• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.176-181
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• 2016

Objectives: This study aimed to compare two nickel-titanium systems (rotary vs. reciprocating) for their acceptance by undergraduate students who experienced nickel-titanium (NiTi) instruments for the first time. Materials and Methods: Eighty-one sophomore dental students were first taught on manual root canal preparation with stainless-steel files. After that, they were instructed on the use of ProTaper Universal system (PTU, Dentsply Maillefer), then the WaveOne (WO, Dentsply Maillefer). They practiced with each system on 2 extracted molars, before using those files to shape the buccal or mesial canals of additional first molars. A questionnaire was completed after using each file system, seeking students' perception about 'Ease of use', 'Flexibility', 'Cutting-efficiency', 'Screwing-effect', 'Feeling-safety', and 'Instrumentation-time' of the NiTi files, relative to stainless-steel instrumentation, on a 5-point Likert-type scale. They were also requested to indicate their preference between the two systems. Data was compared between groups using t-test, and with Chi-square test for correlation of each perception value with the preferred choice (p = 0.05). Results: Among the 81 students, 55 indicated their preferred file system as WO and 22 as PTU. All scores were greater than 4 (better) for both systems, compared with stainless-steel files, except for 'Screwing-effect' for PTU. The scores for WO in the categories of 'Flexibility', 'Screwing-effect', and 'Feeling-safety' were significantly higher scores than those of PTU. A significant association between the 'Screwing-effect' and students' preference for WO was observed. Conclusions: Novice operators preferred nickel-titanium instruments to stainless-steel, and majority of them opted for reciprocating file instead of continuous rotating system.

• 치위생과학회지
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• 제7권4호
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• pp.207-211
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• 2007

많은 연구에서 대구치의 백악법랑 경계부에 나타나는 법랑돌기의 발현이 치주질환과 밀접한 연관성을 보인다고 하였다. 이 연구는 서울대학교 치과병원에 내원한 환자에서 발거된 치아 660개 중 법랑돌기의 관찰이 가능하고, 제 1, 2대구치의 구별이 가능한 530개의 치아를 대상으로 치면별, 치아별 법랑돌기의 발현빈도를 알아보고자 시행하였다. 법랑돌기의 관찰이 용이하도록 깨끗이 세정한 후, 8배 전자확대경을 이용하여 상, 하악 제 1, 2대구치의 협면, 근심면, 원심면, 설면(구개면)에 나타나는 법랑돌기를 조사하였다. 법랑돌기의 발현빈도는 상악에서 45.49%, 하악에서 39.62%로, 하악에서보다 상악에서 높았으며, 제1대구치는 45.22%, 제2대구치는 39.89%로, 제2대구치보다 제1대구치에서 더 높게 나타났다. 또한 치면별 발현빈도는 전체 대상치아의 협면에서 가장 높게 나타났으며, 상악 제1대구치 협면에서 78.27%, 상악 제2대구치 협면에서 81.23%, 하악 제1대구치 협면에서 76.86%, 하악 제2대구치 협면에서 70.3%의 발현율을 보였다. 이 연구의 결과는 이전의 보고에 비해 높은 법랑돌기의 발현빈도를 보여주고 있으며, 이는 8배 전자확대경을 이용한 관찰에 의한 결과로 생각된다.

• The Journal of Advanced Prosthodontics
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• 제10권4호
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• pp.321-327
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• 2018

PURPOSE. The purpose of this study was to compare the cutting method and the lamination method to investigate whether the CAD data of the proposed inlay shape are machined correctly. MATERIALS AND METHODS. The Mesial-Occlusal shape of the inlay was modeled by changing the stereolithography (STL). Each group used SLS (metal powder) or SLA (photocurable resin) in the additive method, and wax or zirconia in the subtractive method (n=10 per group, total n=40). Three-dimensional (3D) analysis program (Geomagic Control X inspection software; 3D systems) was used for the alignment and analysis. The root mean square (RMS) in the 2D plane state was measured within $50{\mu}m$ radius of eight comparison measuring points (CMP). Differences were analyzed using one-way analysis of variance and post-hoc Tukey's test were used (${\alpha}=.05$). RESULTS. There was a significant difference in RMS only in SLA and SLS of 2D section (P<.05). In CMP mean, CMP 4 ($-5.3{\pm}46.7{\mu}m$) had a value closest to 0, while CMP 6 ($20.1{\pm}42.4{\mu}m$) and CMP 1 ($-89.2{\pm}61.4{\mu}m$) had the greatest positive value and the greatest negative value, respectively. CONCLUSION. Since the errors obtained from the study do not exceed the clinically acceptable values, the lamination method and the cutting method can be used clinically.

• 대한치과교정학회지
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• 제26권1호
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• pp.113-124
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• 1996

교정치료를 위한 상악 제1 소구치, 하악 제2 소구치의 발치는 한국인에서 II급 부정교합환자가 많지 않기 때문에 그리 흔하지 않다고 생각한다. 이와 같은 발치는 다음과 같은 장점을 제공할 수 있다. 첫째, 하악 전치를 약간만 retraction을 하며, 주로 하악의 구치부를 전방이동하여 II급 관계의 key correction을 손쉽게 할 수 있다. 둘째, 하악 전치의 과도한 설측경사가 일어남을 방지한다. 이는 하악 안모의 심한 변화를 방지하여 준다. 단점으로는 하악 제1 대구치의 근심경사를 들 수 있으며 이는 적절한 mechanics의 사용으로 방지하여 줄 수 있다. 본 증례들은 II급 1류의 특성을 가진 환자들로서 상악 제1 소구치, 하악 제2 소구치의 발치를 이용하여 교정치료를 하여 비교적 양호한 결과를 얻어 다음과 같이 보고하고자 한다.

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.388-395
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• 1997

Maintaining the original canal path during instrumentation is a challenge in narrow curved canals. This study compared the maintenance of the original canal path of curved root canals during instrumentation with two kinds of stainless steel K-files(Brassler USA & Mani Japan), K-flexofiles(Maillefer Swiss) and Ni-Ti files(Brassler USA, Savannah, GA) using circumferential filing technique to # 40 MAF on 60 extracted human molars. Buccal and mesial canals with minimal initial curvature of 20 degrees were used. The maximal initial curvature was 41.5 degrees. Sixty curved canals divided into four groups according to file type(Group 1 : Ni-Ti file, Group 2 : K-flexofile, Group 3: K-file(Brassler), Group 4 : K-file(Mani)). Radiographs of canals were obtained before and after canal shaping. And postoperative radiographs were compared with preoperative radiographs using superimposition method. Data analysis was performed using Covariance analysis and paired-comparison test. The results observed were as follow ; 1. The angle of curvature was better maintained with Ni-Ti file than with stainless steel files. (p<0.01) 2. There was no significant difference in maintaining canal curvature between K-flexofile, Brassler$^{(R)}$ K-file and Mani$^{(R)}$ K-file, although there was some differences in mean values of postoperative canal curvature. 3. Paired-comparison t test revealed significant differences within each of the three stainless steel file types when comparing the mean differences before and after instrumentation, but no significant differences were observed within Ni-Ti file group.

• Imaging Science in Dentistry
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• 제50권3호
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• pp.217-226
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• 2020

Purpose: The purpose of this study was to analyze the quantity and quality of the mandibular anterior alveolar bone in terms of alveolar width, density, and total alveolar height (TAH) based on dental status, gender, and age. Additionally, this study aimed to quantitatively evaluate the available alveolar height for graft harvesting (AHGH) and examine its variability based on the aforementioned factors. Materials and Methods: This retrospective cone-beam computed tomographic study included a total of 100 subjects. On the basis of gender, dental status, and age, the scans were divided into 3 primary groups and 8 subgroups. The mandibular alveolar width and density were measured 5 mm mesial to the mental foramen bilaterally and at the midline. The TAH was measured at the midline, and the AHGH was measured as the midline distance between 5 mm apical to the root of the canines and 5 mm superior to the lower border. Results: The mandibular alveolar width was statistically similar between dentulous and edentulous patients (P>0.05). A significantly greater density was observed at the midline in edentulous patients (P<0.05). The TAH was significantly greater in edentulous male patients than in edentulous female patients (P<0.05). Dentulous and male patients had significantly greater AHGH than edentulous and female patients, respectively (P<0.05). Conclusion: Based on the data evaluated in this study, it can be concluded that the mandibular symphyseal area has adequate bone quality and quantity for bone graft harvesting for dental implant therapy.

• Restorative Dentistry and Endodontics
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• 제24권4호
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• pp.623-627
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• 1999

During canal instrumentation of a curved canal, restoring force of endodontic instrument remove more dentin from the inner wall of the curvature. This effect tends to straighten the canal and thus may significantly shorten the working length. This study was to determine the mean reduction in working length after instrumentation according to the curvature. The curvature of mandibular mesial root was determined before instrumentation. 30 canals were divided into 3 groups each 10 on the basis of degree of curvature. Experimental groups as follows. In group 1, canals having curvature from 15 to 20 degrees: in group 2, canals having curvature from 20 to 30degrees; in group 3, canals having curvature above 30 degrees. Experimental teeth in all groups were accessed, and their actual working length determined by passing a size 15 K-file(IAF) just through the minor apical foramen. The canals were sequentially enlarged to size 35 with ProFile .06 series. The change of working length was calculated by measuring the tip of IAF beyond apical foramen by using stereomicroscope. The change of canal curvature following instrumentation were measured using the Schneider technique. The results were as follows. 1. The greatest changes of curvature and working length were observed in the group 3 canals(P<0.05), next were group 2 canals and group 1 canals(P>0.05). 2. Group 1 canals showed a mean reduction in 1.61 degrees and length of 0.12m respectively(P>0.05). 3. Group 2 canals showed a mean reduction in 3.42 degrees(P<0.05) and length of 0.25mm(P>0.05) respectively. 4. Group 3 canals showed a mean reduction in 7.23 degrees(<0.05) and length of 0.64mm respectively(P<0.05).

• Restorative Dentistry and Endodontics
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• 제45권3호
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• pp.30.1-30.11
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• 2020

Objectives: This micro-computed tomographic (CT) study aimed to compare the shaping abilities of ProTaper Next (PTN), One Shape (OS), and One Curve (OC) files in 3-dimensionally (3D)-printed mandibular molars. Materials and Methods: In order to ensure standardization, 3D-printed mandibular molars with a consistent mesiobuccal canal curvature (45°) were used in the present study (n = 18). Specimens were instrumented with the OC, OS, or PTN files. The teeth were scanned pre- and post-instrumentation using micro-CT to detect changes of the canal volume and surface area, as well as to quantify transportation of the canals after instrumentation. Two-way analysis of variance was used for statistical comparisons. Results: No statistically significant differences were found between the OC and OS groups in the changes of the canal volume and surface area before and after instrumentation (p > 0.05). The OC files showed significantly less transportation than the OS or PTN systems for the apical section (p < 0.05). In a comparison of the systems, similar values were found at the coronal and middle levels, without any significant differences (p > 0.05). Conclusions: These 3 instrumentation systems showed similar shaping abilities, although the OC file achieved a lesser extent of transportation in the apical zone than the OS and PTN files. All 3 file systems were confirmed to be safe for use in mandibular mesial canals.

• Imaging Science in Dentistry
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• 제51권1호
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• pp.27-34
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• 2021

Purpose: This study was performed to compare the ability of limited- and large-volume cone-beam computed tomography (CBCT) to display isthmuses in the apical root canals of mandibular molars. Materials and Methods: Forty human mandibular first molars with isthmuses in the apical 3 mm of mesial roots were scanned by micro-computed tomography (micro-CT), and their thickness, area, and length were recorded. The samples were examined using 2 CBCT systems, using the smallest voxels and field of view available for each device. The Mann-Whitney, Friedman, and Dunn multiple comparison tests were performed (α=0.05). Results: The 3D Accuitomo 170 and i-Cat devices detected 77.5% and 75.0% of isthmuses, respectively (P>0.05). For length measurements, there were significant differences between micro-CT and both 3D Accuitomo 170 and i-Cat(P<0.05). Conclusion: Both CBCT systems performed similarly and did not detect isthmuses in the apical third in some cases. CBCT still does not equal the performance of micro-CT in isthmus detection, but it is nonetheless a valuable tool in endodontic practice.

• 대한치과교정학회지
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• 제51권4호
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• pp.282-292
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• 2021

Objective: To quantitatively analyze the effect of nicotine on orthodontic tooth movement (OTM) and bone remodeling in rats using micro-computed tomography and tartrate-resistant acid phosphatase immunostaining. Methods: Thirty-nine adult male Sprague-Dawley rats were randomized into three groups: group A, 0.5 mL normal saline (n = 9, 3 per 3, 7, and 14 days); group B, 0.83 mg/kg nicotine (n = 15, 5 per 3, 7, and 14 days); and group C, 1.67 mg/kg nicotine (n = 15, 5 per 3, 7, and 14 days). Each animal received daily intraperitoneal injections of nicotine/saline from the day of insertion of identical 30-g orthodontic force delivery systems. A 5-mm nickel-titanium closed-coil spring was applied between the left maxillary first molar (M1) and the two splinted incisors. The rate of OTM and volumetric bone changes were measured using micro-computed tomography. Osteoclasts were counted on the mesial alveolar bone surface of the distobuccal root of M1. Six dependent outcome variables, including the intermolar distance, bone volume fraction, bone mineral density, trabecular thickness, trabecular volume, and osteoclast number, were summarized using simple descriptive statistics. Nonparametric Kruskal-Wallis tests were used to evaluate differences among groups at 3, 7, and 14 days of OTM. Results: All six dependent outcome variables showed no statistically significant among group-differences at 3, 7, and 14 days. Conclusions: The findings of this study suggest that nicotine does not affect OTM and bone remodeling, although fluctuations during the different stages of OTM in the nicotine groups should be elucidated in further prospective studies.