• Restorative Dentistry and Endodontics
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• v.47 no.1
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• pp.13.1-13.13
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• 2022

Objectives: This study evaluated the efficacy of 3 reciprocating systems and the effects of 2 instruments for irrigant activation on filling material removal. Materials and Methods: Forty mesiobuccal roots of maxillary molars were prepared up to size 25.06 and obturated. Micro-computed tomography (micro-CT) examination #1 was performed. Teeth were then divided into 4 groups (n = 10), according to the retreatment protocol: (1) manual, (2) Reciproc Blue, (3) WaveOne Gold, and (4) X1 Blue. Micro-CT examinations #2 and #3 were performed after filling removal and repreparation, respectively. Next, all teeth were divided into 2 new groups (n = 20) according to the irrigant activation protocol: XP Clean (XP Clean size 25.02) and Flatsonic (Flatsonic ultrasonic tip). Micro-CT examination #4 was performed after irrigant activation. Statistical analysis was performed with a significance level set at 5%. Results: WaveOne Gold removed a significantly greater amount of filling material than the manual group (p < 0.05). The time to reach the WL was similar for all reciprocating systems (p > 0.05). X1 Blue was faster than the manual group (p < 0.05). Only manual group improved the filling material removal after the repreparation stage (p < 0.05). Both activation protocols significantly improved the filling material removal (p < 0.05), without differences between them (p > 0.05). Conclusions: None of the tested instruments completely removed the filling material. X1 Blue size 25.06 reached the working length in the shortest time. XP Clean and Flatsonic improved the filling material removal.

• Restorative Dentistry and Endodontics
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• v.30 no.2
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• pp.102-111
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• 2005

The purpose of this study was to assess the incidence of flare-ups among patients who received endodontic treatment and to examine the correlation with pre-operative and operative variables. Analysis was in two aspects (a) overall incidence of flare-ups as expressed by a percentage of all patients visits and (b) percentage of flare-ups that occurred as related to various factors suck as patient demo-graphics, diagnosis, and treatment procedures. 1. From the 840 teeth which were examined in this study, the total number of flare-ups was 13. 2. As to gender of patients, there was no significant difference in flare-ups. 3. As to tooth groups, there was no significant difference in flare-ups. 4. In the teeth with pre-operative symptom, there was a statistically significant higher incidence of flare-ups than the teeth without it. 5. In the teeth with apical periodontitis, there was a statistically significant higher incidence of flare-ups. 6. As to pulp and periapical status. non-vital teeth had a higher incidence as compared with vital teeth, irreversible pulpitis. 7. Multi-visit treatment resulted in the higher incidence of flare-ups than one visit treatment. 8. Re-treatment procedures had a statistically significant higher incidence of flare-ups than root canal treatment. In this study, overall percentages of flare-ups was $1.55\%$. It showed a statistically significant higher incidence related to pre-operative symptom, apical periodontitis, and re-treatment. There was no significant difference in flare-ups related to gender, tooth groups, and fistula.

• Restorative Dentistry and Endodontics
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• v.9 no.1
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• pp.59-68
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• 1983

The purpose of this study was to examine the influence of canal irrigants and the method of canal filling on the quality of canal obturation. Sixty extracted human teeth with single root were selected and divided into three different groups; In group I (control); 5 cc normal saline irrigated after each instrumentation In group II; 2.5 cc-3% NaOCl in combination with 2.5 cc-3% $H_2O_2$ In group III; RC-Prep in combination with 5 cc-3% NaOCl All specimens were cleaned, shaped(#50 file size), irrigated and obturated by lateral condensation and automated thermatic condensation filling method of gutta-percha and AH-26. After all the specimens were immersed in 2% methylene blue dye solution in $37^{\circ}C$ for 7 days and the degree of dye penetration into the canals observed by magnifying glass(${\times}$20) and reflected light microscope The results were as follows: 1. All the the teeth showed some degree of the dye penetration. 2. There were no significant difference among three groups in the degree of the dye penetration in each canal filling method. 3. There were no significant difference of the dye penetration between each canal filling method in group I. 4. There were no statistically significant difference of the dye penetration between each canal filling method in group II and group III, but lateral condensation group was showed slightly more than automated thermatic condensation group.

• Restorative Dentistry and Endodontics
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• v.9 no.1
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• pp.89-99
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• 1983

The rational approach to antimicrobial therapy of infected root canals is based on accurate identification of the infecting organism and on the organism's susceptibility to antimicrobial agents as measured by standardized techniques. In establishing criteria for the selection of antibiotics, a susceptibility test should be performed. The purpose of this study was to investigate the susceptibility of 224 aerobic and anaerobic microbial strains isolated from infected root canals to various antibiotics. This was performed by using 7 antibiotic sensi-disc: Penicillin (10 units), Ampicillin (10 mcg), Tetracycline (30 mcg), Streptomycin (10 mcg), Kanamycin (30 mcg), Lincomycin (2 mcg), and Clindamycin (2 mcg). The results were as follows; 1. Strains isolated from infected root canals was shown to be most susceptible to Clindamycin, while Streptomycin exhibited least antibacterial properties. 2. Anaerobes were found to be susceptible to Penicillin, Ampicillin, and Clindamycin. 3. Streptomycin and Kanamycin were shown to be effective against Staphylococcus aureus and Staphylococcus epidermis, however, unidentified G(+) cocci organisms were found to be resistant to these agents. 4. Bifidobacterium sp. was susceptible to Lincomycin while G(+) rods were resistant to it. 5. Staphylococcus aureus, Micrococcus sp., and anaerobes were highly susceptible to Clindamycin. 6. All of the antibiotics tested were shown to be very effective against Eubacterium sp.

• Restorative Dentistry and Endodontics
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• v.13 no.1
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• pp.7-19
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• 1988

The object of this paper was to investigate the histopatological changes on dog's pulp under cavitation by irradiation of the $CO_2$ laser. The subjects were derived from four dogs, and irradiated 113.23 J/$mm^2$, 283.09 J/$mm^2$, 566.08 J/$mm^2$ in Group I, II, and III respectively. The dogs were sacrificed immediately, 24 hour, 72 hour and 1 week after $CO_2$ laser treatment. For light microscopic examination, routine H-E and PAS stains were employed. For electron microscopic observation, the teeth were fixed in 1% paraformaldehyde and 1% glutaraldehyde, decalcified teeth in 10% EDTA were stained by uranyl acetate and lead citrate. The observation was made with a Hitachi H-500 model electron microscope. The following results were obtained in this study: 1. At the early stage of the experimental sub-groups-immediately, 24 hour, 72 hour samples of Group I, II and III-coagulation necrosis and hyperemia were observed in odontoblastic and subodontoblastic pulpal layer. 2. At the 1 week sub-group of Group I, II, regenerative hyperplasia of the odontoblasts without coagulation necrosis were revealed, in addition to thickened predentin. On he other hand coagulation necrosis and atrophic change accompanying with hyperplasia were found at the 1 week sub-group of Group III. 3. Ultrastructurally, the odontoblasts appeared nuclear degeneration, vacuolar change of cytoplasmic organelles and rupture of plasma membrane at the early stage of the experimental period of all groups. 4. Under spectrohelioscopic examination, regenerative odontobalsts were seen at the 1 week specimens of Group I, II and III. 5. The pulpal response occured at 113-566 J/$mm^2$. The pathologic change of pulp tissue occured at the early experimental period but regeneration of odontoblasts could be seen after 1 week.

• Restorative Dentistry and Endodontics
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• v.14 no.1
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• pp.161-171
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• 1989

The purpose of this study was to evaluate and compare the sealing ability of ZOE, FR and Sealapex, as a root canal sealer. Ninety six extracted anterior or premolar human teeth with single root were instrumented by using conventional method. After instrumentation, the teeth were divided into three groups and thirty two teeth in each group were filled as follows: ZOE group: ZOE cement as a root canal sealer in combination with guttapercha cone FR group: FR root canal sealer in combination with guttapercha cone Sealapex group: Sealapex root canal sealer in combination with guttapercha cone $^{45}Ca$ in the form of calcium chloride, was employed as the tracer in this study and produce the auto-radiograph. The depth of isotope penetration into the root canal was evaluated by method by Yates and Hembree at the intervals of 1 day, 7 days, 14 days and 30 days. The following conclusions were derived from the results obtained; 1. After 1 day, ZOE group exhibited the greatest penetration degree of radioisotope (p < 0.05). 2. After 14 days, there was some difference of the radioisotope penetration between each group, but its difference was not significant statistically. 3. After 30 days Sealapex group exhibited the least penetration degree of radioisotope (p < 0.025). 4. In ZOE and Sealapex groups, there was no change of the degree of radioisotope penetration with time.

• Restorative Dentistry and Endodontics
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• v.14 no.1
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• pp.57-70
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• 1989

The purpose of this study was to investigate the effect of salivary gland on the calcification of dentin in rats. 80 Sprague-Dawley male rats that weighed approximately 120gm were used in this study. 5 rats among them were shared as controls. 75 rats received sialoadenectomy were divided into submaxillary adenectomy group, parotidectomy group, and submaxillary-parotid gland combined removal group. In experimental groups, 25 rats in each of the 3 groups were sacrificed at the following intervals; 3 days, 1, 2, 3 and 4 weeks. All animals were sacrificed by vascular perfusion with 10% formalin. The maxillary incisors including periapical tissues were removed and defatted in 20% KOH solution at $0^{\circ}C$ for 24 hours, and dehydrated with acetone. Each tooth specimen was attached on the stab for scanning electron microscopic study. Gold was coated on the each specimen in the thickness of 300${\AA}$ at D.C. 1400V, 6mA for 6 minutes with coating machine (Eiko IB-3). Inner dentinal surfaces of the specimens were observed with SEM (Hitachi S-450). The results were as follows, 1. Parotidectomy groups were found to be inhibited the formation of dentinal calcification compared to submaxillary adenectomy groups in the eady stages. 2. Combined removal of submaxillary and parotid gland was appeared to cause more severe inhibition effect on the dentinal calcification than that of each salivary gland separately. 3. Inhibition of the calcification and mineralization of dentin caused by sialoadenectomy was more extreme from 3 day to 2 weeks after beginning of the experiments. However it was tended to be normalized after that. 4. Salivary gland was responsible for alterations in calcification and mineralization of dentinal growth.

• Restorative Dentistry and Endodontics
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• v.12 no.1
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• pp.85-93
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• 1986

The purpose of this study was to investigate the curing effect of visible light through tooth substance, 0.5mm, 1.0mm thickness of enamel and dentin were prepared. Experimental specimen were made by Bisfil M & Silux packing into cylindrical brass mold 6.0mm in diameter, 2.0mm and 3.0mm, in height. All specimen were irradiated by visible light (Grip type) model No. SDL-50 Shofu Co.) for 30 seconds through tooth substance. Experimental groups were classified into enamel group (group 1) and dentin group (group 2) according to the thickness of tooth materials and then were divided into 2 subgroups (0.5mm group and 1.0mm group). In experimental groups, visible light irradiated to the specimen through either 0.5mm in thick or 1.0mm in think of tooth material. In Control group specimen were prepared by direct irradiation on the specimen surface of visible light without through tooth substance. The hardness was measured with a Barcol hardness tester (Barber-Colman Co. U.S.A.) for each prepared specimen. The results were as follows: 1. In control group, there were higher hardness values than those of in experimental group. 2. In experimental groups, 0.5mm groups had higher hardness values than 1.0mm groups did. 3. The hardness value at top surface of the specimen were higher than the hardness of bottom surface in each group. 4. Bisfil M had higher hardness values than Silux. 5. In all specimen of 3.0mm height polymerization effect was not occurred at bottom surface except Bisfil M in control group.

• Restorative Dentistry and Endodontics
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• v.12 no.1
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• pp.65-76
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• 1986

Carious dentin can be classified, on the basis of their clinical characteristics, into three groups; sound, sclerotic and active carious dentin. Active carious dentin differs from sclerotic dentin by its abscence of variable bacteria within tubles and amount of chemical content. But the apatite molecules of active carious dentin are not fully studied. The purpose of this study was to observed the physico-chemical characteristics of deep carious dentin. The samples of sound, sclerotic and active carious dentin were obtained respectively from 300 freshly extracted carious teeth. Bacterial-rich zone of superficial soft dentin layer was removed with hand instruments from all samples in advance. The samples were powdered and sieved (200 mesh) before analyses. Identification and estimation of the crystallinity of the samples were carried with X-ray diffraction and infrared absorption analyses. Measurements were made on a Rigaku Denki (Rigaku, geiger flex III, Japan) X-ray diffractometer with Cu-target at 30 Kv, 30 mA and are traced on a monochromatic tracer. Infrared absorption analysis was made on FT-IR spectrophometer (Nicolet Instrument Co.) using KBr pellets containing the samples and was recorded on data process (Model IR-80. Nicolet Instrument, Co). The following conclusions were as follows; 1. The nature of the main inorganic structure of sound, sclerotic and active carious dentin proved to be hydroxyapatite. 2. It was difficult to determine the identification due to their crystallinity of sound, sclerotic and active carious dentin. But sound dentin was the highest in crystallinity among them. 3. The magnesium whitlockite was to be found in active carious dentin, but not in sound and sclerotic dentin. 4. The carbonate content was highest in sound dentin, but the lowest was in active carious dentin.

• Restorative Dentistry and Endodontics
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• v.12 no.1
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• pp.51-64
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• 1986

The purpose of this study is to obtain the data of prestep in cavity preparation by observing changed conditions of laser irradiated dental hard tissues. The forty five extracted caries free human molars were divided into three groups and each group into five subgroups. A $CO_2$ laser irradiation was performed each subgroup of group I for one second with output power of 5 W, 10 Wand 20 W. On group II, laser irradiation was done ten times for 0.1 second duration using same power ratings as group I. On group III, laser irradiation was done 0.1 second, 0.2 second and 0.4 second with output power of 50 W. We investigated mineral contents and crater wall of obtained specimens, i.e., laser irradiated teeth, using computer controlled electron probe microanalyzer and scanning electron microscope. The following results were obtained: 1. Both calcium and phosphorus contents in laser irradiated enamel crater wall were increased, and magnesium content was decreased, but these trends were not statistically significant. 2. In laser irradiated dentin, change of mineral content was more significant. 3. In laser irradiated enamel and dentin, there were no significant differences on mineral content change due to irradiation condition and energy density. 4. In scanning electron microscopic study, enamel rods of the crater wall were fused and clefts were observed in parallel with the direction of enamel rod for all groups. 5. In laser irradiated dentin, irregular fusion and clefts were observed. In irradiated teeth with high power and short duration, the locally formed narrow crater wall was observed.