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상아질 접착제의 두께가 치아와 복합레진 경계의 응력발생에 미치는 영향에 관한 유한요소법 연구

THE EFFECTS OF DENTIN BONDING AGENT THICKNESS ON STRESS DISTRIBUTION OF COMPOSITE-TOOTH INTERFACE : FINITE ELEMENT METHOD

  • 박상일 (연세대학교 치과대학 보존학교실) ;
  • 김예미 (연세대학교 치과대학 보존학교실) ;
  • 노병덕 (연세대학교 치과대학 보존학교실)
  • Park, Sang-Il (Department of Conservative Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Ye-Mi (Department of Conservative Dentistry, College of Dentistry, Yonsei University) ;
  • Roh, Byoung-Duk (Department of Conservative Dentistry, College of Dentistry, Yonsei University)
  • 발행 : 2009.09.30

초록

이 연구의 목적은 5급 와동의 복합레진 수복에서 상아질 접착제를 비교적 두껍게 도포하거나 낮은 탄성계수(low elastic modulus)를 가진 복합레진을 선택하는 방법을 택하여 수복물의 탄성율의 차이에 따른 치아와 복합레진 경계에서 발생하는 응력의 차이를 알아보는 것이었다. abfraction 병소가 있는 하악 제 1소구치를 유한요소법을 이용하여 모델로 만들었다. 병소는 상아질 접착제의 두께 ($50{\mu}m$, $100{\mu}m$, $150{\mu}m$) 및 복합레진의 종류를 달리하며 수복되었다. 170N의 교합압을 협측 또는 설측에서 가하여 상아질 접착제와 치아면에서의 Von Mises stress를 측정하였다. 상아질 접착제의 두께가 두꺼울수록 상아질 접착제면에 가해지는 Von Mises stresss 는 감소하였다. 낮은 탄성계수 값을 가진 복합레진에서 Von Mises stress가 더 작았다. 치근상아질 경계 (margin)가 법랑질 경계에서보다 더 큰 응력이 발생하였다. 상아질 접착제면에 작용하는 교합압의 영 향을 감소시키기 위해 상아질 접착제를 두껍게 바르거나 낮은 탄성계수 값을 가진 복합레진을 사용하는 것이 추천된다.

The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer. A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness ($50{\mu}m$, $100{\mu}m$, $150{\mu}m$). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured. When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin. For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

키워드

참고문헌

  1. Grippo JO: Abfractions : a new classification of hard tissue lesions of teeth. J Esthet Dent 3: 14-19, 1991 https://doi.org/10.1111/j.1708-8240.1991.tb00799.x
  2. Heymann HO: Examining tooth flexure effects: JADA 122: 41-47, 1991 https://doi.org/10.1016/S0002-8177(91)25015-1
  3. Lee WC, Eakle WS: Possible role of tensile stress in the etiology of cervical erosive lesions of teeth. J Prosthet Dent 52: 374-380, 1984 https://doi.org/10.1016/0022-3913(84)90448-7
  4. Stewart GP, Balda BA, Norman RD: The effects of mechanical loading on marginal integrity of composite restorations. Dent Mater 2: 151-152, 1986 https://doi.org/10.1016/S0109-5641(86)80024-0
  5. Sturdevant JR, Lundeen TF, Sluder TB, Leinfelder KF: Three-year study of two light-cured posterior composite resins. Dent Mater 2: 263-268, 1986 https://doi.org/10.1016/S0109-5641(86)80039-2
  6. McCoy RB, Anderson MH, Lepe X, Jonson GH: Clinical success of class V composite resin restorations without mechanical retention. JADA 129: 593-599, 1998 https://doi.org/10.14219/jada.archive.1998.0277
  7. Gordon D, Mattison: Photoelastic stress analysis of cast gold endodontic posts. J Prosthet Dent 48: 407- 411, 1982 https://doi.org/10.1016/0022-3913(82)90075-0
  8. David A, Eyal O, Barry L, Marshak, Israel Aviv: Photoelastic analysis of stress transfer by endodontically treated teeth to the supporting structures usingdifferent restorative technique. J Prosthet Dent 61: 535-543, 1989 https://doi.org/10.1016/0022-3913(89)90272-2
  9. Kuroe T, Itoh H, Caputo AA, Konuma M: Biomechanincs of cervical tooth structure lesions and their restoration. Quintessence Int 31: 267-274, 2000
  10. 엄정문, 권혁춘, 손호현, 조병훈, 임영일. 5급 와동의 복합레진 충전에 관한 유한요소법적 응력분석. 대한치과보존학회지 24: 67-74, 1999
  11. Turner MJ, Clough RW, Martin HC, Topp LJ: Stiffness and deflection analysis of complex structure. J Aero Sci 23: 805-823, 1956
  12. Ausiello P, Apicella A, Davidson CL: Effect of adhesive layer properties on stress distribution in composite restorations-a 3D finite element analysis. Dent Mater 18: 295-303, 2002 https://doi.org/10.1016/S0109-5641(01)00042-2
  13. Rees JS: The effect of variation in occlusal loading on the development of abfraction lesions : a finite element study. J Oral Rehabil 29: 188-193, 2002 https://doi.org/10.1046/j.1365-2842.2002.00836.x
  14. Yaman SD, Sahin M, Aydin C: Finite element analysis of strength characteristics of various resin based restorative materials in class V cavities. J Oral Rehabil30: 630-641, 2003 https://doi.org/10.1046/j.1365-2842.2003.01028.x
  15. 전창수, 김한성, 심준성, 김영호. 소구치 치주인대의 탄성계수 에 대한 유한요소해석. 한국정밀공학회지 22: 10-14, 2005
  16. Van Meerbeek, Willems G, Celis JP, Roos JR, Braem M, Lambrechts P, Vanherle G: Assesment by nanoindentation of the hardness and elasticity of the resindentin bonding area. J Dent Res 72: 1434-1442, 1993 https://doi.org/10.1177/00220345930720101401
  17. Moon PC, Chang YH: Effect of DBA layer thickness on composite resin shrinkage stress. J Dent Res 71: 275- 283, 1992
  18. Choi KK, Cordon JR, Ferracane JL: The effects of adhesive thickness on polymerization contraction stress of composite. J Dent Res 79: 812-817, 2000 https://doi.org/10.1177/00220345000790030501
  19. Peter A, Paul SJ, Luthy H, Scharer P: Film thickness of various dentin bonding agents. J Oral Rehabil 24: 568-573, 1997 https://doi.org/10.1046/j.1365-2842.1997.00547.x
  20. 조병훈, 유현미, 김동호. 5급 복합레진 충전된 치아에 있어서의 계면조건과 유지구의 영향에 대한 2차원유한요소법적 연구. 대한치과보존학회지 23: 639-646, 1998
  21. Rees JS: Abfraction lesion formation in maxillary incisors, canines and premolars: A finite element study: Eur J Oral Sci 111: 149-154, 2003 https://doi.org/10.1034/j.1600-0722.2003.00018.x
  22. Widmalm SE, Ericsson SG: Maximal bite force with centric and eccentric load. J Oral Rehabil 9: 445-450, 1982 https://doi.org/10.1111/j.1365-2842.1982.tb01034.x
  23. Gibbs CH, Mahan PE, Lundeen HC, Brehnan K, Walsh EK, Holbrook WB: Occlusal force during chewing and swallowing as measured by sound transmission. J Prosthet Dent 46: 443-449, 1981 https://doi.org/10.1016/0022-3913(81)90455-8

피인용 문헌

  1. Influence of application methods of one-step self-etching adhesives on microtensile bond strength vol.36, pp.3, 2011, https://doi.org/10.5395/JKACD.2011.36.3.203