• The Journal of the Korean dental association
• /
• v.34 no.12 s.331
• /
• pp.855-860
• /
• 1996

치과용 복합레진은 bis GMA형의 monomer가 개발되고, 무기 filler가 첨가되어 물리적인 성질이 더욱 향상되었으며, 또한 법랑질에 대한 산부식법을 통하여 치아에 대한 결합력을 높을 수 있는 방법이 도입되면서 치과용 수복물로서 각광을 받아 왔다. 특히 복합레진은 이전까지 이용되었던 silicate cement 이나 acrylic resin에 비하여 변색이 적고, 원래의 형태를 비교적 잘 유지하는 장점을 가져서 전치부의 수복에 유용한 재료로 인식되었다. 복합레진을 이용한 전치부의 수복은 비교적 적은 치질의 삭제만으로도 가능하고, 심미적으로도 우수한 결과를 보이고 있어서 올바른 술식을 통하여 적절히 이용한다면 좋은 임상적인 결과를 얻을 수 있는 것이 사실이지만 재료학적인 한계가 아직 까지는 엄연히 존재한다. 복합레진을 이용한 전치부의 수복에 있어서, 복합레진의 문제점과 이를 줄이기 위한 방법, 임상시의 주의점 등에 관해 살펴보도록 한다.

• Restorative Dentistry and Endodontics
• /
• v.35 no.2
• /
• pp.65-68
• /
• 2010

Due to the improvement of the composite resin and esthetic desire of the patient, amalgam restoration has been replaced by composite resin. However, still there are many unsolved problems, for example, technique sensitivity, polymerization shrinkage stress and limited mechanical properties. These factors results in fracture of the restoration and secondary caries of the tooth. Also the use of the dental bonding system should be used for the retention of the restoration. In this paper, I want to talk about the present and the future of the remineralizing component released from dental composite resin to overcome the secondary caries and there possibility in the clinical use.

• Restorative Dentistry and Endodontics
• /
• v.28 no.6
• /
• pp.467-474
• /
• 2003

복합레진에 의한 구치부 2급 와동의 수복에서 치은부 변연이 법랑-백아 경계 하방에 위치하는 경우 복합레진의 중합 수축에 의한 응력은 변연부의 폐쇄능력을 저하시키고 이로인한 미세누출은 2차적인 우식이나 술후과민증을 일으켜 임상에서의 성공을 위협한다. 본 연구에서는 2급 와동에서 복합레진으로 수복하기 전에 치은 변연부를 중합수축에 의한 응력을 완화시킬 수 있는 것으로 알려진 몇가지 재료들을 중간층으로 먼저 충전한 후 충전용 복합레진으로 충전한 뒤 치은부 변연에서 이들 중간층과 치질 사이의 미세누출의 정도를 비교하였다. 20개의 발거된 구치의 근, 원심면에 각각 상자 모양의 2급 와동을 형성하고 40개의 와동을 무작위로 10개씩, 4개의군으로 나누었다. 1군은 중간층의 수복없이 Clearfil SE Bond과 Clearfil AP-X로 충전하였으며 2, 3 및 4군은 중간층으로 각각 Revolution, Dyract그리고 FujiII LG를 먼저 충전한 후 1군과 동일한 방법으로 복합레진을 충전하였다. 충전된 시편은 열순환후 2% methylene blue 용액에 12시간 침잠시킨 후 색소의 침투도를 stereomicroscope로 관찰하였으며 실험결과는 Kruskal-Wallis non-parametric independent analysis 및 Mann-Whitney U test로 통계분석하여 다음의 결론을 얻었다. 1. 레진강화형 글라스아이오노머를 중간층으로 먼저 수복하고 복합레진으로 충전한 경우에서 더 적은 미세누출을 보였다(p<0.05). 2. 유동성 레진과 콤포머를 중간층으로 수복한 경우와 복합레진만으로 수복한 경우는 미세누출에 있어서 유의한 차이를 나타내지 않았다(p>0.05).

• Journal of the korean academy of Pediatric Dentistry
• /
• v.32 no.1
• /
• pp.13-17
• /
• 2005

Children and teenagers have a higher frequency of proximal surface caries in the posterior teeth than adults. For proximal restoration, class II amalgam or stainless steel crown has been widely used in the past, however composite resin restoration is getting ore popular due to it's superior cosmetic appearance. When applying composite resin on proximal area, various types of matrix bands can be utilized according to the operator's reference or skill. Such bands have several clinical effects including suitability for proximal margin, reduction of micro-leakage, moisture-control against saliva and ease finishing and polishing. In this case report, orthodontic bands were utilized instead of matrix bands as a remedy for proximal restorations in both primary and permanent teeth and their clinical advantages are as follows. 1. Orthodontic bands showed superior marginal adaptation compared to conventional matrix bands and moisture-control against saliva was excellent. 2. While applying composite resin, deformation of restoration material was estimated to be insignificant due to he rigidity of the orthodontic bands. 3. Natural tooth contour of the orthodontic bands facilitates to reproduce proximal tooth contour of the restoration. 4. In general, pediatric dentists are accustomed to applying orthodontic bands and this may allow pediatric dentists to make proximal composite restorations more efficiently than other dental specialists.

• Composites Research
• /
• v.30 no.6
• /
• pp.393-398
• /
• 2017

The shrinkage distribution of a dental composite (Clearfil AP-X, Kuraray, Japan) used for dental restoration was observed using a digital image correlation method. In order to analyze the shrinkage distribution formed during and after light irradiation, digital images were taken with different photographing conditions for each period. Optimal photographing conditions during LED irradiation were obtained through a preliminary experiment in which the exposure time was applied from 0.15 ms to 0.55 ms in 0.05 ms intervals. The DIC analysis results showed that the strain was non-uniform. For the initial 20 s of light irradiation the composite resin shrank to the level of 50~60% of the final curing shrinkage. Such large shrinkage amount of the composite resin lump affected the tensile stress concentration near the adhesive region between the composite resin and the substrate.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.1
• /
• pp.110-117
• /
• 2008

Clinical performance of resin-based composite material depends on case selection and on the proficiency of the operator. Especially, composite resin restoration on permanent first molar in children have more limitations clinically than adult patients according to stage of tooth eruption and patient's compliance. This study was designed to evaluate the clinical performance of posterior composite resin restoration in children after 5 years. 35 teeth of 16 patients who were received composite resin restoration on permanent first molar in Department of Pediatric dentistry, Pusan National University Hospital between January 2001 and December 2001 were evaluated based on Modified USPHS criteria. From the finding in this study, following conclusions can be made. 1. 6 teeth(17%) of 35 teeth was replaced, so 5-years survival rate of posterior composite resin restoration is 82.9%. 2. As results of each evaluation criteria, on color match, anatomic form, surface roughness, sensitivity/ discomfort, ideal A grade score was 86.2%, 93.1%, 86.2%, 86.2%, clinically accepted B grade score was 13.8%, 0%, 13.8%, 10.3%. On marginal adaptation and marginal discoloration, A grade score was 13.8%, 44.8% and B grade score was 79.3%, 34.5% and secondary caries rate was 20.7%. 3. 69.1% of teeth (20 teeth) was clinically accepted on all evaluation criteria.

• Composites Research
• /
• v.22 no.6
• /
• pp.45-51
• /
• 2009

The marginal integrity at the composite resin-tooth interface has been analyzed in real time through acoustic emission (AE) monitoring during the polymerization shrinkage of composite resin subjected to the light exposure. It was found that AE signals were generated by the polymerization shrinkage. Most AE hit events showed a blast type signal having the principal frequency band of 100-200kHz. Bad bonding states were indicated by many hit events in the initial curing period of 1 minute with high contraction rate. The quantity of hit events for the human molar dentin specimen was much less than that for the steel ring specimen but more than that for the PMMA ring specimen. The better the bonding state, the less the AE hit events. The AE characteristics were related with the tensile crack propagation occurring in the adhesive region between the composite resin and the ring substrate as well as the compressive behavior of the ring substrate, which could be used for a nondestructive characterization of the marginal disintegrative fracture of the dental restoration.

• Composites Research
• /
• v.25 no.6
• /
• pp.236-240
• /
• 2012

The purpose of this study was to investigate the feasibility on the detection of dental composite delamination using a lock-in thermography method. Amplitude and phase images of detected thermal signals were analyzed according to the lock-in frequencies. At a lock-in frequency of 0.05 Hz, the ligament thickness of 0.5 mm in the specimen exhibited the highest amplitude contrast between defective area and sound area. For ligament thicknesses of 1 mm and 1.5 mm, delamination detection was possible at 0.025 Hz and 0.01 Hz through the amplitude differences. At lock-in frequencies of 0.006 Hz and 0.01 Hz, ligament thickness 0.5 mm exhibited the highest phase contrast. For ligament thicknesses of 1 mm and 1.5 mm, the phase contrast exhibited possible detection of delamination at 0.006-0.1 Hz.

• Journal of the Korean Society for Nondestructive Testing
• /
• v.33 no.1
• /
• pp.40-45
• /
• 2013

The purpose of this study was to detect the pin hole defect of dental composite restoration using lock-in thermography method. Amplitude and phase images of the composite resin specimens were analyzed according to the lock-in frequency and the diameter of defect area. Through the amplitude image analysis, at lock-in frequency of 0.05 Hz, defect diameters 2-5 mm exhibited the highest amplitude contrast value between defective area and sound area. The lock-in frequency range of 0.3-0.5 Hz provided good phase angle contrast for the defect area. At lock-in frequency range of 0.5 Hz, defect diameter of 5 mm exhibited the highest phase contrast value. It is concluded that the infrared lock-in thermography method verified the effectiveness for detecting the pin hole defect of dental composite restoration.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.30 no.1
• /
• pp.161-170
• /
• 2003

The aesthetic restorative materials are widely used in recent dentistry, showed not only the different quality between each component but also showed that the environment of the material has important effect on the physical properties of the material. Especially, when the restoratives are restored in the mouth, and since saliva is existing, the restoratives are always exposed to water and affected by the saliva. The purpose of this study was to research and compare the change of the degree of water sorption after water immersion of three types of the resin-based materials and the compressive strength, and observe the relation between the change of the water absorbing degree and the compressive strength. Z-100(3M, U.S.A) as a composite resin, F-2000(3M, U.S.A) as a compomer and Vitremer Restoratives(3M, U.S.A) as a resin-modified GIC were used, and each specimen was made to measure the water sorption and to evaluate the compressive strength. The specimens for measurement of the water sorption and the compressive strength were divided into 4 groups(1 day, 2 weeks, 4 weeks, and 8weeks). Each specimen was filled in the 30cc vial with 20cc of distilled water during the fixed amount of period in $37^{\circ}C$. The water sorption is decided by dividing the difference of weight before and after the immersion by the volume, and the compressive strength was measured by using the instron after the immersion. The following results were obtained ; 1. The more the water sorption increased, the more the immersion period of three restorative materials was long. And the most of water sorption was obtained during the first 2 weeks(P<0.001). 2. The water sorption of resin-modified GIC was higher than composite resin and compomer. 3. The more the compressive strength decreased, the more the immersion period of three restorative materials increased(composite resin and compomer: P<0.001, resin-modified GIC: P<0.05). Especially, the amount of the reduction in compressive strength of the composite resin was the highest. 4. The more the water sorption of all materials increased, the more the compressive strength decreased(P<0.05).