치근면 활택 방법 및 수종의 치근면 처리 약제의 효과에 대한 비교 연구

A comparative study of the effect of root planing methods and various conditioning agents

  • 강승모 (단국대학교 치과대학 치주과학교실) ;
  • 홍기석 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실)
  • Kang, Seung-Mo (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Hong, Ki-Seok (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 : 2005.09.30

초록

The purpose of this study was to compare the effect of tetracycline HCL, Citric acid and PrefGel applied on the root surfaces that planed with periodontal curret with Roto bur. In this study, 20 extracted teeth with advanced periodontal disease were used. The teeth were root planing with periodontal curette and Roto bur. Following root planing, each agents was burnished on the prepared root surface for 3 minutes to find opened dentinal tubules. And then, each specimens were investigated using scanning electron microscope. Amount of remained cementum by loss of tooth substance index and the number of opened dentinal tubules were evaluated to each specimens The results were as follows. 1. Groups treated with periodontal curette were almost seemed no removed. Other groups treated with Roto bur showed partially opened dentinal tubule orifices. 2. Loss of tooth substance index were compared between groups. There was no statistically difference between periodontal curette groups. Between Roto bur groups was alike. But there were statistically differences between periodontal curette and Roto bur groups. 3. At comparing with various root conditioning agents, Tetracycline HCL group took statistically higher than Citric acid and PrefGel in opened dentinal tubules. On the other hand, there was no statistically difference between Citric acid group and PrefGel group. As a result of this study, groups treated with Roto bur showed more cementum removed than groups treated with periodontal curette. In a treatment for regeneration of periodontal tissue, it was regarded that Roto bur should be used and that Tetracycline HCL would be more effective as chemical root conditioning agent.

키워드

참고문헌

  1. Loe H, Theilade E. Jensen SB : Experimental gingivitis in man. J Periodontol 1965;36: 177 https://doi.org/10.1902/jop.1965.36.3.177
  2. Baumhammers A, Conway JC. Saltzberg D. Matta RK : Scanning electron microscopy of supragingival calculus. J Periodontol 1973;44:92
  3. Socransky SS : Microbiology of periodontal disease. Present status and future considerations. J Periodontol 1977; 48:497 https://doi.org/10.1902/jop.1977.48.9.497
  4. Van Palenstein Helderman WH : Microbial etiology of periodontal disease. J Clin Periodontol 1981:8:261 https://doi.org/10.1111/j.1600-051X.1981.tb02038.x
  5. Zappa U, Smith B, Simona C, Graf H, Case D, Kim W : Root Substance Removal by Scaling and Root Planing. J Periodontol 1991:62:750-754 https://doi.org/10.1902/jop.1991.62.12.750
  6. Polson AM, Lahenheim S, Hans PJ : Cell and fiber attachment to dimineralized dentin from periodontits-affected root surfaces. J Periodontol 1986;57:235-246 https://doi.org/10.1902/jop.1986.57.4.235
  7. Polson AM, Hans PJ : Cell and fiber attachment to demineralized dentin : A comparison between normal and periodontitis affected root surfaces. J Clin Periodontol 1987; 14: 357-365 https://doi.org/10.1111/j.1600-051X.1987.tb00984.x
  8. Fukazawa E, Nishimura K : Superficial Cemental Curettage : Its Efficacy in Promoting Improved Cellular Attachment on Human Root Surfaces Previously Damaged by Periodontitis. J Periodontol 1994;65: 168-176 https://doi.org/10.1902/jop.1994.65.2.168
  9. Tagge DL, O'Leary TJ, El-Kafrawy AH : The clinical and histological response of periodontal pockets to root planningand oral hygiene. J Periodontol 1975:46:527-533 https://doi.org/10.1902/jop.1975.46.9.527
  10. Hughes TP. Caffesse RG : Gingival changes following scaling. root planning and oral hygiene. A biometric evaluation. J Periodontol 1978:49:245 https://doi.org/10.1902/jop.1978.49.5.245
  11. Morrison EC. Ramfjord S.P. Hill RW : Short term effects of initial nonsurgical periodontal treatment(hygienic phase). J Clin Periodontol 1980:7:199 https://doi.org/10.1111/j.1600-051X.1980.tb01963.x
  12. Badersten A, Nilveus R. Egelberg J : Effects of non-surgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981:8:57
  13. Cercek JF. Kiger RD. Garrett S. Egelberg J : Relative effects of plaque control and instrumentation of the clinical parameters of human periodontal disease. J Clin Periodontol 1983: 10:46 https://doi.org/10.1111/j.1600-051X.1983.tb01266.x
  14. Waerhaug J : Healing of the dentoepithelial junction following subgingival plaque control. I. As observed in human biopsy material. J Clin Periodontol 1978: 49:1
  15. Aleo JJ. De Renzis FA, Faber PA, Vanboncoeur AP : The presence and biologic activity of cementum bound endotoxin.. J Periodontol 1974:45:672 https://doi.org/10.1902/jop.1974.45.9.672
  16. Aleo JJ. De Renzis FA, Faber PA : In vitro attachment of human gingival fibroblast to root surface. J Periodontol 1975:46:439
  17. O'Leary TJ. Kafrawy AH : Total cementum removal ; A realistic objective? J Periodontol. 1989:60: 188 https://doi.org/10.1902/jop.1989.60.4.188
  18. Lasho DJ. O'Leary TJ. Kafrawy AH : A scanning electron microscopic study of the effects of various agents on instrumented periodontally involved root surfaces. J Periodontol 1983:54:133 https://doi.org/10.1902/jop.1983.54.3.133
  19. Ruben MP, O'reary JJ : The attachment of in vivo root planning in removing bacterial endotoxin from the roots of periodontally involved teeth. J Periodontol 1978:49:331
  20. Lie T, Meyer K : Calculus removal and loss of tooth substance in response to different periodontal instruments. A scanning electron microscope study. J Clin Periodontol 1977:4:250 https://doi.org/10.1111/j.1600-051X.1977.tb01897.x
  21. Stahls S : Repair potential of the soft tissue root interface. J Periodontol 1977: 48:545 https://doi.org/10.1902/jop.1977.48.9.545
  22. Waerhaug J : Healing of the dentoenamel junction following subgingival plaque control II : As observed on extracted teeth. J Periodontol 1978:49: 119 https://doi.org/10.1902/jop.1978.49.3.119
  23. Jones W. O'Leary T : The effectiveness of in vivo root planing in removing bacterial endotoxin from the roots of periodontally involved teeth. J Periodontol 1978:49:337 https://doi.org/10.1902/jop.1978.49.7.337
  24. Stambaugh R, Dragoo M. Smith D et al. : The limits of subgingival scaling. Int J Periodont Rest Dent 1981: 1(5): 31
  25. Rabbani O. Ash MM, Caffesse R : The effectiveness of subgingival scaling and root planing in salculus removal. J Periodontol 1981:52: 119 https://doi.org/10.1902/jop.1981.52.3.119
  26. Caffesse RG, Sweeney PL, Smith BL : Scaling and root planing with or without periodontal flap surgery. J Clin Periodontol 1986; 13 : 205 https://doi.org/10.1111/j.1600-051X.1986.tb01461.x
  27. Knowles JW, Burgett FG, Nissle RR, Shick RA, Morrison EC. Rampfjord SP : Results of periodontal treatment related to pocket depth and attachment level. Eight years. J Periodontol 1979: 50: 225 https://doi.org/10.1902/jop.1979.50.5.225
  28. Isidor K : The effect of surgical and nonsurgical periodontal treatment on gingival health, pocket depth, and attachment level. Division abstracts, CED. J Dent Res 1982:61:581
  29. 치주과학 : 전국치주과학교수협의회. 군자출판사, 4th ed. 2004
  30. Anna MP, Gordon LP : Periodontal instrumentation 2nd ed. Appleton & Lamge. 1992
  31. Caton JG, Zander HA : The attachment between tooth and gingival tissues after periodic root planing. J Periodontol. 1979 :50:462 https://doi.org/10.1902/jop.1979.50.9.462
  32. Fernyhough W, Page RC : Attachment, growth and synthesis by human gingival fibroblast on demineralized or fibronectin treated normal and diseased roots. J Periodontol 1983:54: 133 https://doi.org/10.1902/jop.1983.54.3.133
  33. Niskimura K, Hayashi M, Matsuda K, Shigerama Y, Yamasaki A, Yamaoka A : The chemoattractive potency of periodontal ligament cementum and dentin for human gingival fibroblasts. J Periodontal Res 1989;24: 146 https://doi.org/10.1111/j.1600-0765.1989.tb00869.x
  34. Polson AM, Caton JG : Factors influencing periodontal repair and regeneration. J Periodontol 1982: 53: 617 https://doi.org/10.1902/jop.1982.53.10.617
  35. Genco RJ : Antibiotics in the treatment of human periodontal disease. J Periodontol 1981: 52: 545 https://doi.org/10.1902/jop.1981.52.9.545
  36. Pitarau S, Aubin JE, Gray A, Metzger Z, Melcher AH : Cell migration, attachment and orientation in vitro are enhanced by partial demineralization of dentin and cementum and inhibited by bacterial endotoxin. J Periodontal Res 1984: 19: 661 https://doi.org/10.1111/j.1600-0765.1984.tb01336.x
  37. Patrick A, De Boever JA, Walter J : Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans. J Periodontol 1988: 59:222 https://doi.org/10.1902/jop.1988.59.4.222
  38. O'Leary TJ, Kafrawy AH : Total cementum removal: A realistic objective? J Periodontol 1989:60: 188 https://doi.org/10.1902/jop.1989.60.4.188
  39. Lasho DJ, O'Leary TJ, Kafrawy AH : A scanning electron microscope study of the effects of various agents on instrumented periodontally involved root surfaces. J Periodontol 1983: 54: 210 https://doi.org/10.1902/jop.1983.54.4.210
  40. Register AA, Burdick FA : Accelerated reattachment with cementogenesis to dentin, demineralized in situ. I. Optimal range. J Periodontol 1975:46:646 https://doi.org/10.1902/jop.1975.46.11.646