대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제61권3호
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  • Pages.179-188
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  • 2023
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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DOI QR코드

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고투명도 지르코니아의 다양한 표면처리 방법이 레진시멘트와의 전단결합강도에 미치는 영향

Effect of various surface treatment methods of highly translucent zirconia on the shear bond strength with resin cement

  • 김유성 (아주대학교 의과대학 치과학교실 치과보철과) ;
  • 최진우 (아주대학교 의과대학 치과학교실 치과보철과) ;
  • 김희경 (아주대학교 의과대학 치과학교실 치과보철과)
  • Yu-Seong Kim (Department of Prosthodontics, Institute of Oral Health Science, Ajou University School of Medicine) ;
  • Jin-Woo Choi (Department of Prosthodontics, Institute of Oral Health Science, Ajou University School of Medicine) ;
  • Hee-Kyung Kim (Department of Prosthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
  • 투고 : 2022.12.27
  • 심사 : 2023.02.01
  • 발행 : 2023.07.31
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⟨ 이전 논문 다음 논문 ⟩

초록

목적. 이 연구의 목적은 알루미나 입자 공기분사 및 프라이머 표면처리가 각각 두 가지 종류의 지르코니아(3 mol% yttria-stabilized tetragonal zirconia polycrystal; 3Y-TZP, 5 mol% partially stabilized zirconia; 5Y-PSZ)와 레진시멘트의 전단응력에 미치는 영향을 평가하는 것이다. 재료 및 방법. 완전 소결된 14.0×14.0×2.0 mm 크기의 두가지 다른 종류의 지르코니아 시편(3Y-TZP, 5Y-PSZ)을 각각 40개씩 제작하고 400, 600, 800 그릿의 실리콘 카바이드 종이로 연마 후 에폭시 레진에 매립하였다. 이들을 각각 4개의 대조군, 50 ㎛ 알루미나 입자 공기분사 사용군, 프라이머 사용군, 50 ㎛ 알루미나 입자 공기분사와 프라이머로 표면을 처리한 한 후 레진시멘트(PANAVIA V5)로 접착하였다. 그 후 증류수(37℃)에 24시간 보관 후 전단결합강도 실험을 시행, Kolmogorov-Smirnov & Shapiro-Wilk test를 사용해서 정규성을 확인한 후, 모수적 방법인 이원배치분산분석을 사용하여 지르코니아 종류 및 표면처리 방법에 따른 전단결합강도의 상호작용 및 통계적 차이를 분석하였다. 이후 Dunnett T3를 이용해 사후검정을 하였다. 결과. 이배치분산분석 결과 지르코니아 종류에 따른 전단결합강도는 각 군간에 유의미한 차이를 보이지 않았지만(P > .05), 표면처리 방법에 따른 전단결합강도는 50 ㎛ 알루미나 입자 공기분사 사용군, 프라이머 사용군, 50 ㎛ 알루미나 공기 분사와 프라이머를 사용한 군에서는 유의미한 상관관계를 보였다(P < .05). Dunnett T3 사후검정 결과 지르코니아의 종류에 상관없이 전단결합강도는 샌드블라스팅 & 프라이머 > 프라이머 > 샌드블라스팅 > 대조군 순서로 나타났다(P < .05). 결론. 본 연구 결과에 따르면 지르코니아 종류에 따른 전단결합 강도 차이는 없었다. 지르코니아 표면의 기계적 화학적 표면처리를 동시에 했을 때 가장 높은 전단결합강도를 보였다.

Purpose. The purpose of this study was to evaluate the effect of surface treatments on the shear bond strength of two types of zirconia (3-TZP and 5Y-PSZ) with resin cement. Materials and methods. Two different types of zirconia specimens with a fully sintered size of 14.0×14.0×2.0 mm3 were prepared, polished with 400, 600, and 800 grit silicon carbide paper, and buried in epoxy resin. They were classified into four groups each control, sandblasting, primer, and sandblasting & primer. Cylindrical resin adhered to the surface-treated zirconia with resin cement. It was stored in distilled water (37℃) for 24 hours, and a shear bond strength test was performed. The normality of the experimental group was confirmed with the Kolmogorov-Smirnov & Shapiro-Wilk test. The interaction and statistical difference were analyzed using a two-way ANOVA. A post-hoc analysis was performed using Dunnett T3. Results. As a result of two-way ANOVA, there was no significant difference in shear bonding strength between zirconia types (P > .05), but there was a significant correlation in the sandblasting, primer, and alumina sandblasting & primer group (P < .05). Dunnett T3 post-test showed that, regardless of the type of zirconia, shear bonding strength was sandblasting & primer > Primer > sandblasting > control group (P < .05). Conclusion. There was no difference in shear bond strength between the types of zirconia. The highest shear bond strength was shown when the mechanical and chemical treatments of the zirconia surface was performed simultaneously.

키워드

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