• Restorative Dentistry and Endodontics
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• 제27권4호
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• pp.355-362
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• 2002

One fifth dilution of formocresol is usually used for pulpotomy of the primary teeth and emergency pulpotomy of the permanent teeth. However the use of formaldehyde has been subjected to criticism because it may be absorbed into the blood stream and become distributed systemically, it nay also alter the pulp tissue rendering it immunologically active, and have carcinogenic potential. Recently Depulpin$^{\circledR}$(VoCo., Germany) gains popularity as a devitalizing agent during root canal therapy in spite of high concentration of 49 % paraformaldehyde because it facilitate devitalization of pulp and make root canal therapy easier But there have been not enough publications about the reaction of pulp and periapical tissue caused by Depulpin. This study was performed to evaluate the histological changes in pulp and periapical tissue of rats after pulpotomy using formocresol and Depulpin and to elucidate the toxic effects of these agents. Thirty six Sprague-Dawley rats were anesthetized by intraperitoneal injection of ketamine Maxillary first molar teeth were used for pulpotomy with formocresol and Depulpin. Rats were sacrificed after 2 days, 4 days, 1 week, 2 weeks, 3 weeks and 4 weeks respectively. Specimens were histologically observed by light microscope changes in pulp and periapical tissue. The obtained results were as follows. 1. Formocresol group A zone of fixed tissue. in which odontoblasts could clearly be defined, was present directly underneath the pulpotomy dressing in almost all teeth of this group. This was followed by an area of necrotic tissue which resembled dried out fibrous tissue with no cellular detail except some pyknotic nuclei. In the specimens of after 2 days, 4 days, 1 week, 2 weeks in which vital tissue was present, it was separated from the fibrous area by a zone of inflammation. In the specimens of after 3 weeks and after 4 weeks, inflammatory infiltrate was in the periodontal ligament adjacent to the apical foramina of the teeth. 2. Depulpin$^{\circledR}$ group The area of necrotic tissue which had no cells and fibers, was present adjacent to the dressing. This was followed by dried out fibrous tissue with no cellular details except some pyknotic nuclei, A short stump of vital pulp with odontoblasts was present at the end of the canal after 2 days. Inflammatory infiltrate was in the periodontal ligament after 4 days and after 1week. Severe root resolution and necrosis of periapical tissue opposite the root resorption site were defined after 2 weeks and after 3 weeks. Periapical lesion which consist of necrotic tissue surrounded by a fibrous connective wall, was found after 4 weeks. The results indicated that Depulpin can cause more adverse reaction to the dental pulp and periapical tissue than formocresol, and further studies are needed for its clinical use with safety.

• 대한소아치과학회지
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• 제8권1호
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• pp.65-75
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• 1981

The author have studied on the pulp responses to the electric pulp stimulator (Pyo-Cure)(R) in the primary molar age from 4 to 11 of the 186 children (male 100, female 86). The total numbers of teeth used in this study were 1096. The results were as follows ; 1. The difference in responses between the teeth of the male and female was not statistically significant. 2. The difference in responses between the teeth of the right and left sides was not statistically significant. 3. The difference in responses between the teeth of the upper and lower jaws was not statistically significant. 4. The responses of the teeth in the older age is higher than its of the early age. 5. Inspite of advanced root resorption of the primary molars, except severe root resorption, the responses of the teeth was higher according to increasing the age. 6. The responses of the teeth were decreased severely in the primary molars as it becomes exfoliation time.

• 대한장애인치과학회지
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• 제12권2호
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• pp.45-49
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• 2016

This study investigates the success rate of pulpotomy using electrosurgery operated on a primary molar in caries. The pulpotomy using electrosurgery was done on 253 primary molars of 111 young patients from 2 to 9 years old during the period of the first day of January 2011 to the last day of December 2015. After the amputation of pulp and hemostasis of primary molar were done using electrosurgery, MTA as pulp capping material was applied to the primary molar and the tooth was restored with the stainless steel crown. The follow up period after the treatment ranged from 4-46 months. The clinical and radiographic success rate ranged from 92.1 - 94.3%. Which is comparable to formocresol and ferric sulfate pulpotomy. Due to its non-pharmacological characteristic, electrosurgery can minimize harmful effect on the pulp tissue. Its fast bleeding control makes it easy and safe to use in pediatric and disabled patients in comparatively simple manner. Electrosurgery can be an alternative for pulp therapy considering the side effects of pharmacological ways.

• 대한소아치과학회지
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• 제46권1호
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• pp.76-84
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• 2019

이 연구의 목적은 3종의 수복재료와 3종의 tricalcium-silicate 기반 치수복조제의 미세누출을 평가하고, 이들 치수복조제와 상아질 사이의 전단결합강도를 비교하는 것이다. 수복재료로는 복합레진(CR), 레진강화형 글래스아이오노머 시멘트(RMGI), 그리고 전통적인 글래스아이오노머 시멘트(GIC)를, 치수복조제로는 TheraCal $LC^{(R)}$(TLC), $Biodentine^{(R)}$ (BD), 그리고 $ProRoot^{(R)}$ white MTA (WMTA)을 사용했다. 소의 절치에 5급와동을 형성하여 이를 적용하는 치수복조제와 수복재료에 따라 9개의 그룹으로 분류하고 0.5% fuchsin 용액을 이용한 염색침투법을 시행했다. 각 표본을 절단하고 입체현미경으로 관찰해 미세누출 정도를 평가했다. 아크릴 레진에 소 절치의 임상적 치관을 매몰한 후 수평으로 절단해 준비한 표본을 임의로 3그룹으로 나누었다. 표본의 상아질에 그룹별로 TLC, BD, 그리고 WMTA 블록을 적용한 후 universal testing machine을 이용해 전단결합강도를 측정했다. 미세누출은 TLC + GIC, TLC + RMGI, TLC + CR, 그리고 BD + GIC 그룹에서 가장 적었고, WMTA + RMGI와 WMTA + CR 그룹에서 가장 많았다. 전단결합강도는 WMTA 그룹에서 다른 그룹보다 통계적으로 유의하게 낮은 것으로 나타났다.

• 디지털산업정보학회논문지
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• 제8권1호
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• pp.55-64
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• 2012

The advantage of direct volume rendering is to visualize structures of interest in the volumetric data. However it is still difficult to simultaneously show interior and exterior structures. Recently, cone beam computed tomography(CBCT) has been used for dental diagnosis. Despite of its usefulness, there is a limitation in the detection of interior structures such as pulp and inferior alveolar nerve canal. In this paper, we propose an efficient volume rendering model for visualizing important interior as well as exterior structures of dental CBCT. It is based on the concept of illustrative volume rendering and enhances boundary and silhouette of structures. Moreover, we present a new method that assigns a different color to structures in the rear so as to distinguish the front ones from the rear ones. This proposed rendering model has been implemented on graphics hardware, so that we can achieve interactive performance. In addition, we can render teeth, pulp and canal without cumbersome segmentation step.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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• pp.602-602
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• 2003

I. Objectives It is reported that there are complements and immunogloblins in serum from dental pulp in dentinal tubules, and it is thought that dental caries bacteria is opsonized by these serum ingredients, and it is presented by dendritic cells(DCs) in dental pulp. So, we examined whether a maturational difference of DCs occured when S. mutans was opsonized. II. Materials and Methods PBMC was divided from normal human peripheral blood and collected CD14 positive cells by magnetic beads system. Adherent cells were incubated in 5% FCS-RPMI medium included GM-CSF, IL-4 for seven days.(omitted)

• 대한소아치과학회지
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• 제40권3호
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• pp.185-193
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• 2013

최근 유구치의 치수절단술 약제로 MTA의 임상 적용이 문헌들에서 보고된 바 있으나 MTA 표면에서 일어나는 유치 치수 세포의 반응에 대한 시험관내 연구는 많이 보고되지 않았다. 이번 연구의 목적은 유치 및 영구치에서 유래한 치수기질세포가 경화된 MTA 표면에서 나타내는 증식 및 분화 능력을 비교 평가하는 것이었다. 사람 영구치와 유치 치수 조직에서 분리된 치수기질세포를 경화된 MTA 표면에서 배양 후 세포증식율과 세포주기를 검사하였으며, 정량적 역전사 중합효소 연쇄반응(RT-PCR)을 사용하여 분화양상을 분석하였다. Runt-related transcription factor 2(Runx2)와 alkaline phosphatase(ALP)가 정량적 RT-PCR의 표지자로 사용되었고, MTA 표면에서 증식된 치수기질세포의 형태학적 변화를 주사전자현미경 하에서 관찰하였다. 영구치와 유치의 치수기질세포군은 세포증식률, 세포주기 분포 및 mRNA 발현 양상에 있어서 차이를 보이지 않았으며, 주사전자현미경 상에서 두 군 모두 수지상 형태를 나타내었다. MTA 상에서 관찰된 유치와 영구치의 치수기질세포의 비슷한 증식력 및 광화를 유도하는 세포로의 분화능은 유치의 치수절단술 제재로 MTA가 생체친화적으로 적합함을 보여준다.

• Restorative Dentistry and Endodontics
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• 제32권6호
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• pp.514-521
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• 2007

[ $P2X_3$ ] 수용기는 세포 외에 존재하는 ATP에 의하여 활성화되는 ligand-gated cation channel로서 염증 혹은 조직 손상 시 세포에서 유리된 ATP가 $P2X_3$ 수용기와 결합하여 동통을 유발하는 것으로 알려져 있다. 이에 본 연구는 형광면역조직화학기법을 통하여 사람의 치수에서 $P2X_3$의 발현과 바닐로이드 수용기인 TRPV1과의 공존 양상을 확인함으로써 이들의 치수동통전달 기전을 밝히고자 시행되었다. 사람의 치수에서는 치관부 및 치근부 전체에 걸쳐 다수의 $P2X_3$ 면역양성 신경섬유가 관찰되었으며 이 중 약 79.4%에서 TRPV1과의 공존을 보였다. 이상의 결과로 사람의 치수에서 $P2X_3$는 TRPV1과 더불어 치수염증 시 중추로의 동통전달과 유해자극의 증폭에 있어서 중요한 역할을 할 것으로 사료된다.

• Restorative Dentistry and Endodontics
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• 제44권4호
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• pp.39.1-39.8
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• 2019

The present report presents a case of dens invaginatus (DI) in a patient with 4 maxillary incisors. A 24-year-old female complained of swelling of the maxillary left anterior region and discoloration of the maxillary left anterior tooth. The maxillary left lateral incisor (tooth #22) showed pulp necrosis and a chronic apical abscess, and a periapical X-ray demonstrated DI on bilateral maxillary central and lateral incisors. All teeth responded to a vitality test, except tooth #22. The anatomic form of tooth #22 was similar to that of tooth #12, and both teeth had lingual pits. In addition, panoramic and periapical X-rays demonstrated root canal calcification, such as pulp stones, in the maxillary canines, first and second premolars, and the mandibular incisors, canines, and first premolars bilaterally. The patient underwent root canal treatment of tooth #22 and non-vital tooth bleaching. After a temporary filling material was removed, the invaginated mass was removed using ultrasonic tips under an operating microscope. The working length was established, and the root canal was enlarged up to #50 apical size and obturated with gutta-percha and AH 26 sealer using the continuous wave of condensation technique. Finally, non-vital bleaching was performed, and the access cavity was filled with composite resin.

• 대한소아치과학회지
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• 제25권3호
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• pp.583-597
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• 1998

The purpose of this study was to evaluate temperature change occurred in enamel, dentin and pulp due to the heat from cavity prepration with laser. We made three models had different cavity depth: cavity depth of model A was 3.52mm, model B was 2.32mm, model C was 1.16mm. We irradiated cavity base with thermal capacity of $30J,100J,300J/cm^2s$ during few seconds and studied the change of temperature in tooth during 10 seconds, and estimated change of thermal capacity by different irradiated site and exposure time. At $300J/cm^2$ irradiation for 2 seconds, the temperature of irradiated surface was elevated fast according to irradiated thermal energy during 1 second. In proportion to continuous exposure time, temperature elevated slowly. The surface temperature was $1370^{\circ}C$. After discontinue of thermal irradiation, the heat of irradiated surface was diffused in dentin and pulp and the greatest temperature was made. The greatest temperature was disappeared within 10 seconds The greatest temperature of the inner part of model brought about very severe change by different depth. Temperature in pulp was raised by the greater irradiated energy density and exposure time.