• 제목/요약/키워드: 2근관

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리본형태의 근관에서의 열연화 근관 충전법의 비교 : 근관 충전된 gutta-percha의 무게 (COMPARISON OF WARM GUTTA-PERCHA CONDENSATION TECHNIQUES IN RIBBON SHAPED CANAL : WEIGHT OF FILLED GUTTA-PERCHA)

  • 김현희;조경모;김진우
    • Restorative Dentistry and Endodontics
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    • 제27권3호
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    • pp.277-283
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    • 2002
  • The purpose of this study is to evaluate the two warm gutta-percha filling techniques by measuring the weight changes of resin blocks before and after canal filling in ribbon shaped canal. Simulated ribbon shaped root canals in 30 transparent resin blocks were instrumented to #40 using .06 taper Profile. 15 resin blocks were obturated with gutta-percha using cold lateral condensation. Warm lateral condensation using the Endotec II was then accomplished on the same 15 blocks. Another 15 resin blocks were obturated using the System B. All canals were obturated without sealer. The resin blocks were weighed after canal preparation and after each subsequent obturation, and then weight changes of the resin blocks were calculated The results were as follows. 1. Warm lateral condensation using Endotec II and continuous wave of condensation using System B produced a denser obturation of gutta-percha compared with conventional cold lateral condensation (p<0.01). 2. There was no significant difference between warm lateral condensation and continuous wave condensation. In conclusion, the warm gutta-percha condensation techniques like warm lateral condensation and continuous wave condensation can be expected to bring favorable canal obturation results in ribbon shaped canals.

류마티스 관절염환자용 다차원적 피로척도의 타당도 및 신뢰도 (Validity and Reliability of Translated Multidimensional Assessment of Fatigue Scale for the Patients with Rheumatoid Arthritis)

  • 이경숙;이은옥
    • 근관절건강학회지
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    • 제5권2호
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    • pp.206-221
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    • 1998
  • The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

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카복실레이트 세멘트를 근관(根管) 충전재(充塡材)로 사용(使用) 시(時) 근관(根管) 폐쇄성(閉鏁性)에 관(關)한 실험적(實驗的) 연구(硏究) (EXPERIMENTAL STUDY ON SEALING QUALITY OF POLYCARBOXYLATE CEMENT USED AS ROOT CANAL SEALER)

  • 황영환
    • Restorative Dentistry and Endodontics
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    • 제2권1호
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    • pp.32-37
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    • 1976
  • The author has studied comparatively the sealing quality of polycarboxylate cement, one of the newest dental cement systems, and zinc oxide eugenol cement by means of penetration of 2% methylene blue solution through the root apex of human teeth in 72 cases as time elapsed. Followings are the results obtained from this study. 1) In all groups, there was no increase in penetration related to increased time of immersion in the dye. 2) In polycarboxylate cement groups, there was a significant difference in depth of dye penetration of each tooth, but in zinc oxide eugenol cement group, there was a slight difference. 3) The depth of dye penetration of zinc oxide eugenol cement group is slightly lower than that of poly carboxylate cement groups. 4) In polycarboxylate cement groups, Carbolit cement group showed comparatively lower grade of dye penetration than Carbo cement group.

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수중운동 프로그램이 류마티스 관절염 환자의 우울과 무기력감에 미치는 영향 (Effects of Aquatic Exercise Program on Depression and Helplessness in Patients having Rheumatoid Arthritis)

  • 김종순
    • 근관절건강학회지
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    • 제2권2호
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    • pp.160-167
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    • 1995
  • An aquatic exercise program is one of the nursing intervention for the patients having rheumatoid arthritis. The purpose of this study was to obtain the effect of aquatic exercise program on depression and helplessness in the rheumatoid arthritis patients. Thirty five patients with rheumatoid arthritis were the subjects of this study. who were treated to the rheumatism center at a hospital in Seoul from December 1992 to April 1993. The data were collected before and after aguatic excercise. All data collected were analyzed using percent, t-test, ANCOVA with SPSS $pc^+$ program. The findings of this study were as follows : 1. The score of depression was not different between experimental group and control group(P=0.178). 2. There was significant difference in the helplessness score between experimental group and control group(F=4.60, P=0.039).

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류마티스 관절염 환자가 지각하는 사회적 지지와 영향요인에 관한 조사연구 (Influencing Factor on Social Support perceived by Patients with Rheumatoid Arthritis)

  • 유경희
    • 근관절건강학회지
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    • 제21권2호
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    • pp.145-152
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    • 2014
  • Purpose: The purpose of this study was to investigate the influencing factors on the social support perceived by patients with rheumatoid arthritis. Methods: The subjects for this study were 468 patients registered in 2 general hospitals and the period of data collection was from October 20, 2013 to February 20, 2014. The data were analyzed with t-test, ANOVA and Pearson's correlation coefficients. Results: The mean of item of social support was 3.31 in patients. For social support, there were significant differences by gender and economics in patients with rheumatoid arthritis. Conclusion: Managing social support was important for patients with rheumatoid arthritis to promote health. To enhance social support of patients with rheumatoid arthritis, nursing intervention strategies must be developed for increasing economics or giving information about their activity of daily living.

타이치운동이 여성노인의 희망과 의존성 및 지각된 건강상태에 미치는 효과 (The Effects of Tai Chi Exercise on Hope, Dependency, and Perceived Health Status of Elderly Women)

  • 박영주;김자옥
    • 근관절건강학회지
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    • 제21권2호
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    • pp.106-113
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    • 2014
  • Purpose: This study was conducted to examine the effects of Tai Chi on hope, dependency, and perceived health status of elderly women. Methods: The study was a nonequivalent control group pre-post test design. Forty-seven elderly women were assigned to two groups: the experimental group (n=24) and the control group (n=23). Data were collected from June 13 to July 26, 2012 and analyzed using the SPSS/WIN 14.0 version program. The intervention was provided 2 times a week for 7 weeks. Results: There were significant differences in reported hope and perceived health status between the two groups. However, the issue of dependency was not significant. Conclusion: Tai chi can be utilized as an effective intervention for hope and perceived health status of elderly women. It will be a good solution to guide successful aging in an aging society.

단일 입구를 이용한 내시경적 수근관 감압술 (Endoscopic Carpal Tunnel Release Using Single Portal Technique)

  • 천상진;김휘택;서근택;서정탁;유총일
    • 대한관절경학회지
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    • 제4권2호
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    • pp.159-165
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    • 2000
  • 목적 : 전통적인 개방적 수근관 감압술 시행 후의 병적 상태와 합병증을 줄이고자 내시경적 수근관 감압술이 개발되어 시행되어지고 있다. 이에 저자들은 단일 입구를 이용한 내시경적 수근관 감압술의 결과와 임상적 유용성을 알아보고자 한다. 대상 및 방법 : 임상증상, 이학적 검사, 전기 진단학적 검사로 수근관 증후군으로 진단되고, 수근관절부에 전완부 종축에 대해 비스듬히 약 1cm 정도의 소절개를 가하여 단일입구를 만들고 수근관 감압술을 시행하였던 18명 30례에 대해 임상증상 및 이학적 소견과 전기 진단학적 검사소견의 결과를 분석하고 주관적 증상의 회복정도를 환자 스스로 평가하는 판정 기준을 이용하여 최종 추시시의 결과를 분석하였다. 추시기간의 범위는 술 후 6개월에서 13개월이었다. 결과 : 술 후 임상증상과 이학적 검사상 및 전기 진단적 검사에서 호전을 보였다. 최종 추시시 23례$(76.7\%)$에서 감각 이상증상이 완전히 해소되었고, 정상적인 일상활동 및 직장으로의 복귀는 27례$(90\%)$에서 6주 이내에 가능 하였고, 전례에서 8주 이내에 가능하였다. 악력은 6개월째에 29례 $(96.6\%)$에서 술전의 힘을 회복하였다. 무지구근의 위축을 보인 22례중에서 술 후 6개월 추시시 12례$(55\%)$에서 호전되는 소견을 보였다. Cseuz 및 Kelly의 판정 기준상 우수 23례 $(76.7\%)$, 양호 6례 $(20\%)$, 보통 1례$(3.3\%)$이었다. 결론 : 저자들은 단일 입구를 이용한 수근관 감압술은 술자가 적응증에 맞는 환자를 선별하여 손과 손목의 충분한 해부학적 지식을 가지고 안전 영역내에서 시행한다면 기술적으로 안전하고 간단한 수술방법이며, 개방적 방법에 비해 많은 장점이 있고 임상적으로 유용한 방법이라고 사료된다. 또한 기술적 문제점이 생기거나 기구를 수근관내로 삽입하기가 어렵거나 내시경 시야에서 횡수근 인대의 횡섬유가 분명히 보이지 않는 경우 등에서는 개방적 방법으로 전환할 준비가 되어야 한다고 사료된다.

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근관세척제(根管洗滌劑) 및 근관충전방법(根管充塡方法)에 의(依)한 근관폐쇄효과(根管閉鎖效果)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE EFFECT OF THE CANAL INRRIGANTS AND THE METHOD OF CANAL FILLING ON THE QUALITY OF CANAL OBTURATION)

  • 오병원;민병순;최호영;박상진
    • Restorative Dentistry and Endodontics
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    • 제9권1호
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    • pp.59-68
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    • 1983
  • The purpose of this study was to examine the influence of canal irrigants and the method of canal filling on the quality of canal obturation. Sixty extracted human teeth with single root were selected and divided into three different groups; In group I (control); 5 cc normal saline irrigated after each instrumentation In group II; 2.5 cc-3% NaOCl in combination with 2.5 cc-3% $H_2O_2$ In group III; RC-Prep in combination with 5 cc-3% NaOCl All specimens were cleaned, shaped(#50 file size), irrigated and obturated by lateral condensation and automated thermatic condensation filling method of gutta-percha and AH-26. After all the specimens were immersed in 2% methylene blue dye solution in $37^{\circ}C$ for 7 days and the degree of dye penetration into the canals observed by magnifying glass(${\times}$20) and reflected light microscope The results were as follows: 1. All the the teeth showed some degree of the dye penetration. 2. There were no significant difference among three groups in the degree of the dye penetration in each canal filling method. 3. There were no significant difference of the dye penetration between each canal filling method in group I. 4. There were no statistically significant difference of the dye penetration between each canal filling method in group II and group III, but lateral condensation group was showed slightly more than automated thermatic condensation group.

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초음파 근관기구를 이용한 근관충전법의 근관폐쇄능에 관한 주사 전자현미경적 연구 (A SCANNING ELECTRON MICROSCOPIC EVALUATION OF THE ROOT CANAL FILLING WITH ULTRASONIC ENDODONTIC INSTRUMENT)

  • 최라영;이인숙
    • Restorative Dentistry and Endodontics
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    • 제15권2호
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    • pp.104-114
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    • 1990
  • The purpose of this study was to evaluate the adaptation of root canal filling material to the dentinal wall of root canal and to compare the sealing ability of the root canal filling materials using ultrasonic endodontic instrument with injection-molded thermoplasticized gutta-percha filling method and lateral condensation method. Fifty fresh human single root exlracted for orthodontic treatment, were randomly selected, and instrumented by step-back technique. And then, the teeth were divided into 5 groups according to each root canal filling methods. In the experimental group 1 and group 2, the root canals were filled with gutta perdia cases using ultrasonic instrument with and without sealer. In the experimental group 3 and 4, using jection-moldeed thermoplasticized gutta-percha method by obtul$^{(R)}$ canals were filled with and without sealer. In the control group, the canals were filled with sealer by lateral candensation. And then, 5 teeth of each group were immersed in black Indian ink, decalcified and cleared. The depth of dye penetration into the root canal were evaluated with stereoscope (Reichert Ltd., USA). Among the 5 teeth remaining in each group, the single longituding grooves were made on the labial and lingual root surfaces and then immersed in the liquid nitrogen to fracture the teeth spontaneously without any distortions of gutta-percha. Each specimens were examined with X-650 Scanning Electron Microscope(Hitachi ltd, Japan) to show the adaptation to the canal wall, void, homogenicity of filling material and location of gutta-percha or sealer in the dentinal tubules of the root canal. The observations were as follows : 1. The experimental group 1 showed smaller mean dye penetration than control group, and showed the penetraton of sealer in the dentinal tubules of apical third of the root canal. 2. The experimental group 2 and group 4 showed the penetration of gutta-percha in the dentinal tubules of root canals. 3. The experimental group 1 and group 3 showed less mean dye penetration than the experimental group 2 and group 4. 4. The experimental group 1 and group 2 showed better adaptation of filling materials than control group.

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Soft chelating irrigation이 GP/AH Plus로 충전된 근관의 sealing ability에 미치는 영향에 대한 평가 (EFFECT OF SOFT CHELATING IRRIGATION ON THE SEALING ABILITY OF GP/AH PLUS ROOT FILLINGS)

  • 유이숙;김태균;이광원;유미경
    • Restorative Dentistry and Endodontics
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    • 제34권6호
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    • pp.484-490
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    • 2009
  • 본 연구의 목적은 glucose leakage test를 이용하여 soft chelating irrigation이 근관 충전의 sealing ability에 미치는 영향을 평가하는 것이다. 발치된 45개의 단근치를 수집하여 치관부를 잘라내 치근이 총 13mm가 되게 하였다. 근관은 K3 NiTi 구동 기구를 사용하여 성형하고 #45/.06 taper까지 확대하였다. 3개의 실험군(n=13)과 2개의 대조군(n=3)으로 나누었다. 실험군은 다음의 세척 방법으로 처리하였다. 1군, 2.5% NaOCl로 세척; 2군, 2.5% NaOCl로 세척 후 17% EDTA로 최종 세척; 3군, 2.5% NaOCl과 15% HEBP 혼합 용액으로 세척, 근관은 gutta-percha와 AH Plus를 사용하여 측방가압으로 충전하였다. $37^{\circ}C$, 습도 100%에서 7일 동안 보관하고 glucose leakage model을 이용하여 치관부로부터 치근부 방향의 미세누출을 정량화하였다. 1, 4, 7, 14, 21, 28일 째 누출된 glucose의 농도를 spectrophotometry로 측정하였다. 분석 결과 모든 실험군에서 실험 기간 동안 누출이 증가하는 경향이 있었다. HEBP처리군은 실험 기간 동안 EDTA처리군과 유의한 차이를 보이지 않았다. HEBP처리군은 21일 이후부터 도말층으로 덮인 NaOCl처리군에 비해 유의하게 낮은 누출을 보였다. HEBP로 처리된 상아질은 EDTA로 처리된 상아질과 비슷한 양상의 폐쇄를 보였으나 도말층이 남아있는 상아질보다는 우수한 sealing ability를 나타냈다. 그러므로 약한 킬레이트제인 HEBP는 EDTA의 대안이 될 수 있을 것이다.