• Restorative Dentistry and Endodontics
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• v.49 no.1
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• pp.4.1-4.9
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• 2024

Objectives: This study aims to correlate caries-causing microorganism load, lactic acid estimation, and blood groups to high caries risk in diabetic and non-diabetic individuals and low caries risk in healthy individuals. Materials and Methods: This study includes 30 participants divided into 3 groups: Group A, High-risk caries diabetic individuals; Group B, High-risk caries non-diabetic individuals; and Group C, Low-risk caries individuals. The medical condition, oral hygiene, and caries risk assessment (American Dental Association classification and International Caries Detection and Assessment System scoring) were documented. Each individual's 3 mL of saliva was analyzed for microbial load and lactic acid as follows: Part I: 2 mL for microbial quantity estimation using nutrient agar and blood agar medium, biochemical investigation, and carbohydrate fermentation tests; Part II: 0.5 mL for lactic acid estimation using spectrophotometric analysis. Among the selected individuals, blood group correlation was assessed. The χ² test, Kruskal-Wallis test, and post hoc analysis were done using Dunn's test (p < 0.05). Results: Group A had the highest microbial load and lactic acid concentration, followed by Groups B and C. The predominant bacteria were Lactobacilli (63.00 ± 15.49) and Streptococcus mutans (76.00 ± 13.90) in saliva. Blood Group B is prevalent in diabetic and non-diabetic high-risk caries patients but statistically insignificant. Conclusions: Diabetic individuals are more susceptible to dental caries due to high microbial loads and increased lactic acid production. These factors also lower the executing tendency of neutrophils, which accelerates microbial accumulation and increases the risk of caries in diabetic individuals.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.1
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• pp.265-279
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• 1997

The purpose of this study was to do an epidemiological survey of the salivary reductase activity and dental caries prevalence of the large group of preschool children and analyze the validity of the salivary reductase activity test as a caries activity test. One thousand and forty-four preschool children were examined for caries experience and salivary reductase activity by dental survey and the Resazurin Disc Test. 39.8% of children showed low salivary reductase activity, 39.4% showed middle, and 20.8% showed high. Salivary reductase activity increased as age increased. All indexes of caries experience were high when salivary reductase activity was high. There was positive relation between salivary reductase activity and caries experience. The salivary reductase activity of children with no caries experience was lower than that of children with caries experience. The salivary reductase activity of children with low caries experience was lower than that of children with high caries experience. It seemed that the salivary reductase activity test had basic validity as a caries activity test. However, the test's ability to select the small risk group of high caries susceptibility should be enhanced.

• The Journal of the Korean dental association
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• v.55 no.6
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• pp.413-422
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• 2017

Purpose: The aim of this study was to confirm the validity of the $Cariview^{TM}$, test in adults by assessing correlations between $Cariview^{TM}$, scores and caries experience using a quantitative light-induced fluorescence (QLF) technique. Methods: This retrospective cross-sectional study included 111 patients aged 19-64 years who visited a dental clinic in Seoul from 2015 to 2016, and underwent the $Cariview^{TM}$, test and had their teeth photographed with the Qraycam. Plaque was scraped with sterilized cotton swabs, and then placed in a culture medium and incubated at $37^{\circ}C$ for 48 h. Finally, the degree of color change was evaluated, and scored on a 0-100 point scale. Caries experience index included not only cavitated lesions but also early caries that were detected on white and fluorescence images. Participants were divided into low, moderate and high caries risk groups according to the $Cariview^{TM}$, score, and caries experience was compared between risk groups using ANCOVA. Spearman correlation coefficients were calculated to analyze the associations between $Cariview^{TM}$, scores and caries indices. Result: The mean age of the participants was 40 years, and the mean $Cariview^{TM}$, score was $53.6{\pm}20.7$. The WDMFT and the DMFT indices significantly increased with caries risk, and this increase was significantly different between the low- and high-risk groups. The $Cariview^{TM}$, test scores were significantly correlated with the WDMFT (r = 0.28, P = 0.003) and DMFT (r = 0.29, P = 0.002) indices. Conclusion: The $Cariview^{TM}$, test could be a clinically useful and simple method for assessing caries risk in adults.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.3
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• pp.548-557
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• 2006

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.3
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• pp.337-347
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• 2009

Dental caries during infantile and early childhood period is a complex disease resulting from multiple caries factors. Streptococcus mutans(S. mutans) plays a critical role in the initiation of caries, and its early transmission through mothers provides a strong etiologic factor for future development of caries in the primary dentition. Therefore, early detection of caries risk factor is important for prevention of caries. Recent studies about etiologic factors of caries have brought advent of various tools for caries risk assessment in order to predict progress of caries more accurately. Cariogram is a common tool for caries risk assessment, which illustrates present caries risk assessment and correlation of caries risk factors for an individual graphically. The aim of this study was to assess if there is any correlation in the level of S. mutans and caries activity and to verify the effect of caries risk factors between children with age ranging from 3 to 5 years with severe early childhood caries(S-ECC) and their mothers using caries-related salivary test and Cariogram. The results of this study were as follows. 1. Children with S-ECC had a statistically higher level of Streptococcus mutans compared to caries-free children(p<0.05). 2. There was significant correlation between mothers and their children in the aspect of the level of Streptococcus mutans(p<0.05). 3. When caries activity was assessed using Cariogram, significant correlation between mothers and their children was found(p<0.05). 4. When each caries risk factor was evaluated for its affect on caries activity, host was more influential factor compared to microorganism and diet in children. Based on these results, we could conclude that assessing the level of S. mutans can be an effective tool for predicting possibility of caries formation in future. Since prediction of future caries progression and evaluation of caries risk factor became possible with Cariogram, we may conduct early and preventive measures for treatment of caries.

• Journal of dental hygiene science
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• v.18 no.2
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• pp.97-104
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• 2018

The purpose of this study was to classify risk groups according to Caries Risk Assessment (CRA) and to investigate the effect of caries prevention program after 1 year of caries prevention intervention program in 6-year-old infants with high caries risk. The subjects were selected based on responses to CRA questionnaires. At the first visit, oral examination, Cariview, bacteria and saliva flow test were performed. The caries risk group was classified accordingly. The subjects were given fluoride application and oral health education every four months and evaluated the same as the first visit after 1 year. As a result of classifying the risk level according to CRA, more than 80% of the subjects were in the high or extreme high risk. The dft index was increased in all risk groups after the intervention. There was a significant difference between the before and after intervention (p<0.05). The Cariview score showed a slight decrease after the intervention in the moderate and high risk groups. As a result of the evaluation of bacteria test, Streptococcus mutans were decreased to ${\geq}10^5CFU/ml$ saliva after intervention in all groups. Lactobacilli were decreased after intervention in high risk and extreme high risk groups. As a result of saliva flow, there was significant difference between caries risk groups before and after intervention (p<0.05). In conclusion, regular caries management has been shown to influence caries risk factors in high-caries risk children. Also, it is necessary to find out periodical dental risk management system which is suitable for domestic situation through the related studies.

• Journal of dental hygiene science
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• v.13 no.1
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• pp.91-96
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• 2013

The purpose of this study was to examine the possibility of the existence of high-risk groups of dental caries and influential factors for the high-risk groups, as there was a possibility that certain people might especially be at risk of suffering from dental caries when decayed, missing, and filled teeth index were analyzed, which were the typical indicators of dental caries. The data of the 4th National Health & Nutrition Survey for 2007, 2008 and 2009 were analyzed. Significant caries index (SiC index) were calculated, which were one of the representative devices to indicate high-risk groups of dental caries, and the SiC index and related factors were analyzed by using $x^2$ (chi-square) test. Besides, logistic regression analysis was utilized to find out influential factors, and a statistical package STATA 11.0 was employed. As a result of analyzing what factors would be linked to high-risk groups of dental caries, it's found that women were more likely to belong to high-risk groups than men (p<0.01). How the related factors affected the high-risk groups was analyzed, and it's found that those who didn't find themselves to be in good oral health were more likely to be classified into a high-risk group, and that those who brushed their teeth three times a more a day on a regular basis were more likely to belong to a high-risk group than the others who didn't (p<0.01). Thus, SiC index were calculated in this study to confirm the existence of dental caries high-risk groups, and what factors impacted on the high-risk groups was ascertained. It's required to implement efficient national policies to step up the promotion of national oral health based on the findings of the study.

• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.859-871
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• 2019

Objectives: The present study aimed to evaluate the usability, quality, and usefulness of the mobile application, CAMBRA-kids, for caries management in preschoolers. Methods: Ninety-one caregivers and preschoolers participated in the user evaluation of CAMBRA-kids. The evaluators assessed the usability, quality, and usefulness of CAMBRA-kids. The collected data were analyzed using R studio 1.2.1335 for Windows (RStudio Inc. 2018, Boston, MA, USA). The evaluations for usability, quality, and usefulness were analyzed with descriptive statistics, Kruskal-Wallis rank sum test, and Wilcoxon rank sum test. Results: On user evaluation, the quality and usefulness of the application scored >3 points, and majority of the users rated the quality and usefulness of the application as high. The quality of the application's system was the highest at 3.68 points, and the actual usage of the application was the lowest at 3.10 points. The application had the highest technological aspect score of 3.20, whereas the content related to oral health information had the lowest score of 3.10/5. Although the application showed no statistically significant differences in the quality and usefulness according to general characteristics, there was a statistically significant difference (p<0.05) between the two when compared between the caries risk group. For all items, the protector of the high-risk group evaluated the quality and usefulness of the application highly. The moderate risk group gave the lowest evaluation score for the application's quality and usefulness. The usability score of the application, according to the user version of the mobile application rating scale (uMARS), was 3.25, and the average engagement score was 2.82 (56.31%). The highest subscale score was 3.63. Conclusions: In this study, we found suitable quality, usability, and usefulness of the mobile application, CAMBRA-kids. In future, the use of this application will contribute to the prevention of dental caries among preschoolers.

• Journal of Korean society of Dental Hygiene
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• v.19 no.1
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• pp.131-140
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• 2019

Objectives: The purpose of this study was to evaluate the association between asthma and dental caries by using data from the Korean National Health and Nutrition Examination Survey (KNHANES), from 2013 to 2015. Methods: The study included 11,731 subjects who were ${\geq}19$ years of age and analyzed their demographic-, socioeconomic-, health-, and oral health care-related data. The chi-squared test and logistic regression analysis were conducted using complex sample analyses to examine the relationship between asthma and dental caries. Results: Compared with the control group, the risk for dental caries in the asthma group was 1.207 times higher, regardless of various confounding factors (p<0.001). In the asthma group, the mean DMFT score was significantly higher than that in the control group (p<0.001). After adjusting for confounding factors, the mean number of DMFT in subjects with asthma was 7.67, which was higher than that in subjects without asthma (7.28) (p<0.001). Conclusions: The study results show that asthma may be a risk factor for dental caries. Therefore, in order to prevent dental caries in asthma patients, oral hygiene education is important.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.65-74
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• 2015

In this study, the characteristics and oral health status of manufacturing workers were investigated to confirm the factors affecting their risk of developing dental caries and to prepare basic data for developing oral health promotion programs for such workers. A self-administered questionnaire survey and saliva microorganism examinations (S. mutans and Lactobacillus tests) were conducted from July 1 to August 1, 2014 targeting the manufacturing workers in the Busan and Gyungnam areas, to confirm the factors affecting dental caries development among manufacturing workers. As a result, the risk of dental caries was found to be higher in the workers who worked for 10 hours or longer a day than in those who worked for less than 10 hours a day, and in the smokers than in the non-smokers. A 1-point increase in the brushing pattern score resulted in 0.044 times less risk of dental caries development in the S. mutans test and 0.004 times less risk in the Lactobacillus test Therefore, systematic support is needed to improve the work environment of manufacturing workers, along with continuous oral health education in workplaces.