• The Journal of Korean Academy of Prosthodontics
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• v.52 no.2
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• pp.113-120
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• 2014

This study will evaluate the effectiveness of various pretreatments when fiber-reinforced composite (FRC) post is bonded to endodontically treated tooth with resin cement. Materials and methods: Canal shaping of FRC post (DT Light post, Size 3, Bisco Inc., Schaumburg, IL, USA) was performed on endodontically treated premolars at 1.5 cm from CEJ. Samples were divided into 6 groups of surface treatment after conventional washing and drying to the canal. Total of 24 FRC posts were randomly divided into 6 groups of surface treatment as follows: Group C: control - no surface treatment, Group A: airborne-particle abrasion (Cojet sand, 3M ESPE), Group S: silanization (Bis-silane, Bisco Inc.), Group M: universal primer (Monobond-plus primer, Ivoclar Vivadent Inc.), Group AS: silanization after airborne-particle abrasion, Group AM: universal primer treatment after airborne-particle abrasion. Pretreated fiber posts were cemented with resin-based luting material and photo-polymerized and cut to the thickness of 1 mm. Push-out test using a universal testing machine was performed. Bonding failure strength of post dislodgement was measured and the type of bonding failure was classified. Data were analyzed with Kruskal-Wallis test and multiple comparison groups were performed using Tukey HSD value of rank test (${\alpha}=0.05$). Results: Group AS showed significantly highest bonding strength. Group S, group AM, group A, and group M showed lower bonding strength in order. The control group showed the lowest bonding strength. Conclusion: Surface treatment with silane showed to be the most effective of the surface pretreatment methods for cementation of FRC post. Surface treatment with universal primer showed no significant difference compared with no surface treatment group as for bonding strength.

• Restorative Dentistry and Endodontics
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• v.24 no.2
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• pp.408-415
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• 1999

When a zinc-oxide eugenol type sealer was placed in root canals treated previously with calcium hydroxide, acceleration of its setting and the yellowish discoloration were observed clinically. The purpose of this study was to evaluate the properties of calcium hydroxide-eugenol compound. Some physical properties of calcium hydroxide-eugenol compound were compared with a manufactured zinc-oxide eugenol based root canal sealer, Tubli-seal$^{(R)}$ in terms of water solubility, water sorption, film thickness and microleakage. Solubility and water sorption were determined by the use of the method described in American Dental Association Specification(ADAS) no. 57. Ten samples of each material were prepared into disks 20mm in diameter and 1.5mm in thickness. The samples were immersed in 50ml of distilled water at $37{\pm}1^{\circ}C$ for 7 days. The samples were then removed and placed in a desiccator. The values for solubility and water sorption were calculated using differences between the weights of same sample. Film thickness was determined by the use of the method described in ADAS no. 57 too. A small quantity of mixed cement was placed between two glass plates of which thickness was measured previously. 15Kg loading was applied and total thickness of the glass plates and the cement film was measured. The thickness difference was recorded as the material's film thickness. Microleakage was determined with a dye penetration method. Experimental materials were placed between the dentin surface of bovine tooth and the acrylic rod. These units were immersed in Pelican ink (W-Germany) for three days. Dye-penetrated dentin surfaces of bovine tooth were measured using the NIB Image 1.60 Macintosh program. The results are as follows: 1. Water solubility value of calcium hydroxide-eugenol compound (20.98${\pm}$2.94%) was statistically higher than those of Tubli-seal$^{(R)}$(2.52${\pm}$0.49%)(p<0.05). 2. Water sorption value of calcium hydroxide-eugenol compound (59.72${\pm}$17.75%) was statistically higher than those of Tubli-seal$^{(R)}$(3.15${\pm}$0.76%)(p<0.05). 3. Film thickness value of calcium hydroxide-eugenol compound (0.36${\pm}$0.03mm) was statistically higher than those of Tubli-seal$^{(R)}$(0.12${\pm}$0.1mm)(p<0.05). 4. Dye penetration value after 3 days-immersion of calcium hydroxide-eugenol compound(57.63${\pm}$25.85%) was statistically higher than those of Tubli-seal$^{(R)}$(28.05${\pm}$23.46%)(p<0.05).

• Restorative Dentistry and Endodontics
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• v.22 no.2
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• pp.596-608
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• 1997

The purpose of this study was to compare the apical leakage and adaptation to the dentinal wall of a glass ionomer root canal cement(Ketac-Endo) with those of AH-26 and Tubli-Seal. 102 single-rooted teeth were insrumented with step-back technique and randomly divided into four groups according to kinds of root canal cements: Ketac-Endo, AH-26, Tubli-Seal, and no root canal cement. Four experimental groups were as follows; Group 1 : Filling with gutta-percha and Ketac-Endo Group 2 : Filling with gutta-percha and AH-26 Group 3 : Filling with gutta-percha and Tubli-Seal Group 4 : Filling with gutta-percha without root canal cement All the specimens were obturated with lateral condensation technique, and stored in 100% humidity for 4 days. 20 teeth in each group were placed in centrifuge tube filled with India ink, and then centrifuged for 20 minutes at 3,000 rpm. And they were evaluated for linear dye leakage using a stereoscope and analyzed by one-way ANOVA. 22 teeth were split longitudinally and evaluated the adaptation to the dentinal wall using scanning electron microscope(4 teeth in each group) and stereoscope(2 teeth in 1, 2, 3 group). The obtained results were as follows ; 1. In case of not used root canal cement(Group 4), there was showed much degree of dye penetration comparerd with used root canal cements (Group 1, 2, 3)(P<0.01). 2. In the case of used root canal cements(Group 1, 2, 3), there was no significant difference in linear leakage in groups(P>0.01). 3. In the case of used root canal cements(Group 1, 2, 3), there was showed intimate adaptation to the dentinal wall independent on kinds of root canal cements. 4. Fractured surfaces indicated failure of cohesion in Ketac-Endo, and failure of adhesion to dentine in AH-26 and Tubli-Seal. 5. According to similar apical leakage and adaptability to the dentinal wall to another root canal cements, it is possible to be used glass-ionomer cement as root canal cement.

• Restorative Dentistry and Endodontics
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• v.20 no.2
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• pp.832-838
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• 1995

The purpose of this study was to evaluate the amount of marginal microleakage of 2 light curable GI cements(Fuji II LC & VariGlass), which contain some resin components. 4 volunteers kept on acrylic resin plates, which contained dentin disks with cavities filled with test materials for 2 weeks. The time when polishing was done(5 minutes and 24 hours after filling) and the use of protective agents were varied, so 8 groups with each 6 specimens were tested. After having specimens(disks with cavities filled with materials) penetrated with 1% Methylene Blue solution, specimens were stored in 40% nitric acid solution for 4 days to extract adsorbed dye material. Supernatants of centrifuged samples were diluted 5 times and Spectrophotometer was used to determine the degree of absorption. Dye concentration was calculated through the pre-obtained Linear Regression Curve. The results were as follows. 1. The best result was seen in groups (PF24, PV24) which were protected and polished 24 hours later and the opposite phenomenon was seen in groups(NF24, NV24) which were held without protection and polished 24 hours later. Groups polished S minutes later showed moderate leakage pattern. 2. Groups polished 5 minutes later showed similar leakage amount irrespective of using of protective agent. But statistically insignificant lower values were seen in VariGlass than in Fuji II LC groups, So It was considered that VariGlass may be more resistant to early moisture attack than Fuji II LC. 3. In groups polished 24 hours later, there was no significant difference between materials but was definitely significant difference according to the use of protective agent. If the cement in which polishing will be done 24 hours later, Protective agent should be used to cover the surface.

• Restorative Dentistry and Endodontics
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• v.18 no.1
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• pp.27-37
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• 1993

The purpose of this study was to determine the fluroide release levels of new fluoride-containing liner/base cements and the fluoride uptake by dentin surfaces. Ten specimens of each brand (Fuji ionomer Type III, Fuji Lining LC, Timeline, Vitrebond and XR ionomer) were made, polymerized and placed in fluoride-free distilled water at $37^{\circ}C$, 100% relative humidity for 24 hours. The extracting solution of specimen was exchanged and fluoride release was measured daily for the 30 days. For fluoride uptake study, twenty-five extracted human lower molars were sectioned longitudinally in the mesiodistal direction with a diamond disc. Five teeth were filled with each material and then stored at $37^{\circ}C$, 100% humidity for 4 weeks. Fluoride uptake by dentin from the test materials was evaluated using electron probe micro X-ray analyzer. The following results were obtained : 1. The amounts of fluoride release showed no significant difference between Fuji ionomer Type III and Fuji Lining LC, but showed significant difference between other groups. XR ionomer released significantly greater fluoride than any other group(P<.001). 2. All the materials have a burst effect which more fluoride released in then first 3 day and showed significant decrease over the test period (P<0.001). 3. XR ionomer group showed fluoride penetration to approximately $50{\mu}m$ deep in dentin. But other material groups showed very little fluoride uptake by dentin.

• Restorative Dentistry and Endodontics
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• v.18 no.1
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• pp.156-172
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• 1993

The purpose of this study was to evaluate for the cytotoxicity of root canal sealers - Tubliseal, N2, AH26, and Sealapex - on fibroblasts cultivated from human periodontal ligament. Succinate dehydrogenase activity test and $^{51}Cr$ release test were performed to evaluate the shortterm cytotoxicity. According to l,3 and 6 days vital cell count and $^{14}C$-leucine incorporation rate to fibroblasts were evaluated. The results of this study were as follows: 1. In the test of SDH activity by millipore filter method, Sealapex showed mild cytotoxicity but Tubliseal, N2 and AH26 showed severe cytotoxicity. 2. In $^{51}Cr$ release test, Tubliseal was the most cytotoxic sealer tested, and rank ordered the relative cytotoxicity of the other sealers tested as follows: AH26, N2, Sealapex. 3. In the test of viable cell count, cytotoxicity in Tubliseal was continued because vital cell number reduced with time. Because vital cell was not showed in N2 and AH26 at 1 day, it was recognized that N2 and AH26 exhibited severe cytotoxicity. In Sealapex, vital cell number increased remarkably with time, so it showed that cytotoxicity decreased with time. 4. In $^{14}C$-leucine incorporation rate test, protein sythesis was not produced in Tubliseal, N2 and AH26 after 3 days, it showed that cytotoxicity in Tubliseal, N2 and AH26 was severe. Although protein synthesis in Sealapex decreased with time, it continued after 6 days. Therefore Sealapex has been exhibited mild cytotoxicity.

• Restorative Dentistry and Endodontics
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• v.18 no.1
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• pp.133-143
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• 1993

The aim of this study was to establish reproducible method for measurements of radiopacity and to investigate the level of radiopacity of root canal sealers. The experiments were performed in two parts. In the first part, densitometric readings were performed using an aluminum step wedge as a reference at variable voltages and exposure times. Then standard curves for the aluminum step wedge were compared to comprehend the effect of voltage and exposure time. In the second part, on the basis of these results, appropriate conditions for exposure were adopted for standardized measurements of radiopacity. Under standardized set of conditions, densitometric measurements of ten root canal sealers and one gutta-percha point were performed and the levels of radiopacity referable to an equivalent thickness of aluminum were compared. The following results were obtained : 1. At 50 and 60 kVp, increasing the exposure time caused a decrease in the slope of the standard curve for the aluminum step wedge. However, at 70 kVp increasing the exposure time causing a parallel shift of the standard curve to the right. 2. At constant exposure time, increasing the voltage caused a decrease in the slope of the standard curve. 3. The radiopacity of root canal sealers and a gutta-percha point varied between 2.43 mm Al and 9.20 mm Al equivalent. 4. All the root canal sealers had radiopacities more than dentin, and the radiopacity of the gutta-percha point was approximately 5 times as much as that of dentin in terms of equivalent thickness of aluminum. 5. The AH26 had radiopacity more than the gutta-percha point, and the radiopacities of ZOE, Vitapex, Canals, Kerr PCS, Nogenol were similar to that of the gutta-percha point, and Tubliseal, Apatite II, Apatite III, Silapex were less radiopaque than the gutta-percha point.

• Restorative Dentistry and Endodontics
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• v.21 no.2
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• pp.677-687
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• 1996

This study was conducted to evaluate the tissue responses histologically to three root canal cements : Sealapex, AH-26, and zinc oxide-eugenol cement. Twelve white female Sprague-Dawley rats, weighing between 350 and 400 gm, were anesthetized with an intraperitoneal injection of Ketamine hydrochloride(0.4 ml). After shaving the sites selected(left and right scapular areas, left and right pelvic areas), the animal's backs were scrubed with soap and water, and sterilized with absolute alcohol. Each material was mixed to a thin consistency to flow out easily through a 24-guage needle, and loaded into a sterile, disposable plastic 1-ml syringe. All of the rats were injected subcutaneously with 0.1 ml of the three test sealers. Normal saline was used as a control. Animals were sacrificed after 48hr, 1, 4, and 12 weeks by overanesthetization using jars containing anesthetic ether. The tested sites were surgically removed with the surrounding tissue and fixed with 10% formalin. After 48 hours specimens were embedded in paraffin, sectioned to an average thickness of $6{\mu}m$ thick, stained with hematoxylin-eosin. The slides were examined under the light microscope. The results were obtained as follows 1. All material except the control showed various degree of inflammation on 48 hr. 2. Sealapex : In early stage, severe inflammatory cell infiltration was observed. At the 4th weeks observation, graunlomatous tissue with macrophage and foreing body giant cells containing many dark particles in their cytoplasm was observed. 3. AH-26 : Mild inflammatoy reaction was observed with AH-26 throughout the experimental period. 4. Zinc oxide-eugenol cement : Severe inflammatory cell infiltration, necrosis along the material, edema could be seen in early stage. Zinc oxide-eugenol cement maintained a moderate/severe reaction throughout the experimental period.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.1
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• pp.43-52
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• 2006

Topical fluoride application for children is a widely peformed procedure in the field of pediatric dentistry to prevent dental caries. However, it is recently recognized as having some unwanted effects on several esthetic restorative materials as it roughens the surface of the restorative materials. The aim of this study was to evaluate the surface changes in composite resins to topical fluoride. Composite resins(Z $250^{(R)}$, Ultraseal $XT^{(R)}$ Filtek $flow^{(R)}$ $Revolution^{(R)}$, $Denfil^{(R)}$) in topical fluoride agents were immersed and their surface roughness, weight loss and SEM were evaluated. The results were as follows : 1. The 4 minutes-immersion groups showed more roughened surface than 1 minute-immersion groups and the control groups showed the smoothest surface among all the materials, and there was statistically significant difference except the revolution between the groups. 2. There was no significant difference between the 1 minute-immersion groups and 4 minutes-immersion groups in weight loss. 3. The experimental group treated with topical fluoride gel showed the generally mere roughened surface than control group in the SEM findings.

• The Journal of Korean Academy of Prosthodontics
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• v.45 no.2
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• pp.191-202
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• 2007

Statement of problems: Long-term success of esthetic restorations, depends on various factors, especially on color stability of the restorations. The color stability is affected by resin cements beneath the porcelain laminate veneers. Purpose: The purpose of this study was to comprehend the color stability of resin cements by comparing with 4 different kinds of resin cements (Choice, Variolink II, Nexus 2, Rely-X). Material and methods: Porcelain laminate disk samples were luted with resin cements. After thermocycling of each 1000, 2000 and 3000 cycle, specimens were measured by spectrophotometers and the color differences were. Results: 1. After thermocycling of 1000, 2000 and 3000cycle, color difference, $({\Delta}E^*)$ of all specimens were incresed, but were not statiscally significant differences. 2. In the Choice of A1 shade and the Nexus 2 of A3 shade, color difference$({\Delta}E^*)$ after thermocycling of 3000cycle was $incre^*ased$ significantly than after thermocycling of 1000cycle. However, other groups did not show any statistically significant differences (P<0.05). 3. After thermocycling of 3000cycle, color difference$({\Delta}E^*)$ between A1 shade and A3 shade of Nexus 2 showed statistically significant difference. However no statistically significant differences were observed in other groups (P<0.05). 4. The mean of color difference$({\Delta}E^*)$ is 1.0-2.06 after 3000 thermocycling and the data were ranked in the ascending order of Variolink II, Nexus 2, Choice and Rely-X in A1 shade group and Choice, Rely-X, Variolink II and Nexus 2 in A3 shade group. Conclusion: Above results revealed that, after 3000 thermocycing, the color difference $({\Delta}E^*)$ of experimental resin cements was within clinically acceptable ranges. Color stability of 4 different resin cements was comparatively excellent.