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공초점 레이저 주사 현미경을 이용한 실험적 레진의 표면 조도에 대한 연구

SURFACE ROUGHNESS OF EXPERIMENTAL COMPOSITE RESINS USING CONFOCAL LASER SCANNING MICROSCOPE

  • 배지현 (분당 서울대학교병원 치과보존과) ;
  • 이미애 (서울대학교 치과대학 치과보존학교실) ;
  • 조병훈 (서울대학교 치과대학 치과보존학교실)
  • Bae, J.H. (Department of Conservation Dentistry, Seoul National University Bundang Hospital) ;
  • Lee, M.A. (Department of Conservation Dentistry, School of Dentistry, Seoul National University) ;
  • Cho, B.H. (Department of Conservation Dentistry, School of Dentistry, Seoul National University)
  • 발행 : 2008.01.31

초록

본 연구는 공초점 현미경을 이용하여 새로운 단량체와 filler의 크기, 연마방법이 실험용 복합레진의 표면조도에 미치는 영향을 연구하였다. 단점이 많은 희석재인 TEGDMA의 사용을 줄이기 위해, Bis-GMA의 유도체로서 중합수축이 적고 점도가 낮은 새로운 단량체인 methoxlyated Bis-GMA (Bis-M-CMA)를 첨가하고 다른 크기의 filer를 갖는 2종의 실험용 복합레진과 TEGDMA를 함유한 1종의 실험용 복합레진을 제작하였다. EX1; 실험용 복합레진 1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 nm 나노필러 함유), EX2; 실험용 복합레진 2 (Bis-M-GMA/TEGDMA = 95/5wt%, 20 nm 나노필러 함유), EX3; 실험용 복합레진 3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 nm 나노필러 함유). 테프론 몰드를 이용하여 지름 6 mm 두께 2 mm의 시편을 각 실험용 복합레진과 Filtek Z250으로 9개씩 만들고 3군으로 분류하였다. Mylar strip 군은 연마를 하지 않았고, Sof-lex군은 #1000 SiC paper로 연마한 뒤 501-lex disc로 연마하였다. Diapolisher 군은 #1000 SiC paper로 연마한 뒤 DiaPolisher polishing point로 연마하였다. 공초점 현미경을 이용하여 각 시편당 7군데에서 Rq (Root mean square roughness), Rv (Valley roughness), Rp (Peak roughness), Rc (2D Roughness), Sc (3D Roughness) 값을 측정하였고, Two-way ANOVA와 Tukey multiple comparisons test로 유의수준 0.05로 통계처리 하였다. 복합레진의 종류 (p < 0.001), 연마 방법 (p < 0.001)은 각각 모두 표면조도 값에 영향을 미치며, 복합레진의 종류와 연마 방법 간에는 교호 작용이 관찰되었다 (p < 0.001). 복합레진의 종류에 따른 표면조도는 EX2가 가장 거친 표면을 보였고, EX3이 가장 평활한 면을 형성하였으며 (p < 0.05). 연마 방법에서는 연마하지 않은 Mylar strip 군이 가장 평활한 면을 형성하였다 (p < 0.05). 본 연구 결과를 종합하여보면 연마하지 않고 Mylar strip하에서 복합레진이 중합된 경우 가장 낮은 표면조도와 평활한 표면을 보였으며, 새로운 레진 단량체인 Bis-M-GMA를 함유한 복합레진이 수복물의 표면조도 측면에서는 필러 크기에 관계없이 기존의 Bis-GMA/TEGDMA를 기질단량체로 사용하는 복합레진에 비교하여 우수하지 못한 것을 확인하였다.

The purpose of this study was to evaluate the effect of a new resin monomer, filler size and polishing technique on the surface roughness of composite resin restorations using confocal laser scanning microscopy. By adding new methoxylated Bis-GMA (Bis-M-GMA, 2,2-bis[4-(2-methoxy-3-methacryloyloxy propoxy) phenyl] propane) having low viscosity, the content of TEGDMA might be decreased. Three experimental composite resins were made: EX1 (Bis-M-GMA/TEGDMA = 95/5 wt%, 40 nm nanofillers); EX2 (Bis-M-GMA/TEGDMA = 95/5 wt%, 20 nm nanofillers); EX3 (Bis-GMA/TEGDMA = 70/30 wt%, 40 nm nanofillers). Filtek Z250 was used as a reference. Nine specimens (6 mm in diameter and 2 mm in thickness) for each experimental composite resin and Filtek Z250 were fabricated in a teflon mold and assigned to three groups. In Mylar strip group, specimens were left undisturbed. In Sof-lex group, specimens were ground with #1000 SiC paper and polished with Sof-lex discs. In DiaPolisher group, specimens were ground with #1000 SiC paper and polished with DiaPolisher polishing points. The Ra (Average roughness), Rq (Root mean square roughness), Rv (Valley roughness), Rp (Peak roughness), Rc (2D roughness) and Sc (3D roughness) values were determined using confocal laser scanning microscopy. The data were statistically analyzed by Two-way ANOVA and Tukey multiple comparisons test (p = 0.05). The type of composite resin and polishing technique significantly affected the surface roughness of the composite resin restorations (p < 0.001). EX3 showed the smoothest surface compared to the other composite resins (p < 0.05). Mylar strip resulted in smoother surface than other polishing techniques (p < 0.05). Bis-M-GMA. a new resin monomer having low viscosity, might reduce the amount of diluent, but showed adverse effect on the surface roughness of composite resin restorations.

키워드

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