Accidental injury of the inferior alveolar nerve due to the extrusion of calcium hydroxide in endodontic treatment: a case report

신유석,노병덕,김예미,김태현,김형준 대한치과보존학회 2016 Restorative Dentistry & Endodontics Vol.41 No.1

During clinical endodontic treatment, we often find radiopaque filling material beyond the root apex. Accidental extrusion of calcium hydroxide could cause the injury of inferior alveolar nerve, such as paresthesia or continuous inflammatory response. This case report presents the extrusion of calcium hydroxide and treatment procedures including surgical intervention. A 48 yr old female patient experienced Calcipex II extrusion in to the inferior alveolar canal on left mandibular area during endodontic treatment. After completion of endodontic treatment on left mandibular first molar, surgical intervention was planned under general anesthesia. After cortical bone osteotomy and debridement, neuroma resection and neurorrhaphy was performed, and prognosis was observed. But no improvement in sensory nerve was seen following surgical intervention after 20 mon. A clinician should be aware of extrusion of intracanal medicaments and the possibility of damage on inferior alveolar canal. Injectable type of calcium hydroxide should be applied with care for preventing nerve injury. The alternative delivery method such as lentulo spiral was suggested on the posterior mandibular molar.

수 종의 Ni-Ti 회전 기구들을 이용한 치근단 폐쇄 향상을 위한 근관 확대 평가

신유석,신수정,송민주,김의성 大韓齒科保存學會 2011 Restorative Dentistry & Endodontics Vol.36 No.4

Objectives: The aim of this study was to evaluate the various NiTi rotary instruments regarding their ability to provide a circular apical preparation. Materials and Methods: 50 single canal roots were selected, cut at the cementodentinal junction and the coronal 1/3 of the canals was flared using Gates Glidden burs. Samples were randomly divided into 5 experimental groups of 10 each. In group I, GT files, Profile 04 and Quantec #9 and #10 files were used. In Group II Lightspeed was used instead of Quantec. In Group III, Orifice shaper, Profile .06 series and Lightspeed were used. In Group IV, Quantec #9 and #10 files were used instead of Lightspeed. In Group V, the GT file and the Profile .04 series were used to prepare the entire canal length. All tooth samples were cut at 1 mm, 3 mm and 5 mm from the apex and were examined under the microscope. Results: Groups II and III (Lightspeed) showed a more circular preparation in the apical 1mm samples than the groups that used Quantec (Group I & IV) or GT files and Profile .04 series.(Group V)(p < 0.05) There was no significant difference statistically among the apical 3, 5 mm samples. In 5 mm samples, most of the samples showed complete circularity and none of them showed irregular shape. Conclusions: Lightspeed showed circular preparation at apical 1 mm more frequently than other instruments used in this study. However only 35% of samples showed circularity even in the Lightspeed Group which were enlarged 3 ISO size from the initial apical binding file (IAF) size. So it must be considered that enlarging 3 ISO size isn't enough to make round preparation. 연구목적: 본 연구의 목적은 원형의 치근단 삭제를 제공하는 능력에 관한 수 종의 Ni-Ti 회전 기구들을 평가하는 것이다. 연구 재료 및 방법: 실험은 50개의 단근치를 선택하여 백악상아질 경계에서 절단하였고, 근관의 치관부 1/3은 Gates Glidden bur (#2, #3, #4)를 이용하여 확대하였다. 시편들은 각 군당 10개씩 5개의 실험군들로 나누었다. 1군은 GT file, Profile .04, Quantec #9, #10을 사용했고, 2군은 1군과 유사하나 Quantec 파일 대신 Lightspeed를 사용했고, 3군은 Orifice shaper, Profile .06 종류들, Lightspeed를 사용했고, 4군은 3군과 유사하나 Lightspeed 대신 Quantec #9, #10를 사용했고, 5군은 근관 확대를 위해 GT file, Profile .04를 사용했다. 모든 치아 시편들은 치근첨으로부터 1 mm, 3 mm, 5 mm에서 절단하여 현미경하에서 관찰했다. 결과: 본 연구의 결과 실험군 2, 3군(Lightspeed file군)이 실험군 1, 4군(Quantec), 실험군 5군(GT file, profile .04종류들)에 비하여 치근단 1 mm에서 더 원형에 가까운 치근단 삭제를 보였다(p < 0.05). 치근단 3, 5 mm들에서는 각 군들 사이에서 통계학적 유의차가 없었다. 치근단 5 mm 시편들에서는 대부분의 시편들이 완전한 원형을 나타내었으며 불규칙한 모양은 관찰되지 않았다. 결론: 치근단 1 mm 시편에서 Lightspeed를 사용한 경우에서 다른 Quantec, GT와 Profile .04 종류들을 사용한 것보다 더 원형의 삭제를 얻었고, 근관장에서 최초의 Lightspeed에 맞는 크기보다 ISO 크기보다 3단계 크기 확대로는 모든 치근단 1 mm에서 원형의 삭제를 얻었을 수 없었고 단지 35%에서만 원형의 삭제를 얻을 수 있었다는 것이다. 따라서 ISO 크기보다 3단계 크기 확대가 원형 삭제를 얻기에는 불충분하며 좀 더 큰 크기로 확대하는 것이 필요함을 알 수 있으나 치아에 따라 치근단 부위 치질의 양이 다를 수 있으므로 일률적으로 적용하기에는 무리가 있을 수 있다.

3차원 유한요소해석을 이용한 RF CIP 벽체의 강성 평가

신유석(Sin, Yu-Seok),유진호(Yoo, Jin-Ho),황태현(Hwang, Tae-Hyun),이영진(Lee, Yeong-Jin),이강일(Lee, Kang-Il) 한국지반신소재학회 2020 한국지반신소재학회 학술발표회 Vol.2020 No.11

한국 현대 치의학의 발전

신유석(Shin Yooseok),신재의(Shin Jaeeui) 대한치과의사협회 2015 대한치과의사협회지 Vol.53 No.11

Korean dentist’s new mission was extended in dental practice field since the National Liberation Day of Korea. Modern dentistry development were due to the introduction of american dentistry, the development of Military dentistry, the unified academic activities koreans dental Association and improvement of korean dentist system. Modern dentistry development factors were as follows, First, Seoul National University’s professors have been sent for studying abroad since May 1954. Thanks to this advanced system, each dental department established branch academy. Researchers and academic activities were increased in Seoul National University, Second, from January 1954, the military started training program to the korean dentists in the United States, and also the korean dentists were sent to the US Army hospital in korea for practical training courses (On the Job Training) so they could get chances to learn the advanced dentistry. During the korean war, the oral surgery dentists enlarged treatments to the maxillofacial field. Third, korean Dental academy meeting, special lectures and tables clinic from 1947 were contributing to the development of modern dentistry in the transmission of knowledge and skills. Since 1955 “Dentistry(齒學)” with a focus on the translation of foreign literature also developed modern dentistry. Since 1958 the International dental conference could broaden dental knowledge, it also provided opportunities to communicate with the world dentistry. On Oct 11, 1962, revised the Articles of association in Korean Dental academy and korean dental association unified meeting and enhanced the conferences. Improvement of korean dentist system in 1964 unified the dentists as new dentist education. Articles, case reports, review articles and academic meetings of korean dental association from 1946 to 1969 analyzed to demonstrate the development of korean modern dentistry, The titles and lectures were classified according to department and they were organized by topic.

SPW 흙막이 벽체의 설계요소별 부재력과 수평변위 및 콘크리트강도 특성 연구

김완호,신유석,이영진,장용채,이강일 한국지반신소재학회 2023 한국지반신소재학회 논문집 Vol.22 No.1

In areas where excavation works are carried out, it is very important to select a retaining wall method to minimize ground water level and ground subsidence changes. In this regard, the use of Secant Pile Wall(SPW) method, which can complement the disadvantages of the CIP method, is gradually domestic increasing for the construction of retaining wall method. This study investigated the design elements of the SPW method and the interrelationship between the structural stability factors of the wall. The design elements for the retaining method are the overlap length between piles, pile diameter, and the specifications of the H-Beam specifications, while the structural stability factors of the wall are the bending stress, shear stress, horizontal displacement, and concrete strength. The study results showed that the pile diameter and H-Beam specifications have a significant impact on the capacity of the H-Beam, the overlap length and pile diameter have a significant impact on the horizontal displacement, and the pile diameter and H-Beam specifications have a significant impact on the required strength of the concrete. 굴착공사가 이루어지는 지역에서는 지하수위 변화와 지반침하를 최소화하기 위한 흙막이 벽체 공법 선정이 매우 중요하다. 이러한 측면에서 CIP 공법의 단점을 보완할 수 있는 SPW 공법은 국내 흙막이 벽체 시공 시 점차 증가하는 추세이다. 이러한여건을 고려하여 본 연구에서는 SPW 공법의 설계요소와 흙막이 벽체의 구조적 안정요소간 상호 특성에 대하여 연구하였다. 여기서, 흙막이 벽체의 설계요소는 말뚝 간 겹침길이, 말뚝직경, H형강 보강재 규격이며 이에 따른 흙막이 벽체의 구조적 안정요소는 흙막이 벽체의 휨응력, 전단응력, 수평변위, 콘크리트 강도이다. 연구 결과 H형강 보강재의 부재력에 큰 영향을 미치는설계요소는 말뚝직경과 H형강 보강재 규격이며, 수평변위에 큰 영향을 미치는 설계요소는 말뚝직경과 말뚝 간 겹침길이인것으로 나타났다. 또한, 콘크리트 강도에 큰 영향을 미치는 설계요소는 말뚝직경과 H형강 보강재 규격인 것으로 나타났다.

Assessment of Wear Resistance in Tooth-Colored Materials for Primary Molar Crown Restoration in Pediatric Dentistry

강현석,신유석,강정민,송제선 대한소아치과학회 2024 大韓小兒齒科學會誌 Vol.51 No.1

The objective of this study was to assess the wear resistance of tooth-colored materials used in crown restoration for primary molars with a chewing simulator. In this study, four groups-three experimental groups and one control group-were included. They consisted of three-dimensional (3D) printed resin crowns (NextDent and Graphy), milled nano-hybrid ceramic crowns (MAZIC Duro), and prefabricated zirconia crowns (NuSmile). Twelve mandibular second molar specimens were prepared from each group. In the wear experiment, 6.0 × 105 cycles were conducted with a force of 50 N, and a 6 mm-diameter steatite ball was used as an antagonist. The amount of wear was calculated by comparing the scan files before and after the chewing simulation using 3D metrology software, and the worn cross-section was confirmed by scanning electron microscopy (SEM). The resin and ceramic groups did not exhibit any statistically significant differences. However, compared to other crown groups, the zirconia crown group demonstrated notably reduced levels of wear (p < 0.05). In SEM images, layers and cracks were observed in the 3D-printed resin crown groups, which differed from those in the other groups.

A study on the compatibility between one-bottle dentin adhesives and composite resins using micro-shear bond strength

송민주,신유석,박정원,노병덕 대한치과보존학회 2015 Restorative Dentistry & Endodontics Vol.40 No.1

Objectives: This study was performed to determine whether the combined use of onebottle self-etch adhesives and composite resins from same manufacturers have better bond strengths than combinations of adhesive and resins from different manufacturers. Materials and Methods: 25 experimental micro-shear bond test groups were made from combinations of five dentin adhesives and five composite resins with extracted human molars stored in saline for 24 hr. Testing was performed using the wire-loop method and a universal testing machine. Bond strength data was statistically analyzed using two way analysis of variance (ANOVA) and Tukey’s post hoc test. Results: Two way ANOVA revealed significant differences for the factors of dentin adhesives and composite resins, and significant interaction effect (p < 0.001). All combinations with Xeno V (Dentsply De Trey) and Clearfil S3 Bond (Kuraray Dental) adhesives showed no significant differences in micro-shear bond strength, but other adhesives showed significant differences depending on the composite resin (p < 0.05). Contrary to the other adhesives, Xeno V and BondForce (Tokuyama Dental) had higher bond strengths with the same manufacturer’s composite resin than other manufacturer’s composite resin. Conclusions: Not all combinations of adhesive and composite resin by same manufacturers failed to show significantly higher bond strengths than mixed manufacturer combinations.

Biologic Response of Human Deciduous Dental Pulp Cells on Newly Developed MTA-like Materials

이혜원,신유석,정재은,김성오,이제호,송제선,Lee, Haewon,Shin, Yooseok,Jung, Jaeeun,Kim, Seongoh,Lee, Jaeho,Song, Jeseon Korean Academy of Pediatric Dentistry 2015 大韓小兒齒科學會誌 Vol.42 No.4

본 연구의 목적은 다양한 MTA 재료(ProRoot MTA, RetroMTA, Endocem Zr)에 대한 유치 치수 세포의 생활력 및 분화능을 비교 평가하는 것이다. 유치 치수세포는 각 재료별로 경화된 원형 디스크를 이용하여 직접법 및 간접법으로 세포 생활력을 관찰하였다. 또한 재료별 추출물을 이용하여 pH를 측정하였으며, alkaline phosphatase(ALP) 활성도 및 Alizarin Red S 염색법을 통하여 세포의 분화능을 관찰하였다. 직접법에서 유치 치수세포는 ProRoot MTA와 RetroMTA에서 Endocem Zr에 비해 높은 세포 생활력을 보였으나, 반면 간접법에서는 Endocem Zr에서 다른 재료에 비해 높은 세포 생활력이 관찰되었다. pH의 경우 Endocem Zr가 다른 두 재료에 비해 낮은 알칼리성을 나타냈다. 모든 재료에서 ALP 활성도는 대조군에 비해 증가하지 않았으며, Alizarin Red S 염색결과 유치 치수세포의 분화능이 대조군에 비해 낮았다. 본 실험에서 재료별 차이는 있었으나 모든 재료에서 어느 정도의 세포 독성이 관찰되었으며, 유치 치수세포의 생활력과 분화능을 증진시키지 못하였다. 하지만 Endocem Zr의 경우 ProRoot MTA나 RetroMTA에 비해 낮은 알칼리성과 높은 생활력을 보였다. This study compared the in vitro cell viability and differentiation potentials of human deciduous dental pulp cells (DPCs) on mineral trioxide aggregate (MTA)-like products (ProRoot MTA, RetroMTA and Endocem Zr). The experimental materials were prepared as circular discs, which were used to test the effects of the materials on the viability of human DPCs when placed in direct and indirect contact. Furthermore, the pH of the extracted materials was recorded, and their effect on cell differentiation potential was evaluated by evaluating the alkaline phosphatase (ALP) activity and Alizarin Red S staining of DPCs incubated with the test materials. In direct contact, the cell viability of human DPCs was higher with ProRoot MTA and RetroMTA than with Endocem Zr. However, when in indirect contact, the cell viability of human DPCs was generally higher in Endocem Zr than in ProRoot MTA and Retro MTA. With respect to pH, the alkalinity was lower for Endocem Zr than for the other test materials. The ALP activities of the cells were not enhanced by any of the experimental materials. Alizarin Red S staining of the tested human DPCs revealed that their differentiation potential was lower than for cells incubated with osteogenic induction medium. While there were differences in the responses of the human DPCs to the test materials, all displayed degrees of cytotoxicity and were unable to enhance either the viability or differentiation of human DPCs. However, Endocem Zr exhibited better cell viability and was less alkaline than the other test materials.

In Vitro Study on the Bond Strength Between 3D-Printed Resin and Resin Cement for Pediatric Crown Restoration

김소영,신유석,김익환,송제선,So Yung Kim,Yoosoek Shin,Ik-Hwan Kim,Je Seon Song Korean Academy of Pediatric Dentistry 2023 大韓小兒齒科學會誌 Vol.50 No.1

A 3D-printed resin crown is a novel option for esthetic crown restoration for primary teeth, which are typically bonded with resin cement. The purpose of this study was to evaluate the bonding ability of a 3D printing resin and compare it with other indirect resin materials for crown fabrication. The shear bond strengths of two 3D printing resin materials, Graphy (GP) and NextDent (NXT), and two indirect resin materials, VIPI Block (VIPI) and MAZIC Duro (MZ), were compared in the study. For all materials, the shear bond strength at the interface between the surface of the resin material and resin cement was measured. The mean shear bond strength values of GP, NXT, MZ, and VIPI were 23.29 ± 3.88, 26.14 ± 4.67, 25.41 ± 4.03, and 18.79 ± 4.26 MPa, respectively. There was no significant difference among the SBSs of GP, NXT and MZ except for VIPI. The result of this study indicates that the 3D printing resin meets the essential requirement for clinical use by showing clinically adequate bond strength.

교정용 고무 링의 삽입과 임시 전장관의 수정을 통한 보철 수복 전 인접면 공간 획득: 증례보고

신한얼,노병덕,신유석,이찬영 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2

Proximal caries or coronal defect in posterior teeth may result in the loss of proximal space and drifting of neighboring teeth, which makes restoration difficult. Inability to restore proper contours and to align tooth axis properly are commonly encountered problems when planning tooth restoration. Moreover, tilted teeth aggravate periodontal tissue breakdown, such as pseudo-pocket, and angular osseous defect. The purpose of this case presentation is to describe a simple technique for inducing minor tooth movement with orthodontic separating ring and provisional restoration modification. This method was used to create crown placement space on mesially tilted molar. This method is easy, simple and efficient technique which could be used in interproximal space gaining in selected situation.