대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제45권2호
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  • Pages.185-194
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  • 2018
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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타액 및 혈액오염 시 유치 지르코니아 기성관 내면의 세척 방법에 따른 결합강도의 비교

Comparison of Bonding Strength by Cleaning Method of Pediatric Zirconia Crown Contaminated with Saliva or Blood

  • 김재용 (강릉원주대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 박호원 (강릉원주대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 이주현 (강릉원주대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 서현우 (강릉원주대학교 치과대학 소아치과학교실 및 구강과학연구소)
  • Kim, Jaeyong (Department of Pediatric Dentistry, Oral Science Research Center, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Howon (Department of Pediatric Dentistry, Oral Science Research Center, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Juhyun (Department of Pediatric Dentistry, Oral Science Research Center, College of Dentistry, Gangneung-Wonju National University) ;
  • Seo, Hyunwoo (Department of Pediatric Dentistry, Oral Science Research Center, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2017.09.26
  • 심사 : 2017.10.26
  • 발행 : 2018.05.31
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초록

본 연구의 목적은 타액이나 혈액에 오염된 유치 지르코니아 기성관의 내면을 다양한 세척 방법으로 세척 한 뒤, 레진 시멘트와의 결합력을 비교하고, 열 순환이 결합력에 미치는 효과를 평가하였다. 지르코니아 기성관의 내면과 유사한 상태의 지르코니아 절편($5mm{\times}3mm$)을 아크릴릭 레진에 매몰하였다(n=180). 이 중 160개의 시편을 무작위로 두 군으로 나누어 타액 오염과 혈액 오염을 시행하였다. 양성 대조군은 오염 과정을 거치지 않고 resin cement로 접착을 시행하였고, 음성 대조군은 오염 후 dental unit chair 상의 물로 20초간 세척 후 10초간 건조를 시행하였다. 타액 오염된 시편과 (n=60) 혈액 오염된 시편(n=60)은 각각 세 가지 방법의 세척을 시행하였다. 37% 인산 젤, 상용 세척제(Ivoclean), 2.5% NaOCl을 각 시편에 20초간 적용 후 10초간 물로 세척하고 건조를 시행하였다. 이 후 모든 시편(n=160)에 접착을 시행하였다. 대조군과 각 실험군을 모두 절반으로 나누어 절반은 바로 전단응력을 측정하였고, 절반은 열 순환 과정 후 전단응력을 측정하였다. 타액오염과 혈액오염을 시행한 군 모두에서, 양성 대조군과 상용 세척제, 2.5% NaOCl으로 세척한 군에서 통계학적으로 유의한 차이는 존재하지 않았다. 음성 대조군과 37% 인산 젤로 세척한 군의 전단 결합 강도는 양성 대조군과 비교하였을 때, 유의하게 감소하였다. 열 순환 시행 시 타액 오염을 시행한 군과 혈액 오염을 시행한 모든 군에서 열 순환을 시행하지 않은 군보다 통계적으로 유의하게 낮은 전단 응력 간도를 나타내었다. 유치 지르코니아 기성관 내부의 타액 오염이나 혈액 오염 시, 상용 세척제나 2.5% NaOCl로 세척을 시행하면 원래의 전단응력 값을 얻을 수 있다. 열 순환 시행 시 모든 군에서 유의하게 낮은 전단 응력 값을 보였다.

The objective of this study was to compare the shear bonding strength of zirconia after cleaning the crown contaminated by saliva or blood and determine the effect of thermocycling. 180 specimens were embedded in acrylic resin. 20 Specimens in the positive control group were bonded with resin cement without contamination. 20 Specimens in the negative control group were washed with water for 20 seconds and then dried for 10 seconds. 120 Specimens contaminated by saliva or blood were cleaned by using three cleaning methods: 37% phosphoric acid gel, commercial cleanse, and 2.5% NaOCl. All samples were bonded with resin cement and divided into two subgroups: One was not aged, and the other was tested with 30,000 thermocycling. In both groups contamination by saliva and blood, no statistically significant difference was not found in control, groups cleansed by commercial cleanser and 2.5% NaOCl. When the groups cleansed with water and 37% phosphate gel were compared with the control, significantly low shear bond strength was shown. Thermocycling group showed statistically significantly low shear bond stress compared to the groups without thermocycling. When zirconia was contaminated by saliva or blood, its original shear bond strength could be obtained if it was cleaned with commercial cleanser or 2.5% NaOCl.

키워드

참고문헌

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