2013, Vol.40, No.3

Journal of the Korean academy of pediatric dentistry 2023 KCI Impact Factor : 0.48

pISSN : 1226-8496 / eISSN : 2288-3819
https://journal.kci.go.kr/jkapd

The purpose of this study was to evaluate the shape and impacted pattern of mesiodens and associated complications using three dimensional images produced by dental CBCT. This study was based on the CBCT (CB Mercury, Hitachi, Tokyo, Japan) radiographic view of 280 pediatric patients who visited the Department of Pediatric Dentistry at the Chosun University Dental Hospital with the chief complain of mesiodens during between 2007 and 2012. Impacted mesiodens occurs more frequently in boys than in girls, the ratio being approximately 3.3:1 and most cases were observed between 6 and 8 years of age. The number of mesiodens per patient was 1.38. Majority of the mesiodens were conical (79.5%) in shape and inverted (48.6%) in direction. The mesio-distal position of mesiodens were the most common in middle sector (81.8%), vertical level were the most common near cervical (60.3%), and labio-palatal position were the most common at palatal side of the dental arch (73.8%). 47.5% of mesiodens had complications and common complications associated with mesiodens were displaced tooth and delayed eruptions. The shape, vertical level, and labio-palatal position of mesiodens had correlations with complications. CBCT appears to be an excellent diagnostic tool, providing three dimensional information and accurate images, for diagnosis of impacted mesiodens.

The aim of this study was to evaluate changes in demineralization resistance and bonding strength of light cured glass ionomer after the addition of nano hydroxyapatite in various ratios. Fuji II LC GIC (GC Co., Japan)was used as the control group and also as a base material for experimental group. HA was mixed into the RMGIC at various ratio to create a HA-LC GIC mixture, preparing six experimental groups, i.e. 5%, 10%, 15%,20%, 25%, 30% HA-LC GIC. According to the results, the bonding strength increased due to the addition of HA, showing the maximum value at the 15% nano HA group (p < 0.05). Under CLSM observation after 4 days of demineralization, the HA groups were more resistant to demineralization compared to the control group. No significant difference was observed between HA groups. In analysis through SEM, the HA groups showed attachment of granular materials and decreased demineralized tooth surfaces under influence of HA particles.

The aim of this study was to evaluate the acid neutralizing capacity and to observe surface changes of giomer in comparison with composite resin, when it comes in contact with an acidic solution. A packable giomer(Beautifil II) and a flowable giomer(Beautifil Flow F02) were used as experimental groups,while a packable composite resin(FiltekTM Z-250) was used as control group. pH values were measured after mixing the specimens of the disc and powder types with a pH 2.0 hydrochloric acid solution, respectively. Also,in the case of powder type giomers used in the earlier experiment, their pH values were measured again after mixing them with a fresh acid solution. Moreover, surface structure changes of disc type specimens were observed by using a scanning electron microscopy(SEM). In the disc type test, the pH values of packable giomer were significantly increased after 24 hours(p < 0.05). In contrast, in the powder type test, the pH values of packable and flowable giomers were dramatically increased within 30 minutes. The pH value of packable giomer, in particular, was higer than that of flowable giomer(p < 0.05). In the repeated neutralizing test, the degree of pH variation was lower than that of the previous neutralizing test(p < 0.05). Erosive changes on the surface of packable giomer were observed to be more than those on composite resin and flowable giomer as well. In conclusion, giomer has a acid neutralizing capacity, when it comes in contact with an acidic solution. Especially, packable giomer with high filler content has a greater acid neutralizing capacity than flowable giomer.