• 제목/요약/키워드: Reamer

검색결과 34건 처리시간 0.018초

수동(手動)리머와 전동(電動)리머의 근관형성효과(根管形成效果) (EFFICACY OF HAND REAMER AND ENGINE REAMER TO PREPARE ROOT CANAL)

  • 김성교
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.55-62
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    • 1984
  • This experimental study was made to evaluate the efficacy of root canal preparation of engine reamer versus hand reamer. Eighty extracted human teeth were prepared with the following treatments and devided into 4 groups; Group 1: Canal preparation with hand reamer, and irrigation with normal saline solution. Group 2: Canal preparation with engine reamer, and irrigation with normal saline solution. Group 3: Canal preparation with hand reamer, and irrigation with 3% hydrogen peroxide and 3.5% sodium hypochlorite solution. Group 4: Canal preparation with engine reamer, and irrigation with 3% hydrogen peroxide and irrigation with 3% hydrogen peroxide and 3.5% sodium hypochlorite solution. After decalcification, 5p. sections at levels 1-, 3-, and 5-mm from the apex were evaluated microscopically. The results were as follows; The effectiveness of hand reamer and engine reamer were equal in preparing the root canal at all levels from the apex, and were equal in normal saline solution groups, and 3% $H_2O_2$ and 3.5% NaOCl solution groups. Both in hand reaming groups and in engine reaming groups, some canal walls had still untouched portion, and canal irregularities and debris were still remained.

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자동차 실린더헤드 가이드 핀의 정밀도 향상을 위한 6날 리머에 관한 연구 (A Study on 6 Edges Reamer for the Improvement of Accuracy of Automotive Cylinder Head Guide Pin)

  • 김해지;김남경
    • 한국공작기계학회논문집
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    • 제13권6호
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    • pp.81-86
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    • 2004
  • Generally, automotive cylinder head is manufactured by FCD45 material that is hard to cutting materials, and it needs the accurate machining tool fir higher output of engine. This paper is concerned with a study on TiN coated 6 edges reamer for improving machining accuracy of cylinder head guide pin. The reamer shape is changed from 4 edges to 6 edges for the improvement of machining accuracy. Also, TiN coating is applied to the improvement of surface roughness of cylinder head guide pin and tool life of 6 edges reamer. It is noted that 6 edges reamer are effective in controlling the dimensional accuracy and surface roughness as well as increasing tool life.

상악동저 거상술 시 Osteotome 술식과 Hatch Reamer 술식의 비교평가 (THE COMPARATIVE EVALUATION USING HATCH REAMER TECHNIQUE AND OSTEOTOME TECHNIQUE IN SINUS FLOOR ELEVATION)

  • 조성웅;김상중;이동근;김진수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권2호
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    • pp.154-161
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    • 2010
  • Many edentulous posterior maxilla are found to be compromised by alveolar resorption and increased pneumatization of the sinus. One of the surgical procedures to overcome this anatomical limitation is sinus floor elevation with bone graft, which is reported as more appropriate and more successful procedure. Commonly, if the residual bone height is over 5mm, sinus floor elevation is operated through transcrestal approach using osteotome technique. But, it is possible for patients to feel discomfort during operation and dizziness after operation while malleting, sinus floor elevation, using osteotome technique. Some instruments and methods has been used to overcome these problems and use more easily. The aim of this study is to compare between the surgical procedure of sinus floor elevation using Hatch reamer technique and that of sinus floor elevation using osteotome technique. From 2004 Feb to 2007 Oct, we investigate patients (osteotome group: 72, Hatch reamer group: 70) who were given implant surgery with sinus floor elevation (osteotome group: 92, Hatch reamer group: 98). We analysed gender, age, residual bone height, amount of sinus floor elevation, used graft material, total success rate, failure rate by residual bone height and implant type and discomfort during operation, etc. The results obtained were as follows. 1. In the amount of sinus elevation was osteotome group was $3.85{\pm}1.02\;mm$ and Hatch reamer group was $3.93{\pm}1.38\;mm$. There was no statistically significant difference between the two groups (P > 0.05). 2. At the total success rate, osteotome group was 92.4% and Hatch reamer group was 94.9%. There was no statistically significant difference between the two groups (P > 0.05). 3. On the discomfort during the operation by using numerical rating scale, osteotome group was $2.87{\pm}0.83$ and Hatch reamer group was $1.12{\pm}0.64$. There was statistically significant difference between the two groups (P < 0.05). The Hatch reamer group clinical results was similar to osteotome group and we thought that Hatch reamer technique can overcome the faults of osteotome technique.

S-reamer와 겔 형태의 이식재를 이용한 치조정 접근법을 통한 상악동 거상술 임플란트의 성공률과 생존율: 5년 이상 추적 관찰을 통한 후향적 연구 (Success and survival rate of the implant with crestal sinus lift using S-reamer and gel-type graft material: A retrospective study by more 5-years follow check up)

  • 김종진;조성암
    • 대한치과보철학회지
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    • 제58권1호
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    • pp.23-29
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    • 2020
  • 목적: 이번 후향적 연구의 목적은 수압을 이용하는 방식을 변형한 방식인 S-reamer 와 겔 형태의 이식재를 이용한 상악동 거상술을 시행한 임플란트의 5년 이상 추적 관찰을 함으로써 성공률과 생존률을 조사하여 이 술식에 대한 평가를 하는데 있다. 재료 및 방법: 2008년에서 2014년까지 환자들을 추적 관찰하였다. 관찰된 환자는 59명이었고 식립 임플란트는 117개였다. 남성 34명, 여성 25명이고 연령대는 다양하였다. 잔존 수직 골의 골 량은 1 - 6 mm로 다양하였다. 상악동 거상술은 막의 천공없이 상악동을 천공하는데 S-reamer를 사용하였고 막을 거상하는데 겔 형태의 이식재를 사용하여 상악동 거상술을 시행하였다. 모든 임플란트는 거상과 동시에 식립하였고 5 - 6개월 치유 기간 후 보철물을 장착하였다. 방사선 검사는 추적 검사 할 때와 식립 후 바로 찍은 방사선 검사를 비교하였다 그리고 탐침을 통하여 화농여부, 염증여부, 출혈여부 등등 임상 검사를 통하여 검진 평가 하였다. Buser의 성공 기준을 참고하였고 모든 임플란트를 성공 임플란트, 생존 임플란트, 실패 임플란트로 분류하였다. 결과: 실패하여 제거한 임플란트는 5개였고 골 소실을 동반한 급성 염증 치료를 했거나 염증을 보인 임플란트가 4개였다. 생존율은 95.7%이고 성공률은 92.3%였다. 결론: S-reamer와 겔 형태의 이식재를 이용한 상악동 거상술이 1 - 6 mm 잔존 골이 있는 상황에서 막 천공이 없이 상악동을 거상할 수 있는 성공적인 술식임을 알 수 있었다.

자가 슬개건을 이용한 전방십자인대 재건술 시 경골터널 생성중 핵심 확공기의 파열 - 증례보고 - (Breakage of Core Reamer During Anterior Cruciate Ligament Reconstruction -A Case Report-)

  • 노정호;양보규;박정태;제민수
    • 대한관절경학회지
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    • 제14권1호
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    • pp.33-35
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    • 2010
  • This is a case of the core reamer breakage during anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft. A 19-year-old man with acute anterior cruciate ligament rupture had reconstruction surgery. During tunneling in the proximal tibia, the core reamer have been cracked open and broken. Rest of the procedure was performed routinely except the tibial sided fixation of bone block which was performed with larger interference screw than usual. The patient followed the accelerated rehabilitation program. The result was satisfactory at 2 years after surgery.

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대퇴과간절흔 성형술에서 유연성 연마기를 이용한 방법 (Notchyplasty with Flexible Reamer)

  • 채인정;이광석;백종륜
    • 대한관절경학회지
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    • 제1권1호
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    • pp.123-127
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    • 1997
  • Arthroscopic anterior cruciate ligament reconstructions using bone-patella tendon-bone have been considered the best method by which others are compared. The notchyplasty is one of the important steps of this procedure and it is emphasized recently to prevent retear of the reconstructed ACL caused by impingement. However, until now, there is controversy about adequate amount of notchyplasty. Also, it is hard to examine the adequacy of notchyplasty even in the arthroscopic field, The purpose of this paper is to describe the surgical technique of notchyplasty, using the flexible reamer and preliminary result of its operation. In this study the results of ACL reconstruction with notchyplasty which is made by us were analized from January. 1994 to December, 1995. The results were as follows: 1. The notchyplasty with flexible reamer is the method that can be obtained adequate amount of removal, perfectly smooth notchyplasty. 2. The range of motion of the affected knee joint was normal ROM after post operation 6 month. 3. In the last follow up, 2 cases were positive in anterior drawer test 4 cases were positive in Lachmann's test and 1 knee was positive in Pivot shift test 4. Average Lysholm knee scoring scale was 70 points at preoperative and 92 points at the last follow up.

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트랜스미션 부품 전용 가공 Cermet Reamer의 성능 평가에 관한 연구 (A Study on the Performance of Cermet Reamer for Transmission Parts)

  • 조준현;하병철;이종찬
    • 한국기계가공학회지
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    • 제18권5호
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    • pp.17-22
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    • 2019
  • In this study, Cermet Reamers for planet carrier was manufactured and the machining characteristics were analyzed through processing experiment. Cermet reamer with ∅14, ∅15, ∅18, and ∅21mm was used and machining characteristics were compared and analyzed by observing tool wear, machining hole dimensions and surface roughness. In the flank wear of the tool, the result is less than 0.2mm, which is the target value for each tool size. The experimental results of the machining hole dimensions show the results of the process control range of 3/100 or less according to the size of the tool. Also, the surface roughness measurement result showed a value of less than $0.5{\mu}m$ in the process control range for each tool size. As a result of observing the experimental results of each ∅, the results satisfied the process standard in both the tool wear, the machining hole dimension and the surface roughness.

드래그 피니싱 공정 기반 폴리싱 연마제를 이용한 초경 드릴 및 서멧 리머 공구의 가공 평가 (Machining Evaluation of Carbide Drill and Cermet Reamer Using Polishing Media Based on Drag Finishing Process)

  • 하정호;사민우
    • 한국기계가공학회지
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    • 제21권2호
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    • pp.23-30
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    • 2022
  • After drilling, reaming is required to process a workpiece for obtaining an excellent surface quality. In general, a cermet is defined as a "composite of a ceramic hard phase and metal-bonded phase." Cermets have excellent abrasion resistance, thermal resistance, and performance in finishing operations that require surface roughness and processing precision. However, although cermets have significant advantages, research on them is insufficient. In this study, workpiece SM45C was machined using drills and cermet reamers. The cermet reamer was processed for drag finishing for 0, 4, and 6 min. The experimental results showed the effects of drag finishing on surface roughness and dimensional accuracy.

근관내(根管內) 기계조작(器械操作)이 감염확산(感染擴散)에 미치는 영향(影響) (THE INFLUENCE OF INSTRUMENTATION IN THE CANAL ON THE EXTENSION OF INFECTION)

  • 김영해
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.177-181
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    • 1984
  • This study was to confirm the influence of intracanal instrumentation whether the pulp infection could be extended to periapical tissue. Fifty three teeth (24 badly decayed and infected, 29 sound teeth) were employed for this experiment and grouped as follows; 1. The specimen taken from the tip of 12 infected pulp in which reamer was inserted to the canal up to apical 1/3 and cultured as long as 48 hours. After 24 hours culture 11 cases were positive and 1 ease was negative but the time of incubation elapsed as 48 hours a negative case turned to positive. 2. Broth immersed paper disc was placed for 1 minute on the tip of 12 infected teeth with a reamer inserted to the apical end and cultured as usual manner in the incubator. At 24 hour culture the growth was significant in 9 cases and after 48 hours total 12 cases were positive. 3. Reamer was inserted to apical 1/3 on 14 sterile pulp canals and specimens obtained from the root tip were cultured for 24 and 48 hours. The results on both group were negative. 4. Similar maner with No.3 except reamer tip was rest exactly at the apex revealed only 2 cases of positive at 48 hour culture. 5. The tip of 24 reamers which reached to apical 1/3 and apex of infected canal were cultured for 24 and 48 hours. At 24 hour culture the growth was evident. 6. The tip of 14 reamers which inserted to apical 1/3 of sterile canal showed negative at 24 hour culture. The 15 cases of the tip which reached to the apex of sterile canal were found negative except 3 positive cases at 48 hour culture.

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McSpadden Technique의 근관폐쇄효과에 대한 실험적 연구 (A STUDY ON THE SEALING ABILITY OF McSpadden TECHNIQUE)

  • 이상탁;이정식
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.127-134
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    • 1984
  • This study was conducted to evaluate the sealing ability of McSpadden technique compared with lateral condensation and Engine reamer technique, and according to the degree of canal enlargement and the use and nonuse of sealer. Seventy single-rooted teeth were divided into 14 groups and each tooth was enlarged and obturated according to the purpose of this study. Obturated teeth were infiltrated by Indian ink and decalcified and cleared. The apical sealing ability was evaluated by measuring the degree of ink penetration into the canal. The results were as follows: 1. All the teeth filled by lateral condensation using gutta-percha cone and sealer proved better in canal sealing ability than McSpadden technique and Engine reamer technique, showing less ink penetration. 2. In the McSpadden technique, there was less ink penetration detected in using the sealer than not. 3. In all of the experimental methods, the difference of the degree of ink penetration according the degree of canal enlargement could not be accepted. 4. There was no significant difference in ink penetration degree between Engine reamer technique using sealer and McSpadden technique without sealer.

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