• Restorative Dentistry and Endodontics
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• 제5권1호
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• pp.41-46
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• 1979

Silver amalgam has superior mechanical and physical properties, therefore it has been widely used in dental clinics. But we have found the silver amalgam failures frequently, its important reasons are fracture, fallen-out, tarnish, corosion and secondary caries etc. The author studied the compressive strength of silver amalgam. The author made the standardized specimen, prepared the Black's Class II cavity on chromecobalt alloy, and placed the three types of Unitek$^{(R)}$ pin (Type of pins are straight type, "ㄱ" bent type, "$\sqcap$" bent type pin. The compressive strength was measured by (Dynamic Strain Meter Shinko Co. Japan). The author took the following results by comparing with the control group, not used pin. 1) Compressive force of silver amalgam in straight type pin was $187.11{\pm}39.00kg$, $252.98{\pm}31.91kg$ in "ㄱ" type bent pin, $189.00{\pm}37.46Kg$ in "$\sqcap$" type bent pin, $172.33{\pm}28.07Kg$ in the control group. 2) The statistic significance of the compressive strnegth between each group showed that "ㄱ" type, bent pin is stronger than the control group or straight type pin. 3) There were no difference of significances between the control group and straight type pin, control group and "ㄱ" type bent pin and "$\sqap$" type bent pin, "ㄱ" type' bent pin "$\sqcap$" and type bent pin.

• 대한소아치과학회지
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• 제27권1호
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• pp.54-61
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• 2000

아말감은 널리 사용되어 온 대표적 치과재료이지만 치질과의 접착성이 없어 와동의 형태에 의해 유지되는 단점을 가진다. 아말감 수복물은 산화물에 의한 변연봉쇄가 일어나기 전까지 초기에 큰 미세누출을 보이며 수복초기에 이를 적절하게 예방하지 않으면 타액이나 미생물이 와동내에 침투하게 되고 이로 인해 수복 후의 과민반응, 충전물의 용해 및 파괴, 변연 변색과 2차 우식이 유발되어, 결과적으로 수복물의 수명이 단축되며 치수 병변이 발생될 수도 있다. 최근 기존 아말감 수복의 장점을 그대로 유지하면서 치질삭제를 줄이고 변연을 봉쇄하며 소와열구에 예방적 처치를 함께 할 수 있는 수복법이 제안되었는데 이를 이른바 sealed amalgam이라 한다. 이 술식은 예방적 확대 없이 병소만을 제거한 뒤 수복물 변연과 인접 소와열구에 치면열구전색재를 도포함으로서 소와열구의 예방적 충전은 물론 수복물 변연과 치질사이의 틈을 봉쇄하여 미세누출을 감소시킬 수 있다고 하였다. 이에 저자는 아말감 수복후 수복물의 마무리 처리와 전색재 적용시점을 달리 하여 sealed amalgam 수복과 기존의 아말감 수복과의 미세누출의 차이를 비교하고자 30개의 상, 하악 소구치를 준비하여 V급 와동을 소구치의 협, 설측에 형성하고 통상적 아말감 수복을 시행한 후 다음의 각 군으로 나누어 처리하였다. 제 1 군 : 24시간 후 연마 (대조군) 제 2 군 : 연마하지 않음, 즉시 전색재 적용 제 3 군 : 연마하지 않음, 열순환(thermocycling) 500회 후 전색재 적용 위의 처리 후 각 군을 $5^{\circ}C$와 $55^{\circ}C$의 온도변화를 30초씩 번갈아 주며 총 500회의 열순환을 실시한 후 1% methylene blue 용액에 침윤시켜서 100% 습도가 유지된 $37^{\circ}C$ 항온기에 24시간 보관하였다. 치아를 레진에 매몰한 후 협설측으로 치아 장축에 평행하게 절단하여 stereomicroscope를 사용해 색소침투도를 관찰하여 다음과 같은 결론을 얻었다. 1. 평균 미세누출은 연마하지 않고 바로 치면열구전색재를 도포한 2군이 가장 낮았고, 연마만 시행한 1군이 가장 높았다. 2. 실험군간의 미세누출 비교에서 연마만 시행한 1군은 2군에 비해 미세누출이 켰으며 통계적으로 유의성 있는 차이를 보였다(p<0.05). 3군은 1군보다 평균미세누출이 작았으나 통계적으로 유의한 차이가 없었다(p>0.05). 2군은 3군보다 평균 미세누출이 작았으나 통계적으로 유의한 차이가 없었다(p>0.05).

• 대한치과의사협회지
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• 제21권12호통권175호
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• pp.997-1003
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• 1983

The author studied the quality and change of the effective demand for dental treatment of the cutpatients of the Wonkwang dental clinic from the March of 1982 to the August of 1983. The results were compared with the previous reports to find any changes that might come from the effect of dental insurance system. After discussing the results, the author concluded as follows: 1. The twenties were the most in the age groups, but it is desirable that age groups of mixed dentition be the most to enhance the dental health status of community. 2. The effective demand for dental treatment increased especially in the areas such as intraoral radiograph taking, amalgam filling, temporary filling, endodontic treatments, and drug application on the soft tissue, but decreased in the areas such as prosthodontic treatments, and there were no demand for the orthodontic treatment. 3. As compared with the absolute needs, the effective demand was relatively high for teeth extraction and amalgam filling, but it was generally very low. 4. So, the present extent of dental insurance system should be expanded, and the dental care delivery system should be established within the community. Finally, the economic and social status of Iri community should be enhance by political and educational plannings.

• Safety and Health at Work
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• 제8권1호
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• pp.1-10
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• 2017

Considerable effort has been made to address the issue of occupational health and environmental exposure to mercury. This review reports on the current literature of mercury exposure and health impacts on dental personnel. Citations were searched using four comprehensive electronic databases for articles published between 2002 and 2015. All original articles that evaluated an association between the use of dental amalgam and occupational mercury exposure in dental personnel were included. Fifteen publications from nine different countries met the selection criteria. The design and quality of the studies showed significant variation, particularly in the choice of biomarkers as an indicator of mercury exposure. In several countries, dental personnel had higher mercury levels in biological fluids and tissues than in control groups; some work practices increased mercury exposure but the exposure levels remained below recommended guidelines. Dental personnel reported more health conditions, often involving the central nervous system, than the control groups. Clinical symptoms reported by dental professionals may be associated with low-level, long-term exposure to occupational mercury, but may also be due to the effects of aging, occupational overuse, and stress. It is important that dental personnel, researchers, and educators continue to encourage and monitor good work practices by dental professionals.

• Restorative Dentistry and Endodontics
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• 제14권1호
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• pp.199-204
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• 1989

The purpose of this study was to observe the anodic polarization curve from 4 kinds of low copper amalgam (Fine cut alloy, Spheralloy, Aristalloy and Amalcap) and 4 kinds of high copper amalgam (Dispersalloy, Sybraloy Orosphere and Tytin) obtained by using the potentiostat. The specimen made as the direction of manufacturer was stored at room temperature for about 7 days. The standard surface preparation was routinely carried out. The 0.9% saline solution was used as electrolyte in pH 6.8-7.0 at $37^{\circ}C$. The open circuit potential was determined after 30 minutes' immersion of specimen. The scan rate was 1mV/sec and the surface area of amalgam exposed to the solution was 0.785$cm^2$ for each specimen. All potentials reported are with respect to Ag/AgCl eelctrode. The following results were obtained. 1. The corrosion potential of high copper amalgams was higher than one of low copper amalgams, and the current density of high copper amalgam was lower than one of low copper amalgams. 2. The low copper amalgams had the similar pattern of polarization curve, but the high copper amalgams had the different pattern one another. 3. The polarization curve of Orosphere amalgam which is the admixed type was similar to one of low copper amalgam.

• 대한치과의사협회지
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• 제10권4호
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• pp.237-240
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• 1972

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.447-463
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• 1997

The purpose of this study was to evaluate the effectiveness of copal varnish and five bonding agents(Scotchbond Multi-Purpose Plus Dental Adhesive System, Panavia 21, All Bond 2, Superbond D-Liner II plus, Fuji Duet) in reducing microleakage under amalgam restorations. Class V cavity were prepared on both buccal and lingual surface of sixty extracted human molars with cementum margin and were filled with different kinds of liners and amalgam. All teeth were stored at $37^{\circ}C$ in physiologic saline solution. After 1 week they were thermally stressed for 500 cycles between 5 and $55^{\circ}C$ in baths containing 0.5 % basic fuchsin dye. The dye penetrations were observed with a stereomicroscope. Scanning electron micrographs were taken of representative tooth sections from each group to assess the nature of the tooth/liner/amalgam interface. The statistical test were applied to the results using a one way analysis variance (ANOVA) and Duncan's multiple range test. The results were as follows ; 1. In all groups, the enamel margin showed significantly lower leakage value than the cementum margin (p<0.05). 2. At the dentin and enamel margins, the leakage value of Copalite-lined group showed significantly higher than that of no liner group (p<0.05), but showed significantly lower than that of bonding agent lined-groups (p<0.05). 3. There was no significant difference between the bonding agent lined-groups (p>0.05). 4. On the backscattered scanning electron microscopy observation, discontinuous gaps were observed between amalgam and dentin in the bonding agent-lined amalgam restorations and the bonding agents appeared to fill the gap space and were mixed with amalgam particles. At the amalgam/tooth interface, unsealed dentin and continuous gaps were found in both unlined and Copalite-lined restorations.

• Restorative Dentistry and Endodontics
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• 제19권1호
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• pp.217-230
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• 1994

The purpose of this study was to assess the 24-hour shear bond strength of amalgam to glass ionomer cement, using five different intermediaries. The intermediaries used in this study were Scotchbond 2 (light curing dentin adhesive), Panavia (resin cement), liquid' of glass ionomer cement (chemical curing & light curing), and uncured mixture of light curing glass ionomer cement. This study was operated with 48 specimens devided into 6 groups. The experimental groups are as follows: Group 1 : Bonded Amalgam to chemical curing glass ionomer cement with liquid of chemical curing glass ionomer. Group 2 : Bonded Amalgam to light curing glass ionomer cement with liquid of chemical curing glass ionomer. Group 3: Bonded Amalgam to light curing glass ionomer cement with resin cement. Group 4: Bonded Amalgam to light curing glass ionomer cement with light curing dentin adhesive. Group 5: Bonded Amdlgam to light curing glass ionomer cement with liquid of light curing glass ionomer. Group 6: Bonded Amalgam to light curing glass ionomer cement with uncured mixture of light curing glass ionomer cement. 30 minutes after amalgam condensation, all specimens were stored for 24 hours in water at $37^{\circ}C$ and tested with Instron (1122). The following results obtained: 1. The shear bond strength of group 6 was higher than those of the other groups (46.7 kgf/$cm^2$, p<0.05). 2. The shear bond strength of resin cement intermediary group was lower than that of the group using uncured mixture of light curing glass ionomer cement. 3. The results of group 1 and group 2 were different, even though the inter-me diaries used were same. 4. Intermediary of Group 5 did not show complete set in Scanning Electromicroscopic examination. 5. Light-curing dentin adhesive did not show any bonding ability to amalgam.

• 치과방사선
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• 제8권1호
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• pp.23-27
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• 1978

The purpose of the present investigation is to determine how frequently radiopaque zones are seen on standard intraoral films and to research some other things about radiopaque zones. This study obtained the following results: 1. According to the standard intraoral films of the charts that were kept at the Dept. of Oral Diagnosis in Seoul National University Hospital, radiopaque zones were found in the rate of 4.1% among 1150 cases of amalgam-restored teeth that were treated at least two years ago. 2. Out of teeth that possessed radiopaque zones, 38.3% had radiolucent area between amalgam restoration and radiopaque zone. 3. Out of teeth that possessed radiopaque zones, 36.2% had cement base between amalgam restoration and radiopaque zone. 4. Out of teeth that possessed radiopaque zones, no tooth had periapical radiolucency. 5. Radiopaque zones were found more frequently in the mandibular teeth than the maxillary teeth. 6. According to the result of direct x-ray taking of 50 teeth that were treated at least 2 years ago, 6% had radiopaque zone.

• Journal of Oral Medicine and Pain
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• 제23권2호
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• pp.193-209
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• 1998

In identifying bodies that are severely decayed or damaged, methods using fingerprints and various biochemical tests are known to have its limits. To overcome this, forensic odontological method which is based on the analysis of the cranium, tooth and dental restoration is used to enhance the accuracey of individual identification. For this reason, I have come to analysis of the dental materials that exists between the teeth that is perceived to have been previously restored and the one adjacent to it. By analyzing the constituents of gold crown-restored, non-precious metal-restored, gold inlay-restored and amalgam -restored teeth, and adjacent teeth using EDX(energy dispersive X-ray microanalysis) which was invented to analyze very small amount of elements, the nature of the restoration could be predicted and the results obtained were as follows. 1. Some of constitute of gold alloy was extracted from residual cement of gold crown restoration, but that was not extracted from the restored tooth and the one adjacent to it. 2. Some of constituents of non-precious metal alloy was extracted both in the residual cement on the tooth with no-precious metal restoration and in the tooth with the restoration itself. However, none of its constituents were found in the tooth adjacent to it. 3. Some of constituents of gold alloy were found in the residual cement of gold inlay, but they were not found in the restored tooth and the adjacent tooth. 4. Some of constituents of amalgam alloy were found both in tooth restored with amalgam and in the adjacent tooth. From the results obtained above, it is possible to utilize the data obtained from analyizing residual dental materials in a more effective way. This data compensates for the lost data due to any harm done to the restorations prior to individual identification and further enhances the accuracy. Therefore, it could be concluded that this process of analyzing residual dental materials could be beneficial to individual identification in the area of forensic odontoldogy.