대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제35권3호
  • /
  • Pages.456-468
  • /
  • 2008
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지

접착제에 따른 유동성 복합 레진 수복물의 미세누출 양상에 관한 연구

THE STUDY ON THE MICROLEAKAGE PATTERN OF FLOWABLE COMPOSITE RESIN RESTORATIONS ACCORDING TO THE TYPE OF ADHESIVE MATERIALS

  • 박지은 (단국대학교 치과대학 소아치과학교실) ;
  • 김종수 (단국대학교 치과대학 소아치과학교실) ;
  • 유승훈 (단국대학교 치과대학 소아치과학교실)
  • Park, Ji-Eun (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jong-Soo (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Yoo, Seung-Hoon (Department of Pediatric Dentistry, School of Dentistry, Dankook University)
  • 발행 : 2008.08.29
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초록

본 연구는 5급 와동에서 유동성 복합 레진 수복 시 수종의 상아질 접착제에 따른 미세 누출 양상을 비교하고, resin tag 및 혼성층의 형상을 전자 현미경으로 관찰하고 비교 분석하였다. 행동 조절에 어려움이 많은 소아 환자의 접착 수복에서 술식의 간편화 및 시간 단축이 장점으로 부각되고 있는 All-in-one 상아질 접착제의 임상 적용 가능성을 평가하고 다음과 같은 결론을 얻었다. 1. 법랑질 변연에서는 II군(AQ Bond Plus)이 가장 높은 미세누출을 보였고 III군($AdheSE^{(R)}$ One), I군($Adper^{TM}$ Single Bond 2) 순으로 감소하였으며, II군은 I군, III군과 통계학적 유의차를 보였고(p<0.05), I군과 III군 사이에는 유의차가 없었다. 2. 상아질 변연에서는 II군, I군, III군의 순으로 미세누출이 증가하였고, 각각 통계학적 유의차를 보였다(p<0.05). 3. I군과 III군에서는 법랑질 변연이 상아질 변연보다 유의하게 낮은 미세누출을 보였으나(p<0.05), II군에서는 통계학적 유의차를 보이지 않았다(p>0.05). 4. 주사전자현미경 소견에서 II군과 III군은 resin tag의 형성이 매우 미약하고 불규칙한 양상을 보인 반면, I군에서는 비교적 긴밀하고 균일한 resin tag가 관찰되었다. 이상의 결과를 종합해보면, AQ Bond Plus와 $AdheSE^{(R)}$ One은 처리 과정의 단순화로 인한 시간 절약의 장점을 가지고 있으나 $Adper^{TM}$ Single Bond 2에 비해 상대적으로 높은 미세누출과 약한 결합력을 보인 본 실험의 결과를 미루어 볼 때, 임상적용 시 술식과 case에 따른 선택적 사용이 추천되는 바이다.

This study was performed to evaluate the quality of newly offered dentin bonding system($AdheSE^{(R)}$ One) by comparing the degree of microleakage measured with those of several conventional adhesive materials(AQ Bond Plus and $Adper^{TM}$ Single Bond 2). The quality of hybrid layer and resin tags was analyzed by observing restoration/ tooth interface under SEM. All-in-one system is in the limelight for having advantage of reducing chair time of children with difficult behavior pattern. Therefore the possibility of clinical application of All-in-one system was evaluated. The results obtained are as follows; 1. At the enamel margin, group II(AQ Bond Plus) showed the highest value of microleakage, and the other groups showed decreased value in order of group III($AdheSE^{(R)}$ One) and I($Adper^{TM}$ Single Bond 2). There was statistically significant difference between group II and the others(p<0.05), and no statistical difference was found between group I and III. 2. At the dentin margin, microleakage value was increased in order of group II, I, III and significant difference between all groups(p<0.05). 3. In group I and III, microleakage value measured at the enamel margin was significantly lower than that seen at the dentin margin(p<0.05), and there was no statistical difference in group II. 4. Resin tags observed under SEM were very weak and tangled in group II and III while the strong and thick tags were observed in group I. In conclusion, careful case selection and accurate clinical application is recommended in using AQ Bond Plus and $AdheSE^{(R)}$ One, giving consideration of the results showing its higher microleakage and weaker strength than $Adper^{TM}$ Single Bond 2.

키워드

참고문헌

  1. Alani AH, Toh CG : Detection of microleakage around dental restorations: a review. Oper Dent, 22:173-85, 1997.
  2. Buonocore MG : A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res, 34:849-53, 1955. https://doi.org/10.1177/00220345550340060801
  3. Buonocore M, Wileman W, Brudevold F : A report on a resin composition capable of bonding to human dentin surfaces. J Dent Res, 35:846-51, 1956. https://doi.org/10.1177/00220345560350060401
  4. Nakabayashi N, Kojima K, Masuhara E : The promotion of adhesion by the infiltration of monomers into tooth substrates. J Biomed Mater Res, 16:265-73, 1982. https://doi.org/10.1002/jbm.820160307
  5. Kugel G, Ferrari M : The science of bonding: from first to sixth generation. J Am Dent Assoc, 131:20-25, 2000.
  6. Fusayama T, Nakamura M, Kurosaki N, et al. : Non-pressure adhesion of a new adhesive restorative resin. J Dent Res, 58:1364-70, 1979. https://doi.org/10.1177/00220345790580041101
  7. Eick JD, Gwinnett AJ, Pashley DH, et al. : Current concepts on adhesion to dentin. Crit Rev Oral Biol Med, 8:306-35, 1997. https://doi.org/10.1177/10454411970080030501
  8. Kanca J 3rd : Effect of resin primer solvents and surface wetness on resin composite bond strength to dentin. Am J Dent, 5:213-5, 1992.
  9. Watanabe I, Nakabayashi N : Bonding durability of photocured phenyl-P in TEGDMA to smear layer-retained bovine dentin. Quintessence Int, 24:335-42, 1993.
  10. Ferrari M, Goracci G, Garcia-Godoy F : Bonding mechanism of three "one-bottle" systems to conditioned and unconditioned enamel and dentin. Am J Dent, 10:224-30, 1997.
  11. Silveira de Araujo C, Incerti da Silva T, Ogliari FA, et al. : Microleakage of seven adhesive systems in enamel and dentin. J Contemp Dent Pract, 7:26-33, 2006.
  12. 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.
  13. 박헌정, 김종수, 김용기 : 유동성 복합 레진을 적용한 예방적 레진 수복물의 미세 누출 양상에 관한 비교 연구. 대한소아치과학회지, 27:419-30, 2000.
  14. Piva E, Meinhardt L, Demarco FF, et al. : Dyes for caries detection: influence on composite and compomer microleakage. Clin Oral Investig, 6:244-8, 2002. https://doi.org/10.1007/s00784-002-0182-3
  15. Scherer W, Kaim JM, Weiner E, et al. : Third generation dentin bonding agents: a microleakage study. J Esthet Dent, 2:33-5, 1990. https://doi.org/10.1111/j.1708-8240.1990.tb00603.x
  16. Vargas MA, Cobb DS, Denehy GE : Interfacial micromorphology and shear bond strength of singlebottle primer/adhesives. Dent Mater, 13:316-24, 1997. https://doi.org/10.1016/S0109-5641(97)80102-9
  17. Hannig M, Reinhardt KJ, Bott B : Self-etching primer vs phosphoric acid: an alternative concept for composite-to-enamel bonding. Oper Dent, 24:172-80, 1999.
  18. Ernest CP, Holzmeier M, Willershausen B : In vitro shear bond strength of self-etching adhesives in comparison to 4th and 5th generation adhesives. J Adhes Dent, 6:293-9, 2004.
  19. Crim GA, Mattingly SL : Evaluation of two methods for assessing marginal leakage. J Prosthet Dent, 45:160-3, 1981. https://doi.org/10.1016/0022-3913(81)90334-6
  20. Kemp-Scholte CM, Davidson CL : Complete marginal seal of Class V resin composite restorations effected by increased flexibility. J Dent Res, 69:1240-3, 1990. https://doi.org/10.1177/00220345900690060301
  21. Davidson CL, de Gee AJ : Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res, 63:146-8, 1984. https://doi.org/10.1177/00220345840630021001
  22. Feilzer AJ, De Gee AJ, Davidson CL : Setting stress in composite resin in relation to configuration of the restoration. J Dent Res, 66:1636-9, 1987. https://doi.org/10.1177/00220345870660110601
  23. Davidson CL, Feilzer AJ : Polymerization shrinkage and polymerization shrinkage stress in polymerbased restoratives. J Dent, 25:435-40, 1997. https://doi.org/10.1016/S0300-5712(96)00063-2
  24. Nor JE, Feigal RJ, Dennison JB, et al. : Dentin bonding: SEM comparison of the resin-dentin interface in primary and permanent teeth. J Dent Res, 75:1396-403, 1996. https://doi.org/10.1177/00220345960750061101
  25. Phillips RW : Advancements in adhesive restorative dental materials. J Dent Res, 45:1662-7, 1966. https://doi.org/10.1177/00220345660450061601
  26. 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, 16:128-35, 2004. https://doi.org/10.1111/j.1708-8240.2004.tb00020.x
  27. Gwinnett AJ : Moist versus dry dentin: its effect on shear bond strength. Am J Dent, 5:127-9, 1992.
  28. Pashley DH, Ciucchi B, Sano H, et al. : Permeability of dentin to adhesive agents. Quintessence Int, 24:618-31, 1993.
  29. Tay FR, Gwinnett JA, Wei SH : Micromorphological spectrum from overdrying to overwetting acid-conditioned dentin in water-free acetone-based, singlebottle primer/adhesives. Dent Mater, 12:236-44, 1996. https://doi.org/10.1016/S0109-5641(96)80029-7
  30. Tay FR, Gwinnett AJ, Wei SH : The overwet phenomenon: an optical, micromorphological study of surface moisture in the acid-conditioned, resindentin interface. Am J Dent, 9:43-8, 1996.
  31. Van Meerbeek B, Yoshida Y, Lambrechts P, et al. : A TEM study of two water-based adhesive systems bonded to dry and wet dentin. J Dent Res, 77:50-9, 1998. https://doi.org/10.1177/00220345980770010501
  32. Perdigao J, Swift EJ Jr, Denehy GE, et al. : In vitro bond strengths and SEM evaluation of dentin bonding systems to different dentin substrates. J Dent Res, 73:44-55, 1994. https://doi.org/10.1177/00220345940730010601
  33. Tay FR, Gwinnett AJ, Pang KM, et al. : Structural evidence of a sealed tissue interface with a total-etch wet-bonding technique in vivo. J Dent Res, 73:629-36, 1994.
  34. Van Meerbeek B, Inokoshi S, Braem M, et al. : Morphological aspects of the resin-dentin interdiffusion zone with different dentin adhesive systems. J Dent Res, 71:1530-40, 1992. https://doi.org/10.1177/00220345920710081301
  35. Prati C, Chersoni S, Mongiorgi R, et al. : Resin-infiltrated dentin layer formation of new bonding systems. Oper Dent, 23:185-94, 1998.
  36. Tanumiharja M, Burrow MF, Tyas MJ, et al. : Field-emission scanning electron microscopy of resin-dentin interface morphology of seven dentin adhesive systems. J Adhes Dent, 2:259-69, 2000.
  37. Tay FR, Carvalho R, Sano H, et al. : Effect of smear layers on the bonding of a self-etching primer to dentin. J Adhes Dent, 2:99-116, 2000.
  38. Retief DH, Mandras RS, Russell CM, et al. : Phosphoric acid as a dentin etchant. Am J Dent, 5:24-8, 1992.
  39. Gwinnett AJ : Quantitative contribution of resin infiltration/ hybridization to dentin bonding. Am J Dent, 6:7-9, 1993.
  40. Sano H, Takatsu T, Ciucchi B, et al. : Nanoleakage: leakage within the hybrid layer. Oper Dent, 20:18-25, 1995.
  41. Li H, Burrow MF, Tyas MJ : Nanoleakage patterns of four dentin bonding systems. Dent Mater, 16(1):48-56, 2000. https://doi.org/10.1016/S0109-5641(99)00085-8
  42. Prati C, Chersoni S, Acquaviva GL, et al. : Permeability of marginal hybrid layers in composite restorations. Clin Oral Investig, 9(1):1-7, 2005. https://doi.org/10.1007/s00784-004-0273-4
  43. 오소희, 김종수, 권순원 : 수종의 One-bottle 상아질 결합 제의 전단 결합 강도에 관한 연구. 대한소아치과학회지, 28:553-65, 2001.