Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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THE REMINERALIZING FEATURES OF PH 5.5 SOLUTIONS OF DIFFERENT DECREE OF SATURATIONS ON ARTIFICIALLY DEMINERALIZED ENAMEL

pH 5.5에서 재광화 용액의 포화도 변화가 인공 탈회된 법랑질의 재광화에 미치는 영향

  • Kwak, Young-Jun (Department of Conservative Dentistry, Yonsei University) ;
  • Kim, Eui-Seoug (Department of Conservative Dentistry, Yonsei University) ;
  • Park, Sung-Ho (Department of Conservative Dentistry, Yonsei University) ;
  • Gong, Hyung-Kyu (Department of Conservative Dentistry, Yonsei University) ;
  • Lee, Yoon (Department of Conservative Dentistry, Yonsei University) ;
  • Lee, Chan-Young (Department of Conservative Dentistry, Yonsei University)
  • 곽영준 (연세대학교 치과대학 치과보존학교실) ;
  • 김의성 (연세대학교 치과대학 치과보존학교실) ;
  • 박성호 (연세대학교 치과대학 치과보존학교실) ;
  • 공형규 (연세대학교 치과대학 치과보존학교실) ;
  • 이윤 (연세대학교 치과대학 치과보존학교실) ;
  • 이찬영 (연세대학교 치과대학 치과보존학교실)
  • Published : 2008.09.30
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Abstract

The purpose of this study is to observe and compare the remineralization tendencies of artificially demineralized enamel by remineralization solutions of different degree of saturations at pH 5.5, using a polarizing microscope and computer programs (Photoshop, Image pro plus, Scion Image, Excel). For this study, 36 sound permanent teeth with no signs of demineralization, cracks, or dental restorations were used. The specimens were immersed in lactic acid demineralization solution for 3 days in order to produce dental caries artificially that consist of surface and subsurface lesions. Each of 9 or 10 specimens was immersed in pH 5.5 lactic acid buffered remineralization solution of three different degrees of saturation (0.25, 0.30, 0.35) for 12 days. After the demineralization and remineralization, images were taken by a polarizing microscope $({\times}100)$. The results were obtained by observing images of the specimens, and using computer programs, the density of caries lesions were determined. In conclusion, in the group with the lowest degree of saturation, remineralization occurred thoroughly from the surface to the subsurface lesion, whereas in the groups with greater degree of saturation showed no significant change in the subsurface lesion, although there was corresponding increase in the remineralization width on the surface zones.

초기 법랑질 우식의 경우 주위의 pH, 유기산의 종류 및 농도, 치아의 무기질 및 유기질의 화학적 조성, 불소의 농도, 용액의 포화도 등에 의해 영향을 받는다고 하였다. 본 연구에서는 lactic acid를 이용하여 법랑질을 인공 탈회시키고, pH 5.5인 포화도가 다른 세 가지 재광화 용액 (포화도: 0.25, 0.30, 0.35)으로 12일간 처리한 후, 편광 현미경에서 얻은 상에서 탈회 깊이의 변화, 우식 표면층 폭의 변화 무기질의 양적 변화를 Photoshop. Image pro plus, Scion Image, Excel을 이용하여 비교, 분석하였다. 1. pH 5.5에서 재광화 용액의 포화도가 증가할수록 우식 표면층의 폭은 증가하였다. 2. pH 5.5에서 1군의 경우 우식 부위에 전반적으로 재광화가 일어났으나, 3군의 경우 우식 표면층에서만 재광화의 양상이 뚜렷하게 나타났고, 3군에서는 1군과 3군의 중간적인 양상이 나타났다. 한편, 3군의 경우 1, 2군보다 우식 표면층의 폭이 유의하게 증가하였다. 결론적으로 본 실험의 조건에서 포화도가 가장 낮았던 군에서는 우식 표면층에서 우식 심부까지 전반적으로 재광화가 일어난 반면, 포화도가 높아질수록 우식 표면층의 폭은 증가하였으나 우식 심부에서는 큰 변화를 보이지 않는 양상이 나타났다.

Keywords

References

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