• Journal of Periodontal and Implant Science
• /
• 제29권3호
• /
• pp.621-636
• /
• 1999

When mucoperiosteal flaps are positioned and sutured to desirable position, the wound contains several interface between tissues which differ fundamentally in composition & biological reaction. Thus the C-T surface of the flap will, on one hand, oppose another vascularized surface, and on the other, the avascular dental material for example, when root resoptions, fractured root, endodontic perforation, deep root carious lesions were filled with amalgam, glass ionomer, resin etc. Recently, a number of case report described the successful treatment of a subgingival root lesion with restorative material & free gingival graft, open flap surgery, but more objective research was needed . Most of study on restorative materials were concerned for cytotoxicity not for actual healing event on that materials and its influencing factors such as biocompatibility, surface wettability, surface topography . The aim of this in vitro study was to evaluate the effect of amalgam, resin modified glass ionomer, composite resin per se, and their surface roughness on the growth of human gingival fibroblast. The cells were obtained and placed on culture flask and incubated for 3 days with the prepared test materials. Then count the attached cell number with hemocytometer,(n=12) and 2 samples were examined with SEM about attachment cell morphology . Another 4 samples were evaluated on their surface roughness with Talysurf and average surface roughness value(Ra) were obtained. Statistical difference in attached cell number, roughness value were analyzed using ANOVA. The number of attached cell was as follows, for root dentin specimen 16.7${\pm}$4.41, resin modified glass ionomer 14.0${\pm}$4.15, resin 8.13${\pm}$3.63, amalgam 0.72${\pm}$3.33(${\times}10^3$). Between root dentin and resin-modified glass ionomer, no significant difference was observed, but resin, amalgam showed a significant less cell numbers than for root dentin, resin modified glass ionomer cement. SEM examination expressed many cell surface attachment apparatus in root dentin and resin modified glass ionomer specimens. For resin specimen, cell attachment was observed but exposed less appratus. The average surface roughness value are following results. Dentin specimen 0.6972${\pm}$ 0.104, resin modified glass ionomer 0.0822${\pm}$0.009, resin 0.0875${\pm}$0.005, amalgam 4.2145${\pm}$0.985(${\mu}m$). Between root dentin, resin-modified glass ionomer, and resin, no significant difference was observed, but amalgam showed a significant more rough surface than other groups. When evlauated the interrelationship between cell attachment and surface roughness, therefore, there was weak reverse correlation.(pearson correlation : - 0.593) These results suggest that resin modified glass ionomer have the favorable healing potential when used for subgingival restoration. And for relationship between cell attachment and surface characteristics, further investigations were needed.

• Restorative Dentistry and Endodontics
• /
• 제18권2호
• /
• pp.357-367
• /
• 1993

The purpose of this study was to evaluate the fracture strength of class II restored premolars with amalgam, posterior composite, amalgam - Ketac silver, resin - Ketac silver restorations at marginal ridge. Fifty extacted maxillary and mandibular premolar teeth that were caries free, fracture free, and restoration free were selected and randomly divided into five groups : Group 1 : 10 intact teeth, Group 2 : 10 teeth with class II cavities and restored with, amalgam, Group 3: 10 teeth with class II cavities and restored with posterior resin, Group 4 : 10 teeth with class II cavities and restored with amalgam - ketac silver, Group 5 : 10 teeth with class II cavities and restored with resin - Ketac silver. All teeth were mounted in base of dental stone within metal rings of 2cm diameter, exposing only the crown portion. Class II mesio - occlusal or disto - occlusal cavities were prepared into specimens of Group 2 through 5 by using a No. 710 fissure bur. The occlusal portion was prepared to a faciolingual width of 1.5mm and a pulpal depth of 1.5mm. The proximal protion was prepared to a faciolingual width of 4mm, a occlusogingival height of 4mm, and a gingival floor of 1.5mm. The teeth in Group 2 and 3 were resotored with silver amalgam apd posterior resin respectively. In Group 4 and 5, proximal portions were first filled with Ketac silver 1.5mm gingivally and remaining cavities were restored with amalgam and posterior resin respectively. All specimens were stored in 100 % relative humidity at $37^{\circ}C$ for 48 hours before testing. All teeth were subjected to a compressive load in a Universal Instron Testing Machine at marginal ridges. The loads required to fracture the restorations were recorded in killograms and the data obtained were subjected to statisticall analysis. The results were all follows : 1. The fracture strength of Group 1 which were unprepared were $100{\pm}10.1\;kg$ and the higher values than Group 2, 3, 4, 5 which were prepared and resotred. 2. In restored groups, Group 2 had the higher fracture strength($81.8{\pm}12.4\;kg$) than other groups and Group 4 had the lowest fracture strength($66.8{\pm}9.2kg$). 3. There were significant differences between fracture strength of between Group 1 and Group 3, 4, 5(P<0.05), but not significant difference between fracture strength of Group 2, 3, 4, 5(P>0.05).

• Restorative Dentistry and Endodontics
• /
• 제34권6호
• /
• pp.467-476
• /
• 2009

본 연구의 목적은 아말감과 복합레진의 수복 과정과 수복 후 상아세관액의 흐름(dentinal fluid flow, DFF)을 측정하기 위함이다. 치근을 절제한 제 3 대구치를 자체 제작한 미세 유체 흐름 측정장치에 연결한 후 1급 와동을 형성하여 아말감과 복합레진 수복을 시행하였다. DFF의 측정은 와동 형성부터 수복 후 30분까지 연속적으로 이루어졌고, 수복 후 3, 7일에 재 측정하였다. 주수 하에 와동 형성 시 DFF는 inward로, 끝난 후에는 outward로 바뀌었다. 아말감 충전 시 DFF는 inward로 바뀌었고 충전 완료 후 미약한 outward DFF를 보였다. 복합레진 수복의 경우, 산 처리 후 수세와 건조 시 각각 inward와 outward DFF를 보였고 primer도포 후 공기 분사는 급격한 outward, 소수성 본딩제를 적용하는 단계에서는 outward 였던 DFF가 감소하여 0에 가까워지거나 약간 inward 흐름을 보였다. 접착제와 복합레진의 광중합은 급격한 inward의 DFF를 일으켰다. 수복 후 30분, 3일, 7일째 수복 재료에 따른 DFF의 감소에 통계적으로 유의한 차이는 없었다 (p>0.05).

• 약학회지
• /
• 제23권1호
• /
• pp.17-29
• /
• 1979

The total mercury content in the head hair of 87 dental personnel and 210 Seoul citizens as control was determined. 1) The mean value of mercury content in dentists (8.57ppm) was 3.3 times of Seoul male citizens (2.57ppm) and the median of the former (5.92 ppm) was higher than that of the latter (2.39ppm) by approximately 2.5 times. 2) The mean value of mercury content in dental nurses (5.79ppm) was 2.8 times of Seoul female citizens(2.11ppm) and the median of the former(4.62ppm) was higher than that of the latter (1.86ppm) by approximately 2.5 times. 3) The mean value of mercury content in Seoul citizens was 2.29ppm and the median was 1.98ppm. 4) There was no correlationship between the mercury content in the head hair of dentists and the length of dental surgery experience or the frequency of amalgam fiillings per day. 5) The mercury content of Seoul citizens was higher in the male than in the female. 6) It appears more meaningful to employ median values than mean values when the environmental pollution is considered.

• Restorative Dentistry and Endodontics
• /
• 제38권1호
• /
• pp.11-20
• /
• 2013

Objectives: In most retrospective studies, the clinical performance of restorations had not been considered in survival analysis. This study investigated the effect of including the clinically unacceptable cases according to modified United States Public Health Service (USPHS) criteria into the failed data on the survival analysis of direct restorations as to the longevity and prognostic variables. Materials and Methods: Nine hundred and sixty-seven direct restorations were evaluated. The data of 204 retreated restorations were collected from the records, and clinical performance of 763 restorations in function was evaluated according to modified USPHS criteria by two observers. The longevity and prognostic variables of the restorations were compared with a factor of involving clinically unacceptable cases into the failures using Kaplan-Meier survival analysis and Cox proportional hazard model. Results: The median survival times of amalgam, composite resin and glass ionomer were 11.8, 11.0 and 6.8 years, respectively. Glass ionomer showed significantly lower longevity than composite resin and amalgam. When clinically unacceptable restorations were included into the failure, the median survival times of them decreased to 8.9, 9.7 and 6.4 years, respectively. Conclusions: After considering the clinical performance, composite resin was the only material that showed a difference in the longevity (p < 0.05) and the significantly higher relative risk of student group than professor group disappeared in operator groups. Even in the design of retrospective study, clinical evaluation needs to be included.

• 대한치과의사협회지
• /
• 제25권4호통권215호
• /
• pp.359-363
• /
• 1987

72559 children, who visited the Dept. of Pedodontics, SNU Hospital from 1982 to 1985 were surveyed on the yearly tendency of dental treatment. The data were compared with those of previous reports, and the results were as follows, 1. The number out-patients were decreasing year by year. 2. Compared with those of 1982, in 1985, total number of visiting patient decreased to 14%, amalgam filling, 73.8% vital pulpotomy ; 69.55%, gold inlays ; 42.57%, Space maintainer ; 69.55%, tooth extraction ; 63.99% on the other hand, some items increased such as pulp extirpation ; 192%, canal filling ; 290%, 3. There revealed overall increasing tendency in almost all treatment items except Gold Inlay7s in from 1982 to 1985, compared with those from 1976 to 1979.

• 대한치과교정학회지
• /
• 제44권5호
• /
• pp.229-235
• /
• 2014

Objective: The aim of this study was to assess artifacts induced by metallic restorations in three-dimensional (3D) dental surface models derived by cone-beam computed tomography (CBCT). Methods: Fifteen specimens, each with four extracted human premolars and molars embedded in a plaster block, were scanned by CBCT before and after the cavitated second premolars were restored with dental amalgam. Five consecutive surface models of each specimen were created according to increasing restoration size: no restoration (control) and small occlusal, large occlusal, disto-occlusal, and mesio-occluso-distal restorations. After registering each restored model with the control model, maximum linear discrepancy, area, and intensity of the artifacts were measured and compared. Results: Artifacts developed mostly on the buccal and lingual surfaces. They occurred not only on the second premolar but also on the first premolar and first molar. The parametric values increased significantly with increasing restoration size. Conclusions: Metallic restorations induce considerable artifacts in 3D dental surface models. Artifact reduction should be taken into consideration for a proper diagnosis and treatment planning when using 3D surface model derived by CBCT in dentofacial deformity patients.

• Restorative Dentistry and Endodontics
• /
• 제19권2호
• /
• pp.534-548
• /
• 1994

The purpose of this study is to observe the corrosion characteristics of seven dental amalgams (CAULK FINE CUT, CAULK SPHERICAL, OPTALLOY II, DISPERSALLOY, HI VERALOY, TYTIN, VALIANT) through the anodic polarization curve obtained by using a potentiostat. After each amalgam alloy and Hg being triturated, the triturated mass was inserted into the cylindrical metal mold, and condensed by hydrolic pressure(160 kg/$cm^2$). Each specimen was removed from the metal mold. 24 hours after condensation, specimens were polished with the emery paper and stored at room temperature for 1 week. The anodic polarization curves were employed to compare the corrosion behaviours of the amalgam in 0.9% saline solution, Fusayama's artificial saliva, and stimulated parotid saliva at $37^{\circ}C$ with 3-electrode potentiostat. After the immersion of specimen in electrolyte for 1 hour, the potential scan was begun. The potential scan range was. -1700m V ~ + 400m V(vs. S. C. E) in the working electrode and the scan rate was 50m V /sec. The results were as follows, 1. The corrosion potential, the potential of anodic current peak, and transpassive potential in the stimulated parotid saliva shifted to more anodic direction than those in saline solution, and the current density in the stimulated parotid saliva was lower than that in saline solution. Those in Fusayama's artificial saliva was similar to those in stimulated parotid saliva. 2. The anodic polarization profiles in Fusayama's artificial saliva and stimulated parotid saliva indicated a region of slow slope current density, which is extending from the corrosion potential to the potential of anodic current peak, but that in 0.9% saline solution indicated no region of slow slope. 3. The corrosion potentials for CAULK FINE CUT, CAULK SPHERICAL, and OPT ALLOY II had the similarity in 0.9% saline solution, Fusayama's artificial saliva and stimulated parotid saliva, but those for high coper amalgam and VALIANT had no similarity. 4. The current density for TYTIN amalgam in stimulated parotid saliva was the lowest among the others. 5. As for current density, there was no significant difference between palladium enriched VALINAT and other high copper amalgams.

• 대한심미치과학회지
• /
• 제3권1호
• /
• pp.23-31
• /
• 1995

The All-Bond system is a unique development in the field of adhesive dentistry. It is a universal bonding system that will bond composite to all dental-related surfaces: dentin, enamel, metal alloy (precious and nonprecious), amalgam, porcelain, and composite. It is also the only system that allows use of both the conservative and all-etch techniques. The main purpose of this paper is to explain the features of the All-Bond system. Its chemistry and a working hypothesis are shown as well.

• Imaging Science in Dentistry
• /
• 제47권2호
• /
• pp.109-115
• /
• 2017

Purpose: The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Materials and Methods: Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The other 26 intact teeth that did not have caries served as controls. Teeth were imaged using a $100{\times}90-mm$ field of view and a 0.2-mm voxel size with 9 different CBCT settings. Four observers assessed the images using a 5-point scale. Kappa values were calculated to assess observer agreement. CBCT settings were compared with the gold standard using a receiver operating characteristic analysis. The area under the curve (AUC) values for each setting were compared using the chi-square test, with a significance level of ${\alpha}=.05$. Results: Intraobserver kappa values ranged from 0.366 to 0.664 for observer 1, from 0.311 to 0.447 for observer 2, from 0.597 to 1.000 for observer 3, and from 0.869 to 1 for observer 4. Furthermore, interobserver kappa values among the observers ranged from 0.133 to 0.814 for the first reading and from 0.197 to 0.805 for the second reading. The highest AUC values were found for setting 5 (0.5916) and setting 3 (0.5886), and were not found to be statistically significant(P>.05). Conclusion: Variations in tube voltage and tube current did not affect the detection of recurrent caries under amalgam restorations in primary teeth.