• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.225-230
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• 2016

Enamel microabrasion has become accepted as a conservative, nonrestorative method of removing intrinsic and superficial dysmineralization defects from dental fluorosis, restoring esthetics with minimal loss of enamel. However, it can be difficult to determine if restoration is necessary in dental fluorosis, because the lesion depth is often not easily recognized. This case report presents a method for analysis of enamel hypoplasia that uses quantitative light-induced fluorescence (QLF) followed by a combination of enamel microabrasion with carbamide peroxide home bleaching. We describe the utility of QLF when selecting a conservative treatment plan and confirming treatment efficacy. In this case, the treatment plan was based on QLF analysis, and the selected combination treatment of microabrasion and bleaching had good results.

• 대한소아치과학회지
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• 제35권4호
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• pp.744-749
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• 2008

불소는 치아 우식증을 예방할 수 있는 물질로 여러 가지 방법으로 사용되고 있으며 그 중 가장 효과적이고 경제적인 방법은 수돗물에 불소를 첨가하는 수돗물불소농도조정사업이다. 그러나 정기적인 수질 검사를 통해 음용수의 불소농도를 검사하지 않으면 불소증과 같은 부작용이 생길 수 있다. 이에 음용수에 불소가 과다하게 포함되어 있는 경우 나타날 수 있는 심각한 불소증에 대해 보고하고자 하는 바이다.

• 대한치과의사협회지
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• 제16권3호통권106호
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• pp.205-211
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• 1978

• Asian-Australasian Journal of Animal Sciences
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• 제19권6호
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• pp.865-871
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• 2006

Signs of dental discolouration, difficulty in mastication, bony exostosis and debility were observed in cattle from Qingtongxia Ningxia, China where fluoride concentration in drinking water, soil, fodder, serum, bone, teeth, haircoat and urine were significantly higher than the corresponding health site. The problem of fluorosis in beef cattle is attributable to water containing toxic levels of fluoride. The objective of this paper was therefore to evaluate the influence of fluoride on erythrocyte parameters in cattle under high fluoride and low selenium conditions, as well as the protective efficacy of selenium exposure in feedstuff for bovine endemic fluorosis. Sixteen 6 to 7 year-old high fluoride beef cattle were randomly allotted into two groups each with eight cows: high fluoride control group, and supplemented with 0.25 mg/kg selenium per day for 83 days respectively. In addition, eight 6 to 7 year-old normal control beef cattle were selected from a non-high fluoride site. Blood samples were collected on day 0, 30 and 83 for erythrocyte parameters analysis and scanning electronic microscopy. The results indicated that erythrocytes, hemoglobin, packed cell volume values and $Na^+-K^+$ ATPase activity from affected cattle on the high fluoride site were significantly reduced during the period as compared with the corresponding samples of normal control cattle, a great number of echinocytes were present in peripheral blood, and subsequent anaemia. However, affected cattle exposed to selenium revealed increasable erythrocyte parameters, the extent of elevation in these values being dependent on the duration of supplementation with selenium. These findings suggest that fluoride exposure can cause erythrocyte damage, whereas selenium supplementation can antagonize fluoride-induced generation of free radicals and cumulative effects of lipid peroxidation in erythrocytes. Selenium supplementation may help to alleviate the possible hazards associated with bovine endemic fluorosis.

• Restorative Dentistry and Endodontics
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• 제39권3호
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• pp.180-186
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• 2014

Objectives: The purpose of this in vitro study was to evaluate the microleakage and penetration of fissure sealant in permanent molar teeth with fluorosis after pretreatment of the occlusal surface. Materials and Methods: A total of 120 third molars with mild dental fluorosis were randomly divided into 6 groups (n = 20). The tooth surfaces were sealed with an unfilled resin fissure sealant (FS) material. The experimental groups included: 1) phosphoric acid etching (AE) + FS (control); 2) AE + One-Step Plus (OS, Bisco) + FS; 3) bur + AE + FS; 4) bur + AE + OS + FS; 5) Er:YAG laser + AE + FS; and 6) Er:YAG laser + AE + OS + FS. After thermocycling, the teeth were immersed in 0.5% fuchsin and sectioned. Proportions of mircoleakage (PM) and unfilled area (PUA) were measured by digital microscope. Results: Overall, there were significant differences among all groups in the PM (p = 0.00). Group 3 showed the greatest PM, and was significantly different from groups 2 to 6 (p < 0.05). Group 6 showed the lowest PM. Pretreatment with Er:YAG with or without adhesive led to less PM than bur pretreatment. There were no significant differences among groups in PUA. Conclusions: Conventional acid etching provided a similar degree of occlusal seal in teeth with fluorosis compared to those pretreated with a bur or Er:YAG laser. Pretreatment of pits and fissures with Er:YAG in teeth with fluorosis may be an alternative method before fissure sealant application.

• 대한치과의사협회지
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• 제38권1호통권368호
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• pp.86-93
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• 2000

Water fluoridation in conjunstion with wide use of fluoride dentifrices has been a major factor responsible for the decline in dental caries during the second half of the 20th century throughout the world. The history of water of water fluoridation is a classic public health program leading to epidemiologic investigation and community-based public health dentistry program. Although other fluoride-containing products are available, water fluoridation remains as the most safe and cost-effective method of delivering fluoride to omost communities. regardless of age. educational attainment. or income levels,. This review deals with pros and cons of water fluoridation and prospective analysis of state-of-the-art on issues related to the use of fluoride. An "optimal" fluoride concentration of 0.7-1.2 ppm has been recommended for preventing dental caries with a minimal dental fluorosis and no systemic health consequences.

• 한국환경보건학회지
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• 제29권2호
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• pp.38-44
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• 2003

This study was performed to investigate the levels of fluoride (F), calcium (Ca), and magnesium (Mg) in water samples taken from five reservoirs or direct sources on a stream used for agricultural or domestic water in the Iksan and Wanjoo areas, Jeon-buk, Korea, and to find a possible link between Ca or Mg and fluoride in water sources in theses areas. The samples were collected by the recommendation methods of the World Health Organization and analyzed by the recommendations of the Japanese Standard Methods. Statistical analyses were performed by the analysis of variance and correlation analysis. The F levels in water samples wire 0.80~2.53 ppm. In four sampling sites the water fluoride levels exceeded 1 ppm. which if the recommended level for fluorosis/caries control. The Ca levels in water samples were 6.82~12.98 ppm, and the Mg levels were 0.30~1.97 ppm, which are lower compared with the natural levels of water sources previously reported by other investigators. This study showed a positive correlation between Ca and Mg (r= 0.8779. p<0.01) and a negative correlation between F and Ca (r=-0.6974, p<0.05) and also between F and Mg (r=-0.5581) in the water samples. However, the study did not find remarkable relationships in fluoride levels between sampling sites. These results support the fact that there were epidemics of dental fluorosis in this area. The lack of significant positive correlations in fluoride levels between sampling sites suggests that there may be some pathways for the transfer of the metal to the water through other environmental media besides the water course. Long-term epidemiological studies are needed on the relationship between high F together with low Ca and Mg levels in the water, and total human health in this community. There should alto be a long-term monitoring of the water quality in this area.

• 한국환경보건학회:학술대회논문집
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• 한국환경보건학회 2004년도 International Conference Global Environmental Problems and their Health Consequences
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• pp.210-212
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• 2004

This study was conducted to determine the fluoride intakes in 120 preschool children aged $3{\sim}6$ residing in Jumunjin(community water fluoridation area) and Kangnung(non-fluoridation area). The parents duplicated all the diets that their children ingested in a day. The acid-diffusible fluoride in the diet was isolated by the acid-diffusion technique and measured with a fluoride electrode. The mean daily fluoride intakes form all kinds of diet by children residing in Jumunjin and Kangnung were $0.445{\pm}0.354mg/day$ and $0.131{\pm}0.097mg/day$, respectively. It is concluded from this investigtion that the amount of fluoride intake of children living in Jumunjin(fluoridated areas) did not exceed the upper intake level designated by the Institute of medicine of the US National Academy of Science to avoid the risk of dental fluorosis(2.2mg/day in 4- to 8-year-olds).

• 대한소아치과학회지
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• 제27권1호
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• pp.62-69
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• 2000

국소적으로 사용된 불소의 일부와 전신적으로 사용된 불소는 체내로 유입되어 우식을 예방하는 효과를 가진다. 그러나 적정 수준 이상의 불소가 체내로 유입되면 전신적으로 여러 가지 이상을 일으키는 급성, 만성 불소증과 치아불소증을 일으킬 수 있다. 따라서 최대한의 우식예방 효과를 가지며 부작용을 일으키지 않는 적절한 불소량을 아는 것은 매우 중요하다고 할 수 있다. 이러한 불소의 섭취량을 역추적 할 수 있는 가장 일반적인 방법으로는 체외로 배출되는 요내 불소농도를 측정하는 것을 들수 있다. 따라서 불소투여 후 불소의 체내 잔류시간과 일별 요내 불소농도를 비교하고자, 7명의 성인 남자를 대상으로 서로 다른 용량의 불소보조제-대조군 : 불소를 복용하지 않은 군, 1군 : 불소 1mg 복용군, 2군 불소 : 2mg 복용군, 3군 : 불소 3mg 복용군, 4군 : 불소 4mg 복용군 - 를 복용시킨 후 시간변화에 따른 요내 불소농도를 HMDS를 이용한 확산법과 불소이온전극(Orion, 96-09, U.S.A.)을 사용하여 측정하고 다음과 같은 결과를 얻었다. 1. 대조군 요내 불소농도의 평균값은 0.707ppm, 표준편차는 0.362ppm 이었다. 2. 불소투여 후 첫날 요내 불소농도는 4군(4.076ppm), 3군(2.400ppm), 2군(1.494ppm), 1군(0.362ppm) 순으로 높았다. 둘째날부터 1, 2, 3군에서는 대조군과 비교시 통계적 유의차를 보이지 않았으나 4군에서는 둘째날까지 대조군보다 유의성 있게 높았다(p<0.05). 3. 투여된 불소량의 증가에 따라 요내 불소농도도 증가되어 유지되었는데, 둘째날까지는 유의성 있게 높게 유지되었고 셋째날부터는 대조군과 통계적 유의차를 보이지 않았다.

• 한국환경보건학회지
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• 제31권6호
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• pp.475-482
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• 2005

This study aimed to determine the fluoride intakes in 120 preschool children aged 3 to 6 residing in Jumunjin (community water fluoridation area) and Gangneung (non-fluoridation area). The parents were asked to collect 24-hour urine samples and to duplicate the samples of all the diets that their children ingested in the day of urine collection. The acid-diffusible fluoride in the food and non-carbonate beverages were isolated by the acid-diffusion technique and then measured with a fluoride electrode. The fluoride in carbonate beverages, drinking waters and urine samples were measured directly with a fluoride electrode. The geometric mean (geometric standard deviation) of daily fluoride intakes from all kinds of diet was 5.99 (2.27) $\mu$g/kg/day in the children in Gangneung and that of the children in Jumunjin was 18.36 (2.69). The amount of fluoride intake by food and drinking water in fluoridation area were significantly larger than that in non-fluoridation area but the statistical difference of fluoride intake by beverages between two areas was not observed. The GMs (GSDs) of daily fluoride excretion by urine of children in non-fluoridation area and in fluoridation area were 8.39 (1.73) and 18.62 (1.77) $\mu$g/kg/day, respectively. The correlation between fluoride intake from diet excluding beverage and urinary excretion was statistically significant. It is concluded that the amount of fluoride intake of children living in fluoridation area did not exceed the upper intake level to avoid the risk of dental fluorosis (2.2 mg/day in 4- to 8-year-olds) and urinary excretion of fluoride was good indicator of fluoride intake from diets.