• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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• pp.553-553
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• 2003

I. Objectives Endodontic disease is caused primarily by bacteria that interact with periradicular host from the root canal system. Chlorhexidine gluconate is known to effective to eliminate Enterococcus faecalis which resists to other intracanal medicaments. The aim of this in vitro study was to develop a slowly releasing root canal disinfectant using using chlorhexidine gluconate and chitoic acid. II. Materials and Methods Three different group were prepared with different drug release mechanism. In group A, paper points as used core material were loaded with 20% chlorhexidine gluconate.(omitted)

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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• pp.134.1-134.1
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• 2003

Tempting to further understanding the biophysical mechanism of action of chlorhexidine, we examined effects of the antimicrobial agent(chlorhexidine digluconate) on rate of rotational mobility of liposomes of total lipids extracted from anaerobic bacterial outer membranes (Porphyromonas gingivalis outer membranes). (omitted)

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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• pp.93.2-93.2
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• 2003

To get a better insight into the biophysical mechanism of action of chlorhexidine digluconate, we examined the effect of chlorhexidine digluconate on the thickness of outer membranes isolated from cultured Porphyromonas gingivalis using energy transfer between the membrane surface fluorescent probe (l-anilinonaphthalene-8-sulfonic acid) and the hydrophobic fluorescent probe [1,3-di(l-pyrenyl)propane]. 1-Anilinonaphthalene-8-sulfonic acid quenches the monomer fluorescence of 1,3-di(1-pyrenyl)propane. (omitted)

• 한국임상수의학회지
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• 제24권2호
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• pp.99-103
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• 2007

개의 표재성 농피증으로부터 분리된 Staphylococcus intermedius에 대한 0.1%(w/v) 키토산의 항균효과를 조사하였다. In vitro에서 0.1% 키토산이 S. intermedius에 대한 항균효과를 나타내기 위한 접촉시간과 키토산 용액의 pH가 미치는 영향을 조사하였다. In vivo에서 10두의 개의 피부에 인공적으로 S. intermedius를 접종하여 0.1% 키토산, 2.5% benzoyl peroxide, 0.5% chlorhexidine, 키토산-benzoyl peroxide 혼합용액, 키토산-chlorhexidine 혼합용액의 항균효과를 modified detergent cup scrub technique을 이용하여 비교하였다. In vitro에서 접종액의 내의 세균수는 $6.08{\pm}0.20CFU/ml$ 이었으며 pH 4.5 용액의 경우 10분, 30분, 120분의 접촉시간 후 각각 $3.57{\pm}0.51,\;2.82{\pm}0.24,\;2.40{\pm}0.17CFU/ml$로 감소하였다. 동일한 각각의 접촉시간후 pH 5.0 용액은 $4.22{\pm}0.08,\;3.44{\pm}0.41,\;3.16{\pm}0.09$, pH 5.5 용액은 $4.75{\pm}0.14,\;4.32{\pm}0.08,\;3.53{\pm}0.33$, pH 5.9 용액은 $5.57{\pm}0.36,\;5.02{\pm}0.42,\;4.87{\pm}0.12CFU/ml$로 감소하였다. 따라서 pH에 따라 정도의 차이는 있었으나 모든 키토산 용액은 10분의 접촉시간후 현저한 항균효과를 나타내었으며 (p<0.05) pH 4.5에서 가장 높게 나타났다. In vivo에서 접종액내의 세균수는 $6.61{\pm}0.30CFU/cm^2$ 이었으며 키토산은 $3.25{\pm}0.98$, benzoyl peroxide는 $0.68{\pm}1.13$, chlorhexidine은 $3.14{\pm}0.55$, 키토산-benzoyl peroxide은 $0.48{\pm}0.56$, 키토산-chlorhexidine은 $2.55{\pm}0.88CFU/ml$로 각각 현저히 감소하였다 (p<0.01). 0.1% 키토산 단독보다는 소량의 benzoyl peroxide 또는 chlorhexidine을 혼합용액의 항균효과가 현저히 증가하였다. 따라서 0.1%키토산은 S. intermedius에 대하여 in vitro 및 in vivo에서 항균효과를 나타내었으며 개의 화농성 농피증의 국소제제로 적용가능성이 있을 것으로 사료된다.

• The Korean Journal of Physiology and Pharmacology
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• 제8권2호
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• pp.83-88
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• 2004

The purpose of this study was to provide a basis for studying the molecular mechanism of pharmacological action of chlorhexidine digluconate. Large unilamellar vesicles (OPGTL) were prepared with total lipids extracted from cultured Porphyromonas gingivalis outer membranes (OPG). The anthroyloxy probes were located at a graded series of depths inside a membrane, depending on its substitution position (n) in the aliphatic chain. Fluorescence polarization of n-(9-anthroyloxy)stearic acid was used to examine effects of chlorhexidine digluconate on differential rotational mobility, while changing the probes' substitution position (n) in the membrane phospholipids aliphatic chain. Magnitude of the rotational mobility of the intact six membrane components differed depending on the substitution position in the descending order of 16-(9-anthroyloxy)palmitic acid (16-AP), 12, 9, 6, 3 and 2-(9-anthroyloxy)stearic acid (12-AS, 9-AS, 6-AS, 3-AS and 2-AS). Chlorhexidine digluconate increased in a dose-dependent manner the rate of rotational mobility of hydrocarbon interior of the OPGTL prepared with total lipids extracted from cultured OPG, but decreased the mobility of membrane interface of the OPGTL. Disordering or ordering effects of chlorhexidine digluconate on membrane lipids may be responsible for some, but not all of its bacteriostatic and bactericidal actions.

• 대한소아치과학회지
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• 제33권3호
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• pp.447-456
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• 2006

서양산 고추냉이 (Armoracia rusticara)는 향신료로서의 역할뿐만 아니라 항균 효과로도 주목을 받고 있다. 고추냉이의 항균성분은 isothiocyanate류로 그 중에서도 allyl isothiocyanate(AIT)가 항균활성이 강한 것으로 알려져 있다. 본 연구에서는 최소억제농도와 최소살균농도를 측정하여 다양한 구강내 미생물(Streptococcus mutans ATCC 25175, Streptococcus sobrinus(d) ATCC 27607 Lactobacillus casei ATCC 393, Staphylococcus aureus ATCC 25923, Enterococcus faecalis ATCC 29212, Actinobacillus actimomycetemcomitans ATCC 29522, Candida albicans ATCC 10261)에 대한 서양산 고추냉이 뿌리 추출물의 항균효과를 알아보고, 이를 대표적 항균제인 클로르헥시딘의 항균활성과 비교하여 다음과 같은 결과를 얻었다. 1. 서양산 고추냉이 뿌리 추출물은 연구에 사용된 7종의 구강내 미생물에 대해 최소억제농도는 30-125ppm, 최소살균농도는 125-500ppm을 나타냈으며, 특히 세균보다는 효모인 C. albicans에 대해 강한 항균활성을 나타낸다. 2. 클로르헥시딘 역시 7종의 구강내 미생물에 대해 항균효과를 나타냈으며, 최소억제농도는 0.15-2.5% 최소살균농도는 0.4-2.5%로 측정되었다. 이상의 결과로 서양산 고추냉이 뿌리 추출물은 클로르헥시딘과 비교하여 더 낮은 농도에서 클로르헥시딘과 유사한 정도의 항균효과를 나타냄을 알 수 있다.

• Restorative Dentistry and Endodontics
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• 제37권3호
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• pp.149-154
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• 2012

Objectives: To evaluate the accuracy of the Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigants, such as saline, 5.25% sodium hypochlorite (NaOCl), 2% chlorhexidine liquid, 2% chlorhexidine gel, and RC-Prep, and also to determine the electrical conductivities of these endodontic irrigants. Materials and Methods: A root perforation was simulated on twenty freshly extracted teeth by means of a small perforation made on the proximal surface of the root at 4 mm from the anatomic apex. Root ZX was used to locate root perforation and measure the electronic working lengths. The results obtained were compared with the actual working length (AWL) and the actual location of perforations (AP), allowing tolerances of 0.5 or 1.0 mm. Measurements within these limits were considered as acceptable. Chi-square test or the Fisher's exact test was used to evaluate significance. Electrical conductivities of each irrigant were also measured with an electrical conductivity tester. Results: The accuracies of the Root ZX in perforated teeth were significantly different between liquid types (saline, NaOCl) and gel types (chlorhexidine gel, RC-Prep). The accuracies of electronic working lengths in perforated teeth were higher in gel types than in liquid types. The accuracy in locating root perforation was higher in liquid types than gel types. 5.25% NaOCl had the highest electrical conductivity, whereas 2% chlorhexidine gel and RC-Prep gel had the lowest electrical conductivities among the five irrigants. Conclusions: Different canal irrigants with different electrical conductivities may affect the accuracy of the Root ZX in perforated teeth.

• 대한간호학회지
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• 제38권1호
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• pp.39-44
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• 2008

Purpose: The purpose of this study was to compare 1% chlorhexidine-gluconate/61% ethanol (CHG/Ethanol) emollient and 7.5% povidone-iodine (PVI) scrub for antimicrobial, residual effect, and skin condition. Method: CHG/Ethanol emollient hand hygiene was performed waterless, and brushless by operating doctors and nurses (N=20). PVI hand washing was performed with water and a brush (N=20) for 5 min. The subjects were asked to press their left hand in hand-shaped agar before a surgical scrub, immediately after a surgical scrub and after the operation. The amount of isolated microorganisms were calculated by counting the number of divided areas($1{\times}1cm$, 160 cell) which were culture positive in the hand culture plate. The skin condition was evaluated. Result: The antimicrobial count of CHG/Ethanol emollient and PVI immediately post surgical scrub was 0.0 vs. 4.1 (p>.05), and after the operation was 0.1 vs. 37.8 (p>.05)respectively. The Residual effect of CHG/Ethanol emollient immediately post surgical scrub and after the operation were 0.0 vs. 0.1 (p>.05), and PVI were 4.1 vs. 37.8 (p>.05)respectively. The skin condition and satisfaction of CHG/Ethanol emollient was higher than PVI (p<.05). Conclusion: The antimicrobial effect between CHG/Ethanol emollient and PVI were the same. Considering skin condition, satisfaction and allergic reaction CHG/Ethanol emollient for surgical scrub is recommended in Korea.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권5호
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• pp.312-315
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• 2009

Objective: It is important to sterilize oral cavity with antibacterial agent before surgery for preventing infection. The object of this study was to compare the effect on reduction of salivary bacterial counts according to applied time when povidone-iodine (PVI) and chlorhexidine gluconate (CHX), most broadly used materials in dentistry, were applied intraorally before the surgery. Methods: Sixty subjects were divided into 6 groups. PVI and CHX were applied in each group for 1, 2 and 3 minutes, respectively. Then salivary microbacteria taken before and after applying the materials were cultured using 5% sheep blood agar plate. Results: There was significant difference in reduction of microbacteria in both PVI and CHX and the effect did not show differences depending on time. When applied for a minute, PVI showed somewhat higher reduction rate than CHX, but in the other groups, there was no difference in reduction rate. Conclusion: We found that there was no significant difference in sterilization ability of PVI and CHX in all groups in this study. Therefore, both agents would get sufficient effect when applied for a minute.

• 대한치과의사협회지
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• 제53권9호
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• pp.618-627
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• 2015

Purpose : The purpose of this clinical study was to evaluate the effect of chelating and deproteinizing agent containing dental conditioning gel on alleviation of peri-implant mucosa inflammation. Methods: 36 patients with functionally loaded implants for at least 1 year and have clinical signs of peri-implant mucositis were recruited. At baseline, all implants received subgingival prophylaxis with ultrasonic scaler. In the test group, patients were provided a chelating and deproteinizing agent dental conditioning gel (Clinplant$^{(R)}$) and were given instructions to applicate it around the implants using an interdental brush for 2 weeks. Chlorhexidine and saline were provided to the positive control group and negative control group, respectively. The modified sulcus bleeding index (mSBI), modified plaque index (mPI), and probing pocket depth (PPD) were evaluated at baseline, 1 week, and 2 weeks. Results: In the Clinplant$^{(R)}$ and chlorhexidine group, mSBI (-0.81, -0.85 respectively; p<0.01), mPI (-0.46, -0.5 respectively; p<0.01), and PPD (-0.58, -0.48 respectively; p<0.01) at 2 weeks were significantly reduced from baseline. In the saline group, all the clinical parameters were reduced but there was no statistical significance. The saline may be attributed to the influence of prophylaxis at baseline. Conclusions: The present study demonstrated the beneficial clinical effects of chelating and deproteinizing agent containing dental conditioning gel to decrease peri-implant mucosa inflammation equivalent to chlorhexidine. This dental conditioning gel might be useful for alleviation of peri-implant mucosa inflammation.