• 대한소아치과학회지
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• 제24권1호
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• pp.204-219
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• 1997

The use of fluoride is one of the most effective methods for caries prevention. Fluoridation of public water supply has been recognized, for many years, as an effective way to reduce dental caries. The fluoride supplement has been recommended when the natural fluoride was unavailable or below the optimal range. However the mechanism of caries prevention by fluoride has not yet been clarified and it is well known that an overdose of fluoride results inacute and chronic toxicity, especially dental fluorosis. Fluoride mouthrinsing solution is widely used in dentistry due to its effectiveness in carrying anticariogenic action. Understanding the effects of fluoride mouthrinsing solution on human gingival fibroblasts will provide the safety rationale for its use during the caries preventive therapy. The purpose of this study was to evaluate the cytotoxic effect of fluoride mouthrinsing solution on the human gingival fibroblast in vitro. The human gingival fibroblasts were cultured from healthy gingiva on the extracted deciduous teeth of children. Cells were inoculated into a 24-well plate with $1{\times}10^4cells/well$ of medium at $37^{\circ}C$, 100% humidity, 5% $CO_2$ incubator for 24 hours. And the cells were counted by using the hemocytometer at each designed study. Human gingival fibroblasts were cultured in growth medium after one minute application range of 0.02%-0.2% NaF solution and 0.1% $SnF_2$ solution. The cells used in this study were between fifth to eighth passage number. The cell morphology was examined by inverted microscope and cell proliferation was measured by incorporating $[^3H]$-thymidine into DNA. DNA synthesis by human gingival fibroblasts was assessed by $[^3H]$-thymidine uptake assays while the cell activity was measured by MTT assay. Each concentrated fluoride mouthrinsing solution was estimated for its biocompatability with fibroblasts by the tissue culture technique. The results of this study were as follows : 1. It was observed that at 0.05%, 0.2% NaF mouthrinsing solution the cytoplasmic processes became globular. When 0.1% $SnF_2$ mouthrinsing solution was applied, the cytoplasmic process and cell morphology were disappeared. 2. DNA synthetic activity was reduced regardless of the concentration of the fluoride mouthrinsing solution. However, the result is statistically insignificant except 0.1% $SnF_2$ mouthrinsing solution(p<0.05). 3. Our results indicate that 0.02%, 0.05% concentrations of NaF mouthrinsing solution caused minimal cytotoxicity. But 0.2% NaF and 0.1% $SnF_2$ concentration were a significant difference between the cell activity in the experimental group and control group (p<0.05). 4. After appling 0.05% & 0.02% NaF fluoride mouthrinsing solution, cell activity was restored to the control groups level according to incubating time. The results suggest that direct exposure to fluoride solution inhibits gingival fibroblast activity. Therefore, for the most effective use of fluoride use, lowering the concentration of fluoride mouthrinsing is advisable because it maintains biocompatability and free ion in the oral fluid.

• 대한소아치과학회지
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• 제37권4호
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• pp.422-428
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• 2010

Giomer는 글라스 아이오노머 시멘트의 불소 방출 능력과 복합레진의 물성을 동시에 가지고 있는 새로운 형태의 재료로서 소개되었다. 이에 본 연구에서는 giomer의 전단 결합강도를 기존의 심미 수복재료인 복합 레진과 컴포머와 비교하여 심미 수복재료로서의 임상적 효용성을 평가하고자 한다. 소의 전치를 자가중합 교정용 레진을 이용하여 아크릴 튜브에 매몰시킨 후, 상아질을 노출시키기 위해 실리콘 페이퍼를 이용하여 표면을 연마하였다. 샘플을 무작위로 I군(Giomer), II군(복합 레진), III군(컴포머), IV군(Giomer와 5세대 단일병 접착제)으로 분류하였다. 만능 시험기를 이용하여 각 샘플의 전단 결합강도를 측정하였다. One-way ANOVA와 Scheffe test를 이용하여 통계분석을 시행하였다. I군은 III군에 비해 통계학적으로 유의하게 높은 전단 결합강도를 나타냈다(p<0.05). I군과 II군의 전단 결합강도는 통계학적으로 유의한 차이가 없었다(p>0.05). IV군는 I군에 비해 낮은 결합강도를 보였지만, 통계학적으로 유의한 차이는 없었다(p>0.05). 실험의 결과로 보아 불소 방출의 특성을 지닌 giomer의 결합강도가 컴포머에 비해 우수하고, 복합 레진과 유사한 것으로 나타남으로써 소아 환자의 심미수복재료로서의 임상적 효용성이 있다고 사료된다.

• Journal of Oral Medicine and Pain
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• 제20권2호
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• pp.429-447
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• 1995

This study was designed to determine the most effective concentration of fluoride and levels of laser irradiation for the remineralization of decayed teeth. After irradiation with a pulsed Nd:YAG laser and the topical application of fluoride, phosphate and fluoride concentration in enamel were measured. And then the changes on surface enamel using an scanning electron microscope were observed. Samples by extraction healthy, permanent, mandibular bovine teeth with no caries were obtained. Among them 371 healthy samples were selected and artificial carious lesions were made. 20 samples were assigned to each experimental group. After irradiation with a pulsed Nd:YAG laser with total energy densities of 10J/$\textrm{cm}^2$, 20J/$\textrm{cm}^2$ for each group. On the teeth, 2% NaF, 1.9% NH4F, 1.6% TiF4 Elmex gel(amine fluoride) and 1.23% APF gel were applied. After pH circulatory procedures, concentrations of fluoride with and Ionalyzer (Orion Research, Model 901, USA) and phosphates with an Uv/V is spectrophotometer (Uvikon 860, Kontrom Co, Switzerland) were measured. By etching the teeth in layers and measuring fluoride concentrations, a profile of fluoride penetration according to depth could be developed. And also the changes on the surface of the enamel using an electron scanning microscope were observed. The comparative analysis yielded the following results : 1. Phosphate concentration was low in all groups compared with the control group except for teeth treated Elmex gel, irradiated with 10J/$\textrm{cm}^2$ and 30J/$\textrm{cm}^2$ energy densities. Teeth treated with APF gel and 30J/$\textrm{cm}^2$ irradiation gad the lowest phosphate concentration. 2. Among all groups, fluoride concentrations in tooth enamel were highest in APF gel and NaF groups irradiated at 30J/$\textrm{cm}^2$. The APF gel group had the highest fluoride concentrations across all energy densities. 3. In the APF gel group, and the NaF group, the greater the energy density of the laser, the higher the fluoride concentrations in the enamel. 4. In all groups, the concentration of fluoride in the enamel by depth tended to decrease with depth. 5. Under the scanning electron microscope, under the condition of irradiation with 20J/$\textrm{cm}^2$, enamel crack was detected for the first time. In the NH4F group, spherical deposits were found on the surface of the enamel, and in the TiF4 group the surface of enamel was covered with an irregular, thin membranous mass in places. In the APF gel and NaF groups irradiated with 10J/$\textrm{cm}^2$, spherical and irregular particles covered the teeth. When these groups were irradiated at 20J/cm2, they were covered with amorphous crystals. These results suggest that one could obtain more effective anticariogenic effects without damage to teeth when less than 20J/$\textrm{cm}^2$ energy densities and APF gel are used.

• Journal of Oral Medicine and Pain
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• 제21권2호
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• pp.207-224
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• 1996

This study was designed to determine the most effective concentration of fluoride and energy density of laser irradiation for the anticarious effect. For this study surface hardness in enamel was measured before and after irradiation with pulsed Nd;YAG laser and the topical application of fluoride. Of the permanent mandibular anterior hovine teeth, healthy, carious free ones were used. Three hundred specimens were made. Specimens within 25~45 Vickers hardness numbers were assigned to 20 control and experimental stoops ; each containing 15 specimens. After forming artificial carious lesions, 10 J/$\textrm{cm}^2$, 20 J/$\textrm{cm}^2$, and 30 J/$\textrm{cm}^2$ energies were irradiated on the enamel surface of each experimental group. Also NaF, NH4F, Elmex gel(amine fluoride) and APF gel fluoride compounds were applied topically. Next, all the specimens were placed into the pH circulatory procedures for eight days. Vickers hardness numbers were measured using a microhardness tester. Surface changes of the enamel were observed using an scanning electron microscope. The comparative ana1ysis yielded the following results : 1. The reduction of surface hardness of the enamel surface was less in all groups with fluoride application than in the group without fluoride application. 2. The APF gel croup with 10 J/$\textrm{cm}^2$ irradiation showed the lowest reduction of surface hardness. 3. The reduction of surface hardness of the enamel surface in the group of laser irradiation without fluoride application not showed any significant difference according to the energy density of the laser. 4. Under the scanning electron microscope, in enamel irradiated with 10J/$\textrm{cm}^2$ showed appearance similar to acid etching surface. In enamel irradiated with 20 J/$\textrm{cm}^2$, line enamel crack was detected. In enamel irradiated with 30j/$\textrm{cm}^2$, severe enamel crack and fusion of enamel were detected. These results suggest that one could obtain the best anticariogenic effects without damage to teeth in the group of application of APF gel after laser irradiation with 10 J/$\textrm{cm}^2$.

• 한국식품과학회지
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• 제30권1호
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• pp.230-236
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• 1998

충치 원인균인 S. mutans가 생산하는 불용성, 부착성 glucan 합성효소인 GTase의 활성을 저해하는 물질을 생약재로 부터 탐색, 개발하여 기능성 식품 또는 의약품의 소재로 응용하는 것을 목적으로 연구를 수행하였다. 32종의 생약재 추출물에 대하여 GTase 저해활성을 측정한 결과, 후박피에서 가장 높은 활성이 관찰되었다. 후박피 추출물에 대하여 용매분획을 행한 결과 ethylacetate층에 대부분의 활성이 존재하였으므로, 이 획분을 silicagel column chromatography, prep. HPLC 등을 이용하여 더욱 분리, 정제하여 순수한 GTase 저해물질을 분리하였다. 이 물질의 분리수율은 0.013% (w/w)였다. 이 화합물을 UV, FAB-MS 및 NMR spectrometry 등을 이용하여 화학구조의 해석을 실시한 결과 이 물질은 coniferyl alcohol의 중합체로 lignan계 화합물인 4,4'-dihydroxy-3,3'-dimethoxylignan (분자량 330)으로 확인되었다. 이 화합물은 후박피에서는 최초로 확인된 물질이다. 또한 충치 원인균인 S. mutans를 포함한 11종의 구강 미생물에 대한 항균성을 검토한 결과 비교 화합물에 비해 비교적 강력한 활성$(MIC;\;31.3\;{\mu}g/ml)$이 나타났다. 지금까지 후박피는 반하후박탕, 후박삼물탕 등 한방약재의 중요한 원료로 이용되어 왔으며, 복통의 치료효과 및 건위 작용 등이 알려져 있다. 또한 후박피 중에는 diphenyl계 화합물인 magnolol 및 honokiol등이 함유되어 있어 이들 물질이 건위작용을 돕는 것으로 알려져 있을 뿐이다. 따라서 이번에 새롭게 확인된 4,4'-dihydroxy-3,3'-dimethoxylignan이 충치 예방효과를 지니고 있다는 사실은 금후 산업적 응용면에서도 매우 중요한 결과로 여겨져 지속적인 연구가 기대된다.

• 대한소아치과학회지
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• 제25권2호
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• pp.335-351
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• 1998

Salivary proteins which are produced in the saliary acinar cells have been known to be involved in the Calcium and phosphate metabolism. The acquired pellicle resulting from such metabolism is considered as a secondary defence membrane against tooth caries. In this respect, some proteins included in saliva probably play an important role in the prevention of demineralization in enamel. On the other hand, fluoride has long been known to prevent the demineralization of enamel by the inhibition of the growth of Streptococcus mutans(S. mutans) and by the chemical reaction with calcium and phosphate, Therefore, I have examined the roles of amylase and albumin in the demineralization of enamel and compared these preteins with fluoride in terms of anticariogenic effect. 1. The demineralization caused by S. mutans occurred slowly and progressively for the first 60 min, then the rate of demineralization was accelerated afterwards. 2. pH decreased continuously during the entire period of each experiment. 3. The demineralization was significantly inhibited by the preteatment of amylase and fluoride but albumin had little effect on it. 4. An addition of 0.1 mM lactic acid (final concentration 0.1 ${\mu}M$) caused a rapid increase in calcium concentration reaching a maximum within 10 min. 5. pH decreased rapidly by the addition of 0.1 mM lactic acid and reached a minimum within a few seconds followed by an increase in pH. pH reaced a plateu with 10 min. 6. Fluoride, amylase and albumin played little role in the 0.1 mM lactic acid-induced demineralization. 7. A slow infusion of 0.1 M lactic acid at a rate of 5 ${\mu}l/min$ caused a slower increase in calcium concentration compared with the bolus addition of lactic acid. 8. Fluoride had an inhibitory effect on the calcium release caused by slow infusion of lactic acid while amylase and albumin had no effect on it. These results suggest that fluoride inhibits demineralization by protecting the HA from the acid attack whereas amylase has a direct effect on S. mutans to prevent demineralization.

• 치위생과학회지
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• 제7권3호
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• pp.197-200
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• 2007

본 연구는 생약의 추출분획 용매 중 헥산추출에 따른 우식원인균의 억제효과와 배양시간 경과에 따른 항균력을 시간별로 비교 검토함으로써 치아우식예방제재로서의 가능성을 살펴보고자 헥산 분획에 의한 생약추출물 11종을 대상으로 우식원인균인 S. sobrinus B13를 사용하여 항균활성을 측정하여 다음과 같은 결과를 얻었다. 생약 추출물에 S. sobrinus를 접종한 직후, 6, 12, 24시간 후의 항균효과를 측정해 보았을 때, 단삼이 가장 좋은 항균효과를 나타냈고, 그 다음으로 향부자와 목향, 백출 순으로 나타났다.

• 한국수산과학회지
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• 제35권2호
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• pp.191-195
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• 2002

우리 나라 연안에서 채취한 해조류 27종의 $80\%$ ethanol 추출물이 Streptococcus mutans KCTC 3300의 증식에 미치는 영향을 검색하고, 다시마의 추출용매별 항균성과, $80\%$ ethanol 추출물을 용매분획하였을 때 획분별 MIC를 측정하였다. S. mutans KCTC 3300에 대한 해조류 추출물의 항균활성은 다시마가 가장 강하였고, 갈파래, 청각, 감태, 곰피 및 미역도 비교적 높은 활성을 나타내었으며 홍조류보다 갈조류와 녹조류에 속하는 종이 대체적으로 강하였다 다시마의 항균활성은 추출용매에 따라 차이가 있었으나 용매별 가용성 획분의 량과 항균성간에는 뚜렷한 관련이 나타나지 않았다. 5. mutans KCTC 3300과 S. sobrinus KCTC 3307에 대한 해조류의 $80\%$ ethanol 추출물의 MIC는 해조류의 종뿐만 아니라 동일한 해조류 추출물의 경우에도 균종에 따라 차이가 있었다. 다시마의 $80\%$ ethanol 추출물을 유기용매를 사용하여 순차 분획하였을 때 항균활성 물질의 대부분은 ether 획 분에 이행하여 이 획분의 MIC는 105$\mu$g/mL이었고, 수용성 획분은 약 5,500$\mu$g/mL의 농도에서도 균의 증식을 저지하지 못하였다.

• 대한소아치과학회지
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• 제29권1호
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• pp.19-29
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• 2002

본 연구의 목적은 다양한 중합과정에 따른 복합레진과 컴포머의 수축 양상을 스트레인 게이지법(strain gauge method)을 이용하여 평가해보고자 하는 것이었다. 광중합기는 기존의 할로겐 시스템인 XL 3000(3M, USA)과 최근 소개된 plasma arc curing 시스템인 Flipo(LOKKI, France)를 사용하였고, 충전 재료는 복합레진인 Z-100(3M, USA)과 컴포머인 Dyract AP(Dentsply, Germany)를 사용하였다. 주형과 치아 와동 내에 충전된 실험재료의 중합수축을 각각 측정하였으며, 만능시험기를 이용하여 압축강도를 측정하였다. 중합수축 측정 결과 모두 중합초기에는 일시적인 재료의 팽창을 나타냈고, 그 후 약 1분간은 수축량이 급격히 증가하다가 증가의 폭이 점차 감소하는 양상을 보였다. 전반적으로 컴포머를 사용한 군에 비해 복합레진을 사용한 군에서 중합수축이 크게 나타났으며 plasma arc curing 시스템을 사용한 군에 비해 기존의 광조사 시스템 군에서 더 큰 중합수축을 보였다. 압축 강도의 측정결과는 컴포머 군에 비해 복합레진 군에서 크게 나타났다. 이상의 결과를 종합해 볼 때, plasma arc curing unit와 컴포머의 사용은 시술시간의 단축과 항우식 효과를 감안한다면 소아치과 영역에서의 사용이 긍정적으로 고려될 수 있다고 생각된다.

• 대한소아치과학회지
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• 제29권1호
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• pp.92-99
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• 2002

현재 치과계에서 가장 효과를 인정받는 대체 감미료로 자일리톨이 있으며, 최근 관련상품이 증가 하고 있다. 하지만 많은 관련 상품은 제품에서 자당이 차지하는 부분 모두를 자일리톨로 대체하지 못하고 부분대치하고 있기 때문에 자당 존재하의 조건에서 자일리톨의 항우식 작용이 임상적으로 더 중요하다고 할 수 있다. 본 연구의 목적은 자당과 자일리톨의 다양한 농도비의 조건에서 자일리톨의 항우식 작용의 정도를 규명하고자 함이며 자당과 자일리톨의 농도비를 달리한 각 실험용액에서 S. mutans의 합성수산화인회석에 대한 부착능과 치아미세경도 변화량을 측정하였으며 아래와 같은 결과를 얻었다. 1. 자당과 자일리톨의 혼합시 배지에 자당만을 추가한 대조군에 비해 S. mutans의 합성수산화인회석 입자 표면에 대한 부착을 유의하게 감소시킬 수 있는 자일리톨의 최소 부착억제 농도비는 자당과 자일리톨이 25:75 이었다(P<0.05). 2. 법랑질 미세경도 측정 결과 자당만 첨가한 1군에 비해 자당과 자일리톨이 50:50인 4군부터 미세경도 감소치가 유의하게 줄어들었다(P<0.01).