K대학 여대생을 대상으로 한 치아우식활성검사 비교조사 연구

최은미,송윤신,장희경,최정이 경복대학 2002 京福論叢 Vol.6 No.-

본 연구는 치아우식증 발생요인 중 타액요인을 집중적으로 분석하고자 타액분비율, 타액점조도, 타액완충능, 스나이더, 구강내 포도당잔류검사를 조사하였으며, 특히 20내 남성의 치아우식증 발생요인에 대한 연구자료와 타액분비율과 타액내 pH 변화에 대한 조사 및 스나이더검사 간의 임상적 비교 조사 등의 연구를 통하여 자료를 비교 분석할 수 있었다. 또한 구강내 포도당잔류검사를 조사한 결과 등 수종의 실험연구의 경험적 연구 결과를 가지고, 한국의 여대생들과 상호관계를 비교 분석하고자 하였다. 본 연구의 조사대상은 여대생 160명을 대상으로 하였으며, 수집된 자료는 빈도, 백분율 분석으로 유의성을 검증하였다. 본 연구에서 조사된 결과는 다음과 같다. 1. 전체 조사대상자의 우식치아 수는 평균 3.23개로 조사되었고, 발거치아는 0.22개로 조사되었으며, 충전치아는 5.06개로 나타났다. 2. 전체 조사대상자의 평균 영구치 우식경험치아는 8.52개로 조사되었고, 평균 완충능력은 10.54로 나타났다. 3. 구강내 포도당잔류시간을 측정한 결과 평균 12.36 분으로 조사되었다. 4. 스나이더 검사방법 결과 조사대상자의 평균 치아우식활성 정도는 35.43 시간으로 판정기준에 의하여 중등도 활성으로 나타났다. 5. 자극성 타액분비량 및 타액점조도와 진행중인 치아우식증 보유집단과 집단간의 비교에서는 차이가 있음을 볼 수 있었다(P<0.01). 6. 비자극성 타액분비량, 자극성 타액분비량 및 구강내 포도당잔류시간 측정검사와 치아우식활성집단간에는 유의한 수준으로 나타났다(P<0.01). 7. 타액점조도에서도 치아우식활성집단간에는 유의한 수준으로 나타났다(P<0.05). 이와 같은 절과를 볼 때, 향후 연구논제에 세계보건기구(WHO)에서 기초조사로 조사되는 연령군인 12세 아동의 치아우식증과 치아우식활성과의 관계를 규명하고자 하는 노력이 있다면 치아우식증 발생요인을 구체적으로 제시할 수 있으리라 사료된다. This study was performed to investigate saliva flow rate, saliva buffer capacity, snyder test, glucose residuum test in the oral cavity in order to analyze 'saliva factor' intensively among the causing factor of dental caries. Especially through study data on causing factor of dental caries in male twenties, examination on pH changing rate in the saliva and saliva flow rate, clinical comparative study between Snyder tests, we have made a comparative analysis. Also, based on many kinds of exparimental study results from examination on glucose residuum test in the oral cavity, etc, we have intention to analyze comparatively interactive relationship of korean female college students. The subject of this study is 160 female college students, and we verified the confidence of our study data by the frequency, centesimal analysis. The results were as follows ; 1. Among the total subjects, the average of caries teeth were 3.23, extracted teeth 0.22, filling teeth 5.06. 2. Among the total subjects, the average of permanent teeth with experience of dental caries were 8.52, average buffering capacity 10.54. 3. The average minutes of glucose residual time in the oral cavity were examined 12.36 minutes. 4. On the result of Snyder examination method, the average activative degrees of dental caries were 35.43 hours rated medium level by the standard of decision. 5. There are some differencies between stimulative saliva flow, saliva adherence degree and the group of dental caries in progress. 6. There are significant results between non-stimulative saliva secretion, stimulative saliva flow, glucose remaining time test in the oral cavity and the group of dental caries in activation. 7. There are significant results between groups of dental caries in activation about saliva adherence degree. According to the results, if there is any effort in the future study theme to investigate the relationship between 12 year-old children's dental caries whose age WHO has made a basic surveying subject and activation of dental canes, we can present the causing factor of dental caries concretely.

광학적 치아우식활성 검사법의 신뢰도에 관한 연구

박철홍,이난영,이상호 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.4

The purpose of this study was to evaluate the specificity, sensitivity, and diagnostic power of caries activity test using LED fluorescence. The subjects of this study were 55 children of 6{sim}7 years old. LED light were irradiated to labial or buccal surface of all teeth. Fluorescence from initial carious lesion of teeth illuminated by an LED light was observed through barrier filter and the number of teeth showing lesion, size and position of lesion were counted. Streptococcus mutans colony counting and dDfFtT rate test were also done and their correlation was compared. And then specificity, sensitivity, diagnostic power of optical caries activity test using LED light were evaluated. 1. There was positive correlation({gamma}=0.43) between LED fluorescence test and Streptococcus mutans count(P<0.05). 2. When visual examination was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 100%, 76.1%, and 100%. 3. When dDfFtT rate was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 88.9%, 47.8%, and 95.7%. 4. When S. mutans colony counting was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 100%, 58.7%, and 100%. Considering the above results, optical caries activity test using LED light could be regarded as a practical method because of its close relationship with microbiological caries activity test. 본 연구는 LED 형광법을 이용하여 각 개인의 우식활성도를 측정할 수 있는지를 규명하기 위해 6{sim}7세의 아동 55명을 대상으로 치아의 순면과 협면에 LED 광을 조사하고 특수 필터를 사용하여 초기 치아우식증이 관찰되는 치아의 수와 우식의 크기, 위치 등을 기록하고, 이와 같은 초기 치아우식증의 수를 측정하는 우식활성검사법과 기존의 우식활성도 측정방법인 dDfFtT rate, Streptococcus mutans colony count와 상관성을 비교, 평가하고, LED 형광법을 이용한 우식활성검사의 특이도, 민감도, 진단력을 평가하였다. 1. LED 형광법을 이용한 우식활성도 측정법은 기존의 Streptococcus mutans colony count 검사법과 비교적 높은 상관관계를 보였다({gamma}=0.43,;P<0.05). 2. 육안검사를 기준검사법으로 하였을 때, LED의 특이도, 민감도, 진단력은 각각 100%, 76.1%, 100%이었다. 3. dDfFtT를 기준검사법으로 하였을 때, LED의 특이도, 민감도, 진단력은 각각 88.9%, 47.8%, 95.7%이었다. 4. S. mutans 측정법을 기준검사법으로 하였을 때, LED의 특이도, 민감도, 진단력은 각각 100%, 58.7%, 100%이었다. 이상의 결과를 종합하여 볼 때 LED광중합기를 이용한 광학적 치아우식활성 검사법은 미생물학적 치아우식활성 검사법과 비교하여 유의한 상관관계를 보여 임상에서 활용 가능성이 클 것으로 사료된다.

가시 레이저 광을 이용한 치아우식활성검사에 관한 연구

이상호,이난영 大韓小兒齒科學會 2000 大韓小兒齒科學會誌 Vol.27 No.1

본 연구는 치아우식을 유발 할 수 있는 모든 요인이 종합적으로 작용하여 이루어진 치면의 최초의 변화 즉, 법랑질 초기우식증의 정도를 아르곤 레이저를 이용한 형광법으로 조기에 탐지하고 이와 같은 방법이 향후 개인에서의 우식이 유발된 수 있는 가능성을 예측할 수 있는 우식활성검사법으로서의 이용 가능성이 있는지의 여부를 규명하고자 하는데 목적이 있다. 조선대학교 부속치과병원 소아치과에 내원한 아동중 유구치의 탈락이 없는 7-10세 사이의 어린이 30명을 대상으로 하여 치아의 순면과 협면에 레이저 조사하고 특수필터를 사용하여 우식치아의 개수를 측정하여 기존의 우식활성도 측정방법인 Cariescreen ?test, 구강환경검사인 우식경험치아의 수 (dDfFtT)등 각종 검사법들과 상관관계를 비교, 평가한 바 다음과 같은 결론을 얻었다. 1. 레이저형광법에 의한 관찰이 육안에 의한 관찰에 비해 초기우식병소를 더 많이 관찰하였다. 2. 아르곤게이저 형광법을 이용한 우식활성도 측정법은 기존의 Cariescreen?? test, 그리고 dDfFtT검사 등과 높은 상관관계를 나타냈다. The purpose of this study was to develop a practical caries activity test using laser fluorescence. The subjects of study were 30 children of 7-10 years old. Fluorescence from initial carious lesion of teeth illuminated by an argon laser (488nm) was observed through barrier filter. For evaluation of accuracy and propriety of this method for caries activity test, teeth with initial caries lesion on buccal or labial surface of children was examined with visual inspection and laser fluorescence. Visual examination for the dDfFtT and the Cariescreen?? test were also done. The results from the present study can be summarized as follows: 1. Laser fluorescence test could differentiate initial caries lesions more easily than visiual inspection. 2. There was highest correlation(=0.73) between laser fluorescent test and Cariescreen?? test and. And also apparent correlation (=0.66) exists between laser fluorescent test and caries experience measured by dDfFtT.

광중합기를 이용한 광학적 치아우식활성도 검사법

이난영,김미라,오유향,이창섭,이상호 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

레이저와 플라스마 광, 할로겐 광 중합기를 이용하여 각 개인의 우식 활성도를 측정할 수 있는지를 규명하기 위해 7-8세 아동 45명을 대상으로 치아의 순면과 협면에 각 광원을 조사하고 특수 필터를 사용하여 초기 치아우식증으로 판별된 치아의 개수를 측정하여 기존의 우식활성도 측정방법인 dDfFtT rate와 mutans streptococci 측정법 Lactobacilli 측정법과 비교, 평가하고 그 특이도, 민감도, 예측력을 평가하였다. 1. 아르곤 레이저, 플라스마 광, 할로겐 광 조사시 육안검사시 보다 유의하게 많은 초기우식 병소가 관찰되었다(p<0.05). 2. 아르곤 레이저, 플라스마 광, 할로겐 광을 이용한 우식활성도 측정법은 dDfFtT rate와 양의 상관관계(γ= 0.42, 0.41, 0.39)를 보였다(p<0.01). 3. 기존의 우식활성도 측정방법을 기준으로 하여 평가한 결과 특이도와 민감도, 예측력은 모두 레이저가 가장 높았으며 플라스마 광, 할로겐 광 순으로 나타났다. 이상의 결과를 종합하여 볼 때 아르곤 레이저와 플라스마 광, 할로겐 광을 이용한 형광법은 모두 양호한 진단학적 지표를 보여줌으로써 향후 광학적 우식활성검사법으로 활용 가능성이 높을 것으로 사료된다. The purpose of this study was to develop a practical caries activity test by fluorescence using laser, plasma light and halogen light. The subjects of study were 45 children of 7-8 years old. Argon laser, plasma light and halogen light were irradiated to buccal or labial surface of all teeth. Fluorescence of initial carious lesion from teeth was observed through barrier filter and the number of teeth showing lesion was counted. Visual examination for the dDfFtT, mutans streptococci screening test and Lactobacilli colony counting were also done. Data analysis was accomplished by Axelsson's method. The result from the present study can be summarized as follows. 1. Laser, plasma light and halogen light could detect the initial carious lesions better than visual examination(p<0.05). 2. There was positive correlation between laser(r=0.42), plasma light(r=0.41), halogen light(r=0.39) and dDfFtT rate(p<0.01). 3. The specificity, sensitivity and predictive value was showed highest value in laser. but was showed favorable value in plasma light and halogen light. In regard to above results, laser, plasma light and halogen light all considered to be reliable method for determining individual caries activity. And they were also considered to be practical method because it would be simple, inexpensive, and time saving method.

치위생과 학생의 치아우식경험도와 개량형 우식활성검사와의 관련성

조민정 ( Min Jung Cho ),김진희 ( Jin Hee Kim ),김은미 ( Eun Mi Kim ),이향님 ( Hyang Nim Lee ) 한국치위생학회 2003 한국치위생학회지 Vol.3 No.2

This study was implemented for 84 students of dental hygiene to show the correlation between dental caries experience and improved caries activity test. Dental caries experience for the sample groups was examined and stimulative saliva secreted for 5 minutes was collected into the tube to check saliva secretion rate. Dentocult LB test was executed to observe Lactobacilli colonies after 96 hour cultivation of culture slides moistened with stimulative saliva. Dentocult SM test(screening strip, site strip) was done to measure SM colonies distribution after 48 hour cultivation of culture strips applied with collected saliva and dental plaque respectively, and salivary buffering capacity was checked by means of Dentobuff strip kit. Following conclusions are obtained after examining the relation between Dentocult LB, Dentocult SM, Dentobuff strip test results and DMFT index, salivary secretion rate. 1. Showed no significant difference between Dentocult LB test results and DMFT index, salivary secretion rate. 2. Showed no significant difference between Dentocult SM(screening strip) test results and DMFT index, salivary secretion rate. 3. Showed significant difference between Dentocult SM (site strip) test results and DMFT index(pE0.05), but showed no significant difference between Dentocult SM(site strip) test results and salivary secretion rate. 4. Showed no significant difference between Dentobuff strip test results and DMFT index, but showed a very wide difference between Dentobuff strip test results and salivary secretion rate(pE0.01).

새로운 색지표를 이용한 우식활성검사법 개발

강시묵 ( Si Mook Kang ),정회인 ( Hoi In Jung ),정승화 ( Seung Hwa Jeong ),권호근 ( Ho Keun Kwon ),김백일 ( Baek Il Kim ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.1

Objectives. The aim of this study was to develop a new caries activity test based on colorimetric changes that could better reflect the amount of acid produced by oral bacteria as a broad spectrum of color than the previous test. The optimal candidates were combinations of pH indicators, and these were evaluated in pH buffering solutions and using dental plaque. Methods. Six pH indicators, Bromocresol-purple (BCP), Bromocresol-green (BCG), Methyl-red (MR), Methyl-orange (MO), Resazurin (R), and Naphthyl-red (NR), were selected to show different colors at various pH environments (range pH 3.0~7.0). BCP and BCG are pH indicators that are already used in the Cariostat(R), and they can show color changes from blue to yellow. This study tried to broaden the color change spectrum from blue to red to give a more distinct differentiation at various pHs. Four pH indicators (MR, MO, R and NR) were blended with BCP and BCG. Each combination of the three indicators was assessed in different pH buffer systems: pH 7.0, 6.0, 5.0, 4.0, and 3.0. The selected combinations of pH indicators were applied to human dental plaque from 11 subjects (mean age: 27) to confirm the reproducibility of the in vitro results. Results. According to the in vitro buffer system, the mixture of BCP, BCG and MR did not show any differences between pH 4.0 and pH 3.0. On the other hand, the mixtures of BCP-BCG-MO (ratio 2:1:1.5), BCP-BCG-R (1.5:1:0.5) and BCP-BCG-NR (2:1:1.5) showed distinguishable color changes from pH 7.0 to pH 3.0. Among the three candidates, the BCP-BCG-NR mixture showed the best color differences in the buffer solution and the human dental plaque cultivated solutions at various pHs. Conclusions. This study evaluated a new colorimetric caries activity test that used a combination of several pH indicators. The new system can easily detect various pH environments from organic acid fermentation by using a wider range of colors (blue-dark green-green-orange-red).

정상아와 정신장애아의 치아우식경험도 및 구강 환경상태와 우식활성검사 결과 간의 비교연구

김미형 ( Mi Hyung Kim ),김선미 ( Seon Mi Kim ) 한국치위생학회 2002 한국치위생학회지 Vol.2 No.2

칼슘 섭취 후 타액 내 칼슘 및 마그네슘 농도가 치아우식활성도에 미치는 영향

박정은 ( Jung-eun Park ),황수연 ( Su-yeon Hwang ),김설악 ( Seol-ak Kim ) 한국치위생학회 2017 한국치위생학회지 Vol.17 No.2

Objectives: The purpose of the study was to investigate the effect of calcium concentration in saliva on dental caries activity after consuming calcium. Methods: A total of 59 adult women aged 20 to 40 years were surveyed for calcium intake. The daily average calcium intake was analyzed through dietary records of the subjects. The subjects were divided into two groups based on daily average calcium intake. Salivary pH and concentrations of minerals in the saliva were obtained from A group and B group. Calcium (Ca²⁺) and magnesium (Mg²⁺) concentrations in saliva were measured by HPLC-Ion chromatography using 15 mM sulfuric acid. The dental caries activity test was quantified by salivary buffer capacity test and plaque pH test. Results: The mean Ca²⁺ concentrations of A group was 12.75 μg/m, the mean Ca²⁺ concentrations in the B group was 16.30 μg/mL (p<0.05) and respectively, Mg²⁺ concentrations were found to be 0.48 μg/mL and 0.51 μg/mL. Calcium intake and calcium concentration in saliva showed a significant correlation (r=0.380). Conclusions: The mean Ca²⁺ concentrations in saliva was higher in the high calcium intake group. Therefore, calcium intake in saliva was correlated with dental caries.

C소아치과의원의 개량형 Dentocult-SM검사를 이용한 계속관리에 관한 조사 연구

우희선 ( Hee Sun Woo ) 한국치위생학회 2008 한국치위생학회지 Vol.8 No.2

The research was conducted to100 child patients selected by random sampling, which got a Dentocult-SM test in the first visit and then was being continuously managed, out of child patients of a pediatric clinic located In Gyeonggi-do. The period of there search is one year from June 2007 to May 2008. Using Dentocult-SM test, we analyzed the correlation between the distribution of dental plaque, a streptococcus mutans in saliva and condition of dental caries cavity in the teeth of child patients, then we measured the distribution of a streptococcusmutans. According to SM score, we applied incremental oral heath care for child patients to clinical and obtained the following results. 1. In terms of the age of child patients in research, the number of 3 years old patients was 29 (1st ranked), the number of 2 years old patients was 28(2nd ranked). 2. The result of SM score showed that female child patients(52.0%) was higher than male ones in negative, male child patients(52.0%) was higher than female ones in mild, female child patients(68.2%) was higher than male ones in moderate, male child patients(57.1%) was higher than female ones in severe. 3. At the first visit, the SM score showed statistically remarkable difference between dt and dmft. We can also confirm the average of severe is the highest. 4. At the second visit, the SM score showed statistically remarkable difference among dt, ft, and dmft index. We can also confirm the average of severe is the highest. 5. At the third visit, The SM score showed statistically remarkable difference among dt, ft, and dmft index. We can also confirm the average of severe is the highest. 6. The comparison of dmft index differences to SM score showed statistically no remarkable difference in incremental oral heath care for negative and mild. In addition to that, we can confirm that the incremental oral heath care makes statistically remarkable differences in moderate and severe. 7. The comparison of dt index differences to SM score showed statistically no remarkable difference in incremental oral heath care for negative, mild, and moderate. In addition to that, we call confirm that the incremental oral heath care makes statistically remarkable differences in severe. 8. The comparison of mt index differences to SM score showed statistically no remarkable difference in incremental oral heath care for mild and moderate. In addition to that, we can confirm that the incremental oral heath care makes statistically remarkable differences in severe. 9. The comparison of ft index differences to SM score showed statistically no remarkable difference in incremental oral heath care for mild. In addition to that, we can confirm that the incremental oral heath care makes statistically remarkable differences in negative, moderate, and severe. 10. According to the comparison of dmft index to the age, the 4 years old patients showed the highest number (5.50 in the first visit and 6.08 in the second one). In the third visit, the 6 years old patients showed the highest number(7.00). By the above results, we can find that the incremental oral heath care by SM score makes the results of oral care better. Therefore, the improvement or maintenance in oral health of child patients needs continuing personal oral health management and regular systematic management focused on prevention by the specialist.