• 치위생과학회지
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• 제14권4호
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• pp.589-596
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• 2014

본 연구는 치면열구전색 하방의 우식이 이차우식에 미치는 영향을 평가하기 위해 DIAGNOdent를 이용하여 소구치 및 대구치 교합면 446부위를 4개의 군으로 분류하였고 상방에 치면열구전색을 시행한 뒤 이차우식을 유발시켜 DIAGNO dent로 재측정하였다. 또한 치과 업무 관련 종사자들을 대상으로 치면열구전색에 대한 인식도 및 실태를 조사하여 다음과 같은 결과를 얻었다. 시진 및 탐침 시 법랑질우식군에서 치면열구전색 후 이차우식이 가장 높게 나타났으며 초기우식군, 착색군, 건전부위군 순으로 통계적으로 유의한 차이를 보였다(p<0.05). 치면열구전색 전 치아우식증 진단 방법으로는 시진이 가장 높은 비율로 나타났다. 레이저 우식진단기에 대해 56.6%가 모르는 것으로 나타났으며, 91.6%가 보유하지 않은 것으로 나타났다. 치면열구전색 후 이차우식 발생의 원인은 치면열구전색제가 깨져서 하방에 우식이 생긴 경우가 가장 많았다. 이상의 결과를 종합하면, 치면열구전색 하방의 우식이 전색 후 이차우식 유발에 영향을 미치는 것으로 나타났다. 따라서 치면열구전색 후 이차우식을 예방하기 위해서는 열구 내 우식 정도를 정확하게 진단 평가하는 것이 중요하며, 보다 객관적으로 진단할 수 있는 우식 진단기기의 사용에 대한 교육 및 홍보가 필요할 것으로 생각된다.

• 치과방사선
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• 제29권1호
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• pp.275-282
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• 1999

Purpose: The objective of this study was to compare clinical examination of dental caries and secondary caries with panoramic examination. and to examine bone lesions and dental anomaly of unerupted state. Materials and Methods: In this study. clinical records and panoramic radiographs were available for 89 first grade students in elementary school. Dental caries of occlusal surfaces. proximal surfaces. and buccolingual surfaces were examined. Secondary caries was examined too. In addition. the central lesion and dental anomaly of unerupted state were examined in panoramic radiographs. Results: The obtained results were as followed: 1. Carious detectability of clinical examination in occlusal and buccolingual surface was higher than that of panoramic examination. but it is statistically insignificant(p>0.05). In proximal surface. carious detect ability of panoramic examination was higher than that of clinical examination. and it is statistically significant(p<0.01). 2. In contrast to clinical examination only. when the two examination methods were combined. there was additional detection of dental caries(26.7％ in occlusal surface. 48.2％ in proximal surface. 33.3％ in buccolingual surface. and 38.3％ totally). 3. In detection of secondary caries. panoramic examination had lower ability than clinical examination in all three surfaces. but in case that both methods were combined. totally 36.0％ extra carious lesions were detected. 4. In panoramic examination. detectability of secondary caries in upper teeth is lower than lower teeth. 5. In panoramic examination. it was possible to detect the central lesions and dental anomalies of unerupted state which cannot be detected in clinical examination. Conclusion: It is useful to combine the panoramic examination with clinical examination in order to increase carious detectability and to evaluate the central lesions and dental anomalies of unerupted state

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.206-213
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• 1992

The aim of this study was to compare the accuracy of radiographic diagnosis of secondary carious lesions adjacent to composite filling materials with different radiopacity. The level of radiopacity that is most compatible with the radiographic diagnosis of secondary caries was studied in a two part experiment. In the first part, the radiopacity of 6 posterior composites CBP, CF, HM, LF, PQ, P50), enamel and dentin were measured by desitometer and 6 posterior composites divided into 3 groups based on their level of radiopacity compared with enamel and dentin. In the seocnd part, class II composite fillings with or without secondary caries were made in extracted premolar and radiographs of the teeth were examined by 10 dentists to diagnose simulated carious lesion. The following results were obtained: 1. The radiopacity of 6 posterior composites varied between 1.76(PQ) and 6.78(P50)mm Al equivalent. 2. For 4 composites the radiopacity exeeded that of an equal thickness of enamel, and for two the radiopacity was lower than that of dentin. 3. The detection of secondary caries was facillitated when the radiopacity of a composite resin was similar to or slightly greater than that of enamel.

• 대한치과의사협회지
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• 제10권8호
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• pp.503-507
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• 1972

Authors had observed the average numbers of the fille teeth per mouth, and the occurrence rates of the secondary caries around the various forms of the filling bodies in 2,093 dental out-patients in the Infirmary, College of Dentistry, Seoul National University in 1970, in order to make a basic data considered in the establishment of the policy for the dental health in Korea. The obtained results were as follows: 1. In Korea, the average number of the filled teeth per mouth in the dental out patients had been increased gradually. 2. In the dental out-patients in 1970, the relative rate of amalgam filling bodies had been decreased, but the relative rate of gold inlays increased compared with the dental out-patients in 1963 and 1964. 3. The secondary caries around the various forms of the filling bodies was 6.38 percent of total caries cavities. 4. 17.14 percent of total filling bodies was accompanied with the secondary caries. 5. The secondary caries had been occurred from the margin in 22.52 percent of amalgam filling bodies, in 8.84 percent of gold inlays, in 18.84 percent of silicate filling bodies, and in 22010 percent of temporary filling bodies.

• Imaging Science in Dentistry
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• 제41권4호
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• pp.143-150
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• 2011

Purpose : The aim of this study was to compare the diagnostic accuracy of cone-beam computed tomography (CBCT) images and bitewing images in detection of secondary caries. Materials and Methods : One hundred and twenty proximal slots of Class II cavities were randomly prepared on human premolar and molar teeth, and restored with amalgam (n=60) and composite resin (n=60). Then, artificial secondary caries lesions were randomly created using round steel No. 4 bur. The teeth were radiographed with a conventional bitewing technique and two CBCT systems; Pax-500ECT and Promax 3D. All images were evaluated by five observers. The area under the receiver operating characteristic (ROC) curve ($A_z$) was used to evaluate the diagnostic accuracy. Significant difference was tested using the Friedman test (p value<0.05). Results : The mean $A_z$ values for bitewing, Pax-500ECT, and Promax 3D imaging systems were 0.882, 0.995, and 0.978, respectively. Significant differences were found between the two CBCT systems and film (p=0.007). For CBCT systems, the axial plane showed the greatest $A_z$ value. Conclusion : Based on the design of this study, CBCT images were better than bitewing radiographs in detection of secondary caries.

• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.122-132
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• 1993

The aim of this study was to investigate the level of radiopacity of glass ionomer cements and to determine the optimum level of radiopacity that is the most compatible with the radiographic diagnosis of secondary caries. The experiments were performed in two parts. In the first part, the radiopacities of 9 glass ionomer cements (FI, FII, FI-LC, FII-LC, SI, SII, Vit, B-VLC, AC) and base materials(Ultra-Blend, Zinc phoaphate cements, Cavitec, Dycal) were measured by densitometer. Then all experimental materials were divided into 5 groups based on the level of radiopacity of enamel and dentin. In the second part, class III cavities with or without secondary caries were prepared in extracted anterior teeth. The representative materials of each group with different radiopacities were inserted into each cavity. The radiographs were interpreted by 15 dentists and seconsary caries were diagnosed according to a five-point confidence rating. Sensitivity and ROC analysis were used to compare observer performance. The following results were obtained : 1. The radipacity of glass ionomer cements varied between 1.111mm Al and 6.011mm Al equivalent. 2. Among experimental materials, three materials in group I had lower radiopacity than that of dentin. The radiopacity of two materials in group II slightly exeeded that of dentin. Three materials in group III had slightly lower radiopacity than that on enamel. The radiopacity of one material in group W was slightly higher than that of enamel. Four materals in group V had the radiopacity that exeeded over 2.0mm AI equivalent to that of enamel. 3. The group IV was the highest for sensitivity and the group V was the highest for ROC area. However, no significant differences were obtained among group II, III, IV and V (P<0.05) but only group I was significantly lower(P<0.01). 4. In comparison with the observer performance for the radiographic diagnosis of secondary caries, the group II, III, IV, and V were superior to the group I (P<0.01). And so the optimum level of radiopacity to detect the secondary caries was the radiopacity that is higher than that of dentin.

• 치위생과학회지
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• 제17권2호
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• pp.116-122
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• 2017

본 연구는 QLF-D를 이용하여 와동 내벽에 형성된 초기 이차우식증을 탐지가 가능한지 평가해보고, 표면에서 관찰한 우식병소와 실제 와동 내벽에 발생한 병소 간에 차이가 있는지 확인해보고자 시행하였으며, 다음과 같은 결과를 얻었다. 시간의 흐름에 따라 시편의 표면에서 관찰되는 이차우식병소가 점점 진행되었다. 수복물 변연의 우식병소 부분이 수복물에 가려지거나 형광에 의해 우식부분을 육안으로 판단하기에 어려운 부분들이 보였으며, 수복물이 있는 경우의 ${\Delta}F$값은 $-14.20{\pm}3.24$, 와동만 있는 경우의 ${\Delta}F$값은 $-11.56{\pm}3.94$ 로 수복물이 있는 경우의 ${\Delta}F$값이 유의하게 높게 나타났다(p<0.001). 또한 수복한 표면에서 측정한 병소의 ${\Delta}F$값은 $-14.20{\pm}3.24$, 횡단면에서 측정한 병소의 ${\Delta}F$값은 $-18.64{\pm}3.75$로 횡단면보다 표면에서 측정한 병소의 ${\Delta}F$값이 약 1.31배 가량 유의하게 크게 나타났으며, correlation은 0.026으로 낮게 나타났다(p<0.001). 하지만 수복하지 않은 표면과 횡단면의 ${\Delta}F$값 간의 correlation값은 0.613으로 높게 나타났다. 이를 통해 QLF-D를 이용하여 표면에서도 이차우식병소의 탐지가 가능하다는 것을 알 수 있었다. 다만, 수복물에 의한 간섭이 있을 수 있고, 병소의 특성상 실제 병소의 심도보다 적게 측정될 수 있으므로 이에 대한 고려를 통한 탐지가 이루어져야 할 것이다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권5호
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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.

• 한국치위생학회지
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• 제16권1호
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• pp.45-52
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• 2016

Objectives: The purpose of the study was to investigate the cumulative dental caries rate of pit and fissure sealant in community public health program from 2005 to 2008 follow-up. Methods: The subjects were 4,768 students of 34 elementary schools in Gimcheon. The survey included direct oral examination and cumulative retention rate of pit and fissure sealant from 2005 to 2008. Data were analyzed using PASW statistical package version 18.0 and the level of significance was set at p<0.05. Results: The cumulative retention rate of sealant was 18%, 25%, and 33% after 1 year, 2 years, and 3 years, respectively. In addition, the cumulative retention rate of lower teeth was higher than that of upper teeth. Cumulative dental caries rate increased in sealed group and no sealed group. The cumulative dental caries rate decreased owing to tooth brushing frequency in sealed group and no sealed group. Conclusions: Regular and timely tooth brushing can maintain good oral health condition after tooth sealing. The school based oral health education can prevent loss of sealant and secondary caries.

• 대한심미치과학회지
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• 제8권1호
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• pp.76-82
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• 1999

Zinc phosphate cement has long been the material of choice for permanent luting of cast restorations, and through many years of use has been considered effective to retain castings. However, cast restorations cemented with this material have been susceptible to secondary caries. Glass ionomer luting agents become available in the late 1970s. These material s, through release of fluoride, show considerable promise as a means of reducing secondary caries. Other favorable traits include significantly less disintegration in vivo than zinc phosphate cements, a film thickness comparable to that of zinc phosphate cement, and adhesion to tooth structure. Compomer materials were created in 1993 as a filling material for deciduous teeth, cervical lesions, and class III cavities. In the meantime, compomer have been developed as chemical hardening cements for cast gold restorations. The aim of this paper is to review the articles on luting cements to help the choice of dental cements.