3 9 2004.APR 3 9 MAY 3 9 2004.04/01 05/31 1364 3712 100 8 4 5

8

9

Of the dentist By the dentist For the dentist 12 16 18 22 26 Apexit 30 34 40

42 44 46 52 39 Apex locator Endometer 54 56 9337 58...1...23...45...68...9...17...25...29...32...33...51...53...55...61...62... www.dentistry.com.tw 402 789341 042265-2035 042265-2263 02505655 042261-0892 126 042261-7572 E-mail p68@p68.com.tw 2500 845 1997.8.1 2004.4.1 1364 3712 100

APRIL 2004 / Q : A : Q : A : 12

Q : A : Q : A : 13

APRIL 2004 Q : A : Q : A : 14

15 Q : A : 30 50014

10:00() 78934 200446 402 Biological Approach in Periodontics and Implant Surgery 416 507 Predictable Root Coverage 521-604 PART 618 PART - Tufts 6201:505:20 78934 6 20 16

Apexit The biocompatible endodontic sealer Apexit(calciumhydroxide)(salicylate) sealer Apexit(setting) Apexit Apexit ApexitGutta-percha point Delivery forms Refill 2 syringes Apexit base, each 3 g 2 syringes Apexit activator, each 3 g 1 mixing pad Apexit 37 0.5 0.7% (ISO 3%) eugenol-free formaldehyde-free high radiopacity

APRIL 2004 2040 (AH-26,1953; N-2, 1959; Tubliseal, 1961; Endomethasone, 1967) Endomethasone (Septodont) N-2 (Sargenti) (Cytotoxicity) Paraformaldehyde Sealapex (Kerr) (with salicylate) CRCS (Hygenic) (without salicylate) 1.(Zinc oxide/eugenol) 2.(Calcium hydroxide) 3.(Synthetic resins) X(X-ray contrast agent)paraformaldehyde corticosteroids (Particle size of zinc oxide)(the ph value) Tubliseal (Kerr) Apexit (Vivadent) (with salicylate) (Biocompatibility) (Low radiopacity) AH-26 (Dentsply) (Epoxy bisphenol / Hexamethylenetetramne) Diaket (ESPE) (L3-Diaketone/Zine oxide) AH-Plus (Dentsply) (Modifcation from AH-26) (Topseal) 18

Apexit Apexit ApexitVivadentApexit Base: Weight% Calcium hydroxide 31.9 Hydrophobic colophony 31.5 High dispersed silica, silanized 10.4 Paraffin oil 7.3 Calcium oxide 5.6 Zinc oxide 5.4 Calcium phosphate 4.1 Polydimethylsiloxane 2.5 Partial ester of phosphoric acid 1.0 Color 0.3 Catalyst: Weight% Trimethylhexane dioldisalicylate 25.0 Bismuth carbonate 18.2 Bismuth oxide 18.2 High dispersed silica, silanized 16.4 Butandioldisalicylate 11.3 Hydrogenized colophony 5.4 Calcium phosphate 5.0 Partial ester of phosphoric acid 0.5 Apexit 1. 2. Apexit Apexit Apexit 3. 18µmISO 6876 50µm 4. G-P pointssilver cones 5. Apexit(Eugenol) chambercomposite resins polymerization 6. Apexit 7. 19

APRIL 2004 8. 3724 0.5~0.7%ISO 68763% 9. 37 1.6% 10. 10-72Mpa(Compressive strength)apexit37 11. Pascon Langeland1989 12. (Thermafil Soft-core) (Satelec S04 S07)Apexit (Total paste filling) (Retrograde filling) 13. Apexit 10 postapicoectomy 24 14. Apexit (corticosteroids, antibiotics formaldehydes) (Mask effect) Apxit BaseCatalyst 1020Lentulo spirals Apexit Apexit coating 1. Apexit G-P points (W.L.) 2. Apexit 1mm Apexit paste filling 3. Apexit18µm Apexit 4. 20

Apexit 5. 90009C3.3.1 7. 6. Apxeit Apexit Apexit ApexitRCF X 6 2 6 1 4 21

APRIL 2004 1/3 microcirculation 1960Moss Seltzer primary endo-lesion combined secondary periolesion Cahn1927 Rubach1965 Rubach23Whyman primar endocombined secondary perio-lesions 22

893 46(MB) 10 x 12 x 2.5 mm 3 diffuse border X 46 46 primary periodontal and secondary endodontic lesion 4689 5 6 897 47-4848 5-6 mm muco-gingival defect intra-sulcular incision 46crestal incisionvertical releasing incision47 intra-sulcular incision full thickness flapsopen debridement46 apicoectomygutta percha composite bone graft Bio-Oss OsteohealthDFDBA Pacific Bank Bio-GideOsteohealth primary closure 83 18 18X 46 X re-entry 23

24 APRIL 2004

46 oneall intentional perforation apical seal MTAsuper-EBA BMPDFDBA natural bone mineralbio-oss X DFDBA Bio-Oss 46 Wennstrom1983 re-entry X 47, 48 compliance 4-6 X X standardization biologic factors 18 X trabecular pattern 2 mm 46 46 0930-592265 0931-381511 25

APRIL 2004 1. 2. 26

27 3. 4. 5. 6. 96002CNitrous Oxide-oxygen sedation)96003c (Heavy Sedation)96004C

APRIL 2004 (IV or IM Anesthesia)96014C, 96015C, 96016C (Open infusia Geneval Anesthesia) 96002C20096003C140 96004C1500 Halothane IM Anesthesia Benzo-diazepie)diazepam (IV Anesthesia) IV route) IV on oniv Pulse OximeterVital Signs Moniter IMIV Anesthesia 28

29

APRIL 2004 X 30

31 surgical exposure / topic

APRIL 2004 Lee's Reciprocal Inset Bridge attachment system : : undercut.a.b 1997 Lee's Reciprocal Inset Bridge attachment system 700 case a undercut case 21 1 6 12 b undercut 34

(posterior teeth):.a.b cusp 0.5mm~1.5mm() undercut.a.b a a.. b (anterior teeth) (premolar.molar): : b Preparation a.b *posterior teeth 1/20.5mm~1.5mm 2mmBOX STEP 0.5mm *anterior teeth-->0.5mmbox 35

APRIL 2004 step( ) * >2/3 1. a 2. 3. undercut undercut a b 36

a.b.c cements b a c 5.a.b.c.d.e Preparation 5-10 60-90 Pathway Impression Temporary temporary crown Retention cementation Shape 0.5mm 37

APRIL 2004 a e 1. 2. abutment tooth b 3. 4. marginfit 5. c 6. abutment tooth 7. d 38

a.b.c.d 1. 2. 4mm 3. 4. 4mm a b FREE END DENTURE c FULL CROWN d secondary caries : biological width margin supragingival margin 39

APRIL 2004 40

41

APRIL 2004 11 140 42

12 25 43

APRIL 2004 / apex locator apex locator X apex locatortactile sensationapical constriction tactile sensationapical constriction tactile sensation95% Internapex locatorendometer endometer note book1.5~2 Sono-Explorer Mark 83Root Zx apex locator Root Zx Root Zx X file X apical constriction apex locatorroot Zx perforationroot canal orificefile tippdl root canal root canalstripping root fractureendometer stripping root horizontal fracture vertical root fracturefracture (gap)crack open chamberpulp chamber open chambercanal orifice orifice endometercanal orifice or perforation re-check overinstrumentation 44

instrumentation symptomover instrumentationfile check endometerresidual pulp overinstrumentation fileapical constriction endo Root Zx electronic apex locator apical foramen Sono-explorer Root Zx Vital pulpunder bleeding pulp tissue H 2 O 2 NaOclcanal air suction apical foramenapicel foramen file apice foramen fileapical foramen open apexfile apextype canal open apexcase apical area apical constriction trauma Endometer 1. apical foramen apical foramen 2. paper endo fileroot canal apical constrictionfiling endometer endometer apical constrictionover apical constrictionapical foramen Root Zx apical constriction over Root Zx overx-ray over endometera 45

46 APRIL 2004

47

48 APRIL 2004

49

50 APRIL 2004

51 04-27073111 or peri 740

52

OK

APRIL 2004 / 54

55 04-222944112245 2246 O.S.PERIO.ORTHO.IMPLANT

APRIL 2004 56

9337 57

APRIL 2004 / (450) 500 70 A80 ( ) GNP () Dragon 10 5 Tivoli City Hall 10 Admiral Hotel Strøget Absalon Two bed room 2000 58

- (Copenhagen) 140 You are never far from the waterside in Copenhagen (Sealand)(Chistiania) 23 (Strøget) shopping mall 2kmStrøget The casual pace of the crowds strolling in these walking streets suggests a Nyhav () carefree and relaxed way of life (The little mermaid) 1 9 0 9 Carlsberg Carl Jacobsen Little mermaid( ) Strøget 59

APRIL 2004 1984 Radhuspladsen (City Hall Square) Radhuset (City Hall) (1903) Frederic V Jen Olsen's world clock 12 Tivoli Tivoli 150 20 Tivoli 20 (buffet) 12(10) Tivoli Amalienborg (Amalia's Castle) Frederic V Amalienhaven () Tivoli Børsen 60

TEL:04-23806628 FAX:04-23813822

5002000 78934F1 98-04-43-04 0 2 5 0 5 6 5 5 (04)2265-2035 0 2 5 0 5 6 5 5

600 02505655 04/2265-2035 18,000 14,000 10,000 6,000 3,000 1,000 500 1/ 2/