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황호길,배성철,조영린 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.1
The objective of this in vitro study was to evaluate the efficacy of a Ca(OH)_2 removal before and after early coronal flaring using different types of instruments. 100 plastic blocks with 30°artificial curved canals were used in this study and randomly divided into a control group and 4 experimental groups(GG, OS, GT, PT Group) 20 teeth each. The canals were instrumented, and Ca(OH)_2 was temporary filled into the each canal. Irrigation was performed with Max-i-Probe 25-, 30-gauge probes before and after recapitulation. The results of this study were as follows: 1. There were no significant difference among the groups in size of irrigating needle(p<0.05). 2. There was a significant difference between before and after recapitulation regardless size of irrigating needle(p<0.05). 3. Before recapitulation, there was a significant difference between 25- and 30-gauge needle in all groups(p<0.05). 4. After recapitulation, there was a significant difference between 25- and 30-gauge needle in the control group(p<0.05). But there were no significant difference among the experimental groups. It is concluded that the effectiveness of canal irrigation was decided to the depth of irrigating needle into the canal. The effect of canal irrigation tend to facilitate by the early coronal flaring. The recapitulation was the most effective during canal irrigation regardless the size of irrigating needle. Therefore, the recapitulation is a mandatory way to facilitate the effectiveness of canal irrigation during canal enlargement.
Coronal flaring 전, 후 초기근관장 파일크기의 분석
황호길,박찬호,배성철 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.1
The purpose of this study was to compare the inital apical file(IAF) first file that fits to the apex in each canal before and after early flaring to analyze if the size of file to fit to the apex would increase after flaring. Eighty anterior teeth with complete apical formation and patent foramens were selected. The samples were randomly divided into 4 groups(GG, OS, GT, PT Group) of 20 teeth each. A file was fit to the apex in each canal and that size recorded. Radicular flaring were completed using different types of instruments. After flaring a file was again fit to the apex in the same manner as before and its size recorded. The results of this study were as follows: 1. The mean diameter of IAF before flaring(file diameters in mm ×10^-2) was 19.81±8.32 before and 25.94±9.21 after(p<0.05). 2. The increase in diameter of IAF was approximately one file size for all groups. 3. Ranking of increasing diameter of IAF were GG>GT>OS>PT Group. There was a statistically significant difference between before and after flaring(p<0.05). 4. Ranking of the time for flaring were GG>GT>OS>PT group. There was a statistically significant difference between GG group and other groups(p<0.05). 5. In the case without change of IAF diameter, they showed decrease in force after flaring when IAF was pulled out from root canal(p<0.05). This study suggested that early radicular flaring increases the file size that is snug at the apex, and awareness of that difference gives the clinical a better sense of canal size. Early flaring of the canal provides better apical size information and with this awareness, a better decision can be made concerning the appropriate final diameter needed for complete apical shaping.
단근 소구치의 근관계에 관한 방사선 사진과 투명표본 간의 일치도
황호길,,강호민,서강 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.6
한 개의 치근을 가진 상, 하악 소구치의 방사선 사진 상의 근관계와 동일치아의 투명표본 상의 근관계를 각각 관찰한 다음 상호 비교하기 위해 총 142개의 소구치를 선택한 후, 구내 치과용 표준 방사선 필름을 이용하여 근원심과 협설측으로 방사선을 채득하였다. 동일하게 교육받은 4명의 판독자가 방사선 사진을 판독하여 근관계의 형태를 분류하였다. 동일한 치아에 근관와동을 형성한 후 5% NaOCl에 48시간 동안 담가 치수조직을 용해시키고 인디안 잉크를 치수강 내로 주입하여 치수조직을 염색하였다. 5% 질산용액에 48시간 동안 담가 탈회시킨 후 메틸 살리실레이트로 투명화시키고 입체현미경하에서 20배의 크기로 근관계의 형태를 평가하여 다음과 같은 결과를 얻었다. 방사선과 입체현미경 소견 간에는 판독자 간에 통계학적으로 유의한 차이를 나타냈다 (p < 0.05). 따라서 동일한 방사선 사진을 판독할 경우 판독자 간에 근관의 형태에 있어서 차이가 있을 수 있다. 그러므로 임상가는 방사선 사진을 주의깊은 판독과 예견된 근관의 형태에 따라 난이도를 고려하여 근관치료를 시행해야 할 것으로 사료된다. The aim of this study was to compare the root canal systems of maxillary and mandibular premolars that had a single root using radiographs and clearing samples. 142 single rooted premolars were selected and mesio-distal and bucco-lingual views were radiographed using intra-oral dental standard films. Four equally trained examiners classify the root canal types from the developed radiograhps. After opening the tooth for access, it was stored in 5% NaOCl to dissolve the pulp tissue. Indian ink was then injected into the pulp cavity to stain the pulp tissue. It was cleared in methyl salicylate after being decalcified with 5% nitric acid 48 hours, and the root canal type was evaluated at a magnification of × 20 using a stereomicroscope. The results are as follows; There were statistically significant differences between the radiographs and clearing samples of the root canal types among examiners (p < 0.05). There might be differences in the root canal types among examiners when the same radiograph is used. Therefore, considering the difficulty in estimating the root canal types, clinicians need to be careful when interpreting radiographs before root canal therapy.