• 한국치위생학회지
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• 제9권4호
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• pp.740-752
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• 2009

Objectives : This study was carried out to examine the effect of varnish fluoride and APF gel on the acid resistance and the remineralization of the enamel. Methods : At first, the microhardness changes of enamel surface were measured after demineralizing the fluoride treated tooth surface. Next, the changes were measured after fluoride application to the demineralized enamel surface. Results : 1. Acid resistance was higher in varnish fluoride groups than APF gel groups and the difference was significant(p<0.001). 1) Varnish fluoride groups Microhardness of enamel surface showed $297.76{\pm}9.89$ after fluoride treatment and $260.90{\pm}28.67$ after drmineralization. The changes of Vickers hardness number(VHN) were $-36.86{\pm}27.30$. 2) APF gel groups Microhardness of enamel surface showed $298.79{\pm}17.28$ after fluoride treatment and $43.75{\pm}18.58$ after demineralization The changes of VHN were $-255.04{\pm}21.31$. 2. No significant changes were surveyed in both varnish fluoride groups and APF gel groups as for remineralization of enamel(p>0.05). 1) Varnish fluoride groups Microhardness of enamel surface showed $46.58{\pm}15.42$ after demineralization and $46.61{\pm}15.70$ after fluoride treatment. The changes of VHN were $0.02{\pm}3.75$. 2) APF gel groups Microhardness of enamel surface showed $47.13{\pm}19.31$ after demineralization and $42.59{\pm}16.12$ after fluoride treatment. The changes of VHN were $-4.54{\pm}5.06$. Conclusions : Varnish fluoride showed higher acid resistance than APF gel, however both of them were observed to have no effect on the remineralization of the enamel.

• 치위생과학회지
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• 제15권4호
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• pp.437-444
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• 2015

본 연구는 시판중인 국내외 제조 플레인 탄산수 5종을 선정하여 우치 법랑질 침식 및 그에 따른 세균 침착 정도를 확인하였다. 탄산수에 시편을 침지 후 용출된 칼슘 농도를 측정하고, SEM을 이용하여 법랑질 표면의 침식을 관찰하였다. 이 후 S. mutans 균과 S. sorbinus 균이 접종된 배지에 시편을 함께 배양하여 침식된 시편의 세균 침착 정도를 확인하여 다음과 같은 결론을 얻었다. 실험에 사용된 탄산수 5종은 수소이온농도가 pH 5.5보다 낮았고, 치아의 탄산수 침지 후 칼슘의 용출이 확인되었다. SEM을 이용한 치면 침식 분석 결과, 칼슘 용출은 탄산수에 의한 법랑질 침식이 원인임을 확인하였고, 두 분석 방법을 통해 인공 탄산수와 광천수간의 뚜렷한 침식 활성 차이는 관찰되지 않았다. 또한 탄산수에 의해 유발된 치아 침식으로 치면 세균 침착이 용이해지는 것으로 확인되었다. 이런 결과들로부터 탄산수 음용 시 치아 침식이 유발될 수 있으며 그에 따른 구강 내 세균 침착이 가중될 수 있으므로, 탄산수 음용 시 치아 침식 가능성에 대한 소비자의 인식이 필요하며, 탄산수를 물 대체음료 정도로 생각하기보다는 무가당 콜라와 같은 탄산음료에 준하는 범주로 포괄하여 음용하는 것이 바람직하다고 생각된다.

• 한국치위생학회지
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• 제10권4호
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• pp.757-764
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• 2010

Objectives : The fluoride coating for caries prevention and strengthen enamel use NaF(sodium fluoride, Junsei Chemical Co., Ltd, Japan) 2% gel, SnF2(stannous fluoride, SIGMA-ALDRICH Gmbh, USA)8% gel and APF(acidulated phosphate fluoride, Sultan health care, USA) 1.23% gel. Methods : After put the enamel piece in these fluoride compound gel, we observed density level. And after measuring the vickers hardness, Got the following conclusions. Results : 1. After settling in the APF 1.23% during 6 days, we observed high density level of enamel surface using 250 magnification scanning microscope. The vacuum of surface packed (in) like sardines. 2. After settling in the APF 1.23% during 6 days, we observed reducing the space between the cluster of enamel surface using 50,000 magnification scanning microscope. 3. The vickers hardness change was very much on the all kinds of fluoride compound gel[2% NaF(sodium fluoride)gel, 8% SnF2(stannous fluoride) gel, 1.23% APF(acidulated phosphate fluoride)gel]. It's all because of reducing the space between the cluster of enamel surface(p<0.001). Conclusions : The vickers hardness change was very much on the all kinds of fluoride compound. It's all because of reducing the space between the cluster of enamel surface.

• Restorative Dentistry and Endodontics
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• 제6권1호
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• pp.133-139
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• 1980

In this experiment, etching was performed on the incisor enamel surfaces of 13 Albino rats, weighted about 130gm, with both 30% and 50% concentrations of the phosphoric, citric acids, and EDTA solution for 60 seconds. Immediately after extraction of the animal teeth, laboratory procedures for scanning electron microscopic observations were made and the author derived the following conclusions: 1. On the enamel surface treated with 30% and 50% phosphoric acids, all of the periphery, center of the enamel rods, and the enamel matrices were severely etched. 2. In the etched with 30% citric acid group, only the small part of the enamel rods were etched out. In case of 50% citric acid the periphery, center of enamel rods were partially or entirely etched, and the intermatrix spaces were widened. 3. In the 30% and 50% of the EDTA etched groups, the periphery of the enamel rods explicitely were etched, and the spaces between matrices were widened.

• 대한소아치과학회지
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• 제25권1호
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• pp.209-224
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• 1998

The purpose of this study was to compare the amount of calcium fluoride deposited on the enamel and dentin surface and to obtain information on the morphological change and crystallographic details of mineral deposition after 12,000ppm APF application in vitro. The bovine enamel and dentin blocks were randomly assigned to eight groups according to artificial caries lesion formation and difference of fluoride application time. The fluoride concentration and morphological characteristics on the treated enamel and dentin surface were investigated by using fluoride quantitative analysis and SEM. The powdered enamel and dentin of the intact bovine incisors were prepared for the X-ray diffraction analysis. The following results were obtained. 1. The amounts of KOH-soluble fluoride on the carious enamel and dentin surface after 24h APF application were higher than after only 5min APF application(p<0.05), but in the case of the sound enamel and dentin surface were similar after 5min and 24h application (P>0.05). The fluoride content was highly increased in the carious dentin as compared with sound dentin after APF application(P<0.05). 2. The carious enamel surface after APF application, the demineralized enamel surface were recovered a more dense enamel surface and precipitation of crystal was observed a distintive surface layer of spherical globules of about 1 m diameter. In the case of the fluorided carious dentin surface, precipitation of calcium fluoride-like material was deposited both inside the dentinal tubules as well as in the intertubular regions. 3. The crystallographic structure of powdered enamel and dentin after 24h APF application had large crystallities of apatite and CaF2 diffraction peaks in the enamel as compared with dentin. The diffraction data collected from the 27.50-29.50(2) angular range of the powdered enamel, the (105) apatite, (225) apatite and (111) CaF2 peaks of the enamel crystallities were detected after 24h APF application.

• 대한소아치과학회지
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• 제24권3호
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• pp.660-677
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• 1997

The purpose of this study was to examine the morphological characteristics and combined effects of fluoride application and laser irradiation on artificial caries-like lesion formation in bovine enamel. Enamel specimens were divided into five experiment group and placed in no-treatment(group C), APF application alone(group F), laser irradiation alone(group L), APF application before laser irradiation (group FL), and APF application after laser irradiation(group LF) on artificial caries-like lesion. Sound enamel was used as a control group. The ultrastructural changes and physical effects of the fluorided and lased enamel has been investigated by using SEM, enamel solubility and microhardness test as well as distributions of calcium, phosphorus and fluoride in internal enamel by using EPMA. The following results were obtained. 1. In the all experiment groups, the amounts of dissolved calcium of enamel surfaces significantly decreased according to increasing exposure time of acid solution than control group(P<0.001). Group L showed higher than that group FL and LF in 30 and 60min(P<0.05). 2. The microhardness values of enamel surface in the control group was highest than that in the other experiment groups. Group F, L, FL and LF were significantly increased than group C(P<0.001). The enamel surface treated with APF produced deposites of numerous small globules and lased enamel showed a cracker-like appearance with microcrack and small pore. Numerous deposits were infiltrated in the fissured portion of enamel treated with APF after laser irradiation. 4. In the case of APF application alone, the elevation of the fluoride profile can be seen within $5{\mu}m$ of the outermost layer and a similar profile observed in the specimen treated with APF before laser irradiation. However, the specimen treated with APF after laser Irradiation showed a large elevation within $10{\mu}m$ of the outermost layer of the enamel. 5. The higher Ca/P ratios were observed in $10{\mu}m$ depth of lased and fluorided enamel when compared to the sound and carious enamel. The fluoride content decreased rapidly with distance from enamel surface, in the group F, fluoride concentration was significantly higher than that in the group C, L, FL, LF and control group according to increasing enamel depth (P<0.05).

• 대한치과의사협회지
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• 제55권3호
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• pp.230-239
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• 2017

Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.

• 대한치과의사협회지
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• 제27권8호통권243호
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• pp.747-762
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• 1989

Enamal은 인간의 몸중에서 가장 단단한 조직이다. 이것은 치관을 덮고 있으며 Dentin을 보호한다. 치아의 색깔은 Dentin을 덮고있는 enamel의 두께에 의해 결정된다. 절단면은 Dentin이 없기 때문에 gray-white이며 치경부는 Dentin을 덮고 있는 enamel의 두께가 얇기 때문에 Yellow-white이다. 이러한 면에서 볼때 치관의 색깔은 Dentin이 투과성이 있는 enamel을 통과해서 나오는 색깔과 enamel자체의 색깔이 혼합되어서 만들어 진다고 할 수 있다. 현재 미형적(esthetic)으로 사용되고 있는 PFM은 이러한점을 완전히 만족시킬 수 없다. 잘 선택된 경우에 이러한 측면에서 SHADE를 완전히 만족시킬 수 있는 보철물이 있다. 바로 Porleain laminate veneer이다.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.196-201
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• 2016

Objectives: The aim of this in vitro study was to evaluate the effect of incorporating three different nanobiomaterials into bleaching material on microhardness of bleached enamel. Materials and Methods: The crowns of 24 extracted sound human molars were sectioned. Sixty enamel specimens ($2{\times}3{\times}4 mm$) were selected and divided into five groups (n = 12): Group 1 received no bleaching procedure (control); Group 2 underwent bleaching with a 40% hydrogen peroxide (HP) gel; Groups 3, 4, and 5 were bleached with a 40% HP gel modified by incorporation of bioactive glass (BAG), amorphous calcium phosphate (ACP) and hydroxyapatite (HA), respectively. The enamel microhardness was evaluated. The differences in Knoop microhardness data of each group were analyzed by one-way ANOVA, followed by post hoc Tukey tests. Results: Significant differences were observed between the study groups. The enamel microhardness changes in Groups 1, 3, 4, and 5 were significantly lower than that of Group 2 (p < 0.001). Conclusions: Within the limitations of this study, it can be concluded that incorporation of each one of the three tested biomaterials as remineralizing agents might be effective in decreasing enamel microhardness changes subsequent to in-office bleaching.