• Title/Summary/Keyword: Crown-down technique

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A Study on the Shaping Ability of Three Different Rotary Nickel-Titanium Instruments in Simulated Curved Root Canal (만곡 근관에서 다양한 엔진 구동형 Nickel-Titanium 파일의 근관 성형능력에 대한 연구)

  • Kim, Kyoung-A;Chon, Seong-Min;Kwon, Su-Mi;Lee, Kwang-Won;Yu, Mi-Kyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.4
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    • pp.293-302
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    • 2007
  • I. Objectives The purpose of this study was to compare the shaping ability between the single length technique performed with Mtwo instruments (VDW, Munich, Germany) and the crown-down technique using K3 (SybronEndo, West Collins, CA, USA) and RaCe (FKG, La Chaux-de-Fonds, Switzerland) instruments. II. Materials & Methods Forty five curved canals in resin blocks were equally divided in to three groups. Group 1 (Mtwo) was instrumented used the full length of canal according to the manufacturer's instructions. The simulated canals was prepared to an instrument size of 35, 0.04 taper canal terminus. In group 2 (Race) and group 3 (K3) was instrumented in a crown-down manner and prepared to an instrument size of 30, 0.06 taper canal terminus. Pre- and post-instrumentation images were scanned and assessment of canal shape was completed with a computer image analysis program. Material removal was measured at 7 measuring points, beginning 1mm from the end point of preparation. Differenced of centering ratio were statistically analyzed using One-way ANOVA followed by Duncan's test. II. Results & Conclusion There was no significant difference on 1, 2, 3 and 7mm measuring point. At 4 and 5 measuring point, significant difference showed between the Mtow instruments and other two instruments. (p<0.05)

AN in vitro STUDY OF THE CORONAL LEAKAGE OF TWO ROOT CANAL FILLING TECHNIQUE USING ANAEROBIC BACTERIAL LEAKAGE MODEL (근관 충전된 치아에서의 혐기성세균을 이용한 치관부 미세누출측정에 관한 연구)

  • Kim, Jin-Woo
    • Restorative Dentistry and Endodontics
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    • v.24 no.3
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    • pp.490-494
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    • 1999
  • The aim of this in vitro study was to investigate the coronal leakage of obligate anaerobes into root canals obturated with two different techniques. 48 extracted human teeth with straight, single root canals were prepared with crown-down technique with Profile under copious irrigation until the master apical file was size 40. The teeth were divided randomly into experimental groups (40 teeth) and control groups (8 teeth). In the experimental groups, 20 teeth were obturated with lateral condensation and other 20 teeth were obturated with continuous wave technique with System B. Coronal leakage of two root canal filing technique was evaluated using anaerobic bacterial leakage model with Fusobacterium nucleatum(ATCC 25586) for 60 days. The results were as follows 1. The incidence of bacterial leakage of experimental groups was 65% in group 1 (lateral condensation) and 60% in group 2 (continuous wave technique with System B). This difference was not statistically significant (P>0.05). 2. There was no statistically significant difference(P>0.05) in leakage score between group 1 (lateral condensation) and group2 (continuous wave technique with System B).

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COMPARISON OF ULTRASONIC AND SONIC ROOT END PREPARATIONS USING BACTERIAL LEAKAGE MODEL

  • Cho, N.Y.;Park, C.J.;Park, D.S.;Yoo, H.M.;Oh, T.S.
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.588.2-588
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    • 2001
  • The purpose of this study was to compare ultrasonic with sonic root end preparations using anaerobic bacterial leakage model. Forty eight single rooted teeth were instrumented with Profile using crown down technique to .06 black and obturated with GP cone and AH 26 root canal sealer using warm vertical condensation technique. The apical 3mm of each root was resected. The teeth were randomly divided into two experimental groups of 20 teeth each and two control groups of four teeth as follows(omitted)

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A comparison of canal centering abilities of four root canal instrument systems using X-ray micro-computed tomography (방사선 미세컴퓨터단층촬영을 이용한 네 종류 file systems의 중심유지능에 관한 비교)

  • Ko, Hye-Suk;You, Heyon-Mee;Park, Dong-Sung
    • Restorative Dentistry and Endodontics
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    • v.32 no.1
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    • pp.61-68
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    • 2007
  • The purpose of this study was to compare the centering abilities of four root canal instrument systems and the amounts of dentin removed after root canal shaping using them. The mesial canals of twenty extracted mandibular first molars having $10-20^{\circ}$ curvature were scanned using X-ray micro-computed tomography (XMCT)-scanner before root canals were instrumented. They were divided into four groups (n = 10 per group). In Group 1, root canals were instrumented by the step-back technique with stainless steel K-Flexofile after coronal flaring. The remainders were instrumented by the crown-down technique with Profile (Group 2), ProTaper (Group 3) or K3 system (Group 4). All canals were prepared up to size 25 at the end-point of preparation and scanned again. Scanned images were processed to reconstruct three-dimensional images using three-dimensional image software and the changes of total canal volume were measured. Pre-and post-operative cross-sectional images of 1, 3, 5, and 7 mm from the apical foramen were com pared. For each level, centering ratio were calculated using Adobe Photoshop 6.0 and image software program. ProTaper and K3 systems have a tendency to remove more dentin than the other file systems. In all groups, the lowest value of centering ratio at 3 mm level was observed. And except at 3 mm level, ProTaper system made canals less centered than the other systems (p < 0.05).

Comparison of apical transportation and change of working length in K3, NRT AND PROFILE rotary instruments using transparent resin block (Transparent resin block을 이용한 K3, NRT, PROFILE의 apical transportation 및 working length 변화양상의 비교)

  • Yoon, Min-Jung;Song, Min-Ju;Shin, Su-Jung;Kim, Eui-Seong
    • Restorative Dentistry and Endodontics
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    • v.36 no.1
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    • pp.59-65
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    • 2011
  • Objectives: The purpose of this study is to compare the apical transportation and working length change in curved root canals created in resin blocks, using 3 geometrically different types of Ni-Ti files, K3, NRT, and Profile. Materials and Methods: The curvature of 30 resin blocks was measured by Schneider technique and each groups of Ni-Ti files were allocated with 10 resin blocks at random. The canals were shaped with Ni-Ti files by Crown-down technique. It was analyzed by Double radiograph superimposition method (Backman CA 1992), and for the accuracy and consistency, specially designed jig, digital X-ray, and CAD/CAM software for measurement of apical transportation were used. The amount of apical transportation was measured at 0, 1, 3, 5 mm from 'apical foramen - 0.5 mm' area, and the alteration of the working length before and after canal shaping was also measured. For statistics, Kruskal-Wallis One Way Analysis was used. Results: There was no significant difference between the groups in the amount of working length change and apical transportation at 0, 1, and 3 mm area (p = 0.027), however, the amount of apical transportation at 5 mm area showed significant difference between K3 and Profile system (p = 0.924). Conclusions: As a result of this study, the 3 geometrically different Ni-Ti files showed no significant difference in apical transportation and working length change and maintained the original root canal shape.

Restoration after endodontic treatment with Endocrown (임상가를 위한 특집 3 - Endocrown을 이용한 근관치료 후 수복)

  • Park, Jeong-Kil
    • The Journal of the Korean dental association
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    • v.50 no.7
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    • pp.384-393
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    • 2012
  • Successful treatment of a badly broken down tooth with pulpal disease depends not only on good endodontic therapy, but also on good prosthetic reconstruction of the tooth after endodontic therapy is completed. The ideal treatment of endodontically treated teeth has been widely and controversially discussed. Endocrown is a restorative option for endodontically treated teeth. Endocrown design incorporates the core and short post into the crown as a single restoration. The preparation of endocrown consists of a circular equigingival butt-joint margin and central retention cavity of the entire pulp chamber instead of employing intraradicular posts. This design significantly increases the surface area of the preparation available for cementation. It is particularly useful in young patient teeth for long-term provisional restoration and in teeth with short clinical crowns. This technique represents a promising and conservative method for the treatment of endodontically treated teeth that require long-term protection and stability. Endocrown can be considered as a feasible alternative to full crowns or composite overlays for the restoration of non vital teeth.

A Study on the 2 Key Bridge (2 Key Bridge에 대한 연구)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.22 no.1
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    • pp.57-67
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    • 2000
  • The 2 key bridge system has been developed to make crownless bridges without damaging sound teeth. Strong bridge work of single or multiple pontics is possible for replacing both anterior and posterior teeth. It is incresingly considerde to be unacceptable, by dentists as well as patients, to fully grind down healthy elements in order fit a conventional bridges. Because this technique uses a combination of hole and adhesive fitting, it has a number of adventages over etched bridges and conventional bridges: - In comparison with conventional bridges, hardly and healthy dental tissue is sacrificed - Due to the lack of crown edges there is no periodontal pressure, as is the case with conventional bridges - The treatment procedure is straight forward and involves less time than conventional bridges. - The treatment is largely resiverable and repairable

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A comparison of shaping ability of four nickel-titanium rotary instruments in simulated root canals

  • Yun, Hyung-Hwa;Park, Jung-Won;Kim, Sung-Kyo
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.588.1-588
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    • 2001
  • The purpose of this study was to compare the root canal shaping ability of four nickel-titanium rotary instruments. Forty eight simulated curved root canals were instrumented in plastic with the Crown-down technique using the $ProTaper^{TM}$ , the ProFile, the $GT^{TM}$, and the Quantec. Canals were instrumented until apical canal were up to size 30 by one operator. Each instrument was used only once and instrumentation time was measured.(omitted)

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A CASE OF PALATALLY IMPACTED INCISOR TREATED BY ONLAY TECHNIQUE WITH SURGICAL EXPOSURE (Onlay technique에 의한 매복중절치의 교정적 치험예)

  • Kim, Kwang-Hyun;Choie, Mok-Kyun;Bae, Chang
    • The korean journal of orthodontics
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    • v.4 no.1
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    • pp.57-61
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    • 1974
  • The patient, a girl of 19 years in good health, had a class I malocclusion. The maxillary left centra1 incisors and both lateral incisors had already erupted. But the space for the right central incisor was partially closed by the mesial drifting of the neighboring teeth. The caused a shift in the midline and a cross-bite relation on the incisors. X-ray examination revealed the presence of the right central incisor in the alveolar bone and odontoma just above the crown of the right central incisor. After enough space for the impacted incisor was created in the dental arch with a open-coil spring the rectangular incision was made. Removing the odontoma uncovered the flat surface of the labial aspect of the incisor. During the tooth had erupted of its own accord, any unnecessary force had been imposed on the tooth. When it was decided that the tooth should be brought out by the mechanical device, the gold cast onlay with hook was used and run a light elastic between this hook and the main arch wire. Finally the tooth was brought down to the arch level. The result was excellent. Fortunately the esthetic problem and any detrimental effects on the psychological make-up could be avoided.

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The experimental study of the effect of the hybrid instrumentation method with ProTaper and ProFile on the change of root canal area and distance from the canal to the root surface after canal shaping. (ProTaper와 ProFile을 사용한 Hybrid instrumentation method의 근관 형성 전, 후 근관 단면적과 근관벽에서 치근외면까지 최단거리의 변화에 미치는 영향에 대한 실험적 연구)

  • Kim, Seok-Min;Park, Dong-Sung
    • The Journal of the Korean dental association
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    • v.45 no.6 s.457
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    • pp.362-369
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    • 2007
  • The aim of this study was to investigate the effect of the hybrid instrumentation method with ProTaper and ProFile on the change of root canal area and distance from the canal to the root surface after canal shaping. The mesial canals of twenty extracted mandibular first molars having $10-20^{\circ}\Delta$ curvature were scanned using X-ray microcomputed tomography (XMCT)-scanner before root canals were instrumented. They were divided into four groups (n=10 canals ter group). In Group 1, root canals were instrumented by the step-back technique with stainless steel K-Flexofile after coronal flaring. The remainders were instrumented by the crown-down technique with, ProTaper system (Group 2), ProFile (Group 3) or ProTaper (Group 4). All canals were prepared up to size 25 at the end-point of preparation and scanned again. Pre- and post-operative cross-sectional images of 1, 3, 5, and 7 mm from the apical foramen were compared. For each level, change of cross-sectional canal are and distance to the nearest external root surface was calculated using Adobe Photoshop 6.0 and image software program. In the change of cross-sectional area, Group 4 was less than Group 2 at 3 mm and 5 mm level (p<0.05). In the difference of the distance from the canal to the root surface after canal shaping, Group 4 was least among the other groups at 7 mm level (p<0.05). According to the results, the methods using ProFile or K file only and the hybrid instrumentation technique using ProTaper and ProFile are more appropriate methods of canal preparation than ProTaper system for narrow of curved canals.

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