• Title/Summary/Keyword: 구강액

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Effects of Oral Care with 0.1% Chlorhexidine and Tantum Solution on Oral Status and Incidence of Oral Pathogens among Intubated ICU Patients: A Pilot Study (0.1% 클로르헥시딘과 탄툼액을 이용한 구강간호가 기관내관을 삽입한 중환자실 환자의 구강상태 및 구강내 세균 발생에 미치는 효과)

  • Lee, Kyung-Hee;Park, Hae-Kyung;Kim, Ji-Hye
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.25-35
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    • 2010
  • Purpose: The purpose of this pilot study was to investigate the effect of oral care using 0.1% chlorhexidine and tantum solution on oral status and incidence of oral pathogens among intubated ICU patients. Methods: The study subjects were 26 intubated patients of MICU in a university hospital. Oral care was provided with 0.1% chlorhexidine solution to the experimental group (n=12) and with tantum solution to the control group (n=14), 3 times a day for 6 days. After the intervention, the oral status of each subject was checked using structured method, and oral swab culture was done to count colonized bacterial pathogens. Results: The mean oral status score of experimental group was significantly higher than that of control group (U=42.50, p=.031). The mean incidence of oral pathogens in experimental group was smaller than that of control group, but the difference was not statistically significant. Conclusion: The oral care with 0.1% chlorhexidine solution is more effective than with tantum solution for improving oral status of intubated ICU patients. However, additional studies with larger sample size will be needed to figure out it's effects on the incidence of oral pathogens.

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Characteristics of antimicrobial activity of Streptococcus salivarius K12 by culture condition (Streptococcus salivarius K12의 배양조건에 따른 항균활성의 특징)

  • Song, Young-Gyun;Lee, Sung-Hoon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.244-250
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    • 2021
  • Purpose: The purpose of this study was to examine effects of culture conditions on the growth and antibacterial activity of Streptococcus salivarius K12. Materials and Methods: S. salivarius K12 was cultivated in medium containing animal and plant protein or in medium of neutral and acidic conditions. The growth of S. salivarius K12 was measured every 2 hours by a spectrophotometer. The antimicrobial activity of S. salivarius K12 against Streptococcus mutans and Porphyromonas gingivalis was investigated by the susceptibility assay using the spent culture medium. Results: the growth of S. salivarius K12 showed faster in medium containing plant protein and neutral pH condition. The antimicrobial and antifungal activity of S. salivarius K12 appeared stronger in medium containing plant protein than animal proteins. Conclusion: For application of S. salivarius K12 to bacterial oral disease, co-substances may be needed for S. salivarius K12 to colonize in the oral cavity and enhance the antimicrobial activity.

The rate of Happycaine's pain relief when scaling (스켈링 시 구강마취액(해피카인)의 통증완화 정도)

  • Kang, Yoon-Joo;Lim, Jin-Hee;Song, Ji-Na;Kim, Ji-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.495-501
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    • 2012
  • Objectives : Today, one of the most basically used procedures to dental patients is scaling for removing tartar. The purpose of this study is the effect of Happycaine during scaling for pain relief. Methods : This study was used self-questionnaire from 202 patients. SPSS 18.0 vision program was used for data analysis. Group A was used Happycaine, but group B wasn't used Happycaine. The degree of pain relief depending on use of Happycaine, was analyzed by Independent-two-sample t-test. Emotion and reaction during scaling was analyzed by mean and standard deviation. The results were as follows. Results : 1. 52.5% participants answered 'require scaling' and 12.9% answered 'required scaling very much'. so 65.4% participants recognized the need of scaling. 2. According to the experience of Happycaine during scaling, differences in pain was by Likert 5 pints scale, Group B's pain was higher than Group A's(p=0.000). 3. According to the experience of Happycaine during scaling, the mean of panic from Group B was a little higher than Group A(p=0.036). In case of cold symptom during scaling, Group B was significantly different(p=0.011). In Group B, pain from dental hygienists was significantly different (p=0.000). Group A was interested in Happycaine use in future scaling(p=0.004). Conclusions : As a result of this study, we recommend Happycaine during scaling in order to decrease mental burden and pain for patients.

THE EFFECTS OF IONS AND BUFFER SOLUTIONS ON THE MRNA EXPRESSION OF gtfD GENE OF Streptococcus mutans (Streptococcus mutans의 gtfD 유전자 발현에 대한 이온 및 완충액의 영향)

  • Kim, Bo-Young;Kim, Shin;Chung, Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.314-322
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    • 2004
  • The production of a glucan was affected by the concentration of ions and buffer solutions, and nutrients in an oral cavity. In this study, the effects of ions and buffer solutions on the mRNA expression of gtfD gene in Streptococcus mutans, an important causative agent of dental caries, were investigated by Fluorescent in situ hybridization(FISH). At first, ions and buffer solutions had little effect on the multiplication of Streptococcus mutans. The green fluorescence according to the mRNA expression of gtfD gene was detected in the BHI broth containing 1% sucrose. The intensities of the green fluorescence were strong at 0.25mM of $CaCl_2$. Little fluorescence was detected by the addition of KCl, except far 10mM KCl at which fluorescence intensities were similar to those of the control. Fluorescence intensities were weak at each concentration of $MgCl_2$ when compared to the control. As for buffer solutions, fluorescence intensities were similar to those of the control at each concentration of buffer solutions, except that they were little detected at 100mM of potassium phosphate.

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Inhibition of Plaque Formation on the Titanium Surface by Anti-bacterial Varnish (항균제 처리한 titanium 표면의 치태형성 억제효과)

  • Chung, Hyun-Ju;Lee, Sang-Hyun;Kim, Yung-Jun;Williams, Ray C.
    • Journal of Periodontal and Implant Science
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    • v.30 no.4
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    • pp.707-727
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    • 2000
  • 매식된 인공치아의 성공을 위해서는 적절한 교합과 수동적 적합성을 갖는 보철물의 제작과 구강내 노출 직후부터의 세균성 치태조절이 요구된다. 본 연구는 전처리(passivation과 tridodecyl - methyl - ammonium chloride(TDMAC) 처리)가 다른 타이타늄 표 면에 chlorhexidine varnish와 테트라사이클린 을 도포시 약제의 방출역학을 알아보고 구강내 치태형성의 억제정도를 평가하기 위하여 시행 되었다. 이를 위해 방출용액으로 인산완충액 성분의 인조타액을 1일${\sim}$1개월간 매일 교환하여 약제농도를 측정하고 타이타늄 박막에 잔류한 약제 활성을 측정하였으며 항균제 도포한 타이타늄 원판을 부착한 장치를 구강내 위치시킨 1일${\sim}$3주 후 원판을 제거하여 주사전자현미경으로 세균 부착상을 관찰하였다. 테트라사이클린은 TDMAC 처리된 표면에서 $10{\sim}18$일까지 유효농도로 방출되었고 표면의 유효 항균 활성은 $3{\sim}4$주간 유지되었으며, chlorhexidine varnish 도포 시에는 TDMAC 전처리시 초기에 $3{\sim}7$일 간 증가한 유효 항균 활성을 방출하여 매식지대치 등에 이러한 항균제도포 시 매식치 주위환경에 항균활성 공급원으로 작용할 수 있음을 보였다. 주사현미경적 관찰시 모든 타이타늄 표면에서 구강내 위치 30분 후에는 세균이 부착되어 있지 않고 타액 단백질 성분에서 유래한 것으로 보이는 피막물질이 표면을 부분 또는 전면에 걸쳐 덮고 있었다. 구강내 노출 2시간 후 항균제 미도포 표본들에는 약간의 구균이 단층으로, $1{\sim}3$일 후에는 부분적으로 두꺼운 세균층을 형성하였고 7일 후에는 표면전체에 걸쳐 세균층이 덮여있었으며 주로 구균과 약간의 간균이 주종을 이루었다. 항균제 도포시 구강내 노출 1주일 이전까지는 미도포군에 비해 치태형성이 지연되는 경향을 보였지만 2주 이후에는 세균 수나 치태형성 양상이 유사하였다. 이 연구로부터 항균제 도포시 1주일 이전의 초기 치태형성을 감소시킬 수 있음을 알 수 있었으며 이러한 연구결과는 타이타늄 임프란트 지대치 표면에 항균제의 도포가 임상적으로 유용할 수 있음을 시사하였다.

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Comparison of PRRSV and antibody detection in oral fluid and serum samples from different age categories of PRRSV endemic farms (PRRS 양성농장의 사육단계별 구강액과 혈액을 이용한 PRRSV와 항체 검출 비교)

  • Kim, Jung-Hee;Son, Jae Guk;Kim, Won-Il
    • Korean Journal of Veterinary Service
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    • v.43 no.3
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    • pp.173-179
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    • 2020
  • The objective of this study was to evaluate the usefulness of detection of PRRSV and PRRSV-specific antibodies in oral fluids for monitoring of PRRSV infection in endemic farms. The level of PRRSV and anti-PRRSV antibodies in serum and oral fluids was evaluated in five age groups of pigs (6, 9, 12, 16 weeks of age and gilts). The samples (25 serums and 5 oral fluids/per a farm) were collected from 5 different farms endemically infected by PRRSV. Both serum and oral fluid samples were tested for PRRSV by quantitative reverse-transcription polymerase chain reaction (qRT-PCR) and for anti-PRRSV antibodies by two commercial PRRSV ELISA kits. ELISA mean s/p ratios (2.98 vs 1.63) and positive rate (84.0% vs 68.8%) of the oral fluid samples showed significantly higher levels but had similar patterns to the seroprofile of the blood samples. The PRRSV positive rate of oral fluid and serum samples was 40.0% and 44.0% respectively. In conclusion, the use of oral fluids for PRRS monitoring in endemic farms is strongly recommended.

In vitro Investigation of the Harmful Effects of Smoke Plume Produced by Pulsed Nd: YAG Laser Treatment (Pulsed Nd : YAG 레이저조사시 발생되는 연기의 유해효과에 관한 실험실적 연구)

  • Kyung-Hun Kim;Keum-Back Shin;Bok Choi
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.283-289
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    • 1995
  • 레이저가 의학영역에서 사용된 후 구강내 연조직과 경조직 병소에 대한 임상적 적용에 관한 관심이 커져왔다. 레이저가 조사되는 부위에서는 대부분 연기가 발생한다. 이 경우 병원체가 존재하는 병소에 대한 레이저치료시 발생되는 연기속에 병원체가 포함되어 이Tekas 환자와 술자는 이의 흡입가능성이 크므로 균혈증 및 상기도나 호흡계의 의원성 감염이 유발될 수 있다. 저자는 레이저치료시 발생되는 연기속에 병원체가 포함되어 있는지의 여부를 규명하기위해 각각 10개의 실험군에 통기성 미생물인 Escherichia coli(E.coli)가 배양된 brain geart infusion (BHI) 배지와 E.coli 가 존재하는 치근단 병소를 실험적으로 만든 후 각각 pulsed Nd:YAG 레이저를 조사해 연기를 채취, 배양, 분석하여 다음과 같은 결과를 얻었다. 1. Pulsed Nd:YAG 레이저를 E. colir 배양된 agar substrate 와 실험적으로 만들어진 치근단부위의 E.coli 현탁액에 조사시 발생된 연기에서 처음 접종된 것과 같은 E.coli가 검출되었다. 2. 감염병소에 pulsed Nd:YAG 레이저를 조사시 발생되는 연기의 유해효과로부터 환자와 술자 및 보조자의 보호를 위해 효과적인 흡입기를 사용이 권장된다.

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The Effect of Oral Health Care Program Based on Motivational Interviewing (동기면담을 적용한 구강 관리 프로그램의 효과)

  • Han, Ye-Seul;Bae, Hyun-Sook;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.287-294
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    • 2014
  • The purpose of this study is to use basic data of dental hygiene curriculum with a new technique called motivational interviewing of communication skill to demonstrate the effectiveness of the method of oral health care. In this study, we performed oral health care program that has been made in dental hygiene department to university students. It was assigned to the control group and 66 and 32 experimental group based on the date of the first visit time. It conducted motivational interviewing of a total of three times in the experimental group. The analytical results of the measurements obtained in the oral examination and questionnaires. The results were as follows: The experimental group measured value was reduced after the intervention compared to before the PSR to evaluate the state of periodontal, gingival index, calculus index, plaque control record (PCR; O'Leary plaque index), simple plaque scor of Quantitative Light Induced Fluorescnece Digital measurement value (p<0.05). Experimental group decreased more and more the result of changes in the reduction of the average of the PCR. But control group was reduced to 3 weeks and increased back to the middle 16 weeks. There was also support interaction between the measurement point and the groups (p<0.05). Re-visit adherence of fit, 12.1% in the control group, the experimental group was 43.7% in the period of participation in the oral health care program. Thus, visit adherence of the experimental group was higher. In this study, a group that has motivational interviewing, It was able to confirm the improvement of oral health state. Discussion of the motivational interviewing can be applied to oral health care program.

Cytotoxicity of Various Calcium Silicate-based Materials with Stem Cells from Deciduous Teeth (유치 줄기세포에 대한 다양한 규산칼슘계 재료의 세포독성)

  • Yun, Jihye;You, Yong-Ouk;Ahn, Eunsuk;Lee, Jun;An, So-Youn
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.85-92
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    • 2019
  • The purpose of this study was to compare and evaluate the cytotoxicity of 3 calcium silicate-based materials (CSMs) on stem cells from human exfoliated deciduous teeth (SHEDs). The powder of Retro $MTA^{(R)}$ (RM), $EZ-Seal^{TM}$ (EZ) and ENDOCEM $Zr^{(R)}$ (EN) was eluted with SHED culture media and then filtered. The SHEDs were cultured in the presence of the various concentrations of the eluate. To investigate the effect of the 3 CSMs on SHED proliferation, the MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) assay was performed. Flow cytometry analysis was also performed to identify any changes in the cellular phenotype. The absorbance values of the SHEDs cultured in the eluate of samples at a 10% concentration showed the following relation: RM > EN > EZ (p = 0.0439). However, the SHEDs maintained their mesenchymal phenotype regardless of product exposure. Although the 3 CSMs did not alter the SHED stem cell markers, EZ may be a less cytocompatible than RM and EN.

Anti-microbial Activity of Platycodon Grandiflorum Extracts Against Oral Microbes (도라지 추출물의 구강미생물에 대한 항균효과)

  • Jung, So-Young;Lee, Cheon-Hee;Ahn, Sun-Ha
    • The Korean Journal of Health Service Management
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    • v.13 no.2
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    • pp.135-142
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    • 2019
  • Objectives: The objective of this study was to assess the antimicrobial effect of Platycodon grandiflorum extracts against oral microorganisms. Methods: The anti-microbial activity and minimal inhibitory concentration were measured the agar dilution method. Results: Platycodon grandiflorum extracts grew in the free agar plates all of the oral microorganisms. In the bark-free Platycodon grandiflorum extracts all the oral microorganisms grew in the free agar plates. Growth was inhibited at a concentration of 0.5 mg/ml. Oral microorganisms showed an absence of growth at a concentration of 1 mg/ml. Conclusions: It was confirmed that the extracts of Platycodon grandiflorum having a higher saponin content than the bark - free Platycodon grandiflorum extract showed excellent antimicrobial effect.