• 대한소아치과학회지
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• 제32권4호
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• pp.657-661
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• 2005

유치의 치수절단술에 사용되는 약제로는 formocresol, ferric sulfate, 수산화칼슘 등이 있다. 그 중에서 formocresol은 치수조직의 고정능력과 높은 임상적 성공을 보임으로써 아직까지 널리 사용되고 있으나 자체독성이 매우 강하여 영구 계승치 치배의 변위나 결손, 법랑질 형성부전, 전신 흡수로 인한 돌연변이 가능성과 암유발 가능성 역시 보고되고 있다. 최근에는 formocresol의 근관내 적용시 불완전한 임시충전에 의한 미세누출로 주위 치은과 치조골의 괴사를 야기한 보고가 있으며 과잉의 formocresol을 적용하였을 경우에도 치조골의 괴사의 원인이 될 수 있다고 하였다. 본 증례는 개인치과에서 formocresol을 이용한 치수치료를 받은 후 지속되는 동통으로 인해 상악 좌측 제 2유구치를 발거하였으나, 증상이 개선되지 않아 본원에 의뢰되었다. 환아는 8세 남아로 심한 구취 및 계승 영구치 치관 주위로 환형의 치조골 괴사를 보여 부골절제술을 시행하고 1년 7개월간 관찰을 하였을 때 정상적인 치근 성장은 이루어졌으나 결손된 치조골 및 부착치은의 완전한 조직재생 소견은 관찰되지 않았다. Formocresol에 의한 치주조직에 대한 부작용은 비가역적이므로 formocresol의 사용에 있어 적응증 여부를 잘 판단해야 하며, 철저한 임시 가봉에 주의를 기울여야 할 것이다.

• 대한소아치과학회지
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• 제36권3호
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• pp.481-488
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• 2009

1904년 Buckley에 의해 치근관 살균제로 도입된 이후로 1:5로 희석된 formocresol을 사용한 치수절단술이 치아우식에 의한 유치의 비가역적 치수염시에 가장 많이 사용되어 왔다. Formocresol은 치수조직의 높은 고정능력으로 높은 임상적 성공률을 보이고 있으나 자체독성이 매우 강하여 영구 계승치 치배의 변위나 결손, 법랑질 형성 부전, 전신흡수로 인한 돌연변이 가능성과 암유발 가능성 역시 보고되고 있다. 또한 formocresol을 사용한 치수절단술 후에 과사용된 formocresol에 의한 만성적인 염증이 계승 영구치로 확산되어 퇴축법랑상피의 증식을 자극하고 법랑질로부터 퇴축법랑상피를 분리시켜 함치성 낭종을 형성할 수 있음이 보고되고 있다. 본 증례는 3년 전 응급으로 하악 좌측 제 2유구치의 formocresol을 사용한 치수절단술 후 정기 검진을 위해 내원한 환자의 방사선 사진에서 함치성 낭종이 발견되어 낭종 제거와 함께 유치의 발치를 시행했고 발치된 유치에서 formocresol cotton pellet이 제거되지 않은 채로 발견되어 formocresol이 장기간 남아있음으로 인해 낭종을 형성할 수 있음을 보고하는 바이다.

• 대한소아치과학회지
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• 제8권1호
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• pp.55-63
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• 1981

The purpose of this study is to observe the effect of formocresol and glutaraldehyde to tooth germs and periapical tissues after perforation of interradicular portion of pulpal floor and application of physiological saline solution in control groups, formocresol and glutaraldehyde in experimental groups. The following results were obtained 1. In control groups, normal healing processes were seen, and, on the sixteenth day, the epithelization of injured areas was completed. Inflammatory reactions were limited to the injured surface, and the underlying alveolar bone were normal and successive tooth germs were normal. 2. In both formocresol groups and glutaraldehyde groups, tissue reactions were identical. Inflammatory reactions were slightly compared with control groups, but the surface epithelizations were delayed compared with control group. 3. In both formocresol and glutaraldehyde groups, necrosis was seen in superficial tissue of bone marrow, and, at 24th day, center area of bone marrow on the successive tooth germs were losed and replaced with connective tissue, and superficial soft tissue of the injured area was connected with soft tissue on the successive tooth germ. In remaining alveolar bone, osteoclastic reaction was remarkable. 4. In both formocresol and glutaraldehyde groups, there is no injury to the successive tooth germs. 5. In both formocresol and glutaraldehyde groups, periodontal membrane was normal, but the partial resorption of cementum and dentin near the injured area were seen.

• Restorative Dentistry and Endodontics
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• 제6권1호
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• pp.17-25
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• 1980

The purpose of this study was to evaluate the pulpal response against calcium hydroxide and zinc oxide containing various concentration of formocresol (0.1, 0.5, 1, 5, 10, 20 and 30%). The experiment was performed on dog's teeth (75 teeth from 5 dogs: Table 1.) and the teeth were routinly treated in laboratory procedures. Followings are the results obtained through microscopical examination. 1. In zinc oxide group, intlammatory reaction was severe in low concentrated formocresol and the (higher the concentration of formocresol the milder the inflammatory reaction was more evident. 2. In zinc oxide group, inflammatory change was milder at 3 weeks than 1 week, and proliferation of young connective tissue was seen at 3 weeks. 3. In calcium hydroxide group, inflammatory change in relation to the concentration of formocresol was not noticeable. 4. In calcium hydroxide group, repair process with decreased inflammatory reaction and fibrosis, and dentin bridge like layer was found at 3 weeks.

• Restorative Dentistry and Endodontics
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• 제7권1호
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• pp.47-52
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• 1981

The purpose of this study is to determine the antibacterial effect of Dilute Formocresol and Eugenol and Propylene glycol. The experimental drugs are Formocresol in Propylene glycol (5, 10, 20%) and Eugenol in Propylene glycol (50, 75, 100%) and Propylene glycol. The organisms selected for study were Staphylococcus aureus, Pseudomonas aeruginosa, and Bacillus subtilis which are found in infected root canals and are highly resistant to antiseptics. Isolated bacteria were inoculated on blood agar plate and the plates were incubated at $37^{\circ}C$ for 18 hours and the zones of inhibition then measured. The results were as follows ; 1. The antibacterial action of Formocresol was effective even at 5-10 percent and the action increased when higher concentration was used. 2. The antibacterial action of Eugenol was not effective and the action decreased when higher concentration was used. 3. Propylene glycol itself possessed some antibacterial properties and showed that the antibacterial action of Propylene glycol might be almost the same as that of Eugenol. 4. Among the experimental organisms, Pseudomonas aeruginosa was found to be the most resistant to all the experimental drugs.

• Restorative Dentistry and Endodontics
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• 제12권2호
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• pp.27-32
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• 1987

After a vital pulpotomy in human permanent teeth, the responses of the remaining pulp tissue under formocresol was studied histologically. The class I cavity was prepared on the teeth and the pulp was amputated. Formocresol was placed over the amputated tissue and the cavity was sealed with zinc phosphate cement and amalgam. The teeth were extracted after 1, and 3 weeks following the operation and were decalcified, sectioned and stained with hematoxylin and losin. Microscopic examination reveals as follows; I. Healing of the pulp at the amputated site did not occur in the pulps treated with formocresol. 2. At one week the pulps were normal except only slight inflammatory reaction. 3. At three weeks, the pulps showed the most serious inflammation, bleeding and necrotic state.

• 대한소아치과학회지
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• 제8권1호
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• pp.37-46
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• 1981

This study was undertaken to evaluate the pulpal responses to the pulp-capping materials such as glutaraldehyde and formocresol in pulpotomy technique, especially in the primary dentition. Mandibular primary canines and molars of 5 dogs (aged about 8-9 weeks)were selected for this study. The intervals of observation for histologic study of pulpotomized primary teeth with 2% glutaraldehyde, formocresol and calcium hydroxide in the usual manner ranged from 2 hours, 1 week, 2 weeks, 3 weeks and 5 weeks after experiments respectively. Each specimens were fixed with 10% formalin and decalcified in 5% nitric acid. All slides were stained with Hematorylin-Eosin and examined histopathologically. The results were as follows; 1. In calcium hydroxide groups, formation of dentin bridge was initiated in 1 week after experiments and completed in 5 weeks after experiments. 2. Formation of dentin bridge was not seen, whereas necrosis of pulp tissue was noted, in formocresol and glutaraldehyde groups. 3. Duration of tissue reactions and tissue changes were similar, in formocresol and glutaraldehyde groups. 4. In formocresol and glutaraldehyde groups, amputation surfaces of the pulp were covered with blood clots, beneath which coagulation necrois was noted, but inflammatory cells were not prominent, in 2 hours and 1 week after experiments. But coagulation necrosis was proceeded to the apical portion, accompanied by infiltration of inflammatory cells, since 2 weeks after experiments. And suppuration or gangrene of the pulp tissue were noted in 3 weeks and 5 weeks groups. 5. Suppuration or gangrene of pulp seemed to provoke the resorption of dentin wall, and inflammatory changes and resorption of roots were noted in the periodontal membrane near the periapical region. 6. As compared with calcium hydroxide groups, resorption of the root was pronounced in form or cresol and glutaraldehyde groups. Effects of medicaments to the succedaneous tooth germ were not seen.

• Restorative Dentistry and Endodontics
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• 제3권1호
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• pp.17-21
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• 1977

After a vital pulpotomy in dogs' teeth, the responses of the remaining pulp tissue under calcium hydroxide and formocresol were studied histologically. The class I and V cavities were prepared on the teeth and the pulp was amputated. Calcium hydroxide and formocresol were placed over the amputated tissue and the cavities were sealed with zine oxide eugenol cement and zinc phosphate cement. Animals. were sacrifice after 1, 2, and 3 weeks following the operation. The teeth were decalcfied, sectioned and stained with hematoxylin and eosin. Microscopic examination reveals as follows; 1. Healing of the pulp at the amputation site did not occur in the pulps treated with formocresol. 2. At one week, a thin layer of darker staining tissues just below the necrotic zone was presented in the pulps treated with formocresol. In this stage the tissues beneath the darker staining layer were normal. 3. At two weeks, the cells of the palest staining layer were showed indistinct nucleus which suggested the karyolysis and the karyorrhexis in the pulps treated with formocoresol. As reached to the middle third of the pulp, the odontoblasts were scarcely evident or missed in this stage. 4. At three weeks, the necrotic zone was reached to the middle third of the pulp canal. The cells beneath the zone showed massive infiltration of inflammatory cells in the pulps treated with formocresol. 5. Dentin bridge in the control group was deposited below the necrotic zone from the two. weeks later. 6. Normal tissues were observed ill the apical third of all. the dental pulps in all case of calcium hydroxide and formocresol.

• Restorative Dentistry and Endodontics
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• 제1권1호
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• pp.43-49
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• 1975

This study was divided into two parts. In the first experiment, the in vitro antimicrobial effect was tested in order to evaluate the effect of vapors, and the effectiveness of the nonspecific endodontic medicaments (formocresol, camphorated parachlorophenol and eugenol). In the second experiment, the intracanal effect was tested in vitro under simulated clinical condition. The actual bactericidal effect of the nonspecific endodontic medicaments (formocresol, camphorated parachlorophenol and eugenol) was quantitated. The results were obtained as follows: 1. The zone of inhibition was appeared on the vapors of formocresol only, however there were no zone of inhibition appeared on the vapors of camphorated parachlorophenol and eugenol. 2. Formocresol produced the widest zone of inhibition and eugenol, the next and camphorated parachlorophenol, the narrowest. 3. All of the tested medicaments were vaporized in the root canal. They proved to be the effective antimicrobial activity in the root canal. 4. All of the tested medicaments were showed more bactericidal effect at 72 hours than 48 hours. 5. In comparing with the bactericidal effect of the tested medicaments in the root canal, formocresol was showed the most bactericidal medicament, camphorated parachlorophenol was showed the least. 6. Complete sterilization of the root canal was not achieved in any medicaments applied in this study.

• Restorative Dentistry and Endodontics
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• 제12권1호
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• pp.25-37
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• 1986

This study was undertaken to measure the diffusibility and antimicrobial effectiveness of the medication used in clinical practice. To study the diffusibility of the root canal medicament, loss of formocresol and camphorated phenol from a cotton pellet after insertion into the pulp chamber of 260 molars prepared as routine endodontic treatment was measured. Measurement was done for the one time insertions and for the reinsertions using ultraviolet spectrophotometer. Antibacterial effectiveness against three microoganisms, Staphylococcus aureus, Staphylococcus epidermidis and a-hemolytic streptococcus, on the blood agar plate was observed by measurement of the inhibition zone with. various amount of medicaments. The following results were observed. 1. Nearly all of the medication were lost in the first day after insertion and the residual amount of camphorated phenol was greater than that of formocresol. 2. Residual amounts of medication in the reinsertion group were greater than that of the one time insertion group. 3. Within the pulp chamber diffusibility of formocresol was greater than that of camphorated phenol. 4. The amount of formocresol diffusing out from the tooth was greater than that of camphorated phenol. 5. Antibacterial effectiveness was observed from the residual amount of formocresol in the reinsertion group and in other groups no antibacterial effectiveness was observed.