• Title/Summary/Keyword: First molar

Search Result 1,022, Processing Time 0.023 seconds

FORMATION OF EXTRACELLULAR MATRIX COMPONENTS DURING DEVELOPMENT AND REPAIR OF PERFORATION OF THE RAT DENTIN AND PULP (흰쥐 대구치의 치수강 노출 후 치유 및 형성과정에서 치수와 상아질 기질내의 교원질과 당단백의 분포에 관한 면역조직화학적 연구)

  • Kim, Byung-Wooh;Min, Byung-Soon
    • Restorative Dentistry and Endodontics
    • /
    • v.21 no.1
    • /
    • pp.35-53
    • /
    • 1996
  • The development and repair requires the formation of new tissues comprised of various extracellular matrix components. The present study investigated the formation and distribution of the major ECM components such as type I collagen, type III collagen, fibronection, bone sialoprotein, and osteonection during development and repair. For developing observation. Sprague-Dawley rats weighing $27{\pm}1gm$ were sacrificed. For repair observation, Sprague-Dawley rats weighing $110{\pm}5gm$ were used. The pulp perforation were prepared on mesial surface of the maxillary first molar by using 1/2round bur. At 5 days after perforation, rats were sacrificed by perfusion with 3 % paroformaldehyde. The maxillary first molar region were cut, demineralized, dehydrated and embedded in paraffin. Immunostaining the ECM components was achieved by the avidin-biotin complex method. The results as follows : 1. Bright immunoreaction for fibronectin was present in the basement membrane at the inner epithelial-mesenchymal interface, especially concentrated in the blood vessel walls, cell membrane of odontoblasts, and initial predentin. 2. Type I and III collagen was observed in the newly formed pulp tissue, predentin, and its intensity increased as more of these components during repair. 3. Strong immunostaining for bone sialoprotein and osteonectin was found in dentin while no or weaker staining was observed loose connective tissue of the pulp. 4. These results suggest that develpment and repair is achieved through a series of cell differentiation and attachment by the specific ECM components.

  • PDF

A Pattern of Electromyographic Activities of Masseter Muscle and Temporalis Anteriors to Maximum Bite Force in TMD Patients (측두하악장애환자의 최대교합력에 대한 교근및 전측두근 활성도의 양상)

  • Sun-Hee Kim;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
    • /
    • v.15 no.1
    • /
    • pp.37-44
    • /
    • 1991
  • The author has synchronously recorded average electromyographic activities of temporalis anteriors and masseter muscles and the maximum bite force on the mandibular first molar on the prferred chewing side. These activities were recorded in order to study the EMG activity pattern of the working side and the balancing side to maximum bete force and functioning state of muscle in 30 patients with TMD and in 30 healthy subjects as controls. The results were as follows : 1. The maximum bite force on the mandibular first molar on the preferred chewing side was 20.63kg in TMD patients and 53.30kg in the healthy subjects(p<0.01). The maximum bite force in TMD patients was 38.7% of the healthy subjects. 2. The average electromyographic activities of temporalis anterioris and masseter muscles on the working side and the balancing side during maximum bite force were lower in TMD patients than in the healthy subjects(p<0.01). The average electromyographic activities of each muscle in TMD patients were 61.0%-62.8% of the healthy subjects. 3. The proportionalities of average electromyographic activities of temporalis anteriors and masseter muscles on the working side and the balancing side to maximum bite force were greater in TMD patients than in the healthy subjects(p<0.01). 4. Between the working side and the balancing side, the proportionality of average electromyographic activity of temporalis anterior to maximum bite force on the working healthy subjects (p<0.01). The proportionality of average electromyographic activity of working side and the balancing side in both groups (p<0.05).

  • PDF

Clinical evaluation of efficacy of transcortical anesthesia for the extraction of impacted mandibular third molars: a randomized controlled trial

  • Demir, Esin;Ataoglu, Hanife
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.20 no.1
    • /
    • pp.9-17
    • /
    • 2020
  • Background: This study aimed to compare the pain levels during anesthesia and the efficacy of the QuickSleeper intraosseous (IO) injection system and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molar surgery. Methods: This prospective randomized clinical trial included 30 patients (16 women, 14 men) with bilateral symmetrical impacted mandibular third molars. Thirty subjects randomly received either the IO injection or conventional IANB at two successive appointments. A split-mouth design was used in which each patient underwent treatment of a tooth with one of the techniques and treatment of the homologous contralateral tooth with the other technique. The subjects received 1.8 mL of 2% articaine. Subjects' demographic data, pain levels during anesthesia induction, tooth extractions, and mouth opening on postoperative first, third, and seventh days were recorded. Pain assessment ratings were recorded using the 100-mm visual analog scale. The latency and duration of the anesthetic effect, complications, and operation duration were also analyzed in this study. The duration of anesthetic effect was considered using an electric pulp test and by probing the soft tissue with an explorer. Results: Thirty patients aged between 18 and 47 years (mean age, 25 years) were included in this study. The IO injection was significantly less painful with lesser soft tissue numbness and quicker onset of anesthesia and lingual mucosa anesthesia with single needle penetration than conventional IANB. Moreover, 19 out of 30 patients (63%) preferred transcortical anesthesia. Mouth opening on postoperative first day was significantly better with intraosseous injection than with conventional IANB (P = 0.013). Conclusion: The IO anesthetic system is a good alternative to IANB for extraction of the third molar with less pain during anesthesia induction and sufficient depth of anesthesia for the surgical procedure.

The level of buccal gingival margin around single and two adjacent implant restorations: a preliminary result

  • Kim, Young-Bum;Shim, June-Sung;Han, Chong-Hyun;Kim, Sun-Jai
    • The Journal of Advanced Prosthodontics
    • /
    • v.1 no.3
    • /
    • pp.140-144
    • /
    • 2009
  • STATEMENT OF PROBLEM. Little information is available about the buccal gingival level of multiple implant restorations. PURPOSE. This study was aimed to evaluate the relationship between width and height of buccal soft tissue around single and 2 adjacent implant restorations. MATERIAL AND METHODS. Four implant restoration groups (first and second molars, single second molars, posterior single restorations between teeth, and anterior single restorations between teeth) were randomly chosen from one dental institute. Each group comprised of 6 patients. After 6 months of function, silicone impressions were taken and stone models were fabricated for each restoration group. The stone models were cut in bucco-lingual direction at the most apical point of buccal gingival margin. The height and width of buccal supra-implant soft tissue were measured. One way ANOVA and Tukey HSD post hoc tests were performed to analyze the data obtained (P < .05). RESULTS. The most unfavorable width-height ratio was noted for the group, which was comprised of the second molar in the multiple adjacent (first and second molar) implant-supported restorations. The group also resulted in the shorter height of buccal supra-implant mucosa rather than that of anterior single implant restorations between natural teeth. CONCLUSION. To achieve a favorable level of buccal gingival margin, greater thickness of buccal supra-implant mucosa is required for the implant restorations without a neighboring natural tooth compared to the implant restorations next to a natural tooth.

A STUDY ON THE BITING FORCE OF ANTERIOR OPENBITE AND NORMAL OCCLUSION ADULTS (정상교합자와 전치부 개방교합자의 교합력에 관한 연구)

  • Kim, Dong-Ho;Lee, Dong-Joo
    • The korean journal of orthodontics
    • /
    • v.25 no.4
    • /
    • pp.487-495
    • /
    • 1995
  • This study was undertaken to compare each maximum biting force and to investigate its relationship with the facial skeketal form, number and position of tooth contact between anterior openbite and normal occlusion adults, using the T-scan system and the lateral cephalogram. The subjects of this study consisted of a group of 25 individuals with normal occlusion and another group of 14 with anterior openbite. The obtained results of this study were as follows : 1. The maximum biting force of anterior openbite adults was less than that of normal occlusion adults. 2. In anterior openbite adults, there were negative correlations between the maximum, biting force and SN/MP, FMA, PP/MP mesurement of lateral cephalogram. 3. In anterior openbite adults, as the mesial angulation of lower first molar against the occlusal plane increased, the more the biting force decreased. 4. In both groups, the greater the number of tooth contact, the more the biting force increased. 5. In both groups, the center of effort for anteroposterior occlusal contact was located on the first molar region.

  • PDF

Ancient schwannoma in oral cavity: a report of two cases (구강의 퇴행성 신경집종: 2예 보고)

  • Kim, Na-Rae;Chung, Dong-Hae;Park, Dae-Song;Kim, Dong-Woo;Lee, Sang-Chil;Kim, Sung-Yong;Lim, Ho-Yong;Yeom, Hak-Yeol;Kim, Hyeon-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.37 no.6
    • /
    • pp.530-534
    • /
    • 2011
  • This paper reports two cases of schwannomas arising from the oral cavity. One is an intraoral ancient schwannoma located at the left cheek, which evolved over a period of 13 years. The tumor was a well-demarcated buccal mass, which was located in the left lower first premolar area, with an obliterated the buccal vestibule, leaving the overlying mucosa intact. The second case was a central intraosseous schwannoma located from the left lower 1st molar periapical area to the left 3rd molar periapical area. Pathologically, the first mass was composed of the spindle shaped tumor cells with wavy nuclei beneath the fibroconnective tissue of the gingiva but second case mass was not. Occasional nuclear pleomorphism was observed but mitosis or necrosis was absent. There were Antoni A and B areas along with strong, diffuse staining with the S-100 protein. Ancient schwannomas were diagnosed. Schwannoma is a slow-growing benign tumor, and an ancient schwannoma that shows cellular atypism is a variant of a schwannoma caused by purely degenerative changes. To date, only limited cases of ancient schwannomas in the oral cavity have been reported.

FRACTURE STRENGTH OF THE IPS EMPRESS CROWN : THE EFFECT OF OCCLUSAL DEPTH AND AXIAL INCLINATION ON LOWER FIRST MOLAR (IPS Empress 도재관의 파절강도: 하악 제1대구치에서 교합면 두께와 축면경사도에 따른 영향)

  • Kim Sung-Hoon;Lee Jin-Han;Kim Yu-Lee;Dong Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.41 no.1
    • /
    • pp.48-60
    • /
    • 2003
  • The purpose of this study was to compare the fracture strength of the IPS Empress ceramic crown according to the occlusal depth (1.5mm, 2.0mm, 2.5mm) and axial inclination ($4^{\circ},\;8^{\circ},\;12^{\circ}$) of the lower First Molar. After 10 metal dies were made for each group, the IPS Empress ceramic crowns were fabricated and cemented with resin cement(Bistite resin cement, Tokuyama Soda Co. LTD., Japan). The cemented crowns were mounted on the testing jig with inclination of 30 degrees and the universal testing machine(Zwick Z020, Zwick, Germany)was used to measure the fracture strength. The results of this study were as follows : 1. The fracture strength of the ceramic crown with 2.5mm depth and $12^{\circ}$ inclination was the highest (1789 N). Crowns of 1.5mm depth and $4^{\circ}$ inclination had the lowest strength (1091 N). 2. There were no significant differences in the fracture strength by axial inclination of the same occlusal depth group. 3. Most fracture lines began at the loading area and extended through proximal surface perpendicular to the margin, irrespective of occlusal depth. Size of fragment was affected by the amount of occlusal reduction.

Fracture load and survival of anatomically representative monolithic lithium disilicate crowns with reduced tooth preparation and ceramic thickness

  • Nawafleh, Noor A;Hatamleh, Muhanad M;Ochsner, Andreas;Mack, Florian
    • The Journal of Advanced Prosthodontics
    • /
    • v.9 no.6
    • /
    • pp.416-422
    • /
    • 2017
  • PURPOSE. To investigate the effect of reducing tooth preparation and ceramic thickness on fracture resistance of lithium disilicate crowns. MATERIALS AND METHODS. Specimen preparation included a standard complete crown preparation of a typodont mandibular left first molar with an occlusal reduction of 2 mm, proximal/axial wall reduction of 1.5 mm, and 1.0 mm deep chamfer (Group A). Another typodont mandibular first molar was prepared with less tooth reduction: 1 mm occlusal and proximal/axial wall reduction and 0.8 mm chamfer (Group B). Twenty crowns were milled from each preparation corresponding to control group (n=5) and conditioned group of simultaneous thermal and mechanical loading in aqueous environment (n=15). All crowns were then loaded until fracture to determine the fracture load. RESULTS. The mean (SD) fracture load values (in Newton) for Group A were 2340 (83) and 2149 (649), and for Group B, 1752 (134) and 1054 (249) without and with fatigue, respectively. Reducing tooth preparation thickness significantly decreased fracture load of the crowns at baseline and after fatigue application. After fatigue, the mean fracture load statistically significantly decreased (P<.001) in Group B; however, it was not affected (P>.05) in Group A. CONCLUSION. Reducing the amount of tooth preparation by 0.5 mm on the occlusal and proximal/axial wall with a 0.8 mm chamfer significantly reduced fracture load of the restoration. Tooth reduction required for lithium disilicate crowns is a crucial factor for a long-term successful application of this all-ceramic system.

Accuracy of inter-arch measurements performed on digital models generated using two types of intraoral scanners: Ex vivo study

  • Yoo, Jo-Kwang;Kang, Yoon-Koo;Lee, Su-Jung;Kim, Seong-Hun;Moon, Cheol-Hyun
    • The Journal of the Korean dental association
    • /
    • v.58 no.4
    • /
    • pp.194-205
    • /
    • 2020
  • Objective: The purpose of this study was to evaluate the accuracy of the inter-arch relationship of digital models generated using two types of intraoral scanners. Methods: In total, 34 plaster model samples were used. Two corresponding digital models were created using two types of intraoral scanners. A total of 15 variables were measured. The plaster model was directly measured using a digital caliper, while the digital models were measured using a software. The accuracy of the measurements was evaluated using repeated measures analysis of variance and the Friedman test. Results: Among the 15 measurements, 6 measurements[Overjet, Overbite, DZ_11-41 (Distance between the gingival zenith of maxillary right central incisor and mandibular right central incisor), DZ_16-46 (Distance between the gingival zenith of maxillary right first molar and mandibular right first molar), DZ_13-33 (Distance between the gingival zenith of maxillary right canine and mandibular left canine), and DZ_23-43 (Distance between the gingival zenith of maxillary left canine and mandibular right canine)]showed statistically significant differences, with DZ_23-43 showing the largest difference of 0.18 mm. The other measurements showed no statistically significant differences. Conclusions: Regardless of the type of scanner used for preparation, digital models can be used as clinically acceptable alternatives to conventional plaster models.

  • PDF

Manufacturing of Copper(II) Oxide Powder for Electroplating from NaClO3 Type Etching Wastes

  • Hong, In Kwon;Lee, Seung Bum;Kim, Sunhoe
    • Journal of Electrochemical Science and Technology
    • /
    • v.11 no.1
    • /
    • pp.60-67
    • /
    • 2020
  • In this study, copper (II) oxide powder for electroplating was prepared by recovering CuCl2 from NaClO3 type etching wastes via recovered non-sintering two step chemical reaction. In case of alkali copper carbonate [mCuCo3·nCu(OH)2], first reaction product, CuCo3 is produced more than Cu(OH)2 when the reaction molar ratio of sodium carbonate is low, since m is larger than n. As the reaction molar ratio of sodium carbonate increased, m is larger than n and Cu(OH)2 was produced more than CuCO3. In the case of m has same values as n, the optimum reaction mole ratio was 1.44 at the reaction temperature of 80℃ based on the theoretical copper content of 57.5 wt. %. The optimum amount of sodium hydroxide was 120 g at 80℃ for production of copper (II) oxide prepared by using basic copper carbonate product of first reaction. At this time, the yield of copper (II) oxide was 96.6 wt.%. Also, the chloride ion concentration was 9.7 mg/L. The properties of produced copper (II) oxide such as mean particle size, dissolution time for sulfuric acid, and repose angle were 19.5 mm, 64 second, and 34.8°, respectively. As a result of the hole filling test, it was found that the copper oxide (II) prepared with 120 g of sodium hydroxide, the optimum amount of basic hydroxide for copper carbonate, has a hole filling of 11.0 mm, which satisfies the general hole filling management range of 15 mm or less.