광중합 Glass Ionomer Cement와 Amalgam의 결합강도에 관한 연구

A STUDY ON THE BOND STRENGTHS OF LIGHT-CURING GLASS IONOMER CEMENTS TO DENTAL AMALGAM

소아치과 임상에서 자주 사용되는 3 종의 광중합형 GIC의 아말감에 대한 접착능을 평가 할 목적으로 60 개의 아말감 부착시편을 이용하여 중간결합제인 Scotchbond 의 사용여부에 따른 경화된 아말감에 대한 광중합 GIC의 전단결합강도를 측정하고 경계부의 파절양상을 관찰한 결과, 다음과 같은 결론을 얻었다. 1. 아말감에 대한 광중합형 GIC의 전단강도는 Fuji II LC, Vitremer, Vitrebond의 순으로 높게 나타났다 (p<0.05). 2. 중간결합제인 Scotchbond를 사용하지 않은 경우에서 Scotchbond 를 사용한 경우에 비해 전단결합강도가 높게 나타났다(p<0.05). 3. 결합파절면은 Scotchbond를 사용한 경우의 대부분에서 Scotchbond와 아말감의 경계부에서 시편의 탈락이 나타났다. 아말감과 광중합 GIC의 결합을 시도할 경우에는 Scotchbond는 사용하지 않는 것이 바람직할 것으로 사료되었다.

The purpose of this study was to asses the shear bond strengths of 3 types of light-curing Glass Ionomer cement to dental amalgam with or without an intermediary agent. 60 amalgam adherent specimens were prepared and aged in water at $37^{\circ}C$ for 3 days. Before bonding, the amalgam surfaces were finished flat on 600-grit silicon carbide paper. 30 specimens among 60 were used for bonding in this condition, and the other 30 were covered with a thin layer of light-curing intermediary agent. Shear bond strengths were measured with universal testing machine (Instron, Model 4301) and statistically processed by ANOVA and t-test. On completion of bond test, the fracture surfaces were examined under light microscope so that the mode of bond failure could be assessed The results were as follows : 1. Bond strength of Fuji II LC group showed the hightest value and was followed by Vitremer, Vitrebond groups (p<0.05). 2. The bond strengths achieved without an intermediary agent were higher than those obtained with intermediary agent (p<0.05). 3. For the specimens bonded with intermediary agent, bond failures occured mostly at the agent-amalgam interface. So, the use of intermediary bonding agent was thought not recommendable at glass ionomer-amalgam interface.