• Restorative Dentistry and Endodontics
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• 제47권4호
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• pp.35.1-35.9
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• 2022

Although the success rates of microsurgery and micro-resurgery are very high, the influence of a recurrent perforation combined with radicular cyst remains unclear. A 21-year-old white female patient had a history of root perforation in a previously treated right maxillary lateral incisor. Analysis using cone-beam computed tomography (CBCT) revealed an extensive and well-defined periapical radiolucency, involving the buccal and palatal bone plate. The perforation was sealed with bioceramic material (Biodentine) in the pre-surgical phase. In the surgical phase, guided tissue regeneration (GTR) was performed by combining xenograft (lyophilized bovine bone) and autologous platelet-rich fibrin applied to the bone defect. The root-end preparation was done using an ultrasonic tip. The retrograde filling was performed using a bioceramic material (Biodentine). Histopathological analysis confirmed a radicular cyst. The patient returned to her referring practitioner to continue the restorative procedures. CBCT analysis after 1-year recall revealed another perforation in the same place as the first intervention, ultimately treated by micro-resurgery using the same protocol with GTR, and a bioceramic material (MTA Angelus). The 2-year recall showed healing and bone neoformation. In conclusion, endodontic micro-resurgery with GTR showed long-term favorable results when a radicular cyst and a recurrent perforation compromised the success.

• Restorative Dentistry and Endodontics
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• 제39권2호
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• pp.89-94
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• 2014

Objectives: The aim of this study was to evaluate the cytotoxicity, setting time and compressive strength of MTA and two novel tricalcium silicate-based endodontic materials, Bioaggregate (BA) and Biodentine (BD). Materials and Methods: Cytotoxicity was evaluated by using a 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-((phenylamino)carbonyl)-2H-tetrazolium hydroxide (XTT) assay. Measurements of 9 heavy metals (arsenic, cadmium, chromium, copper, iron, lead, manganese, nickel, and zinc) were performed by inductively coupled plasma-mass spectrometry (ICP-MS) of leachates obtained by soaking the materials in distilled water. Setting time and compressive strength tests were performed following ISO requirements. Results: BA had comparable cell viability to MTA, whereas the cell viability of BD was significantly lower than that of MTA. The ICP-MS analysis revealed that BD released significantly higher amount of 5 heavy metals (arsenic, copper, iron, manganese, and zinc) than MTA and BA. The setting time of BD was significantly shorter than that of MTA and BA, and the compressive strength of BA was significantly lower than that of MTA and BD. Conclusions: BA and BD were biocompatible, and they did not show any cytotoxic effects on human periodontal ligament fibroblasts. BA showed comparable cytotoxicity to MTA but inferior physical properties. BD had somewhat higher cytotoxicity but superior physical properties than MTA.

• 대한소아치과학회지
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• 제48권2호
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• pp.168-175
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• 2021

이 연구는 깊은 와동에서 기저재로 사용되는 5개의 기저재용 재료를 대상으로 미세누출 및 압축강도 평가를 시행하였다. 미세누출 평가를 위해 발거된 영구 소구치 50개를 준비하여 베이스 재료에 따라 10개씩 군을 나누었다. 치아의 순면에 가로 5.0 mm, 세로 3.0 mm, 높이 3.0 mm 크기의 와동을 형성하였다. 형성된 와동에 1.0 mm 두께로 각 베이스 재료를 충전하였다. 이후 와동의 상방부를 composite resin으로 최종수복 시행하였으며, 시편을 2% 메틸렌블루 용액에 침적시킨 후 치아를 절삭하였고 실체현미경(× 30)을 이용해 미세누출 정도를 평가하였다. 압축강도 평가를 위해 각 재료 별로 5개씩의 원통형 시편을 제작하였다. 이후 만능시험기를 이용해 압축강도를 평가하였다. 미세누출 평가에서 Riva light cure^TM가 가장 큰 미세누출을 보였으며, Well-Root PT와 Biodentine이 가장 적은 미세누출을 보였다. 압축강도는 모든 군이 베이스 재료로서 받아들일 만한 강도를 보였다. Fuji II LC가 가장 높은 압축강도를 보였으며 Well-Root PT가 가장 낮은 강도를 보였다.

• 대한소아치과학회지
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• 제46권1호
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• pp.76-84
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• 2019

이 연구의 목적은 3종의 수복재료와 3종의 tricalcium-silicate 기반 치수복조제의 미세누출을 평가하고, 이들 치수복조제와 상아질 사이의 전단결합강도를 비교하는 것이다. 수복재료로는 복합레진(CR), 레진강화형 글래스아이오노머 시멘트(RMGI), 그리고 전통적인 글래스아이오노머 시멘트(GIC)를, 치수복조제로는 TheraCal $LC^{(R)}$(TLC), $Biodentine^{(R)}$ (BD), 그리고 $ProRoot^{(R)}$ white MTA (WMTA)을 사용했다. 소의 절치에 5급와동을 형성하여 이를 적용하는 치수복조제와 수복재료에 따라 9개의 그룹으로 분류하고 0.5% fuchsin 용액을 이용한 염색침투법을 시행했다. 각 표본을 절단하고 입체현미경으로 관찰해 미세누출 정도를 평가했다. 아크릴 레진에 소 절치의 임상적 치관을 매몰한 후 수평으로 절단해 준비한 표본을 임의로 3그룹으로 나누었다. 표본의 상아질에 그룹별로 TLC, BD, 그리고 WMTA 블록을 적용한 후 universal testing machine을 이용해 전단결합강도를 측정했다. 미세누출은 TLC + GIC, TLC + RMGI, TLC + CR, 그리고 BD + GIC 그룹에서 가장 적었고, WMTA + RMGI와 WMTA + CR 그룹에서 가장 많았다. 전단결합강도는 WMTA 그룹에서 다른 그룹보다 통계적으로 유의하게 낮은 것으로 나타났다.

• 대한소아치과학회지
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• 제48권3호
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• pp.280-290
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• 2021

치수복조제는 치관부에 위치하기 때문에 색 안정성이 최종적인 심미성에 영향을 미치는 중요한 요소로 간주된다. 이 연구는 시간에 따른 치관의 색조 변화를 분석하여 치수복조제의 색조 안정성을 비교해보고자 하였다. 발거된 소구치의 치관에 와동을 형성하고 4가지 종류의 치수복조제를 충전하였다. 색상 변화는 분광광도계를 사용하여 재료를 넣기 전, 재료를 넣은 즉시, 재료를 넣고 1일 후, 1주 후, 2주 후, 4주 후, 8주 후, 12주 후, 16주 후에 측정을 시행하였다. Proroot white MTA^®와 TheraCal LC^®는 시간이 지남에 따라 지속적인 L^* 값의 감소와 ∆E^* 값의 증가를 보였다. 반면 Biodentine^®과 Well-root^TM PT는 유의한 L^* 값의 변화가 없었고 일정한 ∆E^* 값을 유지하였다. 방사선 불투과성 물질로 산화 비스무트가 포함된 치수복조제의 적용 시 치아의 색조 변화가 나타날 수 있으며, 법랑질의 두께가 얇은 유치의 수복이나 전치부의 심미 수복 시 치수복조제의 장기적인 색 안정성을 고려해야 한다.

• Journal of Yeungnam Medical Science
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• 제37권3호
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• pp.217-225
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• 2020

Background: This study was performed to provide a long-term bacterial seal through the formation of reparative dentin bridge, calcium silicate-based pulp capping materials have been used at sites of pulpal exposure. The aim of this study was to evaluate the mineralization-inducing potentials of calcium silicate-based pulp capping materials (ProRoot MTA [PR], Biodentine [BD], and TheraCal LC [TC]) in human dental pulp cells (HDPCs). Methods: Specimens of test materials were placed in deionized water for various incubation times to measure the pH variation and the concentration of calcium released. The morphology of HDPCs cultured on the specimens was examined using a confocal laser scanning microscope (CLSM). Alizarin red S staining and alkaline phosphatase assays were used to evaluate mineralization-inducing potentials of the capping materials. Results: BD showed the highest calcium release in all test periods, followed by PR and TC. (p<0.05). All experimental groups showed high alkalinity after 1 day, except at 14 days. BD showed the highest cell viability compared with PR and TC after 1 and 3 days, while TC showed the lowest value (p<0.05). The CLSM analysis showed that cells were well adhered and expressed actin filaments for all pulp capping materials. Mineralization by PR and BD groups was higher than that by TC group based on alizarin red S staining. BD showed significantly higher alkaline phosphatase activity than PR and TC, while TC showed the lowest value (p<0.05). Conclusion: Within the limitations of the in vitro study, BD had higher mineralization-inducing potential than PR and TC.

• Restorative Dentistry and Endodontics
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• 제41권2호
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• pp.143-147
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• 2016

The reconstruction of structurally compromised posterior teeth is a rather challenging procedure. The tendency of endodontically treated teeth (ETT) to fracture is considerably higher than vital teeth. Although posts and core build-ups followed by conventional crowns have been generally employed for the purpose of reconstruction, this procedure entails sacrificing a considerable amount of residual sound enamel and dentin. This has drawn the attention of researchers to fibre reinforcement. Fibrereinforced composite (FRC), designed to replace dentin, enables the biomimetic restoration of teeth. Besides improving the strength of the restoration, the incorporation of glass fibres into composite resins leads to favorable fracture patterns because the fibre layer acts as a stress breaker and stops crack propagation. The following case report presents a technique for reinforcing a badly broken-down ETT with biomimetic materials and FRC. The proper utilization of FRC in structurally compromised teeth can be considered to be an economical and practical measure that may obviate the use of extensive prosthetic treatment.

• Restorative Dentistry and Endodontics
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• 제40권1호
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• pp.1-13
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• 2015

Advancements in bio-ceramic technology has revolutionised endodontic material science by enhancing the treatment outcome for patients. This class of dental materials conciliates excellent biocompatibility with high osseoconductivity that render them ideal for endodontic care. Few recently introduced bio-ceramic materials have shown considerable clinical success over their early generations in terms of good handling characteristics. Calcium enriched mixture (CEM) cement, Endosequence sealer, and root repair materials, Biodentine and BioAggregate are the new classes of bio-ceramic materials. The aim of this literature review is to present investigations regarding properties and applications of CEM cement in endodontics. A review of the existing literature was performed by using electronic and hand searching methods for CEM cement from January 2006 to December 2013. CEM cement has a different chemical composition from that of mineral trioxide aggregate (MTA) but has similar clinical applications. It combines the biocompatibility of MTA with more efficient characteristics, such as significantly shorter setting time, good handling characteristics, no staining of tooth and effective seal against bacterial leakage.

• Restorative Dentistry and Endodontics
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• 제44권2호
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• pp.17.1-17.10
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• 2019

Objectives: Root resorption is an unexpected complication after replantation procedures. Combining anti-osteoclastic medicaments with retrograde root filling materials may avert this resorptive activity. The purpose of this study was to assess effects of a cathepsin K inhibitor with calcium silicate-based cements on osteoclastic activity. Methods: MC3T3-E1 cells were cultured for biocompatibility analyses. RAW 264.7 cells were cultured in the presence of the receptor activator of nuclear factor-kappa B and lipopolysaccharide, followed by treatment with Biodentine (BIOD) or ProRoot MTA with or without medicaments (Odanacatib [ODN], a cathepsin inhibitor and alendronate, a bisphosphonate). After drug treatment, the cell counting kit-8 assay and Alizarin red staining were performed to evaluate biocompatibility in MC3T3-E1 cells. Reverse-transcription polymerase chain reaction, tartrate-resistant acid phosphatase (TRAP) staining and enzyme-linked immunosorbent assays were performed in RAW 264.7 cells to determine the expression levels of inflammatory cytokines, interleukin $(IL)-1{\beta}$, IL-6, tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$) and prostaglandin E2 (PGE2). Data were analyzed by one-way analysis of variance and Tukey's post hoc test (p < 0.05). Results: Biocompatibility results showed that there were no significant differences among any of the groups. RAW 264.7 cells treated with BIOD and ODN showed the lowest levels of $TNF-{\alpha}$ and PGE2. Treatments with BIOD + ODN were more potent suppressors of inflammatory cytokine expression (p < 0.05). Conclusion: The cathepsin K inhibitor with calcium silicate-based cement inhibits osteoclastic activity. This may have clinical application in preventing inflammatory root resorption in replanted teeth.

• Restorative Dentistry and Endodontics
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• 제44권2호
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• pp.21.1-21.8
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• 2019

Objectives: The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD). Materials and Methods: A total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05). Results: BD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing. Conclusions: The use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.