• Title/Summary/Keyword: Cavity Preparation

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Combination of a new ultrasonic tip with rotary systems for the preparation of flattened root canals

  • Karina Ines Medina Carita Tavares ;Jader Camilo Pinto ;Airton Oliveira Santos-Junior ;Fernanda Ferrari Esteves Torres ;Juliane Maria Guerreiro-Tanomaru ;Mario Tanomaru-Filho
    • Restorative Dentistry and Endodontics
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    • v.46 no.4
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    • pp.56.1-56.11
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    • 2021
  • Objectives: This study evaluated 2 nickel-titanium rotary systems and a complementary protocol with an ultrasonic tip and a small-diameter instrument in flattened root canals. Materials and Methods: Thirty-two human maxillary second premolars with flattened canals (buccolingual diameter ≥4 times larger than the mesiodistal diameter) at 9 mm from the radiographic apex were selected. The root canals were prepared by ProDesign Logic (PDL) 30/0.01 and 30/0.05 or Hyflex EDM (HEDM) 10/0.05 and 25/0.08 (n = 16), followed by application of the Flatsonic ultrasonic tip in the cervical and middle thirds and a PDL 25/0.03 file in the apical third (FPDL). The teeth were scanned using micro-computed tomography before and after the procedures. The percentage of volume increase, debris, and uninstrumented surface area were analyzed using the Kruskal-Wallis, Dunn, Wilcoxon, analysis of variance/Tukey, and paired and unpaired t-tests (α = 0.05). Results: No significant difference was found in the volume increase and uninstrumented surface area between PDL and HEDM (p > 0.05). PDL had a higher percentage of debris than HEDM in the middle and apical thirds (p < 0.05). The FPDL protocol resulted in less debris and uninstrumented surface area for PDL and HEDM (p < 0.05). This protocol, with HEDM, reduced debris in the middle and apical thirds and uninstrumented surface area in the apical third (p < 0.05). Conclusions: High percentages of debris and uninstrumented surface area were observed after preparation of flattened root canals. The HEDM, Flatsonic tip, and 25/0.03 instrument protocol enhanced cleaning in flattened root canals.

DENTAL ELECTRONIC ANESTHESIA IN CHILDREN : A CASE REPORT (소아에서의 치과전기마취 : 증례보고)

  • Lee, Eun-Young;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.525-532
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    • 1994
  • The purpose of this report was to evaluate the effect of Dental Electronic Anesthesia on pain inhibition for clinical use. The subject for this study were 30 children whose Frankl behavioral rate is positive. The subjects was divided into two groups, the first group described by control group and the second group described by experimental group anesthetized with Dental Electronic Anesthetic device. And then three kind of treatments were done : extraction of deciduous teeth, application of rubber dam, cavity preparation for preventive resin restoration. 3M Dental Electronic Anesthesia System was used for this study : its electric impulse stimulate the skin surface by external electrode pads. The results were as follows. 1. Degree of the pain & the apprehension decreased in experimental group. 2. Degree of the pain & the apprehension showed statistical differences among three treatments procedures in the control group but, not showed statistical differences in the experimental group.

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Polymeric Materials for Molecular Recognition

  • Ki, Chang-Do;Lee, Kang-Won;Chang, Ji-Young
    • Proceedings of the Polymer Society of Korea Conference
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    • 2006.10a
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    • pp.172-172
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    • 2006
  • Molecular imprinting constitutes a valuable method of preparing polymeric materials with specific binding properties. The most conspicuous merit of molecular imprinting is that structurally three-dimensional recognition sites can be introduced into a polymer matrix with ease and low cost when compared with the complicated process of biological system for antigen and antibody. We used a thermally reversible bond for the preparation of the monomer-template complex, which allowed us to remove the template easily by means of a simple thermal reaction and to simultaneously introduce various functional groups into the cavity. This method is especially propitious for developing artificial receptors for molecules lacking strongly interactive groups.

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Oral and Oropharyngeal Reconstruction with a Free Flap

  • Jeong, Woo Shik;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.17 no.2
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    • pp.45-50
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    • 2016
  • Extensive surgical resection of the aerodigestive track can result in a large and complex defect of the oropharynx, which represents a significant reconstructive challenge for the plastic surgery. Development of microsurgical techniques has allowed for free flap reconstruction of oropharyngeal defects, with superior outcomes as well as decreases in postoperative complications. The reconstructive goals for oral and oropharyngeal defects are to restore the anatomy, to maintain continuity of the intraoral surface and oropharynx, to protect vital structures such as carotid arteries, to cover exposed portions of internal organs in preparation for adjuvant radiation, and to preserve complex functions of the oral cavity and oropharynx. Oral and oropharyngeal cancers should be treated with consideration of functional recovery. Multidisciplinary treatment strategies are necessary for maximizing disease control and preserving the natural form and function of the oropharynx.

Effect of local anesthetics on pulpal blood flow in mechanically stimulated teeth

  • Chu, Wan-Sik;Park, Jeong-Won;Kim, Sung-Kyo
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.596-596
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    • 2003
  • The purpose of this study were to evaluate the effect of epinephrine-containing local anesthetics on pulpal blood flow (PBF) and to compare the change of pulpal blood flow after cavity preparation between in non-anesthetized teeth and in anesthetized ones in cats. Nine cats were initially anesthetized with intra-muscular injection of keramine(75mg/kg) and acepromazine(2.5mg/kg). Periapical radiographs of canine teeth were taken, followed by intra-venous injection of alpha-chloralose(40mg/kg) and urethane (500mg/kg) through the femoral vein for the general anesthesia.(중략)

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Application of infrared thermography to the pulp vitality test

  • Terada, R.;Hosoya, N.;lino, F.;Komoriyama, M.;Hirano, S.;Arai, T.
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.581-581
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    • 2003
  • The purpose of this study was to search non-invasive and reproductive pulp test. Temperature of the crown surface was measured using the infrared thermography, and the pulp test was investigated with difference of crown temperature of the vital and the non-vital tooth in vitro and in vivo. Twenty extracted human maxillary central incisors were used in this study. Two sample teeth after access cavity preparation were arranged setting with one pair. Then, the each tooth wes estimated as the vital and the non-vital tooth.(중략)

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Preparation of Shark Byproduct Extract and Gellan Gum based Antibacterial Film Containing Green Tea Extract

  • Bak, Jing-Gi;Kim, Jin;Ohk, Seung-Ho
    • Biomedical Science Letters
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    • v.28 no.1
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    • pp.50-57
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    • 2022
  • In this study, we tried to examine the possibility of developing a dental product such as tooth decay prevention and oral hygiene by manufacturing a natural polymer film for oral use. Natural polymer films were prepared from shark byproduct extract (SBE) and gellan gum (GG). As an antibacterial substance, the antibacterial activity of green tea extract against tooth decay-causing bacteria was measured. An film was prepared by adding green tea extract to the composition of SBE and GG. The mechanical, solubility, moisture content and antibacterial function of the prepared film were investigated in detail. Also, the incorporation of GTE into the SBE/GG film improved the physical performance of the film. Increasing the content of GTE improved the antioxidant and antibacterial properties of the film. Formulation of antimicrobial SBE/GG film containing green tea extract was established and these results evidently showed potential for cavity prevention products application.

Manufacturing of metal-framework for maxillary removable partial dentures using milling wax-blocks (Wax-block milling을 이용한 상악 가철성 국소의치 금속구조물 제작 증례)

  • Seo, A-Ra;Kwon, Soon-Suk
    • Journal of Technologic Dentistry
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    • v.44 no.1
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    • pp.24-30
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    • 2022
  • This research introduces the manufacturing process of the metal-framework of one of the maxillary partial dentures, the "obturator", using milling wax-blocks, for patients with palate loss due to oral cancer. It explains the protocol of taking the patient's oral impression, preparation of a working cast, scanning, designing using a computer-aided design program, investing the milling wax-blocks, and completing the obturator. This method does not follow the traditional wax and agar process thereby reducing the errors arising during the manufacturing process and decreasing the time, material, and labor required. Moreover, the retention, stability, and compatibility of the metal framework were observed to be high in both the working cast and oral cavity.

An Analysis of the Job Performance in Operative Restoration by Dental Hygienists (치과위생사의 치과보존분야 직무수행 현황 분석)

  • Cho, Pyeong-Kyu
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.277-291
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    • 2004
  • The purpose of this study is to analyze the dental hygienists' overall performance in operative restoration and the clinical performance in operative restoration according to dental hygienists' career and to provide basic data for establishing the appropriate range of dental hygienists' work. Subjects of this study are 339 dental hygienists working at dental clinic and hospital nationwide, selected by their working place, career, type of clinic, and location of clinical institution. The distribution of people who responded to the survey shows that 81 belong to beginner level(less than 2 years since entering clinic), 115 intermediate level(2 to 3 years since entering clinic), 81 higher level(4 to 5 years since entering clinic) and 62 advanced level(more than 6 years since their entering clinic). In terms of the types of clinical institution, 178 belong to dental clinics and 161 belong to dental hospitals. The survey used in this study are focused on perception about clinical performance in operative dentistry and adequacy of the work. Operative dentistry consists of operative restoration and endodontic therapy. The operative restoration consists of 15 categories such as patient welcoming, examination and diagnosis, planning of treatment, anesthesia, control of moisture, cavity preparation, pulp protection, matrix band application, amalgam filling, resin filling, glass ionomer cement filling, abrasive strip removal, rubber dam removal, bite check and polishing, patient education, and arrangement. The reliability was Cronbach's Alpha .9453. SPSS 10.0 for Windows was used to analyze the responses. One way ANOVA was utilized to verify the differences in the dental hygienists' job performance in operative restoration and their job performance according to career. When significant difference was found. Duncan multi comparison post hoc was done. To sum up the results of this study, patient welcoming look the first place in the operative restoration. It was followed by patient education, examination and diagnosis, introducing treatment plan, resin filling, glass ionomer cement filling, amalgam filling, bite check and polishing, anesthesia, pulp protection, control of moisture, abrasive strip removal, cavity preparation, matrix band application, rubber dam removal, and anesthesia. In terms of the clinical performance by career, there were significant differences in 19 activities such as medical eraluation, oral examination, patient charting, intra oral readio graphs, firm developing fixing mounting, curing light gun, education of attention content after operation. Based on the results of this study, the specific range of operative restoration for dental hygienists should be focused on providing basic data for dentists' diagnosis, alleviation of fear and aching accompanied by injection and anesthesia, data providing for dentists' decision of anesthesia degree, and maximization of control of moisture.

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TREATMENT OF DENTAL CARIES BY ER:YAG LASER IN CHILDREN (소아 환자에서 Er:YAG Laser를 이용한 우식 병소의 처치)

  • Jang, Eun-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.558-563
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    • 2000
  • The lasers have been used in dentistry for more than 30 years and the application of lasers for drilling dental hard tissue has been investigated since the early developement of lasers. Recently, the Er:YAG laser was invented for hard tissue ablation. The Er:YAG laser, having a wavelength of 2.94um, is highly absorbed in both water and hydroxiapatite, leading to a very effective material for hard tissue removal by bursting off the solid tissue component that is, enamel and dentin are removed by the Er :YAG laser by water vaporization and microexplosion, without any melting of inorganic tissues. Therefore, the Er:YAG laser produced round craters with well defined margins and the surrounding tissues had no cracks and no charring. When used for cavity preparation, pulpal damage should not occur if hear buildup is minimized by careful selection of exposure parameters and by use of a water spray. The present study demonstrated that the Er:YAG laser cut the tooth substance adequately for composite resin restoration, without having undesirable side effects such as harmful effects on the pulp, discoloration or cracking etc. Also, the child patients were well cooperative during laser treatment mainly because of little noise, lesser vibration and minimal pain compared to conventional means of cavity preparation.

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