• 치위생과학회지
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• 제24권2호
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• pp.84-96
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• 2024

Background: Recent studies have elucidated the quorum-sensing mechanisms, biofilm formation, inter-pathogen interactions, and genes related to oral pathogens. This review aims to explore the recent expansion of drug targets against oral pathogens and summarize the current research on novel antibiotic substances derived from marine organisms that target oral pathogens. Methods: A comprehensive literature review summarized the novel mechanisms pertaining to quorum-sensing signal transmission systems, biofilm formation, and metabolite exchange in oral pathogens. The amino acid sequences of the 16 proteins identified as potential drug targets were systematically classified and compared across various oral microorganisms. Results: Through a literature review, we identified nine studies researching quorum sensing signaling inhibitors targeting oral pathogens. A comparison of the amino acid sequences of 16 potential drug targets in oral microorganisms revealed significant differences between oral pathogens and beneficial oral symbiotic microorganisms. These findings imply that it is possible to design drugs that can bind more selectively to oral pathogens. Conclusion: By summarizing the results of recent research on the signaling mechanisms that cause pathogenicity, new drug targets against oral pathogens were proposed. Additionally, the current status of developing new antibiotics for oral pathogens using recently developed quorum sensing inhibitors and natural products derived from marine organisms was introduced. Consequently, marine natural products can be used to develop drugs targeting new proteins in oral pathogens.

• 생명과학회지
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• 제31권1호
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• pp.100-108
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• 2021

구강에는 700여 종의 미생물이 부유성 세균(planktonic cells)으로 있거나 치아 표면에 부착하여 바이오필름(biofilms)을 형성하고 있으며 구강 바이오필름(oral biofilms)과 관련된 대표적인 구강질환에는 치아우식증과 치주질환이 있다. 구강 세균은 타액의 흐름, 숙주의 항균 단백질, 영양소의 가용성 및 pH 변화, 항생제, 방부제 등의 영향을 받고 있지만 바이오필름이 형성되면 바이오필름은 물리적으로 두꺼운 층을 이루고 있기 때문에 구강 세균은 이와 같은 구강 내부의 환경적 스트레스에 저항할 수 있을 뿐만 아니라 외부 물질의 침투가 어렵고 바이오필름 내 세포간 상호작용을 통해 유전자 변이가 일어나기 때문에 부유성 세균보다 항생제에 대한 저항성이 1,000배 정도 높다. 따라서 구강 세균의 바이오필름 형성을 억제하거나 제거하면 보다 효과적으로 세균 감염에 의한 구강질환을 예방하거나 치료할 수 있을 것이다. 특히 구강 바이오필름은 여러 세균이 모여서 바이오필름을 형성하는 특징을 가지고 있기 때문에 세포간 신호전달체계인 정족수 감지(quorum sensing)는 구강 바이오필름을 제어할 수 있는 목표점이 될 수 있다. 이외에도 구강세균의 알칼리 생성 기질인 아르기닌을 이용하여 구강 미생물의 분포를 건강한 치아와 유사한 환경으로 전환하거나 S. mutans의 glucosyltransferase 분비를 억제하여 비수용성의 글루칸 형성을 억제함으로써 바이오필름 형성을 억제하는 방법도 구강 바이오필름을 제어할 수 있는 목표점이 될 수 있다. 이처럼 구강 내 병원성 세균의 사멸을 유도하기 보다는 구강 세균의 바이오필름 형성을 억제하거나 제거하는 방법은 치아우식증을 비롯한 구강질환을 선택적으로 예방하거나 치료할 수 있는 새로운 전략이 될 것이다.

• Restorative Dentistry and Endodontics
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• 제40권3호
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• pp.188-194
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• 2015

Objectives: This study evaluated the effect of lactic acid and acetic acid on the microhardness of a silorane-based composite compared to two methacrylate-based composite resins. Materials and Methods: Thirty disc-shaped specimens each were fabricated of Filtek P90, Filtek Z250 and Filtek Z350XT. After measuring of Vickers microhardness, they were randomly divided into 3 subgroups (n = 10) and immersed in lactic acid, acetic acid or distilled water. Microhardness was measured after 48 hr and 7 day of immersion. Data were analyzed using repeated measures ANOVA (p < 0.05). The surfaces of two additional specimens were evaluated using a scanning electron microscope (SEM) before and after immersion. Results: All groups showed a reduction in microhardness after 7 day of immersion (p < 0.001). At baseline and 7 day, the microhardness of Z250 was the greatest, followed by Z350 and P90 (p < 0.001). At 48 hr, the microhardness values of Z250 and Z350 were greater than P90 (p < 0.001 for both), but those of Z250 and Z350 were not significantly different (p = 0.095). Also, the effect of storage media on microhardness was not significant at baseline, but significant at 48 hr and after 7 day (p = 0.001 and p < 0.001, respectively). Lactic acid had the greatest effect. Conclusions: The microhardness of composites decreased after 7 day of immersion. The microhardness of P90 was lower than that of other composites. Lactic acid caused a greater reduction in microhardness compared to other solutions.

• 구강회복응용과학지
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• 제35권3호
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• pp.160-169
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• 2019

목적: 이번 연구의 목적은 정적인 방법과 동적인 방법으로 형성된 지르코니아 표면에 부착된 바이오필름에 대한 LED 칫솔의 항균 효과를 평가하고자 하였다. 연구 재료 및 방법: 구강 바이오필름을 형성하기 위해 직경 12 mm, 두께 2.5 mm의 지르코니아 디스크를 24-well plate(정적 방법)와 Center for Disease Control and Prevention (CDC) biofilm reactor (동적 방법)에 디스크를 넣어 바이오필름을 형성하였다. 디스크는 아무 처치도 하지 않은 대조군, 상용화된 광역학(PDT) 키트, 치솔질(brushing) 단독, LED 치솔군, LED 치솔과 에리스로신을 같이 적용한 군, 이렇게 5개 그룹으로 구성하였다. 각 군별 처치 후, 개별 디스크를 시험관에 넣고 60 초 동안 vortexing하여 세균을 분리한 후, 분리된 세균 용액을 선택 배지를 이용하여 살아있는 세균 수를 확인한 후 실험 방법에 따른 항균 효과를 계측하였고, 주사전자현미경(SEM)을 통하여 세균의 형태 변화를 관찰하였다. 결과: 바이오필름의 형성과 구성비는 동적인 방법과 정적인 방법에 따른 차이는 관찰되지 않았다. 대조군과 실험군간에 세균의 생존률에 유의한 차이가 있었다(P < 0.05). LED 치솔과 에리스로신을 같이 적용한 군에서 가장 높은 항균 효과가 관찰되었다(P < 0.05). 주사전자현미경 사진상에서 광역학치료군과, LED 치솔군, LED 치솔과 에리스로신을 같이 적용한 군은 세균의 형태 변화가 관찰되었으나, 대조군과 치솔질 단독 사용군에서는 세균의 형태 변화가 관찰되지 않았다. 결론: 이번 연구 결과 지르코니아 표면에 부착된 바이오필름을 효과적으로 제거하는 방법으로 LED 치솔과 에리스로신을 같이 적용하는 것이 추천된다.

• International Journal of Oral Biology
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• 제42권1호
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• pp.25-31
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• 2017

Dental caries is the most common chronic disease in the dental field. Streptococcus mutans (S. mutans) is the most important bacteria in the formation of dental plaque and dental caries. In a previous study, we confirmed that the essential oil of Chrysanthemum boreale has antibacterial activity against S. mutans. Alpha-pinene is one of the major chemical components of Chrysanthemum boreale essential oil. In the present study, we investigated the inhibitory effects of ${\alpha}-pinene$ on cariogenic properties such as growth, acid production, biofilm formation, and bactericidal activity on S. mutans. Alpha-pinene at a concentration range of 0.25-0.5 mg/mL significantly inhibited the growth of S. mutans and acid production of S. mutans. Biofilm formation was significantly inhibited at > 0.0625 mg/mL ${\alpha}-pinene$, similar to the data from scanning electronic microscopy. Under confocal laser scanning microscopy, the bacterial viability was decreased by ${\alpha}-pinene$ in a dose-dependent manner. These results suggested that ${\alpha}-pinene$ may be a useful agent for inhibiting the cariogenic properties of S. mutans.

• 대한치과의사협회지
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• 제48권2호
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• pp.113-118
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• 2010

Titanium and titanium alloys are the most common materials used for dental and biomedical implants, owing to their biocompatibility and favourable mechanical properties. However infection of the region surrounding a dental implant by pathogenic microorganisms is a significant factor in implant failure. Prevention and control of microbial colonization of implant surfaces is considerable interest to the biomedical community. One important strategy is to render the implant surface antibacterial by impeding the formation of biofilm. A number of approaches have been proposed for this purpose. Therefore, we reviewed the researches of antibacterial coatings on titanium implants in this articles.

• International Journal of Oral Biology
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• 제37권3호
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• pp.103-108
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• 2012

The purpose of this study was to assess the efficacy of photodynamic therapy (PDT) using erythrosine and a halogen light source to treat a biofilm formed on a machined surface titanium disk in vivo. Ten volunteers carried an acrylic appliance containing six machined surface titanium disks on the upper jaw over a period of five days. After the five days of biofilm formation period, the disks were removed. PDT using 20 ${\mu}M$ erythrosine and halogen light was then applied to the biofilms formed on the disks. Experimental samples were divided into a negative control group (no erythrosine and no irradiation), E0 group (erythrosine 60s + no irradiation), E30 group (erythrosine 60s + halogen light 30s), and E60 group (erythrosine 60s + halogen light 60s). Following PDT, the bacteria in the biofilm were found to be detached from each disk. Each suspension with detached bacteria were diluted and cultivated on a blood-agar plate for five days under anaerobic conditions. The cultivated bacterial counts in the E60 group were significantly lower than the control group (86.4%) or E0 group (76.7%). In the experimental groups also, the light exposure time and bacterial counts showed a negative correlation. In conclusion, PDT using erythrosine and halogen light has bactericidal effects on biofilms formed on a titanium disk in vivo. Notably, applying 20 ${\mu}M$ erythrosine and 60 seconds of halogen light irradiation had a significantly potent effect.

• 구강회복응용과학지
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• 제31권3호
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• pp.212-220
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• 2015

목적: Candida albicans는 면역력이 약한 환자에게서 점액질환을 야기하며, 의치성 구내염과 밀접하게 관련되어 있다. 전기 분해 수소수는 금속 전극을 통해서 전기를 흘려 전기분해 한 물이며, 구강세균에 대해서 항균효과를 보였다. 본 연구에서는 칸디다 바이오필름에 대한 전기 분해 수소수의 항진균효과를 조사하였다. 연구 재료 및 방법: C. albicans는 발아세포 및 균사형태를 형성시키기 위해서 사부로포도당 액체배지 및 F-12 영양 배지를 이용하여 호기상태 및 5% 이산화탄소 환경에서 각각 배양하였다. 여러 금속 전극을 이용하여 수돗물을 전기분해 한후에 발아세포 형태와 균사형태의 칸디다를 전기분해 수소수로 처리하였다. 결과: 사부로포도당배지와 F-12 영양배지를 이용하여 칸디다를 배양하였을 때, 각각 발아세포 형태와 균사 형태를 보였다. 전기 분해 수소수는 발아세포 형태의 C. albicans에 대해서 항진균 효과를 보였다. 또한 칸디다 바이오필름에 대해서도 항진균 효과를 보였다. 여러 종류의 금속 전극을 이용한 전기분해 수소수중에 백금전극을 이용한 전기분해 수소수만 항진균 활성이 있는 것으로 나타났다. 결론: 백금 전기분해 수소수는 구강 칸디다증과 의치관련 구내염을 예방하기 위한 구강 청결제로 사용 가능 할 것이다.

• 동의생리병리학회지
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• 제21권5호
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• pp.1148-1153
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• 2007

Streptococcus mutans is considered one of the primary etiologic agents of dental caries. we studied the effect of the ethanol extracts of Tribuli fructus (T. fructus) on the growth, biofilm formation, acid production, adhesion and insoluble glucan synthesis of S. mutans. The ethanol extracts of T. fructus showed concentration dependent inhibitory activity against the growth and acid production of S. mutans, and produced significant inhibition at the concentration of 0.025, 0.05, 0.1, 0.2, 0.3, 0.5 mg/ml compared to the control group. In the biofilm assay, the ethanol extracts of T. fructus inhibited formation of biofilm synthesized by S. mutans at the concentration of 0.05 mg/ml. The extracts markedly inhibited S. mutans adherence to HA treated with saliva, and cell adherence was repressed by more than 50% at the concentration 0.05 mg/ml. On the activity of glucosyltransferase which synthesizes water insoluble glucan form sucrose, ethanol extract of T. fructus showed more than 10% inhibition over the concentration of 0.025 mg/ml. Hence, we conclude that T. fructus might be a candidate of anticaries agent. Further studies are necessary to clarify the active constituents of T. fructus responsible for such biomolecular activities.

• Journal of Periodontal and Implant Science
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• 제49권3호
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• pp.193-204
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• 2019

Purpose: The reaction of cells to a titanium implant depends on the surface characteristics of the implant which are affected by decontamination. The aim of this study was to evaluate the cytocompatibility of titanium disks treated with various decontamination methods, using salivary bacterial contamination with dental pellicle formation as an in vitro model. Methods: Sand-blasted and acid-etched (SA) titanium disks were used. Three control groups (pristine SA disks [SA group]; salivary pellicle-coated SA disks [pellicle group]; and biofilm-coated, untreated SA disks [NT group]) were not subjected to any decontamination treatments. Decontamination of the biofilm-coated disks was performed by 14 methods, including ultrasonic instruments, rotating instruments, an air-powder abrasive system, a laser, and chemical agents. MG63 cells were cultured in the presence of the treated disks. Cell proliferation assays were performed on days 2 and 5 of cell culture, and cell morphology was analyzed by immunofluorescence and scanning electron microscopy (SEM). A vascular endothelial growth factor (VEGF) assay was performed on day 5 of culture. Results: The cell proliferation assay revealed that all decontaminated disks, except for the 2 groups treated using a plastic tip, showed significantly less cell proliferation than the SA group. The immunofluorescence and SEM analyses revealed that most groups showed comparable cell density, with the exception of the NT group, in which the cell density was lower and bacterial residue was observed. Furthermore, the cells grown with tetracycline-treated titanium disks showed significantly lower VEGF production than those in the SA group. Conclusions: None of the decontamination methods resulted in cytocompatibility similar to that of pristine SA titanium. However, many methods caused improvement in the biocompatibility of the titanium disks in comparison with the biofilm-coated, untreated titanium disks. This suggests that decontamination is indispensable for the treatment of peri-implantitis, even if the original biocompatibility cannot be restored.