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불소도포 및 지각과민처치제 적용 후 상아세관 폐쇄효과와 지속력 평가
Occluding Effect of the Application of Fluoride Compounds and Desensitizers on Dentinal Tubules 원문보기

치위생과학회지 = Journal of dental hygiene science, v.16 no.4, 2016년, pp.272 - 283  

이예진 (을지대학교 보건과학대학 치위생학과) ,  정문진 (조선대학교 치과대학 구강조직발생학교실) ,  안용순 (을지대학교 보건과학대학 치위생학과) ,  천수경 (을지대학교 보건과학대학 치위생학과) ,  정순정 (영산대학교 보건의료대학 치위생학과) ,  임도선 (을지대학교 보건과학대학 치위생학과)

초록
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본 연구는 치과병 의원에서 일반적으로 사용되고 있는 불소화합물과 지각과민처치제의 상아세관 폐쇄효과를 비교 분석하고, 전동칫솔질을 시행하여 시간경과에 따른 유효성분의 지속력을 평가하고자 하였다. 발거된 지 3개월 이내의 우식이나 수복, 보철물이 없는 건전한 사람의 대구치 35개를 선택하여 4등분하였고 이 중 135개의 시편을 본 연구에 사용하였다. 이들 시편을 아무런 처치를 하지 않은 대조군과 5개의 실험군으로 구분하였고, 실험군은 산성불화인산염, 불소바니쉬, Gluma, Super Seal, SE-Bond를 선정하여 대상치아에 도포하였다. 이후 1주(140회), 2주(280회), 4주(560회)에 해당하는 전동칫솔질을 시행하였고, 각 시편별 3부위를 주사전자현미경(SEM)으로 상아세관 폐쇄도를 관찰하였다. 그 결과 전동칫솔질 시행 1주, 2주, 4주에서 모두 불소바니쉬 도포군의 상아세관 폐쇄도가 가장 높았으며, 그 다음으로 SE-Bond 도포군이 높게 나타났다. 또한 Gluma 도포군은 다른 실험군에 비해 가장 낮은 상아세관 폐쇄도를 나타냈으며, 칫솔질 시행 4주에서는 Gluma 도포군과 Super Seal 도포군이 다른 실험군에 비해 낮은 상아세관 폐쇄도를 나타냈다. 본 연구를 종합하면, 처치 4주 후에도 불소바니쉬와 SE-Bond는 다른 실험군에 비해 상아세관 폐쇄도가 높은 것으로 나타났다. 따라서 임상에서 지각과민 치료 시 불소바니쉬와 SE-Bond의 사용이 효과적일 것으로 생각된다.

Abstract AI-Helper 아이콘AI-Helper

This study compared and analyzed the occluding effects of fluoride compounds and desensitizers, which are commonly used in dental clinics, on dentinal tubules. This study also evaluated the persistence of the active ingredients over time by performing toothbrushing with an electric toothbrush. Thirt...

주제어

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제안 방법

  • , York, PA, USA) was placed into the Teflon mold, before burying the sample with the cement facing upward. After the resin was set, the surface of the dentin was polished by using a LaboPol-5 grinder polisher (Struers, Copenhagen, Denmak) at 600, 1,200, and 4,000 grits. The prepared dentin sample was deposited in 6% citric acid (DaeJung, Cheongju, Korea) for 90 seconds to penetrate the dentinal tubules.
  • The cemento-enamel junction area of the cleansed tooth was transected by using a diamond wheel disk (Komet; Düsseldorf, Nordrhein- Westfalen, Germany). For this study, the dental root was chosen between the crown and dental root that were produced by the transection. After removing the dental root's bottom half, the remaining dental root was cut vertically and horizontally, and divided into four sections by using a disk bur (Komet).
  • In this study, fluoride compounds and desensitizing agents were applied to dentinal tubules to observe dentinal tubule occlusion. As a result, in the experimental groups, such as the APF group and the fluoride varnish treated group, fluoride deposits were observed to have occluded dentinal tubules.
  • In this study, the occluding effects of fluoride compounds, such as acidulated phosphate fluoride (APF) and fluoride varnish, and desensitizing agents, such as Gluma, Super Seal, and SE-Bond, which are widely used in dental hospitals and clinics, on dentinal tubules were compared and analyzed by using a scanning electron microscope (SEM). Furthermore, the effects of electronic tooth-brushing machines on the materials were evaluated over the course of time.
  • In this study, toothbrushing was conducted over the course of time to evaluate the persistency of the active ingredient.
  • One-way analyses of variance were used to compare the occlusion effects on dentinal tubules at 1, 2, and 4 weeks after the treatment. For multiple comparisons, Scheffé post hoc tests were conducted.
  • Repeated measure ANOVA was used to evaluate the efficiency of the active ingredient at 1, 2, and 4 weeks after the treatment. For multiple comparisons, Scheffé post hoc tests were conducted.
  • Other than the control group, 15 samples were assigned to each experimental group. To reproduce the phenomena developing on the samples through brushing after coating the desensitizing agent, a slim, three-line regular toothbrush (WD237; WEDENT Chiarang, Gimpo, Korea) was put on the base of the electric toothbrush, and horizontal back and forth brushing was conducted for one week (140 times), 2 weeks (280 times), and 4 weeks (560 times), using five samples per week.

대상 데이터

  • Finally, 2×2 mm samples were prepared. A total of 135 samples were selected. Acrylic resin (Dentsply international Inc.
  • The fluoride compounds used in this study included APF (Germiphene, Brantford, ON, Canada) and fluoride varnish (3M, Maplewood, MN, USA), and the desensitizing agents were Gluma (Heraeus Kulzer, Hanau, Germany), Super Seal (Phoenix Dental, Fenton, MO, USA), and SE-Bond (Bisco, Schaumburg, IL, USA) (Table 1).
  • After the resin was set, the surface of the dentin was polished by using a LaboPol-5 grinder polisher (Struers, Copenhagen, Denmak) at 600, 1,200, and 4,000 grits. The prepared dentin sample was deposited in 6% citric acid (DaeJung, Cheongju, Korea) for 90 seconds to penetrate the dentinal tubules. After the sample was exposed to acid, its surface was sufficiently cleansed with distilled water, and then dried at room temperature.
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참고문헌 (34)

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