• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권2호
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• pp.88-94
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• 2024

Purpose: Infantile hypertrophic pyloric stenosis (IHPS) is a common gastrointestinal disease in neonates and hypochloremia metabolic alkalosis is a typical laboratory finding in affected patients. This study aimed to analyze the clinical characteristics of infants with IHPS and evaluate the association of clinical and laboratory parameters with ultrasonographic findings. Methods: Infants diagnosed with IHPS between January 2017 and July 2022 were retrospectively evaluated. Results: A total of 67 patients were included in the study. The mean age at diagnosis was 40.5±19.59 days, and the mean symptom duration was 11.97±9.91 days. The mean pyloric muscle thickness and pyloric canal length were 4.87±1.05 mm and 19.6±3.46 mm, respectively. Hyponatremia and metabolic alkalosis were observed in five (7.5%) and 36 (53.7%) patients, respectively. Serum sodium (p=0.011), potassium (p=0.023), and chloride levels (p=0.015) were significantly lower in patients with high bicarbonate levels (≥30 mmol/L). Furthermore, pyloric canal length was significantly higher in patients with high bicarbonate levels (p=0.015). To assess metabolic alkalosis in IHPS patients, the area under the receiver operating characteristic curve of pyloric canal length was 0.910 and the optimal cutoff value of the pyloric canal length was 23.5 mm. Conclusion: We found a close association between laboratory and ultrasonographic findings of IHPS. Clinicians should give special consideration to patients with pyloric lengths exceeding 23.5 mm and appropriate fluid rehydration should be given to these patients.

• 구강회복응용과학지
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• 제33권2호
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• pp.97-105
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• 2017

목적: Passive irrigation (PI)과 Passive ultrasonic irrigation (PUI)의 상아질 잔사 제거 효율성을 비교하는 것이다. 연구 재료 및 방법: 16 mm 길이로 표준화된 하악 소구치 치근을 근관 확대 후 종단으로 이등분 하였다. 분리된 한쪽 상아질벽에는 길이 4 mm, 너비 0.2 mm, 깊이 0.5 mm의 표준화된 구를 형성하였고, 반대쪽에는 직경 0.3 mm, 깊이 0.5 mm인 3개의 반구 형태의 함요를 형성하였다. 각 구와 함요에는 NaOCl과 혼합된 상아질 잔사로 채우고, 퍼티 인상재를 사용하여 재조합하였다. Group 1은 PI를 이용하고 Group 2는 PUI를 이용하여 각 근관내를 세정하였다. 현미경과 디지털카메라로 절편의 근관벽을 촬영하고, 구와 함요에 잔존하는 상아질 잔사의 양을 scoring system을 이용하여 평가하였다. 결과: 근관의 중앙 1/3에서 group 1이 group 2에 비해 잔사를 더 많이 제거하였지만, 치근단부에서는 유의한 차이가 없었다. 결론: 하악 소구치에서 근관에 기구가 닿지 못하는 부위를 세정시, 근관의 중앙 1/3에서 PUI를 사용하는 것이 PI에 비해 상아질 잔사의 제거 효율이 우수했지만, 치근단부에서는 PUI와 PI의 유의한 차이가 없었다.

• Restorative Dentistry and Endodontics
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• 제27권2호
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• pp.196-206
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• 2002

본 연구는 근관의 치관부는 GT Rotary file을 이용하여 성형하고, 근단부는 K-Flexofile, ProFile .04, Lightspeed, HERO642 file로 성형하여 근관용 file의 근관성형력을 비교하는 것이다. 실험 표본으로는 resin simulated root canal blocks(Dentsply, Swiss)를 이용하였고 4개의 군으로 분류하여 실험을 실시하였다. 모든 resin block을 GT Rotary file(Dentsply, Swiss)을 이용하여 치관부를 형성한 후 근단부는 K-Flexofile(Dentsply, Swiss), ProFile .04 taper file(Denstply. Swiss), Lightspeed file(Lightspeed Tech., USA), HERO642 file(Micromega, France)로 ISO size #35까지 형성하였다. 성형 후 preparation time과 instrument failure를 측정하였고 최종 사용한 file을 resin block 내에 재위치시켜 working length의 변화량을 0.5mm 단위로 측정하였다. Resin debris에 의한 canal blockage를 조사하였으며, 근관 내의 인상을 채득하여 canal form을 평가하였다. 성형 전과 성형 후의 사진을 촬영하고 computer software를 이용하여 중첩시킨 후 canal aberration, canal transportation을 평가하여 다음과 같은 결과를 얻었다. 1. Preparation time, working length의 변화량, canal blockage, canal aberration, canal transportation에 있어서 Ni-Ti file이 stainless steel file에 비하여 우수하였다(p<0.05). 반면에 근관성형력에 있어서 canal form과 canal transportation을 제외하고는 세 Ni-Ti file 사이에는 유의차가 없었다(p>0.05). 2. Canal form 중 taper에 있어서 Lightspeed는 적절하지 못한 taper를 보여주었다(p<0.05). 3. Canal transportation에 있어서 Lightspeed 군과 HER0642 군이 K-Flexofile 군과 ProFile .04 군에 비해 적게 나타났고(p<0.05), 특히 만곡의 끝 부분에서는 Lightspeed 군이 가장 적게 나타났다(p<0.05). 이상과 같은 연구결과로 보아 부적절한 taper를 지니고 있던 Lightspeed fie과 HERO642 file 중 HERO642 file은 GT Rotary file과 함께 사용함으로써 적절한 taper로 형성할 수 있었으나 Lightspeed file은 효과적이지 못하였으므로 적절한 taper를 형성하기 위한 file이 치근의 중간부를 형성하기 위해 필요함이 확인되었다.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.596-608
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• 1997

The purpose of this study was to compare the apical leakage and adaptation to the dentinal wall of a glass ionomer root canal cement(Ketac-Endo) with those of AH-26 and Tubli-Seal. 102 single-rooted teeth were insrumented with step-back technique and randomly divided into four groups according to kinds of root canal cements: Ketac-Endo, AH-26, Tubli-Seal, and no root canal cement. Four experimental groups were as follows; Group 1 : Filling with gutta-percha and Ketac-Endo Group 2 : Filling with gutta-percha and AH-26 Group 3 : Filling with gutta-percha and Tubli-Seal Group 4 : Filling with gutta-percha without root canal cement All the specimens were obturated with lateral condensation technique, and stored in 100% humidity for 4 days. 20 teeth in each group were placed in centrifuge tube filled with India ink, and then centrifuged for 20 minutes at 3,000 rpm. And they were evaluated for linear dye leakage using a stereoscope and analyzed by one-way ANOVA. 22 teeth were split longitudinally and evaluated the adaptation to the dentinal wall using scanning electron microscope(4 teeth in each group) and stereoscope(2 teeth in 1, 2, 3 group). The obtained results were as follows ; 1. In case of not used root canal cement(Group 4), there was showed much degree of dye penetration comparerd with used root canal cements (Group 1, 2, 3)(P<0.01). 2. In the case of used root canal cements(Group 1, 2, 3), there was no significant difference in linear leakage in groups(P>0.01). 3. In the case of used root canal cements(Group 1, 2, 3), there was showed intimate adaptation to the dentinal wall independent on kinds of root canal cements. 4. Fractured surfaces indicated failure of cohesion in Ketac-Endo, and failure of adhesion to dentine in AH-26 and Tubli-Seal. 5. According to similar apical leakage and adaptability to the dentinal wall to another root canal cements, it is possible to be used glass-ionomer cement as root canal cement.

• 한국임상수의학회지
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• 제38권3호
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• pp.159-162
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• 2021

A 5-year-old, intact male, poodle dog with right external auditory canal obstruction and subaural mass was presented. Physical examination revealed that right external auditory canal opening was absent and right head tilt was identified. Aspiration in right subaural mass revealed a small amount of dark brown exudate. Streptococcus canis and Staphylococcus spp. were identified on the microbial culture. Radiography of the skull was revealed absence of air-filled ear canal at the right external ear canal (EEC) level. Computed tomography (CT) revealed well capsulated, hypoattenuated mass in the right EEC region. On the contrast enhanced CT images, rim enhancement around the mass and ear canal obstruction were identified. Fluid attenuated material filled with right bulla. Mild thickening of the right tympanic bulla wall with mild lytic lesion of the ventral wall were found. Based on the images findings, the case was tentatively diagnosed as right external auditory canal atresia with otitis media. Total ear canal ablation and lateral bulla osteotomy was performed. The entire ear canal was removed, numerous hair in the canal and the thickening wall were founded. Right ear canal was sent for histopathological evaluation and found to otitis externa. The patient was followed up for two weeks and there were no complications. This report described the CT diagnosis of right EEC atresia with otitis media rarely reported in small breed dogs.

• Restorative Dentistry and Endodontics
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• 제30권5호
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• pp.393-401
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• 2005

본 연구는 형태 및 재질이 동일한 엔진구동형 ProTaper파일과 수동형 ProTaper파일을 이용하여 레진모형근관을 성형한 후 근관형태 변화를 비교 분석하고자 시행되었다. 본 연구에서는 레진모형근관으로 총 40개의 J자와 S자의 근관 형태가 재현된 ENDO-TRAINING BLOC을 사용하였다. 근관 성형 기구로는 엔진구동형 Ni-Ti 파일로 $ProTaper^{TM}$, 수동형 Ni-Ti 파일로 $ProTaper^{(R)}$ For Hand Use를 사용하였다. 사용된 레진모형근관과 파일의 종류에 따라 10개씩 4개의 그룹으로 나누어 근관성형을 시행하였다. 근관 성형 전$\cdot$후 이미지를 스캐너 (Color scanner, UMAX Technologies, Inc., USA)를 이용하여 얻은 후. Photoshop 7.0 프로그램 (Adobe System Inc., USA)을 이용하여 이미지를 중첩하였다. 이미지 분석 프로그램 (Image-$Pro^{(R)}$ Plus, Media Cybernetic, USA)을 이용하여 치근단 쪽에서부터 0, 1, 2, 3, 4, 5, 6 및 7 mm 수준에서 근관 성형에 따른 근관의 내측 및 외측 폭경의 변화량, 근관 총폭경의 변화량, 근관 중심축의 변위량을 측정하였다. 또한 근관 성형 시간을 기록하였다. 두 기구 사이의 유의성 검정을 위해 독립 표본 t-검정을 시행하여, 근관 성형 시 수동형 ProTaper 파일이 엔진구동형 ProTaper 파일에 비해 근관 중심축의 변위가 유의하게 덜 일어나며 근관의 원래 형태를 더욱 잘 유지할 수 있지만, 근관 성형시간은 길어질 수 있다는 결론을 얻었다.

• Restorative Dentistry and Endodontics
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• 제30권6호
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• pp.461-469
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• 2005

한 개의 치근을 가진 상, 하악 소구치의 방사선 사진 상의 근관계와 동일치아의 투명표본 상의 근관계를 각각 관찰한 다음 상호 비교하기 위해 총 142개의 소구치를 선택한 후, 구내 치과용 표준 방사선 필름을 이용하여 근원심과 협설측으로 방사선을 채득하였다. 동일하게 교육받은 4명의 판독자가 방사전 사진을 판독하여 근관계의 형태를 분류하였다. 동일한 치아에 근판와동을 형성한 후 $5\%$ 질산용액에 48시간 동안 담가 치수조직을 용해시키고 인디안 잉크를 치수강 내로 주입하여 치수조직을 염색하였다. $5\%$ 질산용액에 48시간 동안 담가 탈회시킨 후 메틸 살리실레이트로 투명화시키고 입체현미경하에서 20배의 크기로 근관계의 형태를 평가하여 다음과 같은 결과를 얻었다. 방사선과 입체현미경 소견간에는 판독자 간에 통계학적으로 유의한 차이를 나타냈다 (p<0.05). 따라서 동일한 방사선 사진을 판독할 경우 판독자 간에 근관의 형태에 있어서 차이가 있을 수 있다. 그러므로 임상가는 방사전 사진을 주의깊은 판독과 예견된 근관의 형태에 따라 난이도를 고려하여 근관치료를 시행해야 할 것으로 사료된다.

• Restorative Dentistry and Endodontics
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• 제9권1호
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• pp.107-114
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• 1983

The purpose of this study was to observe the effect of cleansing action of irrigation solutions which was 3% $H_2O_2$ and 5% NaOCl, and 15% EDTA solution on the root canal wall. After treatment with the irrigant, each sample was dehydrated, and coated with 200~250${\circ}$A of gold, and observations were made with the use of scanning electron microscope. The results were as follows: 1. In the root canal walls irrigated with 3% $H_2O_2$ and 5% NaOCl solution without instrumentation after extirpation through barbed broach, the predentin of root canal wall was found scarely affected, and the wall was shown retaining network structure and fibrous organic matters. 2. When 15% EDTA was applied as irrigants for 60, 90 and 120 seconds after instrumentation, there was no signigicant difference of the cleansing effect of the elapsed times which were 90 and 120 seconds on the root canal wall, but in the applied time which was 120 seconds, the canal wall was the cleanest. Therefore it was thought that the most suitable application time of 15% EDTA as the irigants was 120 seconds.

• 기술사
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• 제39권6호
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• pp.51-56
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• 2006

The important role of canal is moving goods and the canals from all over the world has contributed much to method of transporting goods. But, the canal system accounts rfor 25% of the total moving goods. One of its main goals is to reduce overland transportation costs were 30% more expensive than moving goods over water. We plan to build a Korea inland canal system and need to from a scheme of building a multi canal. We should consider positive aspect of this plan, on the other hand a study of the conal's environmental impact is required prior to beginning any construction. Finally, offer our opinion on the vision of Korea inland canal that aspect5 of national land development.

• Restorative Dentistry and Endodontics
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• 제10권1호
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• pp.193-198
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• 1984

This study was conducted to compare the chip removal capability of root canal enlarging instruments. Fifty five buccal or mesial canals from upper and lower molar teeth were randomly selected and divided into three groups; Reamer, K-type file and K-flex file. Fifteen canals in each group were individually enlarged with one of three tested instruments and irrigated with 5cc of normal saline solution. After instrumentation, each canal was dried with paper point and the canal was splited longitudinally and the cleanness of root canal surface was evaluated under stereoscope by three observers. The results were as follows; 1. Most of the canals experimented showed varying degree of the presence of debris. 2. The canals prepared with reamers showed the most clean canal surface. 3. There was no significant difference in debridement effect between k-type file and k-flexfile.