• Title/Summary/Keyword: 치아 변색

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An in Vitro Study of the Effects of Different Dentin Bonding Agents on the Prevention of Tooth Discoloration and the Sealing Ability of Calcium Silicate-Based Cement in Regenerative Endodontic Procedures (치수재혈관화 술식에서 다양한 상아질 접착제가 치아 변색과 칼슘 실리케이트 시멘트의 밀폐 효과에 미치는 영향에 대한 실험실적 연구)

  • Jieun Han;Gimin Kim;Jaesik Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.277-291
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    • 2023
  • This study aimed to compare the effects of applying different types of dentin bonding agents (DBAs) on tooth and on the sealing ability of CSC in regenerative endodontic procedures (REPs). Specimens were made from 120 human first premolars and categorized into the following groups based on the presence and the type of DBA: Group I, no bonding; Group II, One-Step; Group III, Clearfil SE Bond; and Group IV, Single Bond Universal. Subsequently, the groups were categorized into Subgroup a and Subgroup b, in which Endocem MTA® Premixed Regular and Biodentine were used, respectively. The CIE L*a*b* on the photos taken prior to TAP placement (S0), 1 week after TAP placement (S1), 2 weeks after TAP placement (S2), 4 weeks after TAP placement (S3) and 2 weeks after CSC placement (S4) was used to assess discoloration. The samples were submerged in a 2% methylene blue solution and magnified by 30 times under a stereomicroscope to assess microleakage. The application of DBA during REP reduced crown discoloration, while Biodentine showed minimal discoloration with or without DBA and regardless of the DBA type. Additionally, the application of DBA did not increase microleakage.

CASE REPORT OF THE INTRINSIC STAINED TEETH OF PATIENTS WITH BILIARY ATRESIA (담도폐쇄증 환아의 내인성 착색치아에 대한 증례보고)

  • Lee, Chang-Hui;Lee, Sang-Dae;Kim, Young-Jae;Kim, Jung-Wook;Hahn, Se-Hyun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.400-405
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    • 2004
  • Biliary atresia is defined as a complete obstruction of bile flow owing to destruction or absence of all or part of the extrahepatic bile ducts. This disease is occurring in approximately 1:10,000 live births and moderate predominance of female is noted. The etiology of biliary atresia remained unsolved. The signs and symptoms are hyperbilirubinemla, jaundice, clay-colored stools, steatorrhea, dark yellow urine and hepatomegaly. Currently biliary atresia is best managed by hepatic portoenterostomy with or without liver transplantation. Biliary atresia patients with these cases showed staining of the teeth. The stains ranged in color from yellowish-brown to deep green. Enamel hypoplasia was all erupted teeth present. Patients had poor oral hygiene and rampant caries.

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Analysis of Coloring Degree of a Dental Bracket by Optical Sensor (광 소자를 이용한 치과용 브라켓의 착색 정도 연구)

  • Lee, Eun-Suk;Kim, Ji-Sun;Oh, Han-Byeol;Kim, A-Hee;Kim, Jun-Sik;Goh, Bong-Jun;Baek, Jin-Young;Shin, Ye-Ji;Jun, Jae-Hoon
    • Proceedings of the KIEE Conference
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    • 2015.07a
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    • pp.1407-1408
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    • 2015
  • 현재에는 과거와 달리 표면상 비춰지는 외모의 중요성이 강조되어 치아 교정을 해서 미적 욕구를 충족시키려는 사람들이 증가하고 있다. 특히나 치아를 교정할 때 사용되는 치아교정용 브라켓은 부착되는 위치가 치아 앞면이기 때문에 미관상의 중요성은 치아교정장치 중 가장 크다. 이러한 이유 때문에 미적인 부분을 고려하여 치아색과 유사한 브라켓이 개발되었는데, 이 브라켓은 레진 브라켓이다. 이는 치아 교정에 도움을 주면서 심미성이 우수한 장점이 있지만 음식을 섭취할 때 음식의 색소에 의해 브라켓의 색 변화가 일어난다는 단점이 있다. 본 연구에서는 사람들이 자주 섭취하는 음식이나 음료에 치아교정용 브라켓을 착색시켜 색이 변하는 정도의 차이를 컬러센서를 이용해 측정하였다. 이렇게 측정된 브라켓의 RGB 값은 객관적이고 정량적인 값을 나타낼 수 있다. 이는 브라켓의 변색 뿐만 아니라 치아 미백 치료에도 적용되어 사용될 수 있을 것이다.

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Full-mouth rehabilitation with CAD/CAM monolithic zirconia in dentinogenesis imperfecta: a case report (상아질 형성 부전증 환자에서 CAD/CAM 단일 구조 지르코니아를 이용한 완전구강회복 증례)

  • Kim, Min-Kyoo;Kim, Sung-Hun;Lee, Jai-Bong;Han, Jung-Suk;Yeo, In-Sung;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.317-323
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    • 2014
  • Dentinogenesis Imperfecta, with a high incidence rate of 1 : 6 - 8000, is inherited by autosomal dominant genetic transmission. This dental disorder causes discoloration of the teeth and the enamel and dentin show hypoplastic or hypocalcified defects which lead to frequent fractures and rapid attrition. Therefore, timely treatment is necessary for the preservation of the remaining teeth. In this particular case, a 19-year-old patient suffering from Type 1 dentinogenesis imperfecta showed signs of brownish hued teeth with multiple fractures, a loss of vertical dimension, excessive interdental space in the maxillary anterior teeth, and a lack of 5 posterior teeth. To improve the esthetic appearance of the anterior teeth, the vertical dimension was increased. Resin caps were used to alleviate the difficulty of taking an impression of multiple teeth at once. Monolithic zirconia materials used in this case showed high fracture strength and the ability to mask the discoloration of the teeth and therefore, functionally and esthetically favorable results were achieved.

Restoration of Rotated and Discolored Maxillary Incisors with a Zirconia All-Ceramic System: A Case Report (지르코니아 완전도재 수복 방법을 사용한 회전되고 변색된 상악중절치의 수복)

  • Baek, Yeon-Wha;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.95-101
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    • 2013
  • Recently, the demand for esthetic improvement by a treatment neither time consuming nor invasive is increasing. The patient wanted the maxillary anterior teeth appearance to be improved by prosthetic treatment, not other treatments such as orthodontic, periodontal, and endodontic treatments, despite the limit of esthetic improvement. In this case, among the recent variety of all ceramic systems for the aesthetic prosthetic restoration, we selected the zirconia-based system as a method of restoration in order to conceal the discoloration of teeth. The patient was satisfied with the esthetic results.

저온 플라즈마를 이용한 바이오 메디컬 분야에의 응용

  • Park, Gan-Yeong;Kim, Gon-Jun;Lee, Hyeon-U;Yun, Ji-In;Sim, Jae-Yun;Kim, Gyeong-Tae;Kim, Gyu-Cheon;Lee, Jae-Gu
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.41-41
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    • 2010
  • 상온에 준하는 저온의 플라즈마를 발생시키는 장치들이 개발되면서, 저온 플라즈마와 생체조직간의 상호작용에 대한 연구가 큰 관심을 끌고 있다. 플라즈마에서 발생되는 다량의 이온과 활성종, 그리고 UV 등이 박테리아나 세포들과 작용함으로 해서 암세포 사멸, 치아 미백, 박테리아 살균/멸균, 지혈등의 효과들이 나타나고 있으며, 이러한 효과들을 극대화할 수 있는 장치 개발과 플라즈마와 생체조직간의 상호작용 메카니즘을 규명하는 것이 중요한 이슈가 되고 있다. 나노 금입자를 암세포의 막단백질인 FAK의 항체와 결합시킨 중합체를 만들어서, 암세포 표면에 나노 금입자붙이고, 플라즈마를 조사했을 때, 나노 금입자가 부착되지 않았을 경우에 비해서, 5배이상 사멸률이 증가하였다.[1] 변색된 치아에 미백제의 주성분인 과산화수소를 도포하고, 10분간 플라즈마를 조사하게 되면, 과산화수소만 도포했을 때에 비해, 치아 표면의 색이 3배이상 밝아지는 것을 관찰할 수 있었다. 과산화수소를 플라즈마에 노출시켰을 때, 활성종인 OH의 생성이 2배이상 증가하였고, 플라즈마에 의한 OH 생성의 촉진이 치아 미백효과가 증대되는 주된 요인인 것으로 추측된다.[2] 플라즈마에서 발생되는 O, $O_3$와 같은 활성종들은 살균력이 뛰어나기 때문에, 저온 플라즈마를 의료기구의 소독/멸균에 응용할 가능성이 아주 크다. 대장균이나 구강 세균이 플라즈마 처리로 5분이내에 멸균되는 것을 확인하였고, 핸드피스와 같은 의료기구를 오염시켜서 멸균 테스트를 수행하고 있다.

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Case report: Laminate prosthesis with orthodontic treatment for achieve anterior esthetics and functional occlusion (심미와 기능 회복을 위한 교정- 라미네이트 수복 치료 증례)

  • Lee, Han Na
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.80-85
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    • 2014
  • Orthodontic treatment is obviously the first choice to get aligned teeth cause of conservative treatment. But it is impossible to get highly esthetic result only orthodontic treatment in case of peg lateralis, discrepancy tooth size, discolored teeth or fractured teeth. As all treatment does, especially in esthetic treatment it is always required interdisciplinary diagnosis and treatment plan; orthodontics, periodontology, prothetics, implant therapy. As also, the treatment should be maintained long-term treatment with stable and harmonious state by esthetic satisfaction and functional occlusion those who needs various dental care as interdisciplinary treatment. This case is the laminate treatment with the orthodontic treatment on 37 ages/ Female patient who has cross bite at anteriors and premolar area and abrasion on centralis at right maxilla. By orthodontic treatment aligned teeth positions, it makes functional occlusion. As laminate treatment with minimum teeth preparation is able to release anterior esthetics. Follow up check for 2 years has been performed since the final prosthetics delivery to the patient. No sign of relapse, fracture of laminate were detected.

EFFECT OF CARBON DIOXIDE LASER ON INHIBITION OF DEMINERALIZATION AND REHARDENING OF PRIMARY TEETH (이산화탄소 레이저의 유치 탈회억제 및 재경화 효과)

  • Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.320-325
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    • 2003
  • The purpose of study was to investigate the effect of carbon dioxide laser on demineralization inhibition and rehardening of primary tooth enamel according to its power and irradiation time. 2mm diameter circle on the primary enamel surface was irradiated by defocused $10.6{\mu}m$ superpulse carbon dioxide laser at 6 Watt 2 seconds or at 3 Watt 8 seconds, before or after demineralization by Coca-Cola for 24 hours. Enamel surface change was measured by the Diagnodent. The results were analyzed with the former study results of 3 Watt 4 seconds and 6 Watt and 4 seconds. Diagnodent scores increased significantly after demineralization of irradiated enamel at 6W 2s or 3W 8s (P<0.05). Among the four groups, only 6W 4s group showed obvious demineralization inhibition effect. Diagnodent scores reduced significantly after 6W 2s or 3W 8s irradiation of demineralized enamel(P<0.05). Among the four groups, 6W 4s showed nearly complete rehardening effect, and the other groups showed partial effect. Tooth discoloration only occurred at 6W 4s. It seemed that caries inhibition and tooth discoloration depend on laser power more than total irradiation energy.

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Spectrophotometric Analysis of Crown Discoloration Induced by Various MTA Based Materials (분광분석법을 이용한 수종 MTA의 치관변색 평가)

  • Lim, Yuran;Choi, Namki;Kim, Jaehwan;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.1
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    • pp.28-37
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    • 2017
  • Mineral trioxide aggregate have been used for many years as a pulp therapy material. The most widely used product, Proroot white $MTA^{(R)}$ has a major drawback that it causes tooth discoloration. This study assessed discoloration of crown when various MTA-based materials were placed in the coronal aspect of the root canal. Seventy-five single-rooted, unrestored premolar teeth were selected. The teeth were randomly assigned to four experimental groups, each of $Biodentine^{(R)}$, Proroot $wMTA^{(R)}$, $Endocem^{(R)}$, $RetroMTA^{(R)}$ and one negative control groups. Color measurements were utilized by the Commission International de I'Eclairage's L*a*b* system with spectrophotometer. The color was assessed eight times : initial, 1 day, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after the placement. Statistical analysis was performed using the 2-way repeated analysis of variance and Bonferroni's method with p < 0.05. Proroot $wMTA^{(R)}$ induced significant decreases in $L^*$ values during experiment period. Tooth samples from the $Endocem^{(R)}$ group presented indistinct grayish color changes. The $Biodentine^{(R)}$ and $RetroMTA^{(R)}$ showed color stability. Consequently, while Proroot $wMTA^{(R)}$ and $Endocem^{(R)}$ that contain bismuth oxide as a radiopacifier showed tooth discoloration, displayed no sign of discoloration $Biodentine^{(R)}$ and $RetroMTA^{(R)}$ that contain zirconium oxide as a radiopacifier.

A CASE REPORT OF DENTINOGENESIS IMPERFECTA (상아질 형성부전증에 대한 증례 보고)

  • Jun, Eun-Min;Kim, Eun-Jung;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.2
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    • pp.323-328
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    • 2006
  • Dentinogenesis imperfecta is an inheritable disease of dentinal defect, generally is inherited as a single autosomal dominant trait. It has a prevalence of 1 in 8000 with the trait, and no significant difference between male and female, with involvement of the primary and permanent teeth. Shields proposed three types of Dentinogenesis imperfecta. Affected teeth have various discoloration, separation of enamel rapid destruction of underlying dentin, and severe attrition. Radiographically, the teeth have cervical constriction, bulbous crown, thin root, obliteration of the root canals and pulp chambers, and periapical lesions in a sound tooth. The objective of treatment is rehabilitation of the esthetics, the masticatory function, and the vertical dimension of occlusion. In these cases, two pediatric patients reported to the Kyungpook University Pediatric clinic, with a chief complaint of discolored teeth and severe attrition. As a result of clinical and radiographic exam, it was diagnosed as Dentinogenesis imperfecta. The posterior teeth were restored with Stainless Steel Crown, and the anterior teeth were restored with composite resin veneering.

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