• 제목/요약/키워드: Root canal

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Mandibular bone necrosis after use of paraformaldehyde-containing paste

  • Lee, Chi-hwan;Choi, Yoorina;Park, Sujung
    • Restorative Dentistry and Endodontics
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    • v.41 no.4
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    • pp.332-337
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    • 2016
  • Paraformaldehyde has been used in the past as a pulpotomy agent. However, it has a severe cytotoxic effect and may cause alveolar bone necrosis. Depulpin, a devitalizing agent containing 49% paraformaldehyde, is no longer used frequently due to its severe side effects. In the two cases described in the present study, Depulpin was used as a devitalizing agent during root canal treatment. It caused a gradual loss of sensibility in adjacent teeth, gingival necrosis, and osteomyelitis. This case report demonstrates the serious side effects of using a paraformaldehyde-containing paste as a devitalizing agent for pulp, particularly mandibular bone necrosis.

Clinical evaluation of Intentional replantation (Original Article 2 - 의도적 재식술에 관한 임상적 고찰)

  • Jin, Myoung-Uk
    • The Journal of the Korean dental association
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    • v.48 no.4
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    • pp.288-296
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    • 2010
  • Although non-surgical endodontic procedures have high success rates, failures do occur, These can be managed by root canal re-treatment or surgical intervention. Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious radiographic or clinical endodontic failure. Intentional replantation is indicated when other endodontic treatments performed to maintain the tooth have failed, or when endodontic periradicular surgery is not feasible. Intentional replantation may be particularly useful in these cases because these difficult to access areas can be maximally treated while the tooth is out of the mouth without damaging the periodontal attachment in adjacent teeth. In conclusion, intentional replantation is a reliable and even predictable procedure, and should be considered more often as a treatment modality in our efforts to maintain the natural dentition.

Progression of periapical cystic lesion after incomplete endodontic treatment

  • Huh, Jong-Ki;Yang, Dong-Kyu;Jeon, Kug-Jin;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.137-142
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    • 2016
  • We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.

Surgical management with intentional replantation on a tooth with palato-radicular groove

  • Forero-Lopez, Jorge;Gamboa-Martinez, Luis;Pico-Porras, Laura;Nino-Barrera, Javier Laureano
    • Restorative Dentistry and Endodontics
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    • v.40 no.2
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    • pp.166-171
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    • 2015
  • A palato-radicular groove (PRG) is a developmental anomaly primarily found in the maxillary lateral incisors. It is a potential communication path between the root canal and the periodontium that decreases the survival prognosis of the affected tooth, therefore compromising the stability of the dental structure in the oral cavity. The aim of this case report is to present an original technique where a PRG was treated by means of intracanal disinfection, PRG sealing with glass ionomer, replantation with intentional horizontal 180 degree rotation of the tooth, and an aesthetic veneer placed to provide adequate tooth morphology. The clinical and biological benefits of this novel technique are presented and discussed.

The effect of dentinal tubule erosion by application of 17% EDTA solution on the apical leakage

  • Kim, Hyu-Na;Cho, Yong-Bum
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.585-585
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    • 2003
  • I. Objectives 17% EDTA is known as an effective solution to remove smear layer. When it's applicated for more than 1 minute, it shows dentinal erosion of intertubular and peritubular dentin. This study is to investigate the effect of dentinal tubule erosion with different time application of 17% EDTA solution on the apical leakage. II. Materials and Methods 35 recently extracted human teeth with single canal, straight root, and closed apex were used in this study. Crowns were removed and the pulp tissue remnants were removed with a barbed broach.(omitted)

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The effectiveness of controlled release device against E. faecalis : in vitro study

  • Hong, Sang-Hee;Yoo, Yoon-Jung;Lee, Seung-Jong;Kum, Kee-Yeon
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.560-560
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    • 2003
  • I. Objectives Intracanal medicament with antibacterial action is required to maximize the disinfection of the root canal system. The purpose of this study was to evaluate the efficacy of 2% chlorhexidine digluconate(CHX) and controlled release device(CRD) containing 20% CHX and chitosan coating, compared to calcium hydroxide as intracanal medicament against E. faecalis. II. Materials and Methods One hundred and twenty intact freshly extracted bovine incisors were used and were 0.5% NaOCl. Middle 1/3 portion of roots were sliced into 4mm thick section and cementum was removed using diamond burs and external diameter was approximally 6mm.(omitted)

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Mechanism on the development of periapical lesion - Effect of whole-body diseases on the development of periradicular lesions in rats

  • Nakamura, Hiroshi
    • Proceedings of the KACD Conference
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    • 2003.11a
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    • pp.591-591
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    • 2003
  • Apical periodontitis is inflammation of the periodontium caused by infection of the pulp canal system. Moreover, a dental periradicular lesion occurs as a periradicular tissue reaction to bacterial infection and consists of periradicular inflammation with alveolar bone destruction and root resorption, a consequence of the interaction between oral flora and the existing host defenses. Many investigations dealing with the pathogenesis and history of periradicular lesions have described histologically, immunologically, biochemically the development of the periradicular lesion;but none of these studies have shown any correlation between this lesion and several factors, the whole body disease in the worldwide.(omitted)

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Unwanted effects due to interactions between dental materials and magnetic resonance imaging: a review of the literature

  • Chockattu, Sherin Jose;Suryakant, Deepak Byathnal;Thakur, Sophia
    • Restorative Dentistry and Endodontics
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    • v.43 no.4
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    • pp.39.1-39.20
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    • 2018
  • Magnetic resonance imaging (MRI) is an advanced diagnostic tool used in both medicine and dentistry. Since it functions based on a strong uniform static magnetic field and radiofrequency pulses, it is advantageous over imaging techniques that rely on ionizing radiation. Unfortunately, the magnetic field and radiofrequency pulses generated within the magnetic resonance imager interact unfavorably with dental materials that have magnetic properties. This leads to unwanted effects such as artifact formation, heat generation, and mechanical displacement. These are a potential source of damage to the oral tissue surrounding the affected dental materials. This review aims to compile, based on the current available evidence, recommendations for dentists and radiologists regarding the safety and appropriate management of dental materials during MRI in patients with orthodontic appliances, maxillofacial prostheses, dental implants, direct and indirect restorative materials, and endodontic materials.

Nonodontogenic toothache

  • Kang, Jin-Kyu;Ryu, Ji Won
    • Oral Biology Research
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    • v.42 no.4
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    • pp.241-247
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    • 2018
  • Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinations do not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by a variety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenic problems, and cardiogenic disease. A thorough history and clinical examination should be performed to confirm the cause of the pain, and more accurate diagnosis can be established through local anesthetic injection. If the nonodontogenic toothache is misdiagnosed, unnecessary dental treatment such as root canal treatment, periodontal treatment, and extraction can be performed, and the patient's pain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment is performed, and clinicians should be fully aware of the diseases that may cause these symptoms.

The development of an augmented reality prototype in dental practice management (치과의료관리 영역에서 증강현실의 프로토타입 개발)

  • Park, Seon Gyu;Lee, Jongki
    • Journal of Korean Academy of Dental Administration
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    • v.8 no.1
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    • pp.24-29
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    • 2020
  • With the advancement of information technology, the application of augmented reality (AR) in dentistry is an emerging research field of image-guided surgery and dental education. In addition, the digital approach to incorporating AR in dental practice management is considered to be feasible. A prototype is developed to apply AR to dental daily clinical practice in order to help dentists to access electronic dental records. This prototype delivers patients' information and related clinical data to dental clinicians directly without the need to search for the appropriate patients. Wearable AR devices are considered to be a convenient tool for practicing dentists because dental practitioners are not always able to use a computer during active clinical sessions, such as implant placement, root canal treatment, and patient-doctor communication. The use of AR to visualize passive transferred patient data would be valuable for practicing dentists.