• Title/Summary/Keyword: Dental instruments

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ROOT CANAL TREATMENT ON PRIMARY TEETH USING NICKEL-TITANIUM NOTARY FILES (회전식 nickel-titanium file을 이용한 유치의 근관치료)

  • Seo, Ju-Hee;Lee, Kwang-Hee;Kim, Dae-Eop;Yang, Kye-Sik
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.620-625
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    • 2001
  • The pulpectomy or root canal treatment on primary teeth is to be done when there is evidence of chronic in flammation or necrosis in the radicular pulp. Due to the tortuous and ribbon-shaped anatomy of the primary teeth, the instrumentation of endodontic hand files and barbed broaches is not an easy procedure. Recently, many automatic Ni-Ti rotary instruments have been developed and has made endodontic treatment easier and faster. This report describes two cases of root canal treatment on primary molars using Ni-Ti rotary files. The cervical constricture was eliminated by the crown-down method, as smaller file proceeded unhindered into the apical third of the canal. In addition, the crown-down technique enhanced the efficacy of the endodontic irrigant. The use of rotary instrumentation for primary teeth seemed to be a more effective way to debride the uneven walls of primary teeth.

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The Effect of Servicescape and Human Service Quality on Patients' Internal Responses and Their Behavioral Intention in Dental Care Organizations (치과 의료기관의 서비스스케이프와 인적서비스품질이 환자의 내적반응 및 행동의도에 미치는 영향)

  • Cheon, Mi Ok;Kim, Jiwon;Bae, Sung Yoon
    • Korea Journal of Hospital Management
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    • v.22 no.4
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    • pp.1-15
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    • 2017
  • This study was designed to analyze the effect of servicescape and human service quality on patients' internal response and their behavioral intention in dental care organizations. Self-administered survey questionnaires with structured instruments were developed, and a total of 226 responses were used for statistical analyses using SPSS Windows version 18.0 program and AMOS 18.0 program. Major findings of the study are as follows. First, among other servicescape components, air condition environment was found to have a positive effect on patients' cognitive and physiological responses, while signals and symbols had a positive effect on cognitive and emotional responses. Second, the competence, among other factors of the human service quality, had positive influence on cognitive and emotional responses, while customer understanding affected positively on emotional response. Third, none of the servicescape components showed a direct effect on patients' behavioral intention, but their influence was mediated by internal responses. However, customer understanding, among other human service quality factors, had a direct effect on patients' behavioral intention. Fourth, emotional response, among other internal response factors, proved to have positive influence on behavioral intention. Results from this study suggest that dental care service providers can increase their competitiveness and customer satisfaction by understanding and improving the most important areas of servicescape and human service quality.

Surface Characteristics of Polymer Coated NiTi Alloy Wire for Orthodontics (폴리머 코팅된 NiTi합금 교정선의 표면특성)

  • Cho, Joo-Young;Kim, Won-Gi;Choi, Hwan-Suk;Lee, Ho-Jong;Choe, Han-Cheol
    • Journal of Surface Science and Engineering
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    • v.43 no.3
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    • pp.132-141
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    • 2010
  • NiTi alloy has been used for orthodontic wire due to good mechanical properties, such as elastic strength and frictional resistance, combined with a high resistance to corrosion. Recently, these wire were coated by polymer and ceramic materials for aesthetics. The purpose of this study was to investigate surface characteristics of polymer coated NiTi alloy wire for orthodontics using various instruments. Wires (round type and rectangular type) were used, respectively, for experiment. Polymer coating was carried out for wire. Specimen was investigated with field emission scanning electron microscopy(FE-SEM), energy dispersive x-ray spectroscopy(EDS) and atomic force microscopy(AFM). The phase transformation of non-coated NiTi wire from martensite to austenite occurred at the range of $14{\sim}15^{\circ}C$, in the case of coated wire, it occurred at the range of $16{\sim}18^{\circ}C$. Polymer coating on NiTi wire surface decreased the surface defects such as scratch which was formed at severe machined surface. From the AFM results, the average surface roughness of non-coated and coated NiTi wire was 13.1 nm, and 224.5 nm, respectively. From convetional surface roughness test, the average surface roughness of non-coated and coated NiTi wire was $0.046{\mu}m$, and $0.718{\mu}m$, respectively.

Comparison analysis of before and after use of periodontal instruments on strength and agility of hands (치주기구사용 전·후의 손의 근력 및 민첩성 비교분석)

  • Yoo, DooHan;Kyung, So-jin;Back, Eun-jeong;Oh, Hyeon-hoei;Won, Sol-hee;Jang, Sol;Chae, Na-ri;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.117-122
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    • 2019
  • This study aimed to provide the basic data for the prevention of carpal tunnel syndrome by measuring and comparatively analyzing the changes in muscular strength, grasping force, and agility of hands before/after practice, targeting the dental hygiene students taking the scaling practice course. Targeting total 15 students(4th-year) of Dental Hygienics who had no problems with anatomical structure, muscular strength, grasping force, and senses of hands, the muscular strength, grasping force, and agility of hands were measured before/after the scaling practice. The collected data was processed by using the PASW Statistics 18.0(SPSS) Program. In the results of this study, the muscular strength and grasping force of hands were decreased after the practice compared to the ones before the practice. The agility of hands was increased after the practice compared to the one before the practice. Based on such results of this study, it would be necessary to avoid such exhausting hand gestures for scaling, and also to develop the preventive exercise to build up the strength of hands like stretching before/after scaling.

Comparison of apical extrusion of intracanal bacteria by various glide-path establishing systems: an in vitro study

  • Dagna, Alberto;El Abed, Rashid;Hussain, Sameeha;Abu-Tahun, Ibrahim H;Visai, Livia;Bertoglio, Federico;Bosco, Floriana;Beltrami, Riccardo;Poggio, Claudio;Kim, Hyeon-Cheol
    • Restorative Dentistry and Endodontics
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    • v.42 no.4
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    • pp.316-323
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    • 2017
  • Objectives: This study compared the amount of apically extruded bacteria during the glide-path preparation by using multi-file and single-file glide-path establishing nickel-titanium (NiTi) rotary systems. Materials and Methods: Sixty mandibular first molar teeth were used to prepare the test apparatus. They were decoronated, blocked into glass vials, sterilized in ethylene oxide gas, infected with a pure culture of Enterococcus faecalis, randomly assigned to 5 experimental groups, and then prepared using manual stainless-steel files (group KF) and glide-path establishing NiTi rotary files (group PF with PathFiles, group GF with G-Files, group PG with ProGlider, and group OG with One G). At the end of canal preparation, 0.01 mL NaCl solution was taken from the experimental vials. The suspension was plated on brain heart infusion agar and colonies of bacteria were counted, and the results were given as number of colony-forming units (CFU). Results: The manual instrumentation technique tested in group KF extruded the highest number of bacteria compared to the other 4 groups (p < 0.05). The 4 groups using rotary glide-path establishing instruments extruded similar amounts of bacteria. Conclusions: All glide-path establishment instrument systems tested caused a measurable apical extrusion of bacteria. The manual glide-path preparation showed the highest number of bacteria extruded compared to the other NiTi glide-path establishing instruments.

Anxiety Control and Periodontal Practice (불안조절과 치주수술)

  • Lee, Seoung-Ho;Lee, Jun-Young;Jeon, Hye-Ran;Han, Gum-Aha
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.5 no.1 s.8
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    • pp.6-14
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    • 2005
  • Chronic periodontitis is one of the most common diseases in clinical dentistry, which requires various surgical interventions to treat the moderately to severely destructed supporting periodontium. Most patients have anxiety and fear to these surgical procedures and dentists often have problems dealing with these patients. By applying the conscious sedation technique in outpatient units, periodontists have become able to manage their patients successfully with less anxiety or fear. Also, we have experienced the increased level of patients' satisfaction. Generally, periodontal treatments are time consuming procedures and patients are usually reluctant to the periodontal instruments. This study is focused on the sedation procedure with intravenous midazolam infusion performed in Department of Periodontology of Ewha Womans University Hospital. Using questionnaires, we evaluated 80 randomly selected patients for the anxiolytic effect of intravenous midazolam. Anxiety control using IV sedation was very helpful in performing various periodontal reconstructive and advanced surgical procedures in implant dentistry.

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The effect of root canal preparation on the surface roughness of WaveOne and WaveOne Gold files: atomic force microscopy study

  • Ozyurek, Taha;Yilmaz, Koray;Uslu, Gulsah;Plotino, Gianluca
    • Restorative Dentistry and Endodontics
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    • v.43 no.1
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    • pp.10.1-10.8
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    • 2018
  • Objectives: To examine the surface topography of intact WaveOne (WO; Dentsply Sirona Endodontics) and WaveOne Gold (WOG; Dentsply Sirona Endodontics) nickel-titanium rotary files and to evaluate the presence of alterations to the surface topography after root canal preparations of severely curved root canals in molar teeth. Materials and Methods: Forty-eight severely curved canals of extracted molar teeth were divided into 2 groups (n = 24/each group). In group 1, the canals were prepared using WO and in group 2, the canals were prepared using WOG files. After the preparation of 3 root canals, instruments were subjected to atomic force microscopy analysis. Average roughness and root mean square values were chosen to investigate the surface features of endodontic files. The data was analyzed using one-way analysis of variance and post hoc Tamhane's tests at 5% significant level. Results: The surface roughness values of WO and WOG files significantly changed after use in root canals (p < 0.05). The used WOG files exhibited higher surface roughness change when compared with the used WO files (p < 0.05). Conclusions: Using WO and WOG Primary files in 3 root canals affected the surface topography of the files. After being used in root canals, the WOG files showed a higher level of surface porosity value than the WO files.

Intravenous Sedation in Periodontal Practice (치주임상에서의 정주진정법의 적용)

  • Lee, Seoung-Ho;Lee, Jun-Young;Park, Jung-Ju
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.4 no.1 s.6
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    • pp.17-20
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    • 2004
  • Chronic periodontitis is one of the most common disease in clinical dentistry, which needs various surgical interventions to treat the moderate to severe destruction of supporting periodontium. Most patients have fear and anxiety to these surgical procedures and some dentists also have problems to deal with these patients. Applying the conscious sedation technique in outpatient units, periodontists have become to manage their patients successfully without any fear and anxiety and increased the level of patients' satisfaction. Particularly, periodontal treatments require relative long chair-time and patients are usually reluctant to the periodontal instruments used in the oral cavity. This study is focused on the sedation procedure with intravenous midazolam infusioon performed in Department of Periodontology, Ewha Womans University Hospital. The whole procedure of intravenous midazolam sedation is briefly reviewed from patient selection to patient discharge.

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A study on the oral prophylaxis subject satisfaction of the dental hygiene department students in some area (일부 치위생과 학생들의 치면세마교과목 만족도에 관한 연구)

  • Shim, Hyung-Soon;Lee, Hyang-Nim
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.1
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    • pp.15-26
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    • 2009
  • The purpose of this study was to prepare improved education guideline by grasping parts and items felt difficult to apply instruments by the students of the dental hygiene department in the practice of oral prophylaxis using manikin and analyzing factors influencing the satisfaction at the oral prophylaxis subject. To achieve this purpose, 285 senior students of the dental hygiene department located in the Kwangju. Jeonnam area who took theory and practice courses of oral prophylaxis but only practiced the manikin from the second semester of 1st year were selected as the subjects. The following results were obtained. 1. In the manikin, the most difficult part was maxillary anterior lingual in the use of explorer, sickle scaler, and universal curet, and maxillary right posterior lingual was in the use of gracey curet. In the dentiform, the most difficult item was instrument stroke in the use of explorer, sickle scaler, universal curet and gracey curet. 2. The highest stressor was the lack of knowledge and skill in practice of oral prophylaxis, followed by the lack of confidence, and difference between theory and practice in oral prophylaxis. The overall practice satisfaction was 3.23 at oral prophylaxis. The highest satisfaction was found in patient and operator position(3.51), followed by basic skill(3.34), the way to use hand instrumentation(3.16), and the way to use oral examination instrumentation(3.01). 3. According to school records, satisfaction at oral prophylaxis practice satisfaction was 3.36 of good, 3.24 of fair, and 3.06 of poor, suggesting significant difference(p<0.05). Students who participated just in practice during a school term showed 3.47 of satisfaction. The highest satisfaction was found in a full-time professor as a professor in charge(3.24) and there was significant difference(p<0.05). 4. The highest correlated factor between oral prophylaxis theory and practice satisfaction was curriculum satisfaction. The use of hand instrumentation was found to have the greatest effect on the practice satisfaction at oral prophylaxis, followed by basic skill, the way of basic instrumentation, and position. There was statistically significant difference(p<0.01).

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A Study on the Experience of Clinical Practice and the Performance Confidence (치위생과 학생의 임상실습 경험정도와 수행자신감에 관한 연구)

  • Lee, Yeong-Ae;Kim, Young-Sun
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.353-359
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    • 2008
  • To find out the relationship between the experience of clinical practice and the performance confidence, some 2nd and 3rd grade students in D health college who completed clinical practice in 2008. Sept. were surveyed. The results are as follows. 1. During the clinical practice of the dental hygiene students, the performance experience was highest in the basic prep. part among every part. As for the dental hygiene part, the students showed more than 70%, rather higher performance experience in the following parts: arrangement before and after treatment, suction, basic instruments setup, local anesthesia setup, extraction setup, resin filling setup, temporary filling setup, cements mixing, and ligation and removal setup. 2. As for performance confidence, those with performance experience showed higher performance confidence than those with only observation experience or with no experience in every treatment field except basic prep. (p < 0.001). 3. It was proven that the hygiene students have seldom had performance experience in other treatment parts except in assisting treatment part in clinical practice. In order to improve future performance experience on dental hygiene activities, subsequent research is needed to set more specific and objective criterion about the dental hygiene students' clinical practice.

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