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치간 삭제 후 불소 또는 수산화인회석 도포 시재광화 및 탈회억제에 관한 연구

Effect of remineralization and inhibition to demineralization after fluoride gel or hydroxyapatite paste application on stripped enamel

김호영|김상철|조진형|홍현실
대한치과교정학회 (The Korean Association Of Orthodontists)|2010.08|대한치과교정학회지 (The Korean Journal of Orthodontics)|제40권 제4호|pp. 212-226

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참고문헌

키워드

Remineralization재광화치간 삭제법랑질 표면 함량법랑질 결정 구조Enamel strippingSurface contents of enamelCrystal structure of enamel
주제분류치의학

초록

치간 삭제 후 재광화 및 치아우식 예방법을 찾기 위한 노력의 일환으로 1.23% 인산화불소 젤 또는 5%, 10% 수산화인회석함유 페이스트를 치간 삭제된 법랑질 표면에 도포하였고, 그 후 젖산탈회용액으로 처리하였다. 법랑질 표면의 재광화 및 탈회 후 결정구조 변화를 주사전자현미경으로 관찰하고 칼슘, 인, 불소 함량 등의 변화를 energy dispersive X-ray spectroscopy로 분석해서 비교하였다. 치간 삭제 후 5%, 10% 수산화인회석함유 페이스트를 도포한 군에서 칼슘과 인 함량이 증가하였고, 1.23% 인산화불소 젤 도포 군에서는 불소 함량이 증가하였다. 또한 모든 재광화 제제에서 법랑질 표면이 매끄럽고 부드러워졌으며 결정구조가 작고 치밀해짐을 관찰할 수 있었다. 10% 수산화인회석함유 페이스트로 재광화한 군은 탈회 후에도 칼슘과 인 함량이 증가된 채로 유지되었고, 5% 수산화인회석함유 페이스트로 재광화한 군은 탈회 후 인 함량이 증가된 채로 유지되었다. 치간 삭제 후 탈회 처리 시 대조군의 법랑질은 파괴양상이 심해 거친 굴곡으로 이루어진 불규칙한 표면 상태를 나타내었으나 불소 및 수산화인회석으로 재광화한 군에서는 법랑질의 파괴양상이 적어 작은 결정입자들과 미세공극이 유지되었다. (대치교정지 2010;40(4):212-226)

Abstract

Objective: The aim of this study was to evaluate the effect of remineralization and inhibition to demineralization after fluoride gel (acidulated phosphate fluoride, APF) or hydroxyapatite (HAp) paste application on interdentally stripped teeth. Methods: After interdental stripping, 1.23% APF or 5%, 10% HAp paste were applied for 7 days for remineralization. Afterwards, teeth were exposed to lactate carbopol buffer solution for demineralization. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare change in surface contents and crystal structures after remineralization, and then after demineralization. Results: EDS analysis indicated that calcium (p ＜ 0.001) and phosphate (p ＜ 0.01) contents were increased after 10% HAp paste application on stripped enamel, calcium (p ＜ 0.05) and phosphate (p ＜ 0.01) contents were increased after 5% HAp paste application, and fluoride (p ＜ 0.01) contents were increased after 1.23% APF application. SEM image showed that enamel surfaces became smoother and crystal structures became small and compact after APF or HAp application. After demineralization, calcium (p ＜ 0.05) and phosphate (p ＜ 0.05) contents remained increased on the enamel remineralized with 10% HAp paste, and phosphate (p ＜ 0.05) contents remained increased on the enamel remineralized with 5% HAp paste. After demineralization, surfaces looked less destroyed in the enamel remineralized beforehand than those of the control, and small pores between crystal structures, formed by remineralization were remained. Conclusions: Hydroxyapatite paste and fluoride gel were helpful to remineralize and inhibit deminerlization on stripped enamel. (Korean J Orthod 2010;40(4):212- 226)

참고문헌 (36)

  1. Bolton WA, "Disharmony in tooth size and its relation to the analysis and treatment of malocclusion", Angle Orthod, 28, pp.113~30 (1958)
  2. Tuverson DL, "Anterior interocclusal relations. Part I", Am J Orthod, 78, pp.361~70 (1980)
  3. Sheridan JJ, "Air-rotor stripping update", J Clin Orthod, 21, pp.781~8 (1987)
  4. Blake M, "Retention and stability: a review of the literature", Am J Orthod Dentofacial Orthop, 114, pp.299~306 (1998)
  5. Radlanski RJ, "Plaque accumulations caused by interdental stri", Am J Orthod Dentofacial Orthop, 94, pp.416~20 (1988)
  6. Radlanski RJ, "Morphology of interdentally stripped enamel one year after treatment", J Clin Orthod, 23, pp.748~50 (1989)
  7. Twesme DA, "Air-rotor stripping and enamel demineralization in vitro", Am J Orthod Dentofacial Orthop, 105, pp.142~52 (1994)
  8. Joseph VP, "Orthodontic microabrasive reproximation", Am J Orthod Dentofacial Orthop, 102, pp.351~9 (1992)
  9. Kim KN, "A study on the enamel surface texture and caries susceptibility in interdentally stripped teeth", Korean J Orthod, 31, pp.567~78 (2001)
  10. Row J, "A comparative study of roughness of enamel surface to various interdental enamel stripping methods in vitro", Korean J Orthod, 29, pp.483~90 (1999)
  11. Brêtas SM, "Matsumoto MA. Effect of 0.4% stannous fluoride gel on Streptococci mutans in relation to elastomeric rings and steel ligatures in orthodontic patients", Am J Orthod Dentofacial Orthop, 127, pp.428~33 (2005)
  12. Chadwick BL, "The effect of topical fluorides on decalcification in patients with fixed orthodontic appliances: a systematic review", Am J Orthod Dentofacial Orthod, 128, pp.601~6 (2005)
  13. Mizrahi E, "Enamel demineralization following orthodontic treatment", Am J Orthod, 82, pp.62~7 (1982)
  14. Saxton CA, "Scanning electron microscope study of the formation of dental plaque", Caries Res, 7, pp.102~19 (1973)
  15. 김민영, "나노 및 마이크로 수산화인회석 함유 구강양치액의 재광화 효과 비교", 대한구강보건학회지, 30(3), pp.325~334 (2006), 대한구강보건학회
  16. 이영은, "천연 수산화인회석 함유 치약의 초기우식 병소 재광화 효과", 대한구강보건학회지, 31(3), pp.305~318 (2007), 대한구강보건학회
  17. Barone M, "Clinical trial of a 15% supermicronized hydroxyapatite gel for dentin hypersensitivity", G Ital Endod, 5, pp.43~7 (1991)
  18. Hüttemann RW, "Investigation of utility and mechanics of use of hydroxyapatite for therapy of hypersensitive tooth root", ZWR, 98, pp.240~5 (1989)
  19. Frazier MC, "Prevention of enamel demineralization during orthodontic treatment: an in vitro study using pit and fissure sealants", Am J Orthod Dentofacial Orthop, 110, pp.459~65 (1996)
  20. Li L, "The biochemistry and physiology of metallic fluoride: action, mechanism, and implications", Crit Rev Oral Biol Med, 14, pp.100~14 (2003)
  21. Bassin EB, "Age-specific fluoride exposure in drinking water and osteosarcoma (United States)", Cancer Causes Control, 17, pp.421~8 (2006)
  22. Silverstone LM, "Observations on the dark zone in early enamel caries and artificial caries-like lesions", Caries Res, 1, pp.260~74 (1967)
  23. Margolis HC, "Development of caries-like lesions in partially saturated lactate buffers", Caries Res, 19, pp.36~45 (1985)
  24. Clarkson BH, "In vitro caries-like lesion production by Streptococcus mutans and Actinomyces viscosus using sucrose and starch", J Dent Res, 66, pp.795~8 (1987)
  25. Boyle EL, "production of subsurface artificial caries lesions on third molar teeth", Caries Res, 32, pp.154~8 (1998)
  26. Arends J, "Lesion depth and microhardness indentations on artificial white spot lesions", Caries Res, 14, pp.190~5 (1980)
  27. Silverstone LM, "Structure of carious enamel, including the early lesion", Oral Sci Rev, 3, pp.100~60 (1973)
  28. Herkstroter FM, "Wavelength-independent microradiography: its use to measure mineral changes in curved and thick samples", Caries Res, 24, pp.399~ (1990)
  29. ten Bosch JJ, "Optical monitor of in vitro caries. A comparison with chemical and microradiographic determination of mineral loss in early lesions", Caries Res, 18, pp.540~7 (1984)
  30. Kim SR, "The remineralizing effects of early enamel carious lesion by supersaturated buffer solution under pH cycling model", J Korean Acad Conserv Dent, 26, pp.341~9 (2001)
  31. Hicks J, "Biological factors in dental caries: role of remineralization and fluoride in the dynamic process of demineralization and remineralization (part 3)", J Clin Pediatr Dent, 28, pp.203~14 (2004)
  32. 이광희, "불소와 칼슘의 법랑질 재광화 효과에 대한 생체외 연구", 대한소아치과학회지, 31(4), pp.624~629 (2004), 대한소아치과학회
  33. Murray JJ, "Fluorides in caries prevention. 2nd ed", pp.100~21 (1982), Jone Wright & Sons
  34. Alexander SA, "Effects of self-applied topical fluoride preparations in orthodontic patients", Angle Orthod, 70, pp.424~30 (2000)
  35. Rogers GA, "Protection of stripped enamel surfaces with topical fluoride applications", Am J Orthod, 56, pp.551~9 (1969)
  36. Yamazaki H, "Effect of fluoride on artificial caries lesion progression and repair in human enamel: regulation of mineral deposition and dissolution under in vivo-like conditions", Arch Oral Biol, 52, pp.110~20 (2007)

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