• Restorative Dentistry and Endodontics
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• v.39 no.2
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• pp.120-125
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• 2014

Use of an apical plug in management of cases with open apices has gained popularity in recent years. Biodentine, a new calcium silicate-based material has recently been introduced as a dentine substitute, whenever original dentine is damaged. This case report describes single visit apexification in a maxillary central incisor with necrotic pulp and open apex using Biodentine as an apical barrier, and a synthetic collagen material as an internal matrix. Following canal cleaning and shaping, calcium hydroxide was placed as an intracanal medicament for 1 mon. This was followed by placement of small piece of absorbable collagen membrane beyond the root apex to serve as matrix. An apical plug of Biodentine of 5 mm thickness was placed against the matrix using pre-fitted hand pluggers. The remainder of canal was back-filled with thermoplasticized gutta-percha and access cavity was restored with composite resin followed by all-ceramic crown. One year follow-up revealed restored aesthetics and function, absence of clinical signs and symptoms, resolution of periapical rarefaction, and a thin layer of calcific tissue formed apical to the Biodentine barrier. The positive clinical outcome in this case is encouraging for the use of Biodentine as an apical plug in single visit apexification procedures.

• Restorative Dentistry and Endodontics
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• v.36 no.6
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• pp.510-514
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• 2011

Mineral trioxide aggregate (MTA), which was originally developed for repair of root perforations, is a biocompatible material with numerous clinical applications in endodontics. MTA must be allowed to set in the presence of moisture to optimize the material's physical and chemical properties. In the clinic, occasionally unset MTA has been detected after application of MTA on the tooth, and the reason has been unclear. This case report presents MTA washed-out for several years after placement at the root apex as an apical plug, and discusses the reason and things to consider in clinics.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.9 no.1
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• pp.82-90
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• 2000

In esthetic dentistry, color and strength are basic requirements for the long-term success of the restorative materials. Several all ceramic systems have been introduced to esthetic dentistry recently. However, the inherent natures of ceramic material, the application of all ceramic system is mainly limited to single tooth restorations. With the improvement of material science, the alumina and zirconia/alumina composite power and block can be applied to fabrication of all ceramic bridges. The conventional inceram core fabrication takes time for sintering however, the shaping of block with a copy milling machine can reduce great amount of time. The block is easy to manipulate and prepare in any shape accurately. This clinical report demonstrates the application of all ceramic ante rior 3 unit bridge with a alumina block in CELAY system.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.39 no.3
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• pp.103-111
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• 2013

With successful extraction of growth factors and bone morphogenic proteins (BMPs) from mammalian teeth, many researchers have supported development of a bone substitute using tooth-derived substances. Some studies have also expanded the potential use of teeth as a carrier for growth factors and stem cells. A broad overview of the published findings with regard to tooth-derived regenerative tissue engineering technique is outlined. Considering more than 100 published papers, our team has developed the protocols and techniques for processing of bone graft material using extracted teeth. Based on current studies and studies that will be needed in the future, we can anticipate development of scaffolds, homogenous and xenogenous tooth bone grafts, and dental restorative materials using extracted teeth.

• Restorative Dentistry and Endodontics
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• v.20 no.1
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• pp.17-32
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• 1995

The purpose of this study was to examine the response of periradicular tissues to amalgam, IRM, Ketac-silver and MTA(Mineral trioxide aggregate) used as a root end fillings. The lower third and fourth premolars of 5 mongrel dogs were used. Each root was resected, followed by root end fillings with experimental materials. The animals were sacrificed after 16 weeks and radiographic and histologic results were evaluated. The results were as follows : 1. Severe inflammation around apex and disruption of cortical were noted in relation to the amalgam. 2. With IRM, there was severe infiltration of inflammatory cells around filling material, but healing of cortical bone was noted. 3. With Ketac-silver, mild inflammation and thick band of fibrous connetive tissue around filling material were seen, with a cortical bone healing. 4. In case of MTA, complete regeneration of cortical bone was seen, and free MTA was surrounded with newly formed bone tissue.

• Restorative Dentistry and Endodontics
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• v.37 no.4
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• pp.194-200
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• 2012

Objectives: New resin cement (NRC) has been developed as a root repairing material and the material is composed of organic resin matrix and inorganic powders. The aim of this study was to compare the rat subcutaneous tissue response to NRC and mineral trioxide aggregate (MTA) cement and to investigate the tissue toxicity of both materials. Materials and Methods: Sixty rats received two polyethylene tube-implants in dorsal subcutaneous regions, MTA and NRC specimens. Twenty rats were sacrificed respectively at 1, 4 and 8 wk after implantation and sectioned to 5 ${\mu}m$ thickness and stained with Hematoxylin-Eosin (H-E) or von-Kossa staining. The condition of tissue adjacent to the implanted materials and the extent of inflammation to each implant were evaluated by two examiners who were unaware of the type of implanted materials in the tissues. Data were statistically analyzed with paired t-test (p < 0.05). Results: In specimens implanted with both NRC and MTA, severe inflammatory reactions were present at one wk, which decreased with time. At eighth wk, MTA implanted tissue showed mild inflammatory reaction, while there were moderate inflammatory reactions in NRC implanted tissue, respectively. In NRC group, von-Kossa staining showed more calcification materials than MTA group at eighth wk. Conclusions: It was concluded that the calcium reservoir capability of NRC may contribute to mineralization of the tissues.

• Restorative Dentistry and Endodontics
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• v.26 no.5
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• pp.387-392
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• 2001

When cavity floor is near the pulp, polymerization of light-activated restorations results in temperature increase. This temperature increase cause by both the exothermic reaction process and the energy absorbed during irradiation. Therefore instating base is required. Most frequently used insulating base is glass ionmer. The purpose of this study was to evaluate intrapulpal temperature changes of glass ionomer according to various curing intensity and curing time. Caries and restoration-free mandibular molars extracted within three months were prepared Class I cavity of 3$\times$6mm with high speed handpiece. 1mm depth of dentin was evaluated with micrometer in mesial and distal pulp horns. Pulp chambers were filled with 37.0$\pm$0.1$^{\circ}C$ water to CEJ. Chromium-alumina thermocouple was placed in pulp horn for evaluating of temperature changes. glass ionomer material was placed in 2mm. total curing time was 40s: continuous 40s, intermittent 20s, intermittent 10s. Glass ionomer material was cured with 300mW/$\textrm{cm}^2$, 550mW/$\textrm{cm}^2$ light curing unit. The results were as follows : 1. Temperature in pulp increased as curing unit power is increased. 2. Temperature in pulp more increased continuous emission than intermittent emission.

• Restorative Dentistry and Endodontics
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• v.10 no.1
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• pp.145-152
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• 1984

The purpose of this study was to compare combinations of the four visible light irradiating appliances (Translux, Heliomat, Pluraflex HL 150, Omega) and the four visible light activated composite resins (Durafil, Heliosit, Plurafil-super, Silux) to determine the depth of polymerization of each combination. Twenty samples were made with Durafil. Five samples were polymerized for 20 seconds using Translux, five with Heliomat, five with Pluraflex HL 150, five with Omega. Twenty samples were made with Heliosit, twenty with Plurafil-super, and twenty samples with Silux. A 20-second polymerization time was applied with each of 4 visible light irradiating appliances to 5 samples of each material. Eighty samples were treated in a like manner, but polymerization was extended to 40 seconds. Depth of polymerization were measured with caliper. The results were as follows. 1) Of the two time exposures, 40-second exposure provided a significantly greater depth of polymerization than 20-second for each light with each material. 2) Durafill-Translux system showed minimum depth of polymerization, and Plurafil-Pluraflex system showed maximum depth of polymerization. 3) Visible light irradiating appliances were able to harden the resins cured by tire visible lights of other makers' apparatuses. 4) In all circumstances, depth of polymerization was between 3.0-3.8mm.

• Restorative Dentistry and Endodontics
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• v.10 no.1
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• pp.7-16
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• 1984

The purpose of this study was to investigate the pulpal responses to adhesive resins as phosphoric ester system: "Clearfil F II" (Composite filling material), "Panavia EX" (Composite cementing Material) and "Silar" (Microfilled Compsoite resin) comparing with Zinc-Oxide-Eugenol cement. Total 70 cavities of the permanent healthy teeth from 5 dogs were prepared and placed with experimental resins and Zinc-Oxide-Eugenol cement as control. The dogs were sarificed at 5 intervals of 3 days, one, two, four, six weeks. The specimens were routinely prepared and stained by Hematoxylin-Eosin. Followings were the results obtained through microscopic examination. 1. In cases of Clearfil F II and Panavia EX without etching and lining, pulp response in the early stage showed more severe vascular congestion and hemorrhage than that of Zinc-Oxide-Engenol cement. 2. The pulp response of totally etched cases was similar to that of unetched cases in the groups of Clearfil F II and Panavia EX. 3. The cases of Clearfil F II and Panavia EX with enamel etching showed no significant histologic change compared to that of total cavity etching. 4. The Silar case with total etching showed retarded tendency of histologic recovery compared to Clearfil F II and Panavia EX group. 5. Generally, pulp responses of experimental groups were not severe and the six week case showed the evidence of a histologic recovery.

• Restorative Dentistry and Endodontics
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• v.17 no.1
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• pp.153-165
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• 1992

Dental composite resin is a kind of the particle - reinforced composite material, and is widely used in recent dental restoration of anterior and posterior tooth region. The purpose of this study was to investigate the fracture behaviour according to volume fractions and external findings of the filler particles for better interpretation of the fracture characteristics of posterior dental composite resins by analytic method of fracture mechanics. The plane strain fracture toughness($K_{IC}$) and Acoustic Emission were determined with three - point bending test using the single edge notch specimen according to the ASTM - E399, and its analyzed data was compared with filler volume fractions derived from the standard ashing test and scanning electron fractographs of each specimen including the unfilled experimental resin as a control. The results were that the value of fracture toughness of the composite resin material was in the range from 0.85 MPa$\sqrt{m}$ to 1.60 MPa$\sqrt{m}$ and was higher than the value of the unfilled experimental resin, and the fracture behaviours dervied from Acoustic Emission analysis show prominent differences according to the volume fraction and the size of filler particles used in each composite resin. The degree of resistance against crack propagation seems to be increase and the fractographs demonstrate the high degree of surface roughness and irregularity according with the increase of fracture toughness value.