• 제목/요약/키워드: Restorative treatment

검색결과 646건 처리시간 0.024초

Effect of surface treatments and universal adhesive application on the microshear bond strength of CAD/CAM materials

  • Sismanoglu, Soner;Gurcan, Aliye Tugce;Yildirim-Bilmez, Zuhal;Turunc-Oguzman, Rana;Gumustas, Burak
    • The Journal of Advanced Prosthodontics
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    • 제12권1호
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    • pp.22-32
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    • 2020
  • PURPOSE. The aim of this study was to evaluate the microshear bond strength (µSBS) of four computer-aided design/computer-aided manufacturing (CAD/CAM) blocks repaired with composite resin using three different surface treatment protocols. MATERIALS AND METHODS. Four different CAD/CAM blocks were used in this study: (1) flexible hybrid ceramic (FHC), (2) resin nanoceramic (RNC), (c) polymer infiltrated ceramic network (PICN) and (4) feldspar ceramic (FC). All groups were further divided into four subgroups according to surface treatment: control, hydrofluoric acid etching (HF), air-borne particle abrasion with aluminum oxide (AlO), and tribochemical silica coating (TSC). After surface treatments, silane was applied to half of the specimens. Then, a silane-containing universal adhesive was applied, and specimens were repaired with a composite, Next, µSBS test was performed. Additional specimens were examined with a contact profilometer and scanning electron microscopy. The data were analyzed with ANOVA and Tukey tests. RESULTS. The findings revealed that silane application yielded higher µSBS values (P<.05). All surface treatments were showed a significant increase in µSBS values compared to the control (P<.05). For FHC and RNC, the most influential treatments were AlO and TSC (P<.05). CONCLUSION. Surface treatment is mandatory when the silane is not preferred, but the best bond strength values were obtained with the combination of surface treatment and silane application. HF provides improved bond strength when the ceramic content of material increases, whereas AlO and TSC gives improved bond strength when the composite content of material increases.

The effect of individualization of fiberglass posts using bulk-fill resin-based composites on cementation: an in vitro study

  • Lins, Rodrigo Barros Esteves;Cordeiro, Jairo Matozinho;Rangel, Carolina Perez;Antunes, Thiago Bessa Marconato;Martins, Luis Roberto Marcondes
    • Restorative Dentistry and Endodontics
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    • 제44권4호
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    • pp.37.1-37.10
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    • 2019
  • Objectives: This study evaluated the bond strength of various fiberglass post cementation techniques using different resin-based composites. Materials and Methods: The roots from a total of 100 bovine incisors were randomly assigned to 5 treatment groups: G1, post + Scotchbond Multi-Purpose (SBMP) + RelyX ARC luting agent; G2, relined post (Filtek Z250) + SBMP + RelyX ARC; G3, individualized post (Filtek Z250) + SBMP; G4, individualized post (Filtek Bulk-Fill) + SBMP; G5, individualized post (Filtek Bulk-Fill Flow) + SBMP. The samples were subjected to the push-out (n = 10) and pull-out (n = 10) bond strength tests. Data from the push-out bond strength test were analyzed using 2-way analysis of variance (ANOVA) with the Bonferroni post hoc test, and data from the pull-out bond strength test were analyzed using 1-way ANOVA. Results: The data for push-out bond strength presented higher values for G2 and G5, mainly in the cervical and middle thirds, and the data from the apical third showed a lower mean push-out bond strength in all groups. No significant difference was noted for pull-out bond strength among all groups. The most frequent failure modes observed were adhesive failure between dentine and resin and mixed failure. Conclusions: Fiberglass post cementation using restorative and flowable bulk-fill composites with the individualization technique may be a promising alternative to existing methods of post cementation.

Epigallocatechin-3-gallate prior to composite resin in abfraction lesions: a split-mouth randomized clinical trial

  • Luisa Valente Gotardo Lara Alves;Lisiane Martins Fracasso;Thiago Vinicius Cortez;Aline Evangelista Souza-Gabriel;Silmara Aparecida Milori Corona
    • Restorative Dentistry and Endodontics
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    • 제48권2호
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    • pp.13.1-13.11
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    • 2023
  • Objectives: Natural extracts have been investigated as a biomimetic strategy to mechanically strengthen the collagen network and control the biodegradation of extracellular matrix. This study evaluated the effect of epigallocatechin-3-gallate (EGCG) on abfraction lesions prior to the composite resin. Materials and Methods: The sample consisted of 30 patients (aged between 28 and 60 years) with abfraction lesions located in 2 homologous premolars. The teeth were randomly assigned according to dentin treatment: 0.02% EGCG solution or distilled water (control). After enamel acid etching, the solutions were applied immediately for 1 minute. The teeth were restored with Universal Adhesive (3M) and Filtek Z350 XT (3M). Analyzes were done by 2 independent examiners using modified USPHS (retention, secondary caries, marginal adaptation, and postoperative sensitivity) and photographic (color, marginal pigmentation, and anatomical form) criteria at baseline (7 days) and final (18 months). The data analysis used Friedman and Wilcoxon signed-rank tests (α = 0.05). Results: At baseline, all restorations were evaluated as alpha for all criteria. After 18 months, restorations were evaluated as alpha for secondary caries, color, and marginal pigmentation. There was significant difference between baseline and 18 months (p = 0.009) for marginal adaptation and postoperative sensitivity (p = 0.029), but no significant difference were verified between treatments (p = 0.433). The EGCG group had a restoration retention rate of 93.3%, while the control group had 96.7%. Conclusions: The application of EGCG solution on abfraction lesions did not significantly influence the survival of the restorations based on clinical and photographic criteria.

근관 치료 후 수복 방법이 파절 강도와 파절 양상에 미치는 영향 (The Effect of Restorative Method on Fracture Strength and Fracture Pattern in Endodontically Treated Teeth)

  • 안동국;조인호;신수연
    • 구강회복응용과학지
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    • 제21권2호
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    • pp.133-142
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    • 2005
  • The purpose of this study was to evaluate interaction of restorative method according to amount of remaining clinical crown length. For the study, sixty healthy mandibular premolars with no dental caries were chosen. Specimens with clinical crown length of 1 mm, 2 mm, 3 mm above the cemento-enamel junction(CEJ) were prepared and root canal treatment was conducted using Ni-Ti rotaty files. Thirty specimens were restored with $LuxaCore^{(R)}$ and thirty were restored with casting posts. All specimens were restored with full coverage crowns and the fracture strength was teseted with the MTS universal testing marchine. The fracture pattern was observed by measuring the distance between CEJ and fracture line. From the results above, the fracture strength seems to be influenced more by amount of remaining clinical crown length than restorative method. Good prognosis could be expected, when more than 2mm of clinical crown length is retained. In the future, the further studies on restorative method, to increase fracture strength of teeth will be necessary.

Chair-side CAD/CAM fabrication of a single-retainer resin bonded fixed dental prosthesis: a case report

  • Jurado, Carlos Alberto;Tsujimoto, Akimasa;Watanabe, Hidehiko;Villalobos-Tinoco, Jose;Garaicoa, Jorge Luis;Markham, Mark David;Barkmeier, Wayne Walter;Latta, Mark Andrew
    • Restorative Dentistry and Endodontics
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    • 제45권2호
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    • pp.15.1-15.7
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    • 2020
  • This clinical report describes designing and fabricating a single-retainer resin-bonded fixed dental prosthesis with a chair-side computer-aided design/computer-aided manufacturing system. The whole procedure, from tooth extraction to final placement of the prosthesis, was completed in one day, and a single clinic visit. No clinical complications were found at the 2-year follow-up after placement of the restoration, and satisfactory functional and esthetic results were achieved.

Influence of different universal adhesives on the repair performance of hybrid CAD-CAM materials

  • Demirel, Gulbike;Baltacioglu, Ismail Hakki
    • Restorative Dentistry and Endodontics
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    • 제44권3호
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    • pp.23.1-23.9
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    • 2019
  • Objectives: The aim of this study was to investigate the microshear bond strength (${\mu}SBS$) of different universal adhesive systems applied to hybrid computer-aided design/computer-aided manufacturing (CAD-CAM) restorative materials repaired with a composite resin. Materials and Methods: Four types of CAD-CAM hybrid block materials-Lava Ultimate (LA), Vita Enamic (VE), CeraSmart (CS), and Shofu Block HC (SH)-were used in this study, in combination with the following four adhesive protocols: 1) control: porcelain primer + total etch adhesive (CO), 2) Single Bond Universal (SB), 3) All Bond Universal (AB), and 4) Clearfil Universal Bond (CU). The ${\mu}SBS$ of the composite resin (Clearfil Majesty Esthetic) was measured and the data were analyzed using two-way analysis of variance and the Tukey test, with the level of significance set at p < 0.05. Results: The CAD-CAM block type and block-adhesive combination had significant effects on the bond strength values (p < 0.05). Significant differences were found between the following pairs of groups: VE/CO and VE/AB, CS/CO and CS/AB, VE/CU and CS/CU, and VE/AB and CS/AB (p < 0.05). Conclusions: The ${\mu}SBS$ values were affected by hybrid block type. All tested universal adhesive treatments can be used as an alternative to the control treatment for repair, except the AB system on VE blocks (the VE/AB group). The ${\mu}SBS$ values showed variation across different adhesive treatments on different hybrid CAD-CAM block types.

근관치료 영역에서 치과용 미세현미경의 활용 (Application of dental microscope in endodontic treatment procedure.)

  • 최성백
    • 대한치과의사협회지
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    • 제55권8호
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    • pp.542-555
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    • 2017
  • 1. Diagnosis Diagnosis of Crack, Direct pulp capping 2. Access opening Find the calcified canal orifice Removal of dentin shelf Obtaining the MB2 canal (MB2, MB3, DB2) 3. Perforation repair during endodontic treatment 4. Removal of the separated files 5. Open apex treatment 6. Void removal on CWT procedure 7. Re-endodontic treatment Removal of restorative material filled in pulp chamber Post removal Identification and removal of residual gutta-perch 8. Surgical endodontic treatment In each case will overview how to use a dental microscope.

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고정성 보철치료의 영속성을 높이기 위한 지대치의 적합성 (Requirements of the abutment teeth for long-term predictability of fixed prosthesis)

  • 최점일
    • 대한치과의사협회지
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    • 제48권9호
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    • pp.654-663
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    • 2010
  • The success in periodontal-prosthetic therapy lies in patient satisfaction with subjective and customized treatment regimen that has been refined for individual needs. To fulfill these requirements, multiple predictors may have to be taken into consideration in the comprehensive treatment planning. Incorporation of complex factors that guarantee the evidence-based therapy would include, but not limited to, osseous morphology, biotype of gingival around abutment, bone morphology of interdental bone and those around furcation area, abutment or bridge mobility. The periodontal-restorative interface should be of mutually protective. Also strategic and esthetic value of abutment teeth to be restored should also be taken into consideration. Taken together, all these should work in concert to enhance the predictability and longevity of abutment teeth in periodontal-prosthetic therapy.

맹인의 구강보건관리실태 및 구강보건진료수요에 관한 조사연구 (A STUDY ON THE ORAL HEALTH STATUS AND THE DETECTABLE DENTAL NEEDS OF THE TOTALLY BLIND PERSONS)

  • 장기완
    • 대한치과의사협회지
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    • 제22권11호통권186호
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    • pp.979-989
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    • 1984
  • The purpose of this study was to obtain the basic data for oral health program planning of the totally blind persons. The author had surveyed oral health status and dental needs of 268 totally blind persons aged from 7 years old to 29 in Seoul, Korea, Thereafter, the toothbrushing frequency, df rate, dft index, DMF rate, DMFT index, restorative treatment requirement, bridge status, periodontal status, and periodontal requirement were calculated and discussed. The obtained results were as follows: 1. The average toothbrushing frequency was 2.53 times a day, and the average toothbrushing frquency after eating was 2.12 times a day. 2. DMF rate was 53.73%, and DMFT index was 2.12. 3. the average number of teeth required restorative treatment due to dental caries was 1.95. 4. Oral hygiene instruction was required in 15.30%, oral porphylaxis and oral hygiene instruction in 58.58%, periodontal therapy in 10.14%. %. Incremental dental care system was recommended to improve dental health status of the totally blind persons.

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