• 치위생과학회지
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• 제13권2호
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• pp.191-196
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• 2013

본 연구는 미백치약의 효능을 확인하고 미백치약으로 미백된 치아의 식음음료에 따른 재착색의 정도를 확인하고자 실시되었다. 30개의 치아를 두 그룹으로 나누어 미백치약의 효능을 평가하였고 평가된 치아는 다시 착색음료에 담가 색변화를 관찰하였다. 그 결과, 미백치약은 사용한지 21일부터 일반치약을 사용한 치아와의 색변화에서 유의한 차이를 확인할 수 있었다(p>0.05). 미백된 치아의 재착색에서는 오렌지주스에 담군 치아가 가장 색변화가 크고 분명하였으나 일반치약을 사용한 치아와 유의한 차이를 보이지는 않았다(p>0.05). 커피와 녹차에 담근 치아는 각각 15일, 5일부터 유의한 차이를 보였으며 (p>0.05), 녹차에 담근 치아가 음의 색변화가 더 높은 것으로 나타났다. 따라서, 본 실험에 사용된 대표적인 3개의 식음음료 중 커피와 녹차에서 미백된 치아에서 더 착색이 잘 일어나는 것을 확인하였다.

• 대한소아치과학회지
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• 제44권1호
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• pp.1-10
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• 2017

최근 들어 치아 미백술이 대중화되고 있으나, 단기간내 색소 재침착 등 고유의 한계점이 극복되지는 못 하고 있는 실정이라 할 수 있다. 본 연구는 치아 미백 효과의 색조 안정성을 향상시킬 방법의 하나로서, resin infiltration의 활용 타당성을 평가할 목적으로 시도되었다. 건전한 총 40개 우치 전치 순면으로부터 법랑질 시편을 채취, 제작하여 1차 착색 및 미백술을 시행하였다. 21일 경과후 시편을 무작위로 3개 군으로 나누어, resin infiltration군(RI군) 과 레진 접착제군(RA군)에 각 15개씩, 그리고 나머지 10개를 대조군으로 하였다. 마지막으로 전체 시편에 대하여 2차 착색을 시행하였다. 전 연구과정에서 색조 평가는 최초상태, 착색 직후, 미백제 적용후, 각 재료 적용후 및 2차 착색 후의 총 5회를 시행하였으며, spectrophotometer를 이용하여 측정하고 CIE $L^*a^*b^*$ 색조계로 기록하였다. 모든 군이 착색 후 $L^*$ 값은 감소, $a^*$, $b^*$ 값은 증가하였으며, RI군과 RI군 모두 재료 적용 전후의 유의한 색조변화는 없었다(p > 0.05). 1차 착색 전후의 색조변화량은 RI군, RA군 및 대조군에서 각각, $12.16{\pm}3.50$, $12.16{\pm}3.38$, $15.81{\pm}6.39$였던 반면, 2차 착색 전후의 변화량은 각각 $15.21{\pm}7.19$, $15.93{\pm}4.31$, 그리고 $26.62{\pm}17.89$로 나타났다. 2차 착색 후의 색조변화량은 RI군과 대조군간에 유의한 차이를 보였다. 또한, 1, 2 차 착색 전후의 각 군내 색조변화량 비교에 있어서는, RA 군과 대조군에 있어서는 유의한 차이를 보였으나(p < 0.05), RI군에서는 차이가 존재하지 않았다(p = 0.26). 이상의 결과로 보아, 재착색에 민감한 미백후의 치아에 대하여 레진 접착제의 적용으로는 미흡하며, resin infiltration을 통하여 색조 안정성을 향상시킬 수 있음을 확인할 수 있었다.

• Restorative Dentistry and Endodontics
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• 제33권4호
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• pp.352-368
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• 2008

본 연구에서는 치과용 디지털 색상 분석기기 중 하나인 Shadescan (CYNOVAD, Montreal, Canada)의 색상 분석의 정확성과 재현 능력을 평가하였다. 균일한 치아 배열을 가진 20대 성인 남자 8명과 여자 8명의 상악 인상을 고무인상제 (Exaflex, GC, Japan)를 이용하여 채득하고, 인상에 A2 색상의 임시 크라운 제작용 자가중합형 레진을 주입하여 치아 모델을 완성하고, ShadeScan을 이용해 각 치아의 영상을 얻어 컴퓨터의 ShadeScan 프로그램으로 분석하였다. 그리고 측정 결과의 재현 능력를 평가하기 위해 2개의 치아 모델을 임의로 선택하여 각 치아마다 10회의 색상 측정을 시행하여 분석 결과를 비교하였다. 또한 분석된 영상의 동일 shade 간의 색차를 확인하기 위해 광중합 복합레진인 Gradia Direct (GC, Tokyo, Japan)의 shade guide의 CIE $L^*a^*b$ 값을 백색과 흑색 배경판 상에서 spectrophotometer (Spectrolino, GretagMacbeth, USA)로 측정하고, ShadeScan에 의해 동일한 shade로 분석된 shade guide간의 색차를 계산하여 다음의 결과를 얻었다. 모든 치아에서 모델 제작 재료와 동일한 A2 색상으로 분석된 경우는 없었으며, 개개의 치아에서 전체 순면이 동일한 색상으로 분석된 예는 없었다. 또한 동일한 치아군에서 치아의 크기, 형태, 순면의 굴곡 등에 따라 서로 다른 색상 분포를 보였다. 재현성 평가에서 각 치아의 중앙부는 비교적 일정한 재현성을 보였으나, 절단부와 주변 부위는 재현성이 낮았으며, 동일한 shade로 분석된 shade guide 간에는 3 이상의 색차 (${\Delta}E^*$)를 보였다. 이상의 결과는 치과용 디지털 색상 분석기기는 비록 높은 재현 능력은 가지고 있지만 정확성에 오류가 있음을 시사하며, 따라서 이러한 기기를 이용한 색상 분석 시 좀 더 세밀한 주의와 다른 방법의 추가 사용이 필요하리라 사료된다.

• 한국치위생학회지
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• 제8권4호
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• pp.43-53
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• 2008

Some female college students have to recognize and understand the actual conditions of the tooth bleaching, and effective consultation and training to provide basic data for the purpose of investigation. this study made a survey about recognize and understand the actual conditions of the tooth bleaching and oral health knowledge and generalization methods for 649 female college student in Daejeon and Jeonbuk areas during the period between March. 15 and April. 10,2008. The results were as follows: 1. Tooth Status was found low, self-discontent respondents Status 44.2% and average 31.1%, self-contentment were 14.8%. Tooth color was average respondents were 69.8%, yellow 29.0%, White 1.7% (p=0.001, p=0.030). 2. Tooth bleaching experience has not experienced the most the military was 86.4%, to the desired Tooth bleaching for the external beauty 44.2%, confidence of smile time 37.5%. self-discontent 10.7%(p=0.000, p=0.000). 3. Tooth health status satisfaction was dental hygiene students higher than non dental hygiene, and scaling knowledge of the Tooth bleaching effect was non dental hygiene higher than non dental hygiene(p=0.039, p=0.000). 4. General knowledge for Tooth bleaching was found high 96.1%, as for the recognition route, 55.6% were through broadcast medium(p=0.025, p=0.000). 5. Medical institution chosen for Tooth bleaching treatment method appears the most preferred by 79.9% to the dental hospital dental clinic. 6. Important to consider that the choice of Tooth bleaching was Tooth bleaching duration of 37.1% cost 33%, And when Tooth bleaching hoped to be long-lasting. In this research the high recognized of Tooth bleaching treatment, but very low Tooth bleaching experience female college students for the Tooth bleaching had the wrong information. Therefore, Tooth bleaching treatment and counseling that can be used to development and education were required to provide the correct information.

• Restorative Dentistry and Endodontics
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• 제44권1호
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• pp.6.1-6.11
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• 2019

Objectives: The aim of the present study was to evaluate the effect of whitening mouth rinses alone and in combination with conventional whitening treatments on color, microhardness, and surface roughness changes in enamel specimens. Materials and Methods: A total of 108 enamel specimens were collected from human third molars and divided into 9 groups (n = 12): 38% hydrogen peroxide (HP), 10% carbamide peroxide (CP), 38% HP + Listerine Whitening (LW), 10% CP + LW, 38% HP + Colgate Plax Whitening (CPW), 10% CP + CPW, LW, CPW, and the control group (CG). The initial color of the specimens was measured, followed by microhardness and roughness tests. Next, the samples were bleached, and their color, microhardness, and roughness were assessed. Data were analyzed through 2-way analysis of variance (ANOVA; microhardness and roughness) and 1-way ANOVA (color change), followed by the Tukey post hoc test. The Dunnett test was used to compare the roughness and microhardness data of the CG to those of the treated groups. Results: Statistically significant color change was observed in all groups compared to the CG. All groups, except the LW group, showed statistically significant decreases in microhardness. Roughness showed a statistically significant increase after the treatments, except for the 38% HP group. Conclusions: Whitening mouth rinses led to a whitening effect when they were used after conventional treatments; however, this process caused major changes on the surface of the enamel specimens.

• Restorative Dentistry and Endodontics
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• 제44권1호
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• pp.10.1-10.11
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• 2019

Objectives: The objective of this study was to assess coronal discoloration induced by the following intracanal medicaments: calcium hydroxide (CH), a mixture of CH paste and chlorhexidine gel (CH/CHX), and triple antibiotic paste (3Mix). Materials and Methods: Seventy extracted single-canal teeth were selected. Access cavities were prepared and each canal was instrumented with a rotary ProTaper system. The specimens were randomly assigned to CH, CH/CHX, and 3Mix paste experimental groups (n = 20 each) or a control group (n = 10). Each experimental group was randomly divided into 2 subgroups (A and B). In subgroup A, medicaments were only applied to the root canals, while in subgroup B, the root canals were completely filled with medicaments and a cotton pellet dipped in medicament was also placed in the pulp chamber. Spectrophotometric readings were obtained from the mid-buccal surface of the tooth crowns immediately after placing the medicaments (T1) and at 1 week (T2), 1 month (T3), and 3 months (T4) after filling. The ${\Delta}E$ was then calculated. Data were analyzed using 2-way analysis of variance (ANOVA), 3-way ANOVA, and the $Scheff{\acute{e}}$ post hoc test. Results: The greatest color change (${\Delta}E$) was observed at 3 months (p < 0.0001) and in 3Mix subgroup B (p = 0.0057). No significant color change occurred in the CH (p = 0.7865) or CH/CHX (p = 0.1367) groups over time, but the 3Mix group showed a significant ${\Delta}E$ (p = 0.0164). Conclusion: Intracanal medicaments may induce tooth discoloration. Use of 3Mix must be short and it must be carefully applied only to the root canals; the access cavity should be thoroughly cleaned afterwards.

• 대한치과교정학회지
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• 제48권6호
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• pp.377-383
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• 2018

Objective: This study was performed to investigate the effects of external tooth bleaching with flouridation on the appearance of white spot lesions (WSLs) in vitro. Methods: In total, 125 bracket-bonded bovine incisor enamel blocks with artificial WSLs were randomly divided into a control group and four treatment groups (home bleaching, home bleaching + fluoridation, in-office bleaching, and in-office bleaching + fluoridation). A spectroradiometer (SR) and digital images (DIs) were used to evaluate colorimetric parameters (Commission Internationale l'Eclairage $L^*a^*b^*$) for all specimens. Color measurements were obtained before WSL formation (T1), after WSL formation (T2), and after completion of the external tooth bleaching treatment (T3). Results: The SRbased color change after bleaching was significantly greater in the treatment groups than in the control group (p < 0.05). SR-based lightness ($L^*$) and redgreen ($a^*$) values were significantly higher at T2 than at T1 (p < 0.001), with no significant changes in yellow-blue ($b^*$) values. At T3, SR-based $L^*$ values had increased while $a^*$ and $b^*$ values had decreased in the treatment groups (p < 0.001). The DI-based color difference between the sound enamel and WSL areas (DE*DI) increased significantly from T1 to T2 in all groups (p < 0.001) and significantly decreased from T2 to T3 in the treatment groups (p < 0.001). No significant differences in ${\Delta}E^*DI$ at T3 were shown between the four treatment groups (p > 0.05). Conclusions: The findings of this study suggested that external tooth bleaching with fluoridation can alleviate the conspicuity of WSLs.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4717-4724
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• 2012

본 연구는 한국전통발효음식과 미백치아의 색조변화와의 관련성을 알아보고자 시행하였으며, 연구방법은 전문가 치아미백을 시행한 자연치아를 한국전통발효음식에 일정기간 침전 후 치과용 측색기를 이용하여 치아색조변화의 정도를 객관적으로 측정하였다. 본 연구에 사용된 치아시편은 30개로 한 치아당 30회 측정되었으며, 전체 측정 횟수는 900회 실시되었다. 측정은 치과용 측색기 ShadeEye NCC$^{(R)}$ Dental Chroma Meter를 사용하였다. 수집된 자료는 PASW 18.0을 사용하여 분석한 결과, 미백 전, 후 명도와 황색채도에서 유의한 차이가 나타났으며(p<0.001), 용액침전 후 명도와 황색채도는 시간에 따라 변화하였다(p<0.001). 침전용액에 따른 색조변화량의 차이를 알아본 결과, 미백 후부터 1주 동안, 2주에서 3주까지의 기간 동안 각 침전용액에 따라 유의한 차이가 나타났다(p=0.001, p<0.001). 한국전통발효음식은 침전기간과 침전용액에 따라 미백치아의 색조변화에 영향이 있음을 알 수 있었다. 하지만 본 연구는 구강 내의 상태 그대로를 재연하지 못하였기에 구강 내 상태, 섭취빈도, 구강위생관리에 따라 차이가 있을 것이다.

• The Journal of Advanced Prosthodontics
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• 제10권3호
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• pp.218-226
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• 2018

PURPOSE. The aim of this study was to define a color space of non-vital teeth and to compare it with the color space of matched vital teeth, recorded in the same patients. MATERIALS AND METHODS. In a group of 218 patients, with the age range from 17 to 70, the middle third of the buccal surface of 359 devitalized teeth was measured using a clinical spectrophotometer (Vita Easyshade Advance). Lightness ($L^*$), chromatic parameters ($a^*$, $b^*$), chroma ($C^*$), hue angle (h) and the closest Vita shade in Classical and 3D Master codifications were recorded. For each patient, the same data were recorded in a vital reference tooth. The measurements were performed by the same operator with the same spectrophotometer, using a standardized protocol for color evaluation. RESULTS. The color coordinates of non-vital teeth varied as follows: lightness $L^*$: 52.83-92.93, $C^*$: 8.23-58.90, h: 51.20-101.53, $a^*$: -2.53-24.80, $b^*$: 8.10-53.43. For the reference vital teeth, the ranges of color parameters were: $L^*$: 60.90-97.16, $C^*$: 8.43-39.23, h: 75.30-101.13, $a^*$: -2.36-9.60, $b^*$: 8.36-39.23. The color differences between vital and non-vital teeth depended on tooth group, but not on patient age. CONCLUSION. Non-vital teeth had a wider color space than vital ones. Non-vital teeth were darker (decreased lightness), more saturated (increased chroma), and with an increased range of the hue interval. An increased tendency towards positive values on the $a^*$ and $b^*$ axes suggested redder and yellower non-vital teeth compared to vital ones.

• 한국치위생학회지
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• 제10권3호
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• pp.473-481
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• 2010

Objectives : To evaluate the effect of fluoride application on the color and microhardness of bleached enamel and compare it to that of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) application. Methods : Twenty freshly extracted human adult molar were each sectioned into halves, the specimens divided and treated according to five experimental groups: Group 1, treatment with 10% carbamide peroxide (CP) bleaching agent; Group 2, treatment with 10% CP followed by a 1.23% fluoride gel application; Group 3, treatment with 10% CP followed by a 2.23% sodium fluoride varnish application; Group 4, treatment with 10% CP followed by a 0.11% sodium fluoride gel application; Group 5, treatment with 10% CP followed by a CPP-ACP gel application. All groups were treated 6 h per day for 14 days then immersed in distilled water for 2 weeks. Changes in enamel color were evaluated on Baseline and Day 14. Microhardness were evaluated on Baseline, Days 7 and 14. Statistical analysis was performed using one-way ANOVA and post-hoc Tukey tests. Results : All the bleached enamel specimens revealed increased whiteness and overall color value. Group 1 showed the lowest microhardness values than that of Groups 2, 3, 4 and 5. In all groups, the hardness of tooth after bleaching showed a significant decrease in the microhardness as compared with the one prior to tooth bleaching. The specimens treated with remineralizing agents showed relatively less reduction in enamel microhardness than control group. Conclusions : The addition of fluoride and CPP-ACP did not impede the whitening effect. The use of remineralizing agents during bleaching treatment can significantly enhance the microhardness of bleached enamel.