• Title/Summary/Keyword: tooth color

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Coronal tooth discoloration induced by regenerative endodontic treatment using different scaffolds and intracanal coronal barriers: a 6-month ex vivo study

  • Shokouhinejad, Noushin;Razmi, Hassan;Farbod, Maryam;Alikhasi, Marzieh;Camilleri, Josette
    • Restorative Dentistry and Endodontics
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    • v.44 no.3
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    • pp.25.1-25.10
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    • 2019
  • Objective: The aim of this study was to evaluate discoloration of teeth undergoing regenerative endodontic procedures (REPs) using blood clot or platelet-rich fibrin (PRF) as the scaffolds and different calcium silicate-based materials as the intracanal coronal barriers in an ex vivo model. Materials and Methods: Forty-eight bovine incisors were prepared and disinfected using 1 mg/mL double antibiotic paste (DAP). The specimens were then randomly divided into 2 groups (n = 24) according to the scaffolds (blood or PRF). After placement of scaffolds each group was divided into 2 subgroups (n = 12) according to the intracanal coronal barriers (ProRoot MTA or Biodentine). The pulp chamber walls were sealed with dentin bonding agent before placement of DAP and before placement of scaffolds. The color changes (${\Delta}E$) were measured at different steps. The data were analyzed using 2-way analysis of variance. Results: Coronal discoloration induced by DAP was not clinically perceptible (${\Delta}E{\leq}3.3$). Regarding the type of the scaffold, coronal discoloration was significantly higher in blood groups compared with PRF groups at the end of REP and after 1 month (p < 0.05). However, no significant difference was found between PRF and blood clot after 6 months (p > 0.05). Considering the type of intracanal coronal barrier, no significant difference existed between ProRoot MTA and Biodentine (p > 0.05). Conclusions: With sealing the dentinal tubules of pulp chamber with a dentin bonding agent and application of DAP as an intracanal medicament, coronal color change of the teeth following the use of PRF and blood sealed with either ProRoot MTA or Biodentine was not different at 6-month follow-up.

Epigallocatechin-3-gallate prior to composite resin in abfraction lesions: a split-mouth randomized clinical trial

  • Luisa Valente Gotardo Lara Alves;Lisiane Martins Fracasso;Thiago Vinicius Cortez;Aline Evangelista Souza-Gabriel;Silmara Aparecida Milori Corona
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.13.1-13.11
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    • 2023
  • Objectives: Natural extracts have been investigated as a biomimetic strategy to mechanically strengthen the collagen network and control the biodegradation of extracellular matrix. This study evaluated the effect of epigallocatechin-3-gallate (EGCG) on abfraction lesions prior to the composite resin. Materials and Methods: The sample consisted of 30 patients (aged between 28 and 60 years) with abfraction lesions located in 2 homologous premolars. The teeth were randomly assigned according to dentin treatment: 0.02% EGCG solution or distilled water (control). After enamel acid etching, the solutions were applied immediately for 1 minute. The teeth were restored with Universal Adhesive (3M) and Filtek Z350 XT (3M). Analyzes were done by 2 independent examiners using modified USPHS (retention, secondary caries, marginal adaptation, and postoperative sensitivity) and photographic (color, marginal pigmentation, and anatomical form) criteria at baseline (7 days) and final (18 months). The data analysis used Friedman and Wilcoxon signed-rank tests (α = 0.05). Results: At baseline, all restorations were evaluated as alpha for all criteria. After 18 months, restorations were evaluated as alpha for secondary caries, color, and marginal pigmentation. There was significant difference between baseline and 18 months (p = 0.009) for marginal adaptation and postoperative sensitivity (p = 0.029), but no significant difference were verified between treatments (p = 0.433). The EGCG group had a restoration retention rate of 93.3%, while the control group had 96.7%. Conclusions: The application of EGCG solution on abfraction lesions did not significantly influence the survival of the restorations based on clinical and photographic criteria.

Alkasite restorative material for endodontically treated teeth: a randomized controlled pilot study

  • Davi Ariel Nobuo Bepu;Renata Siqueira Scatolin;Natalia Saud Junqueira Franco;Luiza Pejon Sanchez;Aline Evangelista Souza-Gabriel;Silmara Aparecida Milori Corona
    • Restorative Dentistry and Endodontics
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    • v.49 no.3
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    • pp.24.1-24.13
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    • 2024
  • Objectives: This study aimed to evaluate the clinical performance of an alkasite restorative material in molars that had undergone root canal treatment. Materials and Methods: The research was registered in Brazilian Registry of Clinical Trials. The randomized clinical trial involved 33 patients, each with at least 1 mandibular molar requiring restoration after receiving endodontic treatment. Patients were randomly assigned to receive either bulk-fill resin composite (Tetric N Ceram Bulk Fill, Ivoclar Vivadent) or the alkasite restorative material (Cention N, Ivoclar Vivadent). Upon completion of the restorations, 3 calibrated professionals utilized the United States Public Health Service criteria to assess various factors, including retention, secondary caries, marginal adaptation, restoration color, marginal pigmentation, and anatomical form. Evaluations were conducted at intervals of 7 days, 6 months, and 17 months. Additionally, the assessment encompassed the presence of radiolucent lines adjacent to the restoration, material deficiencies or excess, contact points, and caries recurrence. The data underwent analysis using the Friedman and Mann-Whitney tests (α = 0.05). Results: After 17 months, the results revealed that the alkasite restorative material exhibited greater wear of anatomical shape compared to the bulk-fill resin composite (p = 0.0189). Furthermore, the alkasite restorative material significantly differed from the natural tooth color in most cases (p = 0.0000). However, no other criteria displayed significant differences between the materials or over time (p > 0.05). Conclusions: The alkasite restorative material (Cention N) emerges as a viable option for restoring endodontically treated teeth, displaying clinically acceptable alterations after a 17-month evaluation period.

INFLUENCE OF SEVERAL POSTS AND IPS-EMPRESS INGOT THICKNESS ON THE FINAL SHADE OF ALL-CERAMIC CROWNS (수종의 post와 IPS-Empress Ingot 두께가 전부 도재 수복물 최종색조에 미치는 영향)

  • Bok Won-Mi;Choi Keun-Bae;Park Charn-Woon;Ahn Seung-Geun
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.5
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    • pp.514-523
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    • 2004
  • Statement of problem: All-ceramic restorations have been advocated for superior esthetics. Various post and core systems have been used to improve the strength of damaged teeth, but it is unclear whether they affect the final shade of finished all-ceramic restorations. Purpose: The influence of different types of post and core systems on light transmission through all-ceramic crowns was assessed by spectrophotometric analysis. Also the masking effect of different thickness of ceramic ingot was evaluated. Material and Methods : Forty-five sample disks (15mm in diameter) at several thickness(1.0, 1.5, 2.0mm) and value(shade 100, 200, 300) were made in heat pressed ceramic(IPS-Empress). Background specimens simulating gold-alloy cast posts(Type III casting gold alloy), metal posts(Ni-Cr casting alloy) and ceramic posts(CosmoPost) were fabrica-ted. Resin composite(Z250, A3 shade) was used as a tooth substrate reference. For each combination, the change in color was measured with a spectrophotometer. Readings were performed for 2 conditions (1) ability of ceramic to mask the core in relation to its thickness(1.0, 1.5, or 2.0mm) ; (2) influence of post and core types on the final color of the ceramic. Data were recorded according to the CIE $L^*a^*b^*$ systems and color difference($\Delta$E) was calculated. Results: 100 shade ingot: when ceramic thickness was 1.0mm, $\Delta$E value for ceramic post larger than 1 but $\Delta$E value for metal and gold post was larger than 2. For ceramic thickness of 1.5mm, only $\Delta$E value for metal was larger than 2, and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 2. 200 shade ingot: when ceramic thickness was 1.0mm, $\Delta$E value for ceramic post was smaller than 1 but $\Delta$E value for metal and gold post was larger than 2. For ceramic thickness of 1.5 mm, only the $\Delta$E value for metal was larger than 2, and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 1. 300 shade ingot: when ceramic thickness was 1.0mm, only $\Delta$E value for metal was larger than 2 and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 1.5mm, $\Delta$E values for all specimens was smaller than 1. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 1. Conclusion: The final esthetic result of the IPS-Empress glass-ceramic restoration was not affected by the presence of different core materials when the thickness was more than 2.0 mm. When ceramic thickness decreases to 1.5mm, it is advised to take the substrate aspects into consideration. If the ceramic thickness is less than 1.0mm, using the tooth color matched substrate is strongly recommended.

Comparative Tooth Morphology and Qualitative Analysis on the Enamel Surface using Energy Dispersive X-ray Spectroscopy in the White-Toothed Shrew Crocidura lasiura and C. suaveolens and the Red-Toothed Shrew Sorex caecutiens from Korea (한국 땃쥐속 우수리땃쥐 Crocidura lasiura와 작은땃쥐 C. suaveolens, 뒤쥐속 뒤쥐 Sorex caecutiens의 치아형태와 Energy Dispersive X-ray Spectroscopy를 이용한 법랑질 표면의 정성적 분석 비교)

  • Jeong, Soon-Jeong
    • Journal of dental hygiene science
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    • v.13 no.2
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    • pp.203-212
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    • 2013
  • The tooth morphology and qualitative mineral contents on enamel surface using energy dispersive X-ray spectroscopy, (EDX) were examined in the white-toothed shrew (genus Crocidura ) Crocidura lasiura and C. suaveolens and the red-toothed shrew (genus Sorex) Sorex caecutiens. In the case of C. lasiura and C. suaveolens, dental formula was found I 3/1 C1/1 P1/1 M3/3=28. The upper 1st and 2nd molars had an unequal W-shape formed by 5 cusps on the crown. The 3rd molar was found one-third the size of those of 1st and 2nd molars. The upper 1st incisor had two different sized hook-shapes and the lower 1st incisor was even. In the case of S. caecutiens, dental formula was found to be I3/1 C1/1 P3/1 M3/3=32. The upper 1st and 2nd molars had an equal W-shape on crown. The upper 3rd molar was half the size of those of the other molars. The upper 1st incisor possessed two similar sized hook-shapes and the lower 1st incisor had an uneven and serrated form. A comparison with the dental and cranial measurements revealed C. lasiura to be the largest of the three species (p<0.001) and C. suaveolens and S. caecutiens were similar in size (p>0.05). A qualitative analysis of mineral contents on enamel surface of the lower 1st incisor and lower 1st molar using EDX revealed C, O, P, Ca and Cu in all specimens and Pb was detected in several enamel specimens. No significant differences in the mineral contents (% weight) were observed among the three species (p>0.05). Fe was only detected on enamel surface of S. caecutiens with red pigmented teeth. Therefore, Fe is responsible for the red tip of the teeth. These results suggest that tooth morphological characteristics including the color of the tooth tip might be used as the key classifying species belonging to Crocidura and Sorex.

Morphological Characteristics of Long-tailed Whiskered Bat Myotis frater (긴꼬리윗수염박쥐(Myotis frater)의 재포획 및 형태적 특징에 관한 연구)

  • Chung, Chul Un;Kim, Sung Chul;Jeon, Young Shin;Han, Sang Hoon
    • Journal of Environmental Science International
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    • v.26 no.4
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    • pp.529-533
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    • 2017
  • Sightings of long-tailed bats have only been recorded twice in Korea, and their morphology and ecology are virtually unknown. We captured a female long-tailed bat in May 2016, in Gangwon Province, and to the best of our knowledge, this has been done for the first time in approximately 30 years. The captured bat had a very small craniofacial area and the length of its tibia was > 19 mm. The wing membrane penetrated the distal portion of the metatarsus of its first toe. The fur of the bat had a lusterless yellowish-brown color and its terminal tail vertebra was free beyond the posterior edge of the uropatagium. It had an obvious lambdoid crest on the lateral side. The anterior and central premolars were located inward with respect to the tooth row. In the mandible, the central premolar was located slightly inward and was nearly 80% of the anterior premolar in height.

The Clinical Application of an All Ceramic Bridge -A Copy Milling(Celay) Technique (Copy Milling(Celay) System을 이용한 All Ceramic Bridge 임상 증례)

  • Kim, Dae-Hyun
    • 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.

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Digital Dentistry; Yesterday, Today, and the Future (디지털 치의학의 과거와 현재 그리고 미래)

  • Kim, Chang Hwan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.25-38
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    • 2015
  • Since its introduction to the dentistry, the CAD/CAM technology has been used over fifteen years. The application of CAD/CAM started from coping fabrication, expanded to the posterior full crown, and anterior restoration manufacture has also become widespread recently. While the development of machine was rapid, the advance of zirconia block was the fastest. Although some differences exist among individuals, the various natural tooth color can be expressed through the zirconia coloring itself without porcelain build up. And the texture characteristics can be reproduced just by CAD design. In this article, the development history of digital dentistry was summarized.

A Study on Textile Design for Apparel Using CAD - Focusing on '01/02 A/W Fashion Trend - (CAD를 이용(利用)한 의류용(衣類用) 텍스타일 디자인 연구(硏究) - '01/02 A/W 유행경향(流行傾向)을 중심(中心)으로 -)

  • Shin, Kyeong-Seob
    • Journal of Fashion Business
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    • v.4 no.4
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    • pp.41-54
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    • 2000
  • The purpose of this study was to investigate various expressions in textile design using CAD and present print design of '01/02 A/W. Four steps were taken in order to achieve this purpose. The first step was to investigate prior research and to analyze textile design methods using CAD. The second step was to study '01/02 A/W fashion trend, especially textile trend. The third step was to design the print design according to textile trend and apply the designed print pattern to real model. The research results are as follows: 1. Textile design is a very important field to help making fashion industry more informative and valuable. 2. Using CAD system in textile design will be very useful and urgent in saving working time and exercising design works. 3. In '01/02 A/W hound's tooth, zigzag, herringbone will be prevalent bold geometric patterns while tartan checks, multi color stripes will be popular too. 4. Textile designs using flower, stripe, checks, dot, abstract pattern were applied to real model, the images of patterns design are as follow, flower pattern-romantic stripe-avantgarde check-cute dotclassic abstract motive-intelligent.

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CEREC 3D System을 이용한 당일수복 (one-day treatment) 임상증례

  • Jeong, Hyo-Gyeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.17 no.1
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    • pp.23-30
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    • 2008
  • Application of CAD/CAM is changing the way partial or full veneer all ceramic restoration is made. CAD/CAM systems, which were used mainly in other industries, have been developed and introduced for the dental purposes recently. It produced a flood of information on the CAD/CAM systems. It also influenced the development of restorative materials and all ceramic is substituting the traditional restorative materials of gold, composite resin and metal. Price increase of gold and other raw materials made the all ceramic more appealing. The introduction of a CEREC 3D system was innovative in several ways. Image of the prepared tooth is captured by camera and impression taking is unnecessary. Restoration can be delivered to the patient on one appointment and it will satisfy the demand of busy patients. One-day treatment with direct CAD/CAM system saves time compared to indirect CAD/CAM system. More superior restoration can be produced if lab work such as the adaptability check and shade selection is cooperated with lab technician. Short working time and comparably superior shade compatibility of color block was close to ideal. In the future, restorations with better quality can be fabricated in less time to busy patients thanks to the development of CAD/CAM system and dental materials.

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