• Title/Summary/Keyword: Split-root study

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Clinical and patient-reported outcomes after recession coverage using modified vestibular incision subperiosteal tunnel access with a volume-stable collagen matrix as compared to a coronally advanced flap with a subepithelial connective tissue graft

  • Chun-Teh Lee;Marlena Lange;Alain Jureidini;Nurit Bittner;Ulrike Schulze-Spate
    • Journal of Periodontal and Implant Science
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    • v.52 no.6
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    • pp.466-478
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    • 2022
  • Purpose: Coronally advanced split-or full-thickness (CAST or CAFT) flaps in combination with subepithelial connective tissue grafts (SCTGs) are commonly used in root-coverage procedures despite postoperative pain and bleeding from the graft donor site. Therefore, the modified vestibular incision subperiosteal tunnel access procedure (VISTAX) uses a novel collagen matrix (VCMX) instead of autogenous tissue to address the limitations associated with autogenous tissue grafting. This retrospective study compared the clinical outcomes of VISTAX to the results obtained after using a CAST or CAFT flap in combination with SCTG for root coverage. Methods: Patients with single or multiple adjacent recession I/II defects were included, with 10 subjects each in the VISTAX, CAFT, and CAST groups. Defect coverage, keratinized tissue width, esthetic scores, and patients' perceived pain and dentinal hypersensitivity (visual analogue scale [VAS]) were assessed at baseline, 3 months, and 6 months. Results: All surgical techniques significantly reduced gingival recession (P<0.0001). Defect coverage, esthetic appearance, and the reduction in dentinal hypersensitivity were comparable. However, the VAS scores for pain were significantly lower in the VISTAX group than in the CAFT and CAST groups, which had similar scores (P<0.05). Furthermore, the clinical results of VISTAX and CAFT/CAST generally remained stable at 6 months. Conclusions: The clinical outcomes of VISTAX, CAFT, and CAST were comparable. However, patients perceived significantly less pain after VISTAX, indicating a potentially higher patient acceptance of the procedure. A prospective trial with a longer follow-up period and a larger sample size should therefore evaluate VISTAX further.

SCANNING ELECTRON MICROSCOPIC STUDY ON THE EFFICACY OF ROOT CANAL WALL DEBRIDEMENT OF ROTARY NI-TI INSTRUMENTS WITH DIFFERENT CUTTING ANGLE (엔진 구동형 니켈-타이타늄 합금파일의 절삭각에 따른 근관성형 효과에 관한 전자현미경적 연구)

  • Jeon, In-Soo;Yoon, Tai-Cheol;Park, Seong-Ho;Kum, Kee-Yeon
    • Restorative Dentistry and Endodontics
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    • v.27 no.6
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    • pp.577-586
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    • 2002
  • The purpose of this in vitro study was to compare the effects of root canal cleanness following two Ni-Ti rotary instruments with different rake angle. Thirty-six sound, extracted human premolars with single root were randomly divided into three groups. The used rotary instruments were HEROShaper (Group 1, Micro-Mega, Besancon, France, n=12) and ProFile (Group 2, Maillefer, Ballaigues, Switzerland, n=12). Control group (n=12) was only extirpated with barbed broach (Mani, Matsutani Seisakusho Co., Japan) Group 1 & 2 teeth were prepared to a #40/.04 taper at the apex followed by 1 mm using crown-down technique. After canal preparation and frequent irrigation with 5.25% sodium hypochlorite, the roots split longitudinally into a bucco-lingual direction. Root halves were cross-sectioned in apical third portion again. All root specimens were processed for SEM investigation and photographed. Separate evaluations by one endodontist were undertaken for smear layer on prepared walls with a five score-index for each using reference photograph in root halves. The penetration depth of smear layer into dentinal tubules was also estimated in the other halves. Following results were obtained: 1. Smear layer was observed on all the prepared walls with two experimental groups except control group. 2. Smear layer characteristics in two experimental groups; 1) HEROShaper group showed snowy, dusty appearance and were shown open dentinal tubuli on the prepared walls of almost specimens, and the thickness of smear layer covering onto dentinal surfaces was within 1-2 ${\mu}m$ in a few specimens. 2) ProFile group showed shiny, burnished appearance and complete root canal wall covered by a homogenous smear layer with no open dentinal tubuli in all specimens. The penetration of smear layer into dentinal tubules was found in all specimens and the thickness was at 2-4 ${\mu}m$ in all specimens. These results demonstrated that a completely clean root canal could not be achieved regardless of positive or negative rake angle, which is in accordance with the majority of previous studies on root canal cleanliness In conclusion, through irrigation with antibacterial solutions or chelating agents is recommended to remove the smear layer on prepared canal wall in spite of Ni-Ti instrumentation.

AN IN-VITRO EVALUATION OF SEALER PLACEMENT METHODS IN SIMULATED ROOT CANAL EXTENSIONS (근관 내 불규칙 확장부에서 sealer 적용방법에 따른 충전 효과 평가)

  • Kim, Sung-Young;Lee, Mi-Jeong;Moon, Jang-Won;Lee, Se-Joon;Yu, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.30 no.1
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    • pp.31-37
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    • 2005
  • The aim of this study was to evaluate the effectiveness of sealer placement in simulated root canal extensions. Forty resin blocks were attained from the Endo-training Bloc. In each block. The simulated root canal was made with $\#20$, 80taper GT file. After each block was longitudinally split into two halves, a standardized groove was prepared on one canal wall of two halves to simulate the canal extensions with various irregularities. The two halves of each block were assembled and all simulated root canals were obturated by single cone method with AH26 sealer. Four different methods of sealer placement were used: group A, $\#20$ K-file; group B, ultrasonic file; group C, lentulo spiral; group D, EZ-Fill bi-directional spiral. All obturated blocks were stored in $100\%$ humidity at $37^{\circ}C$ for 1 week, Using a low speed saw, each block was sectioned horizontally. Images of the sections were taken using a stereomicroscope at $\times$ 30 magnification and a digital camera. The amount of the sealer in the groove was evaluated using a scoring system, a higher score indicated better sealing effectiveness. The data was statistically analysed by Fisher's Exact Test. The sealing score was the lowest, specially at the middle area of canal extensions in group A, and that was statistically significant difference from other groups. In conclusion, the ultrasonic file, lentulo spiral and EZ-Fill bi-directional spiral were effective methods of sealer placement in simulated canal extensions. The K file was the least effective method, specially at the middle area of canal extensions.

A Study on the SSF algorithm improvement for the optical propagation simulation (광선로 전파방정식 계산을 위한 SSF 알고리즘 개선에 관한 연구)

  • 김민철;김종훈
    • Korean Journal of Optics and Photonics
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    • v.10 no.5
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    • pp.405-412
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    • 1999
  • We propose an effective algorithm, which can predict the detailed behavior of the intensity-modulated high speed optical signal after propagating through an optical fiber. The alogrithm is based on the SSF (Split Step Fourier) Method, however, the step size is automatically calibrated in each calculation step to reduce the number of calculations within given round-off error bound. Applying the algorithm to the 2.5 Gbps 100 km transmission and 10 Gbps 40 km transmission simulations, we achieved the calculation time reduction by maximum 1/120 and 1/56 of the calculation time by using the SSF fixed step algorithm previously known. The root-mean-square of the round-off error was kept within -30 dB compared to the signal level throughout the calculation.

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Debris removal efficiency depend on different ultrasonic irrigation protocols (초음파 세정 프로토콜에 따른 근관 내 잔사 제거의 효율성 비교)

  • Heo, Gun;Kim, Jin-Woo;Cho, Kyung-Mo;Enkhbileg, Nyamsuren;Lee, Eun-Hye;Park, Se-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.104-111
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    • 2020
  • Purpose: The purpose of this study is comparing the efficiency of debris removal of passive ultrasonic irrigation depend on different protocols. Materials and Methods: Forty-eight mandibular premolars were randomly divided into 2 groups depend on vibration power (Weak and Strong, n = 24). And then two groups were subdivided into 3 groups depend on the number of times that PUI used (1, 2 and 3, n = 8). After standardization, teeth were split into two halves. On the wall of one half of root canal, three depressions were cut at 1, 3 and 5 mm from the apex and in the same way two depressions were cut on the other half of root canal at 2, 4 mm from the apex. Each depression was filled with mixture of dentine and NaOCl. After irrigation, images of the root canal wall were taken, and then the amount of remaining dentine debris was evaluated. Results: There was no significant difference between weak and strong power of vibration groups. Weak vibration groups did not show significant difference depend on the different number of times PUI used. But in the strong vibration groups, twice and three times used groups show better removal efficiency. Conclusion: The removal efficiency of dentine debris is not significantly different depend on the power of vibration. And multiple use of PUI could have better irrigating effects at the apical third area in the strong vibration group.

Growth Performance of Teak (Tectona grandis Linn f.) and Padauk (Pterocarpus macrocarpus Kurz) Used in the Enrichment Planting for the Restoration of Degraded Tropical Forests in Myanmar

  • Oo, Thaung Naing;Lee, Don Koo;Park, Yeong Dae
    • Journal of Korean Society of Forest Science
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    • v.97 no.5
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    • pp.540-546
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    • 2008
  • Enrichment planting has been used as one of the promising restoration techniques to accelerate the natural restoration process of secondary forests or logged-over forests in Myanmar, The objectives of this study were to examine the growth performances of two commercial species such as Teak (Tectona grandis Linn f.) and Padauk (Pterocarpus macrocarpus Kurz) in response to different canopy opening treatments and to examine the suitability of these species in enrichment planting activities for the restoration of degraded tropical forests in Myanmar. In this study, split plot design was applied, and three levels of canopy openings were experimented. The survival rate and height growth of two species were measured four times with 6 month interval. The root collar diameter (RCD) was also measured in the last assessment. Although the survival rate of seedlings was not significantly different among the three treatments (p>0.05) as well as between two species (p>0.05) for all consecutive measurements, height (p<0.05) and RCD were significantly different (p<0.001) among the treatments, T. grandis seedlings thrived best under complete canopy opening (i.e., 5 m width canopy opening with strip-clear cutting) while P. macrocarpus seedlings under partial canopy opening (without felling of marketable tree species). Because this study is concerned with only for young stage of seedlings, continuous assessment and follow-up tending activities are needed to verify the species suitability and optimum width of canopy opening for enrichment planting activities in restoration of degraded forests of Myanmar.

A study on Data Preprocessing for Developing Remaining Useful Life Predictions based on Stochastic Degradation Models Using Air Craft Engine Data (항공엔진 열화데이터 기반 잔여수명 예측력 향상을 위한 데이터 전처리 방법 연구)

  • Yoon, Yeon Ah;Jung, Jin Hyeong;Lim, Jun Hyoung;Chang, Tai-Woo;Kim, Yong Soo
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.43 no.2
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    • pp.48-55
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    • 2020
  • Recently, a study of prognosis and health management (PHM) was conducted to diagnose failure and predict the life of air craft engine parts using sensor data. PHM is a framework that provides individualized solutions for managing system health. This study predicted the remaining useful life (RUL) of aeroengine using degradation data collected by sensors provided by the IEEE 2008 PHM Conference Challenge. There are 218 engine sensor data that has initial wear and production deviations. It was difficult to determine the characteristics of the engine parts since the system and domain-specific information was not provided. Each engine has a different cycle, making it difficult to use time series models. Therefore, this analysis was performed using machine learning algorithms rather than statistical time series models. The machine learning algorithms used were a random forest, gradient boost tree analysis and XG boost. A sliding window was applied to develop RUL predictions. We compared model performance before and after applying the sliding window, and proposed a data preprocessing method to develop RUL predictions. The model was evaluated by R-square scores and root mean squares error (RMSE). It was shown that the XG boost model of the random split method using the sliding window preprocessing approach has the best predictive performance.

Longitudinal Study of the Subgingival Microbial Change after Tetracycline Topical Application (Tetracycline 국소도포가 치은연하 세균분포에 미치는 영향)

  • Choi, Kwang-Choon;Lee, Young-Hee;Lee, Jin-Yong;Chung, Chong-Pyoung;Son, Seong-Heui
    • The Journal of the Korean Society for Microbiology
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    • v.21 no.4
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    • pp.503-513
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    • 1986
  • Previous studies have developed the technique of topical application of tetracycline(TC) into the periodontal pockets and examined the change of clinical parameters and subgingival microbial morphotypes. The purpose of this study was to longitudinally examine the clinical and microbiological effects of topically applied TC in a double-blind and split-mouth design. Thirteen patients with moderate periodontitis, who were treated with or without TC application and scaling treatment, were examined. TC gel(3%) was used to apply into the selected periodontal pockets twice a week for 2 weeks. During the experiment, clinical parameters and subgingival microbial morphotypes were examined, and for isolation of black-pigmented Bacteroides(BPB) and streptococci, an anaerobic sample culturing was done at week 0, 2, and 7. In clinical observation the TC-scaled group exhibited a significant decrease of Gingival Inflammatory Index, Plaque Index, Sulcus Bleeding Index, pocket depth, and gingival crevicular fluid when compared to the TC-unsealed, placebo-scaled, and placebo-unsealed groups. The result of microbial morphotype observation showed a significant increase of coccal form and a decrease of spirochetes in the TC-scaled, TC-unscaled, and placebo-scaled groups. The culture study of streptococci revealed that TC with scaling treatment resulted in a significant increase of S. sanguis I at week 2, but its proportion had returned to the base line level. The anaerobic culture study showed that BPB was significantly reduced in the TC-scaled and TC-unsealed groups at week 7. Among BPB species, B. intermedius declined significantly with time treatment(week 2 and 7) in the TC-scaled and TC-unsealed groups. These results suggest that the settled pathogenic microflora can be succeeded by nonpathogenic microflora in periodontal pockets after TC treatment.

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Removal efficacy and cytotoxicity of a calcium hydroxide paste using N-2-methyl-pyrrolidone as a vehicle

  • Lim, Myung-Jin;Jang, Hyun-Jin;Yu, Mi-Kyung;Lee, Kwang-Won;Min, Kyung-San
    • Restorative Dentistry and Endodontics
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    • v.42 no.4
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    • pp.290-300
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    • 2017
  • Objectives: This study investigated the removal efficacy and cytotoxicity of a newly developed calcium hydroxide paste (cleaniCal, Maruchi) using N-2-methyl-pyrrolidone (NMP) as a vehicle in comparison with ApexCal (Ivoclar Vivadent) and Calcipex II (Nishika), which use different vehicles such as polyethylene glycol and propylene glycol, respectively. Materials and Methods: Thirty maxillary premolars with oval-shaped canals were divided into 3 groups and the teeth were filled with one of the pastes. After removal of the paste, micro-computed tomographic (${\mu}$-CT) imaging was obtained to assess the volume of residual paste in the root canal of each tooth. The teeth were then split longitudinally and the area of the paste-coated surface was evaluated by stereomicroscopy. The cytotoxicity of each product was assessed using an agar overlay assay. The effect of each vehicle on cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The data were analyzed using one-way analysis of variance and Tukey's tests to detect any significance (p < 0.05). Results: In the ${\mu}$-CT and stereomicroscopic analysis, cleaniCal exhibited less remnants of medicament than ApexCal and Calcipex. cleaniCal showed a higher cytotoxicity than the other pastes in the agar overlay assay. Furthermore, NMP exhibited lower cell viability compared to the other vehicles. Conclusions: cleaniCal showed better removal efficacy compared to the other products. However, clinicians should be aware of the higher cytotoxicity of the NMP-based material and consider its possible adverse effects on periradicular tissue when it is overfilled.

Evaluation of Sensitivity and Retrieval Possibility of Land Surface Temperature in the Mid-infrared Wavelength through Radiative Transfer Simulation (복사전달모의를 통한 중적외 파장역의 민감도 분석 및 지표면온도 산출 가능성 평가)

  • Choi, Youn-Young;Suh, Myoung-Seok;Cha, DongHwan;Seo, DooChun
    • Korean Journal of Remote Sensing
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    • v.38 no.6_1
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    • pp.1423-1444
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    • 2022
  • In this study, the sensitivity of the mid-infrared radiance to atmospheric and surface factors was analyzed using the radiative transfer model, MODerate resolution atmospheric TRANsmission (MODTRAN6)'s simulation data. The possibility of retrieving the land surface temperature (LST) using only the mid-infrared bands at night was evaluated. Based on the sensitivity results, the LST retrieval algorithm that reflects various factors for night was developed, and the level of the LST retrieval algorithm was evaluated using reference LST and observed LST. Sensitivity experiments were conducted on the atmospheric profiles, carbon dioxide, ozone, diurnal variation of LST, land surface emissivity (LSE), and satellite viewing zenith angle (VZA), which mainly affect satellite remote sensing. To evaluate the possibility of using split-window method, the mid-infrared wavelength was divided into two bands based on the transmissivity. Regardless of the band, the top of atmosphere (TOA) temperature is most affected by atmospheric profile, and is affected in order of LSE, diurnal variation of LST, and satellite VZA. In all experiments, band 1, which corresponds to the atmospheric window, has lower sensitivity, whereas band 2, which includes ozone and water vapor absorption, has higher sensitivity. The evaluation results for the LST retrieval algorithm using prescribed LST showed that the correlation coefficient (CC), the bias and the root mean squared error (RMSE) is 0.999, 0.023K and 0.437K, respectively. Also, the validation with 26 in-situ observation data in 2021 showed that the CC, bias and RMSE is 0.993, 1.875K and 2.079K, respectively. The results of this study suggest that the LST can be retrieved using different characteristics of the two bands of mid-infrared to the atmospheric and surface conditions at night. Therefore, it is necessary to retrieve the LST using satellite data equipped with sensors in the mid-infrared bands.