• Title/Summary/Keyword: Hidden caries

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HIDDEN CARIES: CASE REPORT (Hidden caries의 치험례)

  • Yoon, Hye-Jeong;Kim, Seong-Oh;Son, Heung-Kyu;Choi, Byung-Jai;Lee, Jae-Ho;Song, Je-Seon;Choi, Hyung-Jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.532-536
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    • 2010
  • Hidden caries is a subtype of the occlusal pit and fissure caries type and is defined as a dentinal caries lesion near the occlusal surface of the tooth seen on a radiograph. In visual examination, the occlusal enamel is seen intact or is minimally perforated. Covert caries, Occlult caries or Fluoride syndrome are used as synonym. The percentage of occlusal dentin lesions that are clinically undetected ranges from 1.4-50%. Little is known about the mechanisms involved in the development of hidden caries. But it is thought that extensive use of topical fluoride or the special bacteriological profile has been a major factor. This case report is about detection and treatment of hidden caries of two children who visited the department of pediatric dentistry, Yonsei University Dental Hospital. The color of caries dentin found in hidden caries lesion is lighter than cavity forming caries, which makes it more difficult to detect caries by visual examination. Therefore diagnosis of hidden caries is often accomplished after clinical sign is recognized by patients. The use of advanced caries detection aids such as Diagnodent.. with periodic radiographic examination is seemed to be helpful for early detection of hidden caries.

Detection of Hidden Proximal Caries using Q-ray view in Primary Molars (Q-ray view를 이용한 유구치의 숨은 인접면 우식증 탐지)

  • Jeong, Younwook;Lee, Hyoseol;Choi, Hyungjun;Lee, Jaeho;Choi, Byungjai;Kim, Seongoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.209-217
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    • 2015
  • The purpose of this study was to evaluate the ability of Q-ray view (All-in-one Bio, Seoul, Korea) in detection of proximal caries in primary molars with sound marginal ridges. Thirty two children aged 3-9 years (average $5.6{\pm}1.3$ years old) were chosen, and two examiners evaluated 100 proximal surfaces of primary molars with sound marginal ridges. The teeth were examined with; (a) visual examination, (b) Q-ray view, (c) DIAGNOdent (KaVo, Biberach, Germany) and (d) digital periapical radiography. Kappa statistic was used to assess the agreement between each examination method and the degree of caries progression. The kappa values for enamel caries were 0.15 (visual examination), 0.10 (Q-ray view), 0.25 (DIAGNOdent) and 0.68 (digital periapical radiography). The kappa values for dentinal caries were 0.34 (visual examination), 0.56 (Q-ray view), 0.44 (DIAGNOdent) and 0.70 (digital periapical radiography). Although Q-ray view showed low diagnostic ability in detection of enamel caries, it was effective in detection of hidden proximal caries extended into dentin. Q-ray view would be a useful and simple device which could aid pediatric dentists in detection of hidden proximal caries in primary molars especially when examining uncooperative children or disabled persons.

Comparison between QraypenTM Imaging and the Conventional Methods of Visual Inspection and Periapical Radiography for Proximal Caries Detection in Primary Molars: An In Vivo Study (유구치 인접면 우식 병소 진단에 있어 QraypenTM과 시진 및 구내 치근단 방사선의 비교)

  • An, So-Youn;Park, So-Young;Shim, Youn-Soo
    • Journal of dental hygiene science
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    • v.16 no.5
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    • pp.349-354
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    • 2016
  • The purpose of this study was to evaluate the efficacy of the newly-developed $Qraypen^{TM}$ (All In One Bio, Korea) system for the diagnosis of early proximal caries by comparing it with the conventional methods of visual inspection and periapical radiography. This study was carried out from July 2015 to April 2016 targeting 32 children aged 7~12 years who visited Y-Dental Clinic for school oral health examinations. Two investigators selected and examined a total of 153 primary molars that had not undergone restorative treatment. Comparisons were carried out between visual inspections, readings of posterior periapical radiography images, and readings of $Qraypen^{TM}$ images. This study revealed that the percentage of interproximal surfaces of primary molar teeth without caries incidence was 83.7% using $Qraypen^{TM}$ imaging and 84.9% using visual inspection and periapical radiography. The differences between the two methods were not statistically significant. Thus, $Qraypen^{TM}$ is expected to be a useful and convenient auxiliary diagnostic device that can facilitate the detection of hidden proximal caries in primary molars.

The Design of Polynomial Network Pattern Classifier based on Fuzzy Inference Mechanism and Its Optimization (퍼지 추론 메커니즘에 기반 한 다항식 네트워크 패턴 분류기의 설계와 이의 최적화)

  • Kim, Gil-Sung;Park, Byoung-Jun;Oh, Sung-Kwun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.7
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    • pp.970-976
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    • 2007
  • In this study, Polynomial Network Pattern Classifier(PNC) based on Fuzzy Inference Mechanism is designed and its parameters such as learning rate, momentum coefficient and fuzzification coefficient are optimized by means of Particle Swarm Optimization. The proposed PNC employes a partition function created by Fuzzy C-means(FCM) clustering as an activation function in hidden layer and polynomials weights between hidden layer and output layer. Using polynomials weights can help to improve the characteristic of the linear classification of basic neural networks classifier. In the viewpoint of linguistic analysis, the proposed classifier is expressed as a collection of "If-then" fuzzy rules. Namely, architecture of networks is constructed by three functional modules that are condition part, conclusion part and inference part. The condition part relates to the partition function of input space using FCM clustering. In the conclusion part, a polynomial function caries out the presentation of a partitioned local space. Lastly, the output of networks is gotten by fuzzy inference in the inference part. The proposed PNC generates a nonlinear discernment function in the output space and has the better performance of pattern classification as a classifier, because of the characteristic of polynomial based fuzzy inference of PNC.

A REVIEW OF 70-YEARS OF OCCUPATIONAL DENTISTRY IN KOREA (근대이후 한국의 산업구강보건)

  • Han, Young-Chul
    • Restorative Dentistry and Endodontics
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    • v.20 no.2
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    • pp.843-855
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    • 1995
  • Occupational Dentistry was introduced in Korea about 70 years ago. During the colonial period occupied by Japan till 1945, there were few documents about industrial dentistry, furthermore most cases of occupational diseases and accidents might have been concealed intentionally by the colonial government. After being an independent country, several dentists made efforts to set up 'Preventive Dentistry for Workers' performing specific oral health surveys, even though which were stopped by Korean War. In 1960s' and 1970s', some investigations of oral status were carried out intermittently for specific small groups;white-collar workers, mentally retarded person, buddhist monks and crews of ocean liners. At the same time there was important study in Korean history of occupational dentistry, which was 'a comparison of the oral hygiene conditions in the female workers of a spinning factory at intervals of 30 years.' In 1980s', young researchers began to give attention to erosion of the teeth due to sulphuric acid in the acid-related industry and dental caries due to sugar and flour in the sweets industry. After being democratic labor union movement activated in 1987, hidden and suppressed occupational diseases under the military dictatorship were exposed and flushed in the newspapers. It was shocking for all people that 15-year old boy had been dead due to mercury intoxication after 3-month employment in 1988. In 1990s', the activity for studying oral status of workers in their workplaces was launched and 'Occupational Accidents and Diseases in Oral and Maxillofacial Field' was published. And also The Korean Association of Occupationl Dentistry was established. Oral health examination of workers at the time of employment and of workers exposed to 5 special chemicals at the time of routine special health examination was adopted in 1992, and epocally oral health examination was also included in periodic routine examination of workers' health in 1995. So, occupational dentistry in Korea should cope with the changing needs of working environment and the altering scheme of health examination.

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