• 구강회복응용과학지
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• 제33권2호
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• pp.163-168
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• 2017

전치부에 발생한 치간이개는 심미적으로 문제를 일으키는 흔한 원인이 된다. "Black triangle"을 생성시키지 않고 치간이 개를 폐쇄시키는 것은 심미치과학에서 도전적 과제 중 하나이다. 전치부 수복치료의 성공 여부는 연조직과 경조직간의 심미적인 연합에 달려있다. 이번 증례에서는 치은-치아 계면에서 자연스러운 외형을 가지는 출현윤곽(emergence profile)을 형성하여 줌으로써 치은의 재생 과정이 일어나 심미적으로 만족스러운 치간이개 폐쇄를 이루어내었기에 이를 보고하는 바이다.

• 대한심미치과학회지
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• 제10권1호
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• pp.30-45
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• 2001

In recent years, clinicians' and dentists' esthetic demands in dentistry have increased rapidly. The ultimate goal in modern restorative dentistry is to achieve "white" and "pink" esthetics in the esthetically important zones. Therefore, modern esthetic dentistry involves not only the restoration of lost teeth and their associated hard tissues, but increasingly the management and reconstruction of the encasing gingiva with adequate surgical techniques. Interdental space are filled by interdental papilla in the healthy gingiva, preventing plaque deposition and protecting periodontal tissue from infection. This also inhibits impaction of food remnants and whistling through the teeth during speech. These functional aspects are obviously important, but esthetic aspects are important as well. Complete and predictable restoration of lost interdental papillae remains one of the biggest challenges in periodontal reconstructive surgery. One of the most challenging and least predictable problems is the reconstruction of the lost interdental papilla. The interdental papilla, as a structure with minor blood supply, was left more or less untouched by clinicians. Most of the reconstructive techniques to rebuild lost interdental papillae focus on the maxillary anterior region, where esthetic defects appear interproximally as "black triangle". Causes for interdental tissue loss are, for example, commom periodontal diseases, tooth extraction, excessive surgical periodontal treatment, and localized progressive gingiva and periodontal diseases. If an interdental papilla is absent because of a diastema, orthodontic closure is the treatment of choice. "Creeping" papilla formation has been described by closing the interdental space and creating a contact area. In certain cases this formation can also be achieved with appropriate restorative techniques and alteration of the mesial contours of the adjacent teeth. The presence of an interdental papilla depends on the distance between the crest of bone and the interproximal contact point, allowing it to fill interdental spaces with soft tissue by altering the mesial contours of the adjacent teeth and positioning the contact point more apically. The interdental tissue can also be conditioned with the use of provisional crowns prior to the definitive restoration. If all other procedures are contraindicated or fail, prosthetic solutions have to be considered as the last possibility to rebuild lost interdental papillae. Interdental spaces can be filled using pink-colored resin or porcelain, and the use of a removable gingival mask might be the last opportunity to hide severe tissue defects.

• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.215-226
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• 1993

Color stability of tooth colored restorative resins is an important factor, particularly in anterior teeth restoration. The purpose of this study was to evaluate the color stability and opacity change of several light curing composite resins. Specimens of eight composite resins(Prisma AP. H., Brilliant Enamel, Charisma, Durafil, Helio Progress, Herculite XR, P-50 and Silux Plus) were divided into two groups : In Group 1, the specimens were polymerized by visible light curing unit for 60 seconds on both sides and in Group 2, the post-cured specimens were heat tempered by light/heat curing unit for 45 units(about 18 min.). All specimens were stored in distilled water at $60^{\circ}C$ for 30 days. The color characteristics($L^*,a^*,b^*$) and opacity of the specimens before and after immersion were measured by spectrocolorimetry and the total color difference(${\Delta}E^*$) and opacity change (${\Delta}Y%$) were computed. The results obtained were as follows : 1. SP and APH in both groups, DF, HP and HXR in Group 1 showed ${\Delta}E^*$-value above 2.0. 2. DF, HP, SP and HXR in Group 1 showed higher ${\Delta}E^*$-value than in Group 2, but the others had no significant difference. 3. The opacity of CH and HXR in Group 1, and of CH and BE in Group 2 decreased after immersion, while that of the others increased. 4. Opacity change of BE, P50 and HXR was significantly different between Group 1 and 2. These results suggest that color change in the post-cure heat tempered specimens by light/heat curing unit was smaller than that of the specimens polymerized by visible light curing unit. No clinically detectable opacity changes were noted for any materials in either goup.

• Restorative Dentistry and Endodontics
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• 제9권1호
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• pp.115-119
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• 1983

The purpose of this study was to compare the solubility of enamel and dentin to an etchant after fluoride application. Specimens were collected from extracted anterior and bicuspid and each tooth was cut into several pieces. These specimen were allocated in 7 group; 1%, 2%, 3% NaF, 1%, 8%, 20% $SnF_2$, and control group. Five specimens in each group was exposed to pre-determined fluoride solution for 3 minutes, and washed with running water. These specimens were etched by Hipol (commercial label) etchant for 30 seconds. Following are the findings obtained through S.E.M. 1. All specimens with acid etching revealed preferential removal of prism periphery leaving prism core. 2. Specimens treated with 1%, 2% NaF solution showed that the shape of prism tip was thin and sharp like a needle. The case of 3% NaF showed rather round shape at prism end. 3.1% of $SnF_2$ case showed similar findings with the control group but 8% and 20% $SnF_2$ case revealed needle shape at the prism and was less clear than NaF case. Preferential removal of prism periphery was partialy observed and un decalcified area is fused to prism forming reidge. 4. Dentine treated by fluoride compound in low concentration showed the orifice of dentinal tubule was clearly enlarged whereas in high concentration the orifice was not widened.

• Restorative Dentistry and Endodontics
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• 제11권1호
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• pp.53-61
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• 1985

This study was conducted to evaluate and compare the apical leakage in the following retrograde techniques; apicoectomys, retrograde filling with zinc oxide eugenol cement, non-zinc and zinc amalgam, and cold-burnished gutta-percha method. One hundred twenty five upper anterior and lower premolar teeth were divided into five above mentioned groups and each tooth was individually prepared for its particular group. The specimens were incubated at $37^{\circ}C$ for 14 days and then were infiltrated by 2% methylene blue for 24 hours. The apical leakage was evaluated by measuring the degree of dye penetration between the filling material and the canal wall. The results were as follows: 1. The cold-burnished gutta-percha group showed the least amount of apical leakage and the apicoectomy group showed the greastest amount of apical leakage. 2. Statistics showed that there were significant differences among the groups (P<0.05), however there was no difference between the zinc oxide eugenol cement retrograde filling group and the non-zinc amalgam retrograde filling group (P>0.05).

• Restorative Dentistry and Endodontics
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• 제29권3호
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• pp.226-232
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• 2004

Use of electric pulp testing elicits painful response in vital teeth. In this study, we examined the excessive time from pain feeling to stimulation disconnection in clinical situation. D626D (Parkell Inc., USA.) scan type electric pulp tester was used in total of 23 young healthy individuals. Each of the right central incisors and first premolars were used as testing teeth. Stimulation disconnection was achieved by EMG in anterior belly of digastric muscle, finger span, and voice and the excessive stimulation time over the sensory thresh-old was recorded. As a result, we found that the short responses before the stimulation disconnection appeared following order：EMG, finger span, and voice. The EMG disconnection is suggested to be used to reduce the excessive stimulus time in electric pulp testing.

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.153-165
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• 1992

Dental composite resin is a kind of the particle - reinforced composite material, and is widely used in recent dental restoration of anterior and posterior tooth region. The purpose of this study was to investigate the fracture behaviour according to volume fractions and external findings of the filler particles for better interpretation of the fracture characteristics of posterior dental composite resins by analytic method of fracture mechanics. The plane strain fracture toughness($K_{IC}$) and Acoustic Emission were determined with three - point bending test using the single edge notch specimen according to the ASTM - E399, and its analyzed data was compared with filler volume fractions derived from the standard ashing test and scanning electron fractographs of each specimen including the unfilled experimental resin as a control. The results were that the value of fracture toughness of the composite resin material was in the range from 0.85 MPa$\sqrt{m}$ to 1.60 MPa$\sqrt{m}$ and was higher than the value of the unfilled experimental resin, and the fracture behaviours dervied from Acoustic Emission analysis show prominent differences according to the volume fraction and the size of filler particles used in each composite resin. The degree of resistance against crack propagation seems to be increase and the fractographs demonstrate the high degree of surface roughness and irregularity according with the increase of fracture toughness value.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.182-188
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• 2016

Objectives: The purpose of this study was to evaluate the proximity of the mandibular molar apex to the buccal bone surface in order to provide anatomic information for apical surgery. Materials and Methods: Cone-beam computed tomography (CBCT) images of 127 mandibular first molars and 153 mandibular second molars were analyzed from 160 patients' records. The distance was measured from the buccal bone surface to the root apex and the apical 3.0 mm on the cross-sectional view of CBCT. Results: The second molar apex and apical 3 mm were located significantly deeper relative to the buccal bone surface compared with the first molar (p < 0.01). For the mandibular second molars, the distance from the buccal bone surface to the root apex was significantly shorter in patients over 70 years of age (p < 0.05). Furthermore, this distance was significantly shorter when the first molar was missing compared to nonmissing cases (p < 0.05). For the mandibular first molars, the distance to the distal root apex of one distal-rooted tooth was significantly greater than the distance to the disto-buccal root apex (p < 0.01). In mandibular second molar, the distance to the apex of C-shaped roots was significantly greater than the distance to the mesial root apex of non-C-shaped roots (p < 0.01). Conclusions: For apical surgery in mandibular molars, the distance from the buccal bone surface to the apex and apical 3 mm is significantly affected by the location, patient age, an adjacent missing anterior tooth, and root configuration.

• Journal of Periodontal and Implant Science
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• 제32권3호
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• pp.643-653
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• 2002

Periodontal supporting tissue goes through destruction by chronic inflammatory periodontal disease as two aspect. One is qualitive aspect such as alteration of periodontium, the other is quantitative aspect such as alveolar bone loss. According to many authors, PDL is responsible for biting force, and there are two mean. for measuring PDL's function - mobility test and biting force test. This study was conducted to compare the biting force with remaining bone level, that is, quantitative aspect of periodontium, in anterior and premolar teeth at periodontal maintenance phase. 17 patients on periodontal maintenance phase during 6 months at minimum were selected for this study. For the same condition, 4 anterior, canine, premolar teeth were tested by MPM-3000 bite-force register at the same time(a.m.l0-12), the same position, the same posture, by the same examiner. Patients of TMI), ill-fitting pros thesis, general disease, malocclusion and the teeth of TFO, absence of opposing teeth, malposition were excluded. Remaining bone level was measured on the panorama X-ray film through 5 level from 1mm below CEJ to root apex. Teeth were examined twice, and bigger one was selected. If the values showed large difference. examinatin was re-done and the mean was selected. The results were as follows ; 1. In the 4 anterior group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.01). 2. In the canine group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 2/5 bone level, maximal biting force is decreased significantly(p<0.01). 3. In the premolar group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.05). From the results of this study, clinicians could utilize these efficiently when they have to determine the proper restorative materials, time for tooth extraction, treatment plan, prognosis.

• 대한치과보철학회지
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• 제60권4호
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• pp.320-329
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• 2022

생리적 마모는 일생 동안 불가피하게 일어나고 정상현상이라고 볼 수 있다. 하지만, 병적인 마모는 교합면에 치명적 손상을 야기하고 심미 및 적절한 전방유도를 파괴 할 수 있다. 따라서 교합면 마모 회복을 위해서는 철저한 평가와 진단이 필요하다. 본 증례의 환자는 하악 치아 순면과 상악 치아 설면의 심한 마모를 보였다. 수직교합고경을 분석 하였고, 부족한 보철수복공간을 회복을 위해 수직교합고경을 높여서 치료하기로 하였다. 수직교합고경이 결정 된 후에는 보통 진단 왁스업을 하여 치료를 진행한다. 본 증례는 심한 마모로 인한 교합붕괴 및 수직교합고경이 상실된 환자에서, 기존의 진단왁스업 과정을 다양한 디지털 도구를 사용하는 방법으로 대체하였다. 진단왁스업은 소프트웨어에서 디자인되어 디지털로 임시보철물을 제작하였다. 임시보철물 검증을 통해, 수직교합고경 및 적절한 전방유도로 회복되었다.