• Restorative Dentistry and Endodontics
• /
• 제12권2호
• /
• pp.65-72
• /
• 1987

The purpose of this study was to examine the influence of several root canal sealers on the discoloration of internal surface after root canal obstruction. Twenty four sound human premolars, extracted for orthodontic or prosthodontic purposes, were randomly selected and divided into eight groups. Extracted premolars were prepared, and the following seven materials were introduced into the pulp cavities: AH 26, Fuji ionomer (Type I) cement, N2, Oxypara "Murakami", Kerr sealer, PCA sealer, and G-C's Propac ZOE cement. After 7 weeks of incubation; the discolored tooth crowns were hemisectioned, and the internal staining patterns were examined. Then, with an association of observed values the mean intensity scores and percentage of coverage scores of the internal staining patterns in teeth attained by two observers using for Chisquare test were analyzed. The results were as follows: 1. All the experimental premolar's crown showed various ranged discoloration of internal surface. 2. There was no significance between the association scores of two observers participated into this experiments:% coverage scores (P > 0.05) and intensity (P > 0.05) 3. The crowns filled with PCA sealer, AH 26, and Fuji ionomer cement was visible within a depth of one third of dentin. (P> 0.05) 4. For N2, Kerr sealer, and G-C's Propac cement, A slight dentinal staining was recorded, which penetrated up to half way into the dentin. (P> 0.05) 5. It was noticed that the teeth filled with Oxypara "Murakami" were discolored more than two thirds of the dentinal layer. 6. On the control group, there was no discoloration.

• Composites Research
• /
• 제35권3호
• /
• pp.153-160
• /
• 2022

목재 섬유 기반의 셀룰로오스 나노피브릴(cellulose nanofibrils, CNF)은 생체적합특성이 우수하여 조직 공학용 스캐폴드, 약물 운반체, 상처 치유용 겔 등의 생체 의료 분야에서 많은 관심을 받고 있다. 하지만, 셀룰로오스 나노피브릴은 상대적으로 약한 기계적 강도를 나타내기 때문에 높은 기계적 특성을 요구하는 응용 분야에 사용되기 어렵다는 한계를 가지고 있다. 따라서 본 연구에서는 셀룰로오스 나노피브릴의 기계적 강도를 향상시키기 위해 TEMPO (2,2,6,6-tetramethylpiperidin-oxyl) 산화 처리된 셀룰로오스 나노피브릴에 금속 양이온을 도입하여 금속-카르복실레이트 배위 결합을 가지는 하이드로겔을 제조하였다. 또한, 큰 진폭 진동 전단(large amplitude oscillatory shear) 측정과 Live/Dead 세포 시험을 통해 하이드로겔의 비선형 점탄성 거동과 세포 생존 능력을 분석하였다. 특히, 첨가된 금속염의 종류에 따라 세포의 증식 및 생존 능력이 변화하였고, 이는 하이드로겔들의 유변 물성 특성에도 영향을 미쳤다.

• Restorative Dentistry and Endodontics
• /
• 제46권3호
• /
• pp.31.1-31.13
• /
• 2021

Objectives: To evaluate postoperative pain after endodontic treatment of necrotic teeth using large intentional foraminal enlargement (LIFE). Materials and Methods: The sample included 60 asymptomatic necrotic teeth (with or without chronic apical periodontitis), and a periodontal probing depth of 3 mm, previously accessed and referred to perform endodontic treatment. After previous procedures, the position and approximate size of the apical foramen (AF) were determined by using an apex locator and K flexo-files, respectively. The chemomechanical preparation was performed with Profile 04 files 2 mm beyond the AF to achieve the LIFE, using 2.5 mL of 2.5% NaOCl at each file change. The filling was performed by Tagger's hybrid technique and EndoFill sealer. Phone calls were made to all the patients at 24, 48 and 72 hours after treatment, to classify postoperative pain. Statistical analysis was performed by different tests with a significance level of 5%. Results: Age, gender, periradicular status and tooth type did not influence postoperative pain (p > 0.05). Only 1 patient (1.66%) reported severe pain after 72 hours. Moderate pain was reported by 7, 4 and 3 patients after 24, 48 and 72 hours, respectively (p = 0.0001). However, paired analyses showed a statistically significant difference only between 24 and 72 hours (p = 0.04). Sealer extrusion did not influence the postoperative pain (p > 0.05). Conclusions: Acute or moderate postoperative pain was uncommon after endodontic treatment of necrotic teeth with LIFE.

• 치위생과학회지
• /
• 제23권3호
• /
• pp.225-235
• /
• 2023

Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제49권5호
• /
• pp.262-269
• /
• 2023

Objectives: Anterior maxillary sinus wall fractures are common in all types of maxillofacial trauma. They can result in various complications, including injury to the surrounding nerves. Owing to its anatomy, trauma to the maxillary antrum can result in injury to the middle superior alveolar nerve (MSAN) and the anterior superior alveolar nerve (ASAN). The purpose of this study is to evaluate neurosensory deficits (NSD) present in maxillary gingiva, incisors, and premolars after injury to the anterior wall of the maxillary antrum. Materials and Methods: This prospective study was conducted among 39 patients sustaining unilateral fractures of the anterior maxillary sinus wall. Clinical neurosensory tests including two-point discrimination and fine touch discrimination were performed to classify the extent of nerve injuries as mild, moderate, severe, or anesthetic. Additional temperature discrimination and pulpal sensibility tests (electric pulp testing and cold testing) were carried out. A comparison of radiographic fracture patterns and severity of nerve injury was done. Testing was carried out immediately after trauma and at 2-month follow-up. Results: More than half of the patients assessed in the study group presented with NSD of the teeth and gingiva after trauma. The incidence of deficits varied with the type of test used to measure them. Most frequently, patients presented with both loss of two point as well as fine touch discrimination thresholds. Severe nerve injuries were associated with loss of temperature discrimination clinically and displaced fractures radiographically. There was no significant relationship between the recovery of pulpal and gingival sensation. The patterns of injury and recovery in ASAN and MSAN were similar. Conclusion: NSD after trauma to the maxillary antrum is relatively common. Clinical loss of temperature discrimination and radiographic signs of fracture lines passing through the canalis sinuosus are predictors of persistent and severe oral NSD.

• Restorative Dentistry and Endodontics
• /
• 제34권3호
• /
• pp.169-176
• /
• 2009

당뇨(Diabetes Mellitus)란 혈당을 조절하는 인슐린의 분비나 기능에 장애를 야기하는 질환으로 인슐린 의존성 여부에 따라 제 1 형과 제 2 형으로 분류된다. 본 종설은 최근 증가 추세에 있는 제 2 형 당뇨가 치수 치근단 병소의 병인 과정에 전구 위험요인으로 작용할 수 있는지를 평가 하고자 문헌고찰을 통해 당뇨의 병인 과정에서 특징적으로 나타나는 혈관 합병증에 관해 알아보고, 부가적으로 제 2 형 당뇨 쥐 모델에서 인위적인 치수 감염 후 얻은 치근단 조직의 조직병리학적 분석을 시행하였다. 조직학적 관찰 결과 제 2 형 당뇨 쥐에서 대조군에 비해 치수 치근단 병소의 크기가 증가하였고, 치수 염증 반응도 심하게 나타난 것으로 보아 당뇨 자체가 숙주를 감염에 취약한 상태로 만드는 전구 위험요소로 작용하였음을 알 수 있었다. 이러한 이유로는 첫째, 당뇨 시 전반적으로 나타나는 혈관 내 죽상 침착(atheromatous deposits)에 의해 혈관내벽의 두께가 두꺼워져 미세 순환의 장애는 물론 탐식 세포의 기능 저하, 면역 세포의 혈류 이동이 차단되어 치수 감염 시 쉽게 치근단 병소로 이환될 가능성이 높고, 둘째 치수 혈관에서 특징인 측부 순환(collateral circulation)의 부재에 따른 살균성 다형핵 백혈구의 활동 억제를 포함한 미세 혈관계의 취약성으로 인해 치수 조직의 재생능이 저하되어 추가적인 감염원의 공격에 대한 방어 및 치유 저하를 더욱 심화시키기 때문인 것으로 사료된다. 따라서 제 2 형 당뇨 환자의 수복치료 시 치과의사는 당뇨조절 하에서 치수 조직의 자극을 최소화하기 위한 세심한 처치가 필요하다.

• 대한소아치과학회지
• /
• 제45권1호
• /
• pp.75-81
• /
• 2018

최근 진정법은 소아치과의 영역에서 협조도가 부족한 어린이를 대상으로 흔히 사용되고 있다. 본 연구의 목적은 5년간 단국대학교 치과병원 소아 치과에서 시행된 진정법에 대한 정보를 다각도로 분석하는 것이다. 종합의료정보시스템(Order Communication System)을 사용하여 2011년 1 월부터 2015년 12월까지 단국대학교 치과병원 소아치과에서 시행된 치과 치료에 대한 정보를 수집하였다. 수집된 정보는 환자의 성별, 연령, 진정법 시행여부 및 약물 종류, 시술 날짜 및 유형이었다. 전체 증례에 대한 의식하진정법 사용 증례의 비율은 2011년에서 2014년까지 지속적으로 감소하였다. 반면 전신마취 증례의 빈도는 점진적으로 증가하였다. 의식하진정 유도를 위한 방법 중 midazolam 근육주사와 아산화질소 흡입진정의 사용빈도는 최근 증가하였다. 의식하진정법의 사용은 환아의 나이가 만3세 이상인 경우 그 빈도가 크게 감소하였으나, 전신마취는 전 연령대에서 사용 빈도가 비슷하였다. 환아가 여아인 경우보다 남아인 경우에, 그리고 수복치료만을 시행하는 경우보다 신경치료를 함께 시행하는 경우에 더 깊은 진정 상태에서 치료를 시행하려는 경향이 관찰되었다. 또한 진정의 심도가 깊을수록 수복치료 이후 90일 이내에 재치료를 시행하는 빈도는 감소하였다.

• 한국식품과학회지
• /
• 제26권6호
• /
• pp.704-708
• /
• 1994

유자 과즙의 착즙방식에 따른 유자 과즙의 품질을 비교 분석하기 위하여 회전식 마폐착즙, 압착식 및 벨트식 착즙법을 이용하였다. 그 결과, 회전식 마쇄착즙방식에 의한 과즙수율은 24.49% 수준으로 가장 높게 나타났으며, 압착식은 18.09%, 벨트식은 12.60%로 각각 나타났다. 압착식 및 희전식 마폐 착즙방식에 의한 과즙의 가용성 고형물은 $11^{\circ}Brix$ 수준으로 벨트식의 $9^{\circ}Brix$에 비해 다소 높았으나 적정산도는 벨트식이 6.1%로 가장 높고, 희분량은 유사한 수준으로 나타났으며, 오일 및 펌프 함유량도 벨트식에 비해 $2{\sim}4$배 정도 높았다. 그리고 총당은 5%수준으로 착즙방식에 관계없이 유사하게 나타났으나, 유리당의 경우 fructose, glucose, sucrose 가 벨트식에서 각각 0.54, 0.37, 1.11% 수준으로 가장 적게 나타났다. 또한 지방산 함량은 회전식 마쇄착즙방식에서 oleic acid, 압착식에서 palmitic acid, lino-leic acid, linolenic acid, 벨트식에서 stearic acid의 함량이 타 방식에 비해 다소 높게 분석되었다. 유리 아미노산 함량은 벨트식이 타 착즙방식에 비하여 적게 나타났으며, 특히 threonin은 회전식 마계착즙법에서만 감지되었으며, 그리고 methionin과 cystine은 모든 착즙방식에서 전혀 감지되지 않았다. 그러나 아미노산 총함량은 벨트식에서 3,613.49mg%로 타 방식에 비하여 약 $1.3{\sim}1.6$배 청도 높은 수준을 보였다.

• 한국막학회:학술대회논문집
• /
• 한국막학회 1998년도 제6회 하계 Workshop (98 한국막학회, 국립환경연구원 국제 Workshop, 수자원 보전과 막분리 공정)
• /
• pp.135-153
• /
• 1998

Nanofiltration (NF) is a recently introduced term in membrane separation. In 1988, Eriksson was one of the first authors using the word 'nanofiltration' explicitly. Some years before, FilmTech started to use this term for their NF50 membrane which was supposed to be a very loose reverse osmosis membrane or a very tight ultrafiltration membrane. Since then, this term has been introduced to indicate a specific boundary of membrane technology in between ultrafiltration and reverse osmosis. The application fields of the NF membranes are very broad as follows: Demeneralizing water, Cleaning up contaminated groundwater, Ultrapure water production, Treatment of effleunts containing heavy metals, Offshore oil platforms, Yeast production, Pulp and paper mills, Textile production, Electroless copper plating, Cheese whey production, Cyclodextrin production, Lactose production. The earliest NF membrane was made by Cadotte et al, using piperazine and trimesoyl chloride as monomers for the formation of polyamide active layer of the composite type membrane. They coated very thin interfacially potymerized polyamide on the surface of the microporous polysulfone supports. The NF membrane exhibited low rejections for monovalent anions (chloride) and high rejections for bivalent anions (sulphate). This membrane was called NS300. Some of the earliest NF membranes, like the NF40 membrane of FilmTech, the NTR7250 of Nitto-Denko and the UTC20 and UTC60 of Toray, are formed by a comparable synthesis route as the NS300 membrane. Commercially available NF membranes nowadays are as follows: ASP35 (Advanced Membrane Technology), MPF21; MPF32 (Kiryat Weizmann), UTC20; UTC60; UTC70; UTC90 (Toray), CTA-LP; TFCS (Fluid Systems), NF45; NF70 (FilmTec), BQ01; MX07; HG01; HG19; SX01; SX10 (Osmonics), 8040-LSY-PVDI (Hydranautics), NF CA30; NF PES 10 (Hoechst), WFN0505 (Stork Friesland). The typical ones among the commercially available NF membranes are polyamide composite membrane consisting of interfacially polymerized polyamide active layer and microporous support. While showing high water fluxes and high rejections of multivalent ions and small organic molecules, these membranes have relatively low chemical stability. These membranes have low chlorine tolerance and are unstable in acid or base solution. This chemical instability is appearing to be a big obstacle for their applications. To improve the chemical stability, we have tried, in this study, to prepare chemically stable NF membranes from PVA. The ionomers and interfacially polymerized polyamide were used for the modification of'the PVA membranes. For the detail study of the active layer, homogeneous NF membranes made only from active layer materials were prepared and for the high performance, composite type NF membranes were prepared by coating the active layer materials on microporous polysulfone supports.

• Restorative Dentistry and Endodontics
• /
• 제18권2호
• /
• pp.395-411
• /
• 1993

The purpose of this study was to examine the clear concept of the designs for cavity preparations. Among the several parameters in cavity designs, profound understanding of isthmus width factor would facilitate selection of the appropriate cavity preparation for a specific clinical situation. In this study, the cavities were prepared on maxillary first premolar and filled with gold inaly. A two - dimensional model was composed of 1037 - node triangle elements. In this model, isthmus was varied in width at 1/4, 1/3 and 1/2 of intercuspal width and material properties were given for four element groups, i.e., enamel, dentin, pulp and gold. The 500N occlusal load varied in direction and it was examined using three types of load : concentrated load, divided load and distributed load. The models were also examined with empty cavities using the devided load and distributed load. These models were analyzed the displacement and strees distribution by the two - dimensional Finite Element Method. The results were as follows : 1. All experimental models which filled with gold inlay after cavity preparation were similar direction of displacement with control model under same load type. But in the models with empty cavities, as isthmus width was wider, the degree of displacement was increased at same load type. 2. Among the experimental models which were filled with gold inaly after cavity preparation, the model II showed the least stress concentration under concentrated load and divided load. But in the models with empty cavities, the model III showed the largest stress concentration and tooth fracture is expected regardless isthmus width. 3. All experimental models showed similar displacement pattern beneath restorative material under a concentrated load. In the models with empty cavities, a divided load resulted in a lingual displacement of the lingual cusp, but a distributed load resulted in a buccal displacement of the lingual cusp. In regard to the above results, the restored models were stronger than empty models in respect to the bending moment and tensile stress. The empty models are expected to fracture regardless isthmus width. The safest isthmus width was 1/3 of intercuspal distance, which showed the least stress concentration in respect to the effect of stress distribution.