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Polymerization of dual cured composites by different thickness

두께에 따른 이중 중합형 복합레진의 중합

  • Kim, Yun-Ju (Department of Conservative Dentistry, School of Dentistry, Kyungpook National University) ;
  • Jin, Myoung-Uk (Department of Conservative Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Sung-Kyo (Department of Conservative Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kwon, Tae-Yub (Department of Dental Biomaterials, School of Dentistry, Institute for Biomaterials Research & Development, Kyungpook National University) ;
  • Kim, Young-Kyung (Department of Conservative Dentistry, School of Dentistry, Kyungpook National University)
  • 김윤주 (경북대학교 치의학전문대학원 치과보존학교실) ;
  • 진명욱 (경북대학교 치의학전문대학원 치과보존학교실) ;
  • 김성교 (경북대학교 치의학전문대학원 치과보존학교실) ;
  • 권태엽 (경북대학교 치의학전문대학원 치과생체재료학교실) ;
  • 김영경 (경북대학교 치의학전문대학원 치과보존학교실)
  • Published : 2008.05.30

Abstract

The purpose of this study was to evaluate the effect of thickness, filling methods and curing methods on the polymerization of dual cured core materials by means of microhardness test. Two dual cured core materials, MultiCore Flow (Ivoclar Vivadent AG, Schaan, Liechtenstein) and Bis-Core (Bisco Inc., Schaumburg, IL, USA) were used in this study. 2 mm (bulky filled), 4 mm (bulky filled), 6 mm (bulky and incrementally filled) and 8 mm (bulky and incrementally filled)-thickness specimens were prepared with light cure or self cure mode. After storage at $37{\circ}C$ for 24 hours, the Knoop hardness values (KHN) of top and bottom surfaces were measured and the microhardness ratio of top and bottom surfaces was calculated. The data were analyzed using one-way ANOVA and Scheffe multiple comparison test, with ${\alpha}$= 0.05. The effect of thickness on the polymerization of dual cured composites showed material specific results. In 2, 4 and 6 mm groups, the KHN of two materials were not affected by thickness. However, in 8 mm group of MultiCore Flow, the KHN of the bottom surface was lower than those of other groups (p < 0.05). The effect of filling methods on the polymerization of dual cured composites was different by their thickness or materials. In 6 mm thickness, there was no significant difference between bulk and incremental filling groups. In 8 mm thickness, Bis-Core showed no significant difference between groups. However, in MultiCore Flow, the microhardness ratio of bulk filling group was lower than that of incremental filling group (p < 0.05). The effect of curing methods on the polymerization of dual cured composites showed material specific results. In Bis-Core, the KHN of dual cured group were higher than those of self cured group at both surfaces (p < 0.05). However, in MultiCore Flow, the results were not similar at both surfaces. At the top surface, dual cured group showed higher KHN than that of self cured group (p < 0.05). However, in the bottom surface, dual cured group showed lower value than that of self cured group (p < 0.05).

본 연구는 이중 중합형 복합레진에서 재료의 두께, 충전방법 및 중합방법에 따른 중합도를 미세경도 시험을 이용하여 측정하고자 하였다. 이중 중합형 복합레진으로는 MultiCore Flow (Ivovlar Vivadent AG, Schaan, Liechtenstein)와 Bis-Core (Bisco Inc., Schaumburg IL, USA)를 사용하였다. 시편의 제작은 각각 두께가 2(단일충전), 4 (단일충전), 6 (단일충전과 적층충전), 8 (단일충전과 적층충전) ㎜의 Teflon mold에 재료를 주입한 다음 할로겐 광중합기 (Optilux 501, Kerr, Danbury, USA)를 사용하여 광중합하거나 암실에서 30분 동안 기다린 후(자가 중합) Teflon mold에서 제거하였다. 제거한 시편은 $37{\circ}C$ 증류수에 24시간 동안 보관한 후 각 시편의 윗면과 아랫면을 2000번 연마제와 PoGo system (Dentsply, Konstanz, Germany)을 이용하여 마무리하였다. Digital microhardness tester (FM-7, Future-Tech Corp., Tokyo, Japan)를 이용하여 경도값(Knoop hardness number)을 측정하였으며 윗면의 경도값/아랫면의 경도값을 이용하여 경도비를 계산하였다. 계측치는 one-way ANOVA로 통계 분석 후 사후검정은 Scheffe 다중비교법을 이용하였다. 이중 중합형 복합레진의 중합도에 대한 두께의 영향을 보면 재료에 따라 다른 결과를 보였다. 2, 4, 6 mm 군에서는 MulriCore Flow와 Bis-Core 모두 두께에 의한 영향을 받지 않았지만 8 mm 군에서는 MultiCore Flow의 아랫면에서 다른 두께의 군보다 낮은 경도값을 보였다. 충전방법에 따른 중합도의 차이를 보면, 재료의 두께나 재료에 따라 다른 결과를 보였다. 6 mm 군에서는 단일충전군과 적층충전군 사이에 차이를 보이지 않았으나, 8 mm 군에서는 Bis-Core에서는 차이가 없는 반면 MultiCore Flow에서는 단일충전한 군이 적층중전한 군보다 낮은 경도비를 보였다. 중합방법에 따른 중합도의 차이를 보면, 재료에 따라 다른 결과를 보였다. Bis-Core의 경우에는 윗면과 아랫면 모두에서 이중 중합 시킨 군이 자가 중합 시킨 군보다 높은 경도값을 보였다. 그러나 MultiCore Flow의 경우, 윗면에서는 이중중합 시킨 군이 더 높은 경도값을 보였지만 아랫면에서는 더 낮은 값을 보였다. 따라서 본 연구의 결과에 따르면 코어용 이중 중합형 복합레진을 깊은 와동에 충전할 경우 적층충전이 추천되며, 또한 광중합을 해 줌으로써 더 좋은 물리적 성질을 기대할 수 있을 것으로 사료된다.

Keywords

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