• Restorative Dentistry and Endodontics
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• v.13 no.1
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• pp.173-178
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• 1988

The purpose of the study was to confirm the influence of fluoride to enamel decalcification. Specimens were prepared from 20 extracted teeth. Every tooth was sliced into 4 pieces by means of seperating disc. The pieces with sound enamel were distributed to 4 groups. 1st group was treated with 0.5% NaF solution for 2 minutes. 2nd group was treated with 0.5% NaF solution for 10 minutes. 3rd group was treated with 1% NaF solution for 2 minutes. 4th group was treated with 1% NaP solution for 10 minutes. The enamel surface of each specimen were decalcified with 30% $H_3PO_4$ for 2 minutes and the findings through electron microscope were as follows; 1. The degree of decalcification on the 1st group was greater than that of the 2nd group. 2. Roughness of the 3rd group was slightly higher than that of the 4th group. 3. Under the same procedure of decalcification, the specimen treated by higher conceutration of NaF solution for same length of time showed less decalcified picture. 4. Under the same procedure, of decalcification, the specimens treated by same concentration of NaF solution for different length of time, were compared and found longer the time less decalcified.

• The korean journal of orthodontics
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• v.2 no.1
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• pp.23-28
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• 1971

In this study, sections of twenty eight teeth were used to investigate the effect of topical application of $8\%$ stannous fluoride on the decalcification rate of enamel surfaces stripped in a manner suggested for orthodontic purpose. The enamel treated with a single application of a fluoride had a significantly lower tile rate of decalcification for the first 96 hours to lactate buffer solution. After double application of fluoride, decalcification rate decreased signicantly. This study suggested that the continuing protection of stripped surfaces should be sought by regularly scheduled treatment of the enamel with the topical application of fluoride and regular use of a fluoride containing dentifrice.

• KSBB Journal
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• v.8 no.2
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• pp.126-132
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• 1993

The objective of this study was to develop an artificial dentin for easy handle and accurate observation of the mechanism on dental caries and to screen biologically active materials from the extracts of traditional plants and fruits for prevention of early dental cares. In order to produce disc PAHA (artificial dentin), the powdered hydroxylapatite was immobilized in a 20% polyacrylamide gel. The characteristics of disc PAHA was very similar to the surface, figure and lattice of human enamel. After decalcification in 0.1M citric acid based on observation with SEM. The critical point of decalcification of disc PAHA by acids was found to be pH 5.0-5.5, which was hi agreement with human enamel. The degree of decalcification from disc PAHA in 0.1M citric acid solution was sixfold higher than that of human enamel. This result suggested that disc PAHA would be useful as a substitute of human enamel for in vitro experiment. The extracts of garlic and Flower Apple A, B seemed to inhibit growth of S. mutans. Especially, when the 300$\mu\ell$ of its extracts added to the medium to incubate S. mutans, F. apple B showed strongly an inhibitory effect in both the growth of S. mutans and the synthesis of insoluble glucan.

• The korean journal of orthodontics
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• v.29 no.3 s.74
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• pp.361-374
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• 1999

Intraoral filled type of orthodontic appliance can cause reversible or irreversible damages such as gingivitis, periodontitis, enamel decalcification, dental caries, root resorption, and pulpal changes. Such adverse effects are brought by increase in dental plaque as well as oral flora. Such an increase causes gingival inflammation and enamel decalcification. The purpose of this study is to get klowledge on initial changes in dental plaque, gingivitis, and enamel decalcification after bonding fixed orthodontic appliances according to time flow, gender, and sides(right/left) of premolar region. For control group, 48 students of dental college, Yonsei university(26 males, 22 females) were chosen; for experimental group, 73 orthodontic patients(36 males, 37 females) who will be treated with fixed appliances were chosen. All the subjects had no systemic disease, juvenile periodontitis and all the females had passed their ,menarche. Tooth brushing instruction was given to all the subjects prior to the experiment. For control group, plaque index, gingival index, and decalcification index were measured twice at 3 weeks interval ; for experimental group, the same was done prior to, 3, 6, 9 weeks after bonding fixed appliances. The following results were obtained: 1. In plaque index 3 weeks after placement of appliances, and it showed gradual increase afterwards. 2. In gingival index3 weeks after placement of appliances, and afterwards it showed increase at a faster rate than plaque index. 3. Enamel decalcification began to show between 3 and 6 weeks after bonding fixed appliances. Decalcification index began to increase 6 weeks after appliance placement, but there was no statistical significance. 4. When the comparison was made between two sides of premolar region, the right side showed greater index in plaque and gingival index of experimental group.

• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.3
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• pp.446-455
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• 2008

The aim of this study was to evaluate the effect of fluoride varnish application on enamel decalcification. Eighty bovine enamel blocks divided randomly into 4 groups. Group I is the control group. Group II was treated with the APF gel and washed after 4 minutes. Group III and IV was treated with Fluor $Protector^{(R)}$ and $CavityShield^{TM}$ and washed after 1 minutes. Decalcification were created by placing all specimen into artificial acidic solution(pH 4.0). Then the optical density of the lesions were measured by visible light fluorescence and the lesion depths were measured. The results were : 1. The optical density of group II was higher than group I but lower than group III, IV(p<0.05) and there was no difference between group III, IV(p>0.05) at 48 hours. 2. The optical density of group IV was highest at 72 hours(p<0.05). 3. Mean lesion depths were $205.36{\pm}42.85{\mu}m$ and $210.81{\pm}44.60{\mu}m$ in group I, II but no significant difference between two groups(p>0.05). 4. Mean lesion depths were $80.03{\pm}21.66{\mu}m$ and $77.46{\pm}27.72{\mu}m$ in group III, IV but no significant difference between two groups(p>0.05). Fluoride varnish treatment resulted in a significant reduction in lesion depth compared with APF gel. Fluor $Protector^{(R)}$ and $CavityShield^{TM}$ provided the similar effect.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.3
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• pp.511-517
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• 1997

Tooth discoloration detracts from one's appearance and influences self-image and it is particularly true in children. Therefore, pediatric dentists are required to treat tooth discoloration manifested in children for the normal development of their psycosocial health. Three treatment modalities are currently availabler for the removal of a variety of intrinsic stains from vital teeth. These are enamel microabrasion technique using hydrochloric acid, office bleaching and home bleaching technique with carbamide. Microabrasion technique has several advantages over bleaching in that it is easy to accomplish and does not require multiple office visits or the expensive instruments and the color change seems to be permanent after treatment. The process relies on decalcification, a softening with HCl and then removal of the enamel containing the stain with rubbing. Due to the mechanism of stain removal, this method is indicated for the removal of superficial enamel stains or disc oloration only. We report four successfully treated cases by enamel microabrasion using 15% HCl and pumice. Entire clinical steps are described in detail with some discussions on the outcome.

• The korean journal of orthodontics
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• v.43 no.1
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• pp.29-34
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• 2013

Objective: To examine the prophylactic potential of 3 orthodontic bonding adhesives: Fuji Ortho SC, Illuminate, and Resilience. Methods: Thirty-six Wistar Wag rats were randomly divided into 4 groups consisting of 9 rats each. One of the groups received no treatment and was used as a control. In the other groups, individual bands coated with one of the 3 adhesives were cemented to the lower incisors. Enamel samples were obtained after 6 and 12 weeks and analyzed using scanning electron microscopy in combination with energy dispersive spectrometry. Results: Six weeks after band cementation, no fluoride was found in the enamel of the lower incisors. After 12 weeks, there was no fluoride in the enamel of teeth coated with the Resilience composite. However, in the case of the Illuminate composite and the resin-modified glass ionomer Fuji Ortho SC cement, the depth of fluoride penetration reached $2{\mu}m$ and $4.8-5.7{\mu}m$, respectively. Conclusions: Fluoride ions from orthodontic adhesives can be incorporated into the surface layer of the enamel. Orthodontists may apply orthodontic adhesives, such as the Fuji Ortho SC, to reduce the occurrence of caries during orthodontic treatment with fixed appliances.

• Journal of the korean academy of Pediatric Dentistry
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• v.42 no.3
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• pp.218-225
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• 2015

This study used sodium fluorescein to improve imaging diagnostic ability by increasing the fluorescence difference between sound enamel and caries lesions. It also made it easier to discriminate between stain and caries lesions using quantitative light-induced fluorescence (QLF). Half of the specimen surface was covered with nail varnish as a control. Specimens were divided randomly in six decalcification groups and decalcified for different lengths of time. Then, ${\Delta}F$ was measured using QLF-D. After applying 0.075% sodium fluorescein, we measured ${\Delta}F$ again and compared it with the initial value. After cutting the central portion of the specimen, we measured the lesion depth using scanning electron microscopy. The lesion surfaces observed with QLF were darker than normal enamel, whereas they were lighter than normal enamel after applying fluorescein. Longer decalcification time was associated with greater fluorescent dye penetration. The ${\Delta}F$ measured after applying fluorescein was higher than the initial value (p < 0.05). Due to QLF measurement using fluorescein being more sensitive for diagnosing early decalcification, this approach will enable early diagnosis of dental caries before the cavity formation stage, allowing the treatment of early caries lesions. With QLF and sodium fluorescein, we can easily discriminate between stain and caries lesions.

• The korean journal of orthodontics
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• v.29 no.5 s.76
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• pp.589-597
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• 1999

The purpose of this study was to evaluate the effects of fluoride releasing orthodontic sealants, light-cured (Group L1&L2) and self-cured (Group S1&S2) $FluoroBond^{\circledR}$, on enamel microhardness under artificial carious solution in vitro.112 extracted human premolar teeth were collected for experiments and divided into seven groups. A Tukon microhardness tester equipped with a Knoop diamond indenter was employed to determine microhardness. Tukon 23 program converted the number of microhardness into KHN (Knoop hardness number). The results were as follows: 1. The microhardness of enamel depth of all groups were the least at the depth of $50{\mu}m$ and that of all groups except L2 group, the greatest at the depth of $200{\mu}m$, were the greatest at the depth of $300{\mu}m$. And as the enamel depth of all groups except L2 and S2 group increased, the microhardness value also increased. 2. There was a little preventive effect in enamel decalcification both light-and self-cured orthodontic sealant groups, but had no statistical significance between the groups(p>0.05). 3. Light-cured orthodontic sealant groups had a progressive inhibiting effect in enamel decalcification at the depth of $100{\mu}m,150{\mu}m,\;and\;200{\mu}m$ (p<0.05). 4. Self-cured orthodontic sealant groups had a progressive inhibiting effect in enamel decalcification at the depth of $150{\mu}m$ (p<0.05). 5. There was no difference of the anti-enamel demineralization effect between light- and self-cured orthodontic sealant groups (p>0.05).

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.2
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• pp.218-224
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• 2010

The prevalence of developmental defects of enamel and lesios by post-orthodontic decalcification has been reported with increasing frequency. Even though there have been increasing interests and clinical challenges in esthetic improvement of these lesions, few of studies were reported for using non-invasive approach which is a very significant matter for child and young adults. This study was conducted to assess clinical effect on the improvement in color of these lesions via resin infiltration method developed as minimum invasive technique for white spot. For the 38 maxillary anterior teeth with calcification problem, the changes in color between before- and after- infiltration treatment, were evaluated and summarized as following. 1. A week after infiltration, 25% of developmental defects and 61% of decalcification lesions were improved in color as the value of ${\Delta}E $ below 3.7. 2. 40% of the developmental defects and 6% of decalcification lesions showed no significant change. 3. The developmental defects showed more remarkable changes in color 1 week after infiltration rather than immediately after the treatment. From our study results, it is considered that the amount of color improvement depended on the depth of lesion. In other words, for the lesion having more depth than the depth infiltrant resin can penetrate into, infiltration treatment showed no significant effect. Therefore, for clinical indication of resin infiltration treatment, further research on precise measurement technique of lesion depth is strongly required.