• 제목/요약/키워드: Root repair

검색결과 125건 처리시간 0.029초

Comparative analysis of bond strength to root dentin and compression of bioceramic cements used in regenerative endodontic procedures

  • Maykely Naara Morais Rodrigues;Kely Firmino Bruno;Ana Helena Goncalves de Alencar;Julyana Dumas Santos Silva;Patricia Correia de Siqueira;Daniel de Almeida Decurcio;Carlos Estrela
    • Restorative Dentistry and Endodontics
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    • 제46권4호
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    • pp.59.1-59.14
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    • 2021
  • Objectives: This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression. Materials and Methods: Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05. Results: Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ± 8.47 MPa) than MTA Repair HP (18.68 ± 7.40 MPa) and Bio-C Repair (19.96 ± 3.96 MPa) (p < 0.05). Conclusions: Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.

비틀림 마운트형 터빈 블레이드의 파괴기구에 관한 연구 (A Study on Fracture Mechanism of Torsion-Mounted Type Turbine Blade)

  • 홍순혁;이동우;장득열;조석수;주원식
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 춘계학술대회논문집A
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    • pp.585-590
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    • 2001
  • Turbine blade is subject to torsional load by torsion-mount, centrifugal load by rotation of rotor and repeated bending load by steam pressure. Turbine with partially cracked blade has normal working condition at initial repair time but vibratory working condition at middle repair time due to crack growth. Finite element analysis on turbine blade indicates that repeated bending load out of all loads is the most important factor on fatigue strength of turbine blade. Therefore, this study shows root mean square roughness has linear relation with stress intensity factor range in 12% Cr steel and can predict loading condition of fractured turbine blade.

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표면거칠기와 유한요소법을 이용한 터빈 블레이드의 파손해석에 관한 연구 (A Study on Failure Analysis of Turbine Blade Using Surface Roughness and FEM)

  • 홍순혁;이동우;이선봉;조석수;주원식
    • 한국자동차공학회논문집
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    • 제9권6호
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    • pp.170-177
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    • 2001
  • Turbine blade is subject to torsional load by torsion-mount, centrifugal load by rotation of rotor and repeated bending load by steam pressure. Turbine with partially cracked blade has normal working condition at initial repair time but vibratory working condition at middle repair time due to crack growth. Finite element analysis on turbine blade indicates that repeated bending load out of all loads is the most important factor on fatigue strength of turbine blade. Therefore, this study shows root mean square roughness has linear relation with stress intensity factor range in 12% Cr steel and can predict loading condition of fractured turbine blade.

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Hemisection and Endodontic Treatment of First Molar Tooth and Mandibular Fracture Repair in a Dog

  • Kim, Gyu-min;Kim, Jury;Bae, Hyeon-a;Kim, Nam-soo;Ji, Dong-Beom
    • 한국임상수의학회지
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    • 제36권2호
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    • pp.106-108
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    • 2019
  • This clinical report describes hemisection and endodontic treatment of first molar tooth and mandible fracture repair in a dog. A 10 years old spayed female shih-tzu was diagnosed as left mandibular fracture by oral examination and dental radiography. First, partial odontectomy of mesial root of mandibular first molar placed in fracture line was performed, and then endodontic treatment of distal root and bone graft in extraction site was performed. Thereafter the fracture region was fixed with interdental wiring and acryl resin splint. Mandibular fracture site was healed without any complications, observed for 19 weeks follow-up period. Upon this result, this case is proving that fractured mandible can be treated successfully with hemisection followed by bone graft, interdental wiring and acryl resin splint to preserve the remaining tooth for mastication rather than tooth extraction.

동맥근 농양 및 좌심실유출호 가성 심실류 환자에서 폐동맥 자가이식편을 이용한 대동맥근부치환술 -1례 치험 보고- (Aortic Root Replacement with Pulmonary Autograft in Patient with Subaortic Abscess and False Aneurysm in Left Ventricular Outflow Tract -Report of A Case-)

  • 장병철
    • Journal of Chest Surgery
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    • 제28권7호
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    • pp.704-707
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    • 1995
  • The use of the patient`s pulmonary valve for replacement of the patient`s diseased aortic valve was introduced and developed by Mr. Donald Ross. The long term benefits of having a normal, fully viable, trileaflet semilunar valve in aortic position was demonstrated. A 38 year old male had histories of failures of previously implanted aortic prosthetic valves twice and evidence of progressive heart failure. At operation, aortic root abscess was found; the abscess extension to adjacent structures and partial valve dehiscence had occurred. The patient underwent replacement of the aortic root with autologous pulmonary valve, autologous pericardial patch repair of left ventricuar outflow tract and recontruction of the right ventricular outflow tract and pulmonary artery with prosthetic valved conduit. Postoperatively, the patient recovered well. Postoperative doppler echocardiography demonstrated minimal central regurgitation in new aortic valve. Aortic root replacement with pulmonary autograft in a patient of recurrent aortic root abscess and false aneurysm of left ventricuar outflow tract was experienced and reported with follow up echocardiography.

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Invasive cervical resorption: treatment challenges

  • Kim, Yookyung;Lee, Chan-Young;Kim, Euiseong;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • 제37권4호
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    • pp.228-231
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    • 2012
  • Invasive cervical resorption is a relatively uncommon form of external root resorption. It is characterized by invasion of cervical region of the root by fibrovascular tissue derived from the periodontal ligament. This case presents an invasive cervical resorption occurring in maxillary lateral incisor, following damage in cervical cementum from avulsion and intracoronal bleaching procedure. Flap reflection, debridement and restoration with glass ionomer cement were performed in an attempt to repair the defect. But after 2 mon, more resorption extended apically. Considering root stability and recurrence potential, we decided to extract the tooth. Invasive cervical resorption in advanced stages may present great challenges for clinicians. Therefore, prevention and early detection must be stressed when dealing with patients presenting history of potential predisposing factors.

Surgical management of a failed internal root resorption treatment: a histological and clinical

  • Asgary, Saeed;Eghbal, Mohammad Jafar;Mehrdad, Leili;Kheirieh, Sanam;Nosrat, Ali
    • Restorative Dentistry and Endodontics
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    • 제39권2호
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    • pp.137-142
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    • 2014
  • This article presents the successful surgical management of a failed mineral trioxide aggregate (MTA) orthograde obturation of a tooth with a history of impact trauma and perforated internal root resorption. A symptomatic maxillary lateral incisor with a history of perforation due to internal root resorption and nonsurgical repair using MTA was referred. Unintentional overfill of the defect with MTA had occurred 4 yr before the initial visit. The excess MTA had since disappeared, and a radiolucent lesion adjacent to the perforation site was evident radiographically. Surgical endodontic retreatment was performed using calcium enriched mixture (CEM) cement as a repair material. Histological examination of the lesion revealed granulation tissue with chronic inflammation, and small fragments of MTA encapsulated within fibroconnective tissue. At the one and two year follow up exams, all signs and symptoms of disease had resolved and the tooth was functional. Complete radiographic healing of the lesion was observed two years after the initial visit. This case report illustrates how the selection of an appropriate approach to treatment of a perforation can affect the long term prognosis of a tooth. In addition, extrusion of MTA into a periradicular lesion should be avoided.

성견 열개형 수평 결손부에서 Calcium Sulfate 차단막이 치주조직 치유에 미치는 영향 (The Effects of Calcium sulfate Membrane on the Periodontal Wound Repair of Horizontal Dehiscence defects in Dogs)

  • 최성호;조규성;문익상;채중규;김종관
    • Journal of Periodontal and Implant Science
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    • 제27권1호
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    • pp.249-262
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    • 1997
  • The present study investigates the effects of calcium sulfate graft on the periodontal healing in intrabony periodontal defects of dogs. Following the general anesthesia with 30mg/kg pentobarbital injected intravenously, the first premolar was extracted and full-thickness periodontal flap was elevated from the second premolar to the fourth premolar. The portion of premolars coronal to the alveolar crest was removed and mesial and distal roots were separated. Exposed root canals were sealed with Caviton and covered completely with flaps sutured. Following the healing period of 12 weeks, the surgical sited were uncovered and $4{\times}4mm$ intrabony defects were surgically created. Those defects with calcium sulfate graft following the root planing was designated as the test sites and those with flap surgery-only were designated as control sites. The animals were sacrificed after 8 weeks and the healing was histologically analyzed. The results were as follows. 1. No foreign body reaction or inflammation were observed in either groups. Calcium sulfate was completely resorbed in the test sites. 2. New cementum was observed coronal to the notch in both groups. Connective tissue fibers were oriented parallel to the root surface in the controls. Connective tissues were formed in large amount in the sites. 3. Test sites showed marked amount of new bone formation while the control sites showed minimal bone gain. 4. Root resorption was observed in coronal portions of th control Sites. The results suggest that calcium sulfate is a biocompatible graft material with a potential for new bone and cementum formation.

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Push-out bond strength and marginal adaptation of apical plugs with bioactive endodontic cements in simulated immature teeth

  • Maria Aparecida Barbosa de Sa;Eduardo Nunes ;Alberto Nogueira da Gama Antunes ;Manoel Brito Junior ;Martinho Campolina Rebello Horta ;Rodrigo Rodrigues Amaral;Stephen Cohen ;Frank Ferreira Silveira
    • Restorative Dentistry and Endodontics
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    • 제46권4호
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    • pp.53.1-53.11
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    • 2021
  • Objectives: This study evaluates the bond strength and marginal adaptation of mineral trioxide aggregate (MTA) Repair HP and Biodentine used as apical plugs; MTA was used as reference material for comparison. Materials and Methods: A total of 30 single-rooted teeth with standardized, artificially created open apices were randomly divided into 3 groups (n = 10 per group), according to the material used to form 6-mm-thick apical plugs: group 1 (MTA Repair HP); group 2 (Biodentine); and group 3 (white MTA). Subsequently, the specimens were transversely sectioned to obtain 2 (cervical and apical) 2.5-mm-thick slices per root. Epoxy resin replicas were observed under a scanning electron microscope to measure the gap size at the material/dentin interface (the largest and smaller gaps were recorded for each replica). The bond strength of the investigated materials to dentin was determined using the push-out test. The variable bond strengths and gap sizes were evaluated independently at the apical and cervical root dentin slices. Data were analyzed using descriptive and analytic statistics. Results: The comparison between the groups regarding the variables' bond strengths and gap sizes showed no statistical difference (p > 0.05) except for a single difference in the smallest gap at the cervical root dentin slice, which was higher in group 3 than in group 1 (p < 0.05). Conclusions: The bond strength and marginal adaptation to root canal walls of MTA HP and Biodentine cement were comparable to white MTA.