• Journal of Periodontal and Implant Science
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• 제29권1호
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• pp.141-151
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• 1999

To evaluate the effect of cetylpyridinium chloride in a powder form when used concomitantly with a commercial flouride containing tooth paste on inhibition of plaque formation, on gingivitis, and on irritation of oral mucosa, a double--blind, randomized parallel study was set up. Cetylpyridinium chloride was incorporated into a ligh brown colored powder with menthol added for scent. There were no diffemces between the active agent and the placebo which did not contain cetylpyridinium chloride in appearance, color, smell, taste, or dispenser. 98 healthy volunteers were assigned to one of two groups: brushing 3 times a day with flouride toothpaste and cetylpyridinium chloride powder, or brushing 3 times a day with flouride toothpaste and placebo. Before the test period, the subjects received through tooth cleaning and polishing. At basteline, GI, PI, BOP, and GCF of the Ramfjord teeth were measured in the experimental and placebo groups including 58 and 42 subjects repectively, After 4 weeks, GI, PI, BOP, GCF, compliance, irritation of the oral mucosa(redness, pus drainage, edema) and adverse reactions were measured. The PI, GI, and BOP of the experimental group recorded at baseline are 0.19${\pm}$0.19, 0.42${\pm}$0.31, and 0.08${\pm}$0.15. These scores showed significant decrease after 4 weeks of test period(0.11${\pm}$0.15, 0.22${\pm}$0.24, 0.02${\pm}$0.09 repectively at the end of the study) and inhibition of plaque accumulation and resolution of gingival inflammation could be observed. GCF shoed slight increase but this was not statistically different. Comparison of changes in measured scores of control and experimental groupshow GI, PI of the test indices have decreased. Test group showed significantly greater decrease in gingivitis and plaque accumulation after 4 weeks. GCF and BOP also showed greater decrease thant the control group but this difference was not statistically significant. At no time of the study period did any of the subjects show signs of irritation of the oral mucosa or adverse reactions. Following conclusions could be obtained from this study. The combined use of cetl powder and flouride toothpaste showed greater inhibition of plaque accumulation and greater decrease of gingivitis than use of flouride toothpaste with placebo agent.

• 치위생과학회지
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• 제21권4호
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• pp.219-226
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• 2021

Background: Proper detection and management of dental plaque are essential for individual oral health. We aimed to evaluate the maturation level of dental plaque using a two-tone disclosing agent and to compare it with the fluorescence of dental plaque on the quantitative light-induced fluorescence (QLF) image to obtain primary data for the development of a new dental plaque scoring system. Methods: Twenty-eight subjects who consented to participate after understanding the purpose of the study were screened. The images of the anterior teeth were obtained using the QLF device. Subsequently, dental plaque was stained with a two-tone disclosing solution and a photograph was obtained with a digital single-lens reflex (DSLR) camera. The staining scores were assigned as follows: 0 for no staining, 1 for pink staining, and 2 for blue staining. The marked points on the DSLR images were selected for RGB color analysis. The relationship between dental plaque maturation and the red/green (R/G) ratio was evaluated using Spearman's rank correlation. Additionally, different red fluorescence values according to dental plaque accumulation were assessed using one-way analysis of variance followed by Scheffe's post-hoc test to identify statistically significant differences between the groups. Results: A comparison of the intensity of red fluorescence according to the maturation of the two-tone stained dental plaque confirmed that R/G ratio was higher in the QLF images with dental plaque maturation (p<0.001). Correlation analysis between the stained dental plaque and the red fluorescence intensity in the QLF image confirmed an excellent positive correlation (p<0.001). Conclusion: A new plaque scoring system can be developed based on the results of the present study. In addition, these study results may also help in dental plaque management in the clinical setting.

• 대한소아치과학회지
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• 제32권3호
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• pp.569-575
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• 2005

본 연구의 목적은 소아 청소년기 교정환자에 있어서 음파 칫솔과 일반 칫솔의 치태 제거 효과를 비교하는 것이다. 삼성서울병원 소아치과에서 고정식 교정 장치 치료를 받는 건강한 소아 청소년 환자 21명 (여자: 10명, 평균나이 $14.57{\pm}2.28$년; 남자: 11명, 평균나이 $13.04{\pm}1.55$년)을 대상으로 음파 칫솔(Sonicare$^{(R)}$, Optiva Corp., 미국)과 교정용 일반 칫솔(Orthocare$^{(R)}$, Tomy International Inc., 일본)을 사용하여 총 4회의 내원 시 각각 2회씩 회당 2분간 칫솔질을 하도록 하였다. 칫솔질 전과 후의 치태지수를 Ainamo와 Bay의 Visible Plaque Index를 변형한 방법으로 측정하여 그 전후 차이를 비교하였다. 음파 칫솔이 61.79%(${\pm}7.95%$), 일반 칫솔은 69.19%(${\pm}10.08%$)의 치태 감소율을 나타내어 통계학적으로 유의한 차이를 보였다(p<0.05). 음파 칫솔의 경우 남자에서 63.07%(${\pm}8.64%$), 여자에서 60.39%(${\pm}7.30%$)의 치태 감소율을 나타냈고(p>0.05), 일반 칫솔의 경우 남자에서 69.33%(${\pm}10.14%$), 여자에서 69.03%(${\pm}10.55%$)의 치태 감소율을 나타내어 통계학적으로 유의한 차이는 보이지 않았다(p>0.05). 연령에 따른 치태 제거 효과는 실험 대상자들의 연령범위에서 통계학적으로 유의할만한 연관성이 없었으며 (p>0.05), 음파 칫솔의 경우와 일반 칫솔의 경우에도 통계학적으로 유의할 만한 연관성이 없었다(p>0.05). 본 연구에서, 고정식 교정 장치를 부착한 소아 청소년기 환자에서 일반 칫솔의 치태 제거 효과가 음파 칫솔의 치태 제거효과보다 컸다(p<0.05).

• Journal of Periodontal and Implant Science
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• 제6권1호
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• pp.21.1-21.1
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• 1976

• 대한소아치과학회지
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• 제11권1호
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• pp.215-232
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• 1984

The purpose of this research was to analyze the relationship between parents' attitudes toward their children's dental health and dental plaque index. Dental plaque index was obtained through oral examination of 118 children(female 40, male 78) with primary dentition The maintenance status of children's dental health though parents' aids was evaluated by means of questionaire to which 79 persons among the 118 children's parents answered. The results were as follows : 1. In children with primary dentition, toothbrushing together with toothbrushing instruction and continuous reinforcement had decreased plaque accumulation progressively. 2. Dental plaque index before toothbrushing showed that dental plaque was accumulated more in the buccal surfaces of teeth in the maxilla and in the lingual surfaces of teeth in the mandible. It was higher in the posterior teeth than in the anterior teeth and in the maxillary teeth than in the mandibular teeth. 3. Dental plaque index of childern was inversely proportional to the level of education of their parents. 4. Those parents who have much knowledge of oral hygiene were more positive toward their children's oral hygiene.

• 대한소아치과학회지
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• 제31권4호
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• pp.547-554
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• 2004

본 연구는 복합레진에서 치태 생성 에 영향을 주는 표면 거칠기 및 표면 자유에너지를 나타내는 물방울 접촉각을 측정하고, 치태 부착실험을 통해 두 가지 요소가 미치는 영향에 대하여 평가할 목적으로 시행되었다. 4종의 복합레진(Z-100, Filtek supreme, Durafil, Clearfil AP X)을 비연마군과 연마군으로 각각 5개씩 시편을 제작하였다. 표면 거칠기는 표면조도형상 측정기를, 접촉각은 접촉각측정기를 이용하여 각각 측정하였다. 치태부착 실험은, 시편을 배양액을 넣고 Streptococcus mutans Ingbritt을 접종하여 부착된 치태의 양을 측정하여 평가하였다. 1. 표면조도는 연마되지 않은 대조군에서는 (Z1, DF, CA)>FS의 순 연마된 실험군에서는 CA>Z1>(FS, DF)의 순으로 나타났으며, 실험군이 대조군에 비해 높은 표면 조도를 보였다(p<0.05). 2. 접촉각은 대조군에서는 CA>(FS, DF, Z1)의 순, 실험군에서는 (CA, DF)>(FS, Z1)의 순으로 나타났으며, 실험군이 대조군에 비해 낮은 접촉각을 보였다(p<0.05). 3. 치태침착은 대조군에서는 Z1>(DF, FS)>CA의 순, 실험군에서는 Z1>FS> (CA, DF)의 순으로 나타났으며, 실험군이 대조군에 비해 치태 침착이 더 많았다(p<0.05). 4. 치태 부착도에 대해서 표면 조도는 상관성이 없고, 접촉각은 강한 반비례 관계를 보였다(p<0.05). 즉 치태 부착에 대해 접촉각이 표면 조도 보다 더 큰 관련성을 보였다.

• Journal of Microbiology and Biotechnology
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• 제12권6호
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• pp.993-997
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• 2002

A glucanhydrolase (a DXAMase exhibiting both dextranolytic and amylolytic activities) from Lipomyces starkeyi KSM 22 hydrolyzed polysaccharides having ${\alpha}-(1{\rightarrow}3)-,\;{\alpha}(1{\rightarrow}4)-,\;and\;{\alpha}-(1{\rightarrow}6)$-D-glucosidic linkages. The oral hygiene benefits of DXAMase-containing mouthwash were examined in relation to human experimental gingivitis during a 3-week period without brushing. The DXAMase-treated group exhibited a lower increase in plaque accumulation and gingival index score than the chlorhexidine-treated group. The DXAMase-treated group also showed less tongue accumulation, bad taste, and tooth staining, thus indicating a positive role for DXAMase as an antiplaque agent ingredient.

• Journal of Periodontal and Implant Science
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• 제9권1호
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• pp.30.1-30.1
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• 1979

• 대한치과의사협회지
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• 제55권2호
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• pp.180-188
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• 2017

Introduction : Inadequate oral health control is a major risk of oral diseases. Regular home-based care is essential to maintain good oral hygiene. In particular, mouthrinses can support conventional tooth brushing in reducing accumulation of oral plaque. Effect : Antimicrobial mouthrinses are used as part of daily oral care to reduce plaque and gingivitis. Mouthrinses contains fluoride could help remineralization of enamel and dentin. The most common molecules contained in mouthrinses are chlorhexidine, essential oils, cetyl pyridinium chloride, triclosan, hyaluronic acid. Currently, chlorhexidine is the most efficacious compound, with both antiplaque and antibacterial activities. Similar results are reported for essential oils and cetyl pyridinium chloride, although with a somewhat reduced efficacy. Considering the adverse effects of chlorhexidine and its time-related characteristics, this molecule may best be indicated for acute/short term use, while essential oils and cetyl pyridinium chloride may be appropriate for long-term, maintenance treatment. Conclusion and suggestion : Antimicrobial mouthrinses are safe and effective, and when used in conjunction with brushing and flossing, they are an important method of reducing plaque and gingivitis. To improve compliance, dental health care professionals should adapt oral health care recommendations to fit patients' specific needs.

• Journal of Periodontal and Implant Science
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• 제6권1호
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• pp.21.2-21.2
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• 1976