DOI QR코드

DOI QR Code

치간 삭제 후 불소 및 수산화인회석 도포 시 법랑질 표면의 함량 및 결정구조 변화에 관한 연구

Changes in surface content and crystal structure after fluoride gel or hydroxyapatite paste application on stripped enamel

  • 김상철 (원광대학교 치과대학 치과교정학교실) ;
  • 홍현실 (원광대학교 치과대학 치과교정학교실) ;
  • 황영철 (원광대학교 치과대학 치과교정학교실)
  • Kim, Sang-Cheol (Department of Orthodontics, School of Dentistry, Wonkwang University) ;
  • Hong, Hyun-Sil (Department of Orthodontics, School of Dentistry, Wonkwang University) ;
  • Hwang, Young-Cheol (Department of Orthodontics, School of Dentistry, Wonkwang University)
  • 발행 : 2008.12.30

초록

본 연구의 목적은 치간삭제 후 불소 및 수산화인회석 페이스트의 치면 도포에 대한 법랑질 표면의 결정구조 및 재광화를 평가하고자 하였다. 치간삭제 후 1.23% 인산화 불소 및 10% 수산화인회석 페이스트를 치면에 도포한 후 법랑질 표면의 결정구조 변화를 주사전자현미경으로 관찰하고, 법랑질 표면의 칼슘, 인, 불소 함량 등의 변화를 energy dispersive X-ray spectroscopy (ESD)로 분석하였다. 실험결과 10% 수산화인회석 페이스트 도포한 군에서 칼슘함량이 증가하였고 (p < 0.01), 치간 삭제 후 거칠었던 법랑질 표면이 매끄럽고 부드러워졌으며 법랑질 결정구조가 작고 치밀해짐을 관찰할 수 있었다. 이상의 결과는 치간삭제 후 불소 및 수산화인회식 도포가 치면 결정구조 및 재광화에 유리하다는 것을 의미한다.

Objective: The aim of this study was to evaluate the remineralization of interdentally stripped teeth after fluoride gel or hydroxyapatite paste application. Methods: After interdental stripping, 1.23% fluoride gel or 10% hydroxyapatite paste was applied three times a day, with a duration of four minutes, for a week. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare the change of surface contents and crystal structures before and after the application of fluoride gel or hydroxyapatite paste. Results: EDS analysis indicated that calcium contents were increased after 10% HAp paste application on stripped enamel (p < 0.01). SEM view showed that enamel surfaces in groups of 1.23% APF gel or 10% HAp paste application were smoother than those of control group, which was regarded as filling of the pore structure. And pores between crystal structures in groups treated with 1.23%, APF gel or 10% HAp paste were smaller than those of control group. Conclusions: Application of APF or HAp on stripped enamel could positively influence on the surface contents or crystal structure.

키워드

참고문헌

  1. Bolton WA. Disharmony in tooth size and its relation to the analysis and treatment of malocclusion. Angle Orthod 1958;28:113-30
  2. Tuverson DL. Anterior interocclusal relations. Part I. Am J Orthod 1980;78:361-70 https://doi.org/10.1016/0002-9416(80)90018-4
  3. Sheridan JJ. Air-rotor stripping update. J Clin Orthod 1987;21:781-8
  4. Boese LR. Fiberotomy and reproximation without lower retention: nine years in retrospect. Angle Orthod 1980;50:88-97
  5. Blake M, Bibby K. Retention and stability: a review of the literature. Am J Orthod Dentofacial Orthop 1998;114:299-306 https://doi.org/10.1016/S0889-5406(98)70212-4
  6. Piacentini C, Sfondrini G. A scanning electron microscopy comparison of enamel polishing methods after air-rotor stripping. Am J Orthod Dentofacial Orthop 1996;109:57-63 https://doi.org/10.1016/S0889-5406(96)70163-4
  7. Radlanski RJ, Jager A, Schwestka R, Bertzbach F. Plaque accumulations caused by interdental stripping. Am J Orthod Dentofacial Orthop 1988;94:416-20 https://doi.org/10.1016/0889-5406(88)90131-X
  8. Twesme DA, Firestone AR, Heaven TJ, Feagin FF, Jacobson A. Air-rotor stripping and enamel demineralization in vitro. Am J Orthod Dentofacial Orthop 1994;105:142-52 https://doi.org/10.1016/S0889-5406(94)70110-5
  9. Arman A, Cehreli SB, Ozel E, Arhun N, Cetinsahin A, Soyman M. Qualitative and quantitative evaluation of enamel after various stripping methods. Am J Orthod Dentofacial Orthop 2006;130:131
  10. Joseph VP, Rossouw PE, Basson NJ. Orthodontic microabrasive reproximation. Am J Orthod Dentofacial Orthop 1992;102:351-9 https://doi.org/10.1016/0889-5406(92)70051-B
  11. Kim KN. A study on the enamel surface texture and caries susceptibility in interdentally stripped teeth thesis. Gwangju: Chosun University; 2001
  12. Row J, Chun YS. A comparative study of roughness of enamel surface to various interdental enamel stripping methods in vitro. Korean J Orthod 1999;29:483-90
  13. Kim MY, Kwon HK, Kim BI. Remineralization effect of mouthrinse containing nano-hydroxyapatite by pH-cycling model. J Korean Acad Dent Health 2007;31:156-66
  14. Lee YE, Back HJ, Jeong SH, Choi YH, Song KB. Effect of hydroxyapatite containing dentifrice on the remineralization of early incipient carious lesion. J Korean Acad Dent Health 2007;31:305-18
  15. Barone M, Malpassi M. Clinical trial of a 15% supermicronized hydroxyapatite gel for dentin hypersensitivity. G Ital Endod 1991;5:43-7
  16. Huttemann RW, Strubel G, Rzekpa-Glinder V, Donges H. Investigation of utility and mechanics of use of hydroxyapatite for therapy of hypersensitive tooth root. ZWR 1989;98:240-5
  17. Frazier MC, Southard TE, Doster PM. Prevention of enamel demineralization during orthodontic treatment: An in vitro study using pit and fissure sealants. Am J Orthod Dentofacial Orthop 1996;110:459-65 https://doi.org/10.1016/S0889-5406(96)70050-1
  18. Kim ME, Jung IL, Kim KY, Lee CY, Roh BD. In vivo quantitative analysis of remineralization effect of remineralization solution 'R' of incipient enamel dental caries. J Korean Acad Conserv Dent 2002;27:175-82 https://doi.org/10.5395/JKACD.2002.27.2.175
  19. Kim SR, Hong SJ, Roh BD, Lee CY, Kum KY. The remineralizing effects of early enamel carious lesion by supersaturated buffer solution under pH cycling model. J Korean Acad Conserv Dent 2001;26:341-9
  20. Cha SW, Yoon TC, Park SH, Lee CY, Kum KY. Quantitative analysis of mineral change in the initial caries lesion using confocal laser scanning microscopy. J Korean Acad Conserv Dent 2001;26:1-8