• Title/Summary/Keyword: primary caries

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PHYSIOLOGIC INTERDENTAL SPACES AND PROXIMAL CARIES IN THE ANTERIOR MAXILLARY PRIMARY DENTITION (상악 유전치부의 치간공간과 인접면 우식에 관한 조사연구)

  • Kim, Jin-Young;Lee, Kwang-Hee;La, Ji-Young;An, So-Youn;Jeong, Seung-Yeol;Im, Kyeong-Uk;Ban, Jae-Hyurk
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.387-393
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    • 2009
  • The purpose of this study was to assess the relationship between interdental spaces and proximal caries in maxillary anterior primary teeth. 555 children aged 3-7 inhabit in Iksan were divided into two groups, depending on the presence of interdental space which was detected by a dental explorer. They were determined to have proximal caries if cavity was formed or the enamel surface was softened. The results were as follows : 1. Regarding interdental spaces, 77.4% had primate spaces; 54.4% had developmental spaces between central and lateral incisor, and 39.0% between central incisors. 2. Interproximal caries incidences in right primary canine, lateral incisor, and central incisor were 6.3%, 14.7%, and 33.5%, respectively. Also interproximal caries incidences in left primary central incisor, lateral incisor, and canine were 33.7%, 16.0%, and 4.7%, respectively. 3. Children with more interdental spaces had less caries incidence, but the relationship was weak(r=-0.024). 4. The mean caries incidence was higher in absence of interdental space of maxillary primary incisors than in presence of space. The mean caries incidence with no interdental space was twice as high as that with presence of interdental space.

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EPIDEMIOLOGICAL STUDY ON THE INFLUENCE OF SCHOOL MEAL SERVICE TO DENTAL CARIES OCCURRENCE ON THE PERMANENT TEETH OF PRIMARY SCHOOL CHILDREN (학교급식이 영구치우식경험도에 미치는 영향에 관한 역학적 연구)

  • Oh, Sang-IL
    • The Journal of the Korean dental association
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    • v.15 no.3
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    • pp.209-214
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    • 1977
  • The author extracted 300 children as a control group and 300 children as an observation group from Korean primary school children which were aged 9 to 11, and surveyed the dental caries experience and oral hygiene condition. Children in a control group had not been served wit school meal. On the other hand, children in an observation group were served with school meal. The average number of caries experienced permanent teeth per mouth and the oral hygiene indices were calculated from the collected data and compared with each other. The obtained results were as follows. 1. The DMFT rate was 15.93% in the observation group and 10.33% in the control group. 2. The Oral Hygiene Index was 1.04 in the observation group and 1.60 in the control group. 3. It couldn't be made a decision that school meal service was direct cause to increase the occurrence of dental caries on the permanent teeth in Korean primary school children.

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Detecting of Proximal Caries in Primary Molars using Pen-type QLF Device (펜-타입 QLF 장비의 임상적 유구치 인접면 우식 탐지 성능)

  • Cho, Hyejin;Kim, Hyuntae;Song, Ji-Soo;Shin, Teo Jeon;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.4
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    • pp.405-413
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    • 2021
  • The purpose of this in vivo study was to assess the clinical screening performance of a quantitative light-induced fluorescence (QLF) device in detecting proximal caries in primary molars. Fluorescence loss, red autofluorescence and a simplified QLF score for proximal caries (QS-proximal) were evaluated for their validity in detecting proximal caries in primary molars compared to bitewing radiography. Three hundred and forty-four primary molar surfaces were included in the study. Carious lesions were scored according to lesion severity assessed by visual-tactile and radiographic examinations. The QLF images were analyzed for two quantitative parameters, fluorescence loss and red autofluorescence, as well as for QS-proximal. For both quantitative parameters and QS-proximal, the sensitivity, specificity and area under receiver operating curve (AUROC) were calculated as a function of the radiographic scoring index at enamel and dentin caries levels. Both quantitative parameters showed fair AUROC values for detecting dentine level caries (△F = 0.794, △R = 0.750). QS-proximal showed higher AUROC values (0.757 - 0.769) than that of visual-tactile scores (0.653) in detecting dentine level caries. The QLF device showed fair screening performance in detecting proximal caries in primary molars compared to bitewing radiography.

EPIDEMIOLOGICAL STUDY ON DENTAL CARIES IN TWINS. (쌍생아(雙生兒) 치아(齒牙) 우식증(齲蝕症)에 관(關)한 역학적(疫學的)인 연구(硏究))

  • Jung, Tae-Ryun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.1 no.1
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    • pp.57-61
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    • 1974
  • The Study reported here was designed to analyze the prevalence of Dental Caries in the primary teeth of monozygote twins, and to ascertain and compare the intrapair differences with the intrapair differences in control pairs. The prevalence of dental caries in the primary teeth of 40 pairs of presumably monozygote twins, based on phenotypic analysis, was studied. The age range was from 3 to12 years. The control group consisted of pairs that included a twin chosen at random and an unrelated child of the same sex and age, so that for each pair of twins there was a corresponding control pair. The clinical examination was carried out by an operator using an oral mirror and sharp explorers, and with good lighting. 40 pairs of twins were examined with a total of 4,950 primary tooth surfaces (990 primary teeth) and 40 control pairs with a total of 4,935 primary tooth surfaces (987 primary teeth). Five surfaces were considered for each tooth. After the def individual index was determined, the ratio between this index and the number of examined surfaces was established in each case, the cer (Caries experience rate) index. The def and cer averages were determined for the subjects and the controls. All intrapair differences in twin and control groups were compared following the paired sampling method. The following conclusions were made: 1. Intrapair differences in the control group were significantly greater than in twins, when defs, ds, es, fs, and cer were compared. 2. The genotype appeared to be a determining factor in dental caries susceptibility or resistance, although the environment played an important role as well. 3. Intrapair differences in American children were significantly greater than in Korean when defs, es, fs, and cer were compared, but ds was equal.

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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.

Relationship between Obesity and Dental Caries in Primary Teeth in Iksan city (익산시 어린이들의 비만과 유치의 우식 간의 관련성)

  • Lee, Jeongeun;An, Soyoun;Song, Jihyun;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.2
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    • pp.151-157
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    • 2016
  • The purpose of this study was to evaluate the relationship between obesity and dental caries in young children. The subjects were 769 children aged 3 to 6 years, in Iksan, Korea. Body mass index (BMI) and decayed and filled primary teeth (dft) were recorded. Children were classified into four groups (underweight, normal, obese at risk, and obese) according to their BMI percentile. The data of 754 participants, excluding 15 underweight children, were analyzed. The mean dft index was 3.39. There were no significant differences in the number of caries according to gender. The dft index increased significantly with age, with a sharp increase between ages 4 and 5. Children in the obese at risk and obese groups had more caries than those in the normal group. However, there were no statistically significant differences in dft index values between BMI-categorized groups except in 3-year-olds. These findings suggest that there is no significant connection between obesity and dental caries in primary teeth.

Retrospective Study of Survival Rates According to the Type of Dental Restoration of Proximal Caries in Primary Molars (치과용 수복재료에 따른 유구치부 인접면 수복물의 생존율연구 : 후향적연구)

  • Jih, Myeongkwan;Lee, Sangho;Lee, Nanyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.249-256
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    • 2015
  • Restorative dental materials have advanced rapidly, with improved physical properties that improve survival rates. Accordingly, various materials can be selected. Amalgam, composite resin, glass-ionomer cement, and preformed stainless steel crowns have all been used widely for the restoration of dental caries in primary molars. The various dental materials used to treat proximal caries in the primary molars have distinct advantages and disadvantages. However, few studies have examined their survival rates. This retrospective study examined the 2-year survival rates of more than 700 class II restorations of proximal caries in primary molars clinically and radiologically according to the type of restoration. The study results should help in the selection of class II restorations for molars, one of the biggest concerns of pediatric dentists.

Review on International Caries Detection and Assessment System (치아우식증 탐지 및 평가의 기준 체계, ICDAS에 대한 고찰)

  • Kim, Hee-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.5
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    • pp.609-615
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    • 2014
  • Objectives : In most developed countries there has been a substantial decrease in the prevalence of dental caries in children of 12 years old over the past 40 years. This change in epidemiology highlights the importance of preventive management in dentistry. For successful management of early caries lesions, it is essential to detect and assess the pathological changes of dental caries. Therefore, the purpose of this study was to investigate the overview of International Caries Detection and Assessment System(ICDAS) criteria for the detection and assessment of early caries lesions by literature reviews. Methods : The author reviewed the MEDLINE search by the key words of 'caries assessment', 'caries detection', 'caries measurement', and 'ICDAS'. Results : This literature review provided an overview of International Caries Detection and Assessment System(ICDAS) criteria for the detection and assessment of early caries lesions. This article showed the principles, concept, and primary caries detection criteria of the ICDAS. The ICDAS can macroscopically measure the enamel surface changes and potential histological depth of caries lesions by the surface characteristics of the teeth. The ICDAS criteria allow researchers and clinicians to choose the stage of dental caries and characteristics for assessment. Conclusions : ICDAS can be an adjunct method to clinical decision making and preventive treatment planning.

Silver Diamine Fluoride Compound for Dental Caries and Its Characterisation Using Microscopic Computed Tomography and Nanoindentation

  • So-Youn An;Myung-Jin Lee;Min-Kyung Kang;Youn-Soo Shim
    • Journal of dental hygiene science
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    • v.23 no.1
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    • pp.60-67
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    • 2023
  • Background: In our study, a silver diamine fluoride (SDF) compound for the treatment of dental caries was synthesized to characterize its remineralization activity upon direct application to deciduous teeth. This study aimed to use microscopic computed tomography (microCT) and nanoindentation to evaluate whether SDF composite application could effectively arrest dental caries in five exfoliated primary molars. Methods: Carious teeth were extracted and visually examined using quantitative photofluorescence devices (Qraycam and QraypenTM). After performing microCT, the SDF composite was applied to the teeth according to the manufacturer's instructions. The researchers exchanged and precipitated the irritant saliva once daily for 1 week. The teeth were sectioned longitudinally through the centers of the mesial and distal surfaces, embedded, polished, and measured using nanoindentation. Thereafter, microCT was repeated. Statistical analyses were performed using GraphPad Prism software. Results: Following SDF composite application, a remineralized layer was observed on microCT images, and the hardness increased when measured using nanoindentation. We found that demineralized enamel presented with an increased number of irregular crystals in the deep carious lesion group compared with those in the shallow carious lesion group, resulting in a rougher surface. Conclusion: The SDF composite may be used for remineralization of early caries and cessation of advanced caries in primary molars.

A epidemiological study on the oral health in preschool children for the development of community based oral health program in Sungnam city (성남시 보건소 유아구강보건사업 개발을 위한 구강건강실태에 관한 조사연구)

  • Ahn, Yong-Soon;Kim, Mi-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.2
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    • pp.201-211
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    • 2001
  • Dental caries causes the majority of tooth loss among Koreans. Korea is experiencing an increase in dental caries. And it shows a high prevalence of caries in preschool children, which contrasted with the much-improved situation in developed countries. So, it is important to control caries from preschool periods in Korea. Recently, inspections of the teeth of preschool children for evidence of dental disease became a legislative duty in Korea following Oral Health Act(2000). But, standardized oral health programs in preschool children is not yet proposed. Therefore, it is necessary to develop an community based oral health program in preschool children. The purpose of this study was to obtain basic data for the development of community based oral health program in preschool children of Sungnam city. Oral health status in primary dentition were surveyed in 862 2-6 year-old preschool children of Sungnam city by WHO criteria. From the data, df rate, percentage of preschool child ren with active caries, dft index, dt rate, percentage of preschool children with pit and fissure sealant of each age were calculated, and discussed. The obtained results were as follows : 1. The experience of dental caries in primary dentition showed a tendency to increase quickly between 2 and 3 year old children. So, the oral health program in preschool children should be developed to prevent dental caries and control their oral health under three years of age. 2. In 5 year-old children, the percentage with active caries was 60.8% and dft index was 5.06. The dt rate showed a tendency to decrease as proportion to age, but even though 6 year-old children, the dt rate was 47.7%. Therefore, the annual screening dental examination and oral health education programs at the institution for preschool children should be developed to detect and treat dental caries in primary dentition at early stage. 3. The percentage of preschool children with pit and fissure sealant at six years of age was 10.2%. So, pit and fissure sealant and professional fluoride application programs in Public Health Center should be developed to prevent dental caries. 4. Also, it is necessary to establish oral health goals in preschool children and develop water fluoridation program 10 improve and preserve oral health of preschool children in Seongnam city, effectively.

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