• Archives of Plastic Surgery
• /
• v.50 no.6
• /
• pp.563-567
• /
• 2023

Ear keloids are challenging lesions to treat due to high recurrence rates postexcision. Conservative compression techniques as adjunct treatment have been reported to be effective. An innovative technique of using computer-aided design/computed-aided manufacturing to print a customized auricular splint improves efficiency and comfort level for patients compared with conventional methods. The ear is scanned using an intraoral scanning 2 weeks postsurgery. A two-piece auricular splint is designed on the digital model, incorporating perforated projections for three nylon screws for retention of the splint. The splint is printed with clear acrylic material, postprocessed, and finished. The patient is taught to assemble the components of the splint and instructed to wear for at least 8 hours daily. The surgery site reviewed for any ulceration, pain, or recurrence of keloid for 6 months. During the 6-month review, the excision scar remained flat and pink. The patient also reports unrestricted daily activities. The digital workflow increases comfort for the patient and reduces the number of hours required to produce a customized auricular splint compared with conventional methods. A fully digital workflow for a printed auricular splint should be considered for adjunctive treatment to excision of ear keloids.

• Restorative Dentistry and Endodontics
• /
• v.15 no.1
• /
• pp.217-227
• /
• 1990

The purpose of this study was to evaluate the marginal leakage of esthetic restorative materials according to the filling method in class V cavities. 60 cavities were prepared on buccal surface for dye penetration test and divided into 5 experimental groups according to the filling methods of esthetic materials: group 1 was filled with glass ionomer cement, group 2, 3 and 4 were filled with the chamfer, knife edge and butt joint shaped glass ionomer cement respectively and silux plus/scotchbond 2$^{(R)}$ by sandwich technique, group 5 was lined with Dycal$^{(R)}$ and filled with silux plus/scotchbond 2$^{(R)}$ by bulk filling technique. All the specimens were then thermocycled in a range of $4^{\circ}C-60^{\circ}C$ by and immersed in 2% methylene blue dye solution for 24 hours, and sectioned mesiodistally with carborundum disk into two parts under water spray. All the specimens were observed at the occlusal and gingival margins and statistical analysis was performed. The obtained results were as follows : 1. At the occlusal margins, group 2, 3, 4 and 5 showed less marginal leakage than group 1 (p<0.05) and there were not significant differences among group 2, 3, 4, and 5. 2. At the gingival margins, group 5 showed the least marginal leakage and group 4 and 5 showed less marginal leakage than group 1, 2 and 3 (p<0.05). 3. In the laminated groups, group 4 showed less marginal leakage than group 2 and 3 at the gingival margins. 4. In comparison to the occlusal and gingival margins, all groups showed less marginal leakage at the occlusal margins than at the gingival margins (p<0.05).

• Journal of the korean academy of Pediatric Dentistry
• /
• v.24 no.4
• /
• pp.805-812
• /
• 1997

Despite dentistry's attempts to improve the dental health of the public and to minimize the effects of caries, many children still present with extensive destruction of primary anterior teeth. One of dentistry's most challenging tasks is to repair these teeth with restoration which are durable, retentive, and esthetic. Esthetic restoration can often be achieved with polycarbonate crowns, strip crowns, conventional S-S crowns, open-faced S-S crowns, commercially veneered S-S crowns. But, all of these have limitation. Advances in restorative materials and metal-bonding procedures have made possible new restorative techniques that combine the advantages of S-S crowns with the cosmetics of composite restoration methods. The described technique of bonding composite to trimmed and fitted S-S crowns offers many advantages over other techniques currently used to restore primary anterior teeth. 1. If S-S crowns are accurate trimmed and contoured, good retention of crowns is achieved. 2. The patient time required is similar to that of conventional S-S crowns. 3. Good esthetics and high bond strengths are achieved. 4. It is possible to use this veneering technique intraorally on crowns that have fractured veneers.

• Restorative Dentistry and Endodontics
• /
• v.18 no.1
• /
• pp.55-72
• /
• 1993

The aim of this study was to compare the marginal leakage of class II light curing composite resin restoration according to filling methods. With using acid etching technique and dentin bonding agent, various methods were suggested to eliminate or reduce the marginal leakage. In this study, class II cavities were prepared in 100 extracted human premolars with cementum margin(1mm below the CEJ) and the teeth were randomly assigned to 5 groups of 20 teeth each. The teeth in group 1, 2, 3 and 4 were restored by direct filling methods using P-50 and Clearfil Photoposterior of 10 teeth each, but the method of insertion of the restorative materials varied with each group. And the teeth in group 5 were restored by inlay method using Kulzer Inlay and CR Inlay. Filling methods are as follows : Group 1 : The composite resin was inserted in one layer in the proximal box and one layer in the occlusal portion. Group 2 : Insertion was in two equally thick horizontal layers in the proximal box. Group 3 : Insertion was in two diagonally placed layers in the proximal box. Group 4 : The composite resin was inserted in the same way as in group 3 except that a glass ionomer liner was first placed on the axial wall and gingival floor. Group 5 : The teeth were restored by Inlay technique using dure cure resin cement. All the teeth were thermocycled, stained with 1 % methylene blue solution, sectioned mesiodistally, and scored for marginal leakage. To compare the marginal leakage, ANOVA and T-test were used in analysis. The following results were obtained : 1. In direct filling methods, there was no significant difference in marginal leakage at both occlusal and cervical margins. 2. In all groups, occlusal margin showed significantly less leakage than cervical margin. 3. In group using glass ionomer liner, there was no significant reduction of marginal leakage at the cervical margin. 4. The group restored by inlay method showed significantly less marginal leakage than groups restored by direct filling methods at both occlusal and gingival margins. 5. There was no significant difference in each group according to filling materials.

• Restorative Dentistry and Endodontics
• /
• v.46 no.4
• /
• pp.55.1-55.9
• /
• 2021

Objectives: The purpose of this systematic review was to collect and discuss the technique of adhesive systems application on dentin substrate under electric current. Materials and Methods: The first search strategy was based on data available at PubMed, LILACS, Scielo, Scopus, and Cochrane Library, using a combination of descriptors such as "dentin bond agents OR adhesive system AND electric current OR electrobond" or "dentin bonding agents OR dentin bonding agent application OR adhesive system AND electric current OR electrobond", with no limit regarding the publication year. The second search strategy was based on the articles' references found previously. An additional search strategy was applied that concerned the proposed theme in the SBU-UNICAMP (Unicamp's Library System Institutional Repository). Results: Twelve studies published between 2006 and 2020 were found. The analyses of the selected studies showed that the use of electric current during adhesive systems application on dentin, whether conventional or self-conditioning, increases resinous monomer infiltration in the dentin substrate, which improves the hybridization processes and the bond strength of the restorative material to dentin. Conclusions: Despite the favorable results related to the use of this technique, there is still no specific protocol for the application of adhesive systems under electric current.

• Restorative Dentistry and Endodontics
• /
• v.44 no.4
• /
• pp.38.1-38.8
• /
• 2019

Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.

• Restorative Dentistry and Endodontics
• /
• v.23 no.1
• /
• pp.213-222
• /
• 1998

Advisor: Prof. The quality of apical seal obtained with 3 different gutta-percha obturation techniques was compared in 49 recently extracted single rooted teeth. The root canals were instrumented using step-back technique and obturated with laterally condensed gutta-percha, Continuous Wave gutta-percha, and hybrid technique. Teeth were suspended in black India ink for 7 days, cleared, and then examined under a stereomicroscope at ${\times}10$ magnification. The results were as follows; 1. All experimental groups produced favorable apical seal. 2. The mean leakage was $0.23{\pm}0.25mm$ for group 1, $0.17{\pm}0.21mm$ for group 2, and $0.19{\pm}0.23mm$ for froup 3, but there was no statistical difference amoung them. Within the limits of the results of this experiment, the Continuous Wave gutta-percha obturation technique demonstrated relatively favorable apical sealing effect and shorter obturation time. Thus, it is thought that this obturation technique is a acceptable method for clinical use but further studies on this metter should be conducted.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.14 no.1
• /
• pp.3-10
• /
• 2014

The inferior alveolar nerve (IAN) block is the most frequently used mandibular injection technique for achieving local anesthesia for restorative and surgical procedures. However, The IAN block does not always result in successful anesthesia, especially pulpal anesthesia. Lidocaine is used as a "standard" local anesthetic for the inferior alveolar nerve. Articaine recently joined Korean market as a form of dental cartridge. It has an advantage of superior diffusion through bony tissue. A variety of trial was performed to improve the success rate of inferior alveolar nerve block. In this review, the recent update related with inferior alveolar nerve block anesthesia will be discussed on the anatomical consideration, anesthetic agent, technique, and complications.

• Restorative Dentistry and Endodontics
• /
• v.38 no.2
• /
• pp.85-89
• /
• 2013

When a patient with a fractured anterior tooth visits the clinic, clinician has to restore the tooth esthetically and quickly. For esthetic resin restoration, clinician can use 'Natural Layering technique' and an index for palatal wall may be needed. In this case report, we introduce pre-restoration index technique on a Class IV defect, in which a temporary filling material is used for easy restoration. Chair-side index fabrication for Class IV restoration is convenient and makes a single-visit treatment possible.

• Restorative Dentistry and Endodontics
• /
• v.40 no.2
• /
• pp.166-171
• /
• 2015

A palato-radicular groove (PRG) is a developmental anomaly primarily found in the maxillary lateral incisors. It is a potential communication path between the root canal and the periodontium that decreases the survival prognosis of the affected tooth, therefore compromising the stability of the dental structure in the oral cavity. The aim of this case report is to present an original technique where a PRG was treated by means of intracanal disinfection, PRG sealing with glass ionomer, replantation with intentional horizontal 180 degree rotation of the tooth, and an aesthetic veneer placed to provide adequate tooth morphology. The clinical and biological benefits of this novel technique are presented and discussed.