법랑돌기 제거 후의 지각과민증 및 임상효과에 대한 연구
Study on dentin sensitivity and clinical effects following removal of cervical enamel projections
조찬명, 임규형, 정성념,
소속 상세정보
조찬명 ( Cho Chan-Myung ) - 원광대학교 치과대학 대전치과병원 치주과학교실
임규형 ( Lim Kyu-Hyung ) - 원광대학교 치과대학 대전치과병원 치주과학교실
정성념 ( Jeong Seong-Nyum ) - 원광대학교 치과대학 대전치과병원 치주과학교실
KMID : 0353320140380010017
Abstract
Purpose: The aim of this study was to evaluate dentin sensitivity and clinical effects following removal of cervical enamel projections from human teeth using three rotating instruments. Matherials and Methods: In this study, 15 of 20 total molar teeth with furcation lesions were classified using the instruments, and each group contained five sites. Each site was treated with periodontal flap surgery, and cervicial enamel projections were removed using a piezoelectric ultrasonic scaler, periodontal bur, and diamond bur. Five sites without cervical enamel projections set the control group. Patients` dentin sensitivity to compressed air was examined based on a visual analogue scale before and 1, 4, 8, 12 weeks after periodontal flap surgery. Probing depth, gingival recession, and attachment level were evaluated at 12 weeks after surgery. Results: In all groups, probing depth reduction and attachment gain were significantly detected at 12 weeks after surgery (p<0.05), and there was no significant difference in cervical enamel projection removal methods (p>0.05). Attachment gain was greater in the periodontal bur group compared to the group without cervical enamel projections (p<0.05). In all groups, there was no significant difference in patients` dentin sensitivity to compressed air at all until 12 weeks after surgery (p>0.05). There were no statistically significant differences among the four groups regarding patients` dentin sensitivity to the compressed air. Conclusion: Removal of cervical enamel projections did not increase patients` dentin sensitivity to compressed air.
키워드
Dentin sensitivity; Tooth abnormalities; Furcation defects
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