• Title/Summary/Keyword: Four canals

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A COMPARATIVE STUDY OF THE CANAL CONFIGURATION AFTER SHAPING BY PROTAPER ROTARY AND HAND FILES IN RESIN SIMULATED CANALS (레진모형근관에서 엔진구동형 및 수동형 ProTaper 파일로 근관성형 후 근관형태 변화에 대한 비교연구)

  • Yang, In-Seok;Kang, In-Chol;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann
    • Restorative Dentistry and Endodontics
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    • v.30 no.5
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    • pp.393-401
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    • 2005
  • The purpose of this study was to compare the canal configuration after shaping by ProTaper rotary files and ProTaper hand files in resin simulated canals. Forty resin simulated canals with a curvature of J-shape and S-shape were divided into four groups by 10 blocks each Simulated root canals in resin block were prepared by ProTaper rotary files and ProTaper hand files using a crown-down pressureless technique All simulated canals were prepared up to size $\#25$ file at end-point of preparation. Pre- and post-instrumentation images were recorded with color scanner. Assessment of canal shape was completed with an image analysis program. Measurements were made at 0, 1, 2, 3, 4, 5, 6 and 7 mm from the apex. At each level, outer canal width, inner canal width, total canal width, and amount of transportation from original axis were recorded. Instrumentation time was recorded. The data were analyzed statistically using independent t-test. The result was that ProTaper hand files cause significantly less canal transportation from original axis of canal body and maintain original canal configuration better than ProTaper rotary files, however ProTaper hand files take more shaping time.

Assessment of endodontically treated teeth by using different radiographic methods: an ex vivo comparison between CBCT and other radiographic techniques

  • Demiralp, Kemal Ozgur;Kamburoglu, Kivanc;Gungor, Kahraman;Yuksel, Selcen;Demiralp, Gokcen;Ucok, Ozlem
    • Imaging Science in Dentistry
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    • v.42 no.3
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    • pp.129-137
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    • 2012
  • Purpose: To compare different radiographic methods for assessing endodontically treated teeth. Materials and Methods: Root canal treatments were applied in 120 extracted mandibular teeth, which were divided into four groups: (1) ideal root canal treatment (60 teeth), (2) insufficient lateral condensation (20 teeth), (3) root canals filled short of the apex (20 teeth), (4) overfilled root canal treatment (20 teeth). The teeth were imaged using intraoral film, panoramic film, digital intraoral systems (CCD and PSP), CCD obtained with portable X-ray source, digital panoramic, and CBCT images obtained at 0.3 $mm^3$ and 0.2 $mm^3$ voxel size. Images were evaluated separately by three observers, twice. Kappa coefficients were calculated. The percentage of correct readings obtained from each modality was calculated and compared using a t-test (p<0.05). Results: The intra-observer kappa for each observer ranged between 0.327 and 0.849. The inter-observer kappa for each observer for both readings ranged between 0.312 and 0.749. For the ideal root canal treatment group, CBCT with 0.2 $mm^3$ voxel images revealed the best results. For insufficient lateral condensation, the best readings were found with periapical film followed by CCD and PSP. The assessment of teeth with root canals filled short of the apex showed the highest percentage of correct readings by CBCT and CCD. For the overfilled canal treatment group, PSP images and conventional periapical film radiographs had the best scores. Conclusion: CBCT was found to be successful in the assessment of teeth with ideal root canal treatment and teeth with canals filled short of the apex.

POLYMERASE CHAIN REACTION AND RESTRICTION FRAGMENT LENGTH POLYMORPHISM OF 16S RIBOSOMAL DNA OF STREPTOCOCCI ISOLATED FROM INFECTED ROOT CANALS (감염 근관에서 분리된 연쇄구균의 16S Ribosomal DNA 중합효소 연쇄반응과 제한효소 절단길이 다형성에 관한 연구)

  • Jung, Hee-Il;Im, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.577-609
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    • 1995
  • Bacteria have been regarded as one of the most important factors in pulpal and periapical diseases. Streptococci are frequently isolated facultative anaerobes in infected root canals. Recently molecular biological techniques have been rapidly progressed. This study was designed to apply the molecular biological tools to the identification and classification of streptococci in the endodontic microbiology. Streptococci isolated from infected root canals were identified with both Vitek Systems and API 20 STREP. Identification results were somewhat different in several strains of streptococci. Eighteen streptococci and enterococcal was difficult so to digest plasmid DNA using Hind III and EcoRI to differentiate strains by restriction enzyme analysis of plasmid DNA. 16S rDNA of chromosome was amplified by polymerase chain reaction(PCR) and then restricition fragment length polymorphism(RFLP) using several restriction enzymes was observed. The molecular mass of 16S rDNA of chromosomal DNA was approximately 1.4kb. There were three to five RFLP patterns using eight restriction enzymes. RFLP patterns digested with CfoI which recognizes four base sequences were identical in all stains. Hind III which recognizes six base sequences could not digest the 16S rDNA. Restriction enzymes which recognize five base sequences were suitable for RFLP pattern analysis. At least three different restriction enzymes were needed to compare each strains. 16S rDNA PCR-RFLP was simple and rapid to differentiate and classify strains and could be used in the epidemiological study of root canal infections.

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Endodontic treatment of a continuous C-shaped maxillary first molar with independent four canals identified by using cone-beam computed tomography

  • Ahn, Hye-ra
    • The Journal of the Korean dental association
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    • v.54 no.2
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    • pp.142-148
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    • 2016
  • 본 연구의 목적은 특이한 C형 치근과 근관을 가지고 있는 상악 제 1대구치의 근관치료 증례를 콘빔단층촬영을 사용하여 진단 및 치료하였음을 보고하는 것이다. 본 증례에서는 특이적인 해부학적 근관 형태가 콘빔단층촬영을 사용하여 확인되었으며 비외과적 근관치료가 시행되었다. 촬영한 영상에서 모든 치근이 C 형태로 융합되어 있으며 독립적인 4개의 근관을 포함하고 있음이 관찰되었다. C형 근관계의 복잡성을 고려할 때 콘빔단층촬영이 적절한 근관계의 확인과 의원성 손상을 예방하기 위해 유용한 보조적 방법인 것으로 보여진다.

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The location of the mandibular canal in prognathic patients compared to subjects with normal occlusion

  • Jung, Yun-Hoa;Nah, Kyung-Soo;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.37 no.4
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    • pp.217-220
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    • 2007
  • Purpose: The purpose of this study was to compare the location of the mandibular canal in Class III malocclusion to its location in normal occlusion for adults. Materials and Methods: For this study 32 skeletal Class III patients and 26 normal patients were observed. Four measurements were taken on cross sectional tomography between the first and second molars: the distance from the mandibular canal to the inner surface of both the buccal and lingual cortices, the distance from the mandibular canal to the inferior border of the mandible, and the buccolingual width of the mandible. The buccolingual location of the canals was classified as lingual, central, or buccal. Each measurement was analyzed with an independent t test to compare Class III malocclusion to normal occlusion. Results: Compared to the control group, the prognathic group had a shorter distance from the canal to the inner surface of the lingual cortex and to the base of the mandible. A higher percentage of the canals were located lingually in the prognathic group. Conclusion: This study showed that the mandibular canal was located more lingually and inferiorly in prognathic patients than in patients with normal occlusion. These results could help surgeons to reduce injuries to the inferior alveolar nerve.

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TREATMENT FOR BILATERAL PERIAPICAL PATHOLOGIC INVOLVEMENT IN PREMOLARS DUE TO DENS EVAGINATUS (소구치(小臼齒) 개재결절(介在結節)로 인(因)한 양측성(兩側性) 치근단병소(齒根端病巢)의 처치예(處置例))

  • Kwon, Hyuk-Choon;Han, Soo-Boo;Bae, Kwang-Shik
    • Restorative Dentistry and Endodontics
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    • v.7 no.1
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    • pp.41-45
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    • 1981
  • A 19-year-old Korean woman presented with left mandibular dental pain and swelling. Periapical radiolucencies were associated with the mandibular left first molar, second molar and the mandibular right second molar. The mandibular right second molar root developed incompletely and has the open apex. Clinical examination revealed worn accessory occlusal cusps of premolars. A diagnosis of dens evaginatus with associated periapical lesion secondary to pulpal necrosis was made. The root canal of the lower right second premolar was sealed with Calcium hydroxide paste for apexification. About two months later Calcium hydroxide paste was removed and the canal was resealed with new Calcium hydroxide paste. After four months the canal was sealed permanently with guttapercha and zinc oxide-eugenol sealer. The root canals of the lower left premolars were irrigated every week with 3.5% NaOCl solution for and half month. And the canals were sealed with gutta-percha and ZOE sealer. Preventive endodontic treatment for the lower right first premolar was undertaken.

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Use of cone-beam computed tomography and three-dimensional modeling for assessment of anomalous pulp canal configuration: a case report

  • Sinanoglu, Alper;Helvacioglu-Yigit, Dilek;Mutlu, Ibrahim
    • Restorative Dentistry and Endodontics
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    • v.40 no.2
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    • pp.161-165
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    • 2015
  • Three-dimensional (3D) reconstruction of cone-beam computed tomography (CBCT) scans appears to be a valuable method for assessing pulp canal configuration. The aim of this report is to describe endodontic treatment of a mandibular second premolar with aberrant pulp canal morphology detected by CBCT and confirmed by 3D modeling. An accessory canal was suspected during endodontic treatment of the mandibular left second premolar in a 21 year old woman with a chief complaint of pulsating pain. Axial cross-sectional CBCT scans revealed that the pulp canal divided into mesiobuccal, lingual, and buccal canals in the middle third and ended as four separate foramina. 3D modeling confirmed the anomalous configuration of the fused root with a deep lingual groove. Endodontic treatment of the tooth was completed in two appointments. The root canals were obturated using lateral compaction of gutta-percha and root canal sealer. The tooth remained asymptomatic and did not develop periapical pathology until 12 months postoperatively. CBCT and 3D modeling enable preoperative evaluation of aberrant root canal systems and facilitate endodontic treatment.

Estimating the rating curve of irrigation canals in the Cheongju Sindae area

  • Mikyoung Choi;Inhyeok Song;Heesung Lim;Hansol Kang;Hyunuk An
    • Korean Journal of Agricultural Science
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    • v.51 no.1
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    • pp.79-86
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    • 2024
  • As the frequency and intensity of heavy rains increase, the vulnerability of agriculture to disasters also increases. Consequently, there is a need to improve flood and inundation predictions. To enhance the accuracy of inundation predictions, it is essential to monitor water level and discharge data within agricultural areas. This study was conducted to monitor water levels and rainfall in the Cheongju Sindae area from 2022 to 2023, and the data was utilized as input and validation data for agricultural inundation modeling. Four irrigation drainage canals were installed to a square-shaped concrete structure where the water level gauge is. It was then confirmed that the water level rises with rainfall. The flow velocities were monitored during periods of heavy rainfall. The rating curve, which estimates water level and flow velocity based on observations, was estimated using the software K-HQ. The resulting curve was presented with the Coefficient of Determination (R2). K-HQ was also used to calculate the equation for the rating curve, taking outliers into account at each data point. Outliers were extracted and the rating curve was recalculated. As the coefficient of determination of three out of four stations exceeded 0.95, the estimated rating curve may be considered reliable for discharge estimation. This study provides critical data for enhancing agricultural inundation modeling accuracy and drainage improvement projects.

Shaping Ability of Four Rotary Nickel-Titanium Instruments to Prepare Root Canal at Danger Zone (네 가지 전동 Ni-Ti 파일의 danger zone에서의 근관성형력)

  • Choi, Seok-Dong;Jin, Myoung-Uk;Kim, Ki-Ok;Kim, Sung-Kyo
    • Restorative Dentistry and Endodontics
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    • v.29 no.5
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    • pp.446-453
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    • 2004
  • The aim of this study was to evaluate the shaping abilities of four different rotary nickel-titanium instruments with anticurvature motion to prepare root canal at danger zone by measuring the change of dentin thickness in order to have techniques of safe preparation of canals with nickel-titanium files. Mesiobuccal and mesiolingual canals of forty mesial roots of extracted human lower molars were instrumented using the crown-down technique with ProFile, $GT^{TM}$ Rotary file, Quantec file and $ProTaper^{TM}$. In each root, one canal was prepared with a straight up-and-down motion and the other canal was with an anticurvature motion. Canals were instrumented until apical foramens were up to size of 30 by one operator. The muffle system was used to evaluate the root canal preparation. After superimposing the pre- and post-instrumentation canal. change in root dentin thickness was measured at the inner and outer sides of the canal at 1. 3, and 5 mm levels from the furcation. Data were analyzed using two-way ANOVA. Root dentin thickness at danger zone was significantly thinner than that at safe zone at all levels (p < 0.05). There was no significant difference in the change of root dentin thickness between the straight up-and-down and the anticurvature motions at both danger and safe zones in all groups (p > 0.05). ProTaper removed significantly more dentin than other files especially at furcal 3 mm level of danger and safe zones (p < 0.05) Therefore, it was concluded that anticurvature motion with nickel-titanium rotary instruments does not seem to be effective in danger zone of lower molars.

A COMPARISON OF MASTER APICAL FILE SIZE ACCORDING TO INSTRUMENTATION IN TYPE II ROOT CANAL (제2형 근관의 확대에 따른 최종근관장파일 크기의 비교)

  • Jeong, Eun-Ju;Lee, Dong-Kyun;Baek, Shin-Young;Hwang, Ho-Keel
    • Restorative Dentistry and Endodontics
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    • v.33 no.5
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    • pp.435-442
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    • 2008
  • Type II root canal was defined that two canals leave the chamber and merge to form a single canal at short of the apex. The aim of this study was to analyse the master apical file (MAF) size according to various instrumentation techniques in the type II root canal when each canal was enlarged to working length. Eighty mesial roots of molar with ISO #15 initial apical file (IAF) size in type II root canals were randomly divided into four experimental groups with 20 teeth each. According to enlarging instruments, four groups are: K-$FLEXOFILE^{(R)}$ (KF), engine-driven Ni-Ti $P_{RO}T_{APER}{^{(R)}}$ (PT), HERO $Shaper^{(R)}$ (HS), $K^{3\;TM}$ (K3). All canals were enlarged to each working length with ISO #30 size: #30 in KF, F3 in PT, .04/30 in HS, and .06/30 in K3. The master apical file (MAF) size was confirmed by tactile sensation and universal test- ing machine (EZ test, Shimadzu Co., Kyoto, Japan). The mean MAF size was statistically compared using one-way ANOVA and Tukey HSD test at the 0.05 probability level. These results show that the MAF size was appeared one or two sizes larger than the final enlarging instrument when all canal in type II configuration were enlarged to each working length. Therefore, the clinician have to confirm the apical stop once more after instrumentation of type II root canal.