• 대한소아치과학회지
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• 제39권2호
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• pp.174-180
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• 2012

성장 중인 아동에서는 치근의 성장이 계속됨에 따라 치수가 괴사되어 치근의 병변이 있는 미성숙 영구치에서도 치수의 재혈관화가 실제로 일어날 수 있다는 가능성이 제시 되고 있다. 치수의 재혈관화를 위해서는 근관 내의 감염의 조절과 함께 적절한 scaffold가 필요하며, platelet-rich plasma(PRP)가 이상적인 scaffold로 제시되었다. 최근 임상에서는 PRP의 단점을 극복한 platelet-rich fibrin(PRF)가 응용되고 있다. 본 증례에서는 치외치의 교두 파절로 인한 치수 감염으로 치근단 병변을 가진 미성숙 영구치의 근관 내에 ciprofloxacin, metronidazole, minocycline의 세 가지 항생제 적용 후 이와 함께 PRF를 적용하였다. 정기적인 검진 결과 치근단 병변의 치유와 함께 치근 성장이 관찰되었다. 이러한 보존적인 근관 치료는 미성숙 영구치에서 치근단 형성술의 대안적인 치료로서 이용될 수 있을 것이며, 향후 장기간의 임상적 관찰이 필요할 것이다.

• 치위생과학회지
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• 제16권4호
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• pp.317-322
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• 2016

최근 성장 중인 아동에서 치근의 성장이 계속됨에 따라 치수가 괴사되어 치근의 병변이 있는 미성숙 영구치에서도 치수의 재혈관화(revascularization)가 실제로 일어날 수 있다는 가능성이 제시되고 있다. 소아치과영역에서 자주 접하게 되는 미성숙 영구치의 치근단 형성술의 목적은 열린 치근단에서 세균 침입을 제한하고 치근단 장벽 형성을 촉진하는 것이다. 미성숙 치아의 근관 치료에서 기존의 수산화칼슘을 이용한 치근단 형성술은 빈번한 내원과 장기간 소요되는 치료 기간, 환자협조 요구, 최종 처치의 지연, 장기간의 수산화칼슘 적용 이후 치아 파절 가능성의 증가 등의 단점이 보고되었다. 기존의 수산화칼슘 치근단형성술의 대체방법으로 MTA를 이용한 1-visit 치근단형성술을 시행하고 있다. MTA는 1990년대 초반 근관치료 분야에서 다양한 적용을 위해 개발되었다. MTA의 우수한 임상적 성질에 힘입어 국내에서도 OrthoMTA 및 Endo CEM 등의 mineral aggregate 제품이 출시되어 있다. 따라서 본 증례에서는 우리나라의 청소년에서 MTA 적용한 사례를 보고하는 데 있다. 이 연구를 통해 MTA를 이용하여 진료하는 임상가에게 소개하고자 한다. 이 연구는 11~12세의 파절이 된 치아에 MTA를 적용하여 근관 치료를 하였다. 치료 받은 환자의 치아 상태를 12개월 동안 추적 관찰하였고, 국내에서 개발된 OrthoMTA를 이용한 치근단형성술을 시행한 후 임상적 및 방사선학적 관찰 결과를 통해 근관치료재생술(REP)에 관한 만족할 만한 결과를 얻었으며, 치수괴사가 생긴 경우에서도 성공적으로 치수재생술을 적용할 수 있다는 정보를 제공하고 그 결과를 공유하기 위함이다.

• Restorative Dentistry and Endodontics
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• 제38권3호
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• pp.178-181
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• 2013

Traumatic injuries to an immature permanent tooth may result in cessation of dentin deposition and root maturation. Endodontic treatment is often complicated in premature tooth with an uncertain prognosis. This article describes successful treatment of two traumatized maxillary central incisors with complicated crown fracture three months after trauma. The radiographic examination showed immature roots in maxillary central incisors of a 9-year-old boy with a radiolucent lesion adjacent to the right central incisor. Apexogenesis was performed for the left central incisor and revascularization treatment was considered for the right one. In 18-month clinical and radiographic follow-up both teeth were asymptomatic, roots continued to develop, and periapical radiolucency of the right central incisor healed. Considering the root development of these contralateral teeth it can be concluded that revascularization is an appropriate treatment method in immature necrotic teeth.

• 대한치과의사협회지
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• 제50권9호
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• pp.574-585
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• 2012

Purpose : This study was performed to evaluate the healing response around the root perforation restorative material. Materials and Methods : Four beagle dogs were used for experimental study. Endodontic treatment was performed at four maxillary premolars and artificial perforation was formed at furcation area of pulp chamber. Canal was filled with gutta percha cone and the perforation was sealed with MTA at group 1. At group 2, canal was filled and the perforation was sealed with dentin paste. Tooth paste was fabricated using extracted human teeth. Histologic examination of furcation area was performed 2, 4, 8 and 12 weeks after experiment. Results : New trabecular bone formation was observed around the MTA and tooth paste. Lamellar bone was observed as time is over. There were no inflammatory reaction in both groups. Conclusion : There is a possibility which endodontic filling material can be developed using extracted teeth.

• 한국결정성장학회지
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• 제25권3호
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• pp.105-110
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• 2015

근관 치료를 위해 사용되는 섬유 강화형 포스트를 광중합 레진과 유리섬유를 이용하여 제조하였다. 제조된 포스트는 유리 섬유의 밀도가 높아짐에 따라 기계적 특성이 향상됨을 확인 할 수 있었고 광중합 레진의 점도 조절 및 진공함침 공정을 통해 미세 기공을 효과적으로 제거 할 수 있었다. 유리섬유와 광중합 레진과의 계면 결합력을 향상시키기 위해 유리 섬유 표면을 실란 커플링제를 사용하여 표면처리를 하였으며, 유리섬유의 표면처리는 유리 섬유 표면에 레진의 젖음성을 향상시켜 레진과의 결합 특성을 향상시키고 포스트의 기계적 특성을 향상시킴을 확인할 수 있었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권2호
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• pp.168-173
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• 2006

The side effects of head and neck radiation therapy include mucositis, xerostomia, loss of taste, radiation caries, oral infection, osteoradionecrosis and trismus. When a patient is arranged to begin head & neck radiotherapy, oral pathologic lesions are examined and managed for the prevention of oral complications. The advanced odontogenic infection should be especially controlled before the radiotherapy and the patient must be instructed for proper oral prophylaxis. Generally the more conservative treatments, such as, scaling, restoration, endodontic treatment, are the care of choice and dental extraction is performed in advanced periapical and periodontal pathologic conditions. If the dental extraction should be done, the radiotherapy consequently will be delayed until there is epithelium covering the extraction socket, leaving no exposed bone. The cancer patient with severe emotional stress pray for the early radiation therapy, in spite of possibility of the recurrent odontogenic infectious lesions. So, the authors attempted to do the early radiation therapy by the conservative endodontic drainage and surgical incision & drainage without extraction of the infected teeth, and resulted in relatively good prognosis without the severe side effects of head and neck radiotherapy.

• Journal of Periodontal and Implant Science
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• 제31권2호
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• pp.269-276
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• 2001

The purpose of this study was to evaluate the clinical validity of multi-rooted teeth subjected to root-resection treatment. Over a period of 1-7 years, 60 root-resected molars in 59 patients were examined clinically and radiographically. All patients were p0eriodically recalled once or twice a year. Root-resections were due to periodontal, more specifically furcal bone loss or marginal bone loss,in 34 cases and extensive dental carious destruction in 10 cases. In other cases,root-resections resulted from 6 cases of root fracture, 6 cases of periodontal-endodontic combined lesion, and 1 case of endodontic problem. Root-resection was carried out on 26 maxillary molars and 34 mandibular molars. The results are as follows; 1. 14 cases(23.3%) were considered failures. 8 cases(13.3%) of them occurred within the first year(8 cases, 13.3%), 4 cases(6.7%)between 1-3 years, and 2 cases(3.3%) between 4-7 years. 2. 8 cases(13.3%) were considered failures due to periodontal reasons, 3 cases(5%) due to root fracture, 2 cases(3.3%) due to endodontic problem, and 1 case(1.7%) due to prosthetic problem. 3. 37 cases(61.7%) showed up for the recall appointments, and the percentage of failures(13.5%) was lower compared with that of all patients(23.3%). The results of the present study indicate that the prognosis of root-resected teeth is favourable if attention is paid to the selection of proper case and to achieving optimal oral hygiene and periodic check up.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권4호
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• pp.267-275
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• 2022

Background: Various instrument kinematics used in single-visit endodontics influence the occurrence of pain after endodontic therapy. This study aimed to evaluate the occurrence of pain after mechanical instrumentation with Hyflex EDM (HEDM) and WaveOne Gold (WOG) during single-visit endodontic therapy. Methods: Sixty patients diagnosed with asymptomatic irreversible pulpitis and normal apical tissues in mandibular premolar teeth were included in the study for single-visit root canal therapy. The patients were divided into two groups (n = 30) according to the rotary instrument used during root canal preparation (group A [HEDM] and group B [WOG]). Pain was evaluated after endodontic therapy at 8, 24, and 48 h intervals using the visual analog scale (VAS). Data obtained were analyzed using the chi-square test, independent t-test, MannWhitney U test, and Wilcoxon matched-pairs test. Results: Statistically significant differences were observed between the two groups (P < 0.001) at 8, 24, and 48 h, with WOG exhibiting less pain than HEDM files. Conclusion: Postoperative pain was lower in the WOG file system than in the HEDM file system after single-visit root canal therapy at 8, 24, and 48 h.

• Restorative Dentistry and Endodontics
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• 제46권3호
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• pp.35.1-35.11
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• 2021

Objectives: Endosequence Bioceramic Root Repair Material (BC-RRM) is used in endodontic microsurgery. It is available as a paste and a putty. However, no studies to date have examined the sealing ability of these forms alone or in combination as root-end filling materials. Hence, this study aimed to compare the sealing properties of these 2 forms of BC-RRM. Materials and Methods: Forty-two extracted upper anterior teeth were divided into 3 experimental groups, a positive and negative control. After the root canal treatment, the root ends were resected, retroprepared and retrofilled with either putty, paste + putty or mineral trioxide aggregate (MTA). The teeth were mounted in tubes so the apical 3 mm was submerged in Brain Heart Infusion (BHI) broth. The coronal portions of the canals were inoculated with Enterococcus faecalis and BHI broth and incubated for 30 days. The broth in the tubes was analyzed for colony forming units to check for leakage of bacteria from the canal. The teeth from the groups were sectioned and analyzed using scanning electron microscopy (SEM). The Kruskal-Wallis test and analysis of variance were used to analyze the data with a significance level p < 0.05. Results: The BC-RRM and MTA groups showed similar sealing ability. The positive control showed leakage in all samples. The SEM imaging showed the presence of bacteria in all experimental groups at the material-tooth interface. Conclusions: No significant differences were noted in the experimental groups, providing sufficient evidence that any combination could be effectively used during endodontic microsurgery.

• Restorative Dentistry and Endodontics
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• 제48권4호
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• pp.38.1-38.10
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• 2023

Objectives: The aim of this study was to examine the use of hand or rotary files by pre-graduation (fourth- and fifth-year) and postgraduate students in endodontic treatments and to determine the incidence of file fracture and the management of cases with broken instruments. Materials and Methods: A total of 2,168 teeth undergoing primary endodontic treatment were included in this study. It was determined that 79 of these teeth resulted in broken tools. In the case of broken tools, the education level of the treating clinician, the tooth that was being treated, the canal and fracture level, the curvature of the tooth and the management of the broken instrument were recorded. Periapical radiographs of the patients were used to calculate curvature following the Schneider method. Results: There was no significant difference in the incidence of broken tools according to education level (p > 0.05). The incidence of file fracture in molar teeth (73.4%) was higher than in other teeth (p < 0.05). More files were broken in the mandibular molar MB canal (20.25%) and in the apical third of the canals (72.1%). The risk of instrument fracture was high in teeth with moderate (44.3%) and severe (38%) curvature canals. The management of apically broken (80%) files mostly involved lefting (p < 0.05). Conclusions: There was no statistically significant difference between fourth-year students, fifth-year students and postgraduate students in terms of instrument fracture.