Resin-Modified Glass-Ionomer와 Compomer의 경화 반응 특성의 비교에 관한 연구

A COMPARISON OF THE SETTING CHARACTERISTICS BETWEEN RESIN-MODIFIED GLASS-IONOMERS AND COMPOMERS

To overcome problems of conventional glass ionomers, resin components have been added to glass ionomers. On a continuum between glass ionomers and composites are a variety of blends, employing different proportions of acid-base and free radical reactions to bring about cure. Popular groups defined between the ends are resin-modified glass-ionomers(RMGIs), polyacid-modified composite resins(Compomers) and ionomer modified resins. These groups show different clinical properties, and in selecting these materials for a restoration, one should sufficiently understand these different setting properties. In this study, some difference in the setting characteristics of different groups of hybrid ionomers were examined. Two RMGIs (Fuji2 LC,GC / Vitremer, 3M), three Compomers (Dyract AP, Dentsply / F2000, 3M / Elan, Kerr) were involved in this study. The identification of the setting characteristics of different groups was achieved by a two-stage study. First, thermal analysis was performed by a differential scanning calorimeter, and then the hardness of each group at different depth and time were measured by a micro-hardness tester. Thermal analysis was performed to identify the inorganic filler content and to record the heat change during setting process. The setting process was progressed for each material by chemical set mode and light-cured mode. In the hardness test, samples of materials were prepared with a 6mm-diameter metal ring, and the hardness was measured at the top, and 1mm, 2.5mm, 4mm below at just after a 40 second-cure, and after 10 minutes, 24 hours, and 7 days. Statistical analysis was performed by Mann-Whitney rank sum test to assess significant differences between set modes and types of materials, and by ANOVA and T-test to evaluate the statistical meanings of data at different times and depths of each materials. Followings are findings and conclusions derived from this study. Thermal analysis; 1. Compomers show no evidence of chemical setting while RMGIs exhibit heat output during the process of chemical setting. 2. Heat of cure of RMGIs exceed Compomers. 3. The net heat output of RMGIs through light-cured mode is higher than through chemically set mode. Hardness test; 1. Initial hardness of RMGIs immediately after light cure is relatively low, but the hardness increases as time goes by. On the contrary, Comomers do not show evident increase of the hardness following time. 2. Compomers show a marked decrease of setting degree as the depth of the material increases. In RMGIs, the setting degree at different depths does not significantly differ.