광범위한 치근단 병소에 대한 지연 자가치아이식술

진명욱 대한치과이식임플란트학회 2014 The Korean Academy of Implant Dentistry Vol.33 No.2

EFFECT OF PRE-HEATING ON SOME PHYSICAL PROPERTIES OF COMPOSITE RESIN

진명욱,김성교 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.1

본 연구의 목적은 복합레진의 광중합 전 열처리가 복합레진의 일부 물성에 미치는 영향을 평가하는 것이다. 우식이 없는 여든 개의 발거된 치아를 사용하였다. 네 가지 온도의 복합레진, 즉, 냉장 보관되어 있던 4℃ 복합레진 상온 17℃의 복합레진, Calset"를 이용하여 48℃까지 전열처리한 복합레진. 그리고 56℃까지 전열처리한 복합레진을 사용하였다. 복합레진의 물성으로서 치질과의 전단결합강도, 미세경도 그리고 이중결합 전환율을 측정하였다. 법랑질과 상아질에서 공히 4℃, 17℃, 48℃, 그리고 56℃의 온도 중에서 56℃까지 전열처리한 복합레진이 가장 높은 전단결합강도를 보였으며 , 복합레진의 온도가 높을수록 더 높은 전단결합강도를 나타내었다. 복합레진의 온도가 높을수록 더 높은 미세경도를 나타내었다. 복합레진의 온도가 높을수록 이중결합의 전환율이 더 높게 나타났다. 제한된 여건에서 행해진 본 연구의 결과를 통하여 볼 때, 냉장고 또는 실온에 보관되어 있던 복합레진을 미리 열처리하면 치질과의 전단결합강도, 복합레진의 미세경도 및 이중결합 전환율이 증가할 것으로 보인다. 따라서 임상에서 복합레진을 사용 시 복합레진의 물성을 향상시키기 위하여 레진을 미리 열처리하는 것을 추천할 수 있겠다. The purpose of this study was to evaluate the effect of pre-heating on some physical properties of composite resin. Eighty extracted. noncarious human molars were used in the present study. Four different temperatures of composite resin were used: 4℃, 17℃, 48℃, and 56℃. The 4℃ and 17℃ values represented the refrigerator storage temperature and room temperature respectively. For 48℃ and 56℃ composite resin was heated to the temperatures. Us physical properties of composite resin shear bond strength. microhardness and degree of conversion were measured. The data for each group were subjected to one-way ANOVAs followed by the Tukey's HSD test at 95% confidence level. Both in enamel and dentin, among composite resin of 4℃, 17℃, 48℃, and 56℃, thc pre-heated composite resin up to 56℃ revealed the highest shear bond strength, and pre-heated composite resin to thc higher temperature revealed higher shear bond strength. Microhardness value was also higher with composite resin of higher temperature. Degree of conversion was also higher with composite resin of the higher temperature In this study, it seems that pre-heating composite resin up to the higher temperature may show higher shear bond strength. higher microhardness value and higher degree of conversion Therefore when using composite resin in the clinic preheating the composite resin could be recommended to have enhanced Physical properties of it.

Prepare the pre-heated composite resin

진명욱 대한치과보존학회 2013 Restorative Dentistry & Endodontics Vol.38 No.2

CCITT SGVII회의보고 ('91.3.18~27, 스위스 제네바)

진명욱 한국정보통신기술협회 1991 국제전기통신표준화소식 Vol.20 No.-

의도적 재식술에 관한 임상적 고찰

진명욱(Myoung Uk Jin) 대한치과의사협회 2010 대한치과의사협회지 Vol.48 No.4

Although non-surgical endodontic procedures have high success rates, failures do occur. These can be managed by root canal re-treatment or surgical intervention. Intentional replantation is an accepted endodontic treatment procedure in which a tooth is extracted and treated outside the oral cavity and then inserted into its socket to correct an obvious radiographic or clinical endodontic failure. Intentional replantation is indicated when other endodontic treatments performed to maintain the tooth have failed, or when endodontic periradicular surgery is not feasible. Intentional replantation may be particularly useful in these cases because these difficult to access areas can be maximally treated while the tooth is out of the mouth without damaging the periodontal attachment in adjacent teeth. In conclusion, intentional replantation is a reliable and even predictable procedure, and should be considered more often as a treatment modality in our efforts to maintain the natural dentition.

상아질형성부전증을 가진 환자의 심미적인 수복치료

진명욱(Myoung Uk Jin) 대한치과의사협회 2008 대한치과의사협회지 Vol.46 No.7

Dentinogenesis imperfecta is one of the most common autosomal dominant traits experienced in humans. It generally affects both the deciduous and permanent dentitions. There are 3 forms of dentinogenesis imperfecta that have been classified into type Ⅰ (osteogenesis imperfecta associated). type Ⅱ (hereditary opalescent dentin). and type Ⅲ (Brandywine isolate opalescent dentin).1.2 The prevalence for all types of dentinogenesis imperfecta is approximately 1 per 8000 subjects. Early diagnosis and treatment are therefore, fundamental, aiming at obtaining a favourable prognosis since late intervention makes treatment more complex. This clinical report describes a treatment solution to the problems encountered by a dentinogenesis imperfecta patient with minimally invasive techniques.

글라스-아이오노머 시멘트와 Emdogain<SUP>®</SUP>을 이용한 구개치은발육구의 치료

진명욱(Myoung Uk Jin) 대한치과의사협회 2010 대한치과의사협회지 Vol.48 No.1

In recent years, a number of special treatment procedures have been introduced to reestablish new tooth supporting tissues with varying degrees of success including guided tissue regeneration(GTR), bone grafting(BG) and the use of enamel matrix derivative(EMD). EMD is an extract of enamel matrix and contains amelogenins of various molecular weights. Emdogain(EMD) might have some advantages over other methods of regenerating the tissue supporting teeth lost by gum disease, such as less postoperative complications. Emdogain contains proteins(derived from developing pig teeth) believed to regenerate tooth attachment. The decrease in probing depth after EMD treatment is achieved primarily by clinical attachment gain and bone regeneration and only to a minor extent by gingival recession. In conclsion, EMD seems to be safe, was able to regenerate lost periodontal tissues in previously diseased sites based on clinical parameters.

The influence of moisture control on bond strength of composite resin treated with self-etching adhesive system

Jin, Myoung Uk,Kim, Young Kyung,Park, Jeong-won 大韓齒科保存學會 2002 Restorative Dentistry & Endodontics Vol.27 No.4

최근에 많이 사용되어지고 있는 치과용 접착제는 산 부식 후 수분이 있는 상태에서 적용하는 wet-bonding 술식을 많이 추천하고 있다. 하지만, self-etching primer의 경우 산부식과 priming 과정이 동시에 시행되고, 제조자들은 건조된 치아표면에 적용할 것을 추천하고 있다. 그러나 건조된 정도에 대하여서는 별다른 추천사항이 없으며, 수분이 self-etching primer에 어떤 영향을 미치는지에 대하여서는 별다른 연구가 이루어져 있지 않은 상태이다. 이에 본 연구에서는 치질 삭제 후 남아있는 수분이 self-etching primer의 레진 접착 강도에 어떤 영향을 미치는 지를 알아보고자 하였다. 발거한 대구치 96개를 이용하여 물기가 있는 상태에서 #600 사포로 표면을 연마하고, 법랑질 면을 노출시킨 군과 상아질을 노출시킨 군으로 분류 후, 30분 공기 중 방치 군(1군), 5초 공기 건조 군 (2군), 1초 공기 건조 군(3군), 솜으로 약간의 물기를 제거한 군(blot dry)(4군) 등 총 8개의 군으로 나누었다. Self-etching adhesive system인 Clearfil SE Bond primer를 20초간 적용하고, bonding제 도포 후 10초간 광중합 시행하였다. 접착제 처리한 치아면에 몰드를 고정한 후 Clearfil AP-X 복합 레진을 2mm 충전하고, 40초간 광중합을 시행하였다. 24시간 후 전단 응력 결합강도를 측정하였으며, 그 결과는 다음과 같이 나타났다. 법랑질과 상아질 모두에서, 30분 건조군과 5초 공기건조군이 1초와 blot drying 군보다 높은 결합강도를 보였으며, 통계학적으로 유의한 차이를 보였다(p<0.05)). 본 실험 결과에 의하면 self-etching adhesive system을 사용함에 있어서 법랑질과 상아질군 공히 건조된 상태에서 사용하여야 하며 수분의 존재시 치아와의 결합력이 감소하는 것으로 나타났다. 따라서 임상에서 접착제의 적용시 수분의 조절에 주의하여야 할 것으로 사료된다.

The Influence of AH-26 and Zinc Oxide-Eugenol Root Canal Sealer on the Shear Bond Strength of Composite Resin to Dentin

Cho, Ju-Yeon,Jin, Myoung-Uk,Kim, Young-Kyung,Kim, Sung Kyo 大韓齒科保存學會 2006 Restorative Dentistry & Endodontics Vol.31 No.3

AH-26 근관실러가 상아질에 대한 복합레진의 전단결합강도에 미치는 영향을 평가하기 위하여 144개의 발거된 대구치를 실린더형의 몰드에 매식한 다음 치관부의 상아질 표면을 노출시킨 후 편평하게 연마하고 AH-26을 도포한 군, ZOE paste를 도포한 군 및 실러를 도포하지 않은 대조군으로 나누어 One-step 상아질 접착제를 처리한 후에 Charisma (Heraeus Kulzer, Germany) 복합레진을 적용하고 광중합시켰다. 시편을 분리하여 37℃ 항온조에 24시간 보관후 Instron test machine (Model 4202, Instron Corp., USA)을 이용하여 시편의 전단 결합 강도를 측정하고 one-way ANOVA 및 Tukey's studentized rank test로 통계 분석하였다. AH-26 근관실러로 처리한 군과 대조군은 ZOE 근관실러 처리군에 비해 유의하게 놓은 접착강도를 나타내었다 (p<0.05). AH-26 근관실러 처리군과 아무 처리하지 않은 대조군 사이에는 결합강도에 있어 유의한 차이를 나타내지 않았다 (p>0.05). 본 연구의 조건에서는 ZOE 근관실러는 상아질에 대한 복합레진의 전단결합강도를 저하시키는 반면 AH-26 근관실러는 유의한 영향을 미치지는 않는 것으로 보인다. 따라서 임상에서 근관실러로 AH-26을 사용한 근관충전 후에는 즉시 복합레진 코어를 해 주어도 결합력에 저해가 없을 것으로 여겨진다. The purpose of this study was to evaluate the influence of the AH-26 root canal sealer on the shear bond strength of composite resin to dentin. One hundred and forty four (144) extracted, sound human molars were used. After embedding in a cylindrical mold, the occlusal part of the anatomical crown was cut away and trimmed in order to create a flat dentin surface. The teeth were randomly divided into three groups; the AH-26 sealer was applied to the AH-26 group, and zinc-oxide eugenol (ZOE) paste was applied to the ZOE group. The dentin surface of the control group did not receive any sealer. A mount jig was placed against the surface of the teeth and the One-step dentin bonding agent was applied after acid etching. Charisma composite resin was packed into the mold and light cured. After polymerization, the alignment tube and mold were removed and the specimens were placed in distilled water at 37℃ for twenty four hours. The shear bond strength was measured by an Instron testing machine. The data for each group were subjected to one-way ANOVA and Tukey's studentized rank test so as to make comparisons between the groups. The AH-26 group and the control group showed significantly higher shear bond strength than the ZOE group (p<0.05). There were no significant differences between the AH-26 group and the control one (p>0.05). Under the conditions of this study, the AH-26 root canal sealer did not seem to affect the shear bond strength of the composite resin to dentin while the ZOE sealer did. Therefore, there may be no decrease in bond strength when the composite resin core is built up immediately after a canal filling with AH-26 as a root canal sealer.

두께에 따른 이중 중합형 복합레진의 중합

김윤주,진명욱,김성교,권태엽,김영경 대한치과보존학회 2008 Restorative Dentistry & Endodontics Vol.33 No.3

The purpose of this study was to evaluate the effect of thickness, filling methods and curing methods on the polymerization of dual cured core materials by means of microhardness test. Two dual cured core materials, MultiCore Flow (Ivoclar Vivadent AG, Schaan, Liechtenstein) and Bis-Core (Bisco Inc., Schaumburg, IL, USA) were used in this study. 2 ㎜ (bulky filled), 4 ㎜ (bulky filled), 6 ㎜ (bulky and incrementally filled) and 8 ㎜ (bulky and incrementally filled)-thickness specimens were prepared with light cure or self cure mode. After storage at 37℃ for 24 hours, the Knoop hardness values (KHN) of top and bottom surfaces were measured and the microhardness ratio of top and bottom surfaces was calculated. The data were analyzed using one-way ANOVA and Scheffe multiple comparison test, with α= 0.05. The effect of thickness on the polymerization of dual cured composites showed material specific results. In 2, 4 and 6 ㎜ groups, the KHN of two materials were not affected by thickness. However, in 8 ㎜ group of MultiCore Flow, the KHN of the bottom surface was lower than those of other groups (p < 0.05). The effect of filling methods on the polymerization of dual cured composites was different by their thickness or materials. In 6 ㎜ thickness, there was no significant difference between bulk and incremental filling groups. In 8 ㎜ thickness, Bis-Core showed no significant difference between groups. However, in MultiCore Flow, the microhardness ratio of bulk filling group was lower than that of incremental filling group (p < 0.05). The effect of curing methods on the polymerization of dual cured composites showed material specific results. In Bis-Core, the KHN of dual cured group were higher than those of self cured group at both surfaces (p < 0.05). However, in MultiCore Flow, the results were not similar at both surfaces. At the top surface, dual cured group showed higher KHN than that of self cured group (p < 0.05). However, in the bottom surface, dual cured group showed lower value than that of self cured group (p < 0.05). The purpose of this study was to evaluate the effect of thickness, filling methods and curing methods on the polymerization of dual cured core materials by means of microhardness test. Two dual cured core materials, MultiCore Flow (Ivoclar Vivadent AG, Schaan, Liechtenstein) and Bis-Core (Bisco Inc., Schaumburg, IL, USA) were used in this study. 2 ㎜ (bulky filled), 4 ㎜ (bulky filled), 6 ㎜ (bulky and incrementally filled) and 8 ㎜ (bulky and incrementally filled)-thickness specimens were prepared with light cure or self cure mode. After storage at 37℃ for 24 hours, the Knoop hardness values (KHN) of top and bottom surfaces were measured and the microhardness ratio of top and bottom surfaces was calculated. The data were analyzed using one-way ANOVA and Scheffe multiple comparison test, with α= 0.05. The effect of thickness on the polymerization of dual cured composites showed material specific results. In 2, 4 and 6 ㎜ groups, the KHN of two materials were not affected by thickness. However, in 8 ㎜ group of MultiCore Flow, the KHN of the bottom surface was lower than those of other groups (p < 0.05). The effect of filling methods on the polymerization of dual cured composites was different by their thickness or materials. In 6 ㎜ thickness, there was no significant difference between bulk and incremental filling groups. In 8 ㎜ thickness, Bis-Core showed no significant difference between groups. However, in MultiCore Flow, the microhardness ratio of bulk filling group was lower than that of incremental filling group (p < 0.05). The effect of curing methods on the polymerization of dual cured composites showed material specific results. In Bis-Core, the KHN of dual cured group were higher than those of self cured group at both surfaces (p < 0.05). However, in MultiCore Flow, the results were not similar at both surfaces. At the top surface, dual cured group showed higher KHN than that of self cured group (p < 0.05). However, in the bottom surface, dual cured group showed lower value than that of self cured group (p < 0.05).