• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.213-222
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• 1998

Advisor: Prof. The quality of apical seal obtained with 3 different gutta-percha obturation techniques was compared in 49 recently extracted single rooted teeth. The root canals were instrumented using step-back technique and obturated with laterally condensed gutta-percha, Continuous Wave gutta-percha, and hybrid technique. Teeth were suspended in black India ink for 7 days, cleared, and then examined under a stereomicroscope at ${\times}10$ magnification. The results were as follows; 1. All experimental groups produced favorable apical seal. 2. The mean leakage was $0.23{\pm}0.25mm$ for group 1, $0.17{\pm}0.21mm$ for group 2, and $0.19{\pm}0.23mm$ for froup 3, but there was no statistical difference amoung them. Within the limits of the results of this experiment, the Continuous Wave gutta-percha obturation technique demonstrated relatively favorable apical sealing effect and shorter obturation time. Thus, it is thought that this obturation technique is a acceptable method for clinical use but further studies on this metter should be conducted.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 추계학술대회(제116회) 및 13회 Workshop 제3회 한ㆍ일 치과보존학회 공동학술대회 초록집
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• pp.592.2-592
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• 2001

The purpose of this study was to evaluate the efficiency of the four obturation techniques. In this study, eighty teeth were instrumented and randomly divided into 4 groups of 20 teeth each, according to the obturation techniques Group A was used with Microseal. in Group B, Thermafil. in Group C, continuous wave techniques, in Group D cold lateral condensation methods were used. After obturation, the teeth were taken a digital radiograph in mesiodistal and buccolingual directions to study the quality of the obturation.(omitted)

• 대한치과의사협회지
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• 제56권10호
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• pp.567-571
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• 2018

Obturation is a important procedure of root canal treatment. Canal filling should be both provide a hermetic seal for the root canal system and eliminate leakage channel from the oral cavity. Gutta-percha have been the standard material of choice for root canal obturation. Canal filling has been aimed at maximizing the amount of gutta-percha and minimizing the amount of sealer. However recently, single cone technique has been introduced that include calcium silicate-based sealer and single gutta-percha cone. It is important to select an obturation technique that offers consistency and is easy to use. From the standpoint of appropriate technology, the single cone technique is thought to be useful for general dentist.

• Restorative Dentistry and Endodontics
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• 제32권6호
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• pp.491-497
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• 2007

이 연구의 목적은 continuous wave of obturation technique으로 근관 충전을 할 때, 다양한 heat source plugger의 깊이에 따른 근단부 근관 폐쇄능력을 비교하는 것이었다. 직선 형태 발거 소구치를 #35/.06 크기까지 니켈티타늄 파일을 사용하여 성형 및 세정하였다. 성형과 세정이 완료된 치아를 heat source plugger의 적용 깊이에 따라 15개씩 5군으로 분류하였다. 3 mm, 4 mm, 5 mm, 6 mm, 7 mm, 양성 대조군을 제외한 모든 근관은 E&Q plus(Meta Biomed Co., Chungju, Korea)를 사용하여 #35/.06 gutta-percha cone으로 충전하였다. 모든 치아의 근첨공 주변 1 mm를 제외하고 nail varnish를 도포하였고 음성 대조군은 근첨공을 포함하여 전체 면을 도포하였다. 모든 시편을 1% 메틸렌블루 용액에 72시간 동안 보관한 다음 치근첨으로부터 1, 2, 3 mm 높이에서 수평으로 절단하였다. 각 단면을 $12.5{\times}2.5$배 현미경하에서 관찰하고 디지털 카메라로 촬영하였다. 염색제 누출 평가를 위해 aye-degree scoring system을 사용하였다. 각 절단면에서의 점수를 모두 합하여 한 시편의 점수로 사용하고 통계학적 분석을 하였다. 이 실험 조건하에서, 3-7 mm까지의 heat source plugger의 적용 깊이는 근단부 폐쇄에서 유의한 차이를 나타내지 않았다. 5-7 mm의 Buchanan's protocol을 포함한 3-7 mm를 모두 임상 적용에서 받아들여질 만하다고 보인다.

• Restorative Dentistry and Endodontics
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• 제29권5호
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• pp.439-445
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• 2004

Continuous Wave 가압법으로 근관충전시 플러거 삽입 깊이에 따른 근관실러의 치근단 정출을 평가하고자 직선형의 단근관 및 15번 크기의 치근단공을 가지는 발거된 40개의 치아에서 0.06 경사도 40번 크기가 되게 니켈-티타늄 전동화일인 $ProFile^{\circledR}$로 근관을 형성하고 플러거 삽입깊이를 근단 3, 5 또는 7 mm로 하여 System $B^{TM}$를 이용한 Continuous Wave 가압법 및 측방가압법으로 근관을 충전하였다. 치근단으로 정출된 근관실러의 무게를 측정하여 일원변량분석법과 Duncan's Multiple Range Test로 통계분석하였다. 플러거 삽입깊이 3 mm 또는 5 mm의 Continuous Wave 가압 충전군은 삽입깊이 7 mm 가압충전 군 및 측방가압 충전군에 비해 유의하게 많은 근관실러의 치근단 정출을 나타내었다 (p < 0.05). 그러나 플러거 삽입깊이 3 mm군과 5 mm군 사이 및 플러거 삽입깊이 7 mm Continuous Wave 가압군과 측방가압 군 사이에는 유의한 차이가 나타나지 않았다 (p > 0.05). 본 연구의 결과로 보아 Continuous Wave 가압법으로 근관충전시에는 플러거 삽입깊이가 깊을수록 근관실러의 치근단 정출이 많음을 알 수 있다.

• Restorative Dentistry and Endodontics
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• 제27권5호
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• pp.521-529
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• 2002

The purpose of this study was to compare the shaping time of two shaping methods and the leakage of three different obturation techniques. Ninty three canaled human molar teeth were used, which were randomly divided into two groups of forty teeth each and ten control teeth. After working length determination, the one group was prepared crown-down technique using rotary root canal instruments of GT rotary files .12/20, .10/20, .08/20 and .06/20 taper(Maillefer Instrument SA. Switzerland). The other group was instrumented with Gates Glidden burs(#1, #2, and #3) to coronal preparation and GT rotary files .08/20 and .06/30 taper to apical preparation. Shaping time was measured. After root canals were instrumented, they were divided to three subgroups and obturated as follows : Subgroup 1, obturated with single cone method Subgroup 2, obturated with lateral condensation : Subgroup 3, obturated with continuous wave technique. Three subgroups were obturated using non-standardized gutta-percha cone(Diadent, Korea, .06 or .08 taper) and AH-26(Dentsply DeTrey, Germany) as a root canal cement. Ten unobturated teeth served as positive and negative controls. After immersion in 2% methylene blue solution for 1 month, the teeth were washed during 24h. The teeth were demineralized in 10% nitric acid and dehydrated by immersion in 80, 90 and 100% ethyl alcohol. The teeth were finally cleared and stored in 100% methylsalicylate, and apical dye penetration was evaluated under stereomicroscope(Leica M420, LC, U.S.A)at $\times$8.75 magnification. Liner measurement of dye penetration was assessed with the use of digitalized image analysing system (analySIS, GmbH, Germany) The data were analysed statistically using independent T-test and Two-way ANOVA and Tukey test. The result were as follows 1. In canal prepared with GT$^{TM}$ rotary file, shaphing time taked more than the group of using Gates Glidden drill to coronal preparation without statistical significance (p>0.05) 2. The group of single cone obturation using canal preparation of GT$^{TM}$ rotary files showed significantly more apical leakage than those of lateral condensation and continuous wave technique regardless of shaping method (p<0.05). 3 The group of single cone obturation using canal preparation of GT$^{TM}$ rotary files and Gates Glidden drill showed significantly more apical leakage than those of continuous wave technique regardless of shaping method (p<0.05). 4. Regardless of shaping method, The group of continuous wave obturation showed less apical leakage than those of lateral condensation without statistical significance (p>0.05). 5. The group of single cone obturation using canal preparation of GT$^{TM}$ rotary files and Gates Glidden drill showed more apical leakage than the group of lateral condensation using same shaping method with-out statistical significance (p＞0.05).

• Restorative Dentistry and Endodontics
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• 제27권1호
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• pp.66-76
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• 2002

The purpose of this study is to evaluate the effectiveness of customized master cone on apical sealing in various apical size of prepared root canals, that is MAF(Master Apical File) and to know at which apical size the apical leakage is to be significantly reduced using customized master cone. 120 extracted single rooted premolars were divided into four groups according to their apical size(MAF), #30, 40, 50 and 60. And then, each group was subdivided into three in accordance with three obturation methods, lateral condensation with standardized master cone, lateral condensation with chloroform-dipped customized master cone, and continuous wave of obturation technique. Resorcinol-formaldehyde resin was used for the microleakage test of this study. Teeth were sectioned horizontally at 1.5mm(Level 1), 2.5mm(Level 2), and 3.5mm(Level 3) from the anatomical root apex using low speed microtome. All sections were examined under $\times$40 magnification with a stereomicroscope, photographed, and then scanned. With the scanned images, resin-infiltrated area presenting the microleakage was calculated using SigmaScan/Image, and the ratio of leakage to the total root canal area of each group was analyzed statistically(one way ANOVA). The results were as follows ; 1. In groups of MAF #30, there was no significant difference of mean leakage ratio among three obturation methods at all three levels. 2. In groups of MAF #40, the group using lateral condensation with customized master cone had the low-est mean leakage ratio at all three levels, but there was no significant difference among three obturation techniques. 3. In groups of MAF #50, the mean leakage ratio of the group using lateral condensation with standard master cone was the highest among those of three obturation techniques at level 1, and this difference was statistically significant(p<0.05). 4 In groups of MAF #60, the groups using lateral condensation with standard master cone had also the highest mean leakage ratio at all levels, but there was no significant difference at level 1 and 2. At level 3, the leakage of the group using lateral condensation with standard master cone was significantly higher than that of the group using continuous wave of obturation(p<0.05). The results of this study suggested that the obturation method using customized master cone or the continuous wave of obturation is more effective for apical sealing than that using standardized master cone when MAF is larger than ＃50.

• Restorative Dentistry and Endodontics
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• 제31권1호
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• pp.66-71
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• 2006

Continuous Wave 가압법으로 근관충전시 plugger 삽입 깊이에 따른 근관내 gutta-percha 비율을 평가하고자 40개의 발거치아 근관을 0.06 경사도 40번 크기의 $ProFile^{(R)}$로 근관을 형성하고 세 군에서는 plugger 삽입깊이를 근단 3, 5 또는 7 mm로 하여 System $B^{TM}$를 이용하여 Continuous Wave 가압법으로 충전하였고, 한 군에서는 대조군으로서 측방가압법으로 근관을 충전하였다. 충전된 근관은 치근단 1, 2 및 3mm 수준에서 횡절단하여 근관내 gutta-percha 면적비를 계산하고 일원변량분석법을 이용하여 통계분석 하였다. 모든 절단수준에서, Continuous Wave 가압법으로 충전한 군 사이에서는 plugger의 삽입깊이가 깊을수록 높은 gut-ta-percha 면적비를 나타내었고, 측방가압법으로 충전한 군이 plugger의 삽입깊이를 7 mm로 충전한 군보다 높은 gut-ta-percha 면적비를 나타내었다 (p<0.05).

• Restorative Dentistry and Endodontics
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• 제28권4호
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• pp.341-347
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• 2003

This study was conducted to evaluate the temperature rise on the root surface while the root canal is being obturated using continuous wave of condensation technique. Maxillary central incisor was prepared for repeated canal obturation. Ten thermocouples (Omega Engineering Inc., Stanford, USA) were placed at 1 mm increment from the anatomical root apex. The real temperature of Buchanan plugger was recorded before insertion into the root canal. The root canal was obturated with continuous wave of condensation technique as described by Buchanan and the root surface temperature was recorded during obturation at $150^{\circ}C,{\;}200^{\circ}C,{\;}250^{\circ}C{\;}and{\;}300^{\circ}C$ temperature settings of System B HeatSource (Model 1005, Analytic technologies, Redmond, WA, USA). After completion of the temperature recording, the dentinal-cementum thickness at each sites was measured. The data were analyzed using one-way ANOVA followed by Scheffe's test and linear regression test. The results were as follows. 1. When the temperature was set at $150^{\circ}C,{\;}200^{\circ}C,{\;}250^{\circ}C{\;}and{\;}300^{\circ}C$ on the digital display of System B HeatSource, the real temperature of the plugger at the 1mm point from the tip revealed $130.82{\pm}2.96^{\circ}C,{\;}158.00{\pm}5.26^{\circ}C,{\;}215.92{\pm}6.91^{\circ}C{\;}and{\;}249.88{\pm}3.65^{\circ}C$ respectively. 2. The position of 8 mm from the anatomical apex showed the highest temperature increase at each temperature settings and it was significantly higher than those of other positions (p<0.0l). The temperature rise was constantly increased toward coronal portion from apex of the root. 3. The maximum temperature increase on the root surface was $2.37{\pm}0.09^{\circ}C{\;}at{\;}150^{\circ}C{\;}setting,{\;}3.11{\pm}0.12^{\circ}C{\;}at{\;}200^{\circ}{\;}setting,{\;}3.93{\pm}0.09^{\circ}C{\;}at{\;}250^{\circ}C{\;}setting{\;}and{\;}5.69{\pm}0.15^{\circ}C{\;}at{\;}300^{\circ}C$ setting respectively. These results suggest that it be relatively kind to the supporting tissues of the root that the root canal is obturated using continuous wave of condensation technique at $150^{\circ}C,{\;}200^{\circ}C,{\;}250^{\circ}C{\;}and{\;}300^{\circ}C$ temperature settings on digital temperature display of System B HeatSource.

• Restorative Dentistry and Endodontics
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• 제25권3호
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• pp.435-445
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• 2000

The purpose of this study was to compare the leakage of four different obturation techniques in conjunction with immediate apical barrier of ${\beta}$-tricalcium phosphate(TCP) in teeth with open apex. Eighty single-rooted human premolar teeth were prepared and sectioned horizontally, so maximum diameter in apex was 4mm. Apical defects that were similar to open apex, were created with #1/2 round bur and SF104R bur. The apical foramen were opened to a size 80 file extended 3mm beyond the apex. The teeth were placed into the oasis block soaked saline to simulate periapical tissue often associated with pulpless teeth and received apical barriers consisting of TCP followed by obturation using lateral condensation technique, vertical condensation technique, continuous wave technique and thermoplasticized gutta-percha injection technique. Two unobturated teeth served as positive and negative controls. Teeth were immersed in resorcinol-formaldehyde resin for S days at $4^{\circ}C$, and the resin was allowed to polymerize completely for 4 days at room temperature. Teeth were then sectioned horizontally at 1.5mm(level 1), 2.5mm(level 2) and 3.5mm(level 3) from the apex, and examined under a stereomicroscope at ${\times}40$ magnification. The photographs were taken at ${\times}40$ magnification of the filling in each level and scanned. The leakage length in tooth/resin interface was measured at each of the three levels. Each ratio of leakage was obtained by calculating the ratio of the leakage length of canal wall infiltrated with resin to the total length of the canal and was analyzed statistically(One-way ANOVA and Scheffe test). The result were as follows : 1. At the level 1, there was the least leakage in the thermoplasticized gutta-percha injection technique group(group 4), but there was statistically significant(p<0.05). 2. At the level 2, there was the least leakage in the thermoplasticized gutta-percha injection technique group(group 4), and the most leakage in the continuous wave technique group(group 3). There was statistically significant difference between the thermoplasticized gutta-percha injection technique group and the continuous wave technique group(p<0.05). 3. At the level 3, there was the least leakage in the thermoplasticized gutta-percha injection technique group(group 4), but there were no statistically significant differences between other groups(p>0.05). These results suggest that thermoplasticized gutta-percha injection technique which had 1mm apical gutta-percha matrix after the formation of TCP apical barrier, can demonstrate favorable apical sealing.