• 치과방사선
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• 제20권2호
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• pp.211-217
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• 1990

This study was undertaken to determine (1) the usefulness of chromium intensifier to improve the dignostic quality of light radiograph; (2) the effect of chromium intensifier on density, contrast; and (3) the effect of various chemical concentrations on density. The following results obtained: 1. CHROMIUM INTENSIFIER is useful for intensifying and improving the diagnostic quality of a light dental radiograph. 2. The degree of intensification can be controlled by varying bleaching time, repeating the processing, varying the proportions of the potassium bicarbonate and hydrochloric acid solutions. 3. The image produced is black and permanent. 4. The intensifier increases density and contrast.

• 대한심미치과학회지
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• 제8권1호
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• pp.64-74
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• 1999

The use of fluoride and other preventive methods caused a dramatic decline in dental caries and the need for restorative dentistry. In our modern society that places a high value on appearance, emphasis is now shifting towards esthetic dentistry which has experienced a high popularity with the development of bonding techniques and materials including porcelain and composite. To satisfy patients wanting whiter teeth and a better looking smile, there are many treatment options ranging from full crown coverage to conservative procedures such as bleaching. Whether bleaching should be combined with other esthetic procedures or used alone depends on the type of discoloration and the patient's willingness to accept the various treatment options. Therefore, in order to obtain a successful esthetic outcome, careful diagnosis and treatment planning followed by consultation with the patient is of utmost importance.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2007년도 Autumn Scientific Meeting(the 128th) of Korean Academy of Comservative Dentistry
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• pp.630-630
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• 2007

• Restorative Dentistry and Endodontics
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• 제38권1호
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• pp.43-47
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• 2013

Objectives: The aim of this study was to determine an appropriate application duration of sodium ascorbate (SA) antioxidant gel in reducing microleakage of bonded composite restoration in intracoronally-bleached teeth. Materials and Methods: Eighty endodontically-treated human incisors were randomly divided into eight groups: control, no bleaching; IB and DB, immediate and delayed bonding after bleaching, respectively; S10m, S60m, S24h, S3d and S7d, bleaching + SA gel for 10 min, 60 min, 24 hr, 3 day and 7 day, respectively. For bleaching, a mixture of 30% hydrogen peroxide and sodium perborate was applied for 7 day. All access cavities were restored using One-Step adhesive (Bisco Inc.) and then Aelite LS Packable composite (Bisco Inc.). The bonded specimens were subjected to 500 thermal cycles, immersed in 1% methylene blue for 8 hr, and longitudinally sectioned. Microleakage was assessed with a 0 - 4 scoring system and analyzed using nonparametric statistical methods (${\alpha}$ = 0.05). Results: Group IB showed a significantly higher microleakage than the control group (p = 0.006) and group DB a statistically similar score to the control group (p > 0.999). Although groups S10m, S60m, and S24h exhibited significantly higher scores than group DB (p < 0.05), the microleakage in groups S3d and S7d was statistically similar to that in group DB (p = 0.771, p > 0.999). Conclusions: Application of SA gel for 3 day after nonvital bleaching was effective in reducing microleakage of composite restoration in intracoronally-bleached teeth.

• 한국치위생학회지
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• 제13권5호
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• pp.901-908
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• 2013

Objectives : The purpose of this study was to evaluate the bleaching effect of 3% hydrogen peroxide containing strip with primer in vivo. Methods : 22 female subjects aged from 20 to 39 years old were recruited after informed consent. They were divided into two groups with control and experimental group. Experimental group was bleached with 3% HP strip with primer, and control group received placebo for 14 days. Color changes were measured with Shade Eye-NCC (Shade Eye-NCC, SHOFU Co., Japan), Shade guide (VITA classical shade guide, $VIDENT^{TM}$, CA, USA) and digital camera image. All collected data were analyzed using SPSS 18.0. Results : At baseline, $L^*$ was $71.75{\pm}3.2$ and $b^*$ was $14.90{\pm}3.6$ in control, and $L^*$ was $71.3{\pm}3.4$ and $b^*$ was $15.61{\pm}3.7$ in experimental group. At day 14, $L^*$ was $71.35{\pm}3.2$ and $b^*$ was $13.97{\pm}4.3$ in control, and $L^*$ was $73.51{\pm}2.0$, $b^*$ was $9.10{\pm}3.0$ in experimental group. ${\Delta}E^*$ of all teeth were statistically significant between the two groups. Final ${\Delta}E^*$ was $7.15{\pm}2.09$ at experimental group and $2.78{\pm}2.93$ at control group, and the difference was significant (p<0.005). Color changes using shade guide also significantly decreased at 14th day compared with baseline at experimental group (p<0.005). Conclusions : 3% hydrogen peroxide strip with primer revealed effective enough to bleaching the human enamel during 14 days without any soft and hard tissue irritations.

• 치위생과학회지
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• 제12권5호
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• pp.477-485
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• 2012

본 연구는 레진 종류별 착색음식물별 착색시간별 착색정도와 연마, 과산화수소에 의한 미백 후의 색 변화를 관찰하여 착색과 미백이 레진의 CIELAB 색 표시계와 반사율에 미치는 영향을 알아보고자 한하였다. 시편은 동일 회사의 전구치부겸용 레진(A2), 유동형 레진(A2)을 가로, 세로 11 mm, 높이 3 mm의 직육면체모양으로 30초간 광중합한 시편 총 36개를 사용하였다. 착색원으로는 김치국물, 고추장, 카레, 블루베리즙, 홍차와 대조군으로 증류수를 사용하였으며 각 레진당 음식물별 3개의 시편을 사용하였고 측정은 윗면과 아랫면을 측정하여 각 6개면을 측정하였다. 착색기간은 총 8일, 35% 과산화 수소에 의한 미백은 1시간이 소요되었고, 음식물의 시간에 따른 착색 정도와, 미백 후의 반사율과 색값은 분광광도계를 이용하여 측정하였다. 그 결과, 1. 음식물별 시간에 따른 착색의 정도는 전구치부겸용 레진과 유동형 레진 모두에서 착색 1일차부터 L, a, b값과 반사율에서 모두 통계적으로 유의한 차이가 있었으며(p<0.05), 그 중 블루베리와 카레의 L, a, b값 변화가 크게 나타났다. 2. 음식물별 시간에 따른 착색후 반사율은 블루베리와 고추장이 대조군에 비해 유의하게 감소하였기 때문에(p<0.05) 같은 L, a, b값이더라도 블루베리, 고추장 착색 레진이 시각적으로 더 어둡게 보였다. 3. 전구치부겸용 레진은 과산화수소 미백과 연마를 한 경우가 단일 방법에 비해 ${\Delta}{E_{ab}}^2$의 값이 유의하게 변하였다(p=0.022). 그러나, 유동형 레진에서는 미백 방법에 따른 유의성은 없었다(p=0.385). 레진의 색 안정성을 위해서 착색이 심한 카레와 블루베리의 섭취빈도를 낮추도록 하거나 섭취 후 가급적 빠른 시간내에 입안을 헹구는 것이 레진수복물의 색 안정성을 유지시킬 것으로 사료되었다.

• Restorative Dentistry and Endodontics
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• 제33권5호
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• pp.463-471
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• 2008

본 연구는 전문가 미백시 Sealed bleaching technique의 효율과 안정성을 평가하기 위해 split arch design의 randomized clinical trial을 시행하였다. 10명의 건전한 자연치를 가진 성인 환자의 상악 전치부를 좌우측으로 무작위로 나누어 전문가 미백 술식을 시행하였다. Brite powder (PacDent, Walnut, USA) 한 스푼에 10 방울의 3% 과산화수소수와 0.4ml의 carbamide peroxide gel (KoolWhite, PacDent, Walnut, USA)을 혼합하여 미백제로 사용하였다. 편측의 세 치아를 대조군으로 지정하여 통상적인 방법으로 전문가 미백을 시행하였고, 반대측의 세 치아는 실험군으로 미백제 위에 linear low density polyethylene (LLDPE) wrap을 적용후 BT Cool light을 1시간 동안 적용하여 광활성화 하였다. 치아의 색조는 shadeguide를 이용하여 평가하는 방법과 spectrophotometer를 이용하여 측정하는 두 가지 방법을 이용하였으며, 술전, 술후, 체크시의 색조 측정 결과를 paired-t test로 분석하여 다음의 결과를 얻을 수 있었다. Shade guide로 평가한 결과 실험군과 대조군 모두에서 술후와 체크시의 색조와 술전의 색조와는 유의한 차이가 있었다 (p<.05). 또한 술전에는 대조군과 실험관간의 색조의 유의차가 없었던 반면 술후와 체크 (p<.05)시 모두에서 두 군간의 차이가 있었다 (p<.05). Spectrophotometer로 측정한 ${\Delta}E$ 값의 경우, 술후에는 대조군에서 $4.35{\pm}1.38$, 실험군에서 $5.08{\pm}1.34$로 나타났으며, 체크시에는 대조군에서 $3.73{\pm}1.95$, 실험관에서는 $4.38{\pm}2.08$로 나타났다. ${\Delta}E$는 술전과 술후를 비교한 값, 그리고 술전과 체크시를 비교한 값 모두에서 실험군과 대조군 간의 유의차가 있었다 (p<05). 따라서 이 연구에서 사용된 미백 술식을 사용할 경우, sealed bleaching technique이 미백의 효율성을 높인다고 결론지을 수 있다.

• Restorative Dentistry and Endodontics
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• 제44권4호
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• pp.39.1-39.8
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• 2019

The present report presents a case of dens invaginatus (DI) in a patient with 4 maxillary incisors. A 24-year-old female complained of swelling of the maxillary left anterior region and discoloration of the maxillary left anterior tooth. The maxillary left lateral incisor (tooth #22) showed pulp necrosis and a chronic apical abscess, and a periapical X-ray demonstrated DI on bilateral maxillary central and lateral incisors. All teeth responded to a vitality test, except tooth #22. The anatomic form of tooth #22 was similar to that of tooth #12, and both teeth had lingual pits. In addition, panoramic and periapical X-rays demonstrated root canal calcification, such as pulp stones, in the maxillary canines, first and second premolars, and the mandibular incisors, canines, and first premolars bilaterally. The patient underwent root canal treatment of tooth #22 and non-vital tooth bleaching. After a temporary filling material was removed, the invaginated mass was removed using ultrasonic tips under an operating microscope. The working length was established, and the root canal was enlarged up to #50 apical size and obturated with gutta-percha and AH 26 sealer using the continuous wave of condensation technique. Finally, non-vital bleaching was performed, and the access cavity was filled with composite resin.

• Restorative Dentistry and Endodontics
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• 제31권4호
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• pp.269-281
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• 2006

2.9%의 과산화수소를 함유한 시험용 부착형 미백제 (Medison dental whitening strip, Samsung medical Co., Anyang, Korea)를 실험군 피험자 23명, 시험용 미백제에서 과산화수소를 제외한 동일한 제재를 대조약으로 대조군 피험자 24명에게 매일 1시간 30분씩, 2주간 적용하여 임상적 효능과 안전성을 평가하였다. 미백 효과는 Shade Vision, Chroma Meter 및 Vitapan classical shade guide를 이용하여 색변화를 측정하여 다음과 같은 결론을 얻었다. 1. 실험군에서의 전체 치아의 색변화량 $({\Delta}E^{*})$은 세 가지 측정법에서 모두 대조군에 비해 통계적으로 유의한 차이를 보였고 (p < 0.05), 쉽게 인지할 수 있는 정도였다. 2. 색변화는 색좌표 상에서 병도의 증가와 녹색조 및 청색조로의 변화에 의해 얻어졌다. 3. 치아별로는 어두운 견치의 색변화량이 가장 컸고, 측절치, 중절치 순으로 감소하였다. 4. 47명의 피험자 중 5명이 경도의 과민증을 경험하였으나 곧 완화되었고, 치은염증지수와 전기치수검사 결과 시험 전후에 차이가 없어 안전성을 확인하였다.

• Restorative Dentistry and Endodontics
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• 제44권1호
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• pp.6.1-6.11
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• 2019

Objectives: The aim of the present study was to evaluate the effect of whitening mouth rinses alone and in combination with conventional whitening treatments on color, microhardness, and surface roughness changes in enamel specimens. Materials and Methods: A total of 108 enamel specimens were collected from human third molars and divided into 9 groups (n = 12): 38% hydrogen peroxide (HP), 10% carbamide peroxide (CP), 38% HP + Listerine Whitening (LW), 10% CP + LW, 38% HP + Colgate Plax Whitening (CPW), 10% CP + CPW, LW, CPW, and the control group (CG). The initial color of the specimens was measured, followed by microhardness and roughness tests. Next, the samples were bleached, and their color, microhardness, and roughness were assessed. Data were analyzed through 2-way analysis of variance (ANOVA; microhardness and roughness) and 1-way ANOVA (color change), followed by the Tukey post hoc test. The Dunnett test was used to compare the roughness and microhardness data of the CG to those of the treated groups. Results: Statistically significant color change was observed in all groups compared to the CG. All groups, except the LW group, showed statistically significant decreases in microhardness. Roughness showed a statistically significant increase after the treatments, except for the 38% HP group. Conclusions: Whitening mouth rinses led to a whitening effect when they were used after conventional treatments; however, this process caused major changes on the surface of the enamel specimens.