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불소바니쉬에 의한 탈회 유전치 법랑질의 재광화 효과

Remineralization Effects on the Demineralized Enamel of Primary Teeth by Fluoride Varnish

  • 조성은 (진주보건대학교) ;
  • 김종빈 (단국대학교 치과대학 소아치과학교실) ;
  • 김종수 (단국대학교 치과대학 소아치과학교실)
  • Cho, Seongeun (Jinju Health College) ;
  • Kim, Jongbin (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jongsoo (Department of Pediatric Dentistry, School of Dentistry, Dankook University)
  • 투고 : 2015.09.10
  • 심사 : 2015.10.20
  • 발행 : 2016.02.29

초록

본 연구는 탈회 유전치에 3가지 불소바니쉬를 이용하여 인공우식의 재광화 효과를 비교 평가하였다. 인공우식용액에 40개의 건전한 유전치 시편을 침적시킨 후, $37^{\circ}C$ 항온기에 7일 동안 보관하여 유전치에 탈회를 형성하였다. Cavity shield$^{TM}$, V varnish$^{TM}$, MI varnish$^{TM}$를 1주일에 한 번씩 3주 동안 탈회된 유전치에 도포 후 불소바니쉬 종류에 따른 미세경도 변화를 평가하였다. 1주차에서는 MI varnish$^{TM}$군이 가장 높은 재광화 효과를 보였고 다음으로 V varnish$^{TM}$군이 높았으며, Cavity shield$^{TM}$군이 낮은 재광화 효과를 보였으며, 세 군 모두 유의한 차이는 없었다(p > 0.05). 2주차에서는 V varnish$^{TM}$군이 가장 높은 재광화 효과를 보였으며 그 다음으로 MI varnish$^{TM}$군 높았지만 V varnish$^{TM}$군과 유의한 차이는 없었다(p > 0.05). Cavity shield$^{TM}$군은 V varnish$^{TM}$군과 MI varnish$^{TM}$군에 비해 유의하게 낮은 재광화 효과를 보였다(p < 0.05). 3주차에서는 V varnish$^{TM}$군이 나머지 두 군과 유의한 차이를 보이며 가장 높은 재광화 효과를 보였고(p < 0.05), 다음으로 MI varnish$^{TM}$군이 높았으며 Cavity shield$^{TM}$군이 가장 낮은 재광화 효과를 보였지만, MI varnish$^{TM}$군과의 유의한 차이는 없었다(p > 0.05). 총 미세경도 증가량은 Cavity shield$^{TM}$군에 비해 V varnish$^{TM}$군과 MI varnish$^{TM}$군이 높았으며(p < 0.05), V varnish$^{TM}$군과 MI varnish$^{TM}$군 사이 통계학적 유의한 차이는 없었다(p > 0.05).

The purpose of this study was to compare and evaluate the remineralization effect of three types of fluoride varnishes on demineralized enamel of primary teeth. 40 primary teeth were decalcified by soaking them in artificial acidic solution and stored at $37^{\circ}C$ for 7 days. Then 3 varnishes - Cavity shield$^{TM}$, V varnish$^{TM}$ and MI varnish$^{TM}$ were applied respectively one time a week, for 3 weeks on the demineralized enamel surface. For the first week, MI varnish$^{TM}$ showed the highest microhardness value, V varnish$^{TM}$ was in second position, and Cavity shield$^{TM}$ showed the lowest microhardness value. However, there was no significant difference among the three groups(p > 0.05). For the second week, V varnish$^{TM}$ showed the highest microhardness value, and MI varnish$^{TM}$ came next in second position noting no significant difference (p > 0.05). Cavity shield$^{TM}$ was significantly lower than the other groups (p < 0.05). For the third week, V varnish$^{TM}$ showed the highest microhardness value, noting a significant difference from the other groups (p < 0.05). MI varnish$^{TM}$ came next, while Cavity shield$^{TM}$ showed the lowest microhardness value. However, there was no significant difference between MI varnish$^{TM}$ and Cavity shield$^{TM}$ (p > 0.05). The increase in the microhardness of groups V varnish$^{TM}$ and MI varnish$^{TM}$ were higher than that of group Cavity shield$^{TM}$ (p < 0.05), while no significant difference was noted between groups V varnish$^{TM}$ and MI varnish$^{TM}$ (p > 0.05).

키워드

참고문헌

  1. Feathersthone JDB : The Science and practice of caries prevention. J Am Dent Assoc, 131:887-899, 2000. https://doi.org/10.14219/jada.archive.2000.0307
  2. Gorelick L, Geiger AM, Gwinnett AJ : Incidence of white spot formation after bonding and banding. Am J Orthod, 81:323-332, 1982.
  3. Seppa L : Fluoride content of enamel during treatment and 2 years after discontinuation of treatment with fluoride varnishes. Caries Res, 18:278-271, 1984. https://doi.org/10.1159/000260777
  4. Ra SJ, Shin HJ, KIM GB, et al. : Correlation between caries prevalence in primary and permanent dentition. J Korean Academy of Oral Health, 28:211-228, 2004.
  5. ten Cate JM : In vitro studies on the effects of fluoride on demineralization and remineralization. J Dent Res, 69:614-619, 1990. https://doi.org/10.1177/00220345900690S120
  6. Park SJ, Kim HD, Kim CC : A study on the change of salivary fluoride concentration with time after various topical fluoride treatments. J Korean Acad Pediatr Dent, 26:262-274, 1999.
  7. Choi WH, KIm EJ, Nam SH et al. : The effect of 1.23% APF gel on the esthetic restorative materials. J Korean Acad Pediatr Dent, 33:281-289, 2006.
  8. Cho JW : Fluoride varnish application for children. The Journal of Korean Dental Association, 48:454-458, 2010.
  9. Autio-Gold JT, Courts F : Assessing the effect of fluoride varnish on early enamel carious lesions in the primary dentition. J Am Dent Assoc, 132:1247-1253, 2001. https://doi.org/10.14219/jada.archive.2001.0367
  10. Lee EH, Kim JS, Yoo SH : Remineralization effect of sodium fluoride varnish on white lesion by application intervals. J Korean Acad Pediatr Dent, 37:403-411, 2010.
  11. Yoo YS, Kim JS : Monitoring of remineralization of decalcified enamel using quantitative light-induced fluorescenced. J Korean Acad Pediatr Dent, 39:257-266, 2012. https://doi.org/10.5933/JKAPD.2012.39.3.257
  12. Retief DH, Sorvas PG, Bradley EL, et al. : In vitro fluoride uptake, distribution and retention by human enamel after 1 and 24 hour application of various topical fluoride agents. J Dent Res, 59:573-582, 1980. https://doi.org/10.1177/00220345800590030401
  13. Pertersson LG : Fluoride mouthrinses and fluoridevarnishes. Caries Res, 27:35-42, 1993. https://doi.org/10.1159/000261600
  14. White DJ : Use of synthetic polymer gels for artificial carious lesion preparation. Caries Res, 21:228-242, 1987. https://doi.org/10.1159/000261026
  15. Paik DI, Kim HD, Kim DK, et al. : Clinical Preventive Dentistry. 5th ed. Komoonsa, Seoul. 70-75, 2011.
  16. Domoto P, Weinstrin P, Leroux B, et al. : White spots caries in Mexican-American toddlers and parental preference of various strategies. J of Dent for Children, 61:342-346, 1994.
  17. Samir E, Bishara, Adam WO : White spot lesions : Formation, prevention, and treatment. Seminars in Orthod, 14:174-182, 2008.
  18. Ogaard B, Seppa L, Rolla G : Professional topical fluoride applications clinical efficacy and mechanism of action. Advances in Dental Research, 8:190-201, 1994. https://doi.org/10.1177/08959374940080021001
  19. Pertersson LG : Fluoride mouthrinses and fluoride varnishes. Caries Res, 27:35-42, 1993. https://doi.org/10.1159/000261600
  20. Frostell G, Birkhed D, Edwardsson S, et al. : Effect of partial substitution of invert sugar for sucrose in combination with Duraphat treatment on caries development in preschool children: the Malmo Study. Caries Res, 25:304-310, 1991. https://doi.org/10.1159/000261381
  21. Peyron M, Matsson L, Birkhed D : Progression of approximal caries in primary molars and the effect of Duraphat treatment. Scand J Dent Res, 100:314-318, 1992.
  22. ten Cate JM : Remineralization of caries lesions extending into dentin. J Dent Res, 80:1407-1411, 2001. https://doi.org/10.1177/00220345010800050401
  23. Lee KH : Effect of fluoride and calcium on enamel remineralization in vitro. J Korean Acad Pediatr Dent, 31:624-629, 2004.
  24. Ahn HY, Lee KH, Kim DE : Erosion of tooth enamel by acidic drinks and remineralization by artificial saliva. J Korean Acad Pediatr Dent, 29:84-91, 2002.
  25. Kim HN, Jung MS, Jeong SH, et al. : Evaluation of release of fluoride from dental varnishes marketed in Korea. J Korean Academy of Oral Health, 38:131-137, 2014. https://doi.org/10.11149/jkaoh.2014.38.3.131
  26. Cochrane NJ, Shen P, Yuan Y, Reynolds EC. Ion release from calcium and fluoride containing dental varnishes. Aust Dent J, 59:100-105, 2014. https://doi.org/10.1111/adj.12144
  27. Hicks J, Garcia-Godoy F, Flaitz C : Biological factors in dental caries: role of remineralization and fluoride in the dynamic process of demineralization and remineralization (part 3). J Clin Pediatr Dent, 28:203-14,2004. https://doi.org/10.17796/jcpd.28.3.w0610427l746j34n