• Title/Summary/Keyword: 인공우식병소

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Convergence Study on Remineralization Effect of fTCP and CPP-ACP using QLF-D (QLF-D를 이용한 fTCP와 CPP-ACP의 재광화 효과에 관한 융합 연구)

  • Kang, Yong-Ju;Lee, Su-Young
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.133-139
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    • 2016
  • This study was to evaluate the change of mineral loss of fTCP and CPP-ACP in artificial caries lesions using QLF-D to compare the remineralization effect of recently developed fTCP and CPP-ACP, which is widely used as a remineralization cream in current dental clinics. Bovine specimens used in this study formed the artificial caries lesion immersing in demineralization solution for 10 days and were divided randomly into the following two groups; Group 1- Tooth Mousse containing 10% CPP-ACP, Group 2- Clinpro Tooth Creme containing 950ppm NaF and fTCP. Two tooth paste were applied to the artificial caries lesion of specimens and they were immersed in artificial saliva for 1 week. Mineral loss of artificial caries lesion was evaluated by fluorescence loss (${\Delta}F$) values using QLF-D. QLF-D analysis showed that the ${\Delta}F$ and ${\Delta}Fmax$ value increased 2.65 and 6.63, respectively, in the Tooth Mousse group, and the mineral loss decreased statistically significantly(p<0.05). However, Clinpro Tooth Creme group had no statistically significant difference. ${\Delta}Fmax$ value of Tooth Mousse group was statistically significant difference compared to the Clinpro Tooth Creme. Therefore, the Tooth Mousse containing 10% CPP-ACP is more effective than Clinpro Tooth Creme containing fTCP in the treatment of remineralization of artificial caries lesions.

Effect of Silver Diamine Fluoride and Sodium Fluoride Varnish on Remineralization in Artificially Induced Enamel Caries: An in vitro Study (Silver diamine fluoride와 sodium fluoride (NaF) 바니쉬의 법랑질 인공우식병소 재광화 효과)

  • Kim, Soyoung;Lee, Sangho;Lee, Nanyoung;Jih, Myeongkwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.266-276
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    • 2020
  • The purpose of this study was to compare the remineralization effect of 38% silver diamine fluoride (SDF) and 5% sodium fluoride (NaF) varnish on artificially induced enamel caries. The present study standardized the physiochemical characteristics of the tooth structure using bovine teeth, realized the wash-off action of agents using a saliva, reproduced an environment similar to mouth through pH-cycling, and comparatively assessed the remineralization effect of 38% SDF and 5% NaF varnish in a non-destructive method using micro-CT. And the remineralized enamel surface structure was analyzed by scanning electron microscopy (SEM) and energy dispersive X-Ray spectroscopy (EDS). In both SDF and NaF varnish, mineral density (△Hounsfield unit value) and the volume of enamel restored to normal mineral density through remineralization gradually increased with time. And the SDF showed a much higher level of increase in mineral density at all depths and remineralized volume than NaF varnish. According to SEM analysis, the surface roughness decreased in the order of artificial saliva, NaF varnish and SDF. In addition, EDS analysis showed that silver ion was precipitated on the enamel surface in SDF group. In conclusion, SDF had a greater remineralization effect than NaF varnish on demineralized enamel.

DIAGNOSIS OF EARLY CARIES WITH DYE-ENHANCED LASER FLUORESCENCE (레이저 형광과 광활성제를 이용한 초기 우식증의 진단)

  • Lee, Sang-Ho;Han, Kuk-Jae;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.1-9
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    • 2003
  • To evaluate the quantitative nature of laser fluorescence(LF) and dye-enhanced laser fluorescence(DELF) on early enamel caries, artificial caries were induced on the bovine enamels and argon laser was irradiated on the surfaces of lesions. Fluorescence radiance from enamel specimen was recorded with CCD camera which was connected to PC image analyzing system. The difference of fluorescence of radiance(DFR) between the carious and the sound enamel in each sample of the LF and the DELF groups were measured by image analyzing program. The DFR of lesion surfaces measured with laser fluorescence and lesion depths were evaluated and the results are as follows: The caries lesions were discriminated from sound enamels by the darkness with LF and by the brightness with DELF. The DELF was more sensitive than the LF at the earlier stage of demineralization.

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Assessment of Early Dental Caries by Using Optical Coherence Tomography (Optical Coherence Tomography를 이용한 초기 치아우식 검사)

  • Min, Ji-Hyun
    • Journal of dental hygiene science
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    • v.16 no.4
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    • pp.257-262
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    • 2016
  • The purpose of this study was to assess the correlation between integrated mineral loss (volume % mineral${\times}{\mu}m$, ${\Delta}Z_{TMR}$) determined using transverse microradiography (TMR) and integrated reflectivity ($dB{\times}{\mu}m$, ${\Delta}R_{OCT}$) determined using optical coherence tomography (OCT) for detecting early dental caries with lesion depth more than $200{\mu}m$. Sixty tooth specimens were made from sound bovine teeth. They were immersed in a demineralized solution for 20, 30, and 40 days. The ${\Delta}R_{OCT}$ was obtained from the cross-sectional OCT image. The ${\Delta}Z_{TMR}$ was obtained from the TMR image. The correlation between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was examined using Pearson correlation. The Bland-Altman plot was constructed using the ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ values. A significant correlation between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was confirmed (r=0.491, p=0.003). Moreover, most of the difference between ${\Delta}R_{OCT}$ and ${\Delta}Z_{TMR}$ was included in the error section of the Bland-Altman plot. Therefore, OCT could be used as a substitute for TMR when analyzing mineral loss in early dental caries.

The radiographic depth of approximal root cavities : A comparative study of conventional and digital radiographs (인접면 치근 인공우식병소의 깊이 평가: 구내 일반 방사선사진과 디지털 방사선사진과의 비교)

  • Park Hyun-Jung;Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.33 no.1
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    • pp.15-20
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    • 2003
  • Purpose : To investigate the reproducibility of the conventional and digital radiographs to determine the depth of approximal root cavities. Materials and Methods : A total of 80 artificial root cavities were prepared in the approximal surfaces of premolars, maxillary and mandibular molars. Standardized radiographs were taken at the baseline (0° horizontal and 0° vertical) and at a horizontal angulation of 10° in both mesial and distal directions. Radiographic cavity depths were measured by both conventional and digital radiographs. Results: At 0° horizontal angulation, no statistically significant differences could be determined between the results of conventionally and digitally determined radiographic depths with respect to the actual cavity depths in all premolar, maxillary, and mandibular molar groups. All conventional and digital radiographic depths at both 10° mesial and distal angulations showed statistically significant increases in depth compared to the actual cavity depths (p < 0.05), with the exception of digital radiographic depth at 10° mesial angulation for premolars. There were no statistically significant differences between conventional and digital radiographic depths for all groups. Conclusion: The present study suggests that both conventional and digital radiographs provide reproducible assessment of the depth of the approximal root cavity. But horizontal X-ray beam movements are likely to result in increase in radiographic cavity depth.

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ROC Analysis of Acid Demineralized Artificial Caries (인공치아 우식병소 진단의 ROC 분석)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.2
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    • pp.7-13
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    • 1997
  • 조직학적으로 유용성이 입증된 산탈회법을 이용한 인접면 비교적 초기 치아 우식의 병소를 형성하여 진단율을 조사하였다. 산 용액을 이용하여 20개 인접면 치아우식을 20개 소구치에 형성하였고, 37개 인접면 치아우식을 30개 대구치에 형성하였다. 건전한 소구치 20개, 대구치 30개를 포함하여 총 96개 치아를 4개씩 나누어 24개의 블록을 형성하였고, 각각 2개 블록의 교합면을 교합시켜서, 교익촬영을 하였다. 촬영 결과를 36명의 치과의사들이인접면 치아우식의 유무를 기록하고, 동시에 및 ROC 분석을 위한 5 개 범주의 판독 기준으로 판독하여 기록하였다. 인접면 치아우식증 유, 무만으로 판독한 결과 진단의 sensitivity는 0.71, specificity는 0.78 이였다. ROC 분석 한 결과의 곡선도표 아래부분의 평균 면적은 약 0.806 이였다. 치아우식증 유무만으로 진단한 결과는 특정한 sensitivity와 specificity 만을 나타내지만, ROC 분석 결과는 주관적 진단 기준과 구별되는 고유의 진단 능력을 표시하는 1-specificity(False Positive)의 변화에 따른 sensitivity(True Positive)의 변화를 연속적으로 나타내어 주었다.

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EFFECTS OF LASER AND FLUORIDE TREATMENT ON THE RESISTANCE TO MICROORGANISM AND ACID IN ARTIFICIAL CARIOUS LESION (레이저와 불소가 인공우식병소의 항균성 및 내산성에 미치는 영향에 관한 연구)

  • Yoo, Jeong-Min;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.405-421
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    • 1997
  • The main purpose of this study was to evaluate the acid resistance and antimicrobial effect of fluoride-laser combined application. Recently extracted third molars were used. $5{\times}3mm$ of the buccal and lingual specimens were exposed and incipient artificial carious lesions were formed by keeping them in the artificial cariogenic solution for 5 days. They were divided into five groups and treated with fluoride and laser according to the predetermined regimen. The acid resistance was compared between groups by chemical quantitative analysis of the calcium and phosphorous released into the test solution after single or combined application of fluoride and laser. The antimicrobial effect of each group was analyzed by counting the number of colony forming units after microbial incubation. The results from the present study can be summarized as follows; 1. Experimental groups showed lower values in calcium and phosphorous contents as well as in $CFU/m{\ell}$(colony forming units) than control group. Combined application groups showed lower values than single application groups. 2. Acid resistance and antimicrobial effect by fluoride and laser treatment were confirmed in this study. 3. Based upon the above-mentioned results of this study, it can be assumed that the use of laser-fluoride combined application may provide the child and adolescent patient population with antimicrobial effect as well as acid resistance. Further studies using various materials and experimental conditions are being encouraged.

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EFFECT OF FLUORIDE VARNISH ON DEVELOPMENT OF ARTIFICIAL CARIES (불소 바니쉬가 인공 우식 병소의 발생에 미치는 영향)

  • Cho, Nan-Ju;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.613-622
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    • 2007
  • The purpose of this study was to evaluate the effect of fluoride varnish on prevention of enamel demineralization. Eighty bovine enamel blocks were divided randomly into 4 groups of 20 specimens: Group I served as the control with no topical application of fluoride. Group II was treated with APF gel for 4 minutes. Group III was treated with Fluor $Protector^{(R)}$. Group IVV was treated with $CavityShield^{TM}$. After 24 hours of treatment, samples were brushed with a soft bristled tooth brush to stimulate normal mechanical wear of varnish. Early caries lesions were produced by placing each specimen into demineralization solution at pH 4.0 for 48 hours. Then the optical density of the lesions was measured by light fluorescence induced by plasma light and the surface microhardness were measured by the vicker's hardness test. The results were as follows: 1. The optical densities of group III, IV were significantly higher than that of group II, but no significant difference was noted between group III and IV. 2. The surface microhardness of group IV was the highest, followed by group III, II, and I(p<0.05). 3. There were no significant differences between group III and IV in optical density. However, the surface microhardness of group IV was significantly higher than that of group III. The results of present study indicate that the fluoride varnish is more effective than APF gel for prevention of dental caries.

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