• The korean journal of orthodontics
• /
• v.29 no.4 s.75
• /
• pp.483-490
• /
• 1999

Interdental enamel stripping is an usual method for correction of abnormal tooth shape and tooth size discrepancy which is one of the etiologic factors of malocclusion. Clinically it Is useful to correct the minor crowding in anterior teeth and posterior occlusion during finishing stage of orthodontic treatment. But this procedure has risks such as irreversible tooth reduction and remaining roughness of enamel surface can accumulate plaque which can evoke periodontal problem. Even if various methods were introduced to minimize the enamel surface roughness, their evaluation was limited in morphologic differences by scanning electronic microscope(SEM). The purpose of this study was to compare the various interdental enamel stripping method by SEM and to quantify the difference of surface roughness by use of Surfcorder SEF-30D(Kosaka Lab. Ltd.) which can measure the roughness of surface. The stripping methods were divided into mechanical and mechanical-chemical method. Air-rotor stripping and separating strip were used for mechanical stripping and $37\%$ phosphoric acid was used for chemical stripping. The enamel surface roughness after mechanical or mechanical-chemical stripping of interproximal surfaces of premolars which were extracted for orthodontic purpose were measured and compared by means of SEM and $Surfcorder^{\circledR}$, the results were as follows. 1. Enamel surface of primary treated by coarse diamond bur and separating strip groups showed highest value of roughness. 2. To compare the primary treated groups between mechanical and mechanical-chemical method, the latter group showed lower value of roughness remarkably. 3. Mechanical stripping groups which were treated both coarse and fine instrument showed lower value of roughness as much as non treated group. 4. The use of Pumice for final polishing did not show significantly smoothening the stripped enamel surface any more.

• The korean journal of orthodontics
• /
• v.31 no.6 s.89
• /
• pp.567-578
• /
• 2001

To investigate the difference of Texture exhibited on interproximal enamel surface with each different stripping method and the susceptibility of proximal enamel to demineralization after stripping and the application of a topical fluoride go] and sealant, one hundred human premolars, which were Previously extracted for orthodontic reasons were evaluated by means of Scanning electron microscopy and laser fluorescence. The results were as follows : 1. No matter what the initial stripping instrument was the furrows that resulted from all the stripping methods were not completely removed by careful polishing. 2. Among the enamel surfaces that were treated with three different initial abrasive instruments, followed by the same polishing method (Sof-$Lex^{(r)}$ disks), the enamel surfaces that were treated with 700 crosscut carbide bur showed the smoothest surfaces. 3. The stripped teeth, no matter what the initial stripping instrument was, were less resistant to initial demineralization than untreated teeth. But no difference in caries susceptibility according to differently stripped methods was found (p<(0.001). 4. Teeth treated with APF-gel or sealant were mote resistant to demineralization than those treated without other treatment after stripping (p<0.001). 5. Comparing groups treated with APF-gel to groups treated with sealant, the former was more resistant to demineralization than the tatter (p<0.05). In conclusion, enamel surfaces that were stripped jnterproximally were less resistant to demineralization even though various attempts were made to produce smooth, self-cleaning enamel surfaces. Therefore, additional treatment-sealant or calcifying/ fluoridating solution To the stripped enamel surfaces is recommended.

• The Journal of the Korean dental association
• /
• v.49 no.8
• /
• pp.451-460
• /
• 2011

Dental caries has been widely prevalent with presence of cavitation on teeth. For the last several decades, the prevalence of dental caries in developed countries has rapidly decreased so there has been needed a new and detailed diagnostic guideline to differentiate the severity of dental caries, especially for early status of caries. The cariology specifically requires the development of an integrated definition of dental caries and uniform systems for measuring the caries process in the fields of clinical diagnosis and treatment, epidemiological researches, and dental education and so forth. The international Caries Detection and Assessment System (ICDAS) optically measures the enamel surface changes and potential histological depth of carious lesions by relying on surface characteristics of teeth. ICDAS is a visual classification system that was developed to diagnose the subtle changes of enamel surface, predict the progress direction of early caries, allow standardized data collection in relation to caries in different settings, and to enable better comparison of oral health between countries worldwide and research studies.

• Journal of Korean society of Dental Hygiene
• /
• v.16 no.1
• /
• pp.77-83
• /
• 2016

Objectives: This study was carried out to investigate the effect of fluoride application after dental prophylaxis by the type of dental floss. Methods: Artificial caries lesion was made on the surface of cow's permanent teeth having sound enamel surface and vickers hardness number(VHN) was measured. Specimens were classified into APF gel group and artificial saliva group. Each group was divided into waxed floss group and unwaxed flossed group. All specimens were immersed into the artificial saliva for one minute and dental flossing was applied to waxed or unwaxed floss. After washing and drying, APF gel groups were applied with fluoride for four minutes and artificial saliva groups were immersed into the artificial saliva for four minutes. After treatment, specimens were measured by VHN and surface conditions of enamel were confirmed by scanning electron microscopy(SEM). Results: VHN of waxed flossing and fluoride application group increased to $6.78{\pm}2.75$. VHN of unwaxed flossing and fluoride application group increased to $7.36{\pm}2.51$. There was no significant difference between waxed and unwaxed groups(p>0.05). VHN of waxed flossing and artificial saliva group increased to $1.07{\pm}2.84$. VHN of waxed flossing and artificial saliva group increased to $1.05{\pm}3.13$. There was no significant difference between waxed and unwaxed groups(p>0.05). There was significant increase in VHN between waxed/unwaxed flossing and fluoride application. However, waxed/unwaxed flossing with artificial saliva showed no significant VHN increase. SEM demonstrated no residue on the enamel surface in the waxed flossing groups. Conclusions: No difference was found in the remineralization of enamel by waxed flossing or unwaxed flossing.

• Restorative Dentistry and Endodontics
• /
• v.45 no.1
• /
• pp.12.1-12.8
• /
• 2020

Objectives: The aim of this in vitro study was to evaluate the microhardness and surface roughness of composite resins before and after tooth bleaching procedures. Materials and Methods: Sixty specimens were prepared of each composite resin (Filtek Supreme XT and Opallis), and BisCover LV surface sealant was applied to half of the specimens. Thirty enamel samples were obtained from the buccal and lingual surfaces of human molars for use as the control group. The surface roughness and microhardness were measured before and after bleaching procedures with 35% hydrogen peroxide or 16% carbamide (n = 10). Data were analyzed using 1-way analysis of variance and the Fisher test (α = 0.05). Results: Neither hydrogen peroxide nor carbamide peroxide treatment significantly altered the hardness of the composite resins, regardless of surface sealant application; however, both treatments significantly decreased the hardness of the tooth samples (p < 0.05). The bleaching did not cause any change in surface roughness, with the exception of the unsealed Opallis composite resin and dental enamel, both of which displayed an increase in surface roughness after bleaching with carbamide peroxide (p < 0.05). Conclusions: The microhardness and surface roughness of enamel and Opallis composite resin were influenced by bleaching procedures.

• Restorative Dentistry and Endodontics
• /
• v.21 no.1
• /
• pp.321-338
• /
• 1996

The purpose of this study was to evaluate the effect of moistening and air-drying of acid conditioned dentin and enamel on the marginal microleakage. In this study, Class V cavity were prepared on both buccal and lingual surface of sixty extracted human premolars with cementum margin. These specimens were randomly devided into three groups and three dentin adhesives(Scotchbond Multi-Purpose, All bond 2, Prisma Universal Bond 3) were applied to each group. The specimens in each group were subdevided into four groups (Wet/primed, Dry/primed, Wet/not primed, Dry/not primed) and the etched dentin and enamel surface were treated these four surface treatments prior to the placement of a bonding agent or adhesive. Wet/primed group was simply blot-dried with a damp facial tissue before primer placement ; Dry/primed group was air dried for 30 seconds before the placement of a primer ; Wet/not primed group and Dry/not primed group were not primed after blot dried and air dried for 30 seconds each group. The bonding agent and composite resin were applied for each group. All specimens were exposed to 500 cycle of thermal stress. Specimens were placed in a silver nitrate solution and then sectioned buccolingually through the center of the restoration. The dye penetrations of the specimens were observed with a stereo microscope. The statistical test were applied to the results using a one way analysis variance (ANOVA) and Duncan's multiple range test. The aspects of silver ion penetration into the resin/dentin interface were examined under scanning electron microscopy. The results were as follows. 1. In all groups, the enamel margin showed significantly lower leakage value than the cementum margin (p<0.05). 2. Regardless of various surface treatment and dentin adhesives, there was no significant difference at the enamel margins (p>0.05). 3. At the dentin margins, the leakage values of Dry/not primed group showed significantly higher than that of the other groups (p<0.05). The leakage values of Wet/primed group showed significantly lower than that of the other groups, but, there was no significant difference between Wet group and Dry group. 4. There was no significantly difference between the dentin adhesives regarding the surface treatments in all groups(p>0.05). 5. On the backscatterd scanning electron microscopy observation, the penetration of the silver ion occured at the bonding resin/dentin interface. In the Wet/primed group, resindentin hybrid zone and resin penetration into the dentin was observed. The resin tags were compactively formed to a thickness of $3\sim4{\mu}m$ at the upper part of dentinal tubules. In the Dry/primed group, the thickness of the hybrid zone and the diameter, depth of the resin tags diminished. In the Non-primed groups, the hybrid zone was not identified and few resin tag was observed. There was the gap formation in the resin/dentin interface.

• Journal of Technologic Dentistry
• /
• v.41 no.3
• /
• pp.177-185
• /
• 2019

Purpose: This study was to investigate the effect of three different surface treatments on the shear bond strength of lithium disilicate ceramics to enamel. Methods: Totally 60 lithium disilicate ceramic disc specimens were fabricated with IPS e.max press (Ivoclar Vivadent, Schaan, Liechtenstein) and Mazic Claro (Vericom, Korea). 30 specimens in each lithium disilicate ceramic were assigned to 3 groups of the each following surface treatment: 1) $50{\mu}m$ airborne particle abrasion+silane, 2) 9.5% hydroflouric acid etching (HF)+silane, 3) $50{\mu}m$ airborne particle abrasion+9.5% HF+silane. Lithium disilicate ceramic surfaces after surface treatments were AFM examined. The shear bond strength was measured in a universal testing machine at 0.5mm/min crosshead speed. All data were analyzed using a two-way ANOVA and Tukey's test(${\alpha}=0.05$). Results: The mean surface roughness of lithium disilicate ceramics ranged from $0.178{\mu}m$ to $0.441{\mu}m$. The mean shear bond strengths ranged from $23.81{\pm}2.78MPa$ to $33.99{\pm}4.85MPa$. Conclusion: 1. Mazic Claro showed higher shear bond strength than IPS e.max press at 3 different surface treatments, and no statistically significant was observed. 2. The shear bond strength of IPS e.max press was strongly enhanced as surface treated with $50{\mu}m$ airborne particle abrasion and 9.5% hydroflouric acid etching. And there was no statistical significance at the shear bond strength of Mazic Claro with surface treatments.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.44 no.4
• /
• pp.412-418
• /
• 2017

During orthodontic treatment, formation of white spot lesions (WSLs) around brackets has long been recognized as a potential risk. This study performed to investigate effect of preventing enamel demineralization and remineralization by application of fluoride-containing orthodontic primer. Fifty extracted bovine incisors teeth were randomly allocated to 3 groups: (I) Non-preparation specimens, (II) Application of Light Bond$^{TM}$ as fluoride containing orthodontic primer, (III) Application of Transbond$^{TM}$ XT Primer as traditional orthodontic primer without fluoride. Each group is demineralized under artificial carious solution. The demineralization pattern was evaluated using a Q-ray view, Vickers hardness test and polarized light microscope. The remained primer was calculated as 35 - 50%. The highest surface microhardness was shown on Light Bond$^{TM}$ surface. There were statistically significant differences in Vickers microhardness number between adjacent areas of Light Bond$^{TM}$ and non-prepared area. There was almost no demineralization of the enamel surface under the Light Bond$^{TM}$. At the adjacent site of Light Bond$^{TM}$, the shallow caries pattern and remineralization appearance were also observed. These results suggest that the use of fluoride-containing primers may be useful for bracket attachment to reduce enamel demineralization during orthodontic treatment.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.46 no.3
• /
• pp.293-300
• /
• 2019

As a common side effect of fixed orthodontic treatment, demineralization of the enamel adjacent to the bracket and band occurs in patients with poor oral hygiene. The purpose of this study was to investigate what is the most effective method to prevent demineralization around the fixed orthodontic appliance among various methods using fluoride. 80 extracted bovine incisors with a healthy surface were classified into four groups as experimental materials: (Group I) Control group, (Group II) V $varnish^{TM}$, (Group III) Tooth Mousse $Plus^{(R)}$, (Group IV) $Vanish^{TM}$ XT. After treatment for each group, mineral loss and Vickers surface microhardness were measured at 0, 30, 60 and 90 days after demineralization in artificial carious solution. Mineral loss was the lowest in group IV, followed by group II and group III, which showed a significant difference. The surface microhardness was the lowest in group IV, followed by group II and group III, which showed a significant difference. Through this study, group IV showed the best effect to prevent enamel demineralization around the bracket. Group III showed significant prevention of enamel demineralization compared with the control group, but the effect was less than that of the other groups.

• Restorative Dentistry and Endodontics
• /
• v.19 no.1
• /
• pp.194-204
• /
• 1994

The purpose of this study was to evaluate the surface hardness of composite resins according to heat treatment. storage condition and storage time. In this study. two kinds of composite resin inlays and one kind of conventional posterior composite resin were used as experimental materials. One hundred eighty composite resin specimens were constructed from composite resin inlays and conventional posterior composite resin. The conditions of this study were heat treatment. storage condition and storage time. Hardness readings were taken from the top surface of each samples using the Vickers microhardness tester(MHT-l. Matsuzawa. Japan}. The following results from this study were obtained: 1. Regardless of storage condition. both composite resin inlay and conventional posterior composite resin have a higher surface hardness under heat treatment than not. 2. Composite resins with heat treatment have a higher surface hardness under dry storage than under water immersion. 3. In case of Clearfil Photo Posterior and Brilliant Enamel with heat treatment. there was no significant difference with time. but Clearfil CR Inlay with heat treatment. there was statistical difference after 24 hours. 4. Surface hardness of composite resins with coarse hybrid type was higher than that of composite resin with fine hybrid type.