• Title/Summary/Keyword: Remineralization

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Effectiveness of caries-preventing agents on initial carious lesions within the scope of orthodontic therapy

  • Park, Kyung-Jin;Kroker, Tessa;Gross, Uwe;Zimmermann, Ortrud;Krause, Felix;Haak, Rainer;Ziebolz, Dirk
    • The korean journal of orthodontics
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    • v.49 no.4
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    • pp.246-253
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    • 2019
  • Objective: To evaluate the effectiveness of three different caries-preventing agents on artificial caries in a Streptococcus mutans-based caries model. Methods: Sixty-five caries-free human molar enamel blocks were treated with a demineralization solution and a remineralization solution. The specimens were assigned to the following groups according to the caries-protective product applied: group A, chlorhexidine varnish; group B, fluoride-releasing chemically cured sealant; group C, fluoride-releasing lightcured sealant; group D, positive control (specimens that were subjected to de- and remineralization cycles without treatment with any caries-protective agents); and group E, negative control (specimens that were not subjected to de- and remineralization cycles). Samples in groups A-D were stored in demineralization solution with S. mutans and thereafter in artificial saliva. This procedure was performed for 30 days. Average fluorescence loss (${\Delta}F$) and surface size of the lesions were measured using quantitative light-induced fluorescence at baseline and on the 7th, 14th, and 30th days. Results: After 30 days, group A demonstrated a significant increase in ΔF and the surface size of the lesions, no significant difference in comparison with the positive control group, and a significant difference in comparison with the negative control group. Group B showed no significant changes in both parameters at any of the measurement points. While group C showed increased ${\Delta}F$ after 14 days, no significant fluorescence change was observed after 30 days. Conclusions: Both fluoride-releasing sealants (chemically or light-cured) show anti-cariogenic effects, but the use of chlorhexidine varnish for the purpose of caries protection needs to be reconsidered.

REMINERALIZATION EFFECT OF FUJI VII GLASS IONOMER CEMENT (Fuji VII 글래스 아이오노머 시멘트의 재광화 효과)

  • Kim, Young-Jin;Lee, Ju-Hyun;Seo, Hyun-Woo;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.653-660
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    • 2006
  • Fuji VII is a glass-ionomer cement specially targeted for early protection in erupting first and second molars. Properties of Fuji VII such as very high level of fluoride release, low viscosity and no need to preliminarily etch the substrate would be useful to erupting molars with primary pit and fissure caries or hypoplastic area for preventive goal or remineralization. The purpose of this study were to evaluate remineralization of Fuji VII glass ionomer cement and to compare with one of other restorative materials such as conventional glass ionomer cement, resin-modified glass ionomer cement, compomer and composite resin. Forty-two extracted human molars were used for this study. All teeth were immersed in demineralizing solution for 48 hours after Class V cavity preparation was made on sound proximal surface. The teeth were randomly divided into six groups and restored with Fuji VII, Fuji II, Fuji II LC improved, F2000, $Filtek^{TM}$ Z250 and control group was unrestored. The middle area with $130{\pm}20{\mu}m$ thickness was separated from specimen using microtome and demineralized area was photographed under polarized microscope. Separated area was relocated to specimen and stored in artificial saliva, After four weeks, changes of demineralized area were observed and compared to them restorated immediately. The results from the this study can be summarized as follows ; 1. Fuji VII, Fuji II, Fuji II LC improved have more prominent remineralization effect than F2000, $Filtek^{TM}$ Z250, control group. 2. No significant differences in remineralization effect are seen between Fuji VII and Fuji II, Fuji II LC improved.

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LONG-TERM EVALUATING OF THE REMINERALIZATION OF INTERPROXIMAL CARIES ADJACENT TO GLASS IONOMER RESTORATIONS: A MICRO-CT STUDY (미세 전산화 단층 촬영을 이용한 글라스 아이오노머 수복물의 인접면우식 재광화 효과에 관한 장기간 연구)

  • Lee, Hyeok-Sang;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.498-503
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    • 2006
  • This in vitro study compared the remineralization of incipient interproximal caries in the presence of three glass ionomer cements (highly-filled glass ionomer cement, compomer, resin-modified glass ionomer cement) and a resin composite(control). The long-term changes in remineralization caused by each material were evaluated by microtomography. Proximal restoration was simulated by placing tooth specimens and the various glass ionomer cements in closed containers with artificial saliva at $37^{\circ}C$ and pH 7.0 for 30 days with constant circulation Tomographic images were obtained with a micro CT scanner at 90, 180, and 270 days, and density-measuring software was used to calculate the micro-density of artificial caries lesions in the specimens. The mean density changes were compared between groups in order to evaluate the effects of remineralization. All data were analyzed using one-way ANOVA and the post-HOC Tukey multiple comparison test at p<0.05. While the density of artificial caries lesions increased for all treatments, the increases for the three glass ionomer groups were significantly higher than that for the resin group in each three month period. As time went on, the amount of density increase of the glass ionomer groups decreased, and significant differences were found between the remineralization effects of the glass ionomer groups.

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THE ANALYSIS OF REMINERALIZATION EFFECT IN FLUORIDE VARNISH USING CONFOCAL LASER SCANNING MICROSCOPE (공초점 레이저 주사 현미경을 이용한 불소 바니쉬 재광화 효과의 분석)

  • Kwon, Ji-Hoon;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.57-64
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    • 2008
  • It is well established that fluoride products play an important role in the prevention and remineralization of carious lesion. Fluoride varnish is a concentrated topical fluoride and varnishes adhere to tooth surface, permitting prolonged fluoride exposure and uptake. In this study, the artificial initial enamel caries was caused on the sound human enamel and divided 60 specimens into three groups. Group 1 and group 2 were treated with the topical application of fluoride varnish and stored in artificial saliva for 1 and 2 weeks. Group 3 was stored in artificial saliva for 2 weeks, which acted as control group. Changes in mineral contents were analysed with the confocal laser scanning microscope. The following results were obtained: 1. In group 1 and group 2, the total fluorescence of the lesion(TFL) was reduced in remineralized area compared to in demineralized area(p<0.05). 2. The total fluorescence of the lesion of remineralized area was more reduced in group 2 than in group 1(p<0.05). 3. The total fluorescence of the lesion was more reduced in group 2 than in control group(p<0.05). 4. Confocal laser scanning microscope can be used in quantitative analysis of remineralization by fluoride varnish.

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SCANNING ELECTRON MICROSCOPIC STUDY OF THE EFFECT OF ACIDIC DRINK ON ENAMEL EROSION : A CASE REPORT (탄산음료에 의해 부식된 법랑질 표면변화에 대한 증례발표)

  • Kim, Su-Youn;Park, Jae-Hong;Kim, Gwang-Chul;Choi, Young-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.509-515
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    • 2008
  • It is widely believed that the increase in the prevalence of dental erosion is due to soft drinks. The purpose of this study was to assess the influence of soft drinks and etchant on the erosion of tooth enamel and the effect of tooth brushing on the abrasion of eroded enamel, and the effect of milk, saliva and Tooth $Mousse^{(R)}$ on the remineralization. The changes in tooth enamel surface were observed by scanning electron microscophy. The results were as follows; 1. The pH of Coca-Cola and Chilsung-Cider were higher than the pH of FineEtch 37 and $Tyrian^{TM}SPE$. 2. The SEM photos revealed that the pattern of the surface eroded by Coca-Cola and Chilsung-Cider were more obvious than that eroded by etchants. 3. The results of remineralization by saliva, milk, Tooth $Mousse^{(R)}$ were not different from each other. 4. The remineralization by saliva decreased tooth brushing abrasion.

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COMPARATIVE STUDY ON REMINERALIZING EFFECT OF COMPOMERS (컴포머의 재석회화 효과에 관한 비교 연구)

  • Chung, Hoi-Min;Kim, Yong-Kee;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.4
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    • pp.498-508
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    • 2002
  • The purpose of this study was to compare the amount of fluoride release and remineralizing effect of compomer with those of glass ionomer cement and composite resin. Composite resin($Z-100^{(R)}$) was used for negative control group(Group I), glass ionomer(Fuji II $LC^{(R)}$) for positive control group(Group IV), compomer(Dyract $AP^{(R)}$ and $F-2000^{(R)}$) for experimental group(Group II and Group III). The results obtained can be summarized as follows : 1. Glass ionomer showed the higher amount of fluoride release than compomer groups. Composite resin showed no fluoride release during test period. 2. Significant evidence of remineralization could be noticed in samples of all groups. The highest degree of remineralization was observed in glass ionomer group followed by compomer group. The least evidence of remineralization was observed in composite resin group. 3. Microhardness values of carious site was lower than control site, but Microhardness values of caries site at form away from filling materials in group II, III, IV was significantly higher than the other area. Based on the above results, compomer could be considered as one of the very attractive restorative materials in the field of pediatric dentistry.

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THE EFFECT OF GLASS IONOMER ON THE REMINERALIZATION OF ADJACENT INITIAL ENAMEL CARIES LESION BY RELEASING FLUORIDE (Glass Ionomer 수복재의 초기 법랑질 우식증에 대한 효과)

  • Park, Young-Soo;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.4
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    • pp.529-538
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    • 2002
  • There is no adverse opinion on the anticariogenic effect of fluoride, so glass ionomer restoration which release the fluoride is recommended fer child patient. To study the anticariogenic effect of initial carious lesion of fluoride released from adjacent glass ionomer restoration, the in situ model was constructed. A microhardness test, polarized scope investigation and electron probe microanalysis was done for analyzing the distribution of fluoride which was precipitated from glass ionomer restoration to the enamel caries lesion. Fuji IX, the conventional glass ionomer, was used for experimental group and Z-100, composite resin that fluoride was not contained, was used for control group. On the microhardness test, the remineralization was accelerated by fluoride. And on the polarized investigation, the size of caries lesion was reduced in the oral cavity and that phenomenon was accelerated by fluoride, too. Electron probe microanalysis shows that the remineralization was accelerated by fluoride and the fluoride concentration on subsurface area was increased. It maybe that the subsurface area was critical to anticariogenic effect. In summary of these result, initial caries lesion can be remineralized in the oral cavity and that phenomenon can be accelerated by fluoride. The subsurface area of caries lesion was a major part of defense to cariogenic invasion and to conserve the subsurface area, the surface of lesion body have to conserved.

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Quantitative Light-Induced Fluorescence: A Potential Tool for Dental Hygiene Process (Quantitative Light-Induced Fluorescence의 이해와 치위생 과정에서의 활용방안)

  • Kim, Hee-Eun
    • Journal of dental hygiene science
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    • v.13 no.2
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    • pp.115-124
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    • 2013
  • Recently, there have been improvements in diagnostic methods for the assessment of early caries lesions. The reason is that dental professionals are seeking methods to reliably detect incipient dental caries and to remineralize them. This review examines the literature on principles, theoretical background, and history of the Quantitative Light-Induced Fluorescence (QLF) system (Inspektor Research Systems BV, The Netherlands). Furthermore, this paper discusses the potential application of QLF system to clinical practice for educational purpose, enabling dental hygiene students to perform oral health assessment using the QLF system. In addition, the clinical application of QLF system can motivate patients by providing additional visual information about caries and bacterial activity. The evidences on validity and reliability of the QLF system for detection of longitudinal changes in de/remineralization and caries were examined. The QLF system is capable of monitoring and quantifying mineral changes in early caries lesions. Therefore, it can be used to assess the impacts of caries preventive measures on the remineralization and reversal of the caries process. And the QLF system is a very promising equipment to assess educational effectiveness for dental hygiene students in their learning process. In conclusion, the QLF system is the most effective technology for more sensitive staging of caries and treatment without surgical intervention.

Estimation of Oxygen Consumption Rates by Using an Oxygen Microelectrode in Ganghwa Intertidal Flat (강화도 남부 갯벌퇴적물에서 산소 미세전극을 이용한 산소소모율 추정)

  • Kim, Dong-Seon
    • Ocean and Polar Research
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    • v.28 no.2
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    • pp.119-127
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    • 2006
  • We measured oxygen microprofiles using an oxygen microelectrode in Ganghwa intertidal flat in April and September. Oxygen consumption rate was calculated by using three different methods based on the oxygen microprofiles. The method using the PROFILE software was thought to be the most reliable among the three methods. The oxygen consumption rates calculated at station D1 by using the PROFILE software were 10.5 and 6.27mmol $m^{-2}d^{-1}$ in April and September, respectively. At station D2, they were 10.9mmol $m^{-2}d^{-1}$ in April and 5.39 mmol $m^{-2}d^{-1}$ in September. There was little spatial variation, but large seasonal variation, with almost two times larger values in April than in September. The higher rate in April is ascribed to higher oxygen concentration in the seawater and higher organic carbon content in the surface sediments, which probably accelerate oxygen consumption for organic matter decomposition in the sediments. Aerobic remineralization rates estimated from the oxygen consumption rates ranged from 4.14 to 8.07 mmol C $m^{-2}d^{-1}$ in Ganghwa intertidal flat, which were much lower than the anaerobic remineralization rate.

Effect of Microhardness on Premary Teeth following Fluoride Toothpaste for Children (어린이 불소치약에 따른 유치의 미세경도에 대한 효과)

  • Jeong, Mi-Ae;Nam, Seoul-Hee;Kim, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.893-899
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    • 2013
  • This study was to determine the efficacy in the remineralization on premary teeth following the application of toothpaste with and without sodium fluoride. All tooth were checked using microhardness tester and the calcium (Ca) and phosphorous (P) concentration by electron probe microanalyzer (EPMA) analysis for the 4 weeks. The collected data was analysed using the statistical software program SPSS, 20.0. The applied enamel of premary teeth with 0.243% fluoridated toothpaste resulted in significant differences in the microhardness values (p>0.05). The Ca and P concentrations of applied premary teeth with fluoridated toothpaste were also significant difference in norm wt% (p>0.05). As a results, a increasing the surface microhardness of the premary teeth and providing a remineralizing effect by increased Ca and P concentrations.