• 대한소아치과학회지
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• 제40권4호
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• pp.247-252
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• 2013

치면열구전색은 생물막의 축적을 물리적으로 막아주며 박테리아에 의해 형성되는 산물질에 화학적 장벽 역할을 한다. 1999년 S-PRG(Surface reaction-type pre-reacted glass ionomer) 필러기술이 개발되었는데 S-PRG 필러는 수분 존재 하에서 스스로 분해되지 않으면서, 지속적으로 불소유리가 가능하다. 이에 저자는S-PRG 필러를 포함하는 치면열구전색제의 미세누출 및 인접 법랑질에 대한 항우식 효과를 기존의 유동성레진 치면열구전색제와 비교해 보고자 한다. 건전한 소구치, 대구치를 실험대상으로 사용하였다. S-PRG 필러를 함유해 불소를 유리하는 치면열구전색제 Beautisealant$^{(R)}$(Shofu, Japan)를 실험군으로, 유동성레진 치면열구전색제 Concise$^{(R)}$(3M ESPE, USA)를 대조군으로 선정하였다. 미세누출실험을 위해 실란트 변연 1 mm를 제외한 나머지 치아에 손톱광택제를 2회 도포 후 2% 메틸렌블루 용액에 24시간 동안 보관 후 수세하였다. 항우식효과의 평가는 인공우식용액에 9일간 보관 후 수세 후 시행하였다. 수세한 시편들은 투명레진에 매립 후 현미경 관찰을 위해 절단하였다. 통계분석은 미세노출의 정도는 Chisquare test를, 측정된 우식의 깊이는 Mann-Whitney test를 이용해 두 군 간의 유의성을 검증하였다. S-PRG 치면열구전색제와 유동성레진 치면열구전색제의 미세누출 차이는 관찰되지 않았지만, S-PRG 치면열구전색제는 유동성레진 치면열구전색제 보다 더 높은 항우식효과를 보이는 것으로 나타났다.

• 대한소아치과학회지
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• 제50권3호
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• pp.277-291
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• 2023

본 연구는 치수 재혈관화 과정 중 상아질 접착제 도포 유무 및 종류가 치아 변색과 미세 누출에 미치는 영향을 평가하고자 하였다. 시편은 사람의 발거된 소구치 120개로 제작하였으며, 상아질 접착제 종류에 따라 다음과 같이 분류하였다. Group I. No bonding; Group II. One-Step; Group III. Clearfil SE Bond; Group IV. Single Bond Universal. 각 그룹은 칼슘 규산염계 시멘트인 Endocem MTA^® Premixed Regular와 Biodentine의 사용에 따라 Subgroup a와 Subgroup b로 나뉘어 총 8개의 그룹으로 분류되었다. 치관변색 평가를 위해 초진(S0), 항생제 도포 1주(S1), 2주(S2), 4주 경과(S3)와 칼슘 규산염계 시멘트 적용 2주 경과(S4) 각 시점에서 사진을 촬영해 CIE L^*a^*b^*를 측정하였다. 모든 시편은 2% 메틸렌 블루 용액에 침적 후 30배율로 관찰하여 미세누출을 평가하였다. 상아질 접착제 도포는 치관 변색을 감소시켰고, Biodentine은 상아질 접착제의 도포 유무 및 종류와 상관없이 최소한의 변색을 보였다. 또한 상아질 접착제 도포는 미세 누출을 증가시키지 않았다.

• 치위생과학회지
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• 제11권5호
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• pp.397-404
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• 2011

최근 구강관리에 대한 관심이 증가하면서 시판되고 있는 구강양치용액의 종류도 다양해지고 있고 휴대가 간편하여 쉬운 사용방법으로 활용이 급진적으로 증가하고 있다. 본 연구에서는 시판 중인 구강양치용액의 pH를 측정하여 고유 산도가 법랑질 표면의 색조변화, 미세경도, 미세구조 변화, 거칠기 측정 등에 관한 실험방법을 통하여 구강양치용액의 효과를 평가하였다. 1. 색조변화는 Nextcare와 Listerine에서 light-dark를 나타내는 $L^*$값은 0에 가깝게 어두워졌으며 yellow-blue를 나타내는 $b^*$값은 초기값과 비교하여 채도가 낮아졌다. 특히 Listerine에서 ${\Delta}L^*$, ${\Delta}b^*$ 각각 -6.70, -7.20으로 가장 큰 변화를 보였다. 2. 표면경도 측정에서는 Nextcare와 Listerine에서 모두 통계적으로 유의한 감소를 보였다(p<0.05). 또한 표면의 형상과 거칠기에서도 Nextcare와 Listerine에서 다른 실험군과 비교하여 법랑질 표면의 붕괴 및 침식양상과 함께 거칠기가 매우 높아졌음을 알 수 있었다. 결론적으로, 현재 시판 중인 구강양치용액의 pH를 측정하여 고유 산도가 치아 경조직에 미치는 영향에 대해 알아본 결과, 산성의 pH를 가진 구강양치용액을 장기간 사용시 치면 착색 및 법랑질 표면의 영향을 줄 수 있으므로 적절한 사용법을 숙지하여 단기간 사용하는 것이 안전할 것으로 사료된다.

• 대한소아치과학회지
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• 제34권1호
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• pp.73-80
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• 2007

소아 환자의 인접면 우식을 치료할 때 컴포머는 불소를 방출하는 재료로 유용하게 사용될 수 있다. 하지만 구강내 환경은 항상 습윤한 상태로 타액은 컴포머와 치질 사이의 접착을 방해할 수 있다. 수복시에 타액이 게재하게 되면 미세누출이 발생할 가능성이 높아지게 되며 그로 인해서 수복의 실패가 일어날 수 있다. 이에 본 연구에서는 컴포머를 수복할 시에 타액의 영향과 수복 방법에 따른 미세누출 정도를 평가하기 위해서 시행하였다. 컴포머로서 Dyract $AP^{(R)}$(Dentsply, Germany)를 사용하였으며 Dentin bonding agent로는 Prime and $Bond^{(R)}$ NT (Dentsply, Germany)를 사용하였고, 광중합을 위해서 Elipar Trilight (3M ESPE, USA)를 사용하였다. 구강내 환경을 재현하기 위해서 saliva pool을 제작하였다. 소구치 2개를 인접하여 시편을 제작한 후에 2급 와동을 형성하여 수복 환경을 다르게 하여 컴포머를 충전한 후에 500회 thermocycling하였다. 그 후 0.5% methylene blue 용액에 24 시간 동안 담근 후에 실체 현미경을 통해서 교합면과 치은면에서의 미세누출 정도를 측정하였다. Kruskal-Wallis Test와 Mann-Whitney Test를 이용하여 각 군간 유의성을 검정하여 다음과 같은 결과를 얻었다. 1. 교합면에서의 각 군간 통계학적 차이는 없었다(p>0.05). 2. 치은면에서 $Oraseal^{(R)}$을 이용하여 수복한 3군이 타액 오염을 시키지 않은 4군과 통계학적 차이가 없었다(p>0.05). 3. 치은면에서 1군과 2군 사이에는 통계학적 차이가 없었다(p>0.05). 4. 치은면에서 $Oraseal^{(R)}$을 이용하여 수복한 3군이 1, 2군보다 통계학적으로 더 낮은 미세누출 정도를 보였다(p<0.05).

• 대한소아치과학회지
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• 제33권2호
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• pp.244-252
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• 2006

본 연구의 목적은 유동성 복합레진을 치면열구전색제로 사용할 수 있는지 여부를 평가하는 것이다. 세 종류의 유동성 복합레진(Filtek Flow, Tetric Flow, Charmfil Flow)과 한 종류의 filled sealant(Ultraseal XT plus)가 사용되었다 주사전자 현미경을 이용하여 세 종류의 유동성 복합레진 및 filled sealant의 resin tag형성 양상을 비교하였다. 미세누출 평가를 위해 발거된 사람의 소구치 54개를 각각 18개씩 무작위로 세 군으로 배분하였다. 각 군마다 통상의 filled sealant와 한 가지씩의 유동성 복합레진을 교합면 열구에 도포하였다. 치아들을 thermocycling($5^{\circ}{\pm}2^{\circ}C$와 $55^{\circ}{\pm}2^{\circ}C$ 사이에서 30초씩 1200회 시행) 후 48시간 동안 1% methylene blue 용액에 보관하였다. 각각의 치아를 절단하여 미세누출 정도를 관찰하였다. 세 종류의 유동성 복합레진 및 filled sealant는 유사한 resin tag 형성양상을 보였다 세 종류의 유동성 복합레진은 각각 filled sealant보다 현저히 더 많은 미세누출을 보였다. 세 종류의 유동성 복합레진 간의 미세누출 정도는 유사하였다. 유동성 복합레진은 통상의 filled sealant와 비교해볼 때 보다 많은 미세누출을 야기할 수 있으므로 치면열구전색제로 적절하지 않다.

• 대한치과보철학회지
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• 제41권2호
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• pp.136-147
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• 2003

Statement of problem : Ceramic and composite resin have been used to fulfill the demand for esthetic prosthesis. However, ceramic is easy to break and wears off the opposite natural teeth. Conventional composite resin also has low abrasive resistance and color stability. Ceramic Optimized Polymer (ceromer) was developed in mid-1990s to overcome the shortfalls of ceramic and composite resin. Ceromer has similar abrasiveness with the natural tooth and has relatively high strength. Color stability affects esthetics and long-term prognosis of the prosthesis. Purpose The purpose of this study was to compare color stability of ceromers(2 types : $Artglass^{(R)}$. $Targis^{(R)}$) with ceramics ($Vintage^{(R)}$-polishing, $Vintage^{(R)}$-glazing). Material and Method : The color difference(${\Delta}E^*$) was measured by spectrophotometer with different immersion time. Twenty disks, 3mm in thickness and 10mm in diameter, were fabricated for each specimen in shade A2(Vita Lumin shade guide), Specimens (5 samples in each group) were immersed in the food colorants (Red no.3. Yellow no.4, Blue no.1, Distilled water) for 24 hours, 48 hours and 72 hours respectively. $L^*,\;a^*$ and $b^*$ value were measured with spectrophotometer (CM 503i : Minolta Co., Japan) and mean ${\Delta}E^*$ value was calculated for statistical analysis Results : The results of this study were obtained as follows. 1. The ${\Delta}E^*$ values of all test samples increased with the time of immersion. 2. The ${\Delta}E^*$ values of all materials increased in order of Distilled Water, Yellow no.4, Blue no.1 and fed no.3. There was significant difference between Red no.3 and the other food colorants(p<0.05). 3. The ${\Delta}E^*$ values increased in order of $Vintage^{(R)}$-glazing, $Vintage^{(R)}$-polishing. $Artglass^{(R)}$ and $Targis^{(R)}$. There was significant difference between $Vintage^{(R)}$-glazing and the other materials (p<0.05). Conclusion : By means of the above results, immersion time was found to be a critical factor for color stability of ceromer. For the long-term color stability of prosthesis it is recommended patients having ceromer prosthesis ($Artglass^{(R)},\;Targis^{(R)}$) to reduce the habitual intake of Red no.3 colorants con taming foods.

• The Journal of Advanced Prosthodontics
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• 제10권1호
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• pp.8-17
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• 2018

PURPOSE. The study aimed to identify the accuracy and reproducibility of preparations made by gypsum materials of various colors using quantitative and semi-quantitative three-dimensional (3D) approach. MATERIALS AND METHODS. A titanium maxillary first molar preparation was created as reference dataset (REF). Silicone impressions were duplicated from REF and randomized into 6 groups (n=8). Gypsum preparations were formed and grouped according to the color of gypsum materials, and light-scanned to obtain prepared datasets (PRE). Then, in terms of accuracy, PRE were superimposed on REF using the best-fit-algorithm and PRE underwent intragroup pairwise best-fit alignment for assessing reproducibility. Root mean square deviation (RMSD) and degrees of similarity (DS) were computed and analyzed with SPSS 20.0 statistical software (${\alpha}=.05$). RESULTS. In terms of accuracy, PREs in 3D directions were increased in the 6 color groups (from 19.38 to $20.88{\mu}m$), of which the marginal and internal variations ranged $51.36-58.26{\mu}m$ and $18.33-20.04{\mu}m$, respectively. On the other hand, RMSD value and DS-scores did not show significant differences among groups. Regarding reproducibility, both RMSD and DS-scores showed statistically significant differences among groups, while RMSD values of the 6 color groups were less than $5{\mu}m$, of which blue color group was the smallest ($3.27{\pm}0.24{\mu}m$) and white color group was the largest ($4.24{\pm}0.36{\mu}m$). These results were consistent with the DS data. CONCLUSION. The 3D volume of the PREs was predisposed towards an increase during digitalization, which was unaffected by gypsum color. Furthermore, the reproducibility of digitalizing scanning differed negligibly among different gypsum colors, especially in comparison to clinically observed discrepancies.

• Restorative Dentistry and Endodontics
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• 제27권4호
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• pp.389-393
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• 2002

The marginal integrity of the crown can be broken during endodontic access cavity preparation due to the vibration of burs. Therefore, the purpose of this study was to evaluate the effect of endodontic access cavity preparation on the marginal leakage of full veneer gold crowns. 24 intact molars were mounted in acrylic resin blocks and prepared for crowns by a restorative dentist and crowns were cast with gold alloy. 20 Crowns were cemented with glass ionomer cement and 2 crowns were not cemented for positive control. 200 thermo-cycles from 5$^{\circ}C$ to 5$0^{\circ}C$ with a travel time of 20s were completed. Then samples were randomly divided into 2 experimental groups of 9 each. Endodontic access preparation and zinc-oxide eugenol temporary fillings were done in Group 1. Teeth in Group 2 were not treated. Samples were coated with 2 layers of nail varnish and were immersed in 1% methylene blue dye for 20 hrs. Endodontic access was prepared in 2 samples, which were coated with nail varnish on all surfaces for negative control. After washing in running water gold crowns were cut with a #330 bur. Four buccolingual sections, 2 mm apart, were cut from the central section of each tooth and were examined and scored under the microscope for dye leakage. Score 1: leakage to the cervical 1/3 of the axial wall, Score 2: leakage to the middle 1/3 of the axial wall, Score 3: leakage to the coronal 1/3 of the axial wall, Score 4: leakage to the occlusal surface. The median value for Group 1 is 4 and for Group 2 is 2. The result of this study showed that samples in Group 1 leaked more than those in Group 2. This finding was significant(P<0.001).

• 한국치위생학회지
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• 제7권2호
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• pp.123-133
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• 2007

This document is about immigrant worker who use counseling office for human rights in the Daegu Gumin Church. We researched their oral health state so that we can understand their situation and support them properly. General characteristics of study subjects, habits related to oral health, the oral examination and treatment clinic, participated in oral heath education program were studied by designed administered questionaire. And decay, filling(treatment teeth), missing tooth(lost teeth by dental-caries)was counted by oral examination, and calculated DMFT-index. This study was done from the July, 9, 2006 to Aug. 8, 2006. In a total of 289 immigrant worker, 77.9% of them were men and 22.1% of them were women. 55.7% of their salary was from 1,000,000 won to 1,500,000 won and most of them were working for a fiber industry. Many of them are living in korea for more then three years. DMFT index for men was 2.77 and for women was 4.06 so average of DMFT index was 3.06. 46.7% of them said that they are healthy in oral health state. The question for having difficulty using dental clinic in korea, 65.1% of them said "it is difficult". First reason was a communication problem and second was time. Most of them didn't have a oral health education but 85.1% of them said that they are looking forward to attending oral health education. Immigrant worker had better DMFT index then that of korean blue color worker. But still it is quite difficult for them using dental clinic in korea also cost. It is necessary to support them properly that medical insurance system, medical facilities of quality, medical insurance subscriber beside, made by their language, manual for them. At once, medical service improvement a policy is necessary for immigrant worker in korea.

• Restorative Dentistry and Endodontics
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• 제16권2호
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• pp.33-42
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• 1991

The purpose of this study was to evaluate the sealing properties of the temporary filling materials used in endodontic treatment Access cavities were prepared in 135 extracted human molar teeth. Then, cotton pellets were placed in the pulp chamber until the depth of 5 mm for the temporary filling materials; Caviton, zine oxide-eugenol, double sealing (A) (stopping 15 mm + zinc oxide - eugenol, 3.5mm ) double sealing (B) (stopping 3.0 mm + zinc oxide - eugenol 2.0 mm) and gutta percha stopping. After filling the materials, the teeth were immersed in 1 % methylene blue solutions for 3 days, 1 week and 2 weeks. Then thermal cycling was performed at the temperature of $60^{\circ}C$ and $4^{\circ}C$, followed by longitudinal sections on the center of tooth. Finally, staining on the cotton pellet was evaluated. The following results were obtained. 1. Stopping showed lower marginal sealing quality than Caviton, zinc oxide - eugenol and double sealing. 2. In 1 week group, Caviton showed higher marginal sealing quality than zinc oxide-eugenol, double sealing and stopping. 3. Caviton and double sealing (B) showed a great decrease in marginal sealing quality with the increse of time. 4. Caviton had high marginal sealing quality in 3 day group and 1 week group, but in 2 week group, Caviton showed a great decrease. 5. Double sealing (B) showed fairly high marginal sealing quality in 3 day group, but decreased greatly after 1 week on.