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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
Journal Basic Information
Journal DOI :
Korean Academy of Pediatric Dentistry
Editor in Chief :
Volume & Issues
Volume 32, Issue 4 - Nov 2005
Volume 32, Issue 3 - Aug 2005
Volume 32, Issue 2 - May 2005
Volume 32, Issue 1 - Feb 2005
Selecting the target year
A STUDY OF SHEAR BOND STRENGTH OF ORTHODONTIC BRACKET UNDER BLOOD-CONTAMINATED CONDITIONS
Shin, Ji-Sun ; Kim, Jong-Soo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 191~199
This study was experienced in order to obtain the shear bond strength of orthodontic bracket adhesives under the blood contamination that can be occurred during the procedure of bracket bonding under window opening surgery. As a result of this study, shear bond strength of all glass ionomer groups were lower than resin cement groups. However, the strength of uncontaminated and post-contaminated group of glass ionomer was strong enough to perform an orthodontic forced eruption. This study revealed that during a window opening surgery, glass ionomer without etching procedure is available in order to bond a bracket if surface of teeth is not pre-contaminated by blood before the adhesive application. Both simple procedure and less adhesives remnant after bonding failure could make light-cured glass ionomer cement the ultimate choice for racket bonding.
DENTAL MANAGEMENT OF CEMENTO-OSSIFYING FIBROMA: A CASE REPORT
Han, Ji-Hye ; Baik, Byeong-Ju ; Yang, Yeon-Mi ; Lee, Sun-Young ; Kim, Jae-Gon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 200~206
Cemento-ossifying fibroma of the jaws is well circumscribed, generally slow-growing, benign lesions which enlarge in an expansile manner. Clinically it presents as a slowly enlarging lesion commonly in the premolar-molar area of the mandible and only occasionally in the maxilla and other locations. It occurs twice as often in females and primarily in the 20 to 30 year age group. Differential diagnosis should be peformed, preferably with other fibro-osseous lesions such as fibrous dysplasia. A faster growing and more destructive variant of cemento-ossifying fibroma sometimes occurs in patients under age 15 and is termed juvenile (aggressive) ossifying fibroma. Treatment is surgical removal with the extent depending on the size and location of the individual lesion. Recurrence is considered rare. A case involving a 12-year-old male patient with delayed eruption of right mandibular canine is discussed. Following an incisional biopsy, the histopathologic diagnosis established was cemento-ossifying fibroma. After the surgical enucleation of the lesion, no sign of recurrence was detected.
PREVALENCE OF STREPTOCOCCUS MUTANS AND STREPTOCOCCUS SOBRINUS IN CHILDREN UNDER 6 YEARS OF AGE
Ahn, Seung-Tae ; Park, Jae-Hong ; Lee, Keung-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 207~216
Mutans streptococci have been reported to be implicated in dental caries. Of these streptococcal species, Streptococcus mutans and Streptococcus sobrinus are most commonly found in human dental caries. Prevalence of these bacterial species in dental caries is found to be varied in different races and countries. Therefore, importance of these bacteria in dental caries remains to be determined. The present study was peformed to detect S. mutans and S. sobrinus in 52 Korean children with dental caries between 2 to 6 years of age. For the study, plaque samples were collected from caries-active(CA) and caries-free(CF) teeth of each subject. DNA was extracted from the plaques and amplified by polymerase chain reaction(PCR) using primers corresponding to dex and gtf genes. The results obtained from the study were as follows: 1. Of 52 children, 37 children (71.2%) were found to harbor S. mutans and/or S. sobrinus. 2. Of the MS-infected 37 children, 3 children (5.8%) harbored S. mutans and/or S. sobrinus in the CF plaques only, 22 children (42.3%) in the CA plaques only and 12 children (23.1%) in both CF and CA plaques. 3. S mutans and/or S. sobrinus were detected in 34 CA plaques (65.4%), while 15 in CF plaques (28.8%) 4. In the case of CF plaques, 8 plaques (15.4%) were observed to harbor S. mutans only, 6 plaques (11.5%) to harbor S. sobrinus only and 1 plaque (1.9%) to harbor both species. 5. Of CA plaques, 24 plaques (46.2%) were detected to have S. mutans only, 2 plaques (3.8%) to have S. sobrinus only and 8 plaques (15.4%) to have both species. 6. In comparison with the efficiency of two different primers for PCR, it was found that the primer based on gtf gene was more effective in detecting S. mutans, while the primer corresponding to dex gene was better for S. sobrinus. Overall results suggest that MS appears to be important in dental caries of the Korean children, and S. mutans is more closely associated with than dental caries as compared to S. sobrinus.
UNERUPTED PRIMARY MOLARS
Kang, Sun-Hee ; Yang, Young-Sook ; Lee, Kwang-Hee ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 217~223
The term 'impaction teeth' is used to designate a tooth which remains unerupted in jaw beyond the time at which it should normally be erupted. Most cases of impacted teeth reported in the literature are permanent teeth. The impaction of primary teeth occur rarely whereas impaction of second primary molars is more numerous than all other impactions. Failure of eruption of primary teeth may cause a number of complications, such as interference with development and eruption of successive permanent teeth, malocclusion, cystic change of tooth follicle. The clinican should consider the various treatment option available (a) No treatment and observation, (b) surgical extraction (c) space regainer. Proper treatment plan should be established after thought consideration of impacted tooth and it's relation with successive permanent tooth.
CASE REPORT : THE DISPLACEMENT OF PERMANENT TOOTH BUDS BY PERIAPICAL LESIONS OF ANTERIOR PRIMARY TEETH
Choi, Sun-Ah ; Lee, Nan-Young ; Lee, Sang-Ho ; Lee, Chang-Seop ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 224~228
The effect of primary tooth infection on permanent teeth was reported by many previous study. It is seen histologic change in the enamel forming organ and in the surrounding sac, thus produce the defect as either hypoplasia or hypocalcification and alter the eruption of the permanent teeth. The periapical inflammation cause permanent tooth displacement in various direction and can be classified into the three categories : rotation, deflection inversion. This study reported case which displacement of succedaneous teeth may be caused by periapical infection of primary dentition and concluded that treatment procedure of infected primary tooth is selected and performed by importance to retain the tooth for space maintain, possibility to successfully restored, evidence of abnormal development of the succedaneous tooth.
TREATMENT OF OPEN BITE BY TONGUE THRUSTING HABIT USING HABIT BREAKING APPLIANCE AND MYOFUNCTIONAL THERAPY
Choi, Ji-Won ; Oh, You-Hyang ; Lee, Chang-Seop ; Lee, Sang-Ho ; Lee, Nan-Young ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 229~235
A problem that affects children's dentitions is the harmful habit which is difficult to treat. Harmful habits for children are such as abnormal swallowing patterns, low/forward tongue rest posture problem, habitual open-lips resting posture, habitual mouth-breathing, excessive digital sucking habit and tongue thrusting. Tongue thrusting habits cause a bit of cranio-facial skeletal changes and a great deal of dental malocclusion such as anterior open bite. Anterior open bite causes masticatory, speech, and esthetic problems in the growing children and difficulties in diagnosis, treatment, and the prediction of its prognosis. The treatments of such abnormal behaviors involve orofacial myofunctional therapy and using of habit breaking appliance. The prognosis is not determined by the presence of severity of oral habit but the skeletal tendency of the patient. Usage of tongue crib resulted in not only the discontinuance of the habit but also improvement in overbite and overbite. This study showed that relatively successful results could be generated by using removable tongue crib and myofunctional therapy in the case of openbite related to tongue thrusting habit.
TREATMENT OF ANTERIOR OPENBITE IN THE GROWING CHILDREN : A CASE REPORT
Yook, Geun-Young ; Choi, Nam-Ki ; Kim, Sun-Mi ; Yang, Kyu-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 236~243
Anterior openbite is defined as the lack of contacts between the functional occluding teeth on vertical line at centric occlusion and classified into functional and skeletal anterior openbite based on its causes and characteristics. In mixed dentition, habit control and the elimination of abnormal perioral muscle function and moving the vertical direction development to the sagittal direction of the mandible by the functional appliance is a goal of treatment. This study presents the effective interception of oral habit by the tongue crib and functional-fixed treatment and treatment response of openbite related to tongue thrust habit.
THE DENIAL MANAGEMENT OF SELF-INFLICTED ORAL MUTILATION
Lee, Sang-Ik ; Kim, Young-Jae ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hahn, Se-Hyun ; Jang, Ki-Taeg ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 244~250
Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.
DEVELOPMENTAL DISTURBANCE OF PERMANENT TOOTH GERMS AFTER RADIOTHERAPY : REPORT OF CASE
Kang, Myung-Bong ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taek ; Lee, Sang-Hoon ; Hahn, Se-Hyun ; Kim, Chong-Chul ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 251~255
Radiotherapy for head and neck tumors is a viable treatment modality. However, a wide range of potentially debilitating dental complications may be accompanied by this treatment. We report two cases of developmental disturbance of permanent tooth germs after radiotherapy. The one was that of a seven-year-old girl, who had congenitally missing teeth, and microdontia of permanent tooth germs. she had received radiotherapy for acute myelocytic leukemia at the age of 19 months. The other was that of a nine-year-old boy, in which congenitally missing teeth, microdontia, root hypoplasia, and enamel hypoplasia of permanent teeth were observed. He had undergone a course of radiotherapy for bilateral retinoblastoma at the age of 13 months.
LOCALIZED SCLERODERMA IN A CHILD : CASE REPORT
Kim, Eun-Young ; You, Seung-Hoon ; Kim, Jong-Soo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 256~261
Scleroderma is a connective tissue disease of unknown etiology, but known as a kind of auto-immune disease. It is most common in women especially in
years, and very rare in childhood. It can be classified into two main classes : localized scleroderma & systemic sclerosis. Localized type has better prognosis, and usually involves skin only, or in some cases, the muscle below, except inner organs. Systemic type involves skin, oral mucosa and major internal organs. Involving facial skin, we can see small and sharp nose, expressionless stare and narrow oral aperture. Usually they have Raynaud's phenomenon, and in progress, show mouth opening limitation and sclerosis of tongue and gingiva. It is called CREST syndrome showing calcinosis cutis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangioectasia. Treatment of scleroderma is systemic and localized steroid therapy, use of collagen-link inhibitor (D-penicillamine), immune depressor and etc. Mouth opening limitation can be improved by mouth stretching exercise. We report a 6 years old boy, diagnosed with localized scleroderma who had mouth opening limitation. We could get additional mouth opening, and have done successful restorative treatment of mandibular and maxillary 1st and 2nd deciduous molar under deep sedation with nitrous oxide and enflurane.
A COMPARATIVE STUDY OF CHLORAL HYDRATE/HYDROXYZINE VERSUS MIDAZOLAM/MEPERIDINE AS ORAL CONSCIOUS SEDATIVE REGIMENS
Kim, Yong-Heon ; Kim, Ji-Yeon ; Park, Ki-Tae ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 262~269
The purpose of this study was to compare the efficacy and complications of two oral sedative regimens, chloral hydrate (60mg/kg)/hydroxyzine(25mg) versus midazolam(1mg/kg)/meperidine(1mg/kg) for the sedation of pediatric dental patients. Fifteen patients(mean age 36.2months, range 24-47months), ASA Class I or II, who needed at least two restorative dental procedures were selected in this double-blind, randomized study. All subjects were randomly assigned to receive either chloral hydrate/hydroxyzine or midazolam/meperidine and 50%
was administered at each appointment. Behavior assessment(sleep, movement, crying, overall behavior) was made using Houpt Sedation Rating Scale and physiologic parameters(pulse rate, oxygen saturation) were monitored using pulse oximeter. The incidence of hypoxia(
90% or less, at least 10s duration) and vomiting was recorded. Patients sedated with chloral hydrate/hydroxyzine showed significantly better overall behavior score than patients sedated with midazolam/meperidine. There was no clinically significant difference in the incidence of hypoxia and vomiting. It was concluded that oral administration of chloral hydrate/hydroxyzine is more effective than midazolam/meperidine for the sedation of pediatric dental patients.
THE PALATAL MORPHOLOGY OF THE CHILDREN WITH CLASS II DIV.1 MALOCCLUSION IN MIXED DENTITION : A STUDY USING THREE-DIMENSIONAL LASER SCANNER
Yang, Jung-Hyun ; Lee, Sang-Hoon ; Hahn, Se-Hyun ; Kim, Chong-Chul ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 270~277
The purpose of this study was to clarify the palatal volume and anterior palatal slope of the children with class II div.1 malocclusion and normal occlusion in mixed dentition(Hellman dental age III A) using three-dimensional laser scanner. Samples were consisted of 31 children with skeletal class II div.1 malocclusion in mixed dentition and 29 children with normal occlusion and profile among the contestants in 2000-2004 Healthy Dentition Contest in Seoul. Totally 60 maxillary study model were taken. Each cast was scanned by three-dimensional laser scanner (Breuckmann opto-TOP HE, INUS, Korea) and shaped into the three-dimension image by Rapidform 2004 program(INUS, Korea). And the palatal volume and anterior palatal slope of each cast were calculated by Rapidform 2004 program(INUS, Korea). The values were statistically compared and evaluated by independent samples t-test with 95% of significance level. The results were as follows: 1. Palatal volume was significantly lesser in children with class II div.1 malocclusion than that of normal occlusion in mixed dentition(p<0.05). 2. No significant difference in the anterior palatal slope and palatal height was found between the children with class II div.1 malocclusion and normal occlusion in mixed dentition(p>0.05). 3. Palatal length was significantly greater in children with class II div.1 malocclusion than that of normal occlusion in mixed dentition(p<0.01). 4. Intercanine and intermolar width were significantly lesser in children with class II div.1 malocclusion than those of normal occlusion in mixed dentition(respectively p<0.05 and p<0.01).
IMPACTION OF MANDIBULAR CANINES
Jung, Young-Jung ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 278~283
Impaction of mandibular canine is not common, and transmigration of mandibular canine is rare. Treatment of impacted canine can be removal of physical obstacle and periodic observation, surgical exposure of impacted tooth and orthodontic traction, autotransplantation, surgical extraction. Management of impacted canine depends on existence of physical obstacle, position and direction of impacted tooth, space available for canine eruption, stage of root development. Of the two case in this report, one case involved impaction of lower canine with odontoma and dentigerous cyst that is treated by surgical exposure and orthodontic traction. The other case involved transmigration of lower canine with supernumerary teeth. It was thought difficult to treat only by orthodontic treatment, so the impacted canine was transplanted to its normal position and orthodontic treatment was conducted.
A STUDY OF MONOMER RELEASE FROM PIT AND FISSURE SEALANTS ACCORDING TO VARIOUS LIGHT SOURCES
Seo, Hyun-Woo ; Park, Ho-Won ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 284~292
The aim of this study was to identify and quantify the major or detectable monomers released from any of five commercially-available, light-cured pit and fissure sealants with three different light sources : conventional halogen light curing unit, plasma arc light curing unit and LED curing unit. After curing, specimens were immediately immersed in distilled water for different time intervals. The time related release of monomers were analyzed by high performance liquid chromatography(HPLC). Identification and quantitative analysis of monomers were performed by the comparison of the elution time and the absorption peak height of the eluates with those of the authentic sample. The result of this study can be summarized as follows. 1. Standard solution peaks with retention times of 2.3, 3.2, 5.6, 6.5, 10.4 minutes were identified as BPA, TEGDMA, UDMA, Bis-GMA, Bis-DMA, respectively. 2. None of the chromatograms of the tested sealants displayed peaks with the same retention time as that of the standard solution, except for TEGDMA. 3. The highest release rate of TEGDMA was observed during the 12hr period for all samples and declined thereafter. 4. The elution of TEGDMA from curing with Halogen curing unit for 20 second and LED for 10 second was less than that resulting from curing with Plasma arc for 3 second. 5. TEGDMA was detected at much lower levels in eluates from the Pit & Fissure
than other sealants. The elution of TEGDMA from the
F cured with Halogen light curing unit, the
cured with Plasma arc curing unit and the
F-1 cured with LED curing unit were higher than other sealants.
THE STUDY ON SHEAR BOND STRENGTH OF VARIOUS DENTIN BONDING SYSTEMS IN PRIMARY DENTIN
Kang, Sun-Hee ; Lee, Kwang-Hee ; Kim, Dae-Eup ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 293~299
It is important to reduce chair time and procedure in restorative treatment for children. Composite resin is not only used in esthetic restoration of anterior teeth but also posterior teeth by its improved physical property. The 7th generation dentin bonding system was recently developed in order to simplify three steps which is needed to bond composite resin to tooth surface-etchant, primer, adhesive. We compared shear bond strengths of 4, 5, 6, 7th generations dentin bonding systems. The primary dentin was pretreated with 4, 5, 6, 7th generation dentin bonding systems. Then composite resin was cured to the specimen using molds 2.5mm in diameter and 2mm in height. Thermocycling was performed and shear bond strength was finally measured. The results were as follow; 1. The mean values of shear bond strengths in 5th generation dentin bonding system(group 2) were greater than those of 4, 6, 7th generation dentin bonding system(group 1, 3, 4). The differences were statistically significant. 2. The mean values of shear bond strengths in 4th generation dentin bonding system(group 2) were greater than those of 6, 7th generation dentin bonding system(group 1, 3, 4). But, the differences were not statistically significant. 3. Between the mean values of shear bond strengths in 6, 7th generation dentin bonding system(group 3, 4) were similar.
A STUDY ON THE CURRENT TRENDS OF BIRTH RATE IN KOREA
Lee, Moon-Young ; Kim, Jae-Moon ; Park, Soo-Jin ; Jeong, Tae-Sung ; Kim, Shin ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 300~305
As the current level of birth rate of Korea has dramatically declined, it is obvious that pediatric dentistry will also be affected by this change. This study was performed for the purpose of understanding on the current fertility levels of Korea. The formal data on the number of live births(NLB), crude birth rate(CBR), and total fertility rate(TFR) published annually from the National Statistical Office of Korea from 1992 to 2000 were used as materials for this study. The TFR values from 1990 to 2002 of Korea were compared with those of some western countries with similar history of decreased birth and the CBR values of the metropolitan cities and the capital city Seoul in 2003 were compared domestically, yielding to results as follows. 1. Recent birth rate of Korea was decreased continuously. NLB was about 490,000 CBR was 10.2 and TFR was 1.19. 2. TFR of Korea in 2002 was 1.17, the lowest in the world. 3. There was a large difference in the NLB and CBR between local prefectures and towns of Seoul domestically. Additional population studies and medico-economical studies to exactly predict the demands of pediatric dentistry and proper supplies of manpower in the future was thought urgently required.
PREVENTION OF SELF-MUTILATION IN PATIENT WITH LESCH-NYHAN SYNDROME: A CASE REPORT
Lee, Ji-Hyun ; Kim, Ji-Hoon ; Kim, Jae-Moon ; Kim, Shin ; Jeong, Tae-Sung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 306~311
Lesch-Nyhan syndrome is a rare disorder of purine metabolism, first described in 1964. The incidence is estimated to be 1:100,000 birth. It is an X-linked recessive disorder in which affected males have a virtually complete deficiency of the enzyme hypoxanthine guanine phosphorybosyl transferase(HGPT). This enzyme deficiency gives rise to excessive uric acid production and consequent hyperuricemia. Lesch-Nyhan syndrome is clinically characterized by mental retardation, choreoathetosis, spastic cerebral palsy, and severe self-mutilation behavior. Patient with Lesch-Nyhan syndrome mostly bite their lip, tongue and finger. In severe cases, partial or total amputation of the lip and tongue is common. Self-inflicted bites are often further complicated by secondary infection to injuried site as well as pain. And tissue loss by biting results in esthetic problems. This report presents a Lesch-Nyhan syndrome patient with self-mutilation, who have a destruction of perioral tissue, especially the lower lip. He was treated successfully with soft mouthguard, psychological and pharmacological method.
INFLUENCE OF IRRADIATION MODES ON THE MICROHARDNESS AND THE POLYMERIZATION CONTRACTION OF COMPOSITE RESIN POLYMERIZED WITH LED CURING UNIT
Park, In-Ho ; Oh, You-Hyang ; Lee, Nan-Young ; Lee, Chang-Seop ; Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 312~320
The purpose of this study was to evaluate the polymerization contraction and the microhardness of compostie resin(
, 3M-ESPE, USA) according to irradiation modes of LED curing unit(Elipar
, 3M-ESPE, USA). The strain guage method was used for determination of polymerization contraction. Sample were divided by 6 groups according to curing modes and filling method. Group A:
lining, 10seconds curing, Group B:
lining, 15seconds curing, Group C:
lining, 15seconds soft start curing, Group D:
only, 10seconds curing, Group E:
only, 15seconds curing, Group F:
only, 15seconds soft start curing. Preparations of acrylic molds were followed by filling and curing. Strain guage attached to each sample were connected to a strainmeter. Measurements were recorded at each second for the total of 10 minutes including the periods of light application. And microhardness of each group after 24hours from light irradiation were measured. Obtained data were analyzed statistically using Repeated measures ANOVA and Tukey test. The results of the present study are as follows: 1. In flowable resin liner group, soft start curing group was not found decrease of polymerization contraction. But, In Supreme only filling group, the lowest polymeriation contraction was found in soft start curing group. 2. 10 seconds curing group showed statistically significant reduction of polymerization contraction compared with 15 seconds curing group(p<0.05). 3. The microhardness values of each group not revealed significant difference(p>0.05). But, lower surface microhardness was not reached 80% of upper surface microhardness.
ULTRA-STRUCTURE AND ACID ETCHING CHARACTERISTICS OF OCCLUSAL FISSURE ENAMEL
Cho, Tae-Sik ; Yoon, Jeong-Hoon ; Kim, Su-Gwan ; Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 321~331
The purpose of this study was to compare the effectiveness of mechanical and acid treatment on enamel surfaces for the retention of pit and fissure sealants and evaluate the presence of a prismless layer. The etch pattern produced on enamel from immature and mature premolar teeth extracted with varying period of acid etching using 37% phosphoric acid was examined using a scanning electron microscope(SEM). The composition of each groups was evaluated using an energy dispersive x-ray(EDX) spectroscopy. The result of present study can be summarized as follows: 1. Prismless layer was commonly observed on the fissure enamel in young and mature premolar. 2. There were no differences in micro-structure and etching pattern on fissure enamel between the young and the mature premolar. 3. The most effective etching pattern for retention of pit and fissure sealant was observed in 60 seconds of etching time and no apparent difference of etching pattern was found among 15, 30, and 45 seconds of etching time which showed non-retentive etching patterns. 4. The etching pattern obtained by grinding enamel surface with bur followed by 60 seconds of etching was similar to that of 60 seconds of etching without any pretreatment of fissure surface. 5. Type 2 etching pattern was commonly found on fissure enamel in both young and mature premolar. 6. The calcium content and P/Ca ratio in fissure enamel between the young and the mature premolar were significantly different(P<0.05). But content of calcium, phosphate and P/Ca ratio on various regions of fissure enamel in both young and mature premolar did not showed any difference. Based on these results, prismless layer may negatively influence the retention of pit and fissure sealants. Therefore, the mechanical removal of the prismless layer by grinding prior to etching or by prolonged etching time of enamel within the fissure system should result in an improved bonding of a pit and fissure sealant.
EFFECT OF SOFT-START LIGHT CURING ON THE POLYMERIZATION AND THE CONTRACTION STRESS OF COMPOSITE RESIN
Wee, You-Min ; Oh, You-Hyang ; Lee, Nan-Young ; Lee, Chang-Seop ; Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 332~343
The purpose of this study was to evaluate the influence of soft-start light curing on contraction stress and hardness of composite resin. Composite resin mold was cured using the one-step continuous curing method with three difference light sources; conventional halogen light curing for 40 seconds at
, plasma arc light curing for 6 seconds at
and LED light curing for 10 seconds at
. For the soft-start curing method ; 2 seconds light exposure at
followed by 3 seconds at
and exponential increase with 5 seconds followed by 10 seconds at
were used. Contraction stress was measured using strain gauge method and Vickers hardness was measured 24 hours after polymerization at the top and bottom of specimens. Resin-acrylic interfaces were observed using a scanning electron microscope(SEM). The results of present study can be summarized as follows: 1. Contraction stresses at 10 min after polymerization were significantly reduced with the soft-start curing both in plasma and LED light sources(P<0.05). 2. Plasma light curing with soft-start resulted in not only the lowest contraction stress, but also the lowest hardness(P<0.05) 3. LED light curing with soft-start showed lower contraction stress than the one-step continuous halogen and LED light curing(P<0.05). 4. Microhardness of specimens cured by LED light with soft-start was equivalent to that of cured by the one-step continuous halogen and LED light(P>0.05). 5. Curing by LED light with soft-start and conventional halogen light resulted in better marginal sealing than plasma light and one-step LED light curing.
ISOLATION AND IDENTIFICATION OF LACTOBACILLUS SALIVARIUS INHIBITING THE FORMATION OF ARTIFICIAL PLAQUE AND THE PRODUCTION OF VOLATILE SULFUR COMPOUNDS
Kim, Mi-Hyung ; Choi, Nam-Ki ; Kim, Seon-Mi ; Oh, Jung-Suk ; Yang, Kyu-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 344~356
There are normal inhabitants doing medically useful functions in the body. There are many kinds of bacteria performing specific functions in the oral cavity. Two strains of lactic acid bacteria were isolated from inhabitants of caries-free children's oral cavity, which inhibited the formation of artificial plaque by Streptococcus mutans and the production of volatile sulfur compounds by anaerobic bacteria. The isolates were identified by the test using API 50 CHL medium kit and 16S rDNA partial sequencing. 1. Two isolates were Gram-positive bacilli and produced hydrogen peroxide. 2. When Streptococcus mutans was cultured in the media, the mean weight of formed artificial plaque on the orthodontic wires was
, whereas being reduced to
in the media cultured with Streptococcus mutans and each isolate, respectively (p<0.05) 3. The number of viable cells of Streptococcus mutans was
per ml in the cultured solution, whereas those of Streptococcus mutans in the combined culture with each of isolates were
per ml. 4. The optical density was 1.286 in the supernatant of Fusobacterium nucleatum after vortexing for 30minutes, whereas in the supernatant of combined Fusobacterium nucleatum and each isolate, they were reduced to 0.628 and 0.497, which the percentages of coaggregation between them were 29.4% and 57.8%, respectively 5. The optical density of Fusobacterium nucleatum precipitate was 1.794 in the culture media containing cysteine and
, being reduced to 1.144 and 0.915 in the coaggregated precipitates of Fusobacterium nucleatum and each isolate. The optical density of Porphyromonas gingivalis precipitate was 1.932 in the culture media, being reduced to 1.170 and 1.266 in the coaggregated precipitates of Porphyromonas gingivalis and each isolate. 6. When two isolates were tested with API 50 CHL medium kit, those were identified Lactobaciallius salivarius and Lactobaciallius delbrueckii subsp. lactis. 7. The similarity values of 16S rDNA sequence between each of isolates and Lactobaciallius salivarius subsp. salicinius were 99.60% and 99.73%, respectively, meaning that isolates were Lactobaciallius salivarius subsp. salicinius. These results indicated that two strains isolated from caries-free children's saliva, which inhibited the formation of artificial plaque and the production of volatile sulfur compounds, were identified as Lactobaciallius salivarius subsp. salicinius.
IDENTIFICATION OF THE AG I/II AND GTFD GENES FROM STREPTOCOCCUS MUTANS GS-5
Jeong, Jin-Woo ; Baik, Byeong-Ju ; Yang, Yeon-Mi ; Seo, Jeong-Ah ; Kim, Jae-Gon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 357~369
Streptococci are Gram-positive, facultative anaerobes and have no catalase activities. Among mutans streptococci containing
hemolytic activity, S. mutans is a causative agent for dental caries. As well as acid production yielding the demineralization of tooth enamel, adherence and colonization of S. mutans to the teeth are also important for its virulence. These early colonization are accomplished by the bacterial fibrillar protein, Antigen I/II (Ag I/II) and glucosyltransferase (GTF). Therefore, Ag I/II and GTF are reasonable targets for the development of vaccine against S. mutans GS-5. The ag I/II and gtfD genes from S. mutans GS-5 were cloned and sequenced. Sequence analyses showed the nucleotides sequence of cloned genes had high homology to the sequences previously reported. The sequence alignment of 280 nucleotides between the cloned Ag I/II and the available sequence of the corresponding S. mutans GS-5 showed the perfect match. Comparing with the sequence of gtfD from S. mutans UA159, the corresponding nucleotide sequence of S. mutans GS-5 showed some mismatches and the mismatches introduced changes in four residues out of 105 amino acids, yielding four missense mutations.
RELATIONSHIP OF DENTAL ANXIETY BETWEEN CHILD AND PARENT DURING DENTAL VISIT
Kim, Sung-Hee ; Kim, Jae-Gon ; Yang, Yeon-Mi ; Kwon, Byoung-Woo ; Baik, Byeong-Ju ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 32, issue 2, 2005, Pages 370~376
In children, dental anxiety of dental treatment has been recognized as a source of problems in patient man agement for many years. Dental anxiety can be causes of negative cooperation, cancel and avoid of dental treatment. Therefore, dentist and dental team should recognize of child's dental anxiety as early as possible and manage appropriately. In previous studies, it is reported that parental dental anxiety affect dental anxiety and cooperation of their child. And it is parental decision which results in a child's visit to the dentist, rather than a child's decision in most cases. Therefore, it is important to identify the relationship of dental anxiety between child and parent. We estimated child's dental anxiety before dental treatment using Venham Picture Scale that is useful even a very young child and parental dental anxiety using Corah's dental anxiety scale. Then, two values above were compared. Child's cooperation, temperament, sex, age, parental education were estimated and compared with dental anxiety, too. The results were as follows: 1. There are positive relationship of dental anxiety between child and parent with the correlation analysis(P<0.02). 2. There are negative relationship of child's dental anxiety and child's cooperation with the correlation and regression analysis(P<0.001). 3. Low anxiety group has lower mean value of four temperament item with the Student's t-test. But, there is no statistical differences(P>0.1). 4. Girl and younger group have higher mean value of dental anxiety than boy and older group with the Student's t-test(P<0.001). 5. Low educated parents have higher mean value of dental anxiety than high educated parents with the Student's t-test(P>0.1).