• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 추계학술대회(제116회) 및 13회 Workshop 제3회 한ㆍ일 치과보존학회 공동학술대회 초록집
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• pp.554-554
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• 2001

C-shaped canal configuration is very difficult to treat because that clues about preoperative canal anatomy cannot be ascertained from clinical crown morphology and limited information can be derived from the radiographic examination. This study was done to get more informations about the root and canal configuration of C-shaped root by 3-dimentionally reconstructing for the purpose of enhancing success rate of endodontic treatment. 30 mandibular molars with C-shaped root were selected. Teeth had been extracted from periodontal problems with sound crown and root portion, including teeth with caries lesion limited crown portion only.(omitted)

• Restorative Dentistry and Endodontics
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• 제22권2호
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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.

• 대한치과의사협회지
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• 제14권12호
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• pp.969-972
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• 1976

• Restorative Dentistry and Endodontics
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• 제5권1호
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• pp.47-51
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• 1979

Fifty two human mandibular second molars were chosen to study the anatomy of the root canal. The experimental teeth were injected with china ink, decalcified, cleared and used in study, in vitro, to determine the number of root, the number of root canals, canals per root, frequency and location of transverse anastomoses, frequency and location of lateral canals and frequency of the apical deltas. The results were as follows; 1. Most of the teeth showed three canals, but 19.2% of the teeth were found to have two canals and 9.6% of them four canals. 2. In so far as observing two canals per root, 80.8% of the teeth were found to have two canals in mesial root and 9.6% of them in distal canal. 3. In roots with, two canals, the seperated apical foramen appeared in 59.5% in mesial side and 40.0% in distal side, and the common apical foramen appeared in 40.5% in mesial side and 60.0% in distal side. 4. Of the two root canals in one root, 36.2% of the canals were found to have transverse anastomoses and were usually located in the apical third of the root. 5. 23.1% of 52 teeth were found to have lateral canals, and ramifications were mainly located in the apical third of the root.

• 대한치과보철학회지
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• 제58권2호
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• pp.95-102
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• 2020

목적: Cone-beam computed tomographic (CBCT)를 이용하여 한국인의 상악 제1대구치(MM1), 제2대구치(MM2)에서 제2근심협측(MB2) 근관, 치근 융합 및 C형 근관의 발생률에 대해 평가하였다. 재료 및 방법: 술 전 평가를 위해 CBCT 촬영을 한 환자를 선택했다. 1658명의 환자로부터 1498개의 MM1과 1742개의 MM2의 CBCT 영상이 획득되었고, MB2 근관, 치근융합 및 C형 근관을 분석했다. 연령, 성별 및 치아위치와 MB2 근관 발생률간의 관계도 조사하였다. 결과: 연구표본은 비교적 고령(평균연령: 66.1세)이었다. MB2 근관의 발생률은 MM1, MM2 각각 60.1%, 28.0% 였고, MM1, MM2에서 각각 Weine Type III, Type II가 우세했다. 연령이 증가함에 따라 MB2 근관은 감소하는 경향을 보였으며, MM1에서는 남성에서 MB2 근관이 더 많이 발견되었다. 치근융합은 MM1에서 2.3%, MM2에서 26.2%, C형 근관은 MM1에서 0.4%, MM2에서 2.7%로 모두 MM2에서 발생률이 더 높았다. 결론: MB2 근관은 MM2보다 MM1에서 더 발생률이 높았다. 치근융합과 C형 근관은 모두 MM2에서 더 발생률이 높았다.

• Restorative Dentistry and Endodontics
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• 제42권1호
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• pp.60-64
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• 2017

Root canal anatomy is complex, and the recognition of anatomic variations could be a challenge for clinicians. This case report describes the importance of cone beam computed tomographyic (CBCT) imaging during endodontic treatment. A 23 year old woman was referred by her general dental practitioner with the chief complaint of spontaneous pain in her right posterior maxilla. From the clinical and radiographic findings, a diagnosis of symptomatic irreversible pulpitis was made and endodontic treatment was suggested to the patient. The patient underwent CBCT examination, and CBCT scan slices revealed seven canals: three mesiobuccal (MB1, MB2, and MB3), two distobuccal (DB1 and DB2), and two palatal (P1 and P2). Canals were successfully treated with reciprocating files and filled using single-cone filling technique. Precise knowledge of root canal morphology and its variation is important during root canal treatment. CBCT examination is an excellent tool for identifying and managing these complex root canal systems.

• Restorative Dentistry and Endodontics
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• 제8권1호
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• pp.139-145
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• 1982

Eighty four human maxillary second premolars were injected with china. ink, decalcified, cleared and used in study, in vitro, to determine the number of root canals, the frequency and location of lateral canals, the frequency and location of transverse ansatomoses, the curvature of root canals, the location of apical foramens, and the frequency of apical deltas. The results were as follows: 1. Most of the teeth demonstrated one canals, but the only tooth was found to have two canal. 2. Of the 101 canals studied, 85.1% of the canals were found to have lateral canals and these ramifications were usually located in the apical third of the root. 3. Of the two root canals in one root, 25.4% of the canals were found to have transverse anastomoses and were usually located in the middle third of the root 4. 33.3% of apical foramens were located directly on the root apex and 66.7% of them laterally, and 46.5% of canals showed distal curvature.

• Restorative Dentistry and Endodontics
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• 제7권1호
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• pp.139-144
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• 1981

Eighty four human maxillary first premolars were injected with china ink, decalcified, cleared and used in study, in vitro, to determine the number of root canals, the frequency and location of lateral canals, the frequency and location of transverse anastomoses, the curvature of root canals, the location of apical foramens, and the frequency of apical deltas. The results were as follows: 1. Most of the teeth demonstrated two canals, but 20.2% of the teeth were found to have one canal. 2. Of the 151 canals studied, 38.4% of the canals were found to have lateral canals and these ramifications were usually located in the apical third of the root. 3. Of the two root canals in one root, 35.7% of the canals were found to have transverse anastomoses and were usually located in the middle third of the root. 4. 15.2% of apical foramens were located directly on the root apex and 84.8% of them laterally, and 52.3% of canals showed distal curvature.

• Restorative Dentistry and Endodontics
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• 제46권3호
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• pp.33.1-33.12
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• 2021

Objectives: This study aimed to investigate the efficacy of ionic and non-ionic-based contrast media (in vitro study) and the combinatorial effect of chitosan-based endo-radiopaque solution (CERS) (in vivo study) for visualization of the root canal anatomy. Materials and Methods: In vitro study (120 teeth): The root canal of maxillary premolars and molars (in vitro group 1 and 2 respectively, n = 60 each) were analyzed using 4 different contrast media (subgroups: Omnipaque 350, Iopamidol, Xenetix 350, and Urografin 76; n = 15 each) in combination with 5.25% sodium hypochlorite (NaOCl). Based on the results of the in vitro study, in vivo study (80 teeth) was done to compare Xenetix 350 + 5.25% NaOCl with CERS (in vivo group 1 and 2 respectively, n = 40 each) on maxillary and mandibular premolars and molars. Two endodontists used radiovisiography to assess the depth of ingress and identify the aberrant root anatomy after access cavity preparation, and after initial cleaning and shaping of canals. Kruskal-Wallis test was used for in vitro comparison (p < 0.05), and Wilcoxon signed-rank test and Mann-Whitney U test for in vivo analysis (p < 0.01). Results: In vitro study, Xenetix 350 + 5.25% NaOCl facilitated a significant higher visualization (p < 0.05). For in vivo study, CERS had a statistically significant depth of ingress (p < 0.01), and was efficient in identifying the aberrant root canal anatomy of premolars and molars. Conclusions: CERS facilitates better visualization of the root canal anatomy of human premolars and molars.

• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.515-524
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• 1998

치근단 역충전 와동 형성을 위한 초음파 다이아몬드 기구의 임상적 적용의 타당성 및 특성을 평가하기 위한 연구의 일환으로, 다이아몬드 기구로 형성된 치근단 역충전 와동의 와벽 형태 및 와동 정화도를 관찰하여 스테인레스 스틸 기구의 것과 비교하였다. 초음파 기구로 형성된 와동의 와벽형태를 평가하기 위하여 발거된 상악 제 1 대구치 치근에서 근관을 형성하고 gutta-percha로 충전한 다음 근단 3mm부위를 치아 장축에 직각되게 절제하고 초음파 다이아몬드 기구 및 초음파 스테인레스 스틸 기구로 역충전 와동을 형성하였으며, 형성된 치근단 역충전 와동내벽의 정화도를 평가하기 위해서 와벽의 잔존 잔사 및 도말층의 양을 측정, 분석하여 다음과 같은 결과를 얻었다. 다이아몬드 기구로 형성된 와동의 와벽 형태는 다이아몬드 입자에 의해 긁힌 자국이 선명한 양상을 특정적으로 보인 반면, 스테인레스 스틸 기구로 형성된 와동의 와벽은 계단식의 층을 특정적으로 보여 주었다. 다이아몬드 기구로 형성된 와동에서는 스테인레스 스틸 기구 와동에 비해 내벽 도말층의 량이 유의하게 많이 나타났다 (p<0.01).