• Title/Summary/Keyword: restorative technique

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A Study of restorative and restrictive theory after Jin and Yuan Dynasty (금원시대(金元時代) 이후(以後) 침구보사이론(鍼灸補瀉理論) 발전사(發展史)에 관(關)한 연구(硏究))

  • Kim, Kyu Man;Kim, Ki Wook;Park, Hyun Kook;Lee, Byung Wook
    • The Journal of Korean Medical History
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    • v.15 no.1
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    • pp.3-10
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    • 2002
  • Acupuncture and moxibustion of theory had begun in the "Nei-Jing" and "Nan-Jing". But definite acupuncture needling techniques had been investigated after Jin and Yuan Dynasty. After Ming Dynasty, much more scholars had studied about definite acupuncture needling techniques. So various techniques and theorys about how to select and operate needling points appeared in print. "Zi-Wu-Liu-Zhu-Zhen-Jing", "Zhen-Jing-Zhi-Nan", "Shen-Ying-Jing", "Zhen-Jiu-Da-Quan" and so forth are representative books. But these books include mutually different techniques, so then scholars would be thrown into confusion. So I have analysed acupuncture and moxibustion of theory into Ki(vital energy)-blood's circulation, disease region, time, sex, restorative and restrictive techniques. As a result, I have known that every restorative and restrictive techniques and theories are connected with Ki(vital energy)-blood's circulation and practical application methods are decided by sex, time, disease region, pathogenic energy.

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The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

  • Esra Oz;Zuhal Kirzioglu;Canan Kale
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.19.1-19.12
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    • 2023
  • Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Is dentin biomodification with collagen cross-linking agents effective for improving dentin adhesion? A systematic review and meta-analysis

  • Julianne Coelho Silva;Edson Luiz Cetira Filho;Paulo Goberlanio de Barros Silva;Fabio Wildson Gurgel Costa;Vicente de Paulo Aragao Saboia
    • Restorative Dentistry and Endodontics
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    • v.47 no.2
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    • pp.23.1-23.18
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    • 2022
  • Objectives: The aim of this investigation was to evaluate the effectiveness of collagen cross-linking agents (CCLAs) used in combination with the adhesive technique in restorative procedures. Materials and Methods: In this systematic review, the authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. An electronic search was performed using PubMed, Scopus, Web of Science, Cochrane Library, LILACS, and DOSS, up to October 2020. The gray literature was also researched. Only randomized clinical trials were selected. Results: The selection process yielded 3 studies from the 838 retrieved. The addition of CCLAs in the retention of restorations increased the number of events. The postoperative sensitivity scores and marginal adaptation scores showed no significant difference between the CCLA and control groups, and the marginal pigmentation scores showed a significant increase in the CCLA group. There were no caries events in any group throughout the evaluation period. Conclusions: This systematic review showed that there is no clinical efficacy to justify the use of CCLAs in the protocols performed.

Analysis of the shelf life of chitosan stored in different types of packaging, using colorimetry and dentin microhardness

  • da Cruz-Filho, Antonio Miranda;de Vito, Angelo Rafael;Souza-Flamini, Luis Eduardo;da Costa Guedes, Debora Fernandes;Saquy, Paulo Cesar;Silva, Ricardo Gariba;Pecora, Jesus Djalma
    • Restorative Dentistry and Endodontics
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    • v.42 no.2
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    • pp.87-94
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    • 2017
  • Objectives: Chitosan has been widely investigated and used. However, the literature does not refer to the shelf life of this solution. This study evaluated, through the colorimetric titration technique and an analysis of dentin micro-hardness, the shelf life of 0.2% chitosan solution. Materials and Methods: Thirty human canines were sectioned, and specimens were obtained from the second and third slices, from cemento-enamel junction to the apex. A 0.2% chitosan solution was prepared and distributed in 3 identical glass bottles (v1, v2, and v3) and 3 plastic bottles (p1, p2, and p3). At 0, 7, 15, 30, 45, 60, 90, 120, 150, and 180 days, the specimens were immersed in each solution for 5 minutes (n = 3 each). The chelating effect of the solution was assessed by micro-hardness and colorimetric analysis of the dentin specimens. 17% EDTA and distilled water were used as controls. Data were analyzed statistically by two-way and Tukey-Kramer multiple comparison (${\alpha}=0.05$). Results: There was no statistically significant difference among the solutions with respect to the study time (p = 0.113) and micro-hardness/time interaction (p = 0.329). Chitosan solutions and EDTA reduced the micro-hardness in a similar manner and differed significantly from the control group (p < 0.001). Chitosan solutions chelated calcium ions throughout the entire experiment. Conclusions: Regardless of the storage form, chitosan demonstrates a chelating property for a minimum period of 6 months.

A simple technique for impression taking of teeth and functionally generated paths

  • Yamamoto, Takatsugu;Sato, Yohei;Watanabe, Hidehiko;Punj, Amit;Abe, Minoru;Momoi, Yasuko;Ohkubo, Chikahiro
    • Restorative Dentistry and Endodontics
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    • v.43 no.1
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    • pp.9.1-9.6
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    • 2018
  • The objective of this case report is to introduce a simple technique for simultaneously taking a closed-mouth impression and functionally generated path (FGP) for a full coverage crown restoration. A monolithic zirconia crown was the restoration of choice. An alginate impression of the abutment tooth was taken to fabricate a custom-made closed-mouth impression tray covering the abutment tooth and the adjacent teeth. The tray had an FGP table and an abutment tray in cameo and intaglio surfaces, respectively. The impression was taken with silicone impression material after adjusting the abutment tray and inscribing the FGP using self-curing acrylic resins. Plaster casts were made from the impression, and a zirconia crown was fabricated. The crown was cemented to the abutment tooth with minimal adjustments. This simple technique resulted in a well-fitting crown that accounted for mandibular movements. Using the custom closed-mouth impression tray incorporating an FGP table simultaneously aids in fabricating an accurately fitting restoration that incorporates harmonious mandibular movements using a single impression capture.

Micro-computed tomographic evaluation of a new system for root canal filling using calcium silicate-based root canal sealers

  • Tanomaru-Filho, Mario;Torres, Fernanda Ferrari Esteves;Pinto, Jader Camilo;Santos-Junior, Airton Oliveira;Tavares, Karina Ines Medina Carita;Guerreiro-Tanomaru, Juliane Maria
    • Restorative Dentistry and Endodontics
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    • v.45 no.3
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    • pp.34.1-34.7
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    • 2020
  • Objectives: This study evaluated by using micro-computed tomography (micro-CT) the filling ability and sealer apical extrusion promoted by a new Sealer Injection System (SIS; Angelus) with side openings needle, in comparison with the conventional injection system, associated with a new ready-to-use calcium silicate-based sealer (Bio-C Sealer). Materials and Methods: Acrylic resin models containing a main curved artificial canal and 3 simulated lateral canals in apical, middle and cervical thirds were used. The main root canals were prepared using a rotary system up to size 35.05. The canals were filled with Bio-C sealer by using a single cone technique and the conventional delivery system or SIS. Samples were scanned in micro-CT. The percentage of voids throughout the entire extension of the main root canal and in each third of the lateral canals, besides the apical extrusion of the sealer was calculated. Data were submitted to t-test (p < 0.05). Results: There was no difference between both systems in the main root canals filling. Although the volume percentage of voids was similar in the apical and middle thirds of lateral canals, SIS had the greatest filling ability of the cervical third lateral canal. Moreover, the conventional system showed the highest apical extrusion of the sealer. Conclusions: The conventional and SIS obturation systems had an appropriate filling ability of the main root canal. SIS had the best filling of the cervical third of the lateral canals, besides lower sealer apical extrusion, suggesting its clinical indication.

A CAD/CAM-based strategy for concurrent endodontic and restorative treatment

  • Escobar, Patricia Maria;Kishen, Anil;Lopes, Fabiane Carneiro;Borges, Caroline Cristina;Kegler, Eugenio Gabriel;Sousa-Neto, Manoel Damiao
    • Restorative Dentistry and Endodontics
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    • v.44 no.3
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    • pp.27.1-27.12
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    • 2019
  • This case report describes a technique in which endodontic treatment and permanent indirect restoration were completed in the same clinical appointment with the aid of a computer-aided design/computer-aided manufacturing (CAD/CAM) system. Two patients were diagnosed with irreversible pulpitis of the mandibular first molar. After access preparation, root canals were located, irrigation was performed until bleeding ceased, and the coronal tooth structure was prepared for indirect restoration. Then, utilizing an interim 3-mm build-up of the endodontic access cavity, a hemi-arch digital scan was performed with an intraoral scanner. Subsequent to digital scanning, restoration design was performed simultaneously with the endodontic procedure. The root canals were shaped using the Race system under irrigation with 2.5% sodium hypochlorite followed by root canal filling. The pulp chamber was subsequently filled with a 3-mm-thick composite resin restoration mimicking the interim build-up previously utilized to facilitate block milling in the CAD/CAM system. Clinical try-in of the permanent onlay restoration was followed by acid etching, application of a 5th generation adhesive, and cementation of the indirect restoration. Once the restoration was cemented, rubber dam isolation was removed, followed by occlusal adjustment and polishing. After 2 years of follow-up, the restorations were esthetically and functionally satisfactory, without complications.

Functional and aesthetic rehabilitation in posterior tooth with bulk-fill resin composite and occlusal matrix

  • Francisconi-dos-Rios, Luciana Favaro;Tavares, Johnny Alexandre Oliveira;Oliveira, Luanderson;Moreira, Jefferson Chaves;Nahsan, Flavia Pardo Salata
    • Restorative Dentistry and Endodontics
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    • v.45 no.1
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    • pp.9.1-9.7
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    • 2020
  • The restorative procedure in posterior teeth involves clinical steps related to professional skill, especially when using the incremental technique, which may fail in the long term. A recent alternative is bulk-fill resins, which can reduce polymerization shrinkage, decreasing clinical problems such as marginal leakage, secondary caries, and fracture. This scientific study aims to report a clinical case using bulk-fill resin with an occlusal matrix. As determined in the treatment plan, an acrylic resin matrix was produced to establish an improved oral and aesthetic rehabilitation of the right mandibular first molar, which presented a carious lesion with dentin involvement. The occlusal matrix is a simple technique that maintains the original dental anatomy, showing satisfactory results regarding function and aesthetic rehabilitation.

MARGINAL LEAKAGE TEST ON "SILAR" COMPOSITE RESIN (Silar(Composite Resin계)의 변연누출(變緣漏出)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Kwon, Hyuk-Choon
    • Restorative Dentistry and Endodontics
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    • v.8 no.1
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    • pp.167-172
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    • 1982
  • The purpose of this study was to evaluate the marginal sealing ability of "Silar". Using freshly extracted human teeth and 2% acquous methylene blue, the marginal leakage of dye in restorative materials such as Silar, Silar with acid etching technique, Hi-Pol, Hi-Pol Enamel Bond system, Adaptic and Amalgam were investigated at $37^{\circ}C$ and under temperature cycling in range of $4^{\circ}C-60^{\circ}C$. The results as follows; 1. All filling materials showed some degree of marginal penetration by 2% methylene blue dye. 2. Silar with acid etching technique revealed effective marginal sealing ability, but under temperature cycling it showed increased marginal leakage. 3. All composite resins showed greater marginal leakage than amalgam restoration. 4. Silar had the most effective marginal sealing ability in experimented composite resins.

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A combined approach to non-carious cervical lesions associated with gingival recession

  • Yang, SungEun;Lee, HyeJin;Jin, Sung-Ho
    • Restorative Dentistry and Endodontics
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    • v.41 no.3
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    • pp.218-224
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    • 2016
  • Non-carious cervical lesions (NCCLs) with gingival recession require specific consideration on both aspects of hard and soft tissue lesion. In the restorative aspect, careful finishing and polishing of the restorations prior to mucogingival surgery is the critical factor contributing to success. Regarding surgery, assessment of the configuration of the lesion and the choice of surgical technique are important factors. The precise diagnosis and the choice of the proper treatment procedure should be made on the basis of both restorative and surgical considerations to ensure the successful treatment of NCCLs.