• 대한심미치과학회지
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• 제13권1호
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• pp.19-24
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• 2004

This study is intended to provide a referable information of exposed amount of maxillary central incisor of Korean by ages and gender under rest position. The result of this study will give guidelines for making prothesis. The subjects of this study are patients of Charmgoun Dental Hospital in Busan, Korea. A statistical analysis was conducted after taking digital photos of patients' teeth with a ruler and measuring the length of teeth on the computer program. The results of this study were as follows : 1. The length of maxillary central incisor that exposed under upper lip is decreased by increasing age in rest position.; the average length is 3.455mm in 20s, 2.525mm in 30s, and 1.543mm in 40s. 2. The exposal length in females is more than males, average length is 2.796mm in female and 2.342mm in male. However, there is not significant difference between the genders. 3. The exposed average length of maxiallry central incisor under upper lip is 2.618mm at rest. 4. The clinical crown average length of maxillary central incisor is 10.195mm, but incresing age, there is no significant defference. 5. There is significant difference between the genders in the clinical crown length of maxillary central incisor.; the length is 10.637mm in men, 9.90mm in women.

• Restorative Dentistry and Endodontics
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• 제21권1호
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• pp.311-320
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• 1996

If root and resection is done during surgical endodontic treatment, newly exposed dentinal tubules form pathways between the canal and the peripheral tissue. Nd : YAG laser was used to block this phenomenon, and its effect was studied with dye penetration and SEM techniques. 40 intact single rooted teeth were divided into 4 groups(10 each) : control group and test groups, in which retrograde cavity surface, cutting surface, retrograde cavity surface & cutting surface were treated with laser(1 watt 15pps) and finally retrograde filling with IRM was conducted. After that, they were stained with 2 % methylene blue, sectioned and evaluated by the maximum infiltration depth. And to observe surface change, they were prepared for SEM. The results were as follows ; 1. All experimental groups showed microleakage with variation in amount. 2. The 2nd group which treated both the retrograde cavity and cutting surface showed significantly less microleakage than the other groups(p<0.05). There was no significant difference between groups treated on one side only. 3. As a result of SEM observation of dentin surface, obstruction of dentinal tubules with marble shaped granules, which were different from normal dentin could be seen. Cracks could be seen also. 4. In summary of this experiment, it is thought that effort to obstruct the exposed dentinal tubules as well as retrograde cavity after root end resection is needed.

• 대한소아치과학회지
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• 제23권2호
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• pp.389-400
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• 1996

In Class II amalgam restoration in deciduous molar, failure rate and incidence of recurrent caries are high as children become older. In order to preserve deciduous molars till the physiologic exfoliation time, stainless steel crown is a choice of the treatment. As a result of a careless treatment, such as overhanging margin, poor marginal adaptation, poor proximal contour and inadequate mesiodistal width give rise to interfering eruption of the adjacent teeth, recurrent caries and chronic gingival irritation and insufficient arch length respectively. In this study, 252 s.s. crowned teeth extracted due to physiologic exfoliation or periapical lesion. The purpose of this study is to analyze the marginal adaptation of stainless steel crown to the deciduous molar in order to obtain better clinical result. The results were as follows : 1. Between the length of s.s. crown and the marginal gap of crown, positive correlations were shown. 2. Largest amount of marginal gap was shown at buccal side in upper deciduous molars and lower first deciduous molar, lingual side in lower second deciduous molar. But no significant diffrence were found statistically compared to second most largest one. 3. Incidence of exposed restoration and recurrent caries were higher in proximal surface than buccal/lingual surface. And extension of restoration below the margin of s.s. crown gives rise to higher rate of recurrent caries. 4. Defect of contour was found in 34%, frequently found in lower 1st deciduous molar and upper 1st deciduous molar. 5. Marginal polishing defects were found in 23%. 6. Ledge was formed in 10% especially in lower 1st deciduous molar and lower 2nd deciduous molar. 7. 16% of the teeth had wear facet due to traumatic occlusion, 7% of them had occlusal perforation.

• Restorative Dentistry and Endodontics
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• 제20권2호
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• pp.812-817
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• 1995

Endodontically treated teeth are usually restored for crown protection, aesthetics, and prevention of root canal recontamination. Restoration of these teeth, however, often requires intracanal posts. Various depths and techniques have been recommended for the preparation of post space. Therefore the purpose of this study was to evaluate the effect that pst preparation has on the coronal seal by linear dye penetration of root canals obturated by lateral condensation, vertical condensation, and thermafil techniques. Forty canals of roots of incisors and canines were cleaned and shaped with the use of a step-back technique. Thirty canals were obturated, 10 each with lateral, vertical, and thermafil techhniques. Five root canals were obturated without a root canal sealer and served as positive controls. Another five root canals were obturated, and their coronal half was sealed with sticky wax and served as negative controls. The apical 5 to 6mm of the filling materials were exposed to india ink for 48 hours. The depth of dye penetration was measured in all groups and statistically analyzed (ANOVA). The results were as follows. 1. The apical plugs in the thermafil groups had the highest degree of coronal dye leakage. 2. The group filled by vertical condensation technique had the lowest degree of coronal dye leakage. 3. No significant statistical difference was found in the amount of coronal dye leakage in canals filled by lateral condensation versus those filled by the veritcal condensation technique. 4. Significant statistical differences in coronal dye penetration were found between the canals filled by thermafil and those filled by the lateral or vertical condensation techniques (p<0.05).

• Journal of Korean Dental Science
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• 제5권1호
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• pp.37-44
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• 2012

Purpose: Among the facilitation of tooth movement in adult orthodontic treatment methods, surgical approaches are gaining popularity but complications following mechanical bone reduction are a problem. In this study, tooth movement was observed after alveolar bone was chemically demineralized to verify whether tooth movement had been facilitated. Materials and Methods: Twelve rabbits were used. In the experimental group, the alveolar bone of the left first molar area was exposed and demineralized. Thirty seven percents phosphoric acid was applied for 5 minutes for demineralization. The opposite first molar area was used as control. Two teeth were pulled with 200 g force and 4 rabbits each were sacrificed at 3, 7, and 14 days after the force was applied. Histologic examination was done with hematoxylin and eosin and tartrate-resistant acid phosphatase staining. Result: The histologic examination results revealed more bone resorption in the demineralized area. As time passed, the number of osteoclasts increased in the compressed area. The amount of tooth movement was larger in the experimental group compared to the control group but the difference was not statistically significant. Conclusion: The demineralization with etchant resulted in limited bone resorption, more tooth movement and less damage of the cementum after applied orthodontic force.

• 대한치과의사협회지
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• 제17권2호통권117호
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• pp.129-135
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• 1979

This 27 year-old male patient had severe mandibular prognathism (right and left mesio-occlusion were 0.4㎝ and 1.2㎝ , respectively). He had good oral health relatively exception of missing teeth. We examined all of his oral and skeletal status with full mouth x-ray taking, study model, and cephalogram. His general condition was good but above examination indicated the surgical operation for the mandibular prognathism. His laboratory tests were within normal limits. We determined surgical operation which was done by extraoral approach bilaterally. Incisions were made bilaterally 1.5㎝ beneath the inferior border of the mandible in the selected area and then the inferior border of the ascending rami was exposed. Retracting the periosteum to the lingual and buccal a slight amount, the cut in the bone was performed by use of bone drill. Avoiding T.M.J. troubles, the proximal segmant was not fixed to anterior segment, being in overlapping state buccally, in order to expect a natural healing by the environmental muscles and ligaments. We had immobilization with intermaxillary fixation by using the multiple Stout's method. He was discharged 17 days after operation. His general condition and operation results were good and satisfactory.

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.104-114
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• 1992

The purpose of this study was to evaluate the shear bond strength of glass ionomer cement(Ketacfil, ESPE, Co.) against dentin surface which had been treated with surface conditioning agents(distilled water, 5% sodium hypochlorite solution, Ketac - conditioner, 40% polyacrylic acid). In this study, 60 human molars with sound and healthy crown portion which were previously extracted for orthodontic or periodontal problem. The dentin surfaces of these teeth were exposed with wet trimmer and polished with 150 - grit and 600 - grit silicon carbide paper and the teeth were divided into four groups(15 teeth per group) according to the following surface conditioning methods. Group I : Surface treatment with distilled water as control group. Group II : Surface conditioning with 5% sodium hypochlorite solution. Group III : Surface conditioning with Ketac conditioner. Group IV : Surface conditioning with 40% polyacrylic acid. The shear bond strengths were measured by Autograph(Shimatzu Co. Japan). The result of the evaluations were then subjected to statistical analysis using one - way analysis of variance and Duncan test and the results were as follows : 1. The shear bond strength accrding to the dentin surface conditioning conditions was highest in Ketac conditioner group, with measurements of $44.44{\pm}0.74(kg/cm^2)$ and lowest in the distilled water group, with measurements of $28.84{\pm}0.88(kg/cm^2)$. 2. Statistically significant differences were found between surface conditioning with 5% sodium hypochlorite solution group or Ketac conditioner group and distilled water group(P<0.01). 3. Also, statistically significant difference was found between surface conditioning with distilled water group and 40% polyacrylic acid group(P<0.05). 4. Overall difference in statistical significance between the groups was not found (P<0.05). 5. Fractured dentin surface treated with conditioning solutions showed cohesive fracture. 6. Distilled water group and 5% sodium hypochlorite solution group removed the smear layer less effectively. 7. Conditioning dentin with Ketac conditioner and 40% polyacrylic acid resulted in the removal of a significant amount of the smear layer without removing the tubular plugs and dissolving the peritubular dentin.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권6호
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• pp.413-420
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• 2002

Mercury is one of the most frequently used heavy metal in dental clinic. Mercury poisoning rises up when someone is exposed to mercury chronically. In 1818, Amalgam was used for dental restorative procedure, and after then study about mercury toxicity has begun. Clinical signs of mercury toxicity in oral & maxillofacial area were increases of salivation, metallic taste, swelling and pain of tongue, redness and ulceration of oral mucosa, and increased mobility and loss of teeth. After we injected mercury($HgCl_{2}$) into intraperitoneum of rat, studied about histopathological changes of submandibular gland cell. Experimental group was divided into two groups by amount of mercury. (Group 1 was 0.5mg/Kg of mercury injection, group 2 was 1.0mg/Kg of mercury injection.) 1. After 3days of intraperitoneal injection, black granules were observed at macrophage cell in both group. In group 2, author found hyperchromatism of nucleus, and vacuolization of cellular matrix and nucleus of acinar cell. 2. After 1week of intraperitoneal injection, author found severe vacuolization of nucleus and cellular matrix, and irregular granules around nuclear membrane at mucous cell and serous cell in both group. Vacuolization of nucleus and cellular matrix was seen at duct cell in group 2. 3. After 2weeks of intraperitoneal injection, author could found severe vacuolization of cellular matrix, and sometimes nucleus was positioned in central area of cellular matrix at mucous and serous cell in both group. Vacuolization of nucleus and cellular matrix was found at vascular endothelial cell in group 2. 4. After 4weeks of intraperitoneal injection, destruction and distortion of gland cells were distinct. Vacuolization and destruction of nucleus and cellular matrix was found at duct cell in group 2. After intraperitoneal injection of mercury, we found equanimity of mercury and destruction of cellular matrix at serous cell, mucous cell, and duct cell of submandibular gland. So, we thought that metallic taste of mercury poisoning patient would be due to excretion of saliva containing mercury.

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.95-103
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• 1992

The purpose of this study was to evaluate the effect of the dentin pretreatment on the marginal leakage of a glassionomer cement. 1n this study, 60 molars with sound and healthy crown portion were used. The dentin surface of these teeth were exposed and polished with 600 grit silicon carbide paper. Square - shaped cavities were prepared on the flattened dentin surfaces and these were divided into 4 groups according to the dentin pretreatment procedures. Group I : Dentin pretreatment with distilled water as a control group. Group II : Dentin pretreatment with 5% sodium hypochlorite solution. Group III : Dentin pretreatment with Ketac conditioner. Group IV : Dentin pretreatment with 40% polyacrylic acid. The degrees of dye penetration in the cavity walls were assessed using a stereoscope at ${\times}40$ magnification according to the maximum dye penetration. The results were analyzed by using Mann - Whitney U test. The results were as follows : 1. All groups showed varying depth of dye penetration. 2. Distilled water group showed the most severe marginal leakage when compared with the other groups(P<0.05). 3. 40% polyacrylic acid group showed the least amount of marginal leakage compared with the other groups (P<0.05). 4. There were significant differences between Goup I(distilled water) and Group IV (40% polyacrylic acid)(P<0.05), but there were no significant differences among Group I(distilled water), Group II(sodium hypochlorite), Group III(Ketac conditioner) (P>0.05).

• Journal of Periodontal and Implant Science
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• 제23권3호
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• pp.374-390
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• 1993

Regeneration of periodontal tissue after a loss of attachment due to disease or trauma repesents an important issue in dentistry, and various bone graft materials have been used to regenerated lost periodontal tissue and restore proper fuctions. Among those, allografts have been extensively researched and widely used clinically, since they are known to possess an excellent osteoinduction capability and result in proper topography of alveolar bone. Regeneration of periodontal tissue in supraalveolar defects may be technically difficult. However, a large amount of regeneration has been observed by complete tissue coverage of involved teeth. In this study, supraalveolar defects in adult dogs were treated with periodontal surgery, decalcified freez-dried bone allograft, complete tissue coverage was attained, and effects on repair and regeneration of alveolar bone, cementum and periodontal ligament were studied. Exposure of premolar furcation of adult dogs was attained by removing marginal alveolar bone down to 5mm from CEJ, and root surfaces were planed with curettes. On the left side, defects were treated without any allograft(Control Group). On the right side, a DFDB was used(Experimental Group). In all groups, flaps were coronally positioned and sutured, completely submerging the treated defects. At two weeks, the crown were exposed 2-3mm. Healing progresses were histologically observed after eight weeks and the results were as follows : 1. Distance from CEJ to AJE was : $2.82{\pm}0.66mm$ in the control group, $1.71{\pm}0.51mm$ in experimental group, with significant differences between groups.(P<0.01) 2. Periodontal repair was : $2.18{\pm}0.66mm$ in the control group, $3.29{\pm}0.51mm$ in experimental group, with significant differences between groups.(P<0.01) 3. Connective tissue repair was : $1.43{\pm}0.52mm$ in the control group, $0.76{\pm}0.47mm$ in experimental group, with significant differences between groups.(P<0.01) Orientation of connective tissue fibers in relation to root surfaces was : mostly parallel in the control group, vertical or parallel or irregular in experimental group. 4. The amount of cementum formation was : $1.66{\pm}0.58mm$ in the control group, $2.86{\pm}0.66mm$ in experimental group, with significant differences between groups. 5. The amount of alveolar bone formation was : $0.76{\pm}0.72mm$ in the control group, $2.53{\pm}0.56mm$ in experimental group, with significant differences between groups.(P<0.01)