대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제37권4호
  • /
  • Pages.445-452
  • /
  • 2010
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지

CPP-ACP 적용이 치면열구전색제의 결합강도에 미치는 영향

THE EFFECT OF CPP-ACP PRE-TREATMENT ON BOND STRENGTH OF A SEALANT

  • 공은경 (이화여자대학교 임상치의학대학원 임상치의학과 임상소아치과학) ;
  • 정상혁 (이화여자대학교 의학전문대학원 예방의학교실) ;
  • 마연주 (이화여자대학교 임상치의학대학원 임상치의학과 임상소아치과학) ;
  • 안병덕 (이화여자대학교 임상치의학대학원 임상치의학과 임상소아치과학) ;
  • 정영정 (이화여자대학교 임상치의학대학원 임상치의학과 임상소아치과학)
  • Kong, Eun-Kyung (Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University) ;
  • Jung, Sang-Hyuk (Department of Preventive Medicine, School of medicine, Ewha Womans University) ;
  • Mah, Yon-Joo (Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University) ;
  • Ahn, Byung-Duk (Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University) ;
  • Jung, Young-Jung (Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University)
  • 투고 : 2010.08.09
  • 심사 : 2010.10.25
  • 발행 : 2010.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

최근 CPP-ACP의 초기 우식증의 재광화 및 예방 효과에 대한 연구가 많이 진행되고 있다. 그러나, CPP-ACP 적용으로 인한 법랑질 산부식 저항성 증가가 치면열구전색제 접착에 미치는 영향에 대해서는 연구가 부족한 실정이다. 본 연구에서는 CPP-ACP의 치면 도포 여부와 치면열구전색제의 접착 방법의 차이가 법랑질과 치면열구전색제의 결합력에 미치는 영향에 대하여 미세전단결합강도 측정법으로 알아보고자 하였다. 건전한 제3대구치를 사용하여 150개의 시편을 제작하였으며, 다음과 같이 6군으로 나누었다. I군: 인공타액에 2주 보관 후 35% 인산 산부식 II군: 인공타액에 2주 보관 후 35% 인산 산부식 + 접착제 III군: 인공타액에 2주 보관 후 자가 부식 접착제 IV군: CPP-ACP 2주 적용 후 35% 인산 산부식 V군: CPP-ACP 2주 적용 후 35% 인산 산부식 + 접착제 VI군: CPP-ACP 2주 적용 후 자가 부식 접착제 6군의 시편에 치면열구전색제 접착 후 미세전단결합강도를 측정하여 다음과 같은 결과를 얻었다. CPP-ACP 적용은 전통적인 산부식 방법으로 치면열구전색제를 접착하는 경우에는 결합강도와 산부식 양상에 영향을 미치지 않으나, 자가 부식 접착제를 사용한 경우에는 치면열구전색제의 결합강도를 약화시켰다.

Recently the effect of CPP-ACP on early caries remineralization and prevention has hashbeen extensively researched. However, there has been a lack of research on micro-shear bond strength of a sealant applied on a CPP-ACP treated surface. Therefore, the purpose of this study was to evaluate the effect of CPP-ACP on the micro-shear bond strength of a sealant bonded with 3 different bonding systems. From the sound human 3rd molars, the 150 specimens were prepared and randomly assigned to six groups. Group I: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid Group II: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid + dentin bonding agent Group III: Immersion in artificial saliva for 2 weeks + self-etching adhesive Group IV: CPP-ACP application for 2 weeks + 35% phosphoric acid Group V: CPP-ACP application for 2 weeks + 35% phosphoric acid + dentin bonding agent Group VI: CPP-ACP application for 2 weeks + self-etching adhesive Sealant was applied and the micro-shear bond strength was measured. From the result of this study, it can be assumed that the CPP-ACP pretreatment can weaken the bond strength of a sealant if the enamel surface is conditioned with self-etch adhesive.

키워드

참고문헌

  1. Featherstone JD: The continuum of dental cariesevidence for a dynamic disease process. J Dent Res, 83 Spec No C:C39-42, 2004. https://doi.org/10.1177/154405910408301S08
  2. Pitts NB: Modern concepts of caries measurement. J Dent Res, 83 Spec No C:C43-47, 2004. https://doi.org/10.1177/154405910408301S09
  3. 강지선, 이난영, 이상호: 법랑질 인공우식병소에서 APF gel과 CPP-ACP 제제의 재광화 효과. 대한소아치과학회지, 35:684-691, 2008.
  4. Reynolds EC, del Rio A: Effect of casein and wheyprotein solutions on caries experience and feeding patterns of the rat. Arch Oral Biol, 29:927-933, 1984. https://doi.org/10.1016/0003-9969(84)90093-1
  5. Cross KJ, Huq NL, Reynolds EC: Casein phosphopeptides in oral health-chemistry and clinical applications. Curr Pharm Des, 13:793-800, 2007. https://doi.org/10.2174/138161207780363086
  6. Reynolds EC: Anticariogenic complexes of amorphous calcium phosphate stabilized by casein phosphopeptides: a review. Spec Care Dentist, 18:8-16, 1998. https://doi.org/10.1111/j.1754-4505.1998.tb01353.x
  7. Cross KJ, Huq NL, Palamara JE, et al.: Physicochemical characterization of casein phosphopeptide- amorphous calcium phosphate nanocomplexes. J Biol Chem, 280:15362-15369, 2005. https://doi.org/10.1074/jbc.M413504200
  8. 최한주, 최영철, 김광철, 최성철: 탈회된 법랑질에서 CPPACP의 재광화 깊이. 대한소아치과학회지, 35:278-286, 2008.
  9. Reynolds EC, Cain CJ, Webber FL, et al.: Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat. J Dent Res, 74:1272-1279, 1995. https://doi.org/10.1177/00220345950740060601
  10. Shen P, Cai F, Nowicki A, et al.: Remineralization of enamel subsurface lesions by sugar-free chewing gum containing casein phosphopeptide-amorphous calcium phosphate. J Dent Res, 80:2066-2070, 2001. https://doi.org/10.1177/00220345010800120801
  11. Iijima Y, Cai F, Shen P, et al.: Acid resistance of enamel subsurface lesions remineralized by a sugarfree chewing gum containing casein phosphopeptideamorphous calcium phosphate. Caries Res, 38:551-556, 2004. https://doi.org/10.1159/000080585
  12. Ahovuo-Saloranta A, Hiiri A, Nordblad A, et al.: Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev, CD001830, 2008.
  13. Hitt JC, Feigal RJ: Use of a bonding agent to reduce sealant sensitivity to moisture contamination: an in vitro study. Pediatr Dent, 14:41-46, 1992.
  14. Feigal RJ: Self-etch adhesives for sealants? J Esthet Restor Dent, 19:69-70, 2007. https://doi.org/10.1111/j.1708-8240.2007.00068.x
  15. 김백일: CPP-ACP의 소개 및 임상적 활용. 대한치과의사협회지, 46:130-145, 2008.
  16. Moule CA, Angelis F, Kim GH, et al.: Resin bonding using an all-etch or self-etch adhesive to enamel after carbamide peroxide and/or CPP-ACP treatment. Aust Dent J, 52:133-137, 2007. https://doi.org/10.1111/j.1834-7819.2007.tb00478.x
  17. Adebayo OA, Burrow MF, Tyas MJ: Effects of conditioners on microshear bond strength to enamel after carbamide peroxide bleaching and/or casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) treatment. J Dent, 35:862-870, 2007. https://doi.org/10.1016/j.jdent.2007.08.007
  18. Weerasinghe DS, Nikaido T, Wettasinghe KA, et al.: Micro-shear bond strength and morphological analysis of a self-etching primer adhesive system to fluorosed enamel. J Dent, 33:419-426, 2005. https://doi.org/10.1016/j.jdent.2004.11.004
  19. Feigal RJ, Quelhas I: Clinical trial of a self-etching adhesive for sealant application: success at 24 months with Prompt L-Pop. Am J Dent, 16:249-251, 2003.
  20. Perdigao J, Fundingsland JW, Duarte S, Jr., Lopes M: Microtensile adhesion of sealants to intact enamel. Int J Paediatr Dent, 15:342-348, 2005. https://doi.org/10.1111/j.1365-263X.2005.00623.x
  21. Venker DJ, Kuthy RA, Qian F, Kanellis MJ: Twelve-month sealant retention in a school-based program using a self-etching primer/adhesive. J Public Health Dent, 64:191-197, 2004.
  22. Asselin ME, Sitbon Y, Fortin D, et al.: Bond strength of a sealant to permanent enamel: evaluation of 3 application protocols. Pediatr Dent, 31:323-328, 2009.
  23. Tay FR, Pashley DH, King NM, et al.: Aggressiveness of self-etch adhesives on unground enamel. Oper Dent, 29:309-316, 2004.
  24. Perdigao J, Geraldeli S: Bonding characteristics of self-etching adhesives to intact versus prepared enamel. J Esthet Restor Dent, 15:32-42, 2003. https://doi.org/10.1111/j.1708-8240.2003.tb00280.x
  25. Kanemura N, Sano H, Tagami J: Tensile bond strength to and SEM evaluation of ground and intact enamel surfaces. J Dent, 27:523-530, 1999. https://doi.org/10.1016/S0300-5712(99)00008-1
  26. Cavalcante LM, Erhardt MC, Bedran-de-Castro AK, et al.: Influence of different tests used to measure the bond strength to dentin of two adhesive systems. Am J Dent, 19:37-40, 2006.
  27. Hadavi F, Hey JH, Ambrose ER, et al.: The effect of dentin primer on the shear bond strength between composite resin and enamel. Oper Dent, 18:61-65, 1993.
  28. Woronko GA, Jr., St Germain HA, Jr., Meiers JC: Effect of dentin primer on the shear bond strength between composite resin and enamel. Oper Dent, 21:116-121, 1996.
  29. Placido E, Meira JB, Lima RG, et al.: Shear versus micro-shear bond strength test: a finite element stress analysis. Dent Mater, 23:1086-1092, 2007. https://doi.org/10.1016/j.dental.2006.10.002
  30. Holzmeier M, Schaubmayr M, Dasch W, Hirschfeider U: A new generation of self-etching adhesives: comparison with traditional acid etch technique. J Orofac Orthop, 69:78-93, 2008. https://doi.org/10.1007/s00056-008-0709-6
  31. Adebayo OA, Burrow MF, Tyas MJ: An SEM evaluation of conditioned and bonded enamel following carbamide peroxide bleaching and casein phosphopeptide- amorphous calcium phosphate (CPP-ACP) treatment. J Dent, 37:297-306, 2009. https://doi.org/10.1016/j.jdent.2008.12.005
  32. Xiaojun D, Jing L, Xuehua G, et al.: Effects of CPPACP paste on the shear bond strength of orthodontic brackets. Angle Orthod, 79:945-950, 2009. https://doi.org/10.2319/101108-573.1