• The Journal of the Korean dental association
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• v.49 no.8
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• pp.461-471
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• 2011

The detection of carious lesions is a key point to apply appropriate preventive measures or operative treatment of dental caries. A laser fluorescence device DIAGNOdent$^{(R)}$ (KaVo, Biberach, Germany) has also been shown to be of additional clinical value in the detection of initial caries. This report focus on the DIAGNOdent$^{(R)}$ for caries detection. DIAGNOdent$^{(R)}$ irradiate visible red light at a wavelength of 655 nm to elicit near-infrared fluorescence from caries lesion. This device is known as a reproducible method for caries detection, with good sensitivity and specificity especially for caries detection on occlusal and accessible smooth surfaces. DIAGNOdent$^{(R)}$ tended to be more sensitive method of detecting occlusal dentinal caries, however, showed more false-positive diagnoses than the visual inspection. So Clinician should not use the device as a clinician's primary diagnostic method and it is recommended that the device should be used in the decision-making process in relation to the diagnosis of caries as a second opinion in cases of doubt after visual inspection. The trend of modern dentistry would be a preventive approach rather than invasive treatment of the disease. This is possible only with early detection and respective preventive measures, DIAGNOdent$^{(R)}$ can help the changes.

• Imaging Science in Dentistry
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• v.30 no.1
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• pp.49-54
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• 2000

Purpose : To compare the diagnostic performance of clinical and radiologic examination for the interproximal caries on intraoral periapical radiographs and to evaluate the value of periapical radiographs. Methods: One hundred seven dental patients were examined clinically, with a mouth mirror and an explorer, by a dentist at the department of oral medicine, and the presence or absence of interproximal caries lesion was recorded. The patients were prescribed one or more dental periapical radiographs. Radiographs were assessed for the presence of interproximal caries by three oral and maxillofacial radiologists independantly. Two thousand sixty interproximal surfaces were included in this study. The diagnostic accuracies of clinical and radiologic examinations for interproximal caries were calculated. To assess the degree of agreement between clinical and radiologic examinations, Cohen's coefficient of agreement was computed. Results: The specificity of clinical and radiologic examination was 0.991, 0.997 and the sensitivity was 0.279, 0.985 respectively. The diagnostic accuracy of radiologic examination was statistically significantly higher than that of clinical examination (P<0.05). Cohen's kappa value of clinical and radiologic examination was 0.335, 0.942 respectively. These results suggested that clinical examination show only fair agreement, whereas radiologic examination show perfect agreement. Conclusion: The diagnositic performance of the dental periapical radiographs on interproximal caries were higher than that of clinical examination, thus this study showed the validity of periapical radiographs for detecting interproximal caries lesion without bitewing radiograph.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.1
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• pp.65-81
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• 1997

For the purpose of evaluating the appropriateness of AP-PCR as a facile, rapid and reproducible method for genotyping Streptococcus mutans, and selecting the discriminant primer for it, a DNA fingerprinting was performed on the microorganisms isolated from caries-free children and children with rampant caries, respectively. In the course of selecting appropriate primer for S. mutans genotyping, we chose S2 primer from 6 different primers which shows highest resolution on the agarose gel as well. Nineteen kinds of fingerprint patterns were observed in caries-free children and children with rampant caries which were produced by combination of 7 different fragments. Interestingly, the number of types observed in caries-free children was greater than that in children with rampant caries. And we observed Type 2 was predominant in children with rampant caries (about 80%) and relatively even distribution of each types in caries-free children. Furthermore, it was appeared that the major types in normal control were not or rarely found in children with rampant caries. In conclusion, we could establish simple, rapid and highly reproducible AP-PCR method for genotyping S. mutans. We also found differences in distribution of S. mutans between normal and patient, which suggested that cariogenicity is also dependent on qualitative aspects which is caused by the difference in genotypes of S. mutans in oral cavity.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.1
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• pp.247-264
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• 1997

501 preschool children from 4 to 6 years were examined for their salivary reductase activity and caries experience by Resazurin Disc Test and dental examination respectively. We asked the parents about their children's oral hygiene habits, between-meal eating habits, and physical exercise habits by the questionnaire. Toothbrushing frequency had negative relation to salivary reductase activity and caries experience. Caries experience was low when parents did toothbrushing for children, when teeth were brushed at bedtime, and when fluoride toothpastes were used. Salivary reductase activity and caries experience were high in bread & cookies group, chocolates & candies group, milk & soft drink group, and fruits & vegetables group in order. Caries experience was high in case of irregular between-meal eating. Sweet food eating frequency had positive relation to caries experience. Caries activity was low in case of eating homemade non-sweet between-meals. Salivary reductase activity and caries experience were low when gum-chewing frequency was high. Salivary reductase activity and caries experience were high when the amount of physical exercise was low.

• Journal of the korean academy of Pediatric Dentistry
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• v.8 no.1
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• pp.89-102
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• 1981

1147 preschool children aged from 3 to 6 living in some farm villages in Kyungki-do were surveyed on dmf and distribution of dental caries in primary dentition. The results were as follows: 1. dmf rate ... 92.76 % boy ... 94.52 % girl ... 90.5.5 % 2. dmf t rate ... 37.07 % dmf t index ... 7.09 3. dmf s rate ... 13.74 % dmf s index ... 13.14 % 4. df t index ... 6.94 5. Each percentage of d, m & f per dmf teeth d rate ... 89.96 % m rate ... 7.24 % f rate ... 2.67 % 6. Most frequent site of dental caries in each tooth $\underline{A}$ mesial $\overline{A}$ distal $\underline{B}$ mesial $\overline{B}$ distal $\underline{C}$ distal $\overline{C}$ distal $\underline{D}$ disto-occlusal $\overline{D}$ disto-occlusal $\underline{E}$ linguo-occlusal $\overline{E}$ occlusal 7. Order of caries susceptibility $\overline{E}$ $\underline{E}$ $\overline{D}$ $\underline{D}$ $\underline{A}$ $\underline{B}$ $\overline{C}$ $\underline{C}$ $\overline{B}$ $\overline{A}$ 8. All the values in caries criteria showed a marked increae from those of 1968.

• Journal of the korean academy of Pediatric Dentistry
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• v.8 no.1
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• pp.103-117
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• 1981

The data about dental caries obtained from 1438 preschool children (male 797, female 641) in Seoul aged from 3 to 6 were analyzed by their sexes, ages, jaws and teeth surfaces. The results were as follows. 1. dmf rate : 92.63% 2. dmft index : 6.06 dmft rate 30.81 % dmfs index : 11.82 dmfs rate 12.02 % 3. d,m & f rate d rate: 79.45% m rate: 8.15% f rate : 12.40 % 4. dft index : 5.94 5. The order of caries susceptible tooth 1. Lower deciduous 2nd molar 2. Lower deciduous 1st molar 3. Upper deciduous 2nd molar 4. Upper deciduous lateral incisor 5. Upper deciduous cental incisor 6. Upper deciduous lateral incisor 7. Lower deciduous canine 8. Upper deciduous canine 9. Lower deciduous central incisor 10. Lower deciduous lateral incisor 6. Predilection sites of each tooth A) Deciduous central incisor ; Max. : Mesial cavity Mand. : Mesio-distal cavity B) Decidous lateral incisor ; Max. : Mesial cavity Mand. : Distal cavity=Mesial cavity C) Deciduous canine; Max. : Labial cavity Mand. : Distal cavity D) Decidous 1st molar ; Max. : Disto-occlusal cavity Mand.: Disto-occlusal cavity E) Deciduous 2nd molar ; Max. : Linguo-occlusal cavity Mand.: Occlusal cavity 7. All the values in caries criteria in 1981 were somewhat lower than in 1968, but m & f rate were increased.

• Journal of Korean society of Dental Hygiene
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• v.13 no.4
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• pp.615-622
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• 2013

Objectives : The aim of the study is to estimate the dental caries experience and the factors influencing the dental caries in children and adolescents and to provide the data for effective management of oral health in children and adolescents. Methods : Subjects were 446 students randomly recruited in primary, middle, high school students located in Seoul from April 1 to May 31 2011. The data were collected by a questionnaire survey and direct oral examination. The collected data were analyzed with the SPSS WIN 14.0 program. Results : DMF in male accounted for 88.8% and that in female accounted for 89.1%. The oral promotion behaviors in female was significantly higher than those in male (p<0.001). Aged (p<0.05) and well-educated parents(p<0.001) tended to have better oral promotion behaviors. The higher oral health knowledge, the better oral health promotion behaviors. Better oral health promotion behaviors tended to have lower DMFT and DT index (p<0.01). In regression analysis, age, oral health promotion behavior in children and adolescents were related to the dental caries experience (p<0.001). Poor oral health promotion behaviors increased the dental caries experience. Conclusions : The active oral health care can prevent dental caries in children and adolescents. The concern for oral health care is important to maintain healthy dental hygiene.

• Proceedings of the Korean Information Science Society Conference
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• 2011.06b
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• pp.290-293
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• 2011

치아 스케일링은 치아에 단단하게 결착된 치석을 제거하는 치과 시술로서 치아 우식 및 잇몸염증을 예방하는 중요한 시술이다. 특히 요즘에는 치료시간의 단축을 통한 효율성 증대의 목적으로 전기적 에너지를 미세한 진동에너지로 바꾸는 원리를 활용한 초음파 스케일링 기법이 많이 행해지고 있다. 하지만 치아 및 치석 확보에 따른 어려움으로 인해 스케일링 시술을 충분히 훈련하기란 쉽지 않다. 본 논문에서는 사용자가 가상현실을 통해 시각 및 촉각 피드백을 받으며 초음파 스케일링 시술을 훈련할 수 있는 치아 스케일링 시뮬레이션을 위한 알고리즘을 제안한다. 치아, 치석 및 잇몸의 볼륨모델과 스케이러 팁을 구성하는 각 부문의 관통깊이를 이용한 햅틱 랜더링 기법을 적용하여 스케일러의 모양에 따른 햅틱 피드백을 생성하였다. 그리고 치아의 손상을 줄이기 위해 스케일러의 팁 부문이 치아 표면에 되도록 평형을 이루어야 한다는 점에 입각하여, 치석을 구성하는 복셀들의 치아 디스턴스필드 값 비교를 통해 치석과 치아 사이의 접착면을 추출하고 스케일러의 팁 부분과 충돌하는 추출된 집착면의 각도를 고려한 스케일링 알고리즘을 구현하였다. 또한 수동 스케일링과는 달리 초음파 스케일링은 초음파의 진동에너지에 의해 점진적으로 치아와 치석 사이의 결속력이 감소된다는 점에 착안하여 치아와 치석의 접착면을 구성하는 지점 사이의 거리에 따른 결속력 감쇠 모델을 고안하였다.

• Proceedings of The Korean Society of Health Promotion Conference
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• 2009.05a
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• pp.83-83
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• 2009

본 연구는 한국인 노년층이 대표적으로 섭취하는 강도별 음식을 조사하고 각 음식별로 씹어 먹을 수 있는 음식들이 무엇인지를 조사하여 자신이 보유하고 있는 자연치아수와의 상관관계를 알아보아 자연치아의 건강도를 유지, 관리, 예방하는데 하나의 지표로 사용하고 더 나아가 국민구강건강향상에 이바지 하고자 실시되었다. 전국의 60세 남 녀 586명을 대상으로 치과의사와 치과위생사가 구강검사와 면접법으로 설문내용을 기록하는 방식으로 진행하였다. 수집된 자료는 SPSS WIN 14.0 프로그램을 이용하여 분석하였다. 분석기법으로는 잔존치아수와 저작능력간의 관계를 상관계수와 회귀분석으로 분석 검증을 실시하여 다음과 같은 결과를 얻었다. 1. 저작능력과 구강상태와는 치석, 동요도, 충전점수, 우식경험점수, 발거치아수, 임플란트 수, 자연치아수와 나이, 고혈압, 당뇨병, 기타질환, 흡연이 유의한 것으로 나타났다(p<0.05). 2. 회귀분석 결과 나이가 높을수록 저작능력이 감소하며, 자연치아수가 많을수록 저작능력이 높은 것으로 나타났으며 회귀방정식은 저작능력=79.417-(연령$\times$0.281)+3.813$\times$치아수와 같았다(p<0.05). 3. 회귀분석결과 저작능력점수와 자연치아수와의 관계가 가장 높은 것으로 나타났고 회귀방정식은 저작능력=3.817$\times$자연치아+58.694와 같았다(p<0.05). 4. 자연치아로 식사를 하기 위해서는 한국 노인의 주식인 밥과 김치정도를 잘 씹어 먹으려면 잔존 자연치아수가 18개 정도는 있어야 아주 잘 씹어 먹을 수 있고, 잘 먹으려면 12개의 자연치아가 있어야 하며, 육류를 잘 먹기 위해서는 최소한 18개는 있어야 잘 먹을 수 있고, 25개가 있으면 아주 잘 씹어 먹을 수 있다는 연구결과가 나왔다.

• Restorative Dentistry and Endodontics
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• v.21 no.1
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• pp.161-173
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• 1996

The cariostatic effect of fluoride had been established by many epidemiologic and experimental studies. But, there are still different views on the mechnism of cariostasis and remineralization, especially about the proper fluoride concentration. The purpose of this study is to ascertain the remineralization of caries lesion and influence of fluoride concentration which affect remineralization by a study based on dynamic mechanism. The subjects, sound permanent teeth without demineralization or crack, were immersed in lactic acid buffered demineralization solution for 4 days. Dental caries with surface zone and subsurface lesion were artificially produced. All specimens were immersed in lactic acid buffered remineralization solution which had fluoride concentrations of 1 ppm, 2 ppm, 3 ppm for 10days. Final conclusions were obtained by observing the specimens for every 10 days under polarized microscopy. 1. Remineralization of caries lesion as well as demineralization of enamel were produced by changing the degree of saturation of lactic acid buffer solution. 2. Remineralization of caries lesion was facillitated by fluoride ion in lactic acid buffer solution. but, remineralization of the entire caries lesion was not increased as fluoride ion concentration increased.