• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.265-275
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• 2019

Objectives: The aim of this study was to investigate trends of oral health behaviors in Korean adolescents. Methods: From the 2005 to 2017 Korea Youth Risk Behavior web-based Survey (KYRBS) Secondary Data (study to 748,461). Independent variables were the year, gender, grade, and living area. Dependent variables were the rate of tooth-brushing after lunch, scaling, use of sealant, and oral health education within 1 year. Chi-squire tests were used to estimate the rate of oral health behaviors and trends. In addition, multiple logistic regression analysis was used to estimate the association between socio-economic characteristics and oral health behaviors. The analyses were conducted using IBM SPSS statistics 21 (version 21.0, IBM Corporation, New York, NY, USA). Results: The rate of tooth-brushing after lunch and use of sealant have significantly increased every year. Oral health behaviors were significantly associated with socio-economic characteristics. The rate of oral health education was higher among males than females, which was in contrast to other oral health behaviors. The scores for tooth-brushing after lunch, use of sealant, and scaling in females were 2.33 (95% CI; 2.27-2.40), 1.31 (95% CI; 1.29-1.33), and 1.20 (95% CI; 1.18-1.22), which were higher than those in males. The score for use of sealant in the highest household economy group was 1.13 (95% CI; 1.10-1.17), which was higher than the lowest economy group. Conclusions: We found positive trends of oral health behaviors in Korean adolescents.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.1
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• pp.116-126
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• 1998

Numerous chemical agents have been developed to reduce the activity of cariogenic bacteria. Of these, chlorhexidine is acknowledged as the most effective. Gel and mouthrinse have been the traditional method of its application in the mouth. It has been reported that chlorhexidine varnish has prolonged inhibitory effect on the number of streptococcus mutans in saliva and plaque. Recently, chlorhexidine varnish and polyurethane sealant have been developed to promote prolonged anticariogenic effect of chlorhexidine. Products containing 10% chlorhexidine varnish and polyurethane sealant have been developed to prevent caries by reducing the number of streptococcus mutans in the oral cavity. The purpose of this study is to investigate the inhibitory effect of chlorhexidine varnish and polyurethane sealant on streptococcus mutans in the primary dentition. Children with primary dentition containing no active carious lesion were divided into two groups. To the experimental group (n=11), chlorhexidine varnish and polyurethane sealant ($Chlorzoin^{(R)}$, Knowell Therapeutic Technologies, Inc. Canada.) was applied once a week for four weeks according to the manufacturer's instruction. Only oral prophylaxis was performed on the control group(n=7). Caries activity was measured after using $Cariescreen^{(R)}$SM (Knowell Therapeutic Technologies, Inc. Canada,) to incubate streptococcus mutans before and 5, 12, 24 weeks after initial varnish application. The following results were observed.; 1. There was statistically significant decrease in the number of streptococcus mutans in the experimental group for 5 weeks(P<0.01), 12 weeks(P<0.05) after the initial application. but, by 24 weeks significant difference had disappeared. 2. As the inhibitory effect of chlorhexidine varnish and polyurethane sealant application is not everlasting, reapplication at 12-24 weeks should be needed.

• The Journal of the Korean dental association
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• v.56 no.12
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• pp.686-694
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• 2018

Purpose: The aim of this study was to evaluate the validity of swept-source optical coherence tomography (SS-OCT) for detecting sealant microleakage. Materials and Methods: A total of 31 extracted sound human molar, assigned as suitable for sealant application, were chosen and divided into two groups: (1) no microleakage group and (2) microleakage group by applying sealant using the different methods. All specimens were immersed in 1% methylene blue for 24 h and sectioned to confirm the absence or presence of sealant microleakage as a gold standard method. Subsequently, all the sectioned specimens were digitally photographed using a microscope with a magnification of ${\times}50$. Presence of microleakage was evaluated on a 2-point rating scale. The association of histological method with conventional methods (visual and tactile assessment) and SS-OCT was assessed using a chi-squared test. The intra- and inter-examiner reliability was calculated using Cohen's Kappa. Results: The SS-OCT showed a sensitivity of 0.73 and a specificity of 1.00, while visual and tactile assessment showed a sensitivity of 0.67 and a specificity of 0.86. The inter-examiner reliability of SS-OCT was 0.79, whereas that of the visual and tactile assessment was 0.53. Conclusions: SS-OCT can be used to non-invasively detect sealant microleakage and to monitor pit and fissure sealant in the clinics.

• Journal of dental hygiene science
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• v.2 no.2
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• pp.53-62
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• 2002

The purpose of this study is to investigate the retention and caries prevention practical effectiveness of fissure sealant and regular checkup with cost-benefit analysis. The data of this study is based on "2000 The Survey of Korean Oral Health" by Ministry of Health & Welfare. This study is to investigate cost-benefit analysis on proper treatment for the decayed, in case of operating fissure sealant on molars at 1 year after eruption of permanent teeth. The obtained results were as follows: (1) Cost-benefit analysis on fissure sealant in 6-75 year old 43,736 thousand Korean people reveals that cost of fissure sealant is 1,610,994 million won and benefit is 69,460,691 million won. (2) Benefit of fissure sealant is 39.51 times as much as cost of fissure sealant. (3) Cost of twice in a year regular checkup is 2,678,544 million won. Indirect cost of regular checkup is 2.6 times as much as direct cost. (4) Cost of fissure sealant and twice in a year regular checkup is 4,289,538 million won, and benefit is 69,460,691 million won. Benefit of fissure sealant and twice in a year regular checkup is 16.2 times as much as cost.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.3
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• pp.522-529
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• 2001

This study seeks to know the effect of fluoride topical application on the shear bond strength between enamel and fissure sealant. On group 1,2,3,4, Teethmate A(unfilled sealant) and on group 5,6,7,8 Ultraseal XT(filled sealant) were used. Group 1 and 5 were not pre-treated with fluoride and group 2 and 6 were pre-treated with 1.23% APF for 4minutes. Group 3 and 7 were pretreated with 2.0% NaF for 4 minutes. and group 4 and 8 were pumiced with abrasive containing fluoride for 10 seconds. Prepared specimens were acid etched for 30 seconds using 35% phosphoric acid, and then sealant was cured to the specimen using a 3mm diameter by 2mm height mold. They went through thermocycling. Its shear bond strength was measured, and then acid etched both groups that were pretreated with fluoride and that were not pretreated with fluoride. Then we examined the surface of the specimen with EM and came up with these results. In groups using unfilled sealant(group 1,2,3.4) there were no significant differences between oops pretreated with fluoride and groups not pretreated with fluoride. In groups using filled sealant(group 5,6,7,8), groups 6 and 7(treated with 1.23% APF 2.0% NaF respectively) showed significantly lower shear bond strength, compared to group 5 (not pretreated with fluoride) and group 8 (pumiced with abrasive containing fluoride) (p<0.05).

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.2
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• pp.196-203
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• 2003

The application of sealants is a highly technique-sensitive procedure, requiring an extremely dry field prior to placement. Moisture contamination of the etched enamel surface before sealant placement is cited as the main reason for sealant failure. The purpose of this study was to evaluate the effects of different methods of sealant application on the shear bond strength of sealants to enamel. In groups 1, 2, 3, 4 Teethmate(unfilled sealant) was used, while Ultraseal XTplus(filled sealant) was used in groups 5, 6, 7, 8. Groups 1 and 5(control) were acid etched for 15 seconds using 35% phosphoric acid, washed and then dried. In groups 2, 6 drying agents were applied, and in groups 3, 7 bonding agents were applied and light cured. In groups 4 and 8 both drying agent and bonding agent were applied. Then sealant was cured to the specimen using molds 3mm in diameter and 2mm in height. Thermocycling was performed and shear bond strength was finally measured. The following results were obtained : 1. Groups using filled sealant(groups 5, 6, 7, 8) showed higher shear bond strengths compared to groups using unfilled sealant(groups 1, 2, 3, 4). 2. Among groups using unfilled sealant(groups 1, 2, 3, 4), groups 2, 3, 4 showed significantly higher shear bond strength compared to group 1(p<0.05). There were no significant differences among groups 2, 3 and 4. 3. There were no significant differences(p>0.05) among groups using filled sealant(groups 5, 6, 7, 8). 4. When modes of fracture were examined, cohesive failure was observed in groups 2, 3 and 4.

• The Journal of the Korean dental association
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• v.49 no.1
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• pp.22-32
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• 2011

This paper reviewed the following subheadings and a few selected references in each section were discussed: ${\cdot}$ Sealant placed over caries; is it possible? Initial caries which is not sticky during proving is possible to be placed with sealants. ${\cdot}$ Prophylaxis of fissure; which method is most effective? Mechanical preparation with fissurotomy or resin polishing bur is one of the most effective method to clean the pit and fissure. ${\cdot}$ Glassionomer cement as a sealant; GIC, wheather it released fluoride or not, cannot be as cost-effective as resin-based sealants. ${\cdot}$ Sealant products; Color(white vs opaque), fluoride(containing vs not), filler component(filled vs non-filled) do not influenced the quality and retention of sealants. ${\cdot}$ Use of intermediate bonding agent to improve retention; Intermediate bonding may increase the retention rate of sealants ${\cdot}$ Penetration method of sealants; Several methods including waiting before light curing are recommended.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.4
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• pp.849-857
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• 1998

The purpose of this study was to investigate whether fluoride-releasing pit and fissure sealant was more effective in preventing caries than conventional non-fluoride-releasing sealant. Specimens 8mm in diameter were made from sound bovine enamel. Fluoride-releasing pit and fissure sealant(Helioseal F, Vivadent, Schaan, Liechtenstein) and non-fluoride-releasing sealant(Helioseal, Vivadent, Schaan, Liechtenstein) were applied to the specimens and artificial caries was induced. Microhardness and the depth of the carious lesion was measured. The following results were obtained: 1. In group 2, sealed with fluoride-releasing sealant, there was a 58.4% decrease in microhardness. This was significantly less than the 84.4% decrease observed in group 1, sealed with non-fluoride-releasing sealant(p<0.01). 2. The average depth of the artificial carious lesion in group 2 was $30.1{\pm}9.8{\mu}m$. In group 1, sealed with non-fluoride-releasing sealant, the lesion was significantly deeper with an average depth of $58.5{\pm}4.9{\mu}m$(p<0.01). 3. Fluoride-releasing pit and fissure sealant was more anticariogenic compared to non-fluoride-releasing sealant.

• The Journal of the Korea Contents Association
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• v.22 no.3
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• pp.586-592
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• 2022

In this study cerium nano particles(CNPs) with 0-4.0 wt% was incorporated to the conventional dental pit and fissure sealant(ConciseTM) to produce new pit and fissure sealant the physical properties and cytotoxicity. The physical properties were measured for polymerizing depth the degree of water absorption and solubility. The cytotoxicity of cell viability was analyzed by MTT assay using immortalized human oral keratinocyte(IHOK). As a result of this preceding study the polymerizing depth was decreased by the increasing of the amount of CNPs. The solubility degree of the sealant added CNPs with 2.0 wt% showed was the lower and the water absorption showed no significantly difference with the control groups(p>0.05). The cytotoxicity test results showed high survival rates in all experimental groups. Therefore, pit and fissure sealant by the addition of CNPs excellent cell viability be produced without weaken the physical property of the cell viability fissure sealant containing CNPs does not weaken physical properties and has no cytotoxic effects biocompatibility. Considering its properties effect of CNPs, further studies are required for distribution technology application.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.3
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• pp.491-498
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• 2005

Occlusal fissures and pits are ideal places for the development of caries. Pit and fissure sealants are now considered as a very effective means to prevent dental caries. The purpose of this investigation was to examine the effect on the sealant penetration of the elapse of time from the application of sealant until exposure to visible light, and to examine the effect of the filler content and tooth position on the sealant penetration. 192 extracted human premolars were used to this experiment. Following enamel conditioning, a light-polymerized sealant was applied and 4 different periods of time(3, 5, 10, 20 seconds) were allowed until exposure to the light source. The results obtained were as follows; 1. According to time, in both unfilled sealant and filled sealant penetration increases deeply through mindfulness. 2. Sealant that apply to mandiblar premolar penetrated deeply through than to maxillay teeth. 3. Penetration difference according to filler content, unfilled sealant penetrated deeply through than filled sealant. The result from this study indicated that unfilled sealant penetrated most deeply in mandible when at least 20s time elapsed.