• Journal of Periodontal and Implant Science
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• v.37 no.sup2
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• pp.409-426
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• 2007

세균성 치태는 치은의 염증과 치주 조직 파괴를 동반하는 치주염의 주요한 인자로서 치주 조직 건강을 유지하기 위하여 적절한 치태 조절이 필요하다. 본 논문의 목적은 12주 동안 만성 초기 및 중등도 치주염 환자에서 치은염에 대한 임상 지수의 감소, interleukin-6 (IL-6) 농도와 치주질환 원인균인 Prevotella intermedia (P. intermedia), Actinobacillus actinomycetemcomitans (A. actinomycetemcomitans)에 대한 소니케어 전동 칫솔의 효과를 일반 칫솔과 비교해 보고자 하는 데 있다. 총 82명의 환자를 선택하였으며, 30명은 일반 칫솔, 52명은 소니케어 전동 칫솔 군으로 분류하여 칫솔질 교육을 실시하였다. 전악을 전치부와 구치부로 나누어 초진, 1, 4, 12주에서의 치태, 치은 지수 및 탐침 시 출혈 여부를 조사하였으며, 가장 깊은 치주낭 탐침을 보이는 치아 3개를 선택하여 탐침 깊이와 부착 정도를 측정하였고, 선택된 치아에서 초진, 1, 12주에 채취된 샘플을 통해 치은열구액 내의 IL-6 농도와 P. intermedia, A. actinomycetemcomitans의 CT값을 추가적으로 조사하여 다음과 같은 결과를 얻었다. 1 소니케어 전동 칫솔과 일반 칫솔군 모두 치은 염증을 나타내는 임상 지수 (치태지수, 치은지수, 탐침 시 출혈)는 12주 기간 동안 유의한 감소 (p<0.05)를 보였으나, 전동 칫솔 군에서 통계학적으로 더욱 유의하게 (p<0.05) 나타났다. 2. 전치부를 제외한 구치부 치아에서 소니케어 전동 칫솔군은 12주 기간 동안 탐침 시 출혈의 감소가 통계학적으로 유의하게 (p<0.05) 나타났다. 3. 가장 깊은 치주낭 탐침 깊이를 보이는 3개의 선택된 치아에서 치주낭 탐침 깊이와 부착 정도는 두 군 모두 초진에 비해 유의한 감소 (p<0.05)를 보였다. 퍼센트 변화 비교에서 치주낭 탐침 깊이는 소니케어 전동 칫솔군이 $18.47{\pm}10.05%$, 일반 칫솔군이 $14.19{\pm}8.16%$로, 부착 정도는 소니케어 전동 칫솔군이 $24.26{\pm}12.51%$, 일반 칫솔군이 $15.65{\pm}9.92%$로 각각 나타났으나, 군 간 통계적 유의차는 보이지 않았다. 4. 치은열구액의 IL-6 농도는 두 군 모두 12주 기간 동안 통계적으로 유의한 감소 (p<0.05)를 나타내었다. 퍼센트 변화 비교에서 전동 칫솔군은 51%, 일반 칫솔군은 37%로 각각 나타났으나, 군 간 통계적 유의차는 보이지 않았다. 5. Prevotella intermedia, Actinobacillus actinomycetemcomitans의 관찰에서 두 군 모두 유의한 차이는 없었다. 위 결과를 통해 본 연구에서는 소니케어 전동 칫솔의 사용이 일반 칫솔에 비하여 만성 초기 및 중등도 치주염 환자에서 치태의 제거, 치은 염증 및 임상 지수의 감소에 유의한 효과가 있으며 IL-6의 감소 경향에도 효과가 있음을 관찰하였다.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.3
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• pp.569-575
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• 2005

The aim of this study was to compare the efficiency of sonic and manual toothbrush in decreasing plaque accumulation in young orthodontic patients. Twenty one healthy orthodontic patients attending department of pediatric dentistry at Samsung Medical Center were chosen for the study. The subjects were randomly assigned to either sonic or manual toothbrush and instructed to brush for 2 minutes. Plaque score was assessed with the modified Visible Plaque Index (VPI) before and after brushing. Each brush was repeated twice. A mean plaque reduction of sonic toothbrush was 61.79%(${\pm}7.95$) compared to 69.19%(${\pm}10.08$) of manual toothbrush(p<0.05). With the sonic toothbrush, male presented a mean plaque reduction of 63.07%(${\pm}8.64$) while female presented 60.39%(${\pm}7.30$). For manual toothbrush, male presented 69.33%(${\pm}10.14$) and female presented 69.03%(${\pm}10.55$) reduction of plaque accumulation(p>0.05). There was no statistically significant correlation between age and plaque removal efficacy in this study(p>0.05). Manual toothbrush was significantly more efficient in removing plaque than the sonic toothbrush in young fixed orthodontic patients.

• The Journal of the Korean dental association
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• v.46 no.12
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• pp.742-754
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• 2008

이 연구의 목적은 초기 및 중등도 치주염 환자에서 전동칫솔을 사용할 경우 임상 지수의 향상 정도와 치주원인균의 정량적 감소 효과를 12주의 연구 기간 동안 평가하는 것이다. $25{\sim}55$세의 환자 80명을 대상으로 12주 동안 진행하였으며, 치태지수 0.5 이상, 치은지수 0.5 이상을 나타내는 대상에서 일반 칫솔 혹은 전동칫솔 ($Sonicare^{(R)}$ Elite, Philips Oral Healthcare Inc., Snoqualmie, Washington, USA) 사용 군을 임의로 선정하였다. 하루 2회, 매 회 2분 간 사용하고, 각 군의 칫솔 사용을 교육하였다. 임상지수는 치태지수 (PI; Silness & $L{\ddot{o}}e$), 치은지수 (GI; $L{\ddot{o}}e$ & Silness), 탐침 후 출혈 부위 (%), 치주낭 깊이 부착소실을 초진 1, 4, 12주에 측정하였다. Interleukin-1 (IL-1), MMP-8과 치은연하치태샘플에서 채취한 4 종류의 치주원인균 (Actinomyces visco년, Porphyromonas gingivalis, Streptococcus sanguis, Tannerella forsythensis)에 대한 16S rRNA test는 초진, 1주, 12주에 측정하였다. 측정 결과 전동칫솔과 일반 칫솔 모두 임상지수의 유의한 감소가 나타났으며, 치은지수는 일반칫솔에 비해 전동칫솔에서 감소효과가 통계적으로 더 우수하게 나타났다 (p<0.001). 탐침 후 출혈의 감소는 전동칫솔에서 76.73%, 일반칫솔에서 44.57% 정도로 전동칫솔 군이 더 우수하게 나타났다. 치주낭 깊이 감소는 초진에 비해 전동칫솔 군에서 18.55%, 일반칫솔 군에서 14.81% 정도로 나타났으며, 초진과 비교하였을 때 부착수준의 향상 정도는 전동칫솔 25.24%, 일반 칫솔 16.94% 정도로 두 군 모두 통계적으로 유의하게 개선되었다 (p < 0.001). 두 군 모두 IL-1 beta, MMP-8 농도의 감소가 있었으며, 치주원인균 중 A.viscosus, P.gingivalis, T.forsythensis 역시 두 군 모두에서 초진에 비해 12주에 유의한 감소를 나타내었으나, S.sanguis는 전동칫솔 군에서만 12주에 유의한 감소가 있었다. 이상의 결과에서 12주 간의 연구 기간 동안 초기 및 중등도 치주염 환자에서 소니케어 전동칫솔의 사용은 임상지수 및 치주 원인균 감소에 통계적으로 유의한 개선 효과를 나타내었다.

• Journal of Digital Convergence
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• v.16 no.12
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• pp.505-510
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• 2018

This study aimed to compare the elimination effect of dental plaque between general toothbrushes and chewing toothbrushes, so as to investigate whether the chewing toothbrushes have the practicality as the alternatives of general toothbrushes and their utilities in the real life. The study subjects were 30 healthy adults in their 20s who maintained the good dental condition over 16 teeth without systemic diseases, and the decline rates of dental plaque index after usages of general and chewing toothbrushes were calculated. Upon the comparisons of dental plaque decline rates before and after the usages of general and chewing toothbrushes, PHI index was declined from 7.02 to 1.91 in case of the general toothbrush demonstrating dental plaque decline by 72.79%, while it was declined from 6.72 to 4.08 in the chewing toothbrush demonstrating decline by 39.29%. Currently, a variety of dental care items are available in the Korean market, hence, various studies are required on the dental care items so as for the people to properly choose the items.

• Journal of Advanced Technology Convergence
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• v.2 no.4
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• pp.49-56
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• 2023

The purpose of this study was to investigate the effectiveness and perception of eco-friendly oral products by comparing and analyzing the dental bacterial film removal rate of eco-friendly toothbrushes and general toothbrushes, and by examining the satisfaction of the research subjects with toothbrushes through questionnaires. As a result of the study, there was no significant difference in the removal rate of dental bacterial film between eco-friendly toothbrushes and general toothbrushes, so it was found that the function of eco-friendly toothbrushes was not much different from that of ordinary toothbrushes, and the satisfaction with eco-friendly toothbrushes was generally positive.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.4
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• pp.374-381
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• 2016

The purpose of this study is to compare the effectiveness of sonic and manual toothbrushes using the $L{\ddot{o}}e$ and Silness plaque index (PI). This was an examiner-blind, randomized study with a cross-over design. A total of 34 children (17 males and 17 females) aged 3-6 years were included. Subjects were randomly assigned to two groups: one group used the sonic brush for two weeks before using the manual brush for two weeks, while the other group used the manual brush for two weeks followed by the sonic brush. During each dental visit, plaque indices were recorded and compared to baseline. The results were analyzed using a paired t-test or Pearson correlation test (${\alpha}=0.05$). Thirty children (mean age 4.37 years) complied with the protocol and completed the study. The PI score was 0.09 lower compared to baseline after using a manual toothbrush and 0.26 lower after using the sonic brush. The reduction was statistically significantly greater in the sonic group (p < 0.05). In conclusion, the sonic toothbrush is more effective for reducing plaque than a manual toothbrush.

• Journal of Food Hygiene and Safety
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• v.30 no.3
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• pp.242-248
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• 2015

This study was performed to investigate the microbiological contamination on toothbrushes, toothbrush caps, and tooth cleaning cups in the child care centers and to evaluate the toxin genes, toxin production ability and antibiotic resistance of food-borne pathogens. The average number of total aerobic bacteria and fungi were 5.3 log CFU and 3.2 log CFU. Coliform bacteria were detected in 41 (54.7%) of 75 toothbrushes, 13 (44.8%) of 29 toothbrush caps, and 29 (44.6%) of 65 tooth cleaning cups. Salmonella spp. was not detected in all of samples but Bacillus cereus was isolated from 1 (1.3%) of 75 toothbrushes and 2 (3.1%) of 65 tooth cleaning cups. Staphylococcus aureus was detected in 1 (1.5%) of 65 tooth cleaning cups. The nheA, nheB, nheC, hblC, hblD, hblA and entFM toxin genes were possessed in B. cereus isolated from toothbrush which also produce NHE and HBL enterotoxins. S. aureus was resistant to ampicillin and penicillin, while B. cereus was resistant to ${\beta}-lactam$ antibiotics. These results indicated that the sanitary conditions of toothbrushes and tooth cleaning cups in the child care centers should be improved promptly. The UV sterilization after drying and then storage in dried condition is required to improve the sanitary condition of toothbrushes and tooth cleaning cups in the child care center.

• Journal of Periodontal and Implant Science
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• v.34 no.1
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• pp.61-70
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• 2004

연구 목적: 3개월 간의 잇솔질에 따른 칫솔의 마모의 정도와 양상을 관찰하고, 이를 이용한 잇솔질 시의 치태 제거능력의 변화를 평가하여 일반적으로 권장되고 있는 3개월 주기의 칫솔 교체 주기의 근거를 실제 임상적으로 확인해보고자 하였다. 연구방법: 치주적으로 건강한 치과 대학생 52명을 대상으로 설문지를 통해 잇솔질 습관을 조사하고, 치석제거술을 시행하고 실험기간 동안 동일한 칫솔과 치약을 사용하게 하였다. 1주일 후와 2달과 3달째에 구강 내를 erythrosine으로 염색한 후 6개의 Ramfjord 치아의 plaque score를 측정하고, 3달 동안 사용한 칫솔을 수거하여 brushing surface area의 면적으로 마모도를 평가하였다. 결과: 6명이 탈락하였고 전체 부위의 plaque score는 1주 때와 비교하여 2,3 개월의 값이 통계학적으로 유의한 차이가 없었으나, 치간 부위의 plaque score는 3개월의 plaque score와 상관관계는 약하였다. 교체 주기, 잇솔질 횟수, 시간 등의 잇솔질 습관과 마모도의 연관성도 없었지만, 잇솔질 시간과 3개월째의 plaque score의 상관관계는 유의성 있는 결과를 보였다. 결론: 3개월 동안 사용한 칫솔의 치간 부위 치태제거 능력은 감소하였으며, 이의 임상적 영향에 대한 장기간의 연구가 필요하겠다.

• Journal of dental hygiene science
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• v.9 no.3
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• pp.339-344
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• 2009

The purpose of this study was to examine the knowledge of some adults about oral hygiene devices and their use of the oral hygiene devices. After a survey was conducted from December 3 to 17,2007, the answer sheets from 352 respondents were gathered. and the collected data were analyzed with a SPSS Ver. 17.0 program. The findings of the study were as follows. 1. Concerning the level of knowledge, the adults investigated knew the best that a toothbrush should be kept by making the head upward (76.77). On the other hand, they had little knowledge on water pick, tongue cleaner and interdental brush. 2. As for the level of use, they scored highest on keeping their toothbrushes by making the head upward(76.77), In contrast, they scarcely put water pick, electronic toothbrushes, tongue cleaner to use. 3. Knowledge impact of general characteristics involving mate(62.54). 50s over(66.28) and up, four family members(61.54), graduate school graduate(66.78), self-employed and, professionals(63.63), income of 1 to 1.5 million won(66.66), fathers were smokers(51.89) got the highest marks with a mean. 4. Use impact of the general characteristics female(47.70), 40s over 49s under(47.78), four family members(48.18), graduate school graduate(50.17), professionals(49.79), income of 1 to 1.5 million won(51.89), fathers were smokers(48.10) got the highest marks with a mean.

• Journal of the korean academy of Pediatric Dentistry
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• v.34 no.2
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• pp.264-272
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• 2007

The purpose of study was to improve the oral hygiene methods for early childhood. The author investigated the oral hygiene materials for early childhood and the oral hygiene methods used by 672 caregivers in Iksan city. The oral hygiene materials were oral tissue, finger brush, toothbrush sets according to the growth stages, electric toothbrush, child toothbrush, toothpaste sets according to the growth stages including eatable toothpaste, and child toothpaste, The rate of caregivers who used each materials was 62.5% for oral tissue, 70.9% for finger brush, 55.9% for toothbrush sets, and 87.4% for eatable tooth-paste. 79.0% of caregivers began toothbrushing from first eruption and about 1 year of age. The rate of swallowing toothpaste was 22% before 48 months, 9% from 48 to 59 months, and 3% after 60 months. The rate of children brushed by caregivers was 52% before 48 months, 42% from 48 to 59 months, and 26% after 60 months. The basic method of oral hygiene management for early childhood is to remove the dental plaque by toothbrushing, and the toothpaste may be used. Suffocation, accidental swallowing, and injury to the throat must be avoided. Generally, the fluoride toothpaste is not recommended before 3 years of age. The least amount of fluoride toothpaste should be used and caregivers should supervise children to prevent the swallowing of toothpaste.