• Title/Summary/Keyword: Operative Restoration

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An Analysis of the Job Performance in Operative Restoration by Dental Hygienists (치과위생사의 치과보존분야 직무수행 현황 분석)

  • Cho, Pyeong-Kyu
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.277-291
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    • 2004
  • The purpose of this study is to analyze the dental hygienists' overall performance in operative restoration and the clinical performance in operative restoration according to dental hygienists' career and to provide basic data for establishing the appropriate range of dental hygienists' work. Subjects of this study are 339 dental hygienists working at dental clinic and hospital nationwide, selected by their working place, career, type of clinic, and location of clinical institution. The distribution of people who responded to the survey shows that 81 belong to beginner level(less than 2 years since entering clinic), 115 intermediate level(2 to 3 years since entering clinic), 81 higher level(4 to 5 years since entering clinic) and 62 advanced level(more than 6 years since their entering clinic). In terms of the types of clinical institution, 178 belong to dental clinics and 161 belong to dental hospitals. The survey used in this study are focused on perception about clinical performance in operative dentistry and adequacy of the work. Operative dentistry consists of operative restoration and endodontic therapy. The operative restoration consists of 15 categories such as patient welcoming, examination and diagnosis, planning of treatment, anesthesia, control of moisture, cavity preparation, pulp protection, matrix band application, amalgam filling, resin filling, glass ionomer cement filling, abrasive strip removal, rubber dam removal, bite check and polishing, patient education, and arrangement. The reliability was Cronbach's Alpha .9453. SPSS 10.0 for Windows was used to analyze the responses. One way ANOVA was utilized to verify the differences in the dental hygienists' job performance in operative restoration and their job performance according to career. When significant difference was found. Duncan multi comparison post hoc was done. To sum up the results of this study, patient welcoming look the first place in the operative restoration. It was followed by patient education, examination and diagnosis, introducing treatment plan, resin filling, glass ionomer cement filling, amalgam filling, bite check and polishing, anesthesia, pulp protection, control of moisture, abrasive strip removal, cavity preparation, matrix band application, rubber dam removal, and anesthesia. In terms of the clinical performance by career, there were significant differences in 19 activities such as medical eraluation, oral examination, patient charting, intra oral readio graphs, firm developing fixing mounting, curing light gun, education of attention content after operation. Based on the results of this study, the specific range of operative restoration for dental hygienists should be focused on providing basic data for dentists' diagnosis, alleviation of fear and aching accompanied by injection and anesthesia, data providing for dentists' decision of anesthesia degree, and maximization of control of moisture.

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Endocrown restorations for extensively damaged posterior teeth: clinical performance of three cases

  • Tzimas, Konstantinos;Tsiafitsa, Maria;Gerasimou, Paris;Tsitrou, Effrosyni
    • Restorative Dentistry and Endodontics
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    • v.43 no.4
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    • pp.38.1-38.9
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    • 2018
  • The restoration of endodontically treated teeth (ETT) with more than one cusp missing and thin remaining walls is challenging for the general practitioner. The use of posts combined with full coverage restorations is a well-established approach, yet not following the minimal invasive principles of adhesive dentistry. Endocrowns are indirect monoblock restorations that use the pulp chamber of the ETT for retention. In this study the fabrication of 4 endocrowns and their clinical performance will be discussed. Two clinical cases include computer-aided design/computer-aided manufacturing manufactured molar endocrowns (one feldspathic ceramic and one hybrid composite-ceramic restoration) and the other two are dental laboratory manufactured resin composite premolar endocrown restorations. The modified United States Public Health Service criteria were used to assess the clinical behavior of the restorations at different follow up periods. Endocrown restorations present a satisfactory clinical alternative, either by the use of resin composite or glass ceramic and hybrid materials. Specific guidelines with minimal alterations should be followed for an endocrown restoration to be successful. Due to limited evidence regarding the long term evaluation of this restorative technique, a careful selection of cases should be applied.

Studies on Root Restoration: Embedding Titanium and Cultured Periodontal Ligament Fibroblasts into the Intradentinal Cavities in Dogs.

  • Yamamoto, T.;Hirata, M.;Iwarnatsu, Y.;Tadatomo, Y.;Shimonishi, M.;Murakami, Y.;Nagaoka, S.;Higuchi, S.;Sato, H.;Kanehira, M.;Kindaichi, K.;Komatsu, M.
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.568.1-568
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    • 2001
  • The purpose of our study is new formation of periodontal ligament (PDL) around titanium implants. In this study, we investigated histologically whether cultured periodontal ligament fibroblasts (CPLFs) would form new PDL on titanium implants in beagle dogs. PDL fibroblasts were obtained from upper premolars of dogs and cultured in ${\alpha}-MEM$ supplemented with 10% FBS. Some CPLFs were cultured on glass-beads-sandblasted titanium specimen. Artificial intradentinal cavities were prepared through alveolar bone to dentin of lower premolars.(omitted)

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Characteristics of Related Companies and Process of Japanese Co-operative Housing (일본의 Co-operative Housing 관련 회사 및 프로세스 특성)

  • Park, Jee-Hyun;Bae, Jung-Yoon;Song, Min-jung;Yoo, Bok-Hee;Yoon, Chung-Sook
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2003.11a
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    • pp.207-212
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    • 2003
  • Today, demands on the housing that is fit f3r each and every person and restoration of the community are increasing rapidly. USA Europe and Japan have been constructing Co-operative Housing as an alternative residence. Therefore this study has a purpose to show the characteristics of related companies and the process of Japanese Co-operative Housing through the field trip in Japan.

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A STUDY ON THE GALVANIC CURRENT BETWEEN GOLD AND AMALGAM (아말감과 금합금의 Galvanic 전류 측정에 관한 실험적 연구)

  • Kim, Yeoung-Nam;Um, Chung-Moon
    • Restorative Dentistry and Endodontics
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    • v.10 no.1
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    • pp.63-70
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    • 1984
  • It was the purpose of this study to determine the galvanic current between a gold alloy inlay and four types of amalgam using the circuit through pulp chambers when the freshly extracted teeth with those restorations were brought into contact in a physiologic saline solution, and to investigate the effectiveness of cavity varnish or ammonated silver-nitrate on the surface of amalgam restoration in reducing galvanic current. The current was measured with current-to-voltage converter and recored on a physiograph 6630-257. The following results were obtained. 1. Generally, galvanic current decreased as the time elapsed. 2. Galvainc current decreased significantly in the first day and after then minimal change was observed until 30th day. 3. Initial galvanic current was 29.6 ${\mu}A$ in the cut amalgam and 24.5 ${\mu}A$ in Dispersalloy amalgam and after then the current was significantly decreased. 4. Initial galvanic current was 12.6 ${\mu}A$ in spherical amalgam (low copper amalgam) and 13.8 ${\mu}A$ in Tytin amalgam and the amount of change was lower in sperical amalgam and Tytin amalgam than that in lathe cut amalgam and Dispersalloy amalgam. 5. Painting ammoniated silver-nitrate or Copalite on the surface of amalgam resotration decreased initial galvanic current and ammoniated silver-nitrate is more effective in decreasing galvanic current than Copalite. 6. Galvanic current by contact between amalgam restoration and gold restoration increased abruptly and dropped rapidly becoming almost.

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A Scanning Electron Microscopic Study for the Effect of the Filling Techniques of Composite Resin on the Marginal Adaptation (복합레진의 충전방법에 따른 변연접합성에 관한 주사전자현미경적 연구)

  • Cho, Hyun-Kyung;Park, Dong-Su;Lee, Chan-Young;Lee, Chung-Suck
    • Restorative Dentistry and Endodontics
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    • v.13 no.1
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    • pp.139-150
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    • 1988
  • The purpose of this study was to evaluate the marginal adaptation of Class V resin restorations by the filling techniques. The cavities were filled with Heliosit$^{(R)}$ light curing composite resin system in accordance with the following three filling techniques - bulk-pack placement technique, apical to occlusal layering placement technique, and buccolingual layering placement technique. And the interface between the restoration and the tooth structure was observed with scanning electron microscope. The following results were obtained. 1. Marginal adaptation of enamel showed excellent irrespective of the filling techniques. 2. Marginal leakage of dentin was observed irrespective of the filling techniques. 3. No difference of marginal adaptation according to the filling techniques was observed in light curing composite resin.

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COMPARISON OF OPERATIVE TECHNIQUES BETWEEN FEMALE AND MALE DENTISTS IN CLASS 2 AND CLASS 5 RESIN COMPOSITE RESTORATIONS (2급/ 5급 와동 복합레진 수복 술식에 대한 남녀 치과 의사의 비교)

  • Chang, Ju-Hea;Kim, Hae-Young;Son, Ho-Hyun
    • Restorative Dentistry and Endodontics
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    • v.35 no.2
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    • pp.116-124
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    • 2010
  • This study aimed to assess whether the gender of the dental practitioner affects operative techniques in class 2 and class 5 resin composite restorations. In 2008, a nationwide survey was given to Korean dentists. Total 12,193 e-mails were distributed, 2,632 were opened by recipients, and 840 responses were collected. Of the respondents, 78.9% were male and 21.1% were female. The gender distribution in the age groups between respondents and the total population did not differ (p > 0.05). A chi-square test was used to compare technical differences between female and male dentists. A multiple logistic regression analysis was performed to assess the association between gender and operative techniques in resin composite restoration. For class 2 resin composite restoration, female dentists were 1.87 times more likely than male dentists to do multiple incremental fillings (four layers or more) and 2.72 times more likely than males to spend 30 minutes or more for the treatment (p < 0.05). For class 5 resin composite restoration, female dentists were 2.69 times more likely than their male counterparts to use a cavity base or liner, 1.83 times more likely to do multiple incremental fillings (four layers or more) and 1.63 times more likely to spend 20 minutes or more for the procedure (p < 0.05). The gender factor was influential to individual operative techniques in restorative treatment.

IN VITRO STUDY ON THE MARGINAL LEAKAGE OF THE CLASS V COMPOSITE RESTORATION WITH DENTAL ADHESIVE (치과용 접착제(Dental adhesive)를 사용한 제5급 복합레진수복물의 변연누출에 관한 실험적 연구)

  • Chung, Gun-Chul;Park, Dong-Soo;Lee, Chan-Young;Lee, Chung-Suck
    • Restorative Dentistry and Endodontics
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    • v.10 no.1
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    • pp.135-144
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    • 1984
  • This study was undertaken to evaluate the degree of the marginal leakage of composite restoration with 3 brands of dental adhesives by means of the dye penetration at the enamel and dentinal margins. 150 cavities of class V were prepared on the buccal and lingual surfaces of 75 extracted anterior and premolar teeth, which were devided into 3 groups. The cavities were filled with composite resin, Silar$^{(R)}$ (3M) and Heliosit$^{(R)}$ (Vivadent) after application of the dental adhesives, specifically Scotchbond$^{(R)}$ (3M) which is essentially composed with halophosphorus ester of Bis-GMA, Dentin Adhesit$^{(R)}$ (Vivadent) which is polyurethane resin, and Enamel Bond$^{(R)}$ (3M) which is a product of Bis-GMA with low viscosity at internal surfaces and margins of the cavities. All specimens were immersed in $37^{\circ}C$, 0.5% methylene blue solution for 24 hours after thermocycling at $4^{\circ}C$ and $60^{\circ}C$, embedded in acrylic resin, and sectioned with diamond disk into two parts. The sectioned specimens observed with the light microscope. The following results were obtained: 1. The group filled with Scotchbond$^{(R)}$-Silar$^{(R)}$ the other two groups at the enamel margins. 2. No significant difference in the degree of the marginal leakage had appeared between Dentin Adhesit$^{(R)}$-Heliosit$^{(R)}$ group an d Enamel Bond$^{(R)}$-Silar$^{(R)}$ group at the enamel margins. 3. Severe marginal leakage with penetration of dye to the floor of cavity had appeared from the all three groups and no significant difference in the degree of marginal leakage existed between the three groups at the dentinal margins.

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Clinical case of implant restoration using customized healing abutment (맞춤형 치유 지대주를 이용한 임플란트 수복 증례)

  • Park, Jung-Wan;Hong, Min-Ho;Lee, Kyu-Bok
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.222-227
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    • 2015
  • Aesthetic impression is emphasized in the recent field of implant restoration. However, there is limitation of creating proper shape of soft tissue as well as cervical emergence profile due to the use of pre-existing healing abutment in the process of initial post-operative soft tissue healing period. Designing the shape of abutment into the final customized abutment instead of its original shape helped to achieve more aesthetic implant restoration by applying healing abutment which could minimize the malposition and recession of soft tissue. In this study, soft tissue healing was promoted using the post-operative customized healing abutment and thereby obtained the result of more aesthetic and functional restoration by minimizing displacement of soft tissue in the process of applying final customized abutment.