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      근관세정 방법에 따른 수산화칼슘 제재의 제거 효율 비교 = A COMPARISON OF THE IRRIGATION SYSTEMS IN CALCIUM HYDROXIDE REMOVAL

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      https://www.riss.kr/link?id=A82291610

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      다국어 초록 (Multilingual Abstract)

      The purposes of this study were to compare the efficacy of irrigation systems by removing a calcium hydroxide (Ca(OH)₂) paste from the apical third of the root canal and the effect of the patency file. Sixty single rooted human teeth were used in th...

      The purposes of this study were to compare the efficacy of irrigation systems by removing a calcium hydroxide (Ca(OH)₂) paste from the apical third of the root canal and the effect of the patency file. Sixty single rooted human teeth were used in this study. The canals were instrumented by a crown-down manner with .04 taper ProFile to ISO #35. Ca(OH)₂ and distilled water were mixed and placed inside the root canals. The teeth were divided into 6 groups according to the root canal irrigation system and the use of patency file as follows: group 1 - conventional method: group 2 - EndoActivator : group 3 - EndoVac; group 4 - conventional method, patency: group 4 - EndoActivator, patency; group 6 - EndoVac, patency. All teeth were irrigated with sodium hypochlorite. After the root canal irrigation, the teeth were split in bucco-lingual aspect. Percentage of the root canal surface coverage with residual Ca(OH)₂ until 3 mm from working length was analyzed using Image Pro Plus ver. 4.0. Statistical analysis was performed using the One-way ANOVA, t-test and Scheffe's post-hoc test. Conventional groups had significantly more Ca(OH)₂ debris than EndoActivator, EndoVac groups. There was no significant difference between EndoActivator, and EndoVac groups. Groups with patency file showed more effective in removing Ca(OH)₂ paste than no patency groups. but. it was no significant difference. This study showed that EndoActivator and EndoVac systems were more effective in removing Ca(OH)₂ paste from the apical third of the root canal than conventional method.

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      국문 초록 (Abstract)

      이 실험의 목적은 근관 내에 충전된 수산화칼슘의 제거 시 치근단 1/3에서 기존의 근관세정법과 EndoActivator, EndoVac system의 세정 효율을 비교하고, 근관 세정 중 치근단공 개방 확인의 영향에 ...

      이 실험의 목적은 근관 내에 충전된 수산화칼슘의 제거 시 치근단 1/3에서 기존의 근관세정법과 EndoActivator, EndoVac system의 세정 효율을 비교하고, 근관 세정 중 치근단공 개방 확인의 영향에 대해 평가하고자 함이다. 60개의 단근치를 사용하였고 ISO #35까지 근관성형 후 수산화칼슘을 충전하였다. 근관 세정법과 치근단공 개방 확인 유무에 따라 6개 실험군으로 나누어 세정하였다. 실험 치아를 양분하여 치근단 3 mm에서 근관 면적에 대한 잔존 수산화칼슘 면적의 백분율을 측정하였다. 실험결과 EndoActivator, EndoVac군이 기존의 근관 세정법 군에 비해 유의하게 높은 제거효율을 나타냈으며 (p<0.05), 치근단공 개방 확인 유무에 따른 유의한 차이는 나타나지 않았다. 이 실험 결과에 따르면 기존의 근관세정법으로 효과적인 세정이 불가능했던 근관의 치근단 1/3부위에서 EndoActivator, EndoVac system과 같은 근관 세정법이 효과적인 대안이 될 수 있다는 결론을 얻었다.

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      참고문헌 (Reference)

      1 박찬제, "수산화칼슘 제제의 제거 방법이 치근단 누출에 미치는 영향에 대한 전기화학적 연구" 대한치과보존학회 31 (31): 186-191, 2006

      2 이경선, "분자체 모델을 이용한 수종의 수산화칼슘 제재의 이온 용출에 관한 연구" 대한치과보존학회 27 (27): 632-643, 2002

      3 남욱, "근관형성 후 동통에 대한 수산화칼슘의 효과에 관한 연구" 대한치과보존학회 31 (31): 86-95, 2006

      4 Sluis LWM, "The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies" 40 : 52-57, 2007

      5 Abou-Rass M, "The effectiveness of four clinical irrigation methods on the removal of root canal debris" 54 : 323-328, 1982

      6 Ciucchi B, "The effectiveness of different endodontic irrigation procedures on the removal of the smear layer: a scanning electron microscopic study" 22 : 21-28, 1989

      7 Wu MK, "The capability of two hand instrumentation techniques to remove the inner layer of dentine in oval canals" 36 : 218-224, 2003

      8 Sjogren U, "The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing" 24 : 119-125, 1991

      9 Bystrom A, "The antibacterial effect of camphorated paramonochlorophenol, camphor-ated phenol and calcium hydroxide in the treatment of infected root canals" 1 : 170-175, 1985

      10 Schoeffel GJ, "The EndoVac method of endodontic irrigation, part 2 - efficacy" 27 : 82-, 2008

      1 박찬제, "수산화칼슘 제제의 제거 방법이 치근단 누출에 미치는 영향에 대한 전기화학적 연구" 대한치과보존학회 31 (31): 186-191, 2006

      2 이경선, "분자체 모델을 이용한 수종의 수산화칼슘 제재의 이온 용출에 관한 연구" 대한치과보존학회 27 (27): 632-643, 2002

      3 남욱, "근관형성 후 동통에 대한 수산화칼슘의 효과에 관한 연구" 대한치과보존학회 31 (31): 86-95, 2006

      4 Sluis LWM, "The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies" 40 : 52-57, 2007

      5 Abou-Rass M, "The effectiveness of four clinical irrigation methods on the removal of root canal debris" 54 : 323-328, 1982

      6 Ciucchi B, "The effectiveness of different endodontic irrigation procedures on the removal of the smear layer: a scanning electron microscopic study" 22 : 21-28, 1989

      7 Wu MK, "The capability of two hand instrumentation techniques to remove the inner layer of dentine in oval canals" 36 : 218-224, 2003

      8 Sjogren U, "The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing" 24 : 119-125, 1991

      9 Bystrom A, "The antibacterial effect of camphorated paramonochlorophenol, camphor-ated phenol and calcium hydroxide in the treatment of infected root canals" 1 : 170-175, 1985

      10 Schoeffel GJ, "The EndoVac method of endodontic irrigation, part 2 - efficacy" 27 : 82-, 2008

      11 Lambrianidis T, "Removal efficiency of calcium hydroxide dressing from the root canal" 25 : 85-88, 1999

      12 Lambrianidis T, "Removal efficacy of various calcium hydroxide/ chlorhexidine medicaments from the root canal" 39 : 55-61, 2006

      13 Andreasen JO, "Relationship between surface and inflammatory resorption and changes in the pulp after replantation of permanent incisors in monkeys" 7 : 294-301, 1981

      14 Cvek M, "Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study" 8 : 45-55, 1992

      15 Mitchell DF, "Osteogenic potential of calcium hydroxide and other materials in soft tissue and bone wounds" 37 : 1157-1163, 1958

      16 Chow TW, "Mechanical effectiveness of root canal irrigation" 9 : 475-479, 1983

      17 Reeh ES, "Long-term paresthesia following inadvertent forcing of sodium hypochlorite through perforation in maxillary incisor" 5 : 200-203, 1989

      18 Usman N, "Influence of instrument size on root canal debridement" 30 : 110-112, 2004

      19 Kim SK, "Influence of calcium hydroxide intracanal medication on apical seal" 35 : 623-628, 2002

      20 Ricucci D, "Incomplete calcium hydroxide removal from the root canal: a case report" 30 : 418-421, 1997

      21 Ruddle CJ, "Hydrodynamic disinfection: tsunami endodontics" 26 : 110-, 2007

      22 Siqueira JF Jr, "Histological evaluation of the effectiveness of five instrumentation techniques for cleaning the apical third of root canals" 23 : 499-502, 1997

      23 Mehra P, "Formation of a facial hematoma during endodontic therapy" 131 : 67-71, 2000

      24 Guerisoli DMZ, "Evaluation of smear layer removal by EDTAC and sodium hypochlorite with ultrasonic agitation" 35 : 418-421, 2002

      25 Grandini S, "Evaluation of glyde file prep in combination with sodium hypochlorite as a root canal irrigant" 28 : 300-303, 2002

      26 Albrecht LJ, "Evaluation of apical debris removal using various sizes and tapers of ProFile GT files" 30 : 425-428, 2004

      27 Walters MJ, "Efficacy of irrigation with rotary instrumentation" 28 : 837-839, 2002

      28 Moodnik RM, "Efficacy of biomechanical instrumentation: a scanning electron microscopic study" 2 : 261-266, 1976

      29 Khademi A, "Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems" 32 : 417-420, 2006

      30 Calt S, "Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide" 25 : 431-433, 1999

      31 Hu¨lsmann M, "Complications during root canal irrigation - literature review and case reports" 33 : 186-193, 2000

      32 Javelet J, "Comparison of two pH levels for the induction of apical barriers in immature teeth of monkeys" 11 : 375-378, 1985

      33 Nielsen BA, "Comparison of the EndoVac system to needle irrigation of root canals" 33 : 611-615, 2007

      34 Estrela C, "Antimicrobial evaluation of calcium hydroxide in infected dentinal tubules" 25 : 416-418, 1999

      35 Salzgeber RM, "An in vivo evaluation of the penetration of an irrigating solution in root canals" 3 : 394-398, 1977

      36 Fukumoto Y, "An ex vivo evaluation of a new root canal irrigation technique with intracanal aspiration" 39 : 93-99, 2006

      37 Baumgartner JC, "A scanning electron microscopic evaluation of four root canal irrigation regimens" 13 : 147-152, 1987

      38 Torabinejad M, "A new solution for the removal of the smear layer" 29 : 170-175, 2003

      39 O'Connell MS, "A comparative study of smear layer removal using different salts of EDTA" 26 : 739-743, 2000

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      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2017-12-01 평가 등재후보로 하락 (계속평가) KCI등재후보
      2013-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
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