• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.43.1-43.9
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• 2020

A variety of therapeutic modalities can be used for the endodontic treatment of a traumatized tooth with internal root resorption (IRR). The authors present a case report of the successful restoration of a traumatized upper central incisor that was weakened due to severe IRR and subsequent periapical lesion formation. A 20-year-old female patient was referred to our clinic with severe internal resorption and subsequent periapical pathosis destroying the buccal bone wall. Root canal treatment had been initiated previously at another dental practice, but at that time, the patient's condition could not be managed even with several treatments. After cone-beam computed tomography imaging and proper chemomechanical cleaning, the tooth was managed with a mineral trioxide aggregate plug followed by root canal filling using short fiber-reinforced composite, known as the Bioblock technique. This report is the first documentation of the use of the Bioblock technique in the restoration of a traumatized tooth. The Bioblock technique appears to be ideal for restoring wide irregular root canals, as in cases of severe internal resorption, because it can uniquely fill out the hollow irregularities of the canal. However, further long-term clinical investigations are required to provide additional information about this new technique.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권1호
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• pp.49-57
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• 2006

Mandibular fractures have higher incidence rate compared to facial bone fractures because of relatively prominent form. Specially, mandibular angle fractures were known as common fracture site because of morphological anatomic structure. The mandibular third molar appears to be the most frequent impacted tooth. The mandibular third molar have influence on mandibular angle fractures according to it's eruption state. Also, the mandibular angle fracture including the third molar may influence on post operative infection whether the third molar is in impacted or extracted state when reduction of fracture site is operated. The presence or absence and degree of impaction of the mandibular third molar were assessed for each patient and were related to the occurrence of the mandibular angle fracture. The extraction or non extraction of the mandibular third molar were related to the occurrence of the post operative infection in the reduction of mandibular angle fractures. In the presence of mandibular third molar, the possibility of mandibular angle fractures were relatively common. When viewing the mandibular third molar at occlusal plane, the possibility of mandibular angle fractures were high in the class C group. The possibility of mandibular angle fractures were high in the mesial angulation and partial impaction. There was a statistically significant difference(P<0.05). In complete erupted mandibular third molar, the possibility of post operative infection occurs quite often, but there was no statistical significant difference(P>0.05). In the extracted or non extracted of mandibular third molar, the post operative infection showed no statistical significant difference(P>0.05). With the results mentioned above, mandibular third molar was significantly more susceptible to mandibular angle fracture. In the reduction of mandibular angle fracture, it was recommended that mandibular third molar should be extracted especially in case of pericoronitis, periodontitis and other infections.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제34권6호
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• pp.628-634
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• 2008

The purpose of this study is to examine reproducibility of operation plan and 3-dimentional jaw movement patterns by comparing jaw position of STO with post-operative jaw position. Twenty patients with class III dental and skeletal malocclusion who were treated with Le-Fort I osteotomy and B-SSRO were reviewed. Lateral cephalometric radiographs were taken within two weeks before operation and two days after operation. Cephalometric radiographs were compared and analyzed with orthognathic computer program '$V-Ceph^{TM}$'. Post-operative maxillary advancement was insufficient compared to maxillary advancement through STO. Post-operative setback movement was over compared to mandibular setback movement through STO. But statistically this is not significant. Maxillary vertical location is insignificant on the whole. Especially post-operative maxillary clockwise rotation is significant compared to maxillary rotation through STO. Post-operative maxillary clockwise rotation tendency is generally observed in all patients. So surgeons and staffs must consider this tendency when operation plan is established ans operation is being performed. Using intra or extra oral marking points, face bow, and bite plate will make exact surgery possible.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.40-53
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• 1992

This sutdy aimed at examining the effect of lingual frenectomy on phonation & tongue movement. Almost the patient visiting to department of oral & maxillofacial surgery for the treatment of tongue tie always complain the speech problem. Many operation was performed according to this problem. But the objective evaluation of the speech change have been deficient. The experimental group was 25 adult males. Fourteen Korean consonants & after Korean vowels was combined and seventy sound was made for speech analysis. Before & after lingual frenectomy, the speech of the above mentioned group was recorded and then analysed by the Speech Workstation computer software. And before & after operation, the lingual frenum & tongue protrusion amount vas measured. The results were as follows : 1. The pre-operative length of lingual frenum was inverse proportion with the pre-operative length of the protrusive tongue. 2. The average difference between pre & post-operative length of the protrusive tongue was about 23 mm. 3. In the comparison of consonant continuing time change, fricative consonant(r, s, h) was increased post-operatively. 4. In the comparison of the vowel frequency formant change, the "i"and "u" sound vas reliably changed. 5. There was no reliable speech changes on the other sounds.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.196-201
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• 2016

Objectives: The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. Materials and Methods: The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens ($2{\times}3{\times}4 mm$) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Results: Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001). Conclusions: Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.

• Restorative Dentistry and Endodontics
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• 제9권1호
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• pp.107-114
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• 1983

The purpose of this study was to observe the effect of cleansing action of irrigation solutions which was 3% $H_2O_2$ and 5% NaOCl, and 15% EDTA solution on the root canal wall. After treatment with the irrigant, each sample was dehydrated, and coated with 200~250${\circ}$A of gold, and observations were made with the use of scanning electron microscope. The results were as follows: 1. In the root canal walls irrigated with 3% $H_2O_2$ and 5% NaOCl solution without instrumentation after extirpation through barbed broach, the predentin of root canal wall was found scarely affected, and the wall was shown retaining network structure and fibrous organic matters. 2. When 15% EDTA was applied as irrigants for 60, 90 and 120 seconds after instrumentation, there was no signigicant difference of the cleansing effect of the elapsed times which were 90 and 120 seconds on the root canal wall, but in the applied time which was 120 seconds, the canal wall was the cleanest. Therefore it was thought that the most suitable application time of 15% EDTA as the irigants was 120 seconds.

• Restorative Dentistry and Endodontics
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• 제13권1호
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• pp.185-190
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• 1988

The study was designed to establish quantitative method for assessing the marginal leakage of dental restorations. 18 Class V cavities with $45^{\circ}$ bevel joint were prepared and replicas of these teeth were made with polyethylene wax. and classified with three groups. First group was filled with Scotch bond and silux. Second group was filled with glass ionomer cement:scotchbond/silux. Third group was filled with Dentin-Adhesit/Heliosit. After finishing, all specimens were subjected manually to 100 thermal cycles at $0^{\circ}C$ and $100^{\circ}C$ Samarium nitrate solution, irradiated with flux of $6{\times}12^{12}$ neutrons/$cm^2$/sec for 11 hours, woled for 200 hours, counted with the HpGe detector and the tracer uptake was determined by comparison with a standard of samarium ($10{\mu}g$). The following results were obtained. 1) The group filled with glass ionomer cement base showed least marginal leakage. 2) The group filled with Dentin-Adhesit/Heliosit showed less marginal leakage than the group filled with scotchbond/silux.

• Restorative Dentistry and Endodontics
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• 제16권2호
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• pp.118-125
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• 1991

Eighty - eight recently extracted teeth were used to evaluate the leakage characteristics of the following retrofilling materials; amalgam, zinc oxide eugenol cement, glass - ionomer cement, and cermet glass - ionomer cement. Root canals were prepared with step - back method and obturated with gutta percha and zinc oxide eugenol sealer. Root apex were resected 2 mm from apex and class I cavities were prepared with 2 mm or 4 mm depth. The cavities were filled with above materials. After application of varnish on all surface except resected surface, the roots were placed in 1 % methylene blue solution for 6 days. After longitudinal polishing to expose cental parts of filled materials, penetrated depths of dye were measured. The results were as follws. 1. As retrofilling material, glass ionomer cement filling groups showed less leakage than the other groups except zinc oxide eugenol cement filling group(p<0.01). 2. Amalgam filling groups had greater leakage than zinc oxide eugenol cement filling group(p<0.01). 3. 4 mm depth of retrofilled cavity had no effect on leakage characteristics compared with 2 mm depth cavity(p>0.05). 4. Glass ionomer cement and cermet glass ionomer cement filling groups showed less apical leakage than amalgam filling groups. But there was no statistical significance(p>0.05). 5. There was no difference in apical leakage between glass ionomer cement filling groups and cermet glass ionomer cement filling groups(p>0.05).

• Restorative Dentistry and Endodontics
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• 제14권1호
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• pp.25-40
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• 1989

This study was conducted to evaluate the influence of 5 microfilled composite resin to fibroblast cultivated from human pulp (age 13). Each composite resin was manually mixed and filled in cylinder. Resin filled cylinders were placed in dishes (35mm in diameter) containing 3 ml of ${\alpha}$-MEM. Filters (pore size 0.22 ${\mu}m$) to simulate dentin were also placed between the bottom of cylinder and the dish floor. Then stored in 5% $CO_2$ containing incubator for 1 and 2 weeks at the temperature 36.6 C. The results analysed after 1 and 2 weeks were as follows: 1. Experimental group except group 2, 2 weeks incubation cases showed the cytotoxicity compared to the control group in cell count. 2. After 2 week-incubation of group 1 and group 4, cell count was more decreased than 1 week cases and cytotoxicity seemed to be constantly influenced to the cell multiplication. 3. The cell growth rate of 1 week incubation in group 3 and group 5 was similar to the control group and recognized the cytotoxicities of these groups were mild. 4. The cell multiplication rate of 2 week incubation cases in group 2 was greater than control group.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.95-105
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• 1986

For the purpose of obtaining a basic data in selecting a suitable material with clinical care, this study was designed to measure the shear stress and to examine the fracture pattern of various dentin bonding restorative materials using 43 extracted bicuspids. The following results were obtained. 1. In dentin, Silux/Scotchbond group showed the highest value ($34.5{\pm}14.7kg/cm^2$) and Fuji Ionomer Type II group and Heliosit/Dentin-Adhesit group showed almost same bond strength in the next place. Durafill/Dentin-Adhesive group showed an infinitesimal value. ($3.1{\pm}1.4kg/cm^2$) 2. Every group showed no difference in bond strength between upper and lower teeth. Between buccal and lingual surfaces. Fuji Ionomer Type II and Durafill/Dentin-Adhesive groups showed too. But, in Silux/Scotchbond and Heliosit/Dentin-Adhesit groups, it was shown that the bond strength in lingual was stronger than in buccal. 3. There was resin fracture with cohesive fracture of bonding agent in Enamel group. In dentin, adhesive-cohesive fracture and adhesive fracture were shown. 4. The stronger bond strength was, the more frequently cohesive fracture occurred. Dentin-Adhesit group showed specific shining appearance as if varnish became hard.