Abstract
The purposes of this study were to evaluate the validity of 2 kinds of digital radiography techniques in evaluating the radiopacity comparison of restorative materials and to determine the relative radiopacities of several kinds of compomer and flow able resin using these techniques. After taking radiographs of an aluminum step wedge, con-elation of optical density calibration curves were evaluated between conventional radiography with transmission densitometer and CD-Dent digital radiography (storage phosphor system) and between conventional one and RVG$^{(R)}$ digital radiography (CCD system). Compomers such as Dyract$^{(R)}$ AP, Compoglass$^{(R)}$, and Dyract flow$^{(R)}$, and flowable resins such as Ultraseal-XT$^{(R)}$ plus$^{TM}$, Revolution$^{TM}$, Aeliteflo$^{TM}$ and Tetric-flow$^{(R)}$ were used. Five specimens of 5mm in diameter and 2 mm thick were fabricated with each material. Radiopacities of the materials were measured using the above radiographic techniques and compared. The results were as follows: 1. When the optical density calibration curves were compared, conventional radiography and both CD-Dent and RVG$^{(R)}$ digital radiographies showed very high inverse correlations (${\gamma}$=-0.95, ${\gamma}$=-0.98 ; p<0.05). 2. All the tested restorative materials showed levels of radiopacity the same as or greater than that of dentin (p<0.05), Radiopacities of Dyract$^{(R)}$ AP, Compoglass$^{(R)}$, and Tetric flow$^{(R)}$ were greater than those of Revolution$^{TM}$, Aeliteflo$^{TM}$, or dentin (p<0.05). 3. Radiopacities of Dyract$^{(R)}$ AP, Compoglass$^{(R)}$, and Tetric flow$^{(R)}$ were shown to be greater than that of enamel when conventional radiography and CD-Dent digital radiography were used (p<0.05). Radiopacity of Dyract flow$^{(R)}$ was shown to be greater than that of Enamel when conventional radiography was used (p<0.05).
본 연구에서는 이종의 디지털 방사선사진술이 수복물의 방사선불투과성 비교에 적절하게 이용될 수 있는지의 여부를 평가하고, 이 기법을 이용하여 수종의 compomer 및 유동성 레진의 방사선불투과도를 측정, 비교하고자 하였다. Aluminum step wedge를 방사선사진촬영 하여 기 존의 transmission densitometer와 CD-Dent (phosphor scanning system) 및 RVG$^{(R)}$ (CCD system) 등 두 종류의 디지털 방사선사진술과의 광학밀도 상관관계를 평가하였고, 두께 2mm, 지름 5mm인 원형의 금속주형을 이용하여 Dyract$^{(R)}$ AP, Compoglass$^{(R)}$ 및 Dyract flow$^{(R)}$ 등 3종의 compomer와 Ultraseal-XT$^{(R)}$ plus$^{TM}$, Revolution$^{TM}$, Aeliteflo$^{TM}$ 및 Tetric-flow$^{(R)}$ 등 4종의 유동성 레진의 시편을 각각 5개씩 제작후 방사선불투과성을 측정하고 비교, 평가하여 다음과 같은 결과를 얻었다. 1. Aluminum step wedge를 사용한 광학밀도 측정곡선을 비교한 바, 통상적인 방사선사진술로 얻은 필름의 상에서 transmission densitometer로 방사선불투과도를 측정 한 곡선과 CD-Dent 및 RVG$^{(R)}$ 등 디지털 방사선사진술로 얻은 상에서 CADIA로 불투과도를 측정한 곡선들 사이에서 각각 매우 높은 역상관관계가 나타났다(${\gamma}$=-0.95, ${\gamma}$=-0.98 ; p<0.05). 2. 모든 수복채 공히 상아질과 유사하거나 높은 방사선불투과도를 나타내었고 (p<0.05), compomer인 Dyract$^{(R)}$ AP와 Compoglass$^{(R)}$, 그리고 유동성 레진인 Tetric-flow$^{(R)}$는 통상적인 방사선사진술 및 2종의 디지털 방사선사진술에서 공히 유동성 레진인 Revolution$^{TM}$과 Aeliteflo$^{TM}$, 그리고 상아질에 비해 유의하게 높은 방사선불투과도를 나타내었다 (p<0.05). 3. Compomer인 Dyract$^{(R)}$ AP와 Compoglass$^{(R)}$, 그리고 유동성 레진인 Tetric-flow$^{(R)}$는 통상적인 방사선사진술 및 CD-Dent 디지털 방사선사진술에서 공히 법랑질에 비해 높은 방사선불투과도를 나타내었고(p<0.05), compomer인 Dyract flow$^{(R)}$는 통상적인 방사선사진술에서만 법랑질에 비해 높은 방사선불투과도를 나타내었다(p<0.05).
(Department of Conservative Dentistry, School of Dentistry, Kyungpook National University)