Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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A STUDY ON THE MICROLEAKAGE OF DENTIN BONDING SYSTEMS

상아질 접착제의 미세누출에 관한 연구

  • Son, Jeong-Min (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute and second stage of BK 21) ;
  • Choi, Nam-Ki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute and second stage of BK 21) ;
  • Kim, Seon-Mi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute and second stage of BK 21) ;
  • Yang, Kyu-Ho (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University and Dental Research Institute and second stage of BK 21) ;
  • Park, Yang, Ji-il (Department of Dental Hygiene, Gwang Ju Health college)
  • 손정민 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소 및 2단계 BK21) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소 및 2단계 BK21) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소 및 2단계 BK21) ;
  • 양규호 (전남대학교 치의학전문대학원 소아치과학교실 및 치의학연구소 및 2단계 BK21) ;
  • 박지일 (광주 보건대학 치위생과)
  • Published : 2008.11.30
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Abstract

The objective of this study was to compare the microleakage of five adhesive systems in the enamel and dentin of permanent teeth. Class V cavity preparations with occlusal margins in enamel and gingival margins in dentin were prepared on both buccal and lingual surfaces of 25 extracted human molar teeth. The tested adhesives were: Adper Scotchbond Multi-purpose Plus Adhesive (SM), Adper Single bond 2 (SB), Clearfil SE Bond (SE), Adper Prompt L-Pop (PL) and G-Bond (GB). The results were as follows: 1. At the enamel margins, PL showed the highest leakage value(0.85), and others showed values of SB(0.55), GB(0.50), SM(0.35) and SE(0.25) in decreasing order. There were statistically significant differences in PL vs. SM and PL vs. SE(p<0.05). 2. At the dentin margins, GB showed the highest leakage value(2.10), and others showed values of SE(1.45), PL(1.40), SB(1.05), SM(0.70) in decreasing order. There were statistically significant differences in GB vs. SB and GB vs. SM(p<0.05). 3. Dentin margins showed high dye penetration rate than enamel margins in all material tested groups and there were statistically significant differences for SE, PL and GB.

본 연구는 여러가지 상아질 접착제들의 법랑질 변연과 상아질 변연에서의 미세누출을 비교 평가하기 위해 이루어졌다. 발거된 건전한 영구치의 협면과 설면에 5급 와동을 형성하고 형성된 50개의 와동을 무작위로 5개의 군으로 나누어 각군에 Adper$^{TM}$ Scotchbond$^{TM}$ Multi-purpose Plus Adhesive (SM; 3M ESPE, USA), Adper$^{TM}$ Single bond 2 (SB; 3M ESPE, USA), Clearfil$^{TM}$ SE Bond (SE; Kuraray Medical Inc., Japan), Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$ (PL; 3M ESPE, USA), GBond$^{TM}$ (GB; GC Co., Japan)를 적용하고 Filtec$^{TM}$ Z350 A3 (3M ESPE, USA)로 충전하였다. 시편을 $37^{\circ}C$ 증류수에 24 시간 보관한 후 $5^{\circ}C$와 $55^{\circ}C$에서 10초씩 1000회 열순환하고 2% methylene blue 용액에 24시간 넣어 염색한 뒤, 주수 하에 치아를 협설로 절단하여 색소의 침투 정도를 화상분석현미경을 이용하여 침투깊이를 측정한 뒤 각 군간의 미세누출 정도를 비교하여 침투깊이에 따라 $0{\sim}3$점으로 분류하여 다음과 같은 결과를 얻었다. 1. 법랑질 변연에서의 미세누출은 PL(0.85), SB(0.55), GB(0.50), SM(0.35), SE(0.25) 순이었으며 PL은 SM 및 SE 와 통계학적으로 유의한 차이를 나타냈다(p<0.05). 2. 상아질 변연에서의 미세누출은 GB(2.10), SE(1.45), PL(1.40), SB(1.05), SM(0.70)순이었으며 GB는 SB 및 SM 과 통계학적으로 유의한 차이를 나타냈다(p<0.05). 3. 각 실험재료 군내에서 법랑질 변연에 비해 상아질 변연에서 미세누출이 더 크게 나타났으며, SE, PL, GB에서 통계학 적으로 유의한 차이를 나타냈다.(p<0.05)

Keywords

References

  1. Ferracane JL : Current trends in dental composites. Crit Rev Oral Biol Med, 6:302-318, 1995. https://doi.org/10.1177/10454411950060040301
  2. Willems G, Lambrechts P, Braem M, et al. : Composite resins in the 21stcentury. Quint Int, 24:641-658, 1993.
  3. Bowen RL : Properties of a silica-reinforced polymer for dental restorations. J Am Dent Assoc, 66:57-64, 1963.
  4. Hervas-Garcia A, Martinez-Lozano MA, Cabanes- Vila J, et al. : Composite resins. A review of the materials and clinical indications. Med Oral Patol Oral Cir Bucal, 11:E215-20, 2006.
  5. Sakaguchi RL, Peters MC, Nelson SR, et al. : Effects of polymerization contraction in composite restorations. J Dent, 20:178-182, 1992. https://doi.org/10.1016/0300-5712(92)90133-W
  6. Geurtsen W : Substances released from dental resin composites and glass ionomer cements. Eur J Oral Sci, 106:687-695, 1998. https://doi.org/10.1046/j.0909-8836.1998.eos10602ii04.x
  7. Hamid A, Okamoto A, Iwaku M, et al. : Component release from light-activated glass ionomer and compomer cements. J oral Rehabil, 25:94-98, 1998. https://doi.org/10.1046/j.1365-2842.1998.00247.x
  8. Pradelle-Plasse N, Nechad S, Tavernier B, et al. : Effect of dentin adhesives on the enameldentin/ composite interfacial microleakage. Am J Dent, 14:344-348, 2001.
  9. Bouillaguest S, Gysi P, Wataha JC, et al. : Bond strength of composite to dentin using conventional, one-step, and self-etching adhesive systems. J Dent, 29:55-61, 2001. https://doi.org/10.1016/S0300-5712(00)00049-X
  10. Toledano M, Osorio R, de Leonardi G, et al. : Influence of self-etching primer on the resin adhesion to enamel and dentin. Am J Dent, 14:205-210, 2001.
  11. Besnault C, Attal JP : Influence of a simulated oral environment on microleakage of two adhesive systems in Class II composite restorations. J Dent, 30:1-6, 2002. https://doi.org/10.1016/S0300-5712(01)00050-1
  12. Li H, Burrow MF, Tyas MJ : The effect of load cycling on the nanoleakage of dentin bonding systems. Dent Mater, 18:111-119, 2002. https://doi.org/10.1016/S0109-5641(01)00029-X
  13. Leinfelder KF : A conservative approach to placing posterior composite resin restorations. J Am Dent Assoc, 127:743-748, 1996.
  14. 양계식, 김대업, 이광희 등 : 차아염소산 나트륨의 사용이 복합레진 수복물의 미세누출에 미치는 영향. 대한소아치과학회지, 30:54-60, 2003.
  15. 조영곤, 김영관, 안종모 : 상아질 접착제의 미세누출과 변연부 혼화층. 대한치과보존학회지. 27:34-43, 2002. https://doi.org/10.5395/JKACD.2002.27.1.034
  16. Gallo JR, Burgess JO, Xu X : Effect of delayed application shear bond strength of four fifth-generation bonding systems. Oper Dent, 26:27-35, 2001.
  17. Hanning M, Reinhardt KJ, Bott B : Composite-todentin bond strength, micromorphology of the bonded dentin interface and marginal adaptation of class II composite resin restorations using self-etching primers. Oper Dent, 26:157-165, 2001.
  18. Chigara H, Yukitani W, Hasegawa T, et al. : Selfetching dentin primers containing phenyl-P. J Dent Res, 73:1088-1095, 1994.
  19. Rosa BT, Perdigao J : Bond strengths of nonrinsing adhesives. Quint Int, 31:353-358, 2000.
  20. Inoue S, Vargas MA, Abe Y, et al. : Micro-tensile bond strength of eleven contemporary adhesives to dentin. J Adhesive Dent, 3:237-245, 2001.
  21. De Munk J, Van Meerbeek B, Inoue S, et al. : Micro-tensile bond strength of one- and two-step self-etch adhesives to bur-cut enamel and dentin. Am J Den, 16:414-420, 2003.
  22. Freeman G : Seventh-generation adhesive systems. Dent Today, 21:106-111, 2002.
  23. Burgess JO, Walker RS, Porche CJ, et al. : Light curing-an update. Compend Contin Educ Dent, 23:889-892, 2002.
  24. Fayyad MA, Shortall AC : Microleakage of dentinebonded posterior composite restorations. J Dent 15:67-72, 1987. https://doi.org/10.1016/0300-5712(87)90002-9
  25. Qvist V : Pulp reactions in human teeth to tooth colored filling materials. Scand J Dent Res, 83:54-66, 1975.
  26. Jacobsen PH, Von Fraunhofer JA : Assessment of microleakage using a conductimetric technique. J Dent Res, 54:41-48, 1975. https://doi.org/10.1177/00220345750540013401
  27. Iwami Y, Yamamoto H, Ebisu S : A new electrical method for detecting marginal leakage of in vitro resin restorations. J Dent, 28:241-247, 2000. https://doi.org/10.1016/S0736-5748(99)00079-9
  28. Pradelle-Plasse N, Wenger F, Colon P : Effect of conditioners on dentin permeability using an impedance method. J Dent, 30:251-257, 2002. https://doi.org/10.1016/S0300-5712(02)00042-8
  29. Raskin A, D'Hoore W, Gonthier S, et al. : Reliability of in vitro microleakage tests: a literature review. J Adhes Dent, 3:295-308, 2001.
  30. Alani AH, Toh GC : Detection of microleakage around dental restorations: a review. Oper Dent, 22:173-185, 1997.
  31. R. Labella, P. Lambrechts : Polymerization shrinkage and elasticity of flowable composites and filled adhesives. Dent Mater, 15:128-137, 1999. https://doi.org/10.1016/S0109-5641(99)00022-6
  32. Qvist V : Resin restorations leakage, bacteria, pulp. Endod Dent Traumatol, 9:127-152, 1993. https://doi.org/10.1111/j.1600-9657.1993.tb00265.x
  33. De Munck J, Van Landuyt K, Peumans M, et al. : A critical review of the durability of adhesion to tooth tissue : methods and results. J Dent Res, 84:118-32, 2005. https://doi.org/10.1177/154405910508400204
  34. Eick JD, Gwinnett AJ, Pashley DH, et al. : Current concepts on adhesion to dentin. Crit Rev Oral Biol Med, 8:306-335, 1997. https://doi.org/10.1177/10454411970080030501
  35. 박창후, 최남기, 양규호 등 : 광중합기 종류에 따른 복합레진과 콤포머의 미세누출에 관한 연구. 대한소아치과학회지, 33:438-446, 2006.
  36. Brackett WW, Haisch LD, Pearce MG, et al. : Microleakage of Class V resin composite restorations placed with self-etching adhesives. J Prosthet Dent, 91:42-45, 2004. https://doi.org/10.1016/j.prosdent.2003.10.003
  37. Santini A, Ivanovic V, Ibbetson R, et al. : Influence of cavity configuration on microleakage around Class V restorations bonded with seven self-etching adhesives. J Esthet Restor Dent, 16:128-135, 2004. https://doi.org/10.1111/j.1708-8240.2004.tb00020.x
  38. 이상엽, 이광희, 김대업 등 : 7세대 결합제의 미세누출에 관한 연구. 대한소아치과학회지, 33:422-428, 2006.
  39. Miyazaki M, Onose H, Moore BK : Effect of operator variability on den tin bond strength of two-step bonding systems. Am J Dent, 13:101-104, 2000.
  40. Tay FR, Gwinnett JA, Wei SHY : Microm-orphological spectrum from overdrying to overwetting acidconditioned dentin in water-free, acetone-based, single bottle primer/adhesives. Dent Mater, 12:236-244, 1996. https://doi.org/10.1016/S0109-5641(96)80029-7
  41. Yoshiyama M, Urayama A, Kimochi T, et al. : Comparison of conventional vs. self-etching adhesives bonds to caries-affected dentin. Oper Dent, 25:163-169, 2000.
  42. Miyasaka K, Nakabayashi N : Combination of EDTA conditioner and phenyl-P/HEMA self-etching primer for bonding to dentin. Dent Mater, 15:153-157, 1999. https://doi.org/10.1016/S0300-5712(99)00025-1
  43. Pontes DG, de Melo AT, Monnerat AF : Microleakage of new all-in-one adhesive systems on dentinal and enamel margins. Quint Int, 33:136-139, 2002.
  44. Theodosis N, Emad Al-Badawi, White GE : An in vitro evaluation of microleakage in class I preparations using 5th, 6th, 7th generation composite bonding agents. J Pediat Dent, 29:323-328, 2005.
  45. Korasli D, Ziraman F, Ozyurt P, et al. : Microleakage of self-etch primer/adhesives in endodontically treated teeth. J Am Dent Assoc, 138:634-640, 2007.
  46. Deliperi S, Bardwell DN, Wegley C : Restoration interface microleakage using one total-etch and three self-etch adhesives. Oper Dent. 32:179-184, 2007. https://doi.org/10.2341/06-54
  47. Pashley DH : The evolution of dentin bonding. Dent Today, 22:112-119, 2003.
  48. Fabianelli A, Kugel G, Ferrari M : Efficacy of self etching primers on sealing margins of class II restorations. Am J Dent, 16:37-41, 2003.
  49. Fritz UB, Finger WJ : Bonding efficiency of single bottle enamel/dentin adhesive. Am J Dent, 12:277-282, 1999.
  50. Yazici R, Baseren M, Dayangac B : The effect of current-generation bonding systems on microleakage of resin composite restorations. Quint Int, 33:763-769, 2002.
  51. Van Meerbeck B, Williens G, Celis JP, et al. : Assessment by nanoindentation of the hardness and elasticity of the dentin bonding area. J Dent Res, 72:1434-1442, 1993. https://doi.org/10.1177/00220345930720101401
  52. Davidson CL, Feilzer AJ : Polymerization shrinkage and polymerization shrinkage stress in polymerbased restoratives. J Dent, 25:435-440, 1997. https://doi.org/10.1016/S0300-5712(96)00063-2
  53. Loguercio AD, Reis A, Ballester RY : Polymerization shrinkage: effects of constraint and filling technique in composite restorations. Dent Mater, 20:236-43, 2004. https://doi.org/10.1016/S0109-5641(03)00098-8
  54. Winkler MM, Katona TR, Paydar NH : Finite element stress analysis of three filling techniques for class V light cured composite restorations. J Dent Res, 75:1477-1483, 1996. https://doi.org/10.1177/00220345960750070701
  55. Versluis A, Douglas WH, Cross M, et al. : Does an incremental filling technique reduce polymerization shrinkage stresses. J Dent Res, 75:871-878, 1996. https://doi.org/10.1177/00220345960750030301
  56. 김효석, 이난영, 이상호 등 : 적층충전법이 복합레진의 중합수축에 미치는 영향. 대한소아치과학회지, 32:481-490, 2005
  57. Ghavamnasiri M, Moosavi H, Tahvildarnejad N : Effect of centripetal and incremental methods in Class II composite resin restorations on gingival microleakage. J Contemp Dent Pract, 8:113-120, 2007.
  58. Irinoda Y, Matsumura Y, Kito H, et al. : Effect of sealant viscosity on the penetration of resin into etched human enamel. Oper Dent, 25:274-282, 2000.