대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제49권1호
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  • Pages.57-64
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  • 2011
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
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수종 의치세정제의 세척 효과에 관한 주사전자현미경적 비교 연구

The efficacy of denture cleansing agents: A scanning electron microscopic study

  • 윤보혁 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 전영찬 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실)
  • Yun, Bo-Hyeok (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Hur, Jung-Bo (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeon, Young-Chan (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, School of Dentistry, Pusan National University)
  • 투고 : 2010.12.28
  • 심사 : 2011.01.14
  • 발행 : 2011.01.31
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초록

연구 목적: 증류수, 차아염소산나트륨 성분의 가정용 살균소독 표백제 그리고 국내에서 판매중인 세 가지 의치세정제의 세척 효과를 주사전자현미경적 관찰을 통해 상호 비교하였다. 연구 재료 및 방법: 부산대학교병원 치과보철과에서 총의치 또는 국소의치를 제작했거나 제작 중인 연구대상자 5명의 상, 하악 임시 의치 협면에 금속 원판 시편을 식립 하였다. 연구대상자로 하여금 48시간 동안 임시 의치를 장착하게 한 후 회수하여 다음과 같은 다섯 가지 (증류수, 차아염소산나트륨 희석용액, $Polident^{(R)}$, $Cleadent^{(R)}e$, $Bonyplus^{(R)}$) 중 하나의 세척 방법으로 실온에서 8시간 동안 세척하였다. 실험에는 직접 참가하지 않았으나 치과적 지식이 있는 10명의 panel을 구성하였고, panel은 한 부위에서 얻어졌으나 다섯 가지 서로 다른 방법으로 처리된 시편들의 세척도를 주사전자현미경 사진을 이용하여 평가하였으며, 깨끗한 순으로 1, 2, 3, 4, 5의 순위를 기록하게 하였다. 결과: 세척 효과는 차아염소산나트륨 희석용액, $Polident^{(R)}$, $Cleadent^{(R)}e$, $Bonyplus^{(R)}$, 증류수 순으로 우수하였으나 차아염소산나트륨 희석용액과 $Polident^{(R)}$, $Polident^{(R)}$와 $Cleadent^{(R)}e$ 그리고 $Bonyplus^{(R)}$와 증류수 사이에는 유의한 차이가 없었다 (P > .05). 차아염소산나트륨 희석용액으로 세척한 시편의 표면에서는 거의 모든 치태가 제거되었으나, 의치세정제의 경우에는 대부분 세척 후에도 잔류 치태를 관찰할 수 있었으며 축적된 치태가 두꺼울수록 남아있는 치태가 더 많았다. 차아염소산나트륨 희석용액 (0.08% 이상)은 비귀금속 시편의 표면 부식을 유발하였다. 결론: 적절한 화학적 세정제의 선택 사용은 신체장애가 있거나 고령인 의치 환자의 구강 위생 관리에 도움을 줄 수 있음을 알 수 있다. 그러나 알칼리성 과산화물 계열의 의치세정제의 경우 의치 세척 효과가 제한적이기 때문에 가능한 칫솔질과 병행하여 사용하는 것이 보다 바람직한 방법으로 생각된다.

Purpose: The purpose of this study was to compare the cleansing performance of a distilled water, a diluted solution of sodium hypochlorite as a household bleaching cleanser and three alkaline peroxide cleansers in vivo plaque deposits by using scanning electron microscope. Materials and methods: Five individuals were selected from department of the prosthodontics in Pusan National University Hospital, and each of them was inserted with specimens for plaque accumulation in their temporary dentures for 48 hours. The specimens were removed and cleaned by each cleansing agents for 8 hours. Scanning electron micrographs were made from the specimens at a magnification of ${\times}2,000$. A panel of ten persons with a dental or paradental background, but not directly involved in the study, was selected to analyze the photomicrographs to determine which denture cleanser was more effective in removing plaque. Results: Diluted solution of sodium hypochlorite was the most effective at removing plaque following $Polident^{(R)}$, $Cleadent^{(R)}e$, $Bonyplus^{(R)}$ and distilled water in order. But there was no significant difference of cleansing efficacy between diluted solution of sodium hypochlorite and $Polident^{(R)}$, $Polident^{(R)}$ and $Cleadent^{(R)}e$, $Cleadent^{(R)}e$ and $Bonyplus^{(R)}$, respectively (P > .05). Alkaline peroxide cleansers by themselves cannot adequately remove accumulated plaque deposits, especially if the deposits are heavy. Corrosion could be seen on the surface of non-precious alloy specimens immersed in diluted solution of sodium hypochlorite. Conclusion: It is recommended to use of alkaline peroxide type cleansers with brushing whenever possible, since denture cleanliness is often poor due to the relative inefficiency of these cleansers.

키워드

참고문헌

  1. Douglass CW, Gammon MD, Atwood DA. Need and effective demand for prosthodontic treatment. J Prosthet Dent 1988;59:94- 104. https://doi.org/10.1016/0022-3913(88)90117-5
  2. Gordon SR. Older adults: demographics and need for quality care. J Prosthet Dent 1989;61:737-41. https://doi.org/10.1016/S0022-3913(89)80053-8
  3. Shay K. Denture hygiene: a review and update. J Contemp Dent Pract 2000;1:28-41.
  4. Jagger DC, Harrison A. Denture cleansing-the best approach. Br Dent J 1995;178:413-7. https://doi.org/10.1038/sj.bdj.4808788
  5. Budtz-Jorgensen E, Bertram U. Denture stomatitis. I. The etiology in relation to trauma and infection. Acta Odontol Scand 1970;28:71- 92. https://doi.org/10.3109/00016357009033133
  6. Neill DJ. A study of materials and methods employed in cleaning dentures. Br Dent J 1968;124:107-15.
  7. Nikawa H, Hamada T, Yamamoto T. Denture plaque-past and recent concerns. J Dent 1998;26:299-304. https://doi.org/10.1016/S0300-5712(97)00026-2
  8. Budtz-Jorgensen E. The significance of Candida albicans in denture stomatitis. Scand J Dent Res 1974;82:151-90.
  9. Budtz-Jorgensen E. Materials and methods for cleaning dentures. J Prosthet Dent 1979;42:619-23. https://doi.org/10.1016/0022-3913(79)90190-2
  10. Augsburger RH, Elahi JM. Evaluation of seven proprietary denture cleansers. J Prosthet Dent 1982;47:356-9. https://doi.org/10.1016/S0022-3913(82)80079-6
  11. Keng SB, Lim M. Denture plaque distribution and the effectiveness of a perborate-containing denture cleanser. Quintessence Int 1996;27:341-5.
  12. Ghalichebaf M, Graser GN, Zander HA. The efficacy of denturecleansing agents. J Prosthet Dent 1982;48:515-20. https://doi.org/10.1016/0022-3913(82)90354-7
  13. Abelson DC. Denture plaque and denture cleansers. J Prosthet Dent 1981;45:376-9. https://doi.org/10.1016/0022-3913(81)90094-9
  14. Rudd RW, Senia ES, McCleskey FK, Adams ED Jr. Sterilization of complete dentures with sodium hypochlorite. J Prosthet Dent 1984;51:318-21. https://doi.org/10.1016/0022-3913(84)90212-9
  15. Robinson JG, McCabe JF, Storer R. Denture bases: the effects of various treatments on clarity, strength and structure. J Dent 1987;15:159-65. https://doi.org/10.1016/0300-5712(87)90143-6
  16. Backenstose WM, Wells JG. Side effects of immersion-type cleansers on the metal components of dentures. J Prosthet Dent 1977;37:615-21. https://doi.org/10.1016/0022-3913(77)90211-6
  17. Mueller HJ, Greener EH. Characterization of some denture cleansers. J Prosthet Dent 1980;43:491-6. https://doi.org/10.1016/0022-3913(80)90316-9
  18. Nikawa H, Hamada T, Yamashiro H, Kumagai H. A review of in vitro and in vivo methods to evaluate the efficacy of denture cleansers. Int J Prosthodont 1999;12:153-9.
  19. Connor JN, Schoenfeld CM, Taylor RL. Study of in vivo plaque formation. J Dent Res 1976;55:481-8. https://doi.org/10.1177/00220345760550033001
  20. Connor JN, Schoenfeld CM, Taylor RL. An evaluation of an enzyme denture cleanser. J Prosthet Dent 1977;37:147-57. https://doi.org/10.1016/0022-3913(77)90236-0
  21. Palenik CJ, Miller CH. In vitro testing of three denture-cleaning systems. J Prosthet Dent 1984;51:751-4. https://doi.org/10.1016/0022-3913(84)90369-X
  22. Palenik CJ, Miller CH. In vitro testing of three denture-cleaning systems. J Prosthet Dent 1984;51:751-4. https://doi.org/10.1016/0022-3913(84)90369-X
  23. Catalan A, Herrera R, Martinez A. Denture plaque and palatal mucosa in denture stomatitis: scanning electron microscopic and microbiologic study. J Prosthet Dent 1987;57:581-6. https://doi.org/10.1016/0022-3913(87)90341-6
  24. Altman MD, Yost KG, Pitts G. A spectrofluorometric protein assay of plaque on dentures and of denture cleaning efficacy. J Prosthet Dent 1979;42:502-6. https://doi.org/10.1016/0022-3913(79)90242-7
  25. Mandel ID. Relation of saliva and plaque to caries. J Dent Res 1974;53:246-66. https://doi.org/10.1177/00220345740530021201
  26. Hutchins DW, Parker WA. A clinical evaluation of the ability of denture cleaning solutions to remove dental plaque from prosthetic devices. N Y State Dent J 1973;39:363-7.
  27. Basson NJ, Quick AN, Thomas CJ. Household products as sanitising agents in denture cleansing. J Dent Assoc S Afr 1992;47:437- 9.
  28. Barnabe W, de Mendonça Neto T, Pimenta FC, Pegoraro LF, Scolaro JM. Efficacy of sodium hypochlorite and coconut soap used as disinfecting agents in the reduction of denture stomatitis, Streptococcus mutans and Candida albicans. J Oral Rehabil 2004;31:453-9. https://doi.org/10.1111/j.1365-2842.2004.01254.x
  29. Lima EM, Moura JS, Del Bel Cury AA, Garcia RC, Cury JA. Effect of enzymatic and NaOCl treatments on acrylic roughness and on biofilm accumulation. J Oral Rehabil 2006;33:356-62. https://doi.org/10.1111/j.1365-2842.2005.01564.x
  30. Jagger DC, Al-Akhazam L, Harrison A, Rees JS. The effectiveness of seven denture cleansers on tea stain removal from PMMA acrylic resin. Int J Prosthodont 2002;15:549-52.
  31. Trevelyan MR. The prosthetic treatment of hepatitis B antigen positive patients. Br Dent J 1974;137:63-4. https://doi.org/10.1038/sj.bdj.4803233
  32. Kastner C, Svare CW, Scandrett FR, Kerber PE, Taylor TD, Semler HE. Effects of chemical denture cleaners on the flexibility of cast clasps. J Prosthet Dent 1983;50:473-9. https://doi.org/10.1016/0022-3913(83)90565-6
  33. Anthony DH, Gibbons P. The nature and behavior of denture cleansers. J Prosthet Dent 1958;8:796-810. https://doi.org/10.1016/0022-3913(58)90100-8
  34. McCabe JF, Murray ID, Kelly PJ. The efficacy of denture cleansers. Eur J Prosthodont Restor Dent 1995;3:203-7.
  35. Tarbet WJ, Axelrod S, Minkoff S, Fratarcangelo PA. Denture cleansing: a comparison of two methods. J Prosthet Dent 1984; 51:322-5. https://doi.org/10.1016/0022-3913(84)90213-0
  36. Moore TC, Smith DE, Kenny GE. Sanitization of dentures by several denture hygiene methods. J Prosthet Dent 1984;52:158-63. https://doi.org/10.1016/0022-3913(84)90087-8
  37. Nakamoto K, Tamamoto M, Hamada T. Evaluation of denture cleansers with and without enzymes against Candida albicans. J Prosthet Dent 1991;66:792-5. https://doi.org/10.1016/0022-3913(91)90418-V
  38. Minagi S, Tsunoda T, Yoshida K, Tsuru H. Objective testing of the efficiency of denture-cleansing agents. J Prosthet Dent 1987;58:595- 8. https://doi.org/10.1016/0022-3913(87)90390-8
  39. Keenan MP, Shillingburg HT Jr, Duncanson MG Jr, Wade CK. Effects of cast gold surface finishing on plaque retention. J Prosthet Dent 1980;43:168-73. https://doi.org/10.1016/0022-3913(80)90182-1
  40. Clayton JA, Green E. Roughness of pontic materials and dental plaque. J Prosthet Dent 1970;23:407-11. https://doi.org/10.1016/0022-3913(70)90007-7