• 대한치과의사협회지
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• 제51권10호
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• pp.551-555
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• 2013

The purpose of this study was to give a guideline for selecting the nickel-titanium (NiTi) file by review from many studies. Since the early 1990s, several instrument systems manufactured from NiTi have been introduced into endodontic practice. The specific design characteristics vary, such as tip shape and size, cross sectional view, helix angle, and pitch space. Some of the early systems have been removed from the market or play only minor roles; others are still widely used. New designs continually are produced, but the extent to which clinical outcomes will depend on design characteristics is difficult to forecast. In this study, I have reviewed the different design characteristics in respect of the safety and efficiency. With the review from many studies, I concluded that the clinicians must be understand the specific design characteristics for selecting the ideal NiTi rotary instruments.

• Restorative Dentistry and Endodontics
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• 제29권1호
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• pp.44-50
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• 2004

This study compared the shaping ability of nickel-titanium rotary files with different rake angle and radial land. The nickel-titanium files used in this study were Profile(Dentsply, Maillefer, Ballaigues, Switzerland), Hero 642(Micromega, Besancon, France) and K3 (SybronEndo, Glendora, Ca, USA) file. Resin blocks substituted for root canals. 36 resin blocks were divided into 3 groups with 12 canals each The time for canal preparation was recorded. The images of pre- and postoperative resin canal were scanned and those were superimposed Amounts of canal deviation, total canal widths, inner canal widths, and outer canal widths were measured at apical 1, 2 ,3, 4, 5, 6, and 7mm levels. The amount of canal deviation was the smallest in Profile group , and the time far canal preparation was the shortest in Hero 642 group. K3 group resulted in competent characteristics in both measurements. Positive rake angle seemed to result in fast shaping of root canal and radial land guide the instrument in center of the canals and around curvatures. Radial land also tended to reduce the sense of screwing into the root canal. The proper selection of the nickel-titanium fie based on the knowledge about file design is needed for the safer, simpler and faster root canal therapy.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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• pp.594-594
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• 2003

I. Objectives The purpose of this study is to determine if propagation of pre-existing manufacturing defects results in brittle fracture of NiTi rotary files by examining the fracture surface of the instrument by SEM, and to compare the fracture time of NiTi rotary files with different flute designs under cyclic loading. II. Materials and Methods This study examined three groups of rotary NiTi instruments (K3, ProFile, Hero). Of each group, 04 taper, size 30 and 06 taper, size 25 were selected.：120 in total. Surface defects were created by simulating the machining process of NiTi rotaries.(omitted)

• Restorative Dentistry and Endodontics
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• 제25권1호
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• pp.78-84
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• 2000

The aim of this study was to compare shaping ability of nickel-titanium rotary files with different taper in simulated resin canals. The instruments used in this study were GT with .04 taper ProFile with ISO-sized tip, .04 taper ProFile with ISO-sized tip alone, and .02 taper Naviflex file and all canals were prepared by crown-down technique. A total of 30 composite images were made from pre- and post-canal scanned images using Scanjet 4C scanner and Corel photopaint 8.0 and then, prevalence of canal aberrations was measured. The amount of coronal substance the instruments removed was also calculated two-dimensionally on digitized images with the Brain C software to compare the relative enlarging efficiency. Finally, the prepared internal canal form was evaluated three-dimensionally with impression technique. The results were as follows; 1. The incidence of zipping in Naviflex group was significantly high compared to the other two groups(P<.05). 2. The amount of coronal substance the GT combined group removed was significantly larger than the other two groups(P<.05). 3. The GT combined group produced canals with good taper and flow. Under the conditionas of this study, the combined use of larger tapered nickel-titanium rotary files prepared simulated canals safely, efficiently and with good three-dimensional form.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권4호
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• pp.267-275
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• 2022

Background: Various instrument kinematics used in single-visit endodontics influence the occurrence of pain after endodontic therapy. This study aimed to evaluate the occurrence of pain after mechanical instrumentation with Hyflex EDM (HEDM) and WaveOne Gold (WOG) during single-visit endodontic therapy. Methods: Sixty patients diagnosed with asymptomatic irreversible pulpitis and normal apical tissues in mandibular premolar teeth were included in the study for single-visit root canal therapy. The patients were divided into two groups (n = 30) according to the rotary instrument used during root canal preparation (group A [HEDM] and group B [WOG]). Pain was evaluated after endodontic therapy at 8, 24, and 48 h intervals using the visual analog scale (VAS). Data obtained were analyzed using the chi-square test, independent t-test, MannWhitney U test, and Wilcoxon matched-pairs test. Results: Statistically significant differences were observed between the two groups (P < 0.001) at 8, 24, and 48 h, with WOG exhibiting less pain than HEDM files. Conclusion: Postoperative pain was lower in the WOG file system than in the HEDM file system after single-visit root canal therapy at 8, 24, and 48 h.

• Restorative Dentistry and Endodontics
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• 제43권1호
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• pp.5.1-5.9
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• 2018

Objectives: This study evaluated the amount of remaining root canal filling materials after retreatment procedures performed by undergraduate students using manual, rotary, and reciprocating techniques through micro-computed tomographic analysis. The incidence of instrument fracture and the instrumentation time were also evaluated. Materials and Methods: Thirty maxillary single rooted teeth were prepared with Reciproc R25 files and filled with gutta-percha and AH Plus sealer by the continuous wave of condensation technique. Then, the specimens were assigned to 3 groups (n = 10), according to the retreatment technique used: manual, rotary, and reciprocating groups, which used K-file, Mtwo retreatment file, and Reciproc file, respectively. Retreatments were performed by undergraduate students. The sample was scanned after root canal filling and retreatment procedures, and the images of the canals were examined to quantify the amount of remaining filling material. The incidence of instrument fracture and the instrumentation time were recorded. Results: Remaining filling material was observed in all specimens regardless of the technique used. The mean volume of remaining material was significantly lower in the Reciproc group than in the manual K-file and Mtwo retreatment groups (p < 0.05). The time required to achieve a satisfactory removal of canal filling material and refinement was significantly lower in the Mtwo retreatment and Reciproc groups (p < 0.05) when compared to the manual K-file group. No instrument fracture was observed in any of the groups. Conclusions: Reciproc was the most effective instrument in the removal of canal fillings after retreatments performed by undergraduate students.

• 구강회복응용과학지
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• 제22권2호
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• pp.173-180
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• 2006

Objectives The aim of this study is to compare the quality of root canal preparation completed using MFile-$System^{(R)}$ instrument ( Komet, Gebr.Brsaseler, Germany) and conventional stainless steel file in the canals of Maxillary molar teeth that had a canal curvature between $25^{\circ}$ or more Materials & Methods Buccal canals of 24 first and second maxillary molar teeth, extracted for periodontal and prosthetic reasons were used. Tissue fragments and calcified debris were removed from teeth by scaling and the teeth were stored in 10% formalin solution for 24 hour. Then, teeth were stored in saline until used. To be included the roots had to have completed formed apices and angle of curvature ranging between $25^{\circ}$ or more according to the criteria described by Schneider(1971). Palatal and Second mesiobuccal canals were not included. Teeth were embedded into transparent acrylic. The teeth were randomly divided into two experimental groups. All teeth were scanned by Dental CT (PSR9000N, Asahi, Japan) to determine the root canal shape before instrumentation. Image slices were prepared from the apical end point to the pulp chamber. The first two sections were 2 mm from the apical end of root and 2 mm below the orifice. Further section was recorded, dividing the distance between the sections of apical and coronal levels into two equal lengths. 12 teeth were instrumented using stainless steel fileand another 12 teeth were instrumented using MFile-$System^{(R)}$. Following the completion of the instrumentation, the teeth were again scanned and compared with the cross sectional images taken prior to canal preparation. Amount of transportation and centering ability was assessed. Student's t-test was used for statistical analysis. Result Less transportation occurred with MFile-$System^{(R)}$ rotary instrumentation than stainless steel instrument. MFile-$System^{(R)}$ had better centering ability than stainless steel instrument. Conclusion MFile-$System^{(R)}$ rotary instrumentation transported canals less and had good centering ability.

• Restorative Dentistry and Endodontics
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• 제30권5호
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• pp.393-401
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• 2005

본 연구는 형태 및 재질이 동일한 엔진구동형 ProTaper파일과 수동형 ProTaper파일을 이용하여 레진모형근관을 성형한 후 근관형태 변화를 비교 분석하고자 시행되었다. 본 연구에서는 레진모형근관으로 총 40개의 J자와 S자의 근관 형태가 재현된 ENDO-TRAINING BLOC을 사용하였다. 근관 성형 기구로는 엔진구동형 Ni-Ti 파일로 $ProTaper^{TM}$, 수동형 Ni-Ti 파일로 $ProTaper^{(R)}$ For Hand Use를 사용하였다. 사용된 레진모형근관과 파일의 종류에 따라 10개씩 4개의 그룹으로 나누어 근관성형을 시행하였다. 근관 성형 전$\cdot$후 이미지를 스캐너 (Color scanner, UMAX Technologies, Inc., USA)를 이용하여 얻은 후. Photoshop 7.0 프로그램 (Adobe System Inc., USA)을 이용하여 이미지를 중첩하였다. 이미지 분석 프로그램 (Image-$Pro^{(R)}$ Plus, Media Cybernetic, USA)을 이용하여 치근단 쪽에서부터 0, 1, 2, 3, 4, 5, 6 및 7 mm 수준에서 근관 성형에 따른 근관의 내측 및 외측 폭경의 변화량, 근관 총폭경의 변화량, 근관 중심축의 변위량을 측정하였다. 또한 근관 성형 시간을 기록하였다. 두 기구 사이의 유의성 검정을 위해 독립 표본 t-검정을 시행하여, 근관 성형 시 수동형 ProTaper 파일이 엔진구동형 ProTaper 파일에 비해 근관 중심축의 변위가 유의하게 덜 일어나며 근관의 원래 형태를 더욱 잘 유지할 수 있지만, 근관 성형시간은 길어질 수 있다는 결론을 얻었다.

• Restorative Dentistry and Endodontics
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• 제35권5호
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• pp.374-379
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• 2010

연구목적: 근관의 만곡도가 니켈-티타늄 전동파일의 screw-in effect에 미치는 영향을 평가하고자 하였다. 연구 재료 및 방법: 0, 10, 20, 그리고 30도의 만곡을 가지는 80개의 레진모형근관 (Nissin Dental Prod. Inc.)에서 0.06 경사도 30번 전동화일 (ProTaper, Dentsply-Maillefer)을 분당 300회전, 단일 pecking 동작으로 기구조작하였으며 dynamometer를 이용하여 발생한 screw-in force를 측정하였다. 결과치는 one-way ANOVA로 통계처리 하였고, Scheffe multiple range test를 사용하여 95% 수준에서 유의성을 검정하였다. 결과: 근관의 만곡도가 작을수록 screw-in force가 높게 나타났으며 (p < 0.001), 모든 그룹 간에 유의성 있는 차이를 보였다. 결론: 이 결과로 미루어 볼 때, 근관의 만곡도가 작을수록 screw-in force가 많이 발생하는 것으로 보여지며, 따라서 기구조작 동안의 screw-in force를 방지 또는 억제하기 위해서는 만곡도가 작은 근관을 성형할 때 더 많은 주의가 요구될 것으로 생각된다.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.176-181
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• 2016

Objectives: This study aimed to compare two nickel-titanium systems (rotary vs. reciprocating) for their acceptance by undergraduate students who experienced nickel-titanium (NiTi) instruments for the first time. Materials and Methods: Eighty-one sophomore dental students were first taught on manual root canal preparation with stainless-steel files. After that, they were instructed on the use of ProTaper Universal system (PTU, Dentsply Maillefer), then the WaveOne (WO, Dentsply Maillefer). They practiced with each system on 2 extracted molars, before using those files to shape the buccal or mesial canals of additional first molars. A questionnaire was completed after using each file system, seeking students' perception about 'Ease of use', 'Flexibility', 'Cutting-efficiency', 'Screwing-effect', 'Feeling-safety', and 'Instrumentation-time' of the NiTi files, relative to stainless-steel instrumentation, on a 5-point Likert-type scale. They were also requested to indicate their preference between the two systems. Data was compared between groups using t-test, and with Chi-square test for correlation of each perception value with the preferred choice (p = 0.05). Results: Among the 81 students, 55 indicated their preferred file system as WO and 22 as PTU. All scores were greater than 4 (better) for both systems, compared with stainless-steel files, except for 'Screwing-effect' for PTU. The scores for WO in the categories of 'Flexibility', 'Screwing-effect', and 'Feeling-safety' were significantly higher scores than those of PTU. A significant association between the 'Screwing-effect' and students' preference for WO was observed. Conclusions: Novice operators preferred nickel-titanium instruments to stainless-steel, and majority of them opted for reciprocating file instead of continuous rotating system.