• Journal of Periodontal and Implant Science
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• 제31권1호
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• pp.257-269
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• 2001

Removal of subgingival calculus is essential for the success in periodontal treatment. Subgingival instrumentation is used for the removal of all bacterial plaque and calculus. In this study, Gracey curet and Ultrasonic curet were used on single rooted teeth to conduct subgingval scaling and root planning. The remaining amount of calculus was evaluated according to type of instrument, depth of pocket, and tooth surface. 24 teeth were extracted from 14 patients being treated at department Periodontology Seoul Advantist dental hospital were used. Total 96 area(4 surface per teeth) were evaluated. 12 teeth treated with Gracey curet were used as the control group and the other 12 teeth treated with Ultrasonic curet were examined for experimental group. The 4 surface of the teeth(buccal, mesial, lingual or palatal, distal) were observed through the stereomicroscope and the images of the surface were captured and saved in CCD. The images were displayed on the monitor and the amount of calculus remained was evaluated by overlapping $10{\times}10$ grid pixel screen produced by Microsoft power point. The results evaluated were as follows 1. There was no statistically significant difference in residual calculus and tooth position following scaling and root planning of all group, but statistically significant correlation with residual calculus, probing depth, instruments and tooth surface. 2. There was statistically significant correlation between residual calculus and probing depth, but no statistically significant difference in residual calculus, tooth surface and tooth position on experimental(Ultrasonic curet) group. 3. There was no statistically significant difference in residual calculus according to the pre-treatment pocket depth and tooth position, but statistically significant correlation with tooth surface. The amount of residual calculus increase with mesial, distal, buccal and lingual(or palatal) surface on control(Gracey curet) group. 4. The Gracey showed better results than ultrasonic curet in mesial and distal surface, and there is significant difference. The results demonstrate that ultrasonic curet alone is inadequate for thorough subgingival debridement and suggest that Ultrasonic curet with Gracey curet should be more effective.

• 대한소아치과학회지
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• 제35권1호
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• pp.83-91
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• 2008

치아 우식증은 구강 내 세균, 식이(음식물), 치아 및 타액 등의 숙주 요인이 복합적으로 작용하여 발생한다. 이 중 치아의 탈회에 대한 저항성을 높이거나, 구강 내 세균의 산생성능을 낮춤으로써 치아우식을 예방할 수 있는 대표적인 약제로 불소와 클로르헥시딘이 있다. 이 약제의 구강 내 적용방법으로 치아에 대한 부착력이 뛰어나고 환자의 협조의존도가 비교적 적은 바니쉬 형태가 최근 들어 널리 이용되고 있다. 본 연구는 불소와 클로르헥시딘 바니쉬의 항우식 효과를 생체 내에서 비교 평가하기 위하여, 구강 내 가철성 장치에 우치 시편을 식립하고 불소 바니쉬와 클로르헥시딘 바니쉬를 각각 도포하였다. 치태축적을 유도하여 법랑질 탈회를 통한 우식 유발 환경을 만들고 바니쉬 제제가 구강 내에서 우치 법랑질의 우식 예방에 미치는 효과를 평가하였다. 전자 현미분석 장치와 편광현미경을 사용하여 법랑질 표면의 Ca, P에 대한 정량적 변화를 분석하고 조직학적 관찰을 시행하여 다음과 같은 결론을 얻었다. 1. 인공 우식병소에 대한 편광현미경 관찰 결과, 불소 및 클로르헥시딘 바니쉬 를 도포한 군에서 대조군에 비해 법랑질 병소가 경미하게 나타남을 확인할 수 있었다. 2. 우식을 유발한 경우 Ca와 P의 감소량은 대조군에서 가장 높게 나타났고(P<0.05), 불소 바니쉬군에서는 Ca와 P의 유의한 감소가 나타나지 않았으며 클로르헥시딘 바니쉬군에서는 P만 유의한 감소를 보였다(P<0.05). 이상의 결과로 보아 불소 및 클로르헥시딘 바니쉬 제제의 사용이 항우식 효과를 나타낸 것으로 판단되나, 불소 바니쉬가 좀 더 우수한 효과를 나타낸 것으로 보인다.

• 대한소아치과학회지
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• 제36권4호
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• pp.531-538
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• 2009

본 연구에서는 장기적인 자일리톨의 섭취가 Streptococcus mutans의 대표적인 독성인자 중 하나인 글루칸 생성에 미치는 영향을 알아보기 위하여 글루칸 합성효소인 glucosyltansferase의 mRNA 발현을 실시간 역전사 중합효소 연쇄반응을 통해 평가하여 다음과 같은 결과를 얻었다. 1. 24개월 동안 자일리톨껌을 섭취한 군에서 타액 내 Streptococcus mutans의 colony 수는 통계적으로 유의하게 감소하였다(p<0.05). 2. 비수용성 글루칸 합성에 관여하는 유전자인 gtfB, gtfC의 발현은 자일리톨껌을 섭취한 군에서 시간이 지남에 따라 유의 하게 감소하였다(p<0.05). 특히 gtfB의 발현은 12개월과 24개월째 대조군에 비하여 통계적으로 유의하게 낮았고, gtfC의 발현은 24개월째 대조군에 비하여 통계적으로 유의하게 낮았다(p<0.05). 3. 수용성 글루칸 합성에 관여하는 유전자인 gtfD의 발현 역시 자일리톨껌을 섭취한 군에서 시간이 지남에 따라 유의하게 감소하였다(p<0.05). 또한 gtfD의 발현은 12개월과 24개월째 대조군에 비하여 통계적으로 유의하게 낮았다(p<0.05). 이상의 결과들을 종합해 보았을 때, 자일리톨의 섭취는 구강 내 Streptococcus mutans의 글루칸 합성 관련 유전자들의 발현을 억제시킴으로써 Streptococcus mutans의 수적인 감소를 가져오는 것으로 생각된다.

• 대한치과교정학회지
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• 제27권4호
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• pp.539-548
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• 1997

부정교합의 치료를 위한 고정식 교정장치는 치아 이동에는 매우 효율적이지만 치면 세균막 관리는 어렵게 된다. 이에 따라 치태 및 세균이 증가하고 결과적으론, 치아우식 및 치아표면의 탈회등 부작용이 발생하게 된다. 본 연구에선 고정식 교정장치로 치료받는 환자에게서 탈회 및 치아우식을 낮추기 위한 방법으로, 0.05%의 NaF와 10% Xylito띠 함유된 양치액의 효과를 평가하고자 하는데 그 목적이 있다. 고정식 교정장치로 치료받는 환자 11세부터 14세까지(평균 연령 12.7세) 20명을 대상으로 하여 각 10명씩 실험군과 대조군으로 구분하였다. 실험군에선 0.05%의 NaF와 10% Xylitol이 함유된 양치액을 사용하게 하였으며, 대조군에선 증류수를 주로한 placebo 양치액을 사용하게 하였다. 양치액 사용전과 사용 후 3주, 6주, 9주시 치태를 채취하여 MSB배지 및 BHI배지에 배양하여 S. mutans의 수와 비율의 변화를 관찰하여 다음과 같은 결과를 얻었다. 1. 0.05%의 NaF와 10%의 Xylitol이 함유된 양치액을 사용한 군에서 S. mutans C.F.U.의 수는 양치액 사용전과 3주(p<0.01), 9주 (p<0.05)에서 통계적 유의차가 있었다. 2. Total C.F.U.에 대한 S. mutans C.F.U.의 비율은 실험군에서 사용전과 3주, 6주, 9주(p<0.01)에서 통계적 유의차가 있었다. 3. 양치액 사용후 일단 감소한 S. mutans 수는 그 후에 3주, 6주, 9주에서 계속적인 유의성 있는 감소는 없었다. 4. 실험군과 대조군에서의 S. mutans C.F.U.의 가장 현저한 감소의 차이는 양치액 사용 3주째였다.

• Restorative Dentistry and Endodontics
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• 제25권1호
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• pp.1-16
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• 2000

It is difficult to treat the endodontic apical perforation successfully. In this study, we hypothesized that the application of PDGF-BB and IGF-I into periapical perforation site may accelerate periapical healing and lead to bone deposition. And the specificity of osteonectin in periapical healing was investigated. The experiments were performed on the upper and lower 51 premolar teeth of 4 beagle dogs. The pulp chamber of each tooth was opened and the dental plaque was inserted into the canal for developing the periapical lesion for 5 weeks. Then, the roots were artificially perforated at the apex with the number 4 profile of .06 taper. In each step, standard periapical radiographs were taken to compare the size of lesion each other. The radiographs were scanned and analyzed by image analysis system. The mean and standard deviation of periradicular radiolucency ratios were calculated in each group. ANOVA was used for comparison. 51 premolars were grouped into 3 groups; control group, calcium hydroxide-treated group and calcium hydroxide plus growth factors-treated group. In the control group, the apical perforations were not sealed and obturated with gutta-percha and ZOE sealer by lateral condensation technique. In the experimental groups, the apical perforation were sealed with calcium hydroxide and with/without $4{\mu}g$ of PDGF-BB & IGF-I in cellulose gel and obturated by lateral condensation technique. Fluorescent bone markers were used to measure new bone formation. Following 2, 4, 12 weeks after experiment the dogs were sacrificed and histologic sections were prepared. Each tooth block including periapical lesion was sectioned mesiodistally. One half of the sections were decalcified with 6% nitric acid and processed by standard paraffin embedding technique. The sections were stained by hematoxylin and eosin, and immunostained for osteonectin. Histomorphometrical measurement of neoformed bone was performed using a light microscope. And the other half of the sections were prepared by undecalcified preparation, and confocal laser scanning microscopic investigations were done.

• Journal of Periodontal and Implant Science
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• 제26권1호
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• pp.255-265
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• 1996

The purpose of the present study is to evaluate dimensional consistency, bristle finishes and bristle rebound rate of four brands of $Dentichek^{(R)}$ toothbrushes(regular-male, regular-female, soft-male, soft-female) to provide referneces in product enhancement and quality control for the manufacturer and to provide suggestions in selecting appropriate toothbrushes for general public. The results are as follows : 1. The size of the head is : $25.10{\times}8.10mm$ for male toothbrushes and $19.90{\times}8.10mm$ for male toothbrushes, while the size of the bristle portion is: $29.90{\times}10.65mm$ for male toothbrushes and $25.25{\times}10.65mm$ for female toothbrushes. 2. The length of the bristles is 10.70mm in all four groups. 3. The length of the toothbrush is 192mm in all four groups. 4. The number of tuft is 43 for male toothbrushes and 35 for female toothbrushes. Tuft arrangement is 4-row configuration in all four groups. 5. The number of bristles in a tuft ranges from 40-56, with higher numbers in male toothbrushes compared to the female counterparts, and higher numbers in the "soft" variety compared to the regular ones. 6. The diameter of the bristle is : 0.21mm for the outer row and 0.19mm for the inner row in the regular brand, and 0.17mm for the soft brand. 7. Irregularly finished bristle ends comprised 20-22% of the total bristles. 8. The bristle rebound rate ranges from 55.9% to 62.3%, with higher numbers in the "soft" variety compared to the regular ones. The above results show that $Dentichek^{(R)}$ toothbrushes meet the requirements of Korean Dental Association standards for toothbrushes, but further evaluations of their effects on periodontium and plaque elimination in actual in-use situation may be needed.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권4호
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• pp.225-231
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• 2022

Objectives: This study aims to evaluate the efficacy and safety of two types of sandblasted with large-grit and acid-etched (SLA) surface implants with different surface roughness. Patients and Methods: This study was conducted based on a clinical record review of 55 patients (mean age, 53.00 years). A total of 80 SLA surface implants was placed. Among the 80 implants, 38 implants placed in 29 subjects had surface roughness (Ra) of 3.09 ㎛ (test group, TG), while the other 42 implants placed in 31 subjects had a surface roughness (Ra) of 2.50 ㎛ (control group, CG). A comparison was made of implant primary/secondary stability; success and survival rates; marginal bone loss; and soft tissue assessment including probing pocket depth (PPD), plaque index (PI), gingival index (GI), and bleeding on probing (BOP) between the groups at 1 year after implant placement. Results: Among the implants that were initially registered, 1 from the TG and 4 from the CG dropped out, leaving 37 implants in the TG and 38 implants in the CG to be traced and analyzed. Although 1 TG case showed unstable primary stability, all cases showed stable secondary stability. Success and survival rates at 1 year after implant placement were 100% in both groups. Marginal bone loss was 0.07 mm and 0.00 mm for the TG and CG, respectively, but the difference was not significant. Among the several parameters for evaluation of soft tissue, the TG showed lower PI at 1 year after implant placement (TG=0.00, CG=0.29; P=0.0004), while the remaining categories showed no significant difference between the groups. Conclusion: This study shows that the two types of SLA implants with different surface roughness have no difference in efficacy or safety. Therefore, both of the implants can be used safely and with promising outcomes.

• Journal of Periodontal and Implant Science
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• 제32권1호
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• pp.187-198
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• 2002

The ultimate goal of periodontal therapy is the regeneration of periodontal tissue which has been lost due to destructive periodontal disease. To achieve periodontal regeneration, various kinds of methods have been investigated and developed, including guided tissue regeneration and bone graft. Bone graft can be catagorized into autografts, allografts, xenografts, bone substitutes. And materials of all types have different biological activity and the capacity for periodontal regeneration, but ideal graft material has not been developed that fits all the requirement of ideal bone graft material. Recently, bioactive glass that has been utilized in plastic surgery is being investigated for application in dental practice. But, there has not been any long-term assessment of bioactive glass when used in periodontal intrabony defects. The present study evaluates the long-term effects of bioactive glass on the periodontal regeneration in intrabony defects of human and the effect of plaqu control on long term treatment results after dividing patients into those who underwent 3-month regular check-up and those who didn't under go regular check-up The clinical effect on 74sites from 17 infrabony pockets of 11 patients were analyzed 36months after treatment. 51 sites which underwent regular check up were classified as the Follow-up group(F/U group), and 23 sites which did not undergo regular check up were classified as Non Follow-up group(Non F/U group). After comparing the probing depth, attachment loss, bone probing depth before and 36months after treatment, the following results could be concluded. 1. The changes of probing pocket depth showed a statistically significant decrease between after baseline and 36 months after treatment in F/U group(1.79${\pm}$0.68mm) and did no show astatistically significant decrease between after baseline and 36months after treatment in Non F/U group(0.61${\pm}$0.54mm) (P<0.05). 2. The changes of loss of attachment showed a statistically significant decrease between after baseline and 36 months after treatment in F/U group(1.44${\pm}$0.74mm) and did no show astatistically significant decrease between after baseline and 36months after treatment in Non F/U group(1.18${\pm}$1.54) (P<0.05). 3. The changes of bone probing depth showed a statistically significant decrease between after baseline and 36 months after treatment in both F/U(1.35${\pm}$0.28) and Non F/U group(0.78${\pm}$0.55mm) (P<0.05). The results suggest that treatment of infrabony defects with bioactive glass resulted in significan reduction of attachment loss and bone probing depth 36months after the treatment. The use of bioactive glass in infrabony defects, combined with regular check-up and proper plaque control generally shows favorable clinical results. This measn that bioactive glass could be a useful bone substitute.