Restorative Dentistry and Endodontics

  • 제36권6호
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  • Pages.490-497
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  • 2011
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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간접 레진수복시 상아질 접착제의 중합 여부에 따른 결합 효능

Bonding efficacy of cured or uncured dentin adhesives in indirect resin

  • 장지현 (전남대학교 치의학전문대학원 보존학교실) ;
  • 이빈나 (전남대학교 치의학전문대학원 보존학교실) ;
  • 장훈상 (전남대학교 치의학전문대학원 보존학교실) ;
  • 황윤찬 (전남대학교 치의학전문대학원 보존학교실) ;
  • 오원만 (전남대학교 치의학전문대학원 보존학교실) ;
  • 황인남 (전남대학교 치의학전문대학원 보존학교실)
  • Jang, Ji-Hyun (Department of Conservative Dentistry, Chonnam National University School of Dentistry) ;
  • Lee, Bin-Na (Department of Conservative Dentistry, Chonnam National University School of Dentistry) ;
  • Chang, Hoon-Sang (Department of Conservative Dentistry, Chonnam National University School of Dentistry) ;
  • Hwang, Yun-Chan (Department of Conservative Dentistry, Chonnam National University School of Dentistry) ;
  • Oh, Won-Mann (Department of Conservative Dentistry, Chonnam National University School of Dentistry) ;
  • Hwang, In-Nam (Department of Conservative Dentistry, Chonnam National University School of Dentistry)
  • 투고 : 2011.08.19
  • 심사 : 2011.10.17
  • 발행 : 2011.11.30
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초록

연구목적: 본 연구는 간접 레진수복시 상아질 접착제의 중합 여부가 레진인레이와 상아질간의 미세인장결합강도와 결합계면의 형태에 미치는 영향을 공초점 현미경 관찰을 통하여 평가하고자 하였다. 연구 재료 및 방법: 24개의 발거된 대구치를 절단하여 교합면 상아질을 노출시켰다. 수복 방법에 따라 크게 간접 레진수복과 직접 레진수복의 두 군으로 나누었다. 간접 레진수복군은 임시 수복하여 1주일 후, 상아질 접착 과정에 따라 4군(OB-C와 OB-NC군, OS-C와 OS-NC군)으로 나누었다. 간접 레진수복군은 산부식 처리된 상아질면에 OptiBond FL (Kerr) 또는 One-Step (Bisco) 상아질 접착제를 중합 여부에 따라 나누어 적용하였다. 처리된 상아질면에 제작된 3 mm 높이의 레진 인레이(Tescera, Bisco)를 Variolink II (Ivoclar Vivadent)를 사용하여 제조사의 지시에 따라 합착하였다. 직접 레진수복군은 산부식 처리된 상아질면에 상아질 접착 후, 복합레진 (Estelite${\Sigma}$, Tokuyama)으로 즉시 수복하였다(OB-D군, OS-D군). 수복을 마친 모든 치아는 24시간 후, 미세인장 결합 강도 평가와 공초점 레이저 주사 현미경 관찰(CLSM)을 시행하였다. 결과: 간접 레진수복군은 직접 레진수복군에 비하여 낮은 미세인장결합강도를 나타내었으며, 상아질 접착제를 광중합한 군(OB-C군, OS-C군)이 광중합을 시행하지 않은 군(OB-NC군, OS-NC군)에 비하여 높은 미세인장결합강도를 나타내었다. 접착 계면에 대한 CLSM 관찰에서 상아질 접착제를 광중합한 군에서 더 분명하고 균일한 혼성층이 관찰되었다. 상아질 접착제를 광중합하지 않은 군에서는 혼성층이 불분명하거나 거의 관찰되지 않았다. 결론: 간접 레진수복물의 합착시 레진시멘트의 적용 전에 상아질 접착제의 광중합은 분명하고 균일한 혼성층의 형성하며, 이는 결합강도의 향상에 기여한다.

Objectives: This study examined the effect of the uncured dentin adhesives on the bond interface between the resin inlay and dentin. Materials and Methods: Dentin surface was exposed in 24 extracted human molars and the teeth were assigned to indirect and direct resin restoration group. For indirect resin groups, exposed dentin surfaces were temporized with provisional resin. The provisional restoration was removed after 1 wk and the teeth were divided further into 4 groups which used dentin adhesives (OptiBond FL, Kerr; One-Step, Bisco) with or without light-curing, respectively (Group OB-C, OB-NC, OS-C and OS-NC). Pre-fabricated resin blocks were cemented on the entire surfaces with resin cement. For the direct resin restoration groups, the dentin surfaces were treated with dentin adhesives (Group OB-D and OS-D), followed by restoring composite resin. After 24 hr, the teeth were assigned to microtensile bond strength (${\mu}TBS$) and confocal laser scanning microscopy (CLSM), respectively. Results: The indirect resin restoration groups showed a lower ${\mu}TBS$ than the direct resin restoration groups. The ${\mu}TBS$ values of the light cured dentin adhesive groups were higher than those of the uncured dentin adhesive groups (p < 0.05). CLSM analysis of the light cured dentin adhesive groups revealed definite and homogenous hybrid layers. However, the uncured dentin adhesive groups showed uncertain or even no hybrid layer. Conclusions: Light-curing of the dentin adhesive prior to the application of the cementing material in luting a resin inlay to dentin resulted in definite, homogenous hybrid layer formation, which may improve the bond strength.

키워드

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