• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2016년도 춘계 종합학술대회 논문집
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• pp.373-374
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• 2016

본 연구는 외상으로 인해 치수괴사가 나타난 미성숙 영구전치에서 한국에서 새롭게 개발된 MTA를 이용한 치근단형성술을 시행한 후 비교적 장기간 그 예후를 살펴본 결과를 보고하고자 한다.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2007년도 Autumn Scientific Meeting(the 128th) of Korean Academy of Comservative Dentistry
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• pp.618-618
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• 2007

• 치위생과학회지
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• 제16권4호
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• pp.317-322
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• 2016

최근 성장 중인 아동에서 치근의 성장이 계속됨에 따라 치수가 괴사되어 치근의 병변이 있는 미성숙 영구치에서도 치수의 재혈관화(revascularization)가 실제로 일어날 수 있다는 가능성이 제시되고 있다. 소아치과영역에서 자주 접하게 되는 미성숙 영구치의 치근단 형성술의 목적은 열린 치근단에서 세균 침입을 제한하고 치근단 장벽 형성을 촉진하는 것이다. 미성숙 치아의 근관 치료에서 기존의 수산화칼슘을 이용한 치근단 형성술은 빈번한 내원과 장기간 소요되는 치료 기간, 환자협조 요구, 최종 처치의 지연, 장기간의 수산화칼슘 적용 이후 치아 파절 가능성의 증가 등의 단점이 보고되었다. 기존의 수산화칼슘 치근단형성술의 대체방법으로 MTA를 이용한 1-visit 치근단형성술을 시행하고 있다. MTA는 1990년대 초반 근관치료 분야에서 다양한 적용을 위해 개발되었다. MTA의 우수한 임상적 성질에 힘입어 국내에서도 OrthoMTA 및 Endo CEM 등의 mineral aggregate 제품이 출시되어 있다. 따라서 본 증례에서는 우리나라의 청소년에서 MTA 적용한 사례를 보고하는 데 있다. 이 연구를 통해 MTA를 이용하여 진료하는 임상가에게 소개하고자 한다. 이 연구는 11~12세의 파절이 된 치아에 MTA를 적용하여 근관 치료를 하였다. 치료 받은 환자의 치아 상태를 12개월 동안 추적 관찰하였고, 국내에서 개발된 OrthoMTA를 이용한 치근단형성술을 시행한 후 임상적 및 방사선학적 관찰 결과를 통해 근관치료재생술(REP)에 관한 만족할 만한 결과를 얻었으며, 치수괴사가 생긴 경우에서도 성공적으로 치수재생술을 적용할 수 있다는 정보를 제공하고 그 결과를 공유하기 위함이다.

• Restorative Dentistry and Endodontics
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• 제43권3호
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• pp.18.1-18.12
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• 2018

Objectives: This study compared the retention of BioAggregate (BA; Innovative BioCeramix) and mineral trioxide aggregate (MTA; Angelus) as coronal plugs after applying different intracanal medications (ICMs) used in regenerative endodontic. Materials and Methods: One-hundred human maxillary central incisors were used. The canals were enlarged to a diameter of 1.7 mm. Specimens were divided into 5 groups (n = 20) according to the ICM used: calcium hydroxide (CH), 2% chlorhexidine (CHX), triple-antibiotic paste (TAP), double-antibiotic paste (DAP), and no ICM (control; CON). After 3 weeks of application, ICMs were removed and BA or MTA were placed as the plug material (n = 10). The push-out bond strength and the mode of failure were assessed. The data were analyzed using 2-way analysis of variance, the Tukey's test, and the ${\chi}^2$ test; p values < 0.05 indicated statistical significance. Results: The type of ICM and the type of plug material significantly affected bond strength (p < 0.01). Regardless of the type of ICM, BA showed a lower bond strength than MTA (p < 0.05). For MTA, CH showed a higher bond strength than CON, TAP and DAP; CHX showed a higher bond strength than DAP (p < 0.01). For BA, CH showed a higher bond strength than DAP (p < 0.05). The mode of failure was predominantly cohesive for BA (p < 0.05). Conclusions: MTA may show better retention than BA. The mode of bond failure with BA can be predominantly cohesive. BA retention may be less affected by ICM type than MTA retention.

• Restorative Dentistry and Endodontics
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• 제39권2호
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• pp.126-131
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• 2014

Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.

• Restorative Dentistry and Endodontics
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• 제36권6호
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• pp.510-514
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• 2011

Mineral trioxide aggregate (MTA)는 치근 천공을 수복하기 위한 생체적합성이 우수한 재료로 소개되었으며 현재 근관 치료의 다양한 분야에서 사용되고 있다. MTA는 전통적인 수복재료와는 달리 수분이 있는 환경에서 경화되는 특징이 있다. 임상에서 흔치는 않지만 경화되지 않은 MTA가 관찰되는 경우가 있으나 이의 원인은 불명확하며 관련된 연구도 많지 않다. 본 증례는 정 방향 MTA 충전 6년 후 MTA가 소실(wash-out)된 환자에 대한 증례로서 그 원인에 대해 고찰해보고자 한다.

• Journal of Korean Dental Science
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• 제6권2호
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• pp.41-49
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• 2013

Purpose: This study sought to compare the elemental constitution, morphological characteristics, particle size distribution, biocompatibility, and mineralization potential of Ortho MTA (OMTA) and ProRoot MTA (PMTA). Materials and Methods: OMTA and PMTA were compared using energy-dispersive spectrometry, particle size analysis, and scanning electron microscopy. The biocompatibility and mineralization-related gene expression (osteonectin and osteopontin) of both MTAs were also compared using methylthiazol tetrazolium assay and reverse transcription-polymerization chain reaction analysis, respectively. The results were analyzed by Kruskal-Wallis test with Bonferroni correction. P-value of <0.05 was considered significant. Result: The morphology of OMTA powders was similar to that of PMTA. The constituent elements of both MTAs were calcium, silicon, and aluminum. The mean particle sizes of OMTA and PMTA were 4.60 and 3.34 mm, respectively. Both MTAs had equally favorable in vitro biocompatibility and affected the messenger RNA expression of osteonectin and osteopontin. Conclusion: Within the limitations of this study, OMTA could be a promising biomaterial in clinical endodontics.

• 구강회복응용과학지
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• 제23권1호
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• pp.79-84
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• 2007

Mineral Trioxide Aggregate(MTA) has been used in Endodontic treatment successfully for more than 10 years. But the high cost of MTA limits its use in endodontics in Korea. Recently many studies have been done to compare MTA and Portland cements. To investigate the chemical constitutions of MTA (Proroot MTA, Tulsa Dental), Gray Portland cement (Lafarge Halla cement), White Portland cement(Union corp), and fast setting cement (SSangyong cement), we performed SEM(scanning electron microscope)(S4700, Hitachi) examination and EDS(Energy dispersive spectrometry)(emax, Horiba) analysis. SEM examination and EDS analysis were committed to and performed in SNU DRI (Seoul National University Dental Research Institute). We found that particles of MTA were relatively round, uniform in size, and compactly packed compared to Portland cements. Chemical constitutions of MTA, GPC, WPC and FSC were similar. It was shown that MTA contains much BiO2 . MTA and WPC showed less heavy metals such as Fe and Mg compared to GPC and FSC. FSC showed remarkably high aluminum content.

• Restorative Dentistry and Endodontics
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• 제38권4호
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• pp.248-252
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• 2013

Objectives: Fast-setting pozzolan cement (Endocem, Maruchi) was recently developed. The aim of this study was to investigate the effects of various root canal irrigants on the washout of Endocem in comparison to the previously marketed mineral trioxide aggregate (ProRoot; Dentsply) in a furcal perforation model. Materials and Methods: ProRoot and Endocem were placed into acrylic molds on moist Oasis. Each mold was then immediately exposed to either physiologic saline, 2.5% sodium hypochlorite (NaOCl), or 2% chlorhexidine (CHX) under gentle shaking for five minutes. Washout testing was performed by scoring scanning electron microscope (SEM) images. Results: Endocem exhibited higher washout resistance compared to ProRoot, especially in the NaOCl group. Conclusions: These results suggest that Endocem can be considered a useful repair material for furcal perforation, especially in a single-visit scenario.

• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.43.1-43.9
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• 2020

A variety of therapeutic modalities can be used for the endodontic treatment of a traumatized tooth with internal root resorption (IRR). The authors present a case report of the successful restoration of a traumatized upper central incisor that was weakened due to severe IRR and subsequent periapical lesion formation. A 20-year-old female patient was referred to our clinic with severe internal resorption and subsequent periapical pathosis destroying the buccal bone wall. Root canal treatment had been initiated previously at another dental practice, but at that time, the patient's condition could not be managed even with several treatments. After cone-beam computed tomography imaging and proper chemomechanical cleaning, the tooth was managed with a mineral trioxide aggregate plug followed by root canal filling using short fiber-reinforced composite, known as the Bioblock technique. This report is the first documentation of the use of the Bioblock technique in the restoration of a traumatized tooth. The Bioblock technique appears to be ideal for restoring wide irregular root canals, as in cases of severe internal resorption, because it can uniquely fill out the hollow irregularities of the canal. However, further long-term clinical investigations are required to provide additional information about this new technique.