• Restorative Dentistry and Endodontics
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• 제11권1호
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• pp.33-41
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• 1985

The purpose of this study was to determine the extent of tooth structure crazing when pinhole were drilled in dentin at various distances from the dentionenamel junction, and when pins were inserted by hand wrench and Auto-klutch handpiece. Sixty freshly extracted teeth were embedded in blocks of cold-curing acrylic resin to a level 1mm apical to the cementoenamel junction, the crown of the teeth were removed to a level 1.5mm coronal to the cementoenamel junction. After being sectioned, the cut surface of the teeth were smoothed, and they were divided into 4 groups. Group I : 4 pinholes were drilled with self-threading Minim spiral drill and pins were inserted with hand wrench in fifteen teeth. Group II : 4 pinholes were drilled with self-threading Minim spiral drill and pins were inserted with Auto-klutch handpiece in fifteen teeth. Group III : 4 pinholes were drilled with self-threading Regular spiral drill and pins were inserted with hand wrench in fifteen teeth. Group IV : 4 pinholes were drilled with self-threading Regular spiral drill and pins were inserted with Auto-klutch handpiece in fifteen teeth. The cut surface were then examined microscopically for the presence or absence of craze line. The results were as follows: 1. The self-threading Minim pin groups (Group I & II) produced less craze lines than did the self-threading Regular pin groups (Group III & IV). 2. In the self-threading Minim pin groups, there was more craze lines with hand wrench (Group I) than with Auto-klutch handpiece (Group 11). 3. In the self-threading Regular pin groups, there was more craze lines with hand wrench (Group III) than with Auto-klutch handpiece (Group IV). 4. Placement of the pinhole at 0.0mm from the dentionenamel junction produced more craze lines than placed at 0.5mm, 1.0mm (p<0.05), however there was no statistically significant between the 0.5mm and 1.0mm distance.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.131-147
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• 1986

The purpose of this study was to observe the color matching of lining or filling materials according to the remaining tooth material. Twenty-seven freshly extracted human central incisors were used in this experiments. The teeth were stored in saline solution at room temperature after extraction. All teeth were cut parallel to the tangent to height of contour on labial surface from the lingual surface until the pulp were completely removed. Then 27 teeth were devided into 0.5mm, 1.0mm and 1.5mm reduction groups according to the thickness of cutting the lingual surfaces of teeth. The specimens of control group were three teeth of 27 teeth with cutting the lingual surface same mode as above described. In the specimens of experimental groups, 8 kinds of lining and filling materials; FUJI IONOMER TYPE II (G-C Co. Japan), LINING CEMENT (G-C Co. Japan), Dycal (Caulk, U.S.A.), CLEARFIL F II (Kuraray Co. Japan), Crown Bridge & Inlay Cement (G-C Co. Japan), Copalite (Harry J. Bosworth Co. U.S.A.), HY-BOND (G-C Co. Japan) and LIV-CENERA (G-C Co. Japan); applied on the back of 24 teeth with 0.5mm, 1.0mm and 1.5mm cut thickness of lingual surfaces. Three teeth of control group did not applied linging or filling materials on the back of 3 kinds of different thickness of cutting the lingual surfaces. The absorbances of total 27 specimens were obtained by reflection spectrophotometer. (Cary 17 D, Varian Co, U.S.A.) The following conclusions were drawn from above the results; 1. The absorbance patterns in both experiment and control groups were gradually decreased with increasing wavelength of spectra. 2. The absorbance patterns were not decreased in relation to the kinds of lining or filling materials, but the amount of the remaining tooth materials. 3. In 0.5mm reduction group, FUJI IONOMER TYPE II, LINING CEMENT, LIV-CENERA and Copalite applied on the back of cut lingual surface showed similar absorbance patterns as control group. 4. The specimens which were reduced up to 1.0mm thickness and lined with FUJI IONOMER TYPE II and LINING CEMENT showed the comparable absorbance patterns to the control group. 5. In case of HY-BOND application after 1.5mm reduction were observed the similar absorbance pattern as compared with control group. 6. When Dycal, CLEARFIL and Crown Bridge & Inlay Cement were applied to cut teeth surfaces, there were much differences of absorbance between control groups and experimental groups.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.119-129
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• 1986

The purpose of this study was to evaluate the marginal leakage of glass ionomer cement with different cavosurface margins. 192 class V cavities were prepared on freshly extracted non-carious teeth and glass ionomer cement were inserted according to the manufacturer's instructions. Cavity preparations for this investigation were performed in four groups. The experimental specimens were made by packing the glass ionomer cement (Fuji Ionomer Type II G-C Co. Japan) into the prepared 192 cavities of four groups with different modes: Group I. - The 48 cavities with $90^{\circ}$ butt-joint cavosurface preparation and restored with glass ionomer cement. Group II. - The 48 cavities with butt-joint preparation modified by $135^{\circ}$ beveling the cavosurface in the dentin and restored with glass ionomer cement. Group III. - The 48 cavities with butt-joint preparation modified by cutting a chamfer in the dentin and restored with glass ionomer cement. Group IV. - The same 48 cavities as group I, and overfilled with glass ionomer cement beyond the cavosurface angle. And four groups above described divided into three subgroups by means of conditioning the cavity walls: Control group. - Glass ionomer cement filled in the prepared 64 cavities after being cleaned with a stream of tap water. Phosphoric acid treatment group. - Glass ionomer cement filled in the prepared 64 cavities after being conditioned with a 50% phosphoric acid. Citric acid treatment group. - Glass ionomer cement filled in the prepared 64 cavities after being conditioned with a 50% citric acid. All 192 specimens were immersed in the 2.0% basic fuchsin solution and subjected to thermal stress at one-minute intervals ($4{\pm}2^{\circ}C$ to $60{\pm}2^{\circ}C$) for 70 minutes before exposure to the dye. The specimens were sectioned ecclesiologically through the center of the restorations for different periods of immersion time, 24 hours, 7 days, 14 days 30 days. The sections were examined under a stereoscopic microscope. The results were as follows: 1. The degree of marginal leakage in group II and III was greater than that in group I and IV. 2. The degree of marginal leakage in phosphoric acid treatment group was similar with that in control group. 3. The degree of marginal leakage in citric acid treatment group was less than that in control group. 4. In all groups, the degree of marginal leakage in phosphoric acid treatment group was greater than that in citric acid treatment group. 5. There is no statistical difference of the degree of marginal leakage according to the immersion time in the dye solution.

• Restorative Dentistry and Endodontics
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• 제12권2호
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• pp.45-53
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• 1987

The purpose of this study was to evaluate the tensile bond strength between composite resin and the human enamel. Three composite resin systems, two chemical (Clearfil Posterior, and Clearfil Posterior-3) and one light cure (Photo Clearfil-A), used with and without an intermediate resin (clearfil bonding agent), were evaluated under different amounts of load (10g, 200g and 200g for a moment) for in vitro tensile bond strength to acid-eched human enamel. Clinically intact buccal or lingual surfaces of 144 freshly extracted human permanent molars, embedded in acrylic were flattened with No #600 carborundum discs. Samples were randomly assigned to the different materials and treatments using a table of random numbers. Eight samples were thus prepared for each group(Table 2) these surfaces were etched with an acid etchant (Kurarey Co. Japan) in a mode of etching for 30 seconds, washing for 15 seconds, and drying for 30-seconds. During the polymerization of composite resin on the acid-etched enamel surfaces with and without bonding agent 10-gram, 200 gram and temporary 200 gram of load were applied. The specimens were stored in 50% relation humidity at $37^{\circ}C$ for 24 hours before testing. An universal Testing machine (Intesco model No. 2010, Tokyo, Japan) was used to apply tensile loads in the vertical directed (fig 5), and the force required for separation was recorded with a cross head speed of 0.25 mm/min and 20 kg in full scale. The results were as follow: 1. The tensile bond strength was much greater in applying a bonding agent than in not doing that. 2. The tensile bond strength of chemical cure composite resin was higher than that of light cure composite resin with applying on bonding agent on the acid-etched enamel. 3. In case of not applying a bonding agents on the acid-etching enamel, the highest tensile bond strength under 200 gram of load was measured in light cure composite resin. 4. The tensile bond strength under 200-gram of load has no relation with applying the bonding agent. 5. Under the load of 10-gram, There was significant difference in tensile bond strength as applying the bonding agent.

• 대한치과의사협회지
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• 제11권11호
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• pp.749-753
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• 1973

• Restorative Dentistry and Endodontics
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• 제19권2호
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• pp.641-654
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• 1994

This study was executed to evaluate adaptability of dentin bonding agents to dentinal wall with measuring contraction gap on interface between cavity wall and composite resin by SEM study. 6 kinds of dentin bonding agents were investigated for this study : Gluma, Super Bond C & B, All bond 2, Scotchbond multipurpose, Scotchbond 2 and Clearfil photo bond. 30 of fresh extracted teeth were randomly selected and divided into 6 groups with each 5. The round shaped cavities with 3mm dia. and 1.5mm depth were prepared on cementoenamel junction of buccal surface of teeth. Dentin bonding agents were applied to cavity wall and then the composite resin was filled in the cavity. Specimens were sectioned longitudinally on buccal surface. Sectioned aspects of specimens were impressioned with rubber base materials and finally precise replica were made of epoxy resin poured in negative impression. Contraction gaps were examined on interface between cavity wall and composite resin under condition of 200 and 2000 magnification of SEM. The results were as follows. 1. There were no gap on interface between enamel and composite resin in all specimens, but gaps were mainly exhibited on apical side of lateral wall of dentin of cavity. 2. In Gluma, 2 cases of 5 specimens exhibited excellent adaptation to the cavity wall, indicating no gaps on interface between cavity wall and composite resin. The other specimens showed gaps with range of $0{\sim}15{\mu}m$ width. 3. In Super Bond C & B, gaps with range of $0{\sim}10{\mu}m$ width were mainly exhibited on apical side of lateral wall of dentin of cavity. 4. In All bond 2, all specimens showed the most exellent adaptation to cavity wall when compared to the other materials, indicating no gap interface between cavity wall and composite resin. 5. In Scotchbond multipurpose, gaps with range of $0{\sim}10{\mu}m$ width were locally located on cavity wall. 6. In Scotchbond 2, all specimens showed great amount of gap with range of $5{\sim}25{\mu}m$, indicating the worst adaptation to cavity wall compared to the other materials. 7. In Clearfil photo bond, 2 case of 5 specimens exhibited exellent adaptation to cavity wall, indicating no gap. the other specimens showed gap with range of $0{\sim}15{\mu}m$ width on inferface between cavity wall and composite resin.

• Restorative Dentistry and Endodontics
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• 제43권2호
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• pp.22.1-22.9
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• 2018

Objectives: To evaluate and compare light-transmittance in dental tissues and dental composite restorations using the incremental double-layer technique with varying layer thickness. Materials and Methods: B1-colored natural teeth slabs were compared to dental restoration build-ups with A2D and B1E-colored nanofilled, supra-nanofilled, microfilled, and microhybrid composites. The enamel layer varied from 0.3, 0.5, or 1.2 mm thick, and the dentin layer was varied to provide a standardized 3.7 mm overall sample thickness (n = 10). All increments were light-cured to $16J/cm^2$ with a multi-wave LED (Valo, Ultradent). Using a spectrophotometer, the samples were irradiated by an RGB laser beam. A voltmeter recorded the light output signal to calculate the light-transmittance through the specimens. The data were analyzed using 1-way analysis of variance followed by the post hoc Tukey's test (p = 0.05). Results: Mean light-transmittance observed at thicker final layers of enamel were significantly lower than those observed at thinner final layers. Within 1.2 mm final enamel resin layer (FERL) thickness, all composites were similar to the dental tissues, with exception of the nanofilled composite. However, within 0.5 mm FERL thickness, only the suprananofilled composite showed no difference from the dental tissues. Within 0.3 mm FERL thickness, none of the composites were similar to the dental tissues. Conclusions: The supra-nanofilled composite had the most similar light-transmittance pattern when compared to the natural teeth. However, for other composites, thicker FERL have a greater chance to match the light-transmittance of natural dental tissues.

• Journal of Oral Medicine and Pain
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• 제47권1호
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• pp.52-61
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• 2022

Purpose: Most cases of oral and maxillofacial infections are usually easily treated by proper diagnosis, elimination of causative factors, and antibiotic therapy. However, the emergence and the increase of multidrug-resistant bacteria make treatment challenging. "ESKAPE" pathogens are the most common opportunistic organisms in nosocomial infections and have resistant to commonly used antibiotics. There are many medical reviews of ESKAPE pathogens, but few in dentistry. This study focuses on oral and maxillofacial infection especially with ESKAPE pathogens. The purpose of this study is to prepare feasible data about tracing and treatment of infection related to pathogens that may be beneficial to clinicians. Methods: A total of 154 patients with oral and maxillofacial infections were reviewed by analyzing retrospectively hospitalized data in the Department of Oral and Maxillofacial surgery, Chosun University Hospital, Korea, past 5 years from January 2014 to December 2018. Based on the medical records and microbiological tests, the results were divided into two groups: infections with ESKAPE pathogens and other bacteria. Results: A total of 22 species were isolated from 154 patients. The proportion of ESKAPE pathogens among all bacterial isolates collected from infected patients was 39.6%. Causative factors, especially in post-operative infection, showed a statistically significant correlation to ESKAPE infections (29 cases). And average of treatment period in ESKAPE group was longer than non-ESKAPE groups. Overall, Klebsiella pneumoniae (60.7%) was the most frequently isolated ESKAPE pathogen. And high antibiotic resistance rates had been detected in the ESKAPE during the five-year period. Conclusions: Infections with ESKAPE pathogens are now a problem that can no longer be overlooked in Dentistry. Based on results of this study, ESKAPE pathogens were highly associated with post-operative or opportunistic infections. Clinicians should be careful about these antibiotic resistant pathogens and use appropriate antibiotics to patients while having dental treatments.

• 대한치과기공학회지
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• 제12권1호
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• pp.23-45
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• 1990

This study aimed at inquiring into the basic theory on co-operative education, grasping and analyzing the present situation of the junior health college, the present condition of co-operative education and into problem. and seeking to find a solution to activate the co-operative edcation of the junior health colleges. For this purpose this study compared the co-operative education system in our country with that of foreign countries revolving around the related literature to co-operative education, analyzed it, and the pointed out its problem. And this study classified into the solution of establishing co-operative education system, the solution of consolidating the on-the-spot training system, the solution to activate the co-operative education of the junior health college. First this study suggested three methods as a part of establishing co-operative education system as below. 1. The need to set up the ideology concerning co-operative education. 2. The construction of the advisory committee for co-operative education. 3. The establishment of an agency for co-operative education. And this study suggested nine methods as the method of consolidating the on-the-spot training as below. 1. The execution of the basic research for the on-the-spot training. 2. The reorganization of the existing curriculum into the curriculum the industrial organization requires. 3. The establishing of the system in a closer cooperation with the industrial organization for the on-the-spot training. 4. The participation in solving commonly the problems of the industrial organization and in education. 5. The establishing of the guidance system assuming exclusive charge of the on-the-spot training. 6. The submission of the evaluation sheet for the on-the-spot training. 7. The extension of the period of the on-the-spot training and the reorganization of an educational system. 8. The persistent support for the on-the-spot training at the governmental dimension. 9. The securing of the educational dost spent on the on-the-spot training and the imposition of benefits on the industrial organization.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권2호
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• pp.161-163
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• 2005

In the reconstruction of the hard tissue defect of the oral cavity, the usefulness of the chin bone graft, one of the intraoral donor site, is gradually increased. The advantages include reduced resorption rate after graft due to its membranous bone nature, relatively ease to harvest under local anesthesia, reduced operative time because of the same operative field, decreased morbidity, and relatively large amount of bone can be harvested compared to other intraoral donor site. It has also postoperative complications including paresthesia of the lip or chin area, discomfort of lower anterior teeth, and facial swelling around chin area. Of these complications, facial swelling occurs more frequently, is more severe as a early postoperative discomfort, and prevents fast recover of patient's social activity since this procedure is generally accomplished in the outpatient base under local anesthesia. So we applied a modified " gull-wing" type incision to minimize this complication, and now we report this simple but effective surgical technique with clinically favorable result.