• Restorative Dentistry and Endodontics
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• 제13권1호
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• pp.161-171
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• 1988

The purpose of this study was to examine the morphological changes of different simulated canals according to the preparation procedures. With the use of clear casting resin, simulated straight and curved canals were created so that canal preparation procedures could be directly visualized and compared. Thirty clear polyester casting resin blocks which contained four simulated canals divided into three groups; Group A($0^{\circ}$), Group B($15^{\circ}$), and Group C($30^{\circ}$). In each block, 3 canals were prepared different preparation techniques, which were conventional method, step-back method, and giromatic filing. But, one canal was not prepared as a control group. The results were as follows: 1. There was no difference on canal shape among three canal preparation methods in straight canals (Group A). 2. When conventional method and Giromatic filing were used in curved canals (Group B, C), elbow, zip and hour-glass shape were formed in apical third. 3. When conventional method and Giromatic filing were used in curved canals (Group B, C), tear-drop appearance developed at the site of the canal exit in curved canals. 4. In curved canals (Group B, C), file tend to straighten within the canal. 5. There was no difference on canal shape according to curved angle in step-back method (p > 0.1). But there was significant difference on canal shape according to curved angle in conventional method and Giromatic filing (p < 0.001). 6. Step-back method was significantly more effective than conventional method and Giromatic preparation in morphologic aspects of apical third of original canals.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.165-169
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• 1986

A total of 114 extracted human mandibular 2nd molars were used to study the configuration of the floor of the chamber. The specimens were ground and the pulp chamber was examined with a magnifier and explored with sharp explorer. The study showed the shape of the pulp chamber, number of root canals, and the type of canal orifice. The results were as follows, 1. In so far as observing the shape of the pulp chamber of the teeth, 47.4% of the teeth were square, 42.9% were triangle and 9.7% were ovoid shape. 2. 35% of the samples had 2 root canal orifices, 62% had 3 root canal orifices, 3% had 4 root canal orifices. 3. 3% of the specimens showed 'H' shape, 5% showed 'Square' shape, 51% showed 'T' shape, 1% showed 'reverse-T' shape, 35% showed 'I' shape and 5% showed the specific 'C' shape.

• Restorative Dentistry and Endodontics
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• 제20권2호
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• pp.768-779
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• 1995

This study was performed to investigate the effect of root canal shaping techniques on the change of the shape of prepared root canal. 40 mesiobuccal canals of recently extracted mandibular 1st and 2nd molars were divided into 4 groups and shaped by step-down/balanced force technique, step-down/step-back technique, step-back technique and conventional technique respectively. The change of the shape of root canal was traced by superimposing the radiographs obtained before and after shaping of each root canal. The results were as follows. 1. By the experimented techniques except conventional technique, the root canals were more shaped in convex side of apical area and in concave side of most curved and coronal area than in the other sides(P<0.05). By conventional technique, the root canals were more shaped in convex side than in convave side from apex to orifice(P<0.05). 2. By step-down/balanced force technique, the cancave sides at C and D points of proximal view and C point of clinical view were more shaped than the convex side(P<0.05). Through the entire canal, the concave side was more shaped than the convex side in proximal view(P<0.01). But there was no statistical difference between both sides in clinical view. 3. By step-down/step-back technique, the change of root canal shape was not statistically different in concave and convex sides at each point of both views(P>0.05). And through the entire canal in proximal view, there was no statistical difference in shaping percentage between both sides. But through the entire canal in clinical view, the concave side was more shaped than the convex side(P<0.1). 4. By step-back technique, the convex side at B point of clinical more shaped than the other sides(P<0.05). Through the entire canal in proximal and clinical views, there was no statistical difference in shaping percentage between both sides. 5. Comparing the total shaping percentage among techniques, that in conventional technique was the greatest numerically, and followed by the percentages in step-down/step-back, step-down/balanced force and step-back technique. But, in proximal view, shaping percentages were not statistically different among techniques(P>0.05, ANOVA test). In clinical view, shaping percentages in step-back and conventional techniques were statistically different(P<0.01, ANOVA test). * Proximal view: radiograph taken in mesiodistal direction. * Clincal view: radiograph taken in faciolingual direction. A point : 1mm point from radiographic apex B point : center point between A and C points C point : most curved point of root canal D point : center point between C point and canal oriffice.

• Restorative Dentistry and Endodontics
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• 제32권1호
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• pp.37-46
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• 2007

C-shape 근관은 주로 하악 제 2대구치에서 보이는 해부학적 변이 형태로서, 그 특징은 각 근관을 연결하는 fin이나 web이 존재한다. 이런 해부학적으로 복잡함은 근관치료시에 세정과 성형 및 근관충전을 방해하며, 과다한 기구 조작시에 뜻하지 않는 천공을 유발하기도 한다. 이 연구의 목적은 C-shape 치근을 가진 하악 제2 대구치의 해부학적인 형태와 치근의 위치에 따른 최소 근관벽 두께에 대하여 연구하고자 하였다. 발거된 하악 대구치중 C-shape 치근을 가진 치아를 30개 선별하여 방사선 사진 및 협측, 설측, 치근단 부위를 디지털 카메라를 이용하여 촬영하였다. 자가 중합형 교정용 레진 (Orthodontics resin, Densply/Caulk, U.S.A)을 이용하여 치관부를 제거한 치아를 매몰한 후 각각의 시편을 Accutom-50 (Struers, Denmark)에 고정시켜 1 mm 간격으로 절단, 연마한 다음 절단면을 수술용현미경에 연결된 디지털 카메라 (Coolpix 995, Nikon, Tokyo, Japan)를 이용하여 각각의 상을 촬영하였다. 30개 치아에서 촬영한 197개의 치아단면을 Root thickness gauge program을 이용하여 근관형태의 변화를 분류하고 부위별 근관과 치아외벽 사이에 존재하는 상아질의 최소두께에 대해 연구 분석하였다. 1. 근관입구에서 C I이 가장 많이 (73%) 관찰되었으나 치근단부로 갈수록 근관 형태의 다양한 변화를 보여 C II와 C III의 근관형태가 많이 관찰되었으며, 11 개의 (36%)치아에서는 근관입구에서 치근단부까지 근관형태의 변화를 보이지 않았다. 근관입구에서 단지 2개의 치아에서 나타난 C III type은 치근단부로 갈수록 높은 발현빈도를 나타내었다. 2. C-shape 근관은 근관입구 부위에서는 continuous 나 semicolon canal을 가지나 치근단부로 갈수록 2개나 3개의 근관을 갖는 경우가 많다. 3.평균적인 근관과 치질사이의 최소거리는 근첨부의 설측부위에서 나타났다.

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.141-152
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• 1992

Four endodontic instruments from different manufacturers(K - file, Hedstrom - file, K - flex - file, Cavi - Endo) were used to shape 80 mesial canals of extracted posterior teeth. The instrument's ability to enlarge and shape the canals as the original canal shape was assessed by superimposing radiographs of canals obtained before and after canal shaping. The results were as follows 1. Hedstrom - file enlarged canals greater than K - file, K - flex - file, and Cavi - Endo(P<0.05). There are no differences in canal enlargement among K - flex, K - flex - file, and Cavi - Endo(P<0.05). 2. All the instruments showed no difference in canal enlargement between convex side and concave side of B point in proximal and clinical radiographic views, but at the concave side of C point canals were enlarged greater than at the convex side(proximal view of K - file: P<0.05, the others: P<0.01). 3. There was no difference m canal enlargement between convex side and concave side in proximal view of A and D points of K - file and K - flex - file(P<0.05). But in clinical view, canal enlargement at convex side of A point and concave side of D point was greater than that at concave side of A point and convex side of D point respectively. 4. Hedstrom - files showed greater canal enlargement at convex side of A points and concave side of D points (P<0.05 or P<0.01). Cavi - Endo showed no difference in canal enlargement between convex side and concave side at A and D points in proximal view(P<0.05). Bur canal enlargement was greater at concave side than at convex side of D point in clinical view. 5. K - file and Cavi - Endo showed no differences in canal enlargement between convex and concave side in proximal and clinical view (P<0.05). K - flex - file showed greater canal enlargement at concave side in proximal and clinical view(P<0.0:5). Hedstrom file showed no difference in canal enlargement between convex side and concave side in proximal view, but showed greater canal enlargement at concave side in clinical view(P<0.05).

• Restorative Dentistry and Endodontics
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• 제27권4호
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• pp.421-431
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• 2002

C-shaped canal configuration is very difficult to treat because that clues about preoperative canal anatomy cannot be ascertained from clinical crown morphology and limited information can be derived from radiographic examination. This study was done to get more informations about the root and canal configuration of C-shape root by 3-dimensionally reconstructing for the purpose of enhancing success rate of endodontic treatment. 30 mandibular molars with C-shaped root were selected. Six photo images from occlusal, apical, mesial, distal, buccal, lingual directions and radiographic view were taken as preoperative ones to compare them with 3-D image. After crown reduction to the level of 1-2mm over pulpal floor was performed, teeth were stored in 5.25% sodium hypochlorite solution for the removal of pulp tissue and debris. They were cleaned under running water, allowed to bench dry and embedded in a self-curing resin. This resin block was serially ground with a microtome (Accutom-50, Struers, Denmark) and the image of each level was recorded by digital camera (FinePix S1-pro, Fuji Co., Japan). The thickness of each section was 0.25mm. Photographs of serial sections through all root canal were digitized using Adobe Photoshop 5.0 and then minimum thickness of open and closed sites were measured (open site is the surface containing occluso-apical groove closed site is oppsite). After dizitization using 3-D Doctor (Able software Corp, USA). 3D reconstruction of the outer surface of tooth and the inner surface of pulp space was made. Canal classsification of C-shaped roots was performed from this 3-D reconstructed image. The results were as follows : 1. Most C-shape rooted teeth showed lingual groove (28/30). 2 According to Vertuccis' calssification, type I, II, III, IV, VII were observed. but also new canal types suck as 2-3-2, 1-2-3-2. 2-3-2-1, 2-3-2-3 were shown. 3 There was little difference in minimum thickness on coronal and apical portions, but open site were thinner than closed site on mid portion. Conclusively, 3D reconstruction method could make the exact configurations of C-shape root possible to be visualized and analyzed from multi-directions. Data from minimum thickness recommend cleaning and shaping be more carefully done on dangerous mid portion.

• 대한치과의사협회지
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• 제50권4호
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• pp.203-210
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• 2012

Objective: The aim of this study was to investigate the incidence of the C-shaped canal of permanent mandibular second molar (PMSM) in Korean sub-population using Cone-Beam CT (CBCT) data and analyze the types of C-shaped canal. Materials & Methods: The protocol for this study was approved by the Institutional Review Board at the Pusan National University Hospital (E-2011039). Among the CBCT images taken of patients who visited the St. Bennedict Dental Hospital (Busan, Korea) from May 2008 to April 2011 for implant surgery and surgical removal of impacted teeth, high-quality CBCTs from 705 patients (361 male and 342 female) were screened and 607 PMSMs of 383 patients were evaluated retrospectively. All PMSMs were anatomically analyzed in detail by using image viewer software (EasyDent; Vatech). PMSMs were evaluated in the axial plane to investigate the shape of root and canals. The C-shaped canals were classified into five types. The total incidence, gender ratio, bilateral and unilateral appearance. and the correlation between right-side and left-side occurrences of C-shaped PMSMs were computed and compared statistically using the chi-square test. Results: Among the 607 PMSMs of 383 CBCTs of 187 females and 196 males, 198 PMSMs(32.6%) had C-shaped root and 158 PMSMs(26.0%) had C-shaped canals. The shape of C-shaped root canals at the furcalion level did not have significant change at the level of mid root (P<0.0001). Female had more prevalence of C-shaped root canals than male (P<0.0001). The prevalence of bilateral occurrence of C-shaped root canals was higher than unilateral occurrence. Conclusions: The occurrence of C-shaped PMSMs among a Korean population was 32.6% and was higher than other countries and ethnicities. Understanding the prevalence of PMSMs with a C-shaped root and/or canal in a Korean population may be useful for successful endodontic treatments.

• 구강회복응용과학지
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• 제30권4호
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• pp.324-328
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• 2014

한국인에서는 하악 소구치의 변이가 매우 드물게 나타나며, 변이는 하악 소구치 근관치료시 성형과 세정으로 자극원의 제거를 어렵게 하여 근관치료의 실패를 야기할 수 있다. 본 증례에서는 C형의 드문 근관 형태를 가지는 하악 제1소구치를 CBCT를 촬영하여 복잡한 치아의 내부 형태를 확인한 후, 치과용 현미경을 사용해 확대된 시야와 개선된 조명하에서 성공적으로 근관치료 하였다.

• Restorative Dentistry and Endodontics
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• 제34권4호
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• pp.346-349
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• 2009

하악 제2대구치는 근관형태의 다양한 변이를 가지고 있어 근관치료시 여러가지 어려움을 야기한다. 본 연구에서는 하악 제2대구치의 여러가지 근관형태를 비율별로 분석해보고자 2005년에서 2008년까지 보라매병원에서 하악 제2대구치 근관치료를 받은 86개의 치아에서 치수강 개방 후 육안으로 근관입구의 형태를 확인하고 근관장 측정용 파일 삽입 후 방사선 사진을 촬영하여 근관형태를 기록, 분석하였다. 그 결과 C형 근관은 31.4%(27개)의 발현빈도를 보였으며 3근관 50%(43개), 4근관 12.7%(11개), 2근관 5.8%(5개)로 나타났다. C형 근관의 성별에 따른 발현빈도는 남성에서 31.7%, 여성에서 31.1%였다. 좌측 하악 제2대구치는 30.9%, 우측 하악 제2대구치는 31.8%의 C형 근관 발현빈도를 보였다.

• Restorative Dentistry and Endodontics
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• 제32권4호
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• pp.335-342
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• 2007

C형 근관은 복잡한 근관계의 형태로 인해 임상가가 미리 인지하지 못한 경우 근관치료 시 많은 어려움에 직면하곤 한다. 본 연구에서는 하악 제2대구치의 근관치료 환자에서 C형 근관의 형태별 빈도를 알아보고 방사선 사진 상 C형 근관계의 형태학적 특징과의 관련성을 비교 평가하고자 본 연구를 시행하였다. 1998년부터 2005년까지 조선대학교 치과병원 보존과에 내원한 227례의 하악 제2대구치 근관치료 환자의 의무기록지를 조사한 후 임상에서 근관치료 시 기록된 치수강저의 형태와 해당환자의 방사선 사진을 기초자료로 다음과 같은 결론을 얻었다. 하악 제2대구치 C형 근관은 한국인에서 많은 빈도를 보였으며, 근관치료 시 환자의 방사선 사진을 잘 활용하여 치근단의 형태와 원심근관의 위치를 주의깊게 관찰하면 C형 근관을 미리 예측할 수 있을 것으로 사료된다.