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Canal preparation with nickel-titanium or stainless steel instruments without the risk of instrument fracture: preliminary observations

  • Yared, Ghassan
    • Restorative Dentistry and Endodontics
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    • v.40 no.1
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    • pp.85-90
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    • 2015
  • This report introduces a novel technique that allows a safe and predictable canal negotiation, creation of a glide path and canal preparation with reciprocating nickeltitanium or stainless steel engine-driven instruments in canals where the use of rotary and the newly developed reciprocating instruments is contraindicated. In this novel technique, the instruments are used in reciprocating motion with very small angles. Hand files are not used regardless of the complexity of the canal anatomy. It also allows achieving predictable results in canal negotiation and glide path creation in challenging canals without the risk of instrument fracture.

A SCANNING ELECTRON MICROSCOPIC STUDY OF THE EFFICACY OF ROOT CANAL IRRIGATION (근관세척(根管洗滌)에 관(關)한 주사전자현미경적(走査電子顯微鏡的) 연구(硏究))

  • Lee, Myung-Jong
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.147-153
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    • 1982
  • The purpose of this study is to observe the effect of cleansing action of irrigation solutions which are 3% hydrogen peroxide, 5% sodium hypochlorite and 15% EDTA solution on the root canal wall. After the root canal wall is enlarged with K-file in distilled water, the canal wall which is irrigated with each irrigant for 2 minutes, is compared with the. control group without using any irrigants. Each sample is dehydrated, and coated with 200-250${\AA}$ of gold, and observations are made with the use of scanning electron microscope. The results are as follows: 1. The canal walls irrigated with 3% hydrogen peroxide, 5% sodium hypochlorite and 15% EDTA solution are cleaner than the walls without using irrigants. 2. There are no significant difference of cleansing effect among 3% hydrogen peroxide, 5% sodium hypochlorite and 15% EDTA. 3. After using 3% hydrogen peroxide and 5% sodium hypochlorite solution, large debris are removed on root canal walls, but micro debris remain on the canal walls. 4. The root canal walls irrigated with 15% EDTA solution are decalcifed slightly and show clean surfaces.

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A STUDY ON THE ROOT CANAL SIZE AND MORPHOLOGY AT APICAL 5MM AREA OF HUMAN MAXILLARY SECOND PREMOLAR (상악제2소구치 치근단부위의 근관 형태 및 크기에 관한 연구)

  • Lee, Chung-Sik
    • Restorative Dentistry and Endodontics
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    • v.12 no.2
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    • pp.11-15
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    • 1987
  • Thirty maxillary second premolars were fixed, decalcified, washed and embedded in celloidin to observe the root canal size and morphology at apical 5mm area. The results were as follows: 1. Single canaled teeth and two canaled teeth were approximately equal numbered. 2. Single canaled teeth have round canal but two canaled teeth have long, slender buccal canal and ovoid lingual canal. 3. The canal size of single canaled teeth was $380{\pm}30{\mu}m,\;340{\pm}22{\mu}m$, but that of buccal canal of two canaled teeth was $360{\pm}32{\mu}m,\;240{\pm}28{\mu}m$, lingual canal was $330{\pm}28{\mu}m,\;280{\pm}20{\mu}m$.

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THE COMPARISON OF CANAL SHAPING ABILITY BY ENGINE-DRIVEN NICKEL-TITANIUM FILE AND ENDOSONIC FILE IN CURVED CANAL (만곡 근관에서 엔진 구동용 Ni-Ti File과 초음파 기구에 의한 근관성형 능력의 비교)

  • Kim, Hyun-Ju;Oh, Won-Mann;Yang, Kyuo-Ho
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.758-767
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    • 1995
  • The purpose of this study was to evaluate canal shaping ability after canal preparation by using engine-driven nickel-titanium file and endosonic file in curved canals. 30 mesiobuccal canals of molars extracted within recent 3 months were divided into 3 groups. Group I and group II were prepared by using engine-driven nickel-titanium Gates-Glidden drill type and the engine-driven nickel-titanium file type. Group III prepared by using en do sonic file. The image of preinstrumented canals was taken by X-ray. The image of postinstrumented canal was taken by X-ray in the same condition of preinstrumentation. A magnified X-ray image on magnifier screen was traced and then compared the preinstrumentated canal image with the postinstrumentated canal image by superimposing method. The following results were obtained : 1. In the change of canal curvature, the engine-driven nickel-titanium Gates-Glidden drill type showed the least change and the ultrasonically filing showed the greatest change. 2. In the percentage of canal enlargement, the engine-driven nickel-titanium file type was greatest at all level(p<0.05), the apex of all group was the greatest, the difference of ultrasonically filing group showed greater between apex and cervix. 3. The percentage of canal enlargement on convex side was greater than that of on concave side in apex of each group(p<0.05). In the ultrasonically filing group, both sides of canal enlargement showed sharply difference(p<0.01). 4. The percentage of canal enlargement on convex side was greater than that of on concave side in the third of cervix of the engine-driven nickel-titanium file type and the ultrasonically filling. The percentage of canal enlargement of convex and concave side in the third of middle of the engine-driven nickel-titanium Gates-Glidden drill type show a similar canal enlargement between convex side and concave side. As above result, the engine-driven nickel-titanium file type was greater in canal enlargement than the other instruments. The engine-driven nickel-titanium Gates-Glidden dirll type was efficient endodontic instrument for curved canal preparation because it was least change in canal curvature.

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The Parametrization and Structure Analysis for a Perspective Silhouette of a Canal Surface (Canal 곡면의 투시 윤곽곡선의 매개변수화 및 구조 분석)

  • Kim, Ku-Jin;Lee, In-Kwon
    • Journal of the Korea Computer Graphics Society
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    • v.7 no.3
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    • pp.1-7
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    • 2001
  • We present an efficient and robust algorithm to parametrize a perspective silhouette curve of a canal surface. We also detect each connected component of the silhouette. A canal surface is an envelope surface of a moving sphere with varying radii, which is defined by the center trajectory C(t) and radius function r(t) of the moving sphere. A canal surface can be decomposed to a set of characteristic circles. We derive the equations for the silhouette points on each characteristic circle, then parameterize the silhouette curve by using the equation. The sphere $S(t_*)$ with center point $C(t_*)$ and radius $r(t_*)$ intersects with the canal surface at a characteristic circle $K(t_*)$. The perspective silhouette of the sphere $S(t_*)$ from given view point consists of a circle $Q(t_*)$. By finding the values of t at which K(t) and Q(t) tangentially intersect, we detect each connected component of the silhouette curve.

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Analysis of Water Loss Rate and Irrigation Efficiency in Irrigation Canal at the Dong-Jin District (동진지구 관개용수로의 손실률 및 관개효율 분석)

  • Hong, Eun-Mi;Choi, Jin-Yong;Nam, Won-Ho;Lee, Sang-Hyun;Choi, Jin-Kyu;Kim, Jin-Taek
    • Journal of The Korean Society of Agricultural Engineers
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    • v.57 no.2
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    • pp.93-101
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    • 2015
  • The purpose of this study is to evaluate the paddy irrigation efficiency using real-time water level monitoring data and intermittent irrigation model in Gimjae, Dong-Jin irrigation district. For this study, the real-time water level data in Gimjae main canal and other secondary canals were collected from 2012 to 2014 and converted to daily discharge using rating curve in each canal. From intermittent irrigation model in paddy, irrigation water requirement was estimated and irrigation efficiency was calculated. The average amount of irrigation water supply per unit irrigation area was 1,011 mm in Gimjae main canal for 12,749 ha irrigation area, 1,011 mm in the secondary canal of upper region and 1,470 mm in the secondary canal of lower region. The median irrigation loss was 43 % in Gimjae main canal, 25 % in secondary canal of upper region and 35 % in the secondary canal of lower region. The larger irrigation area is, the irrigation loss rates tend to decrease in secondary canals. Monthly median irrigation losses in upper region were 10 (June) - 40 % (September) and those in lower region were 25 (May) to 40 % (April, June, August, and September). The results of canal management loss can be available as the basic data for irrigation water management and estimating guideline of optimal irrigation water supply to improve agricultural water use efficiencies.

COMPARATIVE STUDY ON PERCENTAGE OF CANAL ENLARGEMENT AND CANAL ANGULATION CHANGE BY PRECURVED ENDOSONIC K-FILE (Precurved Endosonic K-file에 의한 근관확대율 및 만곡도 변화에 대한 연구)

  • Hur, Heuy-Keung;Oh, Won-Mann;Yang, Kyu-Ho
    • Restorative Dentistry and Endodontics
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    • v.20 no.1
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    • pp.316-327
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    • 1995
  • The purpose of this study was to evaluate canal shaping ability and canal angulation change of K-file, straight endosonic K-file and pre curved endosonic K-file. Twenty staight canals and thirty curved canals were selected and divided into five groups according to canals curvature and canal instrumentation method. VI group was prepared by straight endosonic K-file and H1 group by K-file in straigt canals. V2 group was instrumented by straight endosonic K-file, V3 group by pre curved endosonic K-file and H2 group by precurved K-file in curved canals. Radiographs of canals were obtained before and after canal shaping. And postoperative radiographs were compared with preoperative radiographs using superimposition method. The results obtained were as follows ; l. In straight canals, K-file group demonstrated lager percentage of canal enlargement than endosonic K-file group on facial view, but reverse results exhibit on mesial view. 2. In curved canals, precurved K-file group showed largest percentage of canal enlargement, followed by precurved endosonic K-fine group and straight endosonic K-file group was smallest. 3. Percantage of canal enlargement at convex side was greater than at concave side in apical portion of each group. Especially in straight endosonic K-file group, percantage of canal enlargement at convex side and concave side showed sharply difference. 4. In angulation change, the straight endosonic K-file group exhibited the greatest its change, followed by precurved endosonic K-file group and precurved K-file group was the least. Above results suggest that K-file is more effective endodontic instrument than endosonic K-file, and that precurved file is effective for canal shaping in curved canal.

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Shaping ability of Ni-Ti Rotary files in combination with GT Rotary Ni-Ti file (GT Rotary Ni-Ti file과 함께 사용한 구동용 Ni-Ti file의 근관 성형력 비교에 대한 연구)

  • Shin, Dong-Ryul;Park, Sang-Jin;Choi, Gi-Woon
    • Restorative Dentistry and Endodontics
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    • v.27 no.2
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    • pp.196-206
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    • 2002
  • 본 연구는 근관의 치관부는 GT Rotary file을 이용하여 성형하고, 근단부는 K-Flexofile, ProFile .04, Lightspeed, HERO642 file로 성형하여 근관용 file의 근관성형력을 비교하는 것이다. 실험 표본으로는 resin simulated root canal blocks(Dentsply, Swiss)를 이용하였고 4개의 군으로 분류하여 실험을 실시하였다. 모든 resin block을 GT Rotary file(Dentsply, Swiss)을 이용하여 치관부를 형성한 후 근단부는 K-Flexofile(Dentsply, Swiss), ProFile .04 taper file(Denstply. Swiss), Lightspeed file(Lightspeed Tech., USA), HERO642 file(Micromega, France)로 ISO size #35까지 형성하였다. 성형 후 preparation time과 instrument failure를 측정하였고 최종 사용한 file을 resin block 내에 재위치시켜 working length의 변화량을 0.5mm 단위로 측정하였다. Resin debris에 의한 canal blockage를 조사하였으며, 근관 내의 인상을 채득하여 canal form을 평가하였다. 성형 전과 성형 후의 사진을 촬영하고 computer software를 이용하여 중첩시킨 후 canal aberration, canal transportation을 평가하여 다음과 같은 결과를 얻었다. 1. Preparation time, working length의 변화량, canal blockage, canal aberration, canal transportation에 있어서 Ni-Ti file이 stainless steel file에 비하여 우수하였다(p<0.05). 반면에 근관성형력에 있어서 canal form과 canal transportation을 제외하고는 세 Ni-Ti file 사이에는 유의차가 없었다(p>0.05). 2. Canal form 중 taper에 있어서 Lightspeed는 적절하지 못한 taper를 보여주었다(p<0.05). 3. Canal transportation에 있어서 Lightspeed 군과 HER0642 군이 K-Flexofile 군과 ProFile .04 군에 비해 적게 나타났고(p<0.05), 특히 만곡의 끝 부분에서는 Lightspeed 군이 가장 적게 나타났다(p<0.05). 이상과 같은 연구결과로 보아 부적절한 taper를 지니고 있던 Lightspeed fie과 HERO642 file 중 HERO642 file은 GT Rotary file과 함께 사용함으로써 적절한 taper로 형성할 수 있었으나 Lightspeed file은 효과적이지 못하였으므로 적절한 taper를 형성하기 위한 file이 치근의 중간부를 형성하기 위해 필요함이 확인되었다.

EVALUATION OF APICAL MICROLEAKAGE AND ADAPTATION TO THE DENTINAL WALL OF THE GLASS-IONOMER ROOT CANAL CEMENT (근관충전용 글라스 아이오노머 시멘트의 근단 폐쇄성과 치질 적합성에 관한 연구)

  • Kim, Hyeon-A;Choi, Gi-Woon
    • Restorative Dentistry and Endodontics
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    • v.22 no.2
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    • pp.596-608
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    • 1997
  • The purpose of this study was to compare the apical leakage and adaptation to the dentinal wall of a glass ionomer root canal cement(Ketac-Endo) with those of AH-26 and Tubli-Seal. 102 single-rooted teeth were insrumented with step-back technique and randomly divided into four groups according to kinds of root canal cements: Ketac-Endo, AH-26, Tubli-Seal, and no root canal cement. Four experimental groups were as follows; Group 1 : Filling with gutta-percha and Ketac-Endo Group 2 : Filling with gutta-percha and AH-26 Group 3 : Filling with gutta-percha and Tubli-Seal Group 4 : Filling with gutta-percha without root canal cement All the specimens were obturated with lateral condensation technique, and stored in 100% humidity for 4 days. 20 teeth in each group were placed in centrifuge tube filled with India ink, and then centrifuged for 20 minutes at 3,000 rpm. And they were evaluated for linear dye leakage using a stereoscope and analyzed by one-way ANOVA. 22 teeth were split longitudinally and evaluated the adaptation to the dentinal wall using scanning electron microscope(4 teeth in each group) and stereoscope(2 teeth in 1, 2, 3 group). The obtained results were as follows ; 1. In case of not used root canal cement(Group 4), there was showed much degree of dye penetration comparerd with used root canal cements (Group 1, 2, 3)(P<0.01). 2. In the case of used root canal cements(Group 1, 2, 3), there was no significant difference in linear leakage in groups(P>0.01). 3. In the case of used root canal cements(Group 1, 2, 3), there was showed intimate adaptation to the dentinal wall independent on kinds of root canal cements. 4. Fractured surfaces indicated failure of cohesion in Ketac-Endo, and failure of adhesion to dentine in AH-26 and Tubli-Seal. 5. According to similar apical leakage and adaptability to the dentinal wall to another root canal cements, it is possible to be used glass-ionomer cement as root canal cement.

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SEM STUDY ON THE BACTERIAL ADHESION TO THE DENTIN OF THE ROOT CANAL (미생물의 근관내 상아질 부착에 대한 주사전자현미경적 연구)

  • Jeong, Sang-Kyun;Oh, Tae-Seok;Bae, Kwang-Shik
    • Restorative Dentistry and Endodontics
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    • v.25 no.1
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    • pp.116-122
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    • 2000
  • On the instrumented root canal wall, amorphous, irregular smear layer can be observed with Scanning Electron Microscope(SEM). The purpose of this study was to evaluate the effect of the presence or absence of smear layer on the adhesion of Staphylococcus aureus to the dentin of the root canal. Human incisors, extracted within 7 days, with no caries, no fracture, no calcification of canal, were selected. After cutting crown portion at cemento-enamel junction, root canal preparation was done by modified crown-down technique using Profile and Gates - Glidden Drill. During canal preparation, 10ml physiologic saline solution(group1&3) or 10ml 3.5% NaOCl(group2&4) was used as irrigation solution. And 10ml physiologic saline solution(group1&3) or 10ml 0.5M EDTA(group2&4) was applicated for final flush. After vertical sectioning and ethylene oxide gas sterilization, samples(group1&2) were immersed into BHIYHM broth inoculated with Staphylococcus aureus (ATCC 31153) and incubated for 3hrs at $37^{\circ}C$. All samples were prepared for and observed with SEM(JEOL JSM840S). The data were analyzed by Mann-Whitney rank sum test. The conclusions are as follows ; 1. Smear layer covers entire root canal surface after root canal preparation. 2. Smear layer has been removed away and the entrances of dentinal tubules have opened widely, when applying 0.5M EDTA and 3.5% NaOCl. 3. A significantly higher number of bacteria were adhered to the root canal dentin without smear layer(p<0.0001). 4. Smear layer produced during root canal preparation impedes bacterial adhesion and colonization to dentin matrix, therefore inhibits canal reinfection.

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