• 대한치과의사협회지
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• 제53권3호
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• pp.178-186
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• 2015

Dental polymer-based luting materials are classified into esthetic resin cement, adhesive resin cement and self-adhesive resin cement. Due to the different component of each type of resin cement, the preconditioning method of tooth surface and the steps are different from each type of resin cement. The pre-treatment of adherend (ceramic, resin and metal) surface also varies with the type of resin cement and the manufacturer. In this study, the characteristics of each type of resin cement, mechanical properties, indication and advantages were investigated. Through these, clinical tips on using resin cements were suggested.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.305-311
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• 2013

PURPOSE. Over the past years, the adhesion of fiber posts luted with simplified adhesive systems has been a matter of great interest. The aim of this study was to assess the post retentive potential of a self-adhesive resin cement using different adhesive systems to compare the push-out bond strengths of fiber posts. MATERIALS AND METHODS. The post spaces of 56 mandibular premolar roots were prepared and divided into 4 experimental groups and further divided into 2 subgroups according to testing time (n=7). The fiber posts (Rely X Fiber Post) were luted with a self-adhesive resin cement (RelyX Unicem) and one of the following adhesive systems: no adhesive, a total-etch adhesive resin (Single Bond), a two-step self-etch adhesive resin (Clearfil SE Bond) and a one-step self-etch adhesive resin (Clearfil S3 Bond). Each root was cut horizontally, and 1.5 mm thick six root segments were prepared. Push-out tests were performed after one week or three months (0.5 mm/min). Statistical analysis were performed with three-way ANOVA (${\alpha}$=.05). RESULTS. Cervical root segments showed higher bond strength values than middle segments. Adhesive application increased the bond strength. For one week group, the total-etch adhesive resin Single Bond showed higher bond strength than the self-adhesive resin cement RelyX Unicem applied without adhesive resin at middle region. For 3 months group, the two-step self-etch adhesive resin Clearfil SE Bond showed the highest bond strength for both regions. Regarding the time considered, Clearfil SE Bond 3 months group showed higher bond strength values than one week group. CONCLUSION. Using the adhesive resins in combination with the self-adhesive resin cement improves the bond strengths. The bond strength values of two-step self-etch adhesive resin Clearfil SE Bond improved as time passes.

• Restorative Dentistry and Endodontics
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• 제49권2호
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• pp.18.1-18.13
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• 2024

Objectives: This study was conducted to evaluate the mechanical properties of relined and non-relined fiberglass posts when cemented to root canal dentin using a conventional dual-cure resin cement or a self-adhesive resin cement. Materials and Methods: Two types of resin cements were utilized: conventional and self-adhesive. Additionally, 2 cementation protocols were employed, involving relined and non-relined fiberglass posts. In total, 72 bovine incisors were cemented and subjected to push-out bond strength testing (n = 10) followed by failure mode analysis. The cross-sectional microhardness (n = 5) was assessed along the root canal, and interface analyses (n = 3) were conducted using scanning electron microscopy (SEM). Data from the push-out bond strength and cross-sectional microhardness tests were analyzed via 3-way analysis of variance and the Bonferroni post-hoc test (α= 0.05). Results: For non-relined fiberglass posts, conventional resin cement exhibited higher pushout bond strength than self-adhesive cement. Relined fiberglass posts yielded comparable results between the resin cements. Type II failure was the most common failure mode for both resin cements, regardless of cementation protocol. The use of relined fiberglass posts improved the cross-sectional microhardness values for both cements. SEM images revealed voids and bubbles in the incisors with non-relined fiberglass posts. Conclusions: Mechanical properties were impacted by the cementation protocol. Relined fiberglass posts presented the highest push-out bond strength and cross-sectional microhardness values, regardless of the resin cement used (conventional dual-cure or self-adhesive). Conversely, for non-relined fiberglass posts, the conventional dual-cure resin cement yielded superior results to the self-adhesive resin cement.

• Restorative Dentistry and Endodontics
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• 제16권1호
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• pp.121-132
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• 1991

The purpose of the study was to evaluate the marginal sealing effect of composite resin inlays according to the luting techniques and compare them to the conventional direct resin filling technique. 90 cavities of class V were prepared on the buccal surface of 90 extracted molar teeth, which were divided into four groups. Cavities of control group were directly filled with Scotchbond 2 and P - 50, and those of composite resin inlay groups were luted with one of the followings: Adhesive bond followed by Adhesive cement, All bond followed by Adhesive cement, Fuji - ionomer type L All the specimens were immersed in India ink dye solution for 7 days at $37^{\circ}C$ incubator after thermocycling between $5^{\circ}C$ and $60^{\circ}C$ and longitudinally sectioned with diamond disk inot two parts All the specimens were observed at the occlusal and gingival margins and statistical analysis was performed. The results were as follows: 1. Groups filled with composite resin inlay showed less marginal leakage than the group directly filled(p<0.01). 2. There was no significant difference in marginal leakage between composite resin inlay groups luted with Adhesive bond followed by Adhesive cement and the group luted with All bond followed by Adhesive cement(p>0.05). 3. At occlusal margins, Composite resin inlay group luted with Adhesive bond followed by Adhesive cement showed less marginal leakage than the group luted with Fuii ionomer type I(p<0.01). At gingival margins, composite resin inlay group luted with All bond followed by Adhesive cement showed less marignal leakage than the group luted with Fuji ionomer type I(P<0.01).

• 대한치과교정학회지
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• 제20권3호
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• pp.583-591
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• 1990

If the bond strength is sufficient to resist orthodontic force, orthodontic brackets can be bonded to restorations. Orthodontic brackets were bonded to composite resin and glass ionomer cement restorations with no-mix adhesive or glass ionomer cement. The shear bond strength of adhesives bonded to restorations was studied in vitro. Orthodontic brackets were bonded to 10 extracted natural teeth, 40 composite resin restorations and 40 glass ionomer restorations. The surfaces of composite resin restorations were roughened or applied with bonding agent (Scothbond) after surface roughening. The surfaces of glass ionomer cement restorations were conditioned with acid etching or applied with Scotchbond to etched surface. The adhesive was no-mix resin or glass ionomer cement. The shear bond strength was measured. The results were as follows: 1. Orthodontic brackets could be bonded to composite resin restorations effectively as they could be bonded to acid etched enamel with no-mix adhesive. The shear bond strength was sufficient to resist orthodontic force and was not affected by bonding agent greatly. 2. The shear bond strength of no-mix adhesive bonded to acid etched glass ionomer cement restorations was sufficient to resist orthodontic force. However. the fracture risk of glass ionomer cement restorations was increased during debonding. The bonding agent couldn't increase the shear bond strength greatly. 3. The shear bond strength of glass ionomer cement bonded to glass ionomer cement restorations was lower than that of no-mix adhesive. The shear bond strength was sufficient to resist orthodontic force and was greatly decreased by bonding agent. 4. The shear bond strength of glass ionomer cement bonded to composite resin restorations was too low to resist orthodontic force.

• Restorative Dentistry and Endodontics
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• 제39권1호
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• pp.12-16
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• 2014

Objectives: Extensively destroyed teeth are commonly restored with composite resin before cavity preparation for indirect restorations. The longevity of the restoration can be related to the proper bonding of the resin cement to the composite. This study aimed to evaluate the microshear bond strength of two self-adhesive resin cements to composite resin. Material and Methods: Composite discs were subject to one of six different surface pretreatments: none (control), 35% phosphoric acid etching for 30 seconds (PA), application of silane (silane), PA + silane, PA + adhesive, or PA + silane + adhesive (n = 6). A silicone mold containing a cylindrical orifice ($1mm^2$ diameter) was placed over the composite resin. RelyX Unicem (3M ESPE) or BisCem (Bisco Inc.) self-adhesive resin cement was inserted into the orifices and light-cured. Self-adhesive cement cylinders were submitted to shear loading. Data were analyzed by two-way ANOVA and Tukey's test (p < 0.05). Results: Independent of the cement used, the PA + Silane + Adhesive group showed higher microshear bond strength than those of the PA and PA + Silane groups. There was no difference among the other treatments. Unicem presented higher bond strength than BisCem for all experimental conditions. Conclusions: Pretreatments of the composite resin surface might have an effect on the bond strength of self-adhesive resin cements to this substrate.

• 대한치과보철학회지
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• 제46권5호
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• pp.535-543
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• 2008

최근의 레진 접착시스템은 단계를 줄이고 적용과정을 간편화시키는데 주력하고 있으며, 치면에 bonding 및 conditioning 과정 없이 바로 적용 가능한, one-step의 새로운 자가 접착 레진시멘트 (self-adhesive resin luting cement)들이 소개되어 임상에 사용되고 있다. 이에 본 연구의 목적은 자가 접착 레진시멘트와 기존의 레진시멘트의 상아질에 대한 전단 결합 강도를 비교해보고, 자가 접착 레진시멘트 적용시 치면의 식각 처리 여부가 전단 결합 강도에 미치는 영향에 관하여 알아보고자 하는 것이다. 본 연구를 위해 최근 6개월 내 발치된 비교적 건전한 성인의 대구치 45개를 아크릴릭 레진으로 매몰한 다음, 800 grit SiC연마지로 연마를 시행하여 상아질을 노출시켰다. 15개의 치아를 한 군으로 하여, 세 가지 실험군으로 분류하였다. Group 1) 치면에 아무런 전처리 없이 RelyX Unicem 접착. Group 2) 치면에 인산 산부식 처리 후, RelyX Unicem 접착, Group 3) 치면에 Syntac primet + Syntac adhesive + Heliobond 처리 후 Variolink II 접착. 전처리가 완료된 치아 시편 위에 플라스틱 튜브 (직경 3 mm, 높이 3 mm)를 고정한 다음, 제조사의 지시에 따라 각 레진 시멘트를 혼합하여 링 안을 채우고, 광중합을 시행하였다. 접착이 완료된 시편은 $37^{\circ}C$ 항온수조 (증류수)에서 24시간 동안 보관 후, 만능 시험기를 이용하여 1mm/min의 cross head speed로 결합강도를 측정하였으며, 확대경 하에서 파절 양상을 분류 관찰하고, 주사전자현미경을 이용하여 미세구조를 관찰하였다. 측정결과는 SPSS WIN 12.0 프로그램을 사용하여 분석하였으며 다음과 같은 결과를 얻었다. 1. RelyX Unicem의 상아질에 대한 전단결합강도는 Variolink II와 유의한 차이를 보이지 않았다. 2. 상아질에 대한 인산 산부식 처리는 RelyX Unicem과의 전단결합강도를 낮게 하였다. 3. RelyX Unicem과 Variolink II에서는 혼합 파절의 비율이 컸으며, 전단결합강도가 낮았던 인산 산부식 처리 후 RelyX Unicem을 접착한 경우에서는 전체 시편에서 접착성 파절이 관찰되었다. 결론으로 말하면, 자가 접착 레진시멘트와 기존의 레진시멘트의 상아질에 대한 전단결합강도는 유의한 차이를 보이지 않으며, 인산 산부식 처리는 상아질에 대한 자가 접착 레진시멘트의 전단결합강도를 감소시킨다.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.226-233
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• 2013

PURPOSE. This study evaluated the adhesion of 10-MDP containing self-etch and self-adhesive resin cements to dentin with and without the use of etch-and-rinse technique. MATERIALS AND METHODS. Human third molars (N=180) were randomly divided into 6 groups (n=30 per group). Conventional (Panavia F2.0, Kuraray-PAN) and self-adhesive resin cements (Clearfil SA, Kuraray-CSA) were bonded to dentin surfaces either after application of 3-step etch-and-rinse (35% $H_3PO_4$ + ED Primer) or two-step self-etch adhesive resin (Clearfil SE Bond). Specimens were subjected to shear bond strength test using the universal testing machine (0.5 mm/min). The failure types were analyzed using a stereomicroscope and quality of hybrid layer was observed under a scanning electron microscope. The data (MPa) were analyzed using two-way ANOVA and Tukey's tests (${\alpha}$=.05). RESULTS. Overall, PAN adhesive cement showed significantly higher mean bond strength ($12.5{\pm}2.3-14.1{\pm}2.4$ MPa) than CSA cement ($9.3{\pm}1.4-13.9{\pm}1.9$ MPa) (P<.001). Adhesive failures were more frequent in CSA cement groups when used in conjunction with two-step self-adhesive (68%) or no adhesive at all (66%). Hybrid layer quality was inferior in CSA compared to PAN cement in all conditions. CONCLUSION. In clinical situations where bonding to dentin substrate is crucial, both conventional and self-adhesive resin cements based on 10-MDP can benefit from etch-and-rinse technique to achieve better quality of adhesion in the early clinical period.

• The Journal of Advanced Prosthodontics
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• 제6권2호
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• pp.88-95
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• 2014

PURPOSE. The purpose of this study is to evaluate if pre-treatment with desensitizers have a negative effect on microtensile bond strength before cementing a restoration using recently introduced self-adhesive resin cement to dentin. MATERIALS AND METHODS. Thirty-five human molars' occlusal surfaces were ground to expose dentin; and were randomly grouped as (n=5); 1) Gluma-(Glutaraldehyde/HEMA) 2) Aqua-Prep F-(Fluoride), 3) Bisblock-(Oxalate), 4) Cervitec Plus-(Clorhexidine), 5) Smart protect-(Triclosan), 6) Nd:YAG laser, 7) No treatment (control). After applying the selected agent, RelyX U200 self-adhesive resin cement was used to bond composite resin blocks to dentin. All groups were subjected to thermocycling for 1000 cycles between $5-55^{\circ}C$. Each bonded specimen was sectioned to microbars ($6mm{\times}1mm{\times}1mm$) (n=20). Specimens were submitted to microtensile bond strength test at a crosshead speed of 0.5 mm/min. Kolmogorov-Smirnov, Levene's test, Kruskal-Wallis One-way Analysis of Variance, and Conover's nonparametric statistical analysis were used (P<.05). RESULTS. Gluma, Smart Protect and Nd:YAG laser treatments showed comparable microtensile bond strengths compared with the control group (P>.05). The microtensile bond strengths of Aqua-Prep F, and Cervitec Plus were similar to each other but significantly lower than the control group (P<.05). Bisblock showed the lowest microtensile bond strength among all groups (P<.001). Most groups showed adhesive failure. CONCLUSION. Within the limitation of this study, it is not recommended to use Aqua-prep F, Cervitec Plus and Bisblock on dentin when used with a self-adhesive resin cement due to the decrease they cause in bond strength. Beside, pre-treatment of dentin with Gluma, Smart protect, and Nd:YAG laser do not have a negative effect.

• Restorative Dentistry and Endodontics
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• 제34권3호
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• pp.184-191
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• 2009

본 연구의 목적은 치면 처리와 수복물 내면의 처리가 필요 없는 자가 접착 레진 시멘트의 물성 및 lithium disilicate ceramic과 상아질에 대한 전단결합강도를 측정하고 기존의 레진 시멘트와 비교하여 임상적 유용성을 알아보고자 하는 것이다. 실험군인 자가 접착 레진 시멘트로는 Rely-X Unicem, Embrace Wetbond, Maxcem, BisCem을, 대조군으로는 기존의 레진 시멘트인 Rely-X ARC, 수복용 복합레진인 Z-350을 사용하였다. 각 레진 시멘트의 물성 평가를 위하여 테플론 주형을 이용하여 시편을 제작하고 만능 시험기를 이용하여 압축강도, 간접인장강도, 굴곡강도를 측정하였다. IPS Empress 2 및 상아질 시편에 제조사의 지시대로 Rely-X ARE군과 Z-350군에만 전처리를 시행 후 각 시멘트를 접착하고 전단결합강도를 측정하였다. 실험 결과는 다음과 같았다. 1. 자가 접착 레진 시멘트인 Biscem이 가장 낮은 물리적 성질을 나타내었다 (P<0.05). 2. 자가 접착 레진 시멘트의 상아질 및 도재에 대한 전단결합강도는 기존의 레진 시멘트에 비해 유의성 있게 낮은 값을 나타내었다. (P<0.05). 이상의 결과로 볼 때 자가 접착 레진 시멘트는 기존의 레진 시멘트에 비해 물리적 성질 및 상아질과 lithium disilicate ceramic에 대한 전단결합강도가 떨어지는 것으로 사료된다.