• Restorative Dentistry and Endodontics
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• v.22 no.2
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• pp.659-669
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• 1997

The goals of root canal instrumentation are complete debridement of pulp tissue, removal of microbes and affected dentin, and proper cleaning and shaping of the root canal space before obturation. Instrumentation with stainless steel files has been shown to produce undesirable results in canals, regardless of the improved technique or modified file type used. Nickel-Titanium(Ni-Ti) alloy has been shown to be exceptionally elastic, having a lower bending moment and lower permanent set after torsion, compared with similar gauge stainless steel. The purpose of this study was to evaluate the change of root canal prepared by Ni-Ti rotary and stainless steel instruments. Thirty-four single rooted teeth of similar shape and canal size were divided into three groups. The teeth were scanned by computed tomography before instrumentation. In group 1, canals were instrumented using a step-back technique with K-file. In group 2, canals were prepared with K-flex file using the same technique as group 1. Group 3 was prepared with nickel-titanium(Ni-Ti) rotary instrument using a manufacture's instruction. Instrumented teeth were again scanned using computed tomography, and reformated images of the uninstrumented canals were compared with images of the instrumented canals. K-flex file and Ni-Ti file caused significantly less canal transportation than K-file in the 8mm root canal section from the apex(p<0.05). K-flex file and Ni-Ti file produced more centered canal preparation than K-file in the 2mm section(p<0.05). Ni-Ti file maintained more precisely the center of the canal than K-flex file in the 10mm section (p<0.05). There was no difference in the removed volume of canals among each groups.

• Restorative Dentistry and Endodontics
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• v.49 no.2
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• pp.20.1-20.13
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• 2024

Objectives: This study investigated the nanoleakage of root canal obturations using calcium silicate-based sealer according to different drying methods. Materials and Methods: Fifty-two extracted mandibular premolars with a single root canal and straight root were selected for this study. After canal preparation with a nickel-titanium rotary file system, the specimens were randomly divided into 4 groups according to canal drying methods (1: complete drying, 2: blot drying/distilled water, 3: blot drying/NaOCl, 4: aspiration only). The root canals were obturated using a single-cone filling technique with a calcium silicate-based sealer. Nanoleakage was evaluated using a nanoflow device after 24 hours, 1 week, and 1 month. Data were collected twice per second at the nanoscale and measured in nanoliters per second. Data were statistically analyzed using the Kruskal-Wallis and Mann-Whitney U-tests (p < 0.05). Results: The mean flow rate measured after 24 hours showed the highest value among the time periods in all groups. However, the difference in the flow rate between 1 week and 1 month was not significant. The mean flow rate of the complete drying group was the highest at all time points. After 1 month, the mean flow rate in the blot drying group and the aspiration group was not significantly different. Conclusions: Within the limitations of this study, the canal drying method had a significant effect on leakage and sealing ability in root canal obturations using a calcium silicate-based sealer. Thus, a proper drying procedure is critical in endodontic treatment.

• Restorative Dentistry and Endodontics
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• v.35 no.4
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• pp.302-305
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• 2010

Mandibular premolars show a wide variety of root canal anatomy. Especially, the occurrence of three canals with three separate foramina in mandibular second premolars is very rare. This case report describes the root canal treatment of an unusual morphological configuration of the root canal system and supplements previous reports of the existence of such configuration in mandibular second premolar.

• Restorative Dentistry and Endodontics
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• v.13 no.2
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• pp.253-263
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• 1988

In order to study the cleansing effect of air-driven sonic system, the author prepared root canals on 48 extracted human permanent single rooted teeth using hand instrumentation and aforementioned method, half and half of the cases. In order for comparison of the degree of remnant debris and cleanliness, the cross sections at 3mm and 7mm levels from the apex were stereomicroscopically observed and scored in accordance with predetermined degree. The obtained results were as follows: 1. Air-driven sonic system was more effective in cleansing root canal than hand instrumentation at apical 3mm level. (p < 0.01) 2. Air-driven sonic system was more effective in cleansing root canal than hand instrumentation at apical 7mm level. (p < 0.01) 3. In hand instrumentation, Helisonic file was more effective in cleansing root canal than Rispisonic file. (p < 0.05) In air-driven sonic system, on the other hand, there were no significant difference between the two files.

• Restorative Dentistry and Endodontics
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• v.10 no.1
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• pp.193-198
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• 1984

This study was conducted to compare the chip removal capability of root canal enlarging instruments. Fifty five buccal or mesial canals from upper and lower molar teeth were randomly selected and divided into three groups; Reamer, K-type file and K-flex file. Fifteen canals in each group were individually enlarged with one of three tested instruments and irrigated with 5cc of normal saline solution. After instrumentation, each canal was dried with paper point and the canal was splited longitudinally and the cleanness of root canal surface was evaluated under stereoscope by three observers. The results were as follows; 1. Most of the canals experimented showed varying degree of the presence of debris. 2. The canals prepared with reamers showed the most clean canal surface. 3. There was no significant difference in debridement effect between k-type file and k-flexfile.

• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.105-107
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• 1980

A total of 125 extracted maxillary first molars were used to study the configuration of the floor of the pulp chamber. The specimens were ground and the pulp chamber was examined with a magnifying glass and explored with sharp explorer. The study showed the shape of the pulp chamber, number of root canals, and type of canal orifice. The results were as follows; 1. In so far as observing the shape of the pulp chamber of the teeth, 50.4% of the teeth were trapezoid, 20.8% were inverted trapezoid, 18.4% were rectangle and 10.4% were triangle shape. 2. 71.2% of the specimens have 3 root canal orifices, and 28.8% have 4 root canal orifices. 3. 71.2% of the specimens have 1 mesiobuccal canal orifice, 23.2% have 2 mesio-buccal canal orifices joined by a groove, and 5.6% have 2 mesio-buccal canal orifices seperated each other.

• Proceedings of the KACD Conference
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• 2003.11a
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• pp.595-595
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• 2003

I. Objectives This study was done to evaluate which type of Ni-Ti instrument be able to perform canal shape well in the simulated canal with abrupt curvature near it's apex. II. Materials and Methods A total of 96 simulated root canals were made in epoxy resin(EPOXICURETM, BUEHLER, USA), ＃15 finger spreader (MANI, Japan) were used as root canal templates. The simulated root canal were made with radius of curvature of 1.5 mm, 3.0 mm, 4.0 mm, 6.0 mm respectively, and angle of curvature of all simulate camals was 90 degree.(omitted)

• Restorative Dentistry and Endodontics
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• v.14 no.2
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• pp.103-110
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• 1989

The purpose of this study was to evaluate the cleansing effect of Glyoxide on the dentinal walls of the root canal. Fourty teeth were divided into four groups and the canals in each group were individually enlarged with K-file by step-back technic and irrigated with one of four irrigants. The four used irrigants were Glyoxide (Marion lab. U.S.A.) in combination with 3.5% sodium hypochlorite, 3.5% sodium hypochlorite, 3.5% sodium hypochlorite in combination with 3% hydrogen peroxide and normal saline solution. All the irrigants were used in conjunction with instrumentation as they would be during clinical conditions. After final irrigation, the canals were dried with paper points and the teeth were split longitudinally. The cleaness of canal walls according to the size and the level of canals were evaluated under steroscope by t analysed statistically The results were as follows. 1. The use of 3.5% sodium hyphochlorite in combination with 3.0% hydrogen peroxide revealed the most clean canal surface regardless of the size of canal at apical third of root canal (p < 0.05). 2. Glyoxide in combination with 3.5% sodium hyphchlorite showed no significant difference in cleaning effect of canal surface compared with 3.5% sodium hypochlorite and normal saline solution at the apical third of narrow canal. 3. Glyoxide in combination with 3.5% sodium hypochlorite revealed no significant difference in debridement of canal walls compared with 3.5% sodium hypochlorite in combination with 3% hydrogen peroxide and saline solution at the middle third of narrow and large canals.

• Restorative Dentistry and Endodontics
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• v.10 no.1
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• pp.55-62
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• 1984

This experimental study was made to evaluate the efficacy of root canal preparation of engine reamer versus hand reamer. Eighty extracted human teeth were prepared with the following treatments and devided into 4 groups; Group 1: Canal preparation with hand reamer, and irrigation with normal saline solution. Group 2: Canal preparation with engine reamer, and irrigation with normal saline solution. Group 3: Canal preparation with hand reamer, and irrigation with 3% hydrogen peroxide and 3.5% sodium hypochlorite solution. Group 4: Canal preparation with engine reamer, and irrigation with 3% hydrogen peroxide and irrigation with 3% hydrogen peroxide and 3.5% sodium hypochlorite solution. After decalcification, 5p. sections at levels 1-, 3-, and 5-mm from the apex were evaluated microscopically. The results were as follows; The effectiveness of hand reamer and engine reamer were equal in preparing the root canal at all levels from the apex, and were equal in normal saline solution groups, and 3% $H_2O_2$ and 3.5% NaOCl solution groups. Both in hand reaming groups and in engine reaming groups, some canal walls had still untouched portion, and canal irregularities and debris were still remained.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.28 no.2
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• pp.471-489
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• 1998

For the successful endodontic treatment, root canal should be cleaned thoroughly by accurate mechanical and chemical canal preparation and sealed completely with canal filling material without damaging the periapical tissues. The accuracy of the root canal length measurement is a prerequisite for the success of the endodontic treatment, and the root canal length is often determined by the standard periapical radiographs and digital tactile sense. In this study, the accuracy and the clinical usefulness of Digora/sup (R)/, an intraoral digital imaging processor and the conventional standard radiographs were compared by measuring the length from the top of the file to the root apex. 30 single rooted premolars were invested in a uniformly sized blocks and No.25 K-file was inserted into and fixed in each canal. Each block was placed in equal distance and position to satisfy the principle of the bisecting angle and paralleling techniques and Digora/sup (R)/ system's image and standard periapical radiographs were taken. Each radiograph was examined by 3 different observers by measuring the length from top of the file to the root apex and each data was compared and analyzed. The results were as follows; 1. In the bisecting angle technique, the average difference between the Digora/sup (R)/ system and standard periapical radiograph was 0.002 mm and the standard deviation was 0.341 mm which showed no statistically significant difference between the two systems(p>0.05). Also, in the paralleling technique, the average difference between these two system was 0.007 mm and the standard deviation was 0.323 mm which showed no statistically significant difference between the two systems(p>0.05). 2. In Digora/sup (R)/ system, the average difference between the bisecting angle and paralleling technique was -0.336 mm and the standard deviation was 0.472 mm which showed a statistically significant difference between the two techniques(p<0.05). Also, in the standard periapical radiographs, the average difference between the bisecting angle and paralleling technique was 0.328 mm and the standard deviation was 0.517 mm which showed a statistically significant difference between these two techniques(p<0.05). 3. In Digora/sup (R)/ system and the standard periapical radiographs. there was a statistically significant difference between the measurement using the bisecting angle technique and the actual length(p<0.05), But there was no statistically significant difference between the measurement using the paralleling technique and the actuallength(p>0.05). In conclusion. the determination of the root canal length by using the Digora/sup (R)/ system can give us as good an image as the standard periapical radiograph and using the paralleling technique instead of the bisecting angle technique can give a measurement closer to the actual canal length. thereby contributing to a successful result. Also. considering the advantages of the digital imaging processor such as decreasing the amount of exposure to the patient. immediate use of the image. magnification of image size. control of the contrast and brightness and the ability of storing the image can give us good reason to replace the standard periapical radiographs.