복합레진의 수리 시 표면처리가 결합강도에 미치는 영향

EFFECT OF SURFACE TREATMENTS ON THE REPAIR BOND STRENGTH OF COMPOSITES

  • 최정인 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 김영재 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 김정욱 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 이상훈 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 김종철 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 한세현 (서울대학교 치과대학 소아치과학교실 및 치학연구소) ;
  • 장기택 (서울대학교 치과대학 소아치과학교실 및 치학연구소)
  • Choi, Jung-In (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kim, Jung-Wook (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Lee, Sang-Hoon (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kim, Chong-Chul (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Hahn, Se-Hyun (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University) ;
  • Jang, Ki-Taek (Department of Pediatric Dentistry, College of Dentistry and Dental Research Institute, Seoul National University)
  • 발행 : 2008.11.30

초록

본 연구의 목적은 표면처리가 기존의 레진과 새로운 레진 사이의 전단결합강도에 미치는 영향을 평가하는 것이다. 준비된 레진 시편을 6군으로 임의로 배분하여 각각의 표면처리를 한 후 수리용 레진을 축조하였다. 일주일간 보관 후 전단결합강도 를 측정하였고 일원분산 분석법으로 통계처리하여 다음과 같은 결과를 얻었다. 1. 3군과 4군(air abrasion)은 1군(산부식)에 비해 전단결합강도가 유의하게 높게 나타났다(p<0.05). 5군과 6군(diamond bur)은 1군(산부식)에 비해 높은 전단결합강도를 나타냈으나 통계적으로 유의하지 않았다(p>0.05). 2. 2군(자가부식 접착제)은 1군(산부식)에 비해 전단결합강도가 낮게 나타났으나 유의한 차이는 없었다(p>0.05). 3. 3군(air abrasion)과 4군(air abrasion+산부식)에서 전단결합강도의 차이는 유의하지 않았다(p>0.05). 4. 5군(diamond bur)과 6군(diamond bur+산부식)에서 전단결합강도의 차이는 유의하지 않았다(p>0.05). 결론적으로, 복합레진의 수리 시 air abrasion으로 표면처리를 했을 때의 결합강도가 가장 높았고, 산부식 방법과 처리여 부는 수리강도에 유의한 영향을 미치지 않았다.

The purpose of this study was to evaluate the effect of surface treatment on the shear bond strength between new and old composite resin. The prepared resin specimens were separated 6 groups, and each group then received a different surface treatment. Then the repair material was added. Shear bond strengths for repair were measured after 7 days and the results were analyzed by using one way ANOVA. The results were as follows; 1. Group 3, 4(air abrasion) showed significantly higher shear bond strength than Group 1(phosphoric acid)(p<0.05). Group 5, 6(diamond bur) showed higher bond strength than Group 1(phosphoric acid) but not significantly different( p>0.05). 2. Group 2(self-etching adhesive) showed lower shear bond strength than Group 1(phosphoric acid) but not significantly different(p>0.05). 3. There was no statistically significant difference between Group 3(air abrasion) and Group 4(air abrasion+etching). 4. There was no statistically significant difference between Group 5(diamond bur) and Group 6(diamond bur+etching). In conclusion, the surface treatment with air abrasion resulted in higher repair bond strength than other methods. Repair bond strength was not significantly affected by acid etching.

키워드

참고문헌

  1. Bayne CS, Heymann OH, Swift EJ Jr : Update on dental Composites. J Am Dent, 125:687-701, 1994.
  2. Shahdad SA, Kennedy JG : Bond strength of repaired anterior composite resins: an in vitro study. J Dent, 26:685-694, 1997.
  3. Miranda FJ, Duncanson MG, Dilts WE : Interfacial bonding strengths of paired composite systems. J Prosthet Dent, 51:29-32, 1984. https://doi.org/10.1016/S0022-3913(84)80098-0
  4. Davis BR, Miller BJ, Wood DJ, et al. : Strength of secondary-cured resin composite inlay repairs. Oper Dent, 51:29-32, 1984.
  5. Soderholm KJ, Roberts MJ : Variables influencing the repair strength of dental composites. Scand J Dent Res, 99:173-180, 1991.
  6. Swift EJ Jr, Le Valley BD, Boyer DB : Evaluation of new methods for composite repair. Dent Mater, 8:362-365, 1992. https://doi.org/10.1016/0109-5641(92)90020-D
  7. Crumpler DC, Bayne SC, Sockwell S, et al. : Bonding to resurfaced posterior composites. Dent Mater, 5:417-424, 1989. https://doi.org/10.1016/0109-5641(89)90113-9
  8. Turner CW, Meiers JC : Repair of an aged, contaminated indirect composite resin with a direct, visiblelight-cured composite resin. Oper Dent, 18:187-194, 1993.
  9. Puckett AD, Holder R, O'Hara JW : Strength of posterior composite repairs using different composite/bonding agent combinations. Oper Dent, 16:136-140, 1991.
  10. Gregory WA, Pounder B, Bakus E : Bond strengths of chemically dissimilar repaired composite resins. J Prosthet Dent, 64:664-668, 1990. https://doi.org/10.1016/0022-3913(90)90292-K
  11. Boyer DB, Chan KC, Reinhardt JW : Build-up and repair of light-cured composites: bond strength. J Dent Res, 63:1241-1244, 1984. https://doi.org/10.1177/00220345840630101501
  12. Kupiec KA, Barkmeier WW : Laboratory evaluation of surface treatments for composite repair. Oper Dent, 21:59-62, 1996.
  13. Bouschlicher MR, Reinhardt JW, Vargas MA : Surface treatment techniques for resin composite repair. Am J Dent, 10:279-283, 1997.
  14. Brosh T, Pilio R, Bichacho N, et al. : Effect of combinations of surface treatments and bonding agents on the bond strength of repaired composites. J Prosthet Dent, 77:122-126, 1997. https://doi.org/10.1016/S0022-3913(97)70224-5
  15. Kallio TT, Lastumaki TM, Vallittu PK : Bonding of restorative and veneering composite resin to some polymeric composites. Dent Mater, 17:80-86, 2001. https://doi.org/10.1016/S0109-5641(00)00064-6
  16. Lucena-Martin C, Gonzalez-Lopez S, Navajas-Rodriguez de Mondelo JM : The effect of various surface treatments and bonding agents on the repaired strength of heat-treated composites. J Prosthet Dent, 86:481-488, 2001. https://doi.org/10.1067/mpr.2001.116775
  17. Burtscher P : Half life time of radicals after radiation curing of composite. J Dent Res, 69:207, 1990.
  18. Bastoli C, Romano G, Maliaresi C : Water sorption and mechanical properties of dental composite. Biomaterials, 11:219-223, 1990. https://doi.org/10.1016/0142-9612(90)90159-N
  19. Bonstein T, Garlapo D, Donarummo J Jr, et al. : Evaluation of varied repair protocols applied to aged composite resin. J Adhes Dent, 7:41-49, 2005.
  20. Soderholm KJ, Mukherjee R, Longmate J : Filler leachability of composites stored in distilled water or artificial saliva. J Dent Res, 75:1692-1699, 1996. https://doi.org/10.1177/00220345960750091201
  21. Tezvergil A, Lassila LV, Vallittu PK : Composite-composite repair bond strength: effect of different adhesion primers. J Dent, 31:521-525, 2003. https://doi.org/10.1016/S0300-5712(03)00093-9
  22. Lewis G, Johnson W, Martin W, et al. : Shear bond of immediately repaired light-cured composite resin restorations. Oper Dent, 23:121-127, 1998.
  23. Lastumaki TM, Kallio TT, Vallittu PK : The bond strength of light-curing composite resin to finally polymerized and aged glass fiber-reinforced composite substrate. Biomater, 23:4533-4539, 2002. https://doi.org/10.1016/S0142-9612(02)00197-7
  24. 이창우, 김정욱, 이상훈 : 표면 처리방법에 따른 복합레진의 미세누출에 관한 실험적 연구. 대한소아치과학회지, 25:103-115, 1998.
  25. 강명봉, 현홍근, 김영재 등 : 파손된 치면열구전색제의 수리 방법에 따른 미세누출 비교. 대한소아치과학회지, 34:204-214, 2007.
  26. 임호남, 최호영 : 레진재료의 결합을 위한 복합레진 수복물의 최적표면처리법에 관한 연구. 대한치과기재학회지, 24:91-109, 1997.
  27. 최경규, 민병순 : Microabrasive로 처리한 상아질표면에 대한 복합레진의 결합강도에 관한 연구. 대한치과보존학회지, 22:61-75, 1997.
  28. Papacchini F, Dall'Oca S, Chieffi N, et al. : Composite-to-composite microtensile bond strength in the repair of a microfilled hybrid resin: effect of surface treatment and oxygen inhibition. J Adhes Dent, 9:25-31, 2007.
  29. Hannig M, Reinhardt KJ, Bott B : Self-etching primer vs phosphoric acid: an alternative concept for composite-to-enamel bonding. Oper Dent, 24:172-180, 1999.
  30. 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
  31. Burrow MF, Satou M, Tagami J : Dentin bond durability after three years using a dentin bonding agent with and without priming. Dent Mater, 12:302-307, 1996. https://doi.org/10.1016/S0109-5641(96)80038-8
  32. Teixeira EC, Bayne SC, Thompson JY, et al. : Shear bond strength of self-etching bonding systems in combination with various composites used repairing aged composites. J Adhes Dent, 7:159-164, 2005.
  33. Frankenberger R, Perdigao J, Rosa BT, et al. : "No-Bottle"vs "multi-bottle"dentin adhesive-a microtensile bond strength and morphological study. Dent Mater, 17:373-380, 2001. https://doi.org/10.1016/S0109-5641(00)00084-1
  34. 최수영, 정선와, 황윤찬 등 : 수리된 복합레진 수복물의 전단결합강도 연구. 대한치과보존학회지, 27:569-576, 2002. https://doi.org/10.5395/JKACD.2002.27.6.569
  35. Pioch T, Jakob H, Garcia-Godoy F, et al. : Surface characteristics of dentin experimentally exposed to hydrofluoric acid. Eur J Oral Sci, 111:359-364, 2003. https://doi.org/10.1034/j.1600-0722.2003.00048.x
  36. Hannig C, Hahn P, Thiele PP, et al. : Influence of different repair procedures on bond strength of adhesive filling materials to etched enamel in vitro. Oper Dent, 28:800-807, 2003.
  37. Hannig C, Laubach S, Hahn P, et al. : Shear bond strength of repaired adhesive filling materials using different repair procedures. J Adhes Dent, 8:35-40, 2006.