• Restorative Dentistry and Endodontics
• /
• 제19권2호
• /
• pp.372-383
• /
• 1994

Saliva plays an important role in modulating the oral microbial ecology. And it is suggested to influence the initiation and progression of the dental caries. To evaluate the correlations between the salivary antimicrobial agents and the caries susceptibility, the 51 subjects were divided into 3 groups according to caries experience ; caries resistant group, medium caries susceptible group, and high caries susceptible group. Stimulated whole saliva was collected, and the salivary levels were measured for lysozyme, lactoferrin, and secretory-IgA to Streptococcus mutans. The lysozyme level was estimated using Micrococcus diffusion plate, lactoferrin level was determined with a non-competitive avidin-biotin enzyme immunoassay, and the titer of secretory IgA to Streptococcus mutans was assayed with ELISA. The results were as follows: 1. Lysozyme levels of each group showed no significant difference statistically (p>0.05). 2. The caries resistant group and the medium caries susceptible group had significantly higher levels of lactoferrin than the high caries susceptible group (p<0.05). But no clear difference was observed between the caries resistant group and the medium caries susceptible group(p>0.05). 3. The caries resistant group and the medium caries susceptible group showed relatively higher levels of the secretory IgA to Streptococcus mutans than the pigh caries susceptible group, but no significant difference was observed statistically (p>0.05).

• 대한소아치과학회지
• /
• 제24권1호
• /
• pp.265-279
• /
• 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.

• 한국학교보건학회지
• /
• 제12권2호
• /
• pp.305-319
• /
• 1999

The objective of this study were to evaluate the relation between post-examination management states of dental caries in elementary school students and a mother's dental health beliefs. We systematically chose 10 elementary school in urban and rural areas of Chungnam Province and determined the first class students of 5 and 6 grade in each school as study subjects. Among 837 participants, 669 students were diagnosed with dental caries after a 1998 periodic dental health examination was answered completely and analysed. The contents of the questionnaire for students were general characteristics, dental health behaviors, notification factors, treatment factors. Their mothers were surveyed by another questionnaire. The contents of the questionnaire for mothers were also general characteristics, dental health behaviors, and dental health beliefs. The result of this study were as follows 1. The prevalence of dental caries was 65.0% and there was no significant difference between urban and rural areas. 2. Meanwhile, 63.8% of students in urban areas knew the examination result through a doctor's explanation, 52.4% of students in rural areas learned through a school notification letter, 82.9% of all the students let their parents know of their dental caries. 3. Among the dental caries group, 36.3% of the students were treated as for treatment, most students in urban areas visited a dental clinic, but those in rural areas visited the dental dept of a public health center as for the treatment time, 35.9% of the students were treated immediately after the examination. 4. 44.9% of those treated answered that they felt they needed treatment; 67.2% of those not treated answered that they considered the treatment as a bother and unnecessary due to no pain. 5. Overall, the scores in the dental health beliefs in mothers were low. Especially among the 5 items of susceptibility and seriousness, the scored were very low but the benefit was high. Logistic regression analysis showed that the treatment of a child's dental caries was significantly associated with low scores of benefit in those untreated and high scores among those treated. Considering these results, health education to stimalate a mother's susceptibility and seriousness in health beliefs and for students to learn the need for treatment, including a more detailed post exam management system at the school level should be considered for a higher treatment rate.

• 대한소아치과학회지
• /
• 제34권1호
• /
• pp.19-26
• /
• 2007

본 연구의 목적은 정신지체 학생의 구강건강 실태 및 치아우식 활성도를 평가하여, 학생들의 구강건강 증진을 위해 필요한 교육 방안을 모색하고, 실제적인 구강건강 관리 향상을 위한 기초 자료를 마련하고자 하는 것이었다. 광주광역시 소재 S 정신지체특수학교 유아부부터 고등부까지의 학생을 대상으로 조사를 실시하였다. 구강건강실태를 평가하기 위한 구강검사는 213명에 대해 시행하였으며, 치아우식활성도 검사는 197명에 대해 시행하였다. 치아우식활성도 평가를 시행한 197명의 정신지체 학생 중 우식활성이 고도인 학생은 33명(16.77%)으로 나타났으며, 13세 이하가 그 이상의 연령에 비해 치아우식활성도가 높았다. 치아우식활성도의 경중도와 치은염 유무와는 관련성이 없는 것으로 나타났다. 정신지체 장애학생의 치아우식활성도 경중과 치아우식경험지수와의 상관성을 평가한 결과, 치아우식활성도가 증가할수록 우식경험치율과 우식경험치지수가 높은 양상을 보였으며, 특히 유치의 경우 우식경험유치율 및 우식경험유치지수는 치아우식활성도와 높은 상관성을 보였다.

• 대한소아치과학회지
• /
• 제8권1호
• /
• pp.89-102
• /
• 1981

1147 preschool children aged from 3 to 6 living in some farm villages in Kyungki-do were surveyed on dmf and distribution of dental caries in primary dentition. The results were as follows: 1. dmf rate ... 92.76 % boy ... 94.52 % girl ... 90.5.5 % 2. dmf t rate ... 37.07 % dmf t index ... 7.09 3. dmf s rate ... 13.74 % dmf s index ... 13.14 % 4. df t index ... 6.94 5. Each percentage of d, m & f per dmf teeth d rate ... 89.96 % m rate ... 7.24 % f rate ... 2.67 % 6. Most frequent site of dental caries in each tooth $\underline{A}$ mesial $\overline{A}$ distal $\underline{B}$ mesial $\overline{B}$ distal $\underline{C}$ distal $\overline{C}$ distal $\underline{D}$ disto-occlusal $\overline{D}$ disto-occlusal $\underline{E}$ linguo-occlusal $\overline{E}$ occlusal 7. Order of caries susceptibility $\overline{E}$ $\underline{E}$ $\overline{D}$ $\underline{D}$ $\underline{A}$ $\underline{B}$ $\overline{C}$ $\underline{C}$ $\overline{B}$ $\overline{A}$ 8. All the values in caries criteria showed a marked increae from those of 1968.

• 대한장애인치과학회지
• /
• 제7권1호
• /
• pp.15-20
• /
• 2011

뇌병변장애인은 뇌성마비, 외상성 뇌손상, 뇌졸중 등 뇌의 기질적 병변에 기인한 신체적 장애로 보행 또는 일상생활의 동작 등에 상당한 제한을 받는 사람으로 정의된다. 최근에 뇌병변 장애아동의 DMFT는 비 장애아동과 유사하거나 낮다는 연구가 있었다. 그러나, 본 증례는 중증유아기우식증이 나타난 뇌병변장애 1급 아동들을 치료한 것으로, 아동들의 공통점을 통해 중증유아기우식 우식증의 특별한 원인을 찾고자 하였다. 뇌병변으로 인한 일차적인 운동장애와 이차적인 치과치료를 받기 어려울 정도의 쇠약함, 잦은 입원, 당분이 많은 음식과 약물의 섭취, 구강위생관리 소홀, 늦은 치과 내원, 협조도 저하 등이 우식 유발인자를 높이고, 우식 예방인자를 낮추어 치아우식증을 유발할 수 있는 것으로 사료되었다. 뇌병변 장애아동을 치료할 때, 치과의사는 개인적인 우식 위험도 평가를 통해 철저한 우식 예방프로그램을 만들고, 부모와 의학적 주치의는 구강관리의 중요성을 인식하여 조기 치과 내원 및 홈케어에 신경을 써야 할 것이다.

• 한국식품과학회지
• /
• 제30권2호
• /
• pp.446-449
• /
• 1998

에리스리톨을 설탕 대체 감미료 소재로 사용하기 위한 기초 자료를 얻기 위하여 치석의 원인균인 S. mutans KCTC 3065와 치아 부식의 원인균인 L. acidophillus를 이용하여 난충치성 시험을 하였고 기타 생리 특성으로 젖산균을 이용한 발효성 시험 그리고 마우스를 이용한 소장 내성력 시험을 주로 설탕, 크실리톨, 소르비톨과 비교 평가하였다. 치석을 형성하는 S. mutans KCTC 3065와 치아를 부식시키는 L. acidophillus를 이용한 감미료들의 충치 유발 효과 시험에서 크실리톨과 에리스리톨은 다른 감미료에 비해 뚜렷한 충치 예방 효과를 보였다. 감미료들의 젓산균을 이용한 발효성 시험에서 에리스리톨은 가장 낮은 당이용성을 나타내었다. 마우스를 그룹당 10마리를 사용하여 설사 유발 한계량 조사를 실시한 결과 체중 1 kg당 에리스리톨은 1500 mg, 크실리톨은 1500 mg 소르비톨은 1000 mg 강제 경구 투여시 부터 설사를 유발하기 시작하였다. 따라서 에리스리톨은 크실리톨과 같이 뚜렷한 난충치성으로 인하여 충치 예방용 감미료로서 뛰어난 특성과 미생물 증식 억제가 필요한 식품에 적합한 감미료임이 확인되었으며 또한 에리스리톨의 사용 한계로 고려되는 설사 유발 농도도 크실리톨과 같고 소르비톨보다 높아 소장 내성력에 있어서는 안전한 대체 감미료임을 알 수있었다.

• 한국생물공학회:학술대회논문집
• /
• 한국생물공학회 2002년도 생물공학의 동향 (X)
• /
• pp.297-300
• /
• 2002

감미제로 많이 사용되고 있는 약용식물 중 대추와 감초 황기로부터 기능성 친연 감미료를 얻기 위해 에탄올과 물을 추출용매로 사용하여 당류가 포함된 시료를 얻었다. 이들 시료에 대한 감미효과를 구체적으로 알아보기 위해 당 분석 및 난충치성 실험을 실시한 결과 황기와 감초에서 산생성력과 dental plaque의 수치가 낮게 나타나 기능성 천연 감미료를 얻을 수 있는 약용식물로 판단된다.

• International Journal of Oral Biology
• /
• 제36권4호
• /
• pp.163-166
• /
• 2011

Oral viridans streptococci are recognized as one of the etiological agents of a variety of infectious diseases such as dental caries and infective endocarditis. Although antimicrobial susceptibility tests for these fastidious bacterial species are now established and standardized, a comparison between the broth microdilution and broth macrodilution tests has not previously been performed. This comparison was performed in the present study using the tests adopted by the Clinical and Laboratory Standards Institute (CLSI) and seven clinical isolates of oral viridans streptococcal strains. A modified broth macrodilution susceptibility test method was also included in this analysis, in which the media was not supplemented with horse blood. The susceptibility interpretation category agreements were measured at 83% (broth microdilution versus broth macrodilution) and 71% (broth microdilution versus modified broth macrodilution). The interpretation category agreement between the broth macrodilution and modified broth macrodilution tests was also 83%. These data indicate that the interpretation of antibiotic susceptibility test results for oral viridans streptococci are influenced by the methods used.

• 대한소아치과학회지
• /
• 제1권1호
• /
• pp.57-61
• /
• 1974

The Study reported here was designed to analyze the prevalence of Dental Caries in the primary teeth of monozygote twins, and to ascertain and compare the intrapair differences with the intrapair differences in control pairs. The prevalence of dental caries in the primary teeth of 40 pairs of presumably monozygote twins, based on phenotypic analysis, was studied. The age range was from 3 to12 years. The control group consisted of pairs that included a twin chosen at random and an unrelated child of the same sex and age, so that for each pair of twins there was a corresponding control pair. The clinical examination was carried out by an operator using an oral mirror and sharp explorers, and with good lighting. 40 pairs of twins were examined with a total of 4,950 primary tooth surfaces (990 primary teeth) and 40 control pairs with a total of 4,935 primary tooth surfaces (987 primary teeth). Five surfaces were considered for each tooth. After the def individual index was determined, the ratio between this index and the number of examined surfaces was established in each case, the cer (Caries experience rate) index. The def and cer averages were determined for the subjects and the controls. All intrapair differences in twin and control groups were compared following the paired sampling method. The following conclusions were made: 1. Intrapair differences in the control group were significantly greater than in twins, when defs, ds, es, fs, and cer were compared. 2. The genotype appeared to be a determining factor in dental caries susceptibility or resistance, although the environment played an important role as well. 3. Intrapair differences in American children were significantly greater than in Korean when defs, es, fs, and cer were compared, but ds was equal.