• Title/Summary/Keyword: preventive dentistry

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THE EFFECT OF CPP-ACP PRE-TREATMENT ON BOND STRENGTH OF A SEALANT (CPP-ACP 적용이 치면열구전색제의 결합강도에 미치는 영향)

  • Kong, Eun-Kyung;Jung, Sang-Hyuk;Mah, Yon-Joo;Ahn, Byung-Duk;Jung, Young-Jung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.445-452
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    • 2010
  • Recently the effect of CPP-ACP on early caries remineralization and prevention has hashbeen extensively researched. However, there has been a lack of research on micro-shear bond strength of a sealant applied on a CPP-ACP treated surface. Therefore, the purpose of this study was to evaluate the effect of CPP-ACP on the micro-shear bond strength of a sealant bonded with 3 different bonding systems. From the sound human 3rd molars, the 150 specimens were prepared and randomly assigned to six groups. Group I: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid Group II: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid + dentin bonding agent Group III: Immersion in artificial saliva for 2 weeks + self-etching adhesive Group IV: CPP-ACP application for 2 weeks + 35% phosphoric acid Group V: CPP-ACP application for 2 weeks + 35% phosphoric acid + dentin bonding agent Group VI: CPP-ACP application for 2 weeks + self-etching adhesive Sealant was applied and the micro-shear bond strength was measured. From the result of this study, it can be assumed that the CPP-ACP pretreatment can weaken the bond strength of a sealant if the enamel surface is conditioned with self-etch adhesive.

EFFECT OF ACIDULATED PHOSPHATE FLUORIDE ON THE SURFACE OF COMPOSITE RESIN (산성 불소가 복합레진 표면에 미치는 영향)

  • Yang, Kyu-Ho;Yook, Geun-Young;Choi, Nam-Ki;Kim, Sun-Mi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.255-263
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    • 2007
  • Composite resin restorations are widely used to restore decayed teeth or preventive restoration in children. Children often receive topical fluoride treatments on a semiannual basis. However there is concern that topical acidulated phosphate fluorides (APF) may cause deterioration of composite resins. The aim of this study was to evaluate the surface changes in composite resins due to topical fluoride application. Composite resins(Solitaire $2^{(R)}$, Metafil $CX^{(R)}$, Composan $LCM^{(R)}$, $Charmseal^{(R)}$) in topical fluoride agents were immersed and their surface roughness, weight loss and SEM findings were evaluated. The results were as follows: 1. The 4 minutes-immersion group showed more roughened surface than 1 minute-immersion group and the control group showed the smoothest surface among all the materials, and there was statistically significant difference between the groups except the Composan $LCM^{(R)}$ (P<0.05). 2. There was no significant difference between the 1 minute-immersion group and 4 minutes-immersion group in weight loss (P>0.05) 3. The experimental group treated with topical fluoride gel showed generally more roughened surface than control group in the SEM findings.

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Dental Treatment of Children with CATCH 22 Syndrome: Case Report (CATCH 22 증후군을 가진 어린이의 치과치료)

  • Kim, Mi Sun;Lee, Soo Eon;Ahn, Hyo Jung;Park, Jae-Hong;Choi, Sung Chul
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.1
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    • pp.13-18
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    • 2013
  • CATCH 22 syndrome is a one of the most common chromosome microdeletion syndrome with multiple organ anomalies in humans, with an incidence of approximately 1:4,000 to 1:5,000 live births. It is caused by a microdeletion of 1.5 to 3.0 megabases on the long arm of chromosome 22. The phenotypic spectrum of this disorder is wide and various. A 19-year-old patient who showed delayed growth and development (Height; 110 cm, Weight; 18 kg) was referred to our department for the treatment of dental cavities. She was diagnosed as CATCH 22 syndrome in 2004. Physical examination revealed hypertelorism, a short philtrum, thick reflected lips and a small mouth. She underwent cleft palate surgery at 1 year of age and heart valve surgery due to the cardiovascular abnormality at 13 years of age. Convulsive seizures had persisted until 5 years ago but are well controlled at present. Oral examination showed poor oral hygiene, crowding, prolonged retention on #65, 75 and dental cavities on #16, 21, 65, 26, 36, and 46. Cavity treatment and prophylaxis were performed under general anesthesia. Also continuous follow-up checks have been carrying out with the periodic prophylaxis and dental home education. Problems with numerous cavities and gingivitis which can lead to specific risks are common for CATCH 22 syndrome patients. It is therefore of great importance that these patients are referred to foremost physician and dental specialist for the oral care. In addition, preventive treatment targeting the risk of dental cavities and gingivitis is especially important and, as the syndrome involves many different medical problems, the dental treatment should be carried out in collaboration with the patient's physician.

Consideration for the Importance of Diseases Associated with Oral Medicine by Analyzing the Dental Cyber Consultation (사이버 치과 진료 상담을 통해 살펴본 구강내과 질환의 중요성에 대한 고찰)

  • Kim, Su-Beom;Jeong, Jae-Yong;Kim, Cheul;Kim, Young-Jun;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.317-322
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    • 2008
  • The moderners of industrial society suffer from various stresses, which bring about increase in prevalence of temporomandibular disorders, oral mucosal disease and chronic neuropathic pain, therefore, the number of patients seeking help of those symptoms tend to increase. The purpose of this study was to discuss the importance of oral medicine related disease by investigating questions that appeared in cyber consultation of Kangnung National University Dental Hospital web site. Among the nearly 2000 questions, the rate of questions related to oral medicine was 20.92%, and the rate of questions related to other departments were oral and maxillofacial surgery 16.87%, conservative dentistry 16.67%, orthodontics 14.02%, prosthodontics 12.25%, periodontics 8.36%, pediatric dentistry 4.93%, preventive dentistry 2.08% and otherwise questions 3.90%. Among the 403 questions related to oral medicine, the frequent questions were oral mucosal diseases 44.17%, temporomandibular disorders 41.19%, halitosis 4.47%, xerostomia 3.23%, other orofacial pain 2.23%, forensic dentistry 1.49% and otherwise questions 2.98%. From the higher rate of questions related to oral medicine compared with other fields of dentistry, we would consider that the people are considerably concerned about the oral medicine related disease, such as oral mucosal diseases and temporomandibular disorders.

Clinical image quality evaluation for panoramic radiography in Korean dental clinics

  • Choi, Bo-Ram;Choi, Da-Hye;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Choi, Soon-Chul;Bae, Kwang-Hak;Lee, Sam-Sun
    • Imaging Science in Dentistry
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    • v.42 no.3
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    • pp.183-190
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    • 2012
  • Purpose: The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods: Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. Results: A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed 'optimal for obtaining diagnostic information,' 153 were 'adequate for diagnosis,' 109 were 'poor but diagnosable,' and nine were 'unrecognizable and too poor for diagnosis'. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Conclusion: Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

Masticatory Performance and the Related Factors in Korean Children and Adolescents (한국 소아청소년의 저작 능력 평가 및 관련 요인)

  • Minah, Lee;Taeyang, Lee;Baek-il, Kim;Je Seon, Song
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.170-179
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    • 2022
  • This study aimed to evaluate the masticatory performance of Korean children and adolescents and to investigate related factors. Early loss of primary molars, degree of occlusion of first molars, occlusal relationship of first molars, and presence of anterior crossbite were considered. From March 2020 to July 2021, 56 children and adolescents between the ages of 6 and 12 were included. The mixing ability index (MAI) was calculated to evaluate the masticatory efficiency of children and adolescents. The subjects were classified into three groups according to the number of early lost primary molars; normal dentition, 1 - 2 teeth lost, more than 3 teeth lost. The number of participants are 23, 18, and 15, respectively. There was no difference in the MAI values between the normal dentition group and the group has 1 - 2 teeth lost. However, when 3 or more primary molars were lost, the MAI value decreased and a significant difference was observed. This study is the first study to evaluate the masticatory performance of children and adolescents in Korea, and it will be helpful to pediatric dentists who evaluate the masticatory performance of children and adolescents and strive to improve the masticatory efficiency of children and adolescents in clinical practice.

Trends of Dental Caries Prevalence in Children Under 14-Year-Old Using a Health Insurance Database (건강보험 데이터를 이용한 14세 이하 소아청소년의 치아 우식 유병률 경향성)

  • Seongeun Mo;Jaegon Kim;Daewoo Lee;Yeonmi Yang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.409-420
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    • 2023
  • The purpose of this study is to analyze trends in the prevalence of dental caries and demand for dental caries treatment among children under 14 years old using Health Insurance Review and Assessment data. The analysis was conducted using treatment records from a random sample of approximately 1 million pediatric patients from a population that included all children and adolescents for each year from 2011 to 2020. In this study, the number of children diagnosed with K02 dental caries and the number of children receiving dental caries treatment across all ages have increased. However, the number of children aged 10 to 14 who received pulp treatment or extraction has decreased. In the National Survey of Children's Oral Health, the decay-missing-filled teeth index for 5- and 12-year-olds has stagnated or increased slightly, but the percentage of the population with active dental caries has decreased. Accessibility and local environments for dental caries treatment have generally improved compared to the past, but preventive dental care has stagnated over the past decade. Therefore, it is necessary to evaluate the effectiveness of oral health programs implemented in Korea to promote and prevent dental caries among children.

Effects of oral care program for multi-cultural women (다문화 가정 이주 여성을 위한 구강관리 프로그램의 효과)

  • Cho, Min-Jeong;Kang, Jae-Min;Song, Keun-Bae
    • Journal of Digital Convergence
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    • v.14 no.10
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    • pp.319-326
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    • 2016
  • Recently multicultural female population is increasing of our country as international marriages increase. With oral care programs, conducting follow-up surveys on multicultural women's oral health condition to figure out the condition and examining improvements and related factors, it tried to contribute to building oral care programs for the future of multicultural families. The study participants were recruited from multi-cultural family center in a metropolis, they were treated their oral conditions at local dental clinics during a year. All participants were 608 people, and among them, one year follow-up sample was 40 women. An interview questionnaire was used to collect information on socioeconomic level and general characteristics related to oral status, through oral examination were conducted to obtain dental caries experience and periodontal conditions. The statistical analysis was done by using the SPSS 20.0 program. Comparing the results between before and after oral health program for an year, DMFS, DS, FS, DT, FT and CPI were significantly decreased during a year. The present study increases interest about multicultural women and family and we look forward to using it as basic data for oral health promotion.

A Study on the Oral Health Awareness and Behavior of Lower Graders in Elementary School (초등학교 저학년 학생의 구강보건에 관한 인식 및 행동)

  • Kim, Eun-Kyeong;Moon, Hyock-Soo;Jung, Jae-Yeon;Kim, Young-Kyung;Han, Su-Jin;Lee, Byoung-Jin;Jung, Hye-Ryun
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.39-51
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    • 2001
  • This study was performed to collect basic data for the development of effective oral health education program of lower graders in elementary school. The subject in this study were 704 first-year, second-year and third-year in Hyoje elementary school. The authors collected the tissue where dental caries involved. the possibilities of dental caries prevention. cariogenic food and noncariogenic food. time and frequency of toothbrushing. size of using toothbrush, intake frequency of cariogenic food and the experience with visiting dental clinics, the purpose of visiting dental clinics and fear for dental treatment. The collected data were analyzed. The finding of this study were as follows: 1. Twenty-four percent of students had not correct understanding about the tissue which dental caries are involved. Eleven percent of students thought that it was impossible to prevent dental caries. 2. Sixty-four percent of student brushed their teeth before going to bed, and 63.0% of responded students brushed their teeth twice or more a day. Seventy-eight percent of students used small toothbrush. and there was a Significant difference of size of using toothbrush among the first, second and third graders(P<0.01). Sixty-nine percent of students intake cariogenic food once or more a day. 3. Eighty-six percent of students had experienced with visiting denial clinics. sixty-two percent of students visited dental clinics when they had a toothache. and there was a significant difference of the purpose of visiting dental clinics among the first. second and third graders(P<0.01). Seventeen percent of students responded that dental treatment is fearful there was a significant difference of fear for denial treatment among the first, second and third graders(P<0.05). 4. It was recommended that effective oral health education programs should be developed to increase toothbrushing after breakfast, to decrease intake frequency of cariogenic food, to increase frequency of visiting dental clinics regularly, and to reduced fear for dental treatment.

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Relationship of the use of some fluoride containing dentifrice on the korean market to children's fluoride intake in different age groups (국내 시판 일부 불소함유치약 사용 시 연령별 어린이 불소섭취량)

  • Lee, Kyeong-Hee;Choi, Choong-Ho;Hong, Suk-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.5
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    • pp.881-896
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    • 2012
  • Objectives : The purpose of this study was to examine the amount of daily fluoride intake among children using fluoride-containing dentifrice in an effort to pave the way for the selection of criteria for the development of safe dentifrice for different age groups to make a contribution to children's oral health. Methods : This study was implemented over approximately six months from May to October 2008 by recruiting subjects, asking their consent, conducting a survey, collecting samples and analyzing the collected data. The subjects in this study were preschool residents in Seoul and Gyeonggi province, who were at the western age of 2 to 5. The amount of fluoride withdrawn from their one-time toothbrushing was measured in two different ways. One was by using HMDS-facilitated modified diffusion method and fluoride ion electrode, and the other was by applying ion chromatography without the diffusion procedure. Results : The fluoride intake accounted for $46.5{\pm}19.1$ percent of the amount of fluoride used, and that percentage was statistically significantly different according to age(p<0.01). The one-time fluoride intake from dentifrice per weight(kg) was a mean of $0.009{\pm}0.006mg$. As a result of multiplying this amount by daily toothbrushing frequency, the daily fluoride intake from dentifrice per weight(kg) appeared to be $0.023{\pm}0.016mg$ on average. There was a large difference among the children in that regard, since that ranged from a low of 0.003mg to a high of 0.070mg. And age made a statistically significant difference to that(p<0.01). Conclusions : The above-mentioned findings of the study showed that the children's daily fluoride intake from dentifrice per weight was lower than the recommended daily fluoride intake from diets per weight for young children aged 1 to 12(0.05-0.07mg). However, there was a great disparity among the children in that aspect, and they are likely to take more fluoride from other things as well. Therefore it is required to prepare separate criteria for preschool and school-aged children.