CPP-ACPÁ¦Á¦¸¦ ÀÌ¿ëÇÑ ¹ý¶ûÁú Ãʱ⠿ì½ÄÁõÀÇ Àç±¤È Ä¡Çè·Ê
REMINERALIZATION OF INCIPIENT ENAMEL CARIES LESION BY CPP-ACP PASTE
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°Áö¼± ( Kang Ji-Sun ) - Á¶¼±´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
À̳¿µ ( Lee Nan-Young ) - Á¶¼±´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
ÀÌ»óÈ£ ( Lee Sang-Ho ) - Á¶¼±´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
KMID : 0358920080350010159
Abstract
Ä¡¾Æ¿ì½ÄÁõÀº Ä¡¾ÆÀÇ Å»È¸¿Í À籤Ȱ¡ ¹Ýº¹ÇÏ¿© ÀϾ´Â µ¿ÀûÀÎ °úÁ¤À¸·Î, Żȸ ¹× À籤ÈÀÇ ¼Óµµ¿¡ µû¶ó ¿ì½ÄÀÌ Á¤ÁöµÇ°Å³ª ¾ÇȵȴÙ. À籤ȸ¦ À¯µµÇϱâ À§ÇØ ºÒ¼Ò Á¦Á¦°¡ ÈçÈ÷ »ç¿ëµÇ°í ÀÖÀ¸³ª, °³Àθ¶´Ù salivary flow rateÀ̳ª Ÿ¾×³» ÀÌ¿Â ÇÔ·® ¹× Ÿ¾×ÀÇ pH µî¿¡ µû¶ó ±× È¿°ú°¡ Á¦ÇÑµÉ ¼ö ÀÖ´Ù. ¶ÇÇÑ ¼Ò¾Æ ȯÀÚÀÇ °æ¿ì °ú·® ¼·Ãë·Î ÀÎÇÑ µ¶¼º ¿ì·Áµµ ¹èÁ¦ÇÒ ¼ö ¾ø´Ù. ÃÖ±Ù CPP-ACP(Casein Phosphopeptides-Amorphous Calcium Phosphate) Á¦Á¦¸¦ ÀÌ¿ëÇÏ¿© ŻȸµÈ ¹ý¶ûÁúÀÇ À籤ȸ¦ À¯µµÇÏ´Â ¼ú½ÄÀÌ º¸°íµÇ°í ÀÖ´Â ¹Ù, º» Áõ·Ê¿¡¼´Â ¹ý¶ûÁú Ãʱ⠿ì½ÄÁõÀ» °¡Áø ȯ¾Æ¿¡°Ô ±¹³»¿¡¼ ½ÃÆÇÁßÀÎ CPP-ACP Á¦Á¦ÀÎ Tooth Mousse¸¦ Àû¿ëÇÏ¿´´Ù. Á¦Á¦ÀÇ È¿°ú¸¦ ³ôÀ̱â À§ÇÏ¿© Ä¡¾Æ¹Ì¹é¼ú ½ÃÇà½Ã¿Í µ¿ÀÏÇÑ ¹æ¹ýÀ¸·Î Á¦ÀÛµÈ customed tray¸¦ »ç¿ëÇÏ¿© ¸ÅÀÏ µµÆ÷Çϵµ·Ï ÇÏ¿´´Ù. ÁÖ±âÀûÀÎ °üÂû °á°ú Ãß°¡ÀûÀÎ ¿ì½ÄÀÇ ÁøÇà ¾øÀÌ ½Ã¼ú Àü°ú ºñ±³ÇÏ¿© ¹ý¶ûÁú º´¼ÒÀÇ Å©±â°¡ °¨¼ÒÇÑ ¾ç»óÀÌ °üÂûµÇ¾ú´Ù. ¹ßÀ° Àå¾Ö Áõ·Ê³ª ¸¸¼ºÀû ¿ì½ÄÁõÀÇ °æ¿ì¿¡´Â ±× È¿°ú°¡ Å©Áö ¾Ê¾ÒÀ¸³ª °æµµ ¹× ÁߵÀÇ Ãʱ⠿ì½ÄÁõÀ» °¡Áø ¼Ò¾Æ ȯÀÚ¿¡°Ô CPP-ACP Á¦Á¦¸¦ 6ÁÖ°£ Àû¿ëÇÑ °á°ú Ä¡¾Æ »èÁ¦ µîÀÇ ½Ã¼ú ¾øÀÌ º»·¡ ¹ý¶ûÁú ¹Ðµµ¸¦ ȸº¹ÇÒ ¼ö ÀÖ¾úÀ¸¸ç ÁÖ±âÀûÀÎ Á¡°Ë°ú ±¸°À§»ý ±³À°À» ÅëÇØ ±¸° °ü¸® ´É·ÂÀ» Çâ»ó½Ãų ¼ö ÀÖ¾ú´Ù.
The dental caries can be recovered or worse depending on the velocity of de- and remineralization of tooth. It is possible to remineralize the lesions by fluoride agent, but the results can be distinguished according to one¡¯s salivary flow rate, quantity of ion contents, and pH of the saliva. This article presents good results after applying the CPP-ACP paste for the patients who have incipient enamel caries. We instructed the patients to apply the paste everyday in the customed tray. We observed the white spot lesions without getting worse and reducing the size of lesions. After applying the CPP-ACP paste for 6 weeks, we concluded that; 1. It was possible to remineralize the incipient caries without preparation of the teeth. 2. CPP-ACP paste was successful for recovery of the demineralized lesions, especially for mild and moderate caries lesions, not for the severe developemental defects or chronic lesions. 3. CPP-ACP paste was efficient for pediatric patients, and the custumed tray was very useful for patients to apply the paste. 4. The ability of the patients for caring their oral hygiene was improved by routine check up and instructions.
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CPP-ACP;Incipient caries;Remineralizaiton
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