• Journal of Periodontal and Implant Science
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• v.34 no.2
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• pp.333-344
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• 2004

The enamel matrix derivative (EMD) has been recently used in the periodontal regenerative techniques. The present study was established to investigate the influence of EMD on human periodontal ligament cells using expression of mRNA of periodontal ligament specific gene (PDLs)17, PDLs22, type I collagen when EMD applied to periodontal ligament cells. Periodontal ligament cells were obtained from a healthy periodontium and cultured in Dulbecco's modified Eagle's medium (DMEM) plus 10% fetal bovine serum and ${\beta}-glycerophosphate$ with ascorbic acid. Test groups were two; One adds EMD in culture media and another added EMD and Dexamethasone (DEX) in culture media. Positive control group added DEX in culture media, and negative control group adds niether of EMD nor DEX. $Emdogain^{(R)}$ (Biora, Sweden, 30 mg/ml) was diluted by 75 ${\mu}g/ml$ concentration to culture media. For reverse transcription-polymerase chain reaction (RT-PCR), total RNA isolated on days 0, 7, 14 and 21. mRNA of PDLs17 was expressed on days 14 and 21 in EMD or DEX group, and expressed on days 7, 14 and 21 in EMD plus DEX group, the other side, expressed on days 21 in negative control group. mRNA of PDLs22 expressed on days 7, 14 and 21 in EMD group, and expressed on days 14 and 21 in DEX group, and expressed on days 7, 14 and 21 in EMD plus DEX group. Negative control group expressed on days 14 and 21. Type I collagen was expressed on all days and all groups. These results indicate that EMD promotes differentiation of periodontal ligament cells, and this is considered to offer basis that can apply EMD to periodontal tissue regeneration technique.

• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.3
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• pp.446-455
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• 2008

The aim of this study was to evaluate the effect of fluoride varnish application on enamel decalcification. Eighty bovine enamel blocks divided randomly into 4 groups. Group I is the control group. Group II was treated with the APF gel and washed after 4 minutes. Group III and IV was treated with Fluor $Protector^{(R)}$ and $CavityShield^{TM}$ and washed after 1 minutes. Decalcification were created by placing all specimen into artificial acidic solution(pH 4.0). Then the optical density of the lesions were measured by visible light fluorescence and the lesion depths were measured. The results were : 1. The optical density of group II was higher than group I but lower than group III, IV(p<0.05) and there was no difference between group III, IV(p>0.05) at 48 hours. 2. The optical density of group IV was highest at 72 hours(p<0.05). 3. Mean lesion depths were $205.36{\pm}42.85{\mu}m$ and $210.81{\pm}44.60{\mu}m$ in group I, II but no significant difference between two groups(p>0.05). 4. Mean lesion depths were $80.03{\pm}21.66{\mu}m$ and $77.46{\pm}27.72{\mu}m$ in group III, IV but no significant difference between two groups(p>0.05). Fluoride varnish treatment resulted in a significant reduction in lesion depth compared with APF gel. Fluor $Protector^{(R)}$ and $CavityShield^{TM}$ provided the similar effect.

• Restorative Dentistry and Endodontics
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• v.21 no.1
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• pp.280-288
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• 1996

The purpose of this study was to assess comparatively the shear bond strength on dentin of four dentin bonding agents used in conjunction with light-curing composite resins. Clearfil New Bond, Scotchbond Multipurpose Dentin Adhesive, All-Bond 2 and X-R Bond were applicated on labial dentin surfaces just below dentin - enamel juction of bovine incisor teeth. After shear bond strength testing with the universal testing machine, the bonding interface of the specimens were observed under light stereomicroscope. Following results were obtained. 1. The shear bond strength was high in the order of B,C,D,A and group B Scotchbond Multipurpose Dentine Adhesive revealed greater bond strength than Clearfil New Bond and X-R Bond. (p<.001) 2. When using ANOVA and Duncan's multiple range test, there were statistical differences among the four groups, except between group Band C,group D and A. 3. There was no relationship between mode of failure and shear bond strength.

• Restorative Dentistry and Endodontics
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• v.31 no.4
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• pp.263-268
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• 2006

Recently, self-etching adhesive system has been introduced to simplify the clinical bonding proce- dures. It is less acidic compared to the phosphoric acid, thus there is doubt whether this system has enough bond strength to enamel. The purpose of this study was to investigate the influence of additional etching on the adhesion of resin composite to enamel. Ninety extracted bovine permanent anterior teeth were used. The labial surfaces of the crown were ground with 600-grit abrasive paper under wet condition. The teeth were randomly divided into six groups of 15 teeth each. Clearfil SE $Bond^{\circledR},\;Adper^{TM}$ Prompt L-Pop and Tyrian $SPE^{TM}$ were used as self-etching primers. Each self-etching primers were applied in both enamel specimens with and without additional etching. For additional etching groups, enamel surface was pretreated with 32% phosphoric acid (UNI-ETCH, Bisco, Inc., Schaumburg, IL. USA). Hybrid resin composite Clearfil AP-X, (Kuraray Co., Ltd., Osaka, Japan) was packed into the mold and light-cured for 40 seconds. Twenty-four hours after storage, the specimens were tested in shear bond strength. The data for each group were subjected to independent t - test at p < 0.01 to make comparisons among the groups. In Clearfil SE $Bond^{\circledR}$, shear bond strength of additional etching group was higher than no additional etching group (p < 0.01). In $Adper^{TM}$ Prompt L-Pop and Tyrian SPE, there were no significant difference between additional etching and non-etching groups (p > 0.01). In conclusion, self-etching adhesive system with weak acid seems to have higher bond strength to enamel with additional etching, while self-etching adhesive system with strong acid seems not.

• Journal of dental hygiene science
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• v.11 no.4
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• pp.375-380
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• 2011

This study evaluated whether fluoride treatment can affect recovery of the irregularity of enamel surface after tooth whitening with a high concentration of hydrogen peroxide (HP) activated by plasma arc light. A total of 36 bovine teeth stained with coke were used in this experiment. The specimens were classified into following three groups (two different commercial plasma arc groups and a control group without light curing source): (1) 35% HP gel only, (2): 35% HP gel and Plasma arc A, and (3) 35% HP gel and Plasma arc B. To measure color changes and surface morphologies before and after the bleaching, colorimeter and scanning electron microscopy were used, respectively. When the specimens were bleached with hydrogen peroxide and plasma arc lights, the bleaching effect was greater than when only hydrogen peroxide gels were used (Kruskal-Wallis test, p<0.05). In addition, plasma arc B showed the more color changes than plasma arc A (Bonferroni post-hoc test, p<0.05). The surfaces of the teeth treated with fluoride gel after the whitening treatment came to be smooth. Therefore, the results of this study suggested that the fluoride application for patients who got tooth whitening therapy with a high concentration of hydrogen peroxide gels activated by plasma arc light will be effective to recover rough enamel surfaces.

• The korean journal of orthodontics
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• v.48 no.6
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• pp.377-383
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• 2018

Objective: This study was performed to investigate the effects of external tooth bleaching with flouridation on the appearance of white spot lesions (WSLs) in vitro. Methods: In total, 125 bracket-bonded bovine incisor enamel blocks with artificial WSLs were randomly divided into a control group and four treatment groups (home bleaching, home bleaching + fluoridation, in-office bleaching, and in-office bleaching + fluoridation). A spectroradiometer (SR) and digital images (DIs) were used to evaluate colorimetric parameters (Commission Internationale l'Eclairage $L^*a^*b^*$) for all specimens. Color measurements were obtained before WSL formation (T1), after WSL formation (T2), and after completion of the external tooth bleaching treatment (T3). Results: The SRbased color change after bleaching was significantly greater in the treatment groups than in the control group (p < 0.05). SR-based lightness ($L^*$) and redgreen ($a^*$) values were significantly higher at T2 than at T1 (p < 0.001), with no significant changes in yellow-blue ($b^*$) values. At T3, SR-based $L^*$ values had increased while $a^*$ and $b^*$ values had decreased in the treatment groups (p < 0.001). The DI-based color difference between the sound enamel and WSL areas (DE*DI) increased significantly from T1 to T2 in all groups (p < 0.001) and significantly decreased from T2 to T3 in the treatment groups (p < 0.001). No significant differences in ${\Delta}E^*DI$ at T3 were shown between the four treatment groups (p > 0.05). Conclusions: The findings of this study suggested that external tooth bleaching with fluoridation can alleviate the conspicuity of WSLs.

• Restorative Dentistry and Endodontics
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• v.41 no.2
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• pp.121-129
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• 2016

Objectives: The purpose of this study was to assess the effect of single and combined applications of fluoride on the amount of fluoride release, and the remineralization and physical properties of enamel. Materials and Methods: Each of four fluoride varnish and gel products (Fluor Protector, FP, Ivoclar Vivadent; Tooth Mousse Plus, TM, GC; 60 Second Gel, A, Germiphene; CavityShield, CS, 3M ESPE) and two fluoride solutions (2% sodium fluoride, N; 8% tin(ii) fluoride, S) were applied on bovine teeth using single and combined methods (10 per group), and then the amount of fluoride release was measured for 4 wk. The electron probe microanalysis and the Vickers microhardness measurements were conducted to assess the effect of fluoride application on the surface properties of bovine teeth. Results: The amount of fluoride release was higher in combined applications than in single application (p < 0.05). Microhardness values were higher after combined applications of N with FP, TM, and CS than single application of them, and these values were also higher after combined applications of S than single application of A (p < 0.05). Ca and P values were higher in combined applications of N with TM and CS than single application of them (p < 0.05). They were also increased after combined applications of the S with A than after single application (p < 0.05). Conclusions: Combined applications of fluoride could be used as a basis to design more effective methods of fluoride application to provide enhanced remineralization.

• Journal of dental hygiene science
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• v.20 no.4
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• pp.252-260
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• 2020

Background: In this study, the bleaching effect and surface damage of two types of over-the-counter home tooth bleaching agents were explored using an in vitro study of bleaching agents applied to bovine teeth specimens for 14 days. Methods: Domestic over-the-counter home tooth bleaching agents of gel and patch form that shared common active ingredients and manufacturers were selected and tested. The experiment specimens were made using composite resin with bovine tooth samples and then measured the initial microhardness. Specimens were then divided into a Gel group and a Patch group and underwent bleaching treatment once a day for two weeks for 30 to 60 minutes (recommended) or 7 hours. All specimens were coffee-stained prior to bleaching. The bleaching effect was measured using a spectrophotometer and surface damage was measured using a microhardness meter. Results: The difference in color following the bleaching procedure was positive in both the Gel and Patch group, although there were no statistically significant differences in bleaching effect between groups. There was no significant difference in bleaching effect based on duration. The microhardness test revealed that both the Gel group and the Patch group had surface damage after bleaching. The greatest surface damage was found in the Patch group that had undergone a 7-hour bleaching treatment, although the differences were not statistically significant. Conclusion: The bleaching effect of the home tooth bleaching agent was visible to the naked eye. However, longer applications than recommended did not result in greater bleaching, unlike consumers' expectations, and instead increased the chance of enamel damage. As such, there is a need for consumers to be alert and adhere to recommendations provided by each company.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.4
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• pp.849-857
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• 1998

The purpose of this study was to investigate whether fluoride-releasing pit and fissure sealant was more effective in preventing caries than conventional non-fluoride-releasing sealant. Specimens 8mm in diameter were made from sound bovine enamel. Fluoride-releasing pit and fissure sealant(Helioseal F, Vivadent, Schaan, Liechtenstein) and non-fluoride-releasing sealant(Helioseal, Vivadent, Schaan, Liechtenstein) were applied to the specimens and artificial caries was induced. Microhardness and the depth of the carious lesion was measured. The following results were obtained: 1. In group 2, sealed with fluoride-releasing sealant, there was a 58.4% decrease in microhardness. This was significantly less than the 84.4% decrease observed in group 1, sealed with non-fluoride-releasing sealant(p<0.01). 2. The average depth of the artificial carious lesion in group 2 was $30.1{\pm}9.8{\mu}m$. In group 1, sealed with non-fluoride-releasing sealant, the lesion was significantly deeper with an average depth of $58.5{\pm}4.9{\mu}m$(p<0.01). 3. Fluoride-releasing pit and fissure sealant was more anticariogenic compared to non-fluoride-releasing sealant.

• Restorative Dentistry and Endodontics
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• v.31 no.6
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• pp.452-459
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• 2006

Competition will usually develop between the opposing walls as the restorative resin shrinks during polymerization. Magnitude of this phenomenon may be depended upon cavity configuration and volume. The purpose of this sturdy was to evaluate the effect of cavity configuration and volume on microleakage of composite resin restoration that has margins on the enamel site only. The labial enamel of forty bovine teeth was ground using a model trimmer to expose a flat enamel surface. Four groups with cylindrical cavities were defined, according to volume and configuration factor(Depth x Diameter / C-factor) - Group I : 1.5 mm ${\times}$ 2.0 mm / 4.0, Group II : 1.5 mm ${\times}$ 6.0 mm / 2.0, Group III : 2.Omm ${\times}$ 1.72 mm / 5.62, Group IV : 2.0 mm ${\times}$ 5.23 mm / 2.54. After treating with fifth-generation one-bottle adhesive - BC Plus$^{TM}$ (Vericom, AnYang, Korea), cavities were bulk flted with microhybrid composite resin - Denfill$^{TM}$ (Vericom). Teeth were stored in distilled water for one day at room temperature and were finished and polished with Sof-Lex system. Specimens were thermocycled 500 times between 5$^{\circ}$C and 55$^{\circ}$C for 30 second at each temperature. Teeth were isolated with two layers of nail varnish except the restoration surface and 1 mm surrounding margins. Electrical conductivity (${\mu}$A) was recorded in distilled water by electrochemical method. Microleakage scores were compared and analyzed using two-way ANOVA at 95% level. The results were as follows: 1. Small cavity volume showed lower microleakage score than large one, however, there was no statistically significant difference. 2. There was no relationship between cavity configuration and microleakage. Factors of cavity configuration and volume did not affect on microleakage of resin restorations with enamel margins only.