• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.35 no.2
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• pp.112-119
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• 2009

Extracellular matrix(ECM) is known to function as a reservoir of endogenous growth factors, can be an effective delivery system of growth factor that easily lost bioactivity in solution. Fibrillar collagens like type I collagen, are the major constituent of the ECM and structural protein of bone. Also, it can be a scaffold for osteoblast migration. The purpose of this study was to compare the effects of absorbable Atelo-collagen Sponge($Teruplug^{(R)}$) insertion in tooth extraction sites on periodontal healing of the mandibular second molar after the extraction of the impacted third molar. The study population comprised 31 cases who had been scheduled for surgical removal of impacted mandibular third molars. All patients were in good general health and were not using any medication that would influence wound healing after surgery. In 15 cases control group, none was inserted into the tooth extraction site. In 16 cases experimental groups, $Teruplug^{(R)}$ was inserted into the tooth extraction site. We evaluated tooth mobility, pocket depth, gingival margin level preoperatively and 1 week, 2 weeks, 4 weeks, and 3 months postoperatively. The change was compared with two groups using Mann-Whitney test. The results were as follows. 1. There was no significant change of tooth mobility on both groups. 2. There was tendency of decreasing of previous pocket depth causing tooth extraction on both groups. 3. On gingival margin level, there was various change according to initial swelling and loss of attachment on both groups. 4. There was tendency of decreasing of gingival margin level on both groups because of removal of inflammation and decreasing of previous pocket depth. 5. There was large change of pocket depth on buccal middle, distal, lingual distal area because of tooth extraction and bone reduction. Compared with the control group and experimental group, we observed significant difference during some periods. The results of this study suggest that absorbable atelo-collagen sponge($Teruplug^{(R)}$) is relatively favorable bone void filler with prevention of tissue collapse, food packing and enhance periodontal healing.

• Journal of Periodontal and Implant Science
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• v.31 no.3
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• pp.641-649
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• 2001

The aim of present study was to assess the thickness of masticatory mucosa on the hard palate and tuberosity as a potential donor site for mucogingival surgery. Thickness measurement was performed in 30 dental college students who are periodontally healthy, with a recently developed, ultrasonic device(SDM). The mean age of study subjects was 23.7(range 21-29) years old and the subjects were composed of 18 males and 12 females. Eighteen standard measurement points were defined on the hard palate, located on 3 lines which ran at different distances parallel to the gingival margin. Six positions were designated on each of these 3 lines between the level of the canine and the second molar. On the tuberosity, 6 standard measurement points were defined, located on 2 lines running parallel to the gingival margin at different distances. Data were analyzed to determine differences in gender, between different positions, and between lines, by an analysis of variance. The results showed that the mucosa of the tuberosity was significantly thicker than that of the hard palate region. Gender did not influence the thickness of masticatory mucosa, either on the hard palate or the tuberosity. On the hard palate, mucosa thickness increased as the distance from the marginal gingiva increased. The mucosa over the palatal root of the maxillary first molar was significantly thinner than that at all other positions on the hard palate. Measurement error at palate was 0.25mm, at tuberosity 0.51mm. No difference in the thickness of masticatory mucosa on palate and tuberosity was found between men and women. On the hard palate, soft tissue thickness progressively increased in sites further from the gingival margin. Therefore, we may harvest more thicker graft on the tuberosity that has more masticatory mucosa thickness than hard palate, however the width may not be sufficient for using.

• Restorative Dentistry and Endodontics
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• v.20 no.1
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• pp.214-234
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• 1995

The purpose of this work was to study the compatibility of several commercially available dentin adhesives with composite resins. In this study, V-shaped cavity preparations were created on both buccal and lingual surfaces of 60 extracted human premolars($3mm{\times}3mm{\times}2mm$ deep). Preparations were located such that the occlusal margins were on the enamel and the gingival margins were on the cementum(1mm below the CEJ). These specimens were randomly divided into three equal groups. Three dentin adhesives(Scotchbond Multi-Purpose, All Bond 2, Prisma Universal Bond 3)were applied to the cavity in accordance with each manufacturer's instructions. The teeth in each group were restored with four composite resins(Silux plus, Z100, Bisfil, Prisma TPH) in three increments, with each increment light-cured for 40 seconds. All specimens were exposed to 500 cycles of thermal stress. Specimens then placed in a silver nitrate solution(50% by weight) and stored in darkness for 24 hours. They were then immersed for 6 hours in photographic developing solution under flourescent light. Specimens were sectioned buccolingually through the center of the restoration and observed under a binocular stereoscope. To compare the marginal leakage, ANOVA and Dunkan's multiple range tests were used in analysis. Selected samples were further studied using scanning electron microscopy(XL20, Philips, The Netherlands). The results were as follows. 1. In all groups, the enamel margin showed significantly less leakage than the cementum margin. 2. No statistically significant differences were found in microleakage when composite resins were used with their proprietary dentin adhesives. 3. In comparison between dentin adhesives, Prisma Universal Bond 3 showed significantly less leakage at the enamel margin and Scotch bond multi-purpose showed significantly less leakage at the cementum margin than the other groups. 4. In comparison between composite resins, Silux Plus showed significantly more leakage than other groups at the enamel margin and no statistically significant differences were found in microleakage at the cementum margin. 5. According to the backscattered scanning electron microscope, microleakage occurred via gaps at the dentin adhesives/dentin interface.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.11 no.2
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• pp.33-36
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• 2002

As patients have concerned the esthetics of dental restorations, the porcelain fused to metal restorations have gain their popularity due to their strength and esthetic appearance for many years. However, metal collar in subgingival level of porcelain fused to metal restoration often causes black shadows. Inadequately positioned metal collar causes plaque depositions, gingival inflammations, black shadows, and discolorations of margin area. Those problems can be avoided by a clear finishing line, well-fabricated provisional restorations with precise margin and fine polishing, collarless porcelain fused to metal restoration, and all ceramic restoration. In this case report, collarless porcelain fused to metal restoration was used to treat cervical discoloration from old restorations.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.11 no.2
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• pp.9-13
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• 2002

In the last decade, the replacement of old PFM restorations has been a common dental procedure, especially on the anterior regions. Gingiva conditions in most re-treatment cases are not healthy with the old restorations due to ill-fitting margin, improper tooth reduction and poor oral hygiene. Practitioners must carefully evaluate and manage periabutmental gingiva for final restorations. The role of provisional restoration became a major clinical concern at this point. Well-fabricated provisional restorations with precise-fit margin and proper anatomy are critical for achieving good gingival health. Thus, the key of success in replacing old PFM crown depends on the proper tissue management by precise provisional restorations.

• The Journal of the Korean dental association
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• v.9 no.6
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• pp.293-296
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• 1971

Histochemical observations on the effect of gold alloys crown margin in the periodontal membrane were caried out by use of rabbits. The animal were setted with gold alloys crown on the incisor teeth. The cervical margins were given extence into gingival sockets. The animals were sacrificed at the 30 days experimented period. Specimens of tissue were obtained from the mandibular incisor teeth with jaw. All tissues were fixed immediately in 10% neutral formalin solution. Different histochemical staining methods for the determination of fibrous components were the Mallory-Heidenhain Bielschowsky-Gomori, Gomori's aldehyde fuchsin. Periodic acid-Schiff reaction and Hematoxylin eosin stanin method. The results were as follows. The periodontal membrane is composed primarily of collagenous fibers and fibrous component run functional arrangement but in lower gold content groups, horizontal fiber groups were irregularly run. Elastic fibers were obligue run in experimental groups. There were no significant differences in reticularfibers in distribution.

• Proceedings of the KACD Conference
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• 2003.11a
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• pp.614-614
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• 2003

I. Objectives The purpose of this study was to compare the marginal microleakage of Prompt L-Pop, AQ Bond, One-Up Bond F, Futurabond, and Xeno III in Class V cavity. II. Materials and Methods One hundred Class V direct resin restorations were placed in the buccal and lingual surfaces of 50 extracted human molars. Each cavity had occlusal margin in enamel and gingival margin in dentin. Teeth were randomly divided into five groups and restored using one of the single step adhesives and composite resins.(omitted)

• Restorative Dentistry and Endodontics
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• v.16 no.2
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• pp.43-61
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• 1991

Present - day inlay casting procedures have been developed for more than 100 years and experimentation has focused on the perfect adaptation to the cavity preparation. Marginal adaptation is considered to be an important indicator of the acceptability of the cast restotration, especially on the gingival margin. The purpose of this study was to evaluate the effects of a dissecting microscope and burnishing on vertical discrepancies, horizontal discrepancies, and cement thicknesson master die. Extracted premolars were prepared for class II gold inlays and master dies were made with conventional techniques. The experiments consisted of 4 groups. Group 1 : unaided eye, no burnishing on master die. Group 2 : unaided eye, burnishing on master die. Group 3 : microscope, no burnishing on master die. Group 4 : microscope, burnishing on master die. Cemented inlays were embedded in the hard resin and sectioned with microcutter through the gingival margins. The sectioned surfaces were polished with emery paper and finally with aluminum oxide powders. The results of the experiments were measured for vertical discrepancies, horizontal discrepancied and cement thickness under the scanning electron microscpe at the beveled gingival margin. The results of the study were summarized as follows. 1. Group 1 showed the vertical discrepancies of $81.6{\mu}m({\pm}48.6{\mu}m)$, horizontal discrepancies of $60.1{\mu}m({\pm}41.1{\mu}m)$, and cement thickness of $59.6{\mu}m({\pm}24.6{\mu}m)$. 2. Group 2 showed the vertical discrepancies of $78.6{\mu}m({\pm}30.9{\mu}m)$, horizontal discrepancies of $36.9{\mu}m({\pm}20.7{\mu}m)$, and cement thickness of $54.0{\mu}m({\pm}21.6{\mu}m)$. 3. Group 3 showed the vertical discrepancies of $57.5{\mu}m({\pm}26.4{\mu}m)$, horizontal discrepancies of $28.4{\mu}m({\pm}17.5{\mu}m)$, and cement thickness of $37.2{\mu}m({\pm}17.4{\mu}m)$. 4. Group 4 showed the vertical discrepancies of $56.7{\mu}m({\pm}35.0{\mu}m)$, horizontal discrepancies of $31.8{\mu}m({\pm}24.2{\mu}m)$, and cement thickness of $45.6{\mu}m({\pm}19.8{\mu}m)$. 5. Vertical discrepancies were not significantly different at any groups(p>.050). 6. Microscope groups(Group 3, 4) showed significantly improved horizontal marginal adaptation (p<.050). 7. Although cement thickness showed the subset of Group 3. 4, 2 and Group 4, 2, 1. Group 3 showed significantly smaller thickness than Group l(p<.050). 8. Finishing and polishing by means of a microscope produced significantly smaller discrepancies than doing so with the unaided eye(p<.050).

• Restorative Dentistry and Endodontics
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• v.26 no.1
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• pp.16-22
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• 2001

The purpose of this study was to evaluate the marginal microleakage of condensable composite resin restorations according to flowable resin lining of internal cavity wall. The eighty extracted human molar teeth without caries and/or restorations are used The experimental teeth were randomly assigned into four groups of ten teeth each. Eighty caries-free extracted human molars were used in this study. The conventional class II cavities (box-shaped on mesial and distal surface, faciolingual width : 3mm, gingival wall depth : 1.5mm) were prepared 1mm below cementoenamel junction with a # 701 carbide bur. The teeth were divided into four groups, and then each group were subdivided into A & B group according to flowable resin & compomer lining ; Group 1-A : Tetric Ceram filling, Group 1-B : Tetric Flow lining and Tetric Ceram filling, Group 2-A Ariston pHc filling, Group 2-B : Tetric Flow lining and Ariston pHc filing, Group 3-A SureFil filling, Group 3-B : Dyract Flow lining and SureFil filling, Group 4-A : Pyramid filling, Group 4-B : Aeliteflo lining and Pyramid filling. To simulate as closely as possible the clinical situation during retoration placement, a "restoration template" was fabricated, and the condensable resin was filled using a three-sited light-curing incremental technique. All the materials used were applied according to the manufacturers' instructions. The specimens were stored in the 100% humidity for 7 days prior to thermocycling (100 thermal cycles of 5~55$^{\circ}C$ water with a 30-second dwell time) The specimens were immersed in 2% metyleneblue dye for 24 hours, and then embedded in transparent acrylic resin and sectioned mesiodistally with diamond wheel saw. The degree of marginal leakage was scored under stereomicroscope ($\times$20) and the data were analyzed by Kruskal-Wallis test and Wilcoxon signed ranks test. The results were as follows : 1. In the gingival margins of all the group, microleakage of subgroup B was less than subgroup A. 2. In the group 1, 2, 4, there was significant differences between subgroup A and B (p<0.05), but in the group 3, there was not significant different between group 3-A (SureFil) and group 3-B (Dyract flow/SureFil) (p>0.05). 3. In the subgroup A and B, there was significant different between all group except group 4 of subgroup A. From the results above, it was suggested that the cavity lining of flowable resin and flowable compomer in condensable resin restoration decrease microleakage at gingival margin, and does improve their ability to seal the gingival margin of class II preparation.

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.575-575
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• 2001

The purpose of this study is to investigate the influence of flowable composite lining on microleakage at gingival dentin margin in Class II composite restoration. Sixty extracted human molars were prepared as box-only Class II form on the mesial and distal surfaces. The prepared cavities were randomly assigned to six groups.(omitted)