• Restorative Dentistry and Endodontics
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• v.20 no.1
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• pp.33-54
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• 1995

The degree of conversion of composite resin was known to have influence on the mechanical properties of composite materials such as hardness, strength, wear resisitance, dimensional and color stability. Also unreacted monomer was reported to be harmful to the pulp. So the degree of conversion was a very important factor in the success of composite resin restorations. In recent, the dual cure resin cement was developed with the advocations that it could increase the curing rates in the sites where the curing ligt could not reach. Moreover many manufactors added some adhesive components in the resin cement. This study was undertaken to observe the effects of curing depth and light curing times on the degree of conversion of dual cure resin cements. CR INLAY CEMENT, DUAL CEMENT and OPTEC BOND, by the Fourier transform Infrared analysis, changing the curing depth 1mm, 2mm and 3mm, and varying the light curing time 20 seconds, 40 seconds and 80 seconds at each depth. The cytotoxicity of dual cure resin cements was tested by the in vitro MTT method using L929 cell. The results was evaluated and compared statistically. The results were obtained as follows : 1. The dual cure resin cements reavealed various degree of conversion, CR INLAY CEMENT and DUAL CEMENT had a tendency to be more reactive to the light cure and OPTEC BOND was a more chemical one. 2. CR INLAY CEMENT and DUAL CEMENT showed the lowest degree of conversion in 2 mm depth, and in 3mm depth the degree of conversion increased, which were due to the chemical cure of dual cures, but OPTEC BOND showed decreasing degree of conversion with increasing curing dept h and all experimental groups showed lower degree of conversion than CHEMICAL group which cured in dark room with no light, so the weak light-curing of dual cure resin cement prevented the chemical cure. (P<0.05) 3. CR INLAY CEMENT and DUAL CEMENT showed increasing degree of conversion in 1 mm and 3 mm, according to the increasing cure times, but in 2 mm depth the degree of conversion decreased with increasing light-curing times and OPTEC BOND showed contrary tendency, but there was no ststistical importance in the differences among the experimental group.(P>0.05) 4. The optical density by MTT assay of extractions of CR INLAY CEMENT, DUAL CEMENT and OPTEC BOND revealed no statitically important differences comparing with optical density of negative control.(P>0.05) 5. CR INLAY CEMENT showed a tendency of increaing cytotoxicity with days and DUAL CEMENT and OPTEC BOND showed higher cytotoxicity in 2 days than in 4 days, but there was no statistical importance in the differences.(P>0.05).

• Journal of the Korean Academy of Esthetic Dentistry
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• v.3 no.1
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• pp.1-9
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• 1995

• Restorative Dentistry and Endodontics
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• v.21 no.2
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• pp.642-651
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• 1996

The purpose of this study was to evaluate the relationship between monomer compositions and the changes in the degree of conversion in the various layers of composites after additional heat curing. Four types of composites and 3 types of inlay ovens were used in this study. Composite was placed in a 4-mm thick teflon mold, and light cured from the top for 60 seconds. Ten samples were prepared for each composite ; 5 of these were additionally heat cured in an inlay oven as the manufacturer recommended. After light curing or light and heat curing, the samples were sectioned into four parts and assigned to groups A, B, C, or D according to their distance from the light source. These sections were then thinned to 50-$70{\mu}m$, and these wafers were analyzed with a Fourier Transform Infrared Spectrometer(FI-IR) to determine the degree of conversion. A standard baseline technique was used to calculate the degree of conversion. $^{13}C$ NMR spectra of bis-GMA, TEGDMA and bis-EMA, were acquired using a Varian Gemini spectrometer operated at 200 MHz. $CDCl_3$ solvent was used for qualitative analysis. The degree of conversion was affected by bis-GMA : TEGDMA ratio but it seemed to be also affected by other factors. When the composites were heat cured, significant increases in the degree of conversion were noted throughout the samples, but the amount of increase differed between materials. Thus, clinical performance of a heat-treated composite inlay may be different depending on materials.

• Restorative Dentistry and Endodontics
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• v.22 no.1
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• pp.254-266
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• 1997

This study was to know the usefulness of argon laser for composite resin, to prove the polymerized effect of heat treatment of composite resin inlay and to get the curing method for optimal physical properties of composite resin inlay. In this study we used four light curing units and one heat curing unit: Visilux $II^{TM}$, a visible light gun: $SPECTRUM^{TM}$, an argon laser: Unilux AC$^{(R)}$ and Astorn XL$^{(R)}$, visible light curing unit: CRC-$100^{TM}$ for heat treatment. Compared to a control group, we divided the experemental groups into five as follows: Control group: Light curing(Visilux $II^{TM}$) Experimental group 1 : Light curing(Visilux $II^{TM}$) + Light curing(Unilux AC$^{(R)}$) Experimental group 2: Light curing(Visilux $II^{TM}$) + Light curing(Astron XL$^{(R)}$) + Heat treatment(CRC-$100^{TM}$) Experimental group 3 : Laser curing($SPECTRUM^{TM}$) Experimental group 4 : Laser curing($SPECTRUM^{TM}$) + Light curing(Unilux AC$^{(R)}$) Experimental group 5 : Laser curing($SPECTRUM^{TM}$) + Light curing(Astron XL$^{(R)}$) + Heat treatment (CRC-$100^{TM}$) According to the above classification, we made samples through the curing of Clearfil CR Inlay$^{(R)}$, which is a composite resin for inlay, in a separable cylindrical metal mold and polycarbonate plate. And then, we measured and compared the value of compressive strength, diametral tensile strength and the surface micro hardness of each sample. The results were as follows : 1. Among the experimental groups, group 5 showed the highest value of compressive strength, $157.50{\pm}10.24$ kgf and control group showed the lowest value of compressive strength, $103.93{\pm}21.93$ kgf. Control group showed significant difference with the experimental groups(p<0.001). Group 2 which was treated by the heat showed higher compressive strength than that of group 1 which was not, and there was significant difference between group 1 and group 2(p<0.001). Group 5 which was treated by heat showed higher compressive strength than group 4 which was not, and there was significant difference group 4 and group 5(p<0.001). 2. Among the experimental groups, group 5 showed the highest value of diametral tensile strength, $95.84{\pm}1.97$ kgf and control group showed the lowest value of diametral tensile strength, $81.80{\pm}2.17$ kgf. Control group which was cured by visible light showed higher diametral tensile strength than group 3 which was cured Argon Laser. Group 2 which was treated by heat showed higher compressive strength than that of group 1 which was not, and there was significant difference between group 1 and group 2(p<0.001). Group 5 which was treated by heat showed higher compressive strength than group 4 which was not, and there was a significant difference group 4 and group 5(p<0.001). 3. Among the experimental groups, group 5 showed the highest value of microhardness of top surface, $148.42{\pm}9.57$ kgf and control group showed the lowest value of microhardness, $111.43{\pm}7.63$ kgf. In the case of bottom surface, group 5 showed the highest value of $146.19{\pm}7.62$ kgf, and control group showed the lowest, $104.03{\pm}11.05$ kgf. Group 3 which was cured by Argon Laser showed higher diametral tensile strength than control group which was cured only with a visible light gun. Group 2 which was treated by heat showed higher compressive strength than that of group 1 which was not, and there was a significant difference between group 1 and group 2(p<0.001). Group 5 which was treated by heat showed higher compressive strength than group 4 which was not, and there was a significant difference group 4 and group 5(p<0.001). 4. According to the above results, we took a conclusion that argon laser can be used as a useful unit for curing the composite resin and heat treatment can improve the physical properties of the composite resin inlay.

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.595-595
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• 2001

As the interest for esthetic restoration is increasing, the usage of composite resin is increasing. The usage of composite resin is not limited to anterior teeth but is spreading to posterior area using direct ＆ indirect methods. Generally, dual or chemical cure resin cement has been used for setting composite or porcelain inlay restoration. However, chemical cure resin cement has limited working time and it's difficult to remove excess cement from the tooth and the restoration. The dual cured composite is also difficult to remove from the tooth surface.(omitted)

• Restorative Dentistry and Endodontics
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• v.25 no.1
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• pp.17-40
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• 2000

Resin cements are used for cementing indirect esthetic restorations such as resin or porcelain inlays. Because of its limitations in curing of purely light cured resin cements due to attenuation of the curing light by intervening materials, dual cured resin cements are recommended for cementing restorations. The physical properties of resin cements are greatly influenced by the extent to which a resin cures and the degree of cure is an important factor in the success of the inlay. The purpose of this study was to evaluate the influence of porcelain thickness and exposure time on the polymerization of resin cements by measuring the microhardness and the degree of conversion, to investigate the nature of the correlation between two methods mentioned above, and to determine the exposure time needed to harden resin cements through various thickness of porcelain. The degree of resin cure was evaluated by the measurements of microhardness [Vickers Hardness Number(VHN)] and degree of conversion(DC), as determined by Fourier Transform Infrared Spectroscopy(FTIR) on one light cured composite resin [Z-100(Z)] and three dual cured resin cements [Duo cement(D), 3M Resin cement(R), and Dual cement(DA)] which were cured under porcelain discs thickness of 0mm, 1mm, 2mm, 3mm with light exposure time of 40sec, 80sec, 120sec, and regression analysis was performed to determine the correlation between VHN and DC. In addition, to determine the exposure time needed to harden resin cements under various thickness of porcelain discs, the changes of the intensity of light attenuated by 1mm, 2mm, and 3mm thickness of porcelain discs were measured using the curing radiometer. The results were obtained as follows ; 1. The values of microhardness and the degree of conversion of resin cements without intervening porcelain discs were 31~109VHN and 51~63%, respectively. In the microhardness Z was the highest, followed by R, D, DA. In the degree of conversion, D and DA was significantly greater than Z and R(p<0.05). 2. The microhardness and the degree of conversion of the resin cements decreased with increasing thickness of porcelain discs, and increased with increasing exposure time, D and R showed great variation with inlay thickness and exposure time, whereas, DA showed a little variation. 3. The intensity of light through 1mm, 2mm, and 3mm porcelain inlays decreased by 0.43, 0.25, and 0.14 times compared to direct illumination, and the respective needed exposure times are 53 sec, 70 sec, and 93 sec. In D and R, 40 sec of light irradiation through 2mm porcelain disc and 80 sec of light irradiation through 3mm porcelain disc were not enough to complete curing. 4. The microhardness and the degree of conversion of the resin cements showed a positive correlationship(R=0.791~0.965) in the order of R, D, Z, DA. As the thickness of porcelain discs increased, the decreasing pattern of microhardness was different from that of the degree of conversion, however.

• Restorative Dentistry and Endodontics
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• v.38 no.2
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• pp.79-84
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• 2013

Objectives: This study aimed to investigate the effect of clinical clerkship-associated achievements, such as performance of procedures at the student clinic, observation, and attitude towards a clerkship, on the objective structured clinical examination (OSCE) scores of dental students graduating in restorative dentistry. Materials and Methods: The OSCEs consisted of two stations designed to assess students' clinical skills regarding cavity preparation for a class II gold inlay and a class IV composite restoration. The clerkship achievements, consisting of the number of student clinical procedures performed, observation-related OSCE, and scores of their attitudes towards a conservative dentistry clerkship, were assessed. Correlation and multiple regression analyses were conducted. Results: The correlation coefficient between the OSCE scores for cavity preparation for a class II gold restoration and clerkship attitude scores was 0.241 (p < 0.05). Regarding a class IV composite restoration, OSCE scores showed statistically significant correlations with the observation (r = 0.344, p < 0.01) and attitude (r = 0.303, p < 0.01) scores. In a multiple regression analysis, attitudes towards a clerkship (p = 0.033) was associated with the cavity preparation for a class II gold inlay OSCE scores, while the number of procedure observations (p = 0.002) was associated with the class IV composite restoration OSCE scores. Conclusions: The number of clinical procedures performed by students, which is an important requirement for graduation, showed no correlation with either of the OSCEs scores.

• Restorative Dentistry and Endodontics
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• v.32 no.2
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• pp.111-120
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• 2007

The purpose of this study is to evaluate the effects of surface treatment and composition of reinforcement material on fracture strength of fiber reinforced composite inlay bridges. The materials used for this study were I-beam, U-beam TESCERA ATL system and ONE STEP(Bisco, IL, USA). Two kinds of surface treatments were used; the silane and the sandblast. The specimens were divided into 11 groups through the composition of reinforcing materials and the surface treatments. On the dentiform, supposing the missing of Maxillary second pre-molar and indirect composite inlay bridge cavities on adjacent first pre-molar disto-occlusal cavity, first molar mesio-occlusal cavity was prepared with conventional high-speed inlay bur. The reinforcing materials were placed on the proximal box space and build up the composite inlay bridge consequently. After the curing, specimen was set on the testing die with ZPC. Flexural force was applied with universal testing machine (EZ-tester; Shimadzu, Japan). at a cross-head speed of 1 mm/min until initial crack occurred. The data was analyzed using one-way ANOVA/Scheffes post-hoc test at 95% significance level. Groups using I-beam showed the highest fracture strengths (p<0.05) and there were no significant differences between each surface treatment (p>0.05) Most of the specimens in groups that used reinforcing material showed delamination. 1. The use of I-beam represented highest fracture strengths (p<0.05) 2. In groups only using silane as a surface treatment showed highest fracture strength, but there were no significant differences between other surface treatments (p>0.05). 3. The reinforcing materials affect the fracture strength and pattern of composites inlay bridge. 4 The holes at the U-beam did not increase the fracture strength of composites inlay bridge.

• The Journal of the Korean dental association
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• v.50 no.7
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• pp.368-376
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• 2012

The demand for tooth-colored restorations has grown considerably during the last decade. Posterior composite restorations have risen in popularity as a result of the development of improved resin composites, bonding systems and operating techniques. A major limitation of direct composite restoration is the difficulty of controlling the polymerization shrinkage. To overcome this limitation, the indirect fabrication of a composite restoration and cementation with resin cement has been advocated. Unfortunately, the current available resin cements with indirect restorations do not always bond to dentin as strongly as dentin adhesive systems bond with direct resin composite restorations. Several procedural strategies have been proposed for indirect composite restoration. In this regard, the rationale for the indication, characteristics and clinical application is described in this paper. As a result, we will try to suggest the evidence-based guidelines for indirect composite restorations by reviewing each available indirect composite products, technical procedure and pronosis.

• Restorative Dentistry and Endodontics
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• v.23 no.1
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• pp.487-501
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• 1998

In the case of CAD/CAM ceramic inlay restorations, if isthmus width is widened too much, it may cause fracture of remaining tooth structure or loss of bonding at the luting interface because of excessive displacement of buccal or lingual cusps under occlusal loads. So to clarify the criterior of widening isthmus width, this study was designed to test the tensile bond strength and bond failure mode between dentin and ceramic cemented with luting composite resin cements. Cylindrical ceramic blocks(Vita Cerec Mark II, d=4mm) were bonded to buccal dentin of 40 freshly extracted third molars with 4 luting composite resin cements(group1 : Scotchbond Resin Cement/Scotchbond Multi-Purpose, group2 : Duolink Resin Cement/ All-Bond 2, group3: Bistite Resin Cement/Ceramics Primer, and group4:Superbond C&B). Tensile bond test was done under universal testing machine using bonding and measuring alignment blocks(${\phi}ilo$ & Urn, 1992). After immersion of fractured samples into 1 % methylene blue for 24 hours, failure mode was analysed under stereomicroscope and SEM. Results: The tensile bond strength of goup 1, 2 & 4 was $13.97{\pm}2.90$ MPa, $16.49{\pm}3.90$ MPa and $16.l7{\pm}4.32$ MPa, respectively. There was no statistical differences(p>0.05). But, group 3 showed significantly lower bond stregnth($5.98{\pm}1.l7$ MPa, p<0.05). In almost all samples, adhesive fractures between dentin and resin cements were observed. But, in group 1, 2 & 4, as bond strength increased, cohesive fracture within resin cement was observed simultaneously. And, in group 3, as bond strength decreased, cohesive fracture between hybrid layer and composite resin cement was also observed. Cohesive fracture within dentin and porcelain adhesive fracture were not observed. In conclusion, although adhesive cements were used in CAD/CAM -fabricated ceramic inlay restorations, the conservative priciples of cavity preparation must be obligated.