• 제목/요약/키워드: Canal system

검색결과 364건 처리시간 0.03초

Clinical Importance of the Smear layer

  • Cho, Yong-Bum
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2002년도 추계학술대회
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    • pp.720-720
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    • 2002
  • A number of investigations have shown that the presence of bacteria is prerequisite for developing pulpal and/or periradicular pathosis. Depending on the stage of pulpal pathosis, various species of bacteria can be cultured from infected root canals. Kakehashi et al. showed that exposure of pulpal tissue in germ-free rats was characterized by minimal inflammation and dentinal bridging while exposure of pulpal tissue in conventional rats with normal oral flora was characterized by pulpal necrosis, chronic inflammation, and periapical lesions. Currently used methods of cleaning and shaping, especially rotary instrumentation techniques, produce a smear layer that covers root canal walls and the openings to the dentinal tubules. The smear layer contains inorganic and organic substances that include fragments of odontoblastic processes, microorganisms, their by products and necrotic materials. Because of its potential contamination and adverse effect on the outcome of root canal therapy, it seems reasonable to suggest removal of the smear layer for disinfection of the entire root canal system. Presence of this smear layer prevents penetration of intracanal medications into the irregularities of the root canal system and the dentinal tubules and also prevents complete adaptation of obturation materials to the prepared root canal surfaces. Removal of the smear layer by an intracanal irrigant and placement of an antibacterial agent in direct contact with the content of dentinal tubules should allow disinfection of this complex system and better outcome for the root canal therapy. A new solution, which was a mixture of a tetracycline, an acid, and a detergent(MTAD), was developed in the Department of Endodontics, Dental School. Lorna Linda University, USA. It has been demonstrated that MTAD was an effective solution for the removal of the smear layer and does not significantly change the structure of the dentinal tubules when used as a final irrigant in conjunction with 1 % NaOCl as a root canal irrigant. Studies are in progress to compare the anti- microbial properties of this newly developed solution with those of sodium hypochlorite and EDTA that are currently used to irrigate the root canals and remove the smear layer from the surfaces of instrumented root canals.canals.

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간흡충의 미세횡조에 관한 연구 IV. Laurer's canal의 기능 (A Study on the Fine Structure of Clonorchis sinensis, a Liver Fluke IV. Probable Function of the Laurer's Canal )

  • 정계헌
    • Parasites, Hosts and Diseases
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    • 제21권2호
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    • pp.209-218
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    • 1983
  • 간흡충(Clonorchis sinensis) 각기관의 미세구조와 그 기능에 관하여는 이제까지 많은 연구결과가 발표되어 왔으나 Laurer's canal에 대해서는 그 구조와 기능에 관하여 별로 보고된 바 없었으므로 저자는 이의 기능을 간접적으로 증명할 각종증거를 수집하기 위하여 광학현미경을 비롯하여 투사전자현미경 및 주사전자현미경을 이용하여 정자 및 난자의 주된 통로가 되는 수정낭, 정자관, 대수정관, 자궁 및 Laurer's canal 등을 면밀히 관찰하였다. 그 결과 자궁내에서도 부위에 따라 간욕적으로 정자가 관소되는 예는 있었으나 여러가지 정황으로 보아 자관이 정자의 주된 통로가 되지 않는다는 것은 명확한 사실이라 하겠다. 그렇다면 가능한 결론은 대량으로 생산 ·사정되는 정자들이 수정란에 도달하는 통로는 유일하게 Laurer's canal 뿐이라는 것이다. 이제까지의 관찰에 의하면 Laurer's canal은 잘 발달된 환상승섬유로 둘러싸여져 있으며 관내의 상피조직은 모종의 분필기능을 가지고 있는 것으로 사료되나 이에 관하여는 추후 자세한 연구가 요구되고 있다고 하겠다.

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K-File과 초음파기구의 근관확대 및 세척효과에 대한 비교연구 (A COMPARATIVE STUDY OF THE EFFECT K - FILE AND ULTRASONIC INSTRUMENT IN CLEANING AND SHAPING ROOT CANAL)

  • 김상섭;임미경
    • Restorative Dentistry and Endodontics
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    • 제17권2호
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    • pp.413-420
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    • 1992
  • The purpose of this study was to compare the effectiveness of hand instrumentation with K - file and ultrasonic instrumentation and irrigation system in removing pulpal debris and canal wall planing. 20 mandibular molar teeth were instrumented to size 30 K - file and 20 teeth were instrumented with ultrasonic Suprasson. And Normal Saline and 2.5% NaOCl were used as irrigation solution. All specimens were viewed at the coronal, middle, and apical third of the root canals for the evaluation of the cleaning effect under the multiview microscope. The result were as follows : 1. All of the technique and irrigation solution was effecient in the debris removal and canal wall planing at the cervical and middle thirds of the root canal. 2. All of the techniques and irrigation solutions was less efficient in the debris removal and canal planing at the apical third of the root canal. 3. The debris removal and canal wall planing was depended more on the anatomical variations of the root canal than on the techniques and irrigation solutions.

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치근단 병소에서 면역적격세포의 분포에 관한 연구 (A QUANTITATIVE ANALYSIS OF THE IMMUNOCOMPETENT CELLS IN PERIAPICAL LESIONS OF THE HUMAN TEETH)

  • 윤태철;김진;박동수
    • Restorative Dentistry and Endodontics
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    • 제17권1호
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    • pp.55-68
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    • 1992
  • Periapical lesions are developed as a result of inflammatory response to irritants from root canal system. Clinicians remove these irritants from root canal system and seal the root canal space to induce healing of the periapical lesions. Immunopathologic responses may play an important role in development and progression of periapical lesions and periapical lesions contain immunocompetent cells. The purposes of the present study were to analys and to compare the distribution of the immunocompetent cells in the human periapical lesions according to the stage of endodontic treatment using indirect immunoperoxdase technique. Obtained 94 human periapical lesions were devided into four groups: Group 1 : no endodontic treatment(28 samples) Group 2 : root canal enlarged and irrigated(28 samples) Group 3 : root canal filled(29 samples) Group 4: unknown(9 samples) Monoclonal antibodies to examine target cells were UCHL-1 for T lymphocytes(1 : 200, Dakopatt, Denmark), L26 for B lymphocytes(1 : 200, Dakopatt, Denmark), OPD4 for helper T lymphocytes(l : 200, Dakopatt, Denmark) and alpha-1-antichymotrypsin for macrophages(l : 2000, Dakopatt, Denmark). The following results were obtained : 1. All the periapical lesions studied were infiltrated by T lymphocytes, plasma cells, B lymphocytes, and macrophages. T lymphocytes were more infiltrated than B lymphocytes, and B lymphocytes and macrophages were less infiltrated than T lymphocytes and plasma cells(P<0.05 : Oneway ANOVA test). 2. In untreated group and canal irrigated and enlarged group of all the periapical lesions, helper T lymphocytes were predominently infiltrated(P>0.05 : Oneway ANOVA test). 3. In canal filled groups of all lesions except periapical cyst, plasma cells were predominently infiltrated. But, in canal filled group of periapical cyst, helper T lymphocytes were the predominent cells(P>0.05 : Oneway ANOVA test). The above results shows that the immunologic responses play important role in pathogenesis of periapical lesions and the immunologic response involved undergoes certain changes after endodontic therapy.

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Apical root canal cleaning after preparation with endodontic instruments: a randomized trial in vivo analysis

  • Fornari, Volmir Joao;Hartmann, Mateus Silveira Martins;Vanni, Jose Roberto;Rodriguez, Rubens;Langaro, Marina Canali;Pelepenko, Lauter Eston;Zaia, Alexandre Augusto
    • Restorative Dentistry and Endodontics
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    • 제45권3호
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    • pp.38.1-38.10
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    • 2020
  • Objectives: This study aimed to evaluate vital pulp tissue removal from different endodontic instrumentation systems from root canal apical third in vivo. Materials and Methods: Thirty mandibular molars were selected and randomly divided into 2 test groups and one control group. Inclusion criteria were a positive response to cold sensibility test, curvature angle between 10 and 20 degrees, and curvature radius lower than 10 mm. Root canals prepared with Hero 642 system (size 45/0.02) (n = 10) and Reciproc R40 (size 40/0.06) (n = 10) and control (n = 10) without instrumentation. Canals were irrigated only with saline solution during root canal preparation. The apical third was evaluated considering the touched/untouched perimeter and area to evaluate the efficacy of root canal wall debridement. Statistical analysis used t-test for comparisons. Results: Untouched root canal at cross-section perimeter, the Hero 642 system showed 41.44% ± 5.62% and Reciproc R40 58.67% ± 12.39% without contact with instruments. Regarding the untouched area, Hero 642 system showed 22.78% ± 6.42% and Reciproc R40 34.35% ± 8.52%. Neither instrument achieved complete cross-sectional root canal debridement. Hero 642 system rotary taper 0.02 instruments achieved significant greater wall contact perimeter and area compared to reciprocate the Reciproc R40 taper 0.06 instrument. Conclusions: Hero 642 achieved higher wall contact perimeter and area but, regardless of instrument size and taper, vital pulp during in vivo instrumentation is not entirely removed.

제 IV 형 근관에서 System B Plugger tip의 깊이에 따른 근관 충전 효과 (THE EFFECT OF CANAL OBTURATION ACCORDING TO THE DEPTH OF THE SYSTEM B PLUGGER TIP IN THE TYPE IV CANAL)

  • 최희원;김수미;황호길
    • Restorative Dentistry and Endodontics
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    • 제33권6호
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    • pp.518-525
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    • 2008
  • 본 연구의 목적은 제 IV형 근관에서 Continuous Wave 가압법을 이용하여 충전할 때 System B Plugger tip의 깊이에 따른 근단부 밀폐효과를 평가하기 위함이다. 50개의 J형 만곡을 갖는 레진 블록에 부러진 F3 ProTaper 파일을 이용해 근관장에서 3mm 지점에 ledge를 형성한 후, F1 ProTaper Ni-Ti file을 이용해 레진 블록을 천공시켜 제 IV형 근관을 형성하고 System B Plugger tip의 깊이에 따라 3개의 실험군과 1개의 대조군으로 분류하였다. 제 IV형 근관의 거터퍼쳐와 실러의 길이는 확대경하에서 캘리퍼를 이용해 측정하였고 다음과 같은 결과를 얻었다. 1. 대조군의 설측 근관에서 거터퍼쳐와 실러 모두 관찰되지 않았다. 2. 3 mm군에서는 5 mm 또는 7 mm군에 비해 유의하게 많은 거터퍼쳐의 충전이 관찰되었다 (p<0.05). 3. 7 mm군에서는 유의하게 많은 빈 공간이 관찰되었다 (p<0.05).

수종의 수산화칼슘 근관 첩약제와 레진계 근관 실러의 사용 후 통증 발생 빈도에 관한 연구 (Comparison of the Frequency of Pain Occurrence by Using Different Calcium Hydroxide Pastes and Root Canal Sealers)

  • 곽상원;김현철
    • 대한치과의사협회지
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    • 제56권5호
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    • pp.254-262
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    • 2018
  • Objectives: This study aimed to compare the postoperative pain and clinical performance after applying three different intracanal medicaments and root canal sealers. Materials and Methods: Sixty-five patients requiring root canal treatment due to symptomatic apical periodontitis were included in this study. After a glide path preparation by using PathFile, each canal was shaped with ProTaper Next file system. After the canal cleaning and shaping procedure, the canal was dried and each intracanal medicaments were adjusted (Calcipex II, TRC-paste, Metapaste). At the next visit, the patients were requested to answer the absence of the pain after the procedure. Once the patients showed no symptom, the canal was obturated with each corresponded root canal sealers (AH plus, Radic-sealer, ADseal). The patients were recalled after 1 week, 1, 3, and 6 months to check the postoperative pain or unexpected clinical signs. One-way ANOVA and Duncan's post hoc comparison, and Chi-square test were used for statistical analysis to evaluate any differences among tested materials. Results: The average number of visits for intracanal medication was 2.69, 2.65, and 2.61 for Calcipex II, TRC-paste, and Metapaste. There were no statistically differences in post-obturation pain among three groups obturated with different root canal sealers (P > 0.05). Conclusions: Under the limitations of this study, three tested intracanal medicaments and epoxy resin root canal sealers showed clinically acceptable similar results.

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Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals

  • Park, Hyun-Jin;Seo, Min-Seock;Moon, Young-Mi
    • Restorative Dentistry and Endodontics
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    • 제43권1호
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    • pp.3.1-3.10
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    • 2018
  • Objectives: The aim of this study was to compare root canal volume change and canal transportation by Vortex Blue (VB; Dentsply Tulsa Dental Specialties), ProTaper Next (PTN; Dentsply Maillefer), and ProTaper Universal (PTU; Dentsply Maillefer) nickel-titanium rotary files in curved root canals. Materials and Methods: Thirty canals with $20^{\circ}-45^{\circ}$ of curvature from extracted human molars were used. Root canal instrumentation was performed with VB, PTN, and PTU files up to #30.06, X3, and F3, respectively. Changes in root canal volume before and after the instrumentation, and the amount and direction of canal transportation at 1, 3, and 5 mm from the root apex were measured by using micro-computed tomography. Data of canal volume change were statistically analyzed using one-way analysis of variance and Tukey test, while data of amount and direction of transportation were analyzed using Kruskal-Wallis and Mann-Whitney U test. Results: There were no significant differences among 3 groups in terms of canal volume change (p > 0.05). For the amount of transportation, PTN showed significantly less transportation than PTU at 3 mm level (p = 0.005). VB files showed no significant difference in canal transportation at all 3 levels with either PTN or PTU files. Also, VB files showed unique inward transportation tendency in the apical area. Conclusions: Other than PTN produced less amount of transportation than PTU at 3 mm level, all 3 file systems showed similar level of canal volume change and transportation, and VB file system could prepare the curved canals without significant shaping errors.

하악 절치의 근관계에 관한 연구 (THE CANAL SYSTEM OF MANDIBULAR INCISORS)

  • 임은미;최호영;박상진;최기운
    • Restorative Dentistry and Endodontics
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    • 제27권4호
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    • pp.432-440
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    • 2002
  • The purpose of this study is to identificate root canal system including ideal access placement, root curvature, canal configuration, incidence of isthmus in mandibular incisors for success of endodontic treatment. 200 mandibular incisors were selected. The ideal access placement was determimed as follows. The teeth there radiographed from mesiodistal and buccolingual views using intraoral dental film. The image was divided into coronal, middle and apical third using the proximal film. Straight line access was determined by measuring the faciolingual canal width and placing points at midway point between the buccal and lingual wall at the junction of the middle and apical third and at the juntion of coronal and middle third of the root canal. A line was drawn connecting these two points extending through the crown of the tooth. The point at which the line crossed the external crown surface was recorded as facial, incisal, lingual. Degree of root curvature was determined by Schneider Protractor Method. Both section method and clearing method were used in this study. By section method, 100 mandibular incisors were embedded in clear resin and transeverse serial sectioned at 0.5, 1.0, 2.0, 3.0, 4.0, 5.0mm level from root apex. The resected surfaces were stained by methylene blue and examined under $\times$40 magnification with a stereomicroscope. By clearing method, 100 mandibular incisors were cleared in methysalicylate after decalcification with 10% nitric acid and evaluated under $\times$18 magnification with a stereomicroscope. The results were as follows ; 1. 29% had the center of the plotted straight-line access facial to incisal edge, whereas 71% had straight-line access at the incisal edge. When incisal wear classified as extensive, the straight-line access was plotted on the incisal edge 95.5%. When incisal wear classified as slight/none, the straight-line access was plotted on the facial 65.9%. 2. Degree of curvature of main canal was straight or almost straight, and only 10% in buccolingual direction had a degree of curvature greater than 20 degrees and 5.5% in mesiodistal direction had. 3. In section method, canal configuration analysis showed that 51% of the specimen classified as type I, 27% as type II, 12% as type III, 10% as type IV. For theses setions with two canals, the incidence of an isthmus was 36.7%, 64.3%, 79.2%, 96.3%, 97.4%, 97.6% at each level and highest in 3~5mm sections. 4. In clearing method, canal configuration analysis showed that 74% of the specimen classified as type I, 11% as type II, 6% as type III, 9% as type IV. These results suggested that traditional access from lingual should be moved as far toward the incisal as possible to locate and debride the lingual canal and root canal system should be cleaned, shaped completely and obturated three dimensionally for successful endodontic treatment.

산업단지내 친수시설 대안의 비교 (Comparison of Alternatives of Water-Friendly Facilities in an Industrial Complex)

  • 정상옥
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2008년도 학술발표회 논문집
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    • pp.1570-1576
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    • 2008
  • 산업단지나 아파트 단지 내에 수로나 연못을 이용한 친수공간의 시설이 일반화 되어가고 있다. 단지내 친수공간의 계획에서는 시설의 종류, 배치, 수원, 수질 물 순환계획 등을 검토하여야 한다. 본 연구에서는 지방산업단지 내에 친수공간을 계획하는데 몇 가지 대안을 설정하고 이러한 검토항목에 대하여 비교 검토하여 가장 합리적인 대안을 선정하였다. 본 단지 내의 친수시설은 단지의 중앙부를 가로지르는 수로를 기본으로 하여 공원과 분수연못을 배치하는 것으로 하였다. 수원은 단지 옆을 흐르는 강, 단지 상류의 저수지, 단지 내 지하수 및 상수도를 고려할 수 있으며, 각각에 대하여 수량, 수질, 물 순환 방식, 인허가, 유지관리 등을 비교하였다. 친수시설은 돌과 자갈 등의 자연재료를 이용하여야 한다. 사람이 유량감을 느끼기 위하여 수로내의 평균수심은 10 cm, 평균유속은 0.15 m/s 정도로 한다. 여러 대안의 비교 검토한 결과, 강과 저수지는 사용허가와 수질관리가 어렵고 상수도는 물값이 비싸기 때문에 지하수를 사용하고, 상하류부에 저수조를 설치하고 펌프로 순환시키는 시스템이 가장 적합한 것으로 조사되었다.

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