• 제목/요약/키워드: round bur

검색결과 70건 처리시간 0.02초

치과치료시 발생한 이물질 삼킴에 대한 치험례 (FOREIGN BODY INGESTION DURING DENTAL TREATMENT IN PEDIATRIC PATIENT)

  • 김선하;최성철;박재홍;김광철
    • 대한장애인치과학회지
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    • 제7권1호
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    • pp.29-32
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    • 2011
  • 상부위장관 이물질의 섭취는 대부분 위장관에서 자연적으로 배출되지만, 20% 정도에서는 내시경 또는 수술적 제거의 적응증이 된다. 특히 치과치료중 소아가 삼킬 수 있는 여러 가지 기구 중 bur 등은 예리하고 길이가 길기 때문에 생리적 협착 부위에서 걸려 자연배출이 힘들 수 있다. 또한시간이 지날수록 식도벽에 고착되고 궤양 등의 합병증을 일으켜 내시경으로 제거하기가 어렵기 때문에 소아가 삼켰을 경우 신속한 대처가 필요하겠다.

Quantitative evaluation of microleakage using microtomograph in Class V restorations

  • Cho, Kyung-Mo;Shin, Dong-Hoon
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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    • pp.564-564
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    • 2003
  • In recent years, the use of Microtomograph in dentistry were proposed and its applications are increasing. The purposes of this study is to evaluate the micro leakage in Class V restorations by using Microtomograph and to compare with other leakage test methods. Using high speed round bur, Class V cavities were prepared to the buccal sides of sixty extracted human upper premolars and randomly distributed to 4 experimental groups and restored as follows.(중략)

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A ramus cortical bone harvesting technique without bone marrow invasion

  • Jeong-Kui Ku;Min-Soo Ghim;Jung Ho Park;Dae Ho Leem
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권2호
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    • pp.100-104
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    • 2023
  • Autogenous bone grafts from the mandibular ramus are a known source of inadequate bone volume scenarios of the residual alveolar ridge. However, the conventional block-type harvesting technique cannot prevent bone marrow invasion, which can cause postoperative complications such as pain, swelling, and inferior alveolar nerve injury. This study aims to suggest a complication-free harvesting technique and present the results of bone grafting and donor sites. One patient received two dental implants with a complication-free harvesting technique that involves creation of ditching holes with a 1 mm round bur. Sagittal, coronal, and axial osteotomies produced grid-type cortical squares using a micro-saw and a round bur to confirm the cortical thickness. The grid-type cortical bone was harvested from the occlusal aspect, and the harvesting was extended through an additional osteotomy on the exposed and remaining cortical bone to prevent bone marrow invasion. The patient did not suffer postoperative severe pain, swelling, or numbness. After 15 months, the harvested site exhibited new cortical bone lining, and the grafted area had healed to a cortico-cancellous complex with functional loading of the implants. Our technique, grid-type cortical bone harvesting without bone marrow invasion, allowed application of autogenous bone without bone marrow invasion to achieve acceptable bone healing of the dental implants and to regenerate the harvested cortical bone.

가토의 두개골에서 Pore의 유무에 따른 티타늄 반구에서의 골형성 능 (The Bone Formation Potency on the Titanium Cap According to the Pore on the Rabbit Calvarium)

  • 박정표;오철중;정승곤;박홍주;오희균;유선열;국민석
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권1호
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    • pp.18-24
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    • 2013
  • Purpose: This study is performed to determine the effects of titanium cap with various sizes of pores on bone formation during guided bone regeneration (GBR). Methods: Calvaria from 10 adult male rabbits were chosen as the recipient sites. A trephine bur with a diameter of 10 mm was used to form one round groove on each side of sagittal suture of the cranium, and a round bur with a diameter of 1.5 mm was used to form 6 small holes on the inner circles of round grooves to induce bleeding. In the control group, bone graft was not conducted, and closed titanium cap was fixed in the round groove. Bone graft was not performed in groups 1 and 2, but fixed on titanium caps with 0.2 mm, and 0.5 mm sized pores, respectively. For groups 3, 4, and 5, a synthetic bone graft material (${\beta}$-tricalcium phosphate, Cerasorb$^{(R)}$, Germany) was transplanted, and titanium caps without pore, with 0.2 mm and 0.5 mm sized pore were fixed, respectively. The animals were sacrificed 4 weeks after, and clinical, radiographical, and histomorphometrical evaluation of bone regeneration was performed. Results: In all groups, there were no clinical signs of infection, inflammation or wound dehiscence. Radiographic evaluation revealed well-defined semi-circular radiopacity inside the titanium cap of groups 3, 4, and 5. Histologically, the inner surface of the hemisphere was evenly lined with newly formed bone tissue, as well as grafted bone material in the group 3. In groups 4 and 5, the insertion of connective tissue was observed along the inner surface. However, the overall surface area between the grafts with different holes yielded no statistical significance in the histomorphometrical evaluation. Conclusion: Although the total area of newly formed bone showed no significant difference, excellent bone formation tendency was observed histologically when closed caps were used with bone graft was accompanied.

생체막 제거 방법에 따른 비우식성 치경부 병소의 미세인장강도 비교 (Comparison of microtensile bond strength on non-carious cervical lesions according to biofilm removal method)

  • 성건화;민정범;박태영
    • 대한치과의사협회지
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    • 제58권11호
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    • pp.683-689
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    • 2020
  • Dentin surface of non-carious lesion is usually attached with oral biofilm. The biofilm should be removed before application of restorative material, because it may reduce the bond strength of adhesive system. The aim of this study was to evaluate the microtensile bond strength, when the biofilm was removed with brush or bur. Twenty extracted human third molars were sectioned horizontally to obtain dentin surface. Specimen were divided randomly into four group. Biofilm formation was performed in three group, except for Group 1 (negative control). Biofilm was removed as follows: Group 3, using ICB brush; Group 4, using lowspeed round bur #2. Group 2 (positive control) was not removed Biofilm. And in all four groups, the adhesive system (Optibond FL, Kerr) was applied to etched dentin surface, and resin composite was built up in three 1mm increments. After 24 hour storage in distilled water, the teeth were perpendicularly sectioned to obtain beams (1 × 1 mm2). Microtensile bond strength was measured and the data were statistically analyzed using one-way ANOVA and Tukey's post hoc test (p<0.05). Group 4 showed the highest microtensile bond strength (p<0.05), Group 3 showed no significant improvements when compared to Group 1. Group 2 showed lowest microtensile bond strength (p<0.05). When restoring a non-carious cervical lesion, it is essential to remove the biofilm present on the dentin surface. In addition, in the method of removing the biofilm, both the brush removal method and the bur removal method were effective.

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멜라닌 색소 침착의 치료 (Melanin Pigmentation In Gingiva)

  • 이인경;한수부
    • Journal of Periodontal and Implant Science
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    • 제33권2호
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    • pp.271-276
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    • 2003
  • Oral melanin pigmentation is common in some races and ethnic groups. The gingivae are the most frequently pigmented intra-oral tissues. Melanin pigmentation is the result of melanin granules, produced by melanoblasts intertwined between epithelial cells at the basal layer of the epithelium. We present one case of melanin pigmentation of the gingiva of 26-year old female. Melanin depigmentation method is applying a 90% phenol solution to deepithelize pigmented areas, gingivectomy, epithelial abrasion, bone denudation, and split thickess flap. We chose epithelial abrasion using round diamond bur. The patient satisfies the result and have almost no pain and discomfort. But repigmentation potential must be noticed to patient.

Repair of furcal perforation with mineral trioxide aggregate in dogs

  • Masataka, Suehara;Rie, Fujii;Masayasu, Kuroda;Kensuke, Saito
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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    • pp.578-578
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    • 2003
  • I. Objectives The purpose of this study was to investigate, histologically, healing in the periodontal tissue after mechanical furcation perforations using Mineral Trioxide Aggregate (PRO ROOTMTA). II. Materials and Methods These experiments were carried out on mandibular and maxilla premolars and molars obtained from 12 dogs more than one year old and which had clinically healthy periodontia. A total of 34 perforations were made. These were divided into Control(9), MTA(25) groups respectively. A sterile round bur (1mm in diameter) was used to create a mechanical perforation in the furcal floor.(omitted)

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각종 근관충전법의 치근단 폐쇄효과에 관한 연구 (AN EXPERIMENTAL STUDY ON THE SEALING ABILITY OF DIFFERENT ROOT CANAL OBTURATION METHODS)

  • 허승면;조영곤
    • Restorative Dentistry and Endodontics
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    • 제16권2호
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    • pp.143-154
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    • 1991
  • The purpose of this study was to evaluate the sealing ability of five obturation methods in conjunction with sealer. Fifty extracted upper and lower anterior teeth were selected and the access cavities were prepared lingually with a round bur. The working length was determined with a #15K file, and the root canals were instrumented with a #40K file 1mm short of the apical foramen. The apical third of root canal was flared by step-back technique and the coronal two thirds of root canal using #2 - 3 Gates Glidden drills. And then, the teeth were randomly assigned to five groups of 10 teeth each. A thin coat of Tubliseal was placed into the canal into the canal using the # 35 reamer and the canals were filled by lateral condensation, vertical condensation, ultrasonic activated lateral condensation, ULTRAFIL injecting, and McSpadden compaction methods. All teeth were stored in 100 % relative humidity at 31c for 48 hours. The roots were suspended in 2 % methylene blue solution for 48 hours, left to dry for 24 hours and then, half side of root was removed longitudinally using the fissure bur. A Boley gauge wes used to measure the distance, to the nearest 0.1mm, from the apical foramen to the most coronal level of dye penetration. The measurement of dye penetration was statistically compared by Duncan's multiple range test The results were as follows 1. Ultrasonic group showed the best sealing ability among the all experimental groups, but there were statistically no significant difference in the sealing ability between ultrasonic group and vertical condensation group. 2. There were no statistically significant difference in the sealing ability among the lateral, vertical, and ultrasonic groups. 3. McSpadden group showed the worst sealing ability among the all exprimental groups.

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치아 우식부의 기계화학적 제거 효과에 대한 연구 (THE EFFICACY OF CHEMO-MECHANICAL REMOVAL OF DENTIN CAR10US LESION)

  • 임순빈;최경규;박상진
    • Restorative Dentistry and Endodontics
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    • 제30권3호
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    • pp.149-157
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    • 2005
  • 본 연구는 우식의 기계적 제거와 기계화학적 제거의 효과를 비교, 평가하고자 하였으며, 기계적 제거방법은 저속의 round bur로, 기계 화학적 제거 방법은 Carisolv로 우식을 제거한 후, 잔존 우식을 확인하여 소요시간을 측정하였고, 또 실험실에서 발치한 우식 대구치 20개를 위 두 가지 방법으로 우식을 제거 후, Villanueva bone stain액으로 염색하고 표본을 제작 후 관찰하여 다음의 결론을 얻었다; 1.우식제거에 평균소요시간은 기계화학적 제거가 기계적인 제거보다 1.5배 더 길게 나타났다 (P < 0.05). 2, 우식제거에 평균소요시간은 소구치보다 대구치에서 더 길었고, 전치에서 가장 적은것으로 나타났다 (P < 0.05) 3 상 · 하악에서는 차이가 없었다 (P > 0.05) 4. 기계화학적 방법으로 우식 상아질을 제거 시 잔존 우식 상아질이 관찰되었으며 두 방법 모두 우식 상아질을 제거한 표면에서는 도말층을 관찰할 수 없었다.

치수절단 후 Aucubin이 잔존치수조직에 미치는 영향에 관한 연구 (A STUDY OF THE EFFECTS OF AUCUBIN ON THE PULP TISSUE AFTER PULPOTOMY IN DOGS)

  • 백승호;이승우
    • Restorative Dentistry and Endodontics
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    • 제24권4호
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    • pp.554-559
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    • 1999
  • Aucubin, an iridoid glucoside isolated from Aucuba japonica, has pharmacological effects such as antimicrobial effect, liver protective function and inhibition of liver RNA and protein biosynthesis, etc. This study was performed to observe the effect of aucubin on the pulp tissue after pulpotomy. Aucubin was converted to aucubinogenin as an active form by ${\beta}$-glucosidase. In 3 Mongrel dogs, the pulps were mechanically exposed with a sterile round bur and excised with sterile excavator. After bleeding control, aucubin was applied on remaining pulp tissues and then they were sealed with IRM in experimental group. In control group, $Ca(OH)_2$ powder was applied on remaining pulp tissues and then they were sealed with IRM. After interval of 1 and 12 weeks, the dogs were sacrificed. The teeth were prepared for histologic evaluation and examined by light microscope. Aucubin 1 week group showed that mild inflammation and vascular congestion in most of the specimen. More various degree of inflammation was found in experimental group than in control group. Premature calcified mass were found in the both 1 weeks groups. Continuous well-formed dentin bridge was found in both 12 weeks groups. Collectively, this study suggests that the possibility of aucubin as a medicament after pulpotomy.

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