• 제목/요약/키워드: Dental microscope

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Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques

  • Mamoun, John
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권2호
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    • pp.52-58
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    • 2018
  • Dry socket, also termed fibrinolytic osteitis or alveolar osteitis, is a complication of tooth exodontia. A dry socket lesion is a post-extraction socket that exhibits exposed bone that is not covered by a blood clot or healing epithelium and exists inside or around the perimeter of the socket or alveolus for days after the extraction procedure. This article describes dry socket lesions; reviews the basic clinical techniques of treating different manifestations of dry socket lesions; and shows how microscope level loupe magnification of $6{\times}$ to $8{\times}$ or greater, combined with co-axial illumination or a dental operating microscope, facilitate more precise treatment of dry socket lesions. The author examines the scientific validity of the proposed causes of dry socket lesions (such as bacteria, inflammation, fibrinolysis, or traumatic extractions) and the scientific validity of different terminologies used to describe dry socket lesions. This article also presents an alternative model of what causes dry socket lesions, based on evidence from dental literature. Although the clinical techniques for treating dry socket lesions seem empirically correct, more evidence is required to determine the causes of dry socket lesions.

Corrosion Behaviors of Ti-xNb Alloys for Biomaterials

  • Byeon, In-Seop;Choe, Han-Cheol
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2014년도 추계학술대회 논문집
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    • pp.186-186
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    • 2014
  • In this study, corrosion behaviors of Ti-xNb alloys for biomaterials. The Ti-xNb binary alloys contained from 10 wt. % to 50 wt. % contents were manufactured by vacuum arc-melting furnace. Microstructures of the alloys were examined by optical microscope (OM) and field emission scanning electron microscope (FE-SEM). In order to identify the phase constitutents of the Ti-xNb alloys, X-ray diffractometer (XRD) with a Cu K radiation was used. The corrosion behaviors were investigated using potentiostat (Model2273,EG & GCo, USA) in NaCl solution at $(36.6{\pm}1.0)^{\circ}C$.

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인공탈회된 법랑질에 대한 카제인나트륨의 재광화 효과 (Remineralization effect of sodium caseinate on artificially demineralized enamel)

  • 임희정;정임희;임도선
    • 대한치위생과학회지
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    • 제5권1호
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    • pp.29-38
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    • 2022
  • Background: This study aimed to compare the remineralization effects of sodium caseinate and other substances on artificially demineralized enamel. Methods: We selected 25 healthy human premolars and molars and produced a total of 75 specimens by dividing them into five groups: control group, with distilled water; experimental group 1 (EG1), with 3% sodium caseinate; EG2, with 10% sodium caseinate; EG3, with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP); and EG4, with 0.05% NaF. Subsequently, the specimens were immersed in an artificial demineralization solution for 60 min. The demineralized specimens were then immersed in a remineralization solution for 7 days. Surface microhardness was measured using a microhardness tester, and remineralized lesions were observed under a scanning electron microscope (SEM). Regarding statistical analysis, the paired t-test and analysis of variance were performed using the SPSS program. Results: Although the surface hardness of the remineralized lesions increased significantly in all groups (p<0.05), the average increment did not differ significantly between the groups. The surface microhardness of CPP-ACP was the highest, followed by that of 0.05% NaF and 10% sodium caseinate. The remineralization effect of sodium caseinate was similar to that of 0.05% NaF. SEM confirmed that all groups treated with the remineralization solution were remineralized. Conclusions: Although the remineralization effect of sodium caseinate was slightly lower than that of CPP-ACP, it was similar to that of 0.05% NaF. Therefore, to enhance the remineralization effect of sodium caseinate, the appropriate concentration and application time should be determined.

수종의 치과용 불소화합물의 물리적 조건에 따른 치질강화에 미치는 영향 (Enamel strengthening effect of the dental fluoride compound)

  • 김주원;이정애;이가연
    • 한국치위생학회지
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    • 제10권4호
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    • pp.757-764
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    • 2010
  • Objectives : The fluoride coating for caries prevention and strengthen enamel use NaF(sodium fluoride, Junsei Chemical Co., Ltd, Japan) 2% gel, SnF2(stannous fluoride, SIGMA-ALDRICH Gmbh, USA)8% gel and APF(acidulated phosphate fluoride, Sultan health care, USA) 1.23% gel. Methods : After put the enamel piece in these fluoride compound gel, we observed density level. And after measuring the vickers hardness, Got the following conclusions. Results : 1. After settling in the APF 1.23% during 6 days, we observed high density level of enamel surface using 250 magnification scanning microscope. The vacuum of surface packed (in) like sardines. 2. After settling in the APF 1.23% during 6 days, we observed reducing the space between the cluster of enamel surface using 50,000 magnification scanning microscope. 3. The vickers hardness change was very much on the all kinds of fluoride compound gel[2% NaF(sodium fluoride)gel, 8% SnF2(stannous fluoride) gel, 1.23% APF(acidulated phosphate fluoride)gel]. It's all because of reducing the space between the cluster of enamel surface(p<0.001). Conclusions : The vickers hardness change was very much on the all kinds of fluoride compound. It's all because of reducing the space between the cluster of enamel surface.

임상가를 위한 특집1 - 근관치료에서의 레이저의 활용 (Lasers in Endodontics)

  • 허성윤;임은미;김선영;박상혁
    • 대한치과의사협회지
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    • 제49권11호
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    • pp.660-669
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    • 2011
  • Er: YAG laser irradiation utilizing the newly developed RCLase side-firing spiral tip was used for the cleansing of root canals following their bio-mechanical preparation with ProTaper Ni-Ti files. The distal and palatal roots of 20 freshly extracted molar teeth were instrumented to size F3 with ProTaper files. In the experimental group (10 teeth) the pulp chamber and the root canals were filled with EDTA 17% and the root canals were lased for 30 s using the Er: YAG laser irradiation at 600 mJ per pulse and a frequency of 12 Hz. In the control group (10 teeth) the root canals were not lased. Scanning electron microscope analysis showed clean wall surfaces of the lased root canals with open dentinal tubules, free of smear layer and debris. In the scanning electron microscope photographs of the walls of the non-lased root canals a considerable amount of debris could be detected. It appears that an efficient cleansing of the root canal system can be achieved by using the Er: YAG laser irradiation with the RCLase Side-firing Spiral Tip following bio-mechanical preparation of the root canal with Ni-Ti Taper files.

시판 잇솔의 특성 및 잇솔모의 주사전자현미경적 연구 (A Scanning Electron Microscope Study of the Bristles)

  • 양정승
    • 한국치위생학회지
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    • 제2권2호
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    • pp.159-173
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    • 2002
  • The 180 toothbrushes out of 18 models( ten brushes for each model) were used for this examination among the toothbrushes for adults which were sold in the domestic markets. After three-month brushings through a roll ing method and Bass method were practiced with Toothbrush Stroke Tester which reproduced brushing methods outside the mouth, I investigated the morphology bristle tips of using scanning electron microscope(SEM). The conclusions are as follows. 1. Soft bristle toothbrushes(of 8 models out of 9 models) were badly damaged at the bristles end after 3 month toothbrushing. 2. Medium bristle toothbrushes(of four models out of five models) were irregularly worn at the bristles end after 3 month toothbrushing. 3. Hard bristle toothbrushes(of three models out of four models) were chisel-shapedly worn at the bristles end after 3 month toothbrushing. 4. Taper-shaped toothbrushes were very irregularly bent at the bristles end after 3 month toothbrushing. 5. It was examined in the bristle stiffness that soft bristle toothbrushes were found in 9 models(50.00%), medium bristle toothbrushes in 5 models(27.78%), and hard-bristle toothbrushes in 4 models(22.22%).

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Is stopping of anticoagulant therapy really required in a minor dental surgery? - How about in an endodontic microsurgery?

  • Cho, Yong-Wook;Kim, Euiseong
    • Restorative Dentistry and Endodontics
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    • 제38권3호
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    • pp.113-118
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    • 2013
  • Nowadays, oral anticoagulants are commonly prescribed to numerous patients for preventing cardiovascular accident such as thromboembolism. An important side effect of anticoagulant is anti-hemostasis. In a major surgery, the oral anticoagulant therapy (OAT) regimen must be changed before the surgery for proper post-operative bleeding control. However, in a minor dental surgery and endodontic surgery, the necessity for changing or discontinuing the OAT is open to debate. In this study, risks of the consequences were weighed and analyzed. In patients who stop the OAT, the occurrence of thromboembolic complication is rare but the result is fatal. In patients who continuing the OAT, post-operative bleeding can be controlled well with the local hemostatic measures. In the endodontic surgery, there are almost no studies about this issue. The intra-operative bleeding control is particularly important in the endodontic surgery because of its delicate and sensitive procedures such as inspection of resected root surface using dental microscope and retrograde filling. Further studies are necessary about this issue in the viewpoint of endodontic surgery.

A case report of multiple bilateral dens invaginatus in maxillary anteriors

  • Chung, Shin Hye;Hwang, You-Jeong;You, Sung-Yeop;Hwang, Young-Hye;Oh, Soram
    • 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.

베릴륨이 포함되지 않은 도재용착주조관용 비 귀금속 합금의 재사용에 따른 금속과 도재간의 전단결합강도에 관한 연구 (The study of Shear Bond Strength on recasting of non-beryllium non-precious alloy for Porcelain between Metal)

  • 김소리;김웅철;김혜영;김지환
    • 대한치과기공학회지
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    • 제35권1호
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    • pp.43-48
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    • 2013
  • Purpose: This study aimed to investigate the shear bond strength for non-precious alloy castings without beryllium, which has been used repeatedly for economical reason. Methods: The Schmitz-Schulmeyer test method was used to evaluate the shear bond strength between the non-beryllium Ni-Cr alloy Vera Bond 2V(AlbaDent, Inc. USA) and the Ceramco 3(Dentstply, York, PA, USA) porcelain powder. The maximum loading and shear bond strength were measured. The average shear strength(MPa) was analyzed with the one-way ANOVA and the Tukey's test( =.05). The fracture specimens were examined using Microscope to determine the failure pattern. Results: The mean shear bond strengths(SD) in MPa were group A(100% new metal) control 28.72(3.31); group B(50% new + 50% reused) 27.28(1.13); group C(all reused) 26.61(5.47). Microscope examination showed that group A and B specimens presented mixed failure, and group C specimens showed adhesive failure. Conclusion: In conclusion, forward this non-precious alloy dose not contain beryllium for how should use a more systematic study and for future advanced research is performed giving effect to be considered desirable.

Goldish Yellow Color인 수종(數種)의 치과용(齒科用) 비귀금속합금(非貴金屬合金) 경도(硬度), 강도(强度) 및 미세조직(微細組織)의 비교(比較)에 관(關)한 연구(硏究) (A Study on the Comparison of hardness, Strength and Microstructure of dental Non-precious Metal Alloys Colored Goldish Yeller)

  • 김재도
    • 대한치과기공학회지
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    • 제14권1호
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    • pp.55-65
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    • 1992
  • The purpose of this study was to investigate the comparison of physical properties of nonprecious metal alloys colored goldish yellow. The experimental groups were copper based dental alloy and control group was Ni-Cr based dental alloy used crown and bridges frameworks. Hardness was tested by vickers hardness tester, tensile strength was tested by universal tension tester. After testing the tensile strength of castings, the microstrucure and the pattern of fracture were investigated by scanning electron microscope and metallurgical microscope. The results were as follows : Hardness of Ni based alloy was higher than Cu based alloys. Hardness number of A group was 200.41$\pm$16.10 Hv, B group was 194.33$\pm$1.69 Hv, C group was 139.29$\pm$2.19 Hv and D group was 293.81$\pm$27.17 Hv, respectively. Tensile strength of D group was 56.42$\pm$6.17 $kg/m^2$, A group was 50.39$\pm$5.68 $kg/m^2$, C group was 45.13$\pm$4.53 $kg/m^2$, B group was 45.25$\pm$9.25 $kg/m^2$, in order, and D group was maximum tensile strength. The fractured surfaces of tensile specimens in the all groups showed the tendency to form large voids in the center of specimens. Thus the ductile fracture was changed into the brittle fracture with the fine grain size.

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