치근면 활택술 후 적용된 상아질 지각과민 억제제의 상아세관 폐쇄효과에 대한 주사전자 현미경적 연구

A SEM study of dentinal tubule sealing effect of desensitizing agent applicated after root planning

  • 김남균 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실)
  • Kim, Nam-Kyun (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Lim, Sung-Bin (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Chung, Chin-Hyung (Department of Periodontology, College of Dentistry, Dan-Kook University)
  • 발행 : 2002.09.30

초록

The purpose of this study was to observe the degree of surface obliteration of dentinal tubule using Gluma(R) desensitizer and MS coat(R) with 15 specimens made out of 15 extracted lower incisors. They were divided into Root planning group(control), Gluma(R) desensitizer group(test I ) and MS coat(R) group(test II). Degree of Obliteration was examined under the scanning electron microscope(${\times}$2000). The following results were obtained: 1. In the root planning group(control), the complete open of dentinal tubule surface was accounted for 73.8%, the partial obliteration for 17.2% and the complete obliteration for 9.0%. 2. In the Gluma(R) desensitizer group (test I), the complete open of dentinal tubule surface was accounted for 23.6%, the partial obliteration for 42.8% and the complete obliteration for 33.6%. 3. In the MS coat(R) group (test II), the complete open of dentinal tubule surface was accounted for 19.2%, the partial obliteration for 45.6% and the complete obliteration for 35.2%. 4. The average number of open dentinal tubules in the control was significantly higher than in the test I and II (P<0.05), but there were no statistically significant differences between the test I and II. 5. The average number of the partially obliterated and the completely blocked dentinal tubules in the control was significantly lower than the test I and II(P<0.05), but there were no statistically significant differences between the test I and II. The results of this study suggest that Gluma(R) desensitizer and MS coat(R) is significantly effective on dentinal tubule obliteration, therefore they were effective on hypersensitivity caused by periodontal treatment

키워드

참고문헌

  1. 김종배, 최유진, 박대일, 신승철, 김동기, 홍석진 : 임상예방치학. 이우문화사, 1993
  2. Gysi, A. : An attempt to explain the sensitivities of dentin. British Journal of Dental Science 1990; 43: 865
  3. Branstrom, M : A hydrodynamic mechanism in the transmission of pain producing stimuli through the dentin: Sensory mechanism in dentin. Pergamon Press, London 1962; 73-80
  4. Addy M, Absi EG, Adams D : Dentin hypersensitivity; A study of the patency of dentinal tubules in sensitive and nonsensitive cervical dentin. J Clin PeriodontoI 1987; 14: 280-286 https://doi.org/10.1111/j.1600-051X.1987.tb01533.x
  5. Addy M, Absi EG, Adam D : Dentin hypersensitivity ; The development and evaluation of a replica technique to study sensitive and nonsensitive cervical dentin. J Clin Periodontol 1989 ;16: 190-196 https://doi.org/10.1111/j.1600-051X.1989.tb01639.x
  6. Addy M, Absi EG, Adams D : Dentin hypersensitivity ; The effect of tooth brushing and dietary compound., on dentin in vitro; An SEM study, J Oral Rehabilitation 1992; 19: 1010-1100
  7. Griffith H, Morgan G, Willians K, Addy M : Dentin hypersensitivity ; The management in vitro of streaming potentials with fluid flow across dentin and hydroxyapatite. J Periodont Research 1993; 28: 60-64 https://doi.org/10.1111/j.1600-0765.1993.tb01051.x
  8. Orban, I. A. : Human coronal dentine: Structure and reactions. Oral Surg 1972; 33: 810-823 https://doi.org/10.1016/0030-4220(72)90451-3
  9. Graf, H. and Galasse, R. : Morbidity, prevalence and intraoral distributionof hypersensitive teeth. J Dent Res(Sp. issue A) 1977; 56: 162-168
  10. 신혜련, 이만섭, 권영혁 : 치주 수술 후 노출된 치근에서 발생하는지 각 과민증의 발생 양태에 관한 연구. 대한치주과학회지 1988; 174-185
  11. Ellen Haugen: Tooth hypersensitivity after periodontal treatment. J Clin Periodontal 1988; 15: 399-401 https://doi.org/10.1111/j.1600-051X.1988.tb01018.x
  12. Yoshiyama M, Masada J, Uchida A, Ihida H : Scanning electron microscopic characterization of sensitives vs, insensitive human radicular dentin. J Dent Res 1989; 68: 498-502
  13. Lukomsky, E. H. : Fluoride therapy for exposed dentin and alveolar atrophy. J Dent Rs 1941: 20: 649-655 https://doi.org/10.1177/00220345410200061301
  14. Kern, D. A., MCQuade, M. J., Scheidt, M. J., Hanson, B., and Van Dyke, T. E. : Effectiveness of sodium fluoride on tooth hypersensitivity with and without iontophoresis. J Periodontol 1989; 60: 386-389 https://doi.org/10.1902/jop.1989.60.7.386
  15. McFall, W. T. Jr., and Morgan, W. C. : Effectiveness of a dentifrice containing formalin and sodium monofluorophosphate on dental hypersensitivity. J Periodontol 1985; 56: 288-292 https://doi.org/10.1902/jop.1985.56.5.288
  16. Flaitz, C. M., Kicks, M. J., Westerman, G. H., Berg, J. H., Blankenau, R. J., and Powell, G. L. : Argon laser irradiation and acidulate phosphate fluoride treatment in caries-like lesion formation in enamel: an invitro study. Pediat Dent 1995;17: 31-35
  17. Tagomori, S. and Morioka, T. : Combined effects of laser and fluoride on acid resistance of human dental enamel. Caries Res 1989; 23: 225-231 https://doi.org/10.1159/000261182
  18. Weyrich, T., Donly, K. J., Wefel, J. S., and Dederich, D. : An evaluation of the combined effects of laser and fluoride on tooth root surfaces J Dent Res 1994; 73: 140-146
  19. Griffiths, H., Morgan, G., Williams, K., and Addy, M. : Dentine hypersensitivity : the measurement in vitro of streaming potential with fluid flow acress dentine and hydroxyapatite J Clin PeriodontoI 1993; 28: 60-64
  20. Muzzin, K. B. : Effects of potassium oxalate in dentin hypersensitivity in vivo J Periodontol 1989; 60: 151-158 https://doi.org/10.1902/jop.1989.60.3.151
  21. Pearce, N. X. Addy, M., and Newcombe, R. G. : Dentine hypersensitivity : A clinical trial to compare 2 strontium desensitizing toothpastes with a conventional fluoride toothpaste J Periodontol 1994; 65: 113-119 https://doi.org/10.1902/jop.1994.65.2.113
  22. Jain P, Vargas MA, Denehy GE, and Boyer DB : Dentin desensitizing agents; SEM and X-ray microanalysis assessment. American Jourmal of Dentistry 1997; 10: 21
  23. Branstrom M, Nordenvall KJ : Bacterial penetration, pulpal reaction and the surface of concise enamel bond. Composite fillings in etched and unetched cavities. J Dent Res 1978; 57: 3-10 https://doi.org/10.1177/00220345780570011301
  24. Carranza FA : Glickman' clinical periodontology 7th Ed. W. B. Saunders Co. Philadelphia 1990: 50-53
  25. Kato S, Nakagaki H, Kunisaki H : The thickness of the sound and periodontally diseased human cementum. Archs Oral Biol 1992; 37(8): 675-676 https://doi.org/10.1016/0003-9969(92)90132-R
  26. Ten Cate AR : (황성명 역) 구강조직학 1995: 134
  27. Adrians PA, DeBoever JA, Loesche WJ : Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth on human. A reservoir of periodontopathic bacteria. J Periodontol 1988; 59: 222 https://doi.org/10.1902/jop.1988.59.4.222
  28. 이성규, 한수부 : 치석 제거술과 치근 활택술 후의 상아질 지각과민의 변화에 관한 연구. 대한 치주과학회지 1989; 19(1) :25-36
  29. Lowenguth RA, Blieden TM : Periodontal regeneration root surface demineralization. Periodontology 2000. 1993; 1: 54-68 https://doi.org/10.1111/j.1600-0757.1993.tb00207.x
  30. Cox CF, Chaves E, Morrison E, Caffesse R : The effect of citric acid application on periodontally involved root surface ; lnt J Periodon, Rest. Dentistry 1993; 13(2): 189-196
  31. Selvig, K. A. : Biologic changes at the ToothSaliva Interrace in periodontal disease. J Dent Res 1969; 48: 846-855 https://doi.org/10.1177/00220345690480053901
  32. Mjor I : Human coronal dentin ; Structure and reactions. Oral Surg Oral Med Oral Pathol 1972; 33: 810-823 https://doi.org/10.1016/0030-4220(72)90451-3
  33. Pashley DH, Livingston MJ, Greenhill JD : Regional resistances to fluid flow in human dentin, In vitro. Arch Oral Biol 1978; 23: 807-810 https://doi.org/10.1016/0003-9969(78)90159-0
  34. Pashley DH, Galloway SE : The effect of oxalate treatment on the smear layer of ground surface of human dentin. Arch Oral Biol 1985; 30: 731-737 https://doi.org/10.1016/0003-9969(85)90185-2
  35. Pashley DH, Livingston MJ, Reeder OW, Homer JA : Effect of the degree of tubule occusion on the permeability of human dentin in vitro. Arch Oral Biol 1978; 28: 1127-1133
  36. Greehill JD, Pasheley DH : The effects of desensitizing agents on the hydraulic conductance of human dentin hypersensitivity. J Periodontol 1980; 51: 535-540 https://doi.org/10.1902/jop.1980.51.9.535
  37. Felton DA, Bergenholtz G, Kanoy BE : Evaluation of the desensitizing effects of Gluma dentin bond on teeth prepared for completecoverage restorations. Int Prosthet J 1991; 68: 491-495
  38. Watamabe T, Sano M, Itoh K, Wakumoto S : The dffects of primers on the sensitivity of dentin. Dent Mater 1991; 7: 148-150 https://doi.org/10.1016/0109-5641(91)90033-U
  39. Bergenholtz G, Jontell M, Tuttle A, Knutsson G : Inhibition of serum albumin flux across exposed dentin following conditioning with GLUMA primer, glutaraldehyde or potassium oxalate. J Dent 1993; 21: 220-227 https://doi.org/10.1016/0300-5712(93)90133-B
  40. Dall Orologio GD, Malgerrari S : Desensitizing effects of Gluma and Gluma 2000 on hypersensitive dentin. Am J Dent 1993; 6: 283-286
  41. Dukman G, Jongebloed WL, Devries J, Ogaard B, Arends J : Closing of dentinal tubules by glutaraldehyde treatment, a scanning electron microscopy study. Scand J Dent Res 1994; 102: 144-150
  42. Cochran MA, Cook BA: A clinical comparison of the effectiveness and longevity of Gluma Primer and two oxalate system in reducing root surface hypersensitivity. Quintessence Int 1996: in press