeth which have immature apices. Apexogenesis is a vital pulp therapy procedure performed to encourage continued physiological development and formation of the root end. It involves removal of the inflamed pulp and the placement of calcium hydroxide on the remaining healthy pulp tissue. This case report describes an atypical apexogenesis of a mandibular premolar which showed to be a dens evaginatus. The tooth which was treated with calcium hydroxide shows good results and is planned for permanent root canal filling.

• Journal of the korean academy of Pediatric Dentistry
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• v.47 no.2
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• pp.148-156
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• 2020

The purpose of this study was to compare the success rates of two pulp capping materials, Biodentine™ and RetroMTA^®, used for partial pulpotomy in permanent molars after carious exposures and to compare the final restorative outcome of using composite resin to that of using a stainless steel crown. We studied children who were diagnosed with dental caries of permanent molars and underwent partial pulpotomy. The patients were followed up for more than 1 year. Clinical and radiographic evaluation were used to evaluate the success of each treatment. Fisher's exact test was used to compare the outcomes of two groups. For pulp capping agents, the success rate of using RetroMTA^® was lower than that of using Biodentine™(p < 0.05). Final restoration with composite resin was less successful than restoration with an stainless steel crown(p < 0.05). In combination of pulp capping agents and final restoration material, RetroMTA^®-composite resin shows the lowest success rate(p < 0.05).

• Proceedings of the Plant Resources Society of Korea Conference
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• 2019.04a
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• pp.73-73
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• 2019

전나무속(Abies Miller, 1754)은 지구상에서 북반구를 중심으로 50여 종이 현존하고 있다. 전나무속은 주로 높은 고도의 산지 또는 수목 한계선 주변에 자연적 분포지를 형성하고 있으며, 국내에는 전나무(A. holophylla), 분비나무(A. nephrolepis) 및 구상나무(A. koreana), 총 3종이 자생하고 있다. 하지만 국내에 자생하는 3종의 경우도 쇠퇴가 급격히 진행되고 있다. 특히 대한민국 특산식물인 한라산의 구상나무는 IUCN Redlist 상의 'Threatened species' category 종으로 등재되어 있을 뿐만 아니라 구상나무 어린 나무(치수)의 수가 급격히 줄어 우리 사회에서 문제가 직면한 '저출산 고령화 사회'와 유사하다고 할 수 있다. 하지만, 구상나무의 어린 나무에 관한 연구가 미비한 실정이다. 게다가 선행연구에서도 어린 나무의 기준이 모호하다. 따라서 본 연구는 구상나무 등 국내 자생하는 구상나무 천연묘의 기준을 정립하여 추후 진행되는 구상나무 등 전나무속 어린 나무에 관한 연구에 표준화를 유도할 수 있을 것으로 기대된다. 우선, 국내.외 소나무과 어린나무에 관한 논문을 정리 및 분석하였고, 구상나무 어린나무가 자생하는 숲의 구조(제주조릿대 등) 및 환경(암석노출도) 등)에 적절한 높이와 아린흔의 갯수를 참고로 기준안을 제시해 보고자 한다. 본 연구의 기준안은 선행연구에서 조사된 구상나무 어린나무 3,138개체의 높이 및 아린흔 갯수를 토대로 구분해볼 수 있었다. 우선, 높이에 대한 기준은 1년생묘(당해묘, 5cm 미만)-유묘(5cm~10cm 미만)-성묘(대묘, 10cm~30cm 미만)-치수(30cm~100cm 미만) cf.전생치수-유목(100cm 이상) 5단계로 구분되었다. 아린흔 갯수에 대한 기준도 또한 1년생묘(1개)-유묘(2개~6개)-성묘(대묘, 7개~15개)-치수(16개~20개) cf.전생치수-유목(21개 이상) 5단계로 구분되었다.

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.4
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• pp.488-496
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• 2010

Dens evaginatus is a tooth with cylindrical enamel projection which forms a nodule on occlusal surface. It could be explained as outward overgrowth of inner enamel epithelium or localized hyperplasia of pulpal mesenchymal tissue during tooth development. A problem is that it is likely to be worn out or fractured by mastication ensuing pulpal inflammation. It is occasionally found on the lingual surface of upper anterior teeth as well, called talon cusp. Dens invaginatus is a tooth with deep lingual pit made by invagination of lingual enamel epithelium during tooth development while it is considered normal in terms of size and shape. Radiographically, a part of cervical enamel shows inward growth forming cavity and it is reasonable to say that the base is possibly open to pulpal cavity since they are very close. Talon cusp and dens invaginatus are relatively common abnormality of shape. However it becomes the opposite if the two exist in the same tooth. Once the talon cusp is broken by occlusal force or fissure between cusps is decayed, the complicated structure of canals makes the pulpal treatment difficult. Preventive treatments such as occlusal equilibrium and sealant, and regular oral examination should be preceded and thorough understanding of canal shape, using radiography, is required when pulpal treatment is necessary. This report is about a 9- year-old boy(lower left central incisor), a 8-year-old girl(upper right central incisor), and a 7-year-old boy(upper right central incisor), who have dens invaginatus and talon cusp in the same teeth. The first and the second patients are under pulpal treatments, and the last one is being observed showing no pathologic impressions.

• Journal of the korean academy of Pediatric Dentistry
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• v.31 no.1
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• pp.92-97
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• 2004

Traumatic injuries in the young peranent dentition are common, but root fractures, defined as fractures in volving dentin, cementum and pulp, are relatively uncommon. Case 1 is a 9-year-old boy who had a horizontal root fracture of his maxillary right central incisor in the apical third. Root canal therapy was performed in coronal segment and calcium hydroxide therapy was initiated. Six months after treatment, a periapical radiograph showed calcific tissue formation and normal root development. 1 year and 3 months later, the canal was permanently obturated with gutta-percha. Case 2 is a 7-year-old girl who had a vertical root fracture of her maxillary right central incisor. Fractured tooth was intentionally extracted atraumatically, and then the separated fragments are bonded with resin cement. the restored tooth was replanted into the original socket. Recalls up to 8 months showed normal mobility and no periapical pathosis. In these cases, we performed conservative treatment. Clinical and radiographic examination showed no pathosis or abnormality of the teeth and periodontal tissue.