• Title/Summary/Keyword: primary caries

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A study on the intake of foods causing dental caries and the effect of nutrition education for primary students (초등학교 아동의 치아우식성 식품섭취 및 영양교육 효과에 관한 연구)

  • 김혜영;원복연;류시현
    • Korean journal of food and cookery science
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    • v.18 no.6
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    • pp.704-715
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    • 2002
  • This study intended to compare dietary and snack habits of primary students in the schools providing and non-providing lunch to clarify the correlation between those conditions and the occurrence of dental caries. Furthermore, this study also focused on evaluating educational effects by providing children with nutritional education program. 1. As a result of dietary habit analysis, it was found that children from the school providing lunch were better in terms of breakfast regularity, eating speed. optimum amount of intake, and meal time regularity than those from the school non-providing lunch. In particular, it was noted that children from the school providing lunch took a little more meat, fish, seaweed and milk or dairy products than those from school non-providing lunch. Thus, it could be assumed hat children provided with lunch have more reasonable dietary habit than those without lunch program. In general, it was found that there was a slight positive change in children's dietary habit after nutritional instruction than before, suggesting that the nutritional education had effects on improving their dietary habit. 2. It was found that primary students often took snacks causing dental caries such as caramel, chocolate, sweets and biscuits, and children from the school providing lunch were more willing to reduce those snacks upon recognizing the causes of dental caries than those from the school non-providing lunch. For the children who chewed gum with physical cleansing effects, it was shown that the highest frequency wat twice or three times a week. Moreover, the ratio of children who took snacks following dinner which might affect their dental caries and the ratio of children who selected snacks because of TV commercial were both reduced after nutritional education. Also the consumption of detergent foods like vegetable, fruit, protein. seaweed. milk or dietary products after nutritional education was increased. 3. It was found that children from the school providing lunch took more often all food groups except for food group IV affecting dental caries than those from the school non-providing lunch. The average number of consuming foods which cause dental caries was 5.04 times per person a day, and most of those were rather taken by liquid than solid food. The average eating times of rinsing foods which kill the bacteria on the surface of teeth and prevent from dental caries, was 9.33 for a person a day, which was a little higher than recommended time. Exposed time for dental caries for a person a day was 100.9 min, of which liquid dental caries was 56.2 min and solid dental caries was 44.6 min, suggesting that liquid food had a high potential to cause dental caries.

Survival Rates of Class II Restoration in Primary Molar with Flowable Resin Composite (유동성 복합레진을 이용한 유구치 II급 수복의 생존율)

  • Seo, Hyejun;Park, Soyoung;Lee, Eungyung;Jeong, Taesung;Shin, Jonghyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.12-20
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    • 2021
  • The purpose of this retrospective study was to evaluate the survival rate by comparing Class II restoration using flowable resin composite with stainless steel crown in primary molars. Electronic medical records and radiographs of 1,504 primary molars with proximal caries of 590 patients from June 2015 to August 2019 were analyzed. With the collected data, survival analysis was performed using the Kaplan-Meier method. The 1-year survival rate of flowable resin composite in the primary molar was 98.5%, 3-year survival rate was 87.7%, and mean survival time was 39 months. There was no statistically significant difference between flowable resin composite and stainless steel crown (p = 0.896). Within the limits of this study, Class II restoration using flowable resin composite can be considered a promising option for the treatment of proximal caries in primary molars.

New treatment method for pain and reduction of local anesthesia use in deep caries

  • Yun, Jihye;Shim, Youn-Soo;Park, So-Young;An, So-Youn
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.5
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    • pp.277-285
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    • 2018
  • Chemo-mechanical caries removal methods are known to be more effective compared with conventional methods in pain reduction. $Carie-care^{TM}$, a chemo-mechanical caries removal agent, was introduced in 2010 but a systematic review of its efficacy has not yet been performed. The purpose of this study was to investigate the effectiveness of $Carie-care^{TM}$ on the outcomes of treatment of caries in children and adolescents. The primary outcome was pain while the secondary outcomes included complete caries removal (CCR), time, need for local anesthesia and behavioral response changes. A Comprehensive literature search was performed in PubMed, EMBASE, and the Cochrane Library up to 30 September 2018. The following keywords were used in the search: 'chemo-mechanical caries removal agent', 'dental caries', 'Carie-care', 'chemo-mechanical caries removal', 'chemo-mechanical caries excavation', other related keywords, and their combinations. From 942 studies identified, 16 were analyzed. Finally, 4 studies met the eligibility criteria and 260 teeth in 120 children and adolescents were included in this review. This review showed that $Carie-care^{TM}$ reduces pain during caries treatment but requires a longer time for effective treatment than conventional methods. Local anesthesia was not required in the Chemo-mechanical caries removal (CMCR) group. In addition, dental anxiety decreased compared to the control group, and co-operation was more positive. Therefore, it may be a useful alternative to conventional methods in children and adolescents, but further verification through additional studies is needed.

The Result of Oral Health Care on Primary School Children Using Dental Caries Activity Test (일부 초등학생의 치아우식활성검사를 이용한 계속구강건강관리 효과)

  • Son, Eun-Yung;Choi, Moon-Sil
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.93-102
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    • 2012
  • The purpose of this study was to evaluate the effectiveness of oral health care including some of dental caries activity test on dental clinics of regular visiting on primary school children. The dental surveys and initial caries control and some of dental caries activity test (Alban's, Lactobacillius, S'mutans, un-stimulation saliva test)were performed by trained dental hygienists with dentist from on 6 to 13 years old patients of S dental hospital in Gwangju Metropolitan Cities. The sample size of 39 children (18 in oral health care group, 21 in control group ) and accepted to their parents. The results of caries activity test score(Alban's and Lactobacillius test)were reduced 1.4 to 1.6 times in oral health care group(OHCG). Oral Hygiene Simplified Index of OHCG was reduced 1.6 times during six months and 1 year. DMFT index of OHCG was reduced 1.4 times more than Control Group(CG) after 1 year. DT index of OHCG was reduced 12 times more than Control Group(CG) after 1 year. Dental health capacity of the first perment molar of OHCG was reduced 1.02 times more than CG after 1 year. From the above results, long life related incremental oral health care system has reinforced to primary school children in dental clinic with oral health professional teams.

Correlation between dental caries experience, oral health promotion behaviors, and knowledge of oral health in children and adolescents (일부 소아·청소년의 영구치우식경험도 및 구강건강증진행위, 지식에 관한 연구)

  • Shin, Seon-Haeng
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.615-622
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    • 2013
  • Objectives : The aim of the study is to estimate the dental caries experience and the factors influencing the dental caries in children and adolescents and to provide the data for effective management of oral health in children and adolescents. Methods : Subjects were 446 students randomly recruited in primary, middle, high school students located in Seoul from April 1 to May 31 2011. The data were collected by a questionnaire survey and direct oral examination. The collected data were analyzed with the SPSS WIN 14.0 program. Results : DMF in male accounted for 88.8% and that in female accounted for 89.1%. The oral promotion behaviors in female was significantly higher than those in male (p<0.001). Aged (p<0.05) and well-educated parents(p<0.001) tended to have better oral promotion behaviors. The higher oral health knowledge, the better oral health promotion behaviors. Better oral health promotion behaviors tended to have lower DMFT and DT index (p<0.01). In regression analysis, age, oral health promotion behavior in children and adolescents were related to the dental caries experience (p<0.001). Poor oral health promotion behaviors increased the dental caries experience. Conclusions : The active oral health care can prevent dental caries in children and adolescents. The concern for oral health care is important to maintain healthy dental hygiene.

Diagnostic Utilization of Laser Fluorescence for Resin Infiltration in Primary Teeth (유치의 레진침투법을 위한 레이저 형광법의 진단적 활용)

  • Park, Soyoung;Jeong, Taesung;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.265-273
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    • 2019
  • This study was performed to evaluate clinical use of laser fluorescence (LF) to identify early childhood caries lesions suitable for applying resin infiltration. 20 exfoliated primary molars with proximal caries were selected and cut buccolingually cross the central pit for regarding the mesial and distal surfaces respectively. 27 specimens corresponding to ICDAS code 1 and 2 were selected and the LF values were measured. When infiltrant resin was applied, double staining for microscopy detection has done simultaneously. Tooth samples were sliced with 0.7 mm thick. The maximum lesion depth, maximum penetration depth, and average penetration rate were measured from the confocal scanning laser microscope image. Pearson correlation analysis was performed. The intraclass correlation coefficient of LF values shows excellent agreement. LF values had positive correlation with penetration rate, but not lesion depth and penetration depth. Significant correlation between LF readings and penetration rate was verified in deep enamel caries and dentin caries except shallow enamel caries. Infiltrant resin could penetrate with a higher rate and LF values could be increased in more active caries lesions. In assessing radiologically similar caries lesion, laser fluorescence might be useful for identifying caries activity.

ESTHETHIC RESTORATION OF PRIMARY ANTERIOR TEETH BY INDIRECT SHORT RESIN POST CROWN : CASE REPORT (Indirect short resin post Crown을 이용한 유전치부 심미수복)

  • Kim, Hyo-Suck;Han, Kok-Jae;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.627-634
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    • 1998
  • Children who have severely destructive anterior primary dentition, as in nursing-bottle caries, in trauma, in rampant caries and in developmental defects, present the dentist with one of the most perplexing situations in dentistry. Especially, children with managed behavor difficultly is very severly situations. This paper reported a new technique for the utilization of resin post and strip crown to indirect methods on severely destructive primary anterior teeth. We name it "indirect short resin post crown" in this paper. Indirect technique be considered to be a simple, a retentive, intensive, color-stable and esthetic restoration.

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A Study of Students' Knowledge Level of Dental Health Care (초중등학생의 구강보건관리에 대한 인식도 조사)

  • Kim, Kyo-Woong;Nam, Chul-Hyun
    • Journal of the Korean Society of School Health
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    • v.13 no.2
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    • pp.295-317
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    • 2000
  • This study was conducted to prevent oral disease of primary school, middle school, and high school students, providing basic data for the development of oral health education programs. Data were collected from 898 primary school, middle school, and high school students from March 2, 1999 to May 31, 1999. The results of this study are summarized as follows; 1) The subjects of this study were primary school students(32.6%), middle school students(33.0%), and high school students(34.4%). Boy students were slightly more prevalent than girl students. That is, primary school boys were 56.3%, middle school boys were 53.2%, and high school boys were 52.6%. 2) According to the self-judgement of oral health, primary school students were better than middle/high school students and boy students were better than girl students, 63.5% of primary school students and 57.8% of middle/high school students brushed their teeth once or twice a day. 3) 76.3% of middle/high school students and 63.5% of primary school students experienced dental caries. Girl students were higher than boy students in experiencing dental caries, 35.9% of primary school students and 27.6% of middle/high school students experienced periodontal disease. 4) 22.9% of primary school students and 7.9% of middle/high school students received oral examinations periodically. Girl students showed a higher rate than boy students in primary school, while boy students showed a higher rate than girl students in middle/high school. 5) Explaining to the reasons for reluctant visits to dental hospitals and clinics, 'no time to go' was highest(22.9% of primary school students; 27.4% of middle/high school students) and the rate of 'feeling scared' was second highest. Middle/high school students were more reluctant to visit dental hospitals and clinics than primary school students. In case of problematic symptoms in the mouth, the rate of 'feeling painful or cold in teeth when eating cold or hot foods' was highest, 71.3% of primary school students was concerned about oral health, while 68.6% of middle/high school students was concerned about it. 6) In gathering to the sources of information on oral health, the rate of medical institutions was highest(30.0%) in primary school students, while the rate of family members or persons around them was highest in middle/high school students. 7) 54.9% of primary school students received oral health education, while 13.1% of middle/high school students received it. Only 4.7% of middle school and high school girls received it. In relation to dental health education, the rate of 'possibility of prevention of oral caries or disease of the gum' was highest. 79.5% of primary school students and 80.3% of middle school students answered that they would attend oral health education. 8) 60.4% of primary school students and 60.2% of middle/high school students think the purpose of oral health is to prevent dental caries and disease of the gums. In preventing dental caries, 78.8% of primary school students and 71.8% of middle school students thought that periodical oral examination was effective, 88.4% of primary school students and 88.8% of middle/high school thought that brushing one's teeth was effective and 64.1% of primary school students and 50.7% of middle school students thought that the use of toothpaste containing fluoride was effective. In preventing periodontal disease, 91.1% of primary school students and 90.2% of middle/high school students thought that brushing one's teeth was effective, while 72.4% of primary school students and 70.3% of middle/high school students thought that teeth cleaning was effective. 9) 16.0% of middle school students and 12.7% of high school students thought that their oral health condition was healthy. According to individual experiences in dental treatment, the rate of experience of middle school students was higher than that of high school students, 12.7% of middle school students received oral examinations periodically, while only 3.3% of high school students did so. 10) In cases of 'having no problematic symptoms in the mouth' and 'concerns about oral health', the rate of middle school students was higher than that of high school students. In gathering obtaining information on oral health, the rate of obtaining it through broadcast media including TV, Radio, etc. was highest in middle school students, while the rate of obtaining it through family members or persons around them was highest in high school students. 11) 81.7% of middle school students have not received oral health education. In case of girl students, 97.3% have not received it in high school students. 85.6% of middle school students and 151.2% of high school students think that oral health education is necessary. 12) According to the knowledge level of oral health, the point of high school students($26.33{\pm}2.33$) was similar to the point of high school students($26.23{\pm}2.30$). It appeared that the point of primary school students was highest($26.35{\pm}2.50$) The more concerned about oral health the students were the higher the knowledge level of oral health was. In conclusion, the middle/high school students' knowledge level of oral health was lower than primary school students. The rate of middle/high School students' experience in oral health education was too low. Therefore, it is necessary to intensify oral health education for middle/high school students. Especially, the necessity of oral health education to girl students is strongly recommended. Developing an oral health education program for primary school, middle school, and high school students, related public authority and organizations, teachers; and dentists must actively make efforts together in order to maintain healthy teeth through having students prevent dental caries and periodontal disease.

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Oral health education on recognition and their prevalence of dental caries comparative analysis of some primary school pupils' in Buckjeju-gun (북제주군 일부 초등학교 학동들의 구강보건교육에 관련된 인식도 및 영구치 우식경험도 비교 평가)

  • Kim, Youn-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.1
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    • pp.1-19
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    • 2002
  • This study has been conducted with continuous dental sanitary education for primary school pupils for five years from 1997 through 2001, based on data obtained from a 97' survey on primary school pupils' recognition on dental hygiene education and their permanent dental health capacity. Following results were drawn through comparative analysis of data obtained during the survey period. Approx 70.77% of the examinees have experienced decay missing feeling (DMF) in the year 2001, suggesting a good effectiveness of dental hygiene education compared with 92.1 % of DMF rate in 1997. It has been found that pupils' knowledge and recognition on dental hygiene and management, etc were improved, as well as their eating habits and consciousness were changed. Comparative analysis of annual DMF showed that DMF rate, DMFT index, and DT rate were found to decrease every year, suggesting a improved dental health capacity. Grade level analysis revealed that DMFT index and DT rate were found to decrease every year during the survey period, suggesting pupils' dental management and consciousness were improved and changed. It has been found that DMF rate more significantly increased in a higher grade in 2001 than 1997. There was no difference in DMF rate between grades of primary school in 1997. However, in the year 2001 increment of approx 10% of DMF rate were observed in a higher grade.

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A Case Report of Rampant Dental Caries Treatment (다발성 치아우식증의 치험례)

  • Paik, Tong-Jun;Woo, Won-Sup
    • The Journal of the Korean dental association
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    • v.11 no.5
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    • pp.317-320
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    • 1973
  • Two cases of rampant dental caries patients, 5 year old and 3 year old male, were treated; and got following results: 1) Early treatment of rampant dentral caries is emphasized to obtain favorable treatment results. 2) Premedication prior to treatment is an important factor due to the long operative procedures which may elicit the child's phychological trauma. 3) The full cast gold crown restoration for rampant dental caries in primary dentition indicated because of its precise work for maintaining normal occlusion and gingiva.

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