• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.51-62
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• 1980

A Scanning Electron Microscope study was conducted to compare the effectiveness of mechanical preparation of the root canal in conjunction with a few number of canal irrigants that have been widely used for canal treatment. The irrigants used in this study were 5% sodium hypochlorite, 3% hydrogen peroxide, 15% EDTA, and 30% hydrochloric acid. The root canals of 84 freshly extracted teeth with single or multi root were conventionally prepared with Hedstroem files. 78 canals were irrigated with normal saline solution following each instrument number and 6 canals were prepared without irrigation. After instrumentation 72 canals were flushed with various irrigants for predetermined length of time as shown on the Table 1. Additional 20 teeth were kept uninstrumented and five of them were immersed in 15% EDTA for 5 minutes, five in 5% sodium hypochlorite for 5 minutes, five in 3% hydrogen peroxide for 20 minutes, and the last five were only rinsed with saline solution. The SEM examination revealed as follows: 1. The canal wall cannot be thoroughly prepared by means of files. 2. No typical structural changes occured on instrumented dentin surface by saline solution, 3% $H_2O_2$, 5% NaOCl, within 5 minutes. 3. 5% NaOCl Solution showed excellent solvent effect to organic substances in uninstrumented canal within 5 minutes and 15% EDTA and 3% $H_2O_2$ showed unsignificant changes. 4. 15% EDTA and 30% HCl dissolved calcified debris and dentin chips that obturated the dentinal tubules and showed patent orifices. 5. 15% EDTA affected on peritubular dentin more readily and showed concavity around dentinal tubules.

• The Korean Journal of Physiology
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• v.2 no.2
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• pp.75-81
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• 1968

According to recent observations of Cohen et al. the patterns of vestibular eye movements of rabbits are different from those of cats. However, the causes of such difference of the reflex eye movements in these species are not wholly explained. While the accumulated data obtained from cats appear to be established, experimental evidences in rabbits are rather meager. The author had re-examined the reflex eye movements of rabbits and attempted to find a mechanism which causes such difference in the reflex eye movements between two species. In anesthesized rabbit, unilateral individual semicircular canal nerve was stimulated selectively with a fine insulated electrode which was inserted through a hole made on the corresponding osseous canal, under a dissecting microscope. When an individual canal nerve was stimulated, the reflex movements of both eyes were observed, photographed, and recorded kymographically. Extraocular muscles were also studied to find their morphological characteristics and to correlate them with the function of the muscles. 1. At the beginning of the stimulation, both eyes moved to a specific direction depending upon the canal stimulated, and such directional eye movements were sustained during the whole course of stimulation. Amplitude of the eye movement showed graded responses to the increasing frequency of the stimulus, reaching to the maximal response at 200-300 cps. 2. Stimulation of the unilateral horizontal canal nerve caused conjugate eye movements, which was also observed in cats and other species by other investigators. 3. Stimulation of the unilateral vertical canal nerve caused a pattern of non-conjugate eye movements, which are different from those observed in cats. Such different patterns of vestibular eye movements in two different species are ascribable to the functional difference of the inferior and superior oblique muscles.

• Journal of Korean Neurosurgical Society
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• v.39 no.3
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• pp.188-191
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• 2006

Objective : The purpose of this study is to evaluate the efficacy and necessity of combined anterior approach [discectomy and fusion] and posterior approach[open-door laminoplasty] in the treatment of cervical spondylotic myelopathy. Methods : The authors reviewed 14 cases in whom combined anterior and posterior approach performed for cervical myelopathy due to simultaneous anterior and posterior pathology such as huge central disc herniation with narrow spinal canal between January 2000 and December 2002. Clinical symptoms were evaluated by Japanese Orthopaedic Association [JOA] score and then the cervical curvature, change of spinal canal to vertebral body[SC/VB] ratio and canal widening were measured and compared to the clinical symptoms. Results : The mean JOA score increased from $10.4{\pm}3.1$ preoperatively to $14.8{\pm}1.2$ at the final follow up with a mean recovery rate 66.4%. In all cases, there were not neurologic deterioration. Mild postoperative complications developed in two cases. One patient had a limitation of range of neck motion and the other one showed kyphotic change. Postoperative radiography showed an improvement of body to canal ratios [average $0.70{\pm}0.08$ before surgery to $1.05{\pm}0.12$ after surgery and mainte nance or recovery of cervical lordosis. Canal widening of antero-posterior diameter and dimension after operation is 6.8mm. $116.61mm^2$. Conclusion : Combined anterior and posterior procedure could be helpful in decompression of the spinal cord and good functional recovery in spondylotic myelopathy patients with combined anterior and posterior pathology such as huge disc herniation accompanying narrow spinal canal.

• Restorative Dentistry and Endodontics
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• v.29 no.6
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• pp.498-503
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• 2004

The properties of ideal root canal sealers include the ability of sealing the total root canal system and no toxic effects to periradicular tissues. Cytotoxicity test using cell culture is a common screening method for evaluation of the biocompatibility of root canal sealers. The purpose of this study was to investigate the cytotoxic effect of newly developed resin-based sealer (Adseal 1, 2, and 3) comparing with those commercial resin-based sealers (AH26 and AH Plus), ZOE-based sealers (Tubliseal EWT, Pulp Canal Sealer EWT) and calcium hydroxide based sealer (Sealapex), An indirect contact test of cytotoxicity by agar diffusion was performed according to the international standard ISO 10993-5. L929 fibroblast cells were incubated at $37^{\circ}C$ in humidified 5% $CO_2-containing$ air atmosphere. The freshly mixed test materials were inserted into glass rings of internal diameter 5 mm and height 5 mm placed on the agar. After the 24 hrs incubation period, the decolorization zones around the test materials were assessed using an inverted microscope with a calibrated screen. A Decolorization Index was determined for each specimen. Adseal 1. 2, and 3 did not exert any cytotoxic effects, whereas AH26, AH Plus, Tubliseal EWT, Pulp Canal Sealer EWT, and Sealapex produced mild cytotoxicity.

• Restorative Dentistry and Endodontics
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• v.23 no.1
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• pp.391-400
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• 1998

The aim of this study was to determine the shaping ability of stainless-steel K file (S-S K file), nickel-titanium K file (Ni-Ti K file) and engine driven nickel-titanium file (Quantec file) in resin simulated root canal. Computed tomography was used to evaluate the change of the root canal morphology. Thirty nine resin simulated root canal were divided into four groups (A:12, B:12, C:12, D:3). Resin simulated canals were scanned by computed tomography before instrumentation (1st C-T scan). Canals were instrumented using step back preparation technique with S-S K file in group A and Ni-Ti K file in group B. Group C was prepared with engine driven Ni-Ti file. Group D was uninstrumented to compare the 1st C-T scan images with 2nd C-T scan images of root canal. Instrumented canals were again scanned using computed tomography (2nd C-T scan), and reformated images of the uninstrumented canals were compared with images of the instrumented canals. In the sections of 2mm and 6mm from the apex, Quantec file caused significantly less canal transportation than S-S K file and Ni-Ti K file (p<0.05). Quantec file produced more centered than S-S K file and Ni-Ti K file in the sections of 2mm and 4mm from the apex (p<0.05). There was no significant difference in the removed volume of canals among the each groups (p>0.05). However the removed canal volume from the apex to 5mm were significantly higher than them from 5mm to 1mm (p<0.05) in each groups. Under the conditions of this study, preparation with Quantec file was more effective and produce more appropriate canal shapes than S-S K file and Ni-Ti K file.

• Restorative Dentistry and Endodontics
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• v.39 no.4
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• pp.258-264
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• 2014

Objectives: This in vitro study aimed to investigate the ability of Candida albicans (C. albicans) and Enterococcus faecalis (E. faecalis) to penetrate dentinal tubules of instrumented and retreated root canal surface of split human teeth. Materials and Methods: Sixty intact extracted human single-rooted teeth were divided into 4 groups, negative control, positive control without canal instrumentation, instrumented, and retreated. Root canals in the instrumented group were enlarged with endodontic instruments, while root canals in the retreated group were enlarged, filled, and then removed the canal filling materials. The teeth were split longitudinally after canal preparation in 3 groups except the negative control group. The teeth were inoculated with both microorganisms separately and in combination. Teeth specimens were examined by scanning electron microscopy (SEM), and the depth of penetration into the dentinal tubules was assessed using the SMILE view software (JEOL Ltd). Results: Penetration of C. albicans and E. faecalis into the dentinal tubules was observed in all 3 groups, although penetration was partially restricted by dentin debris of tubules in the instrumented group and remnants of canal filling materials in the retreated group. In all 3 groups, E. faecalis penetrated deeper into the dentinal tubules by way of cell division than C. albicans which built colonies and penetrated by means of hyphae. Conclusions: Microorganisms can easily penetrate dentinal tubules of root canals with different appearance based on the microorganism size and status of dentinal tubules.

• Restorative Dentistry and Endodontics
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• v.38 no.3
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• pp.154-159
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• 2013

Objectives: The aim of this study was to compare the cleaning efficacy of different final irrigation regimens in canal and isthmus of mandibular molars, and to evaluate the influence of related variables on cleaning efficacy of the irrigation systems. Materials and Methods: Mesial root canals from 60 mandibular molars were prepared and divided into 4 experimental groups according to the final irrigation technique: Group C, syringe irrigation; Group U, ultrasonics activation; Group SC, VPro StreamClean irrigation; Group EV, EndoVac irrigation. Cross-sections at 1, 3 and 5 mm levels from the apex were examined to calculate remaining debris area in the canal and isthmus spaces. Statistical analysis was completed by using Kruskal-Wallis test and Mann-Whitney U test for comparison among groups, and multivariate linear analysis to identify the significant variables (regular replenishment of irrigant, vapor lock management, and ultrasonic activation of irrigant) affecting the cleaning efficacy of the experimental groups. Results: Group SC and EV showed significantly higher canal cleanliness values than group C and U at 1 mm level (p < 0.05), and higher isthmus cleanliness values than group U at 3 mm and all levels of group C (p < 0.05). Multivariate linear regression analysis demonstrated that all variables had independent positive correlation at 1 mm level of canal and at all levels of isthmus with statistical significances. Conclusions: Both VPro StreamClean and EndoVac system showed favorable result as final irrigation regimens for cleaning debris in the complicated root canal system having curved canal and/or isthmus. The debridement of the isthmi significantly depends on the variables rather than the canals.

• Journal of the Korea Convergence Society
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• v.10 no.3
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• pp.73-79
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• 2019

This study simulated external ear canal modeling with different external ear canal lengths, vertical flexion angles, and inner/outer diameter ratios using digital imaging and communications in medicine(DICOM) of the head temporal region and measured the acoustic sensitivity. The experiment was performed by increasing the audible frequency for humans by 200 Hz and expressing the frequency constantly transmitted at 1 Pa as the eardrum acoustic volume and presented the measurements by linear and quadratic curve regression analysis. The results showed that the longer the external ear canal length and the higher the ratio of the outer/inner diameter, the faster the acoustic response at lower frequencies. The acoustic sensitivity correlation of the meta-model using regression analysis showed a 77% influence by the external ear canal length and 5% by the external/internal diameter ratio, while the vertical flexion angle did not show a significant relationship. This showed that auditory acoustic sensitivity of humans is a factor that reacts faster at a low frequency when the external ear canal length is longer and when the difference between the outer and inner diameter is higher.

• Journal of The Korean Society of Agricultural Engineers
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• v.63 no.4
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• pp.23-32
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• 2021

For agricultural water management, it is essential to establish the digital infrastructure data such as agricultural watershed, irrigated area and canal network in rural areas. Approximately 70,000 irrigation facilities in agricultural watershed, including reservoirs, pumping and draining stations, weirs, and tube wells have been installed in South Korea to enable the efficient management of agricultural water. The total length of irrigation and drainage canal network, important components of agricultural water supply, is 184,000 km. Major problem faced by irrigation facilities management is that these facilities are spread over an irrigated area at a low density and are difficult to access. In addition, the management of irrigation facilities suffers from missing or errors of spatial information and acquisition of limited range of data through direct survey. Therefore, it is necessary to establish and redefine accurate identification of irrigated areas and canal network using up-to-date high resolution images. In this study, previous existing data such as RIMS (Rural Infrastructure Management System), smart farm map, and land cover map were used to redefine irrigated area and canal network based on appropriate image data using satellite imagery, aerial imagery, and drone imagery. The results of the building the digital infrastructure in rural areas are expected to be utilized for efficient water allocation and planning, such as identifying areas of water shortage and monitoring spatiotemporal distribution of water supply by irrigated areas and irrigation canal network.

• Imaging Science in Dentistry
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• v.51 no.4
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• pp.383-388
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• 2021

Purpose: The aim of this study was to evaluate the root canal morphology of mesial roots of mandibular first molars. Materials and Methods: Forty extracted mandibular first molars were used in this study. The morphological examination of root canals was conducted in accordance with the Vertucci classification using micro-computed tomography (micro-CT). Any aberrant root canal configurations not included in the Vertucci classification were recorded, and their frequency was established using descriptive statistics. Intra-observer reliability was assessed using the Wilcoxon signed-rank test, while inter-observer reliability was assessed using the Cohen kappa test. Significance was evaluated at the P<0.05 level. Results: The mesial roots of mandibular first molars had canal configurations of type I (15%), type II (7.5%), type III (25%), type IV (10%), type V (2.5%), type VI (7.5%), and type VII (7.5%). The images showed 10 (25%) additional configuration types that were not included in the Vertucci classification. These types were 1-3-2-3, 1-2-3-2-3, 2-3-1, 2-3, 1-2-3-1, 2-1-2-3, 3-2-1, 1-2-3-1, 2-3-2-3, and 1-2-1-2-1. The intra-observer differences were not statistically significant(P>0.05) and the kappa value for inter-observer agreement was found to be 0.957. Conclusion: Frequent variations were detected in mesial roots of mandibular first molars. Clinicians should take into consideration the complex structure of the root canal morphology before commencing root canal treatment procedures to prevent iatrogenic complications. Micro-CT was a highly suitable method to provide accurate 3-dimensional visualizations of root canal morphology.