• 대한소아치과학회지
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• 제37권4호
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• pp.422-428
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• 2010

Giomer는 글라스 아이오노머 시멘트의 불소 방출 능력과 복합레진의 물성을 동시에 가지고 있는 새로운 형태의 재료로서 소개되었다. 이에 본 연구에서는 giomer의 전단 결합강도를 기존의 심미 수복재료인 복합 레진과 컴포머와 비교하여 심미 수복재료로서의 임상적 효용성을 평가하고자 한다. 소의 전치를 자가중합 교정용 레진을 이용하여 아크릴 튜브에 매몰시킨 후, 상아질을 노출시키기 위해 실리콘 페이퍼를 이용하여 표면을 연마하였다. 샘플을 무작위로 I군(Giomer), II군(복합 레진), III군(컴포머), IV군(Giomer와 5세대 단일병 접착제)으로 분류하였다. 만능 시험기를 이용하여 각 샘플의 전단 결합강도를 측정하였다. One-way ANOVA와 Scheffe test를 이용하여 통계분석을 시행하였다. I군은 III군에 비해 통계학적으로 유의하게 높은 전단 결합강도를 나타냈다(p<0.05). I군과 II군의 전단 결합강도는 통계학적으로 유의한 차이가 없었다(p>0.05). IV군는 I군에 비해 낮은 결합강도를 보였지만, 통계학적으로 유의한 차이는 없었다(p>0.05). 실험의 결과로 보아 불소 방출의 특성을 지닌 giomer의 결합강도가 컴포머에 비해 우수하고, 복합 레진과 유사한 것으로 나타남으로써 소아 환자의 심미수복재료로서의 임상적 효용성이 있다고 사료된다.

• 대한치과보철학회지
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• 제35권4호
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• pp.647-661
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• 1997

The resin modified glass ionomer cements(RMGICs) have been used for years since 1989. Recently it has been developed for luting of fixed restorations. To evaluate the bond strength and marginal leakage of RMGICs for luting usage, the 80 extracted human molars which had uniform area of exposed dentin were cemented with 3 types of RMGICs(Fuji Duet, Advance, Vitremer), a conventional Glass Ionomer Cement(GIC-Fuji I), and a resin cement (Panavia 21) to base metal alloy(Ni-Cr-Be). After thermocycling the specimens were immersed in basic fuschin dye for measuring marginal leakage. The shear bond strength was measured with Instron and the maximum dye penetration was measured to 0.1mm. The types of fractured patterns were determined with stereoscope(${\times}7.5$). The results are as follows. 1. The difference between 3 RMGICs and a conventional GIC in shear bond strength was not statistically significant. It seemed that RMGICs had lower shear bond strength than resin cement. (p<0.01) 2. The mean scores of marginal leakage had no significant difference between the resin cement and 3 RMGICs but it was much higher in conventional GIC than the RMGICs (p<0.05) 3. It was determined that the manufacturer and the methods of dentin pretreatment determined the pattern of fracture surfaces and the frequency of adhesive failure between teeth and 3 RMGICs standed as in following order - Vitremer, Advance, Fuji Duet. (p<0. 01) When the fracture pattern was analyzed, it could be said that the materials and the method of dentin pretreatment have much effect on bonding states. This means that the dentin bonding agents should be improved. But the limited products in this experiment can not evaluate the physical properties of the entire RMGICs. Therefore a further study which can evaluate various RMGICs should be in progress to develope better cements.

• Restorative Dentistry and Endodontics
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• 제30권5호
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• pp.363-371
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• 2005

본 연구는 2급 복합레진 수복 시 다양한 두께의 유동성 레진 이장이 법랑질 또는 상아질 치은측 변연부의 미세누출에 미치는 영향을 평가하기 위하여 시행하였다. 발거된 상, 하악 대구치의 근심 또는 원심면에 2급 와동을 형성하고 혼성복합레진만으로 충전한 군 (대조군)과 유동성 레진을 치은측에 0.5 mm (실험 1군), 1 mm (실험 2군), 2 mm (실험 3군) 두께로 이장한 후 복합레진을 충전한 군으로 분류하였다. 각 군은 $5^{\circ}$와 $55^{\circ}C$에서 500회 열순환을 시행한 후 $2\%$ methylene blue에 24시간 동안 침적시켜 광학 입체현미경하에서 변연부의 색소 침투를 관찰하였다. 본 연구의 결과 유동성 레진의 다양한 두께는 복합레진 수복물의 변연부 미세누출에 영향을 미쳤다. 복합레진을 이용한 구치부 2급 와동 수복 시 법랑질 또는 상아질 변연에서 0.5 mm두께로 유동성 레진을 적용하는 것이 미세누출 감소에 효과적인 것으로 나타났다.

• Restorative Dentistry and Endodontics
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• 제35권2호
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• pp.134-142
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• 2010

이 연구의 목적은 상아질 지각과민증 모드의 Er,Cr:YSGG 조사가 복합레진 수복물의 미세인장 결합강도에 미치는 영향을 평가하는 것이다. 20개의 발거된 대구치를 사용하여 Er,Cr:YSGG 레이저 적용 유무와 사용된 접착제 시스템(Optibond FL과 Clearfil SE bond), 산의 적용 시간(15초와 20초)에 따라 여섯 그룹으로 나누었다. 노출된 교합면 상아질에 레이저 조사 후 접착제를 도포하고 복합레진으로 수복하였다. 24시간 동안 실온의 증류수에 보관 후 각 그룹 당 12개의 시편을 준비하였다. 모든 시편의 미세인장 결합강도를 측정하고 파절 양상을 관찰하였다. 더불어 레이저를 조사한 시편과 조사하지 않은 시편을 주사현미경을 이용하여 관찰하여 다음과 같은 결과를 얻었다. 1. 레이저를 조사한 그룹은 레이저를 조사하지 않은 그룹보다 낮은 미세인장 결합강도를 나타내었다. 2. 레이저 조사 유무와 관계없이, Optibond FL이 Clearfil SE bond보다 높은 미세인장 결합강도를 나타냈으며, Optibond FL을 사용했을 때 산부식 시간이 20초인 경우가 15초인 경우보다 더 높은 값을 나타내었다. 3. 레이저를 조사한 상아질의 SEM 사진은 관간상아질보다 관주상아질이 더 두드러져 보이며, 상아세관이 열려있으며 도말층은 관찰되지 않았다.

• 구강회복응용과학지
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• 제23권4호
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• pp.283-292
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• 2007

Two-step or one-step bonding systems generally inhibit curing process of dual-cured core build-up resin composite for their adhesive acidity. In addition this dual-cured core build-up resin composite can be applied to dentin of pulp chamber and root at the time that complete the endodontic treatment. The purpose of this investigation was to determine the influence of sodium hypochlorite on rnicrotensile bond strength of dual-cured core build-up resin composite. Extracted human molars were horizontally sectioned with 1mm thickness using low speed diamond saw. After the sectioned specimens were divided into 8 groups, adhesive systems (Clearfil SE-Bond, Prime&Bond NT[2-step, 1-step], Adper Prompt L-Pop) were then applied with or without sodium hypochlorite pretreatment. The treated specimen was filled with dual-cured core build-up resin composite (Luxacore, DMG corp., German). Then light cured for 40 seconds and soaked in $37^{\circ}C$ water bath for 24 hours. After the treated specimen was grinded with 1mm width and measured rnicrotensile bond strength by testing machine. Additionally 8 teeth were prepared for SEM evaluation. The results were as follows. : NaOCl treated groups generally had lower rnicrotensile bond strength but did not show any difference statistically except Adper Prompt L-Pop. When the teeth were treated by NaOCl, though the difference of applied adhesive system, it had no statistically significant difference within the NaOCl treated groups except the relation of between ClearFil SE-Bond adhesive system and Adper Prompt L-Pop adhesive system. In the SEM evaluation, NaOCl treated groups presented relatively long resin tags and incomplete hybrid layer formation generally.

• Restorative Dentistry and Endodontics
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• 제26권4호
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• pp.332-340
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• 2001

Flowable composite resin has lower filler content, increased flow, and lower modules of elasticity. It is suggested that flowable composite resin can be bonded to the tooth structure intimately and absorb or dissipate the stress. Therefore, it may be advantageous to use flowable composite resin for the base material of class II restoration and for the class V restoraton. The purpose of this study was to evaluate the microleakage and shear bond strength of four flowable composite resins (Aeliteflo, Flow-It, Revolution, Ultraseal XT Plus) compared to Z100 using Scotchbond Multi Purpose dentin bonding system. To evaluate the microleakage, notch-shaped class V cavities were prepared on buccal and lingual surfaces of 80 extracted human premolars and molars on cementum margin. The teeth were randomly divided into non-thermocycling group (group 1) and thermocycling group (group 2) of 40 teeth each. The experimental teeth of each group were randomly divided onto five subgroups of eight samples (sixteen surfaces). The Scotchbond Multi-Purpose and composite resin were applied for each group following the manufacturer's instructions. the teeth of group 2 were thermocycled five hundred times between 5$^{\circ}C$ and 55$^{\circ}C$. The teeth of group 2 were placed in 2% methylene blue dye for 24 hours, then rinsed with tab water. The specimens were embedded in clear resin, and sectioned longitudinally with a diamond saw. The dye penetration on each of the specimen were observed with a stereomicioscope at $\times$20 magnification. To evaluate the shear bond strength, 60 teeth were divided into five groups of twelve teeth each. The experimental teeth were ground horizontally below the dentinoenamel junction, so that no enamel remained. After applying Scotchbond Multi-Purpose on the dentin surface, composite resin was applied in the shape of cylinder. The cylinder was 4mm in diameter and 2mm in thickness. Shear bond strength was measured using Instron with a cross-head speed of 0.5mm/min. After shear bond strength measurement, mode of failure was evaluated with a stereomicroscope at $\times$30 magnification. All data were statistically analyzed by One Way ANOVA and Student-Newman-Keuls method. The correlation between microleakage and shear bond strength was analyzed by linear regression. The results of this study were as follows ; 1. In non-thermocycling group, the leakage value of Z100 was significantly lower than those of flowable composite resins at the enamel and dentin margin, margin, except that Revolution showed the lower leakage value than that of Z100 at the dentin margin (p<0.05). 2. In thermocycling group, the leakage values of Z100 and Ultraseal XT Plus were lower than those of other subgroup at the enamel and dentin margin, except that Flow-It showed the lower leakage value than that of Ultraseal XT Plus at the dentin margin (p<0.05). 3. The leakage value of Z100 and Ultraseal XT Plus in thermocycling group were not higher than that in non-thermocycling group at the enamel margin. The leakage value of Z100 in thermocycling group was not higher than that in non-thermocycling group at the dentin margin (p<0.05). 4. As for the shear bond strength measurement, there were no statistically significant differences among groups (p<0.05). The shear bond strengths given in descending order were as follows: Z100(16.81$\pm$2.98 MPa), Flow-It(14.8$\pm$4.43 MPa), Aeliteflo(14.34$\pm$3.69 MPa), Revolution(13.46$\pm$4.23 MPa), Ultraseal XT Plus(12.83$\pm$3.16 MPa). 5. Failure modes of all specimens were adhesive failures. 6. There was no correlation between microleakage and shear bond strength.

• Journal of Oral Medicine and Pain
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• 제31권3호
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• pp.211-221
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• 2006

목적 전통적 고속 회전식 절삭기구 또는 Er:YAG 레이저로 삭제된 상아질에, 두가지 다른 접착 시스템을 적용한 후, 축조한 컴포지트 레진의 미세인장결합강도를 비교하고, 다양한 Er:YAG 레이저 에너지가 미세인장결합강도에 미치는 영향을 평가한다. 재료 및 방법 40개의 제3대구치를 사용하여, 평평한 상아질면을 만든 후 8개의 군으로 나누어, 4가지 절삭방법 (고속 회전식 절삭기구, 2 W, 3 W, 4 W 출력의 Er:YAG 레이저) 중 한 가지로 삭제하고, 2가지 접착 시스템 (Scotchbond Multipurpose Plus, Clearfil SE bond) 중 한 가지로 처리하여 컴포지트 레진을 축조하였다. 24시간의 저장 후, 각 시편을 결합면에 수직으로 자르고, 미세인장결합강도를 측정하였다. 각 군의 미세인장결합강도는 평균$\pm$표준 편차로 표현하였고, 통계분석을 위해 two-way ANOVA, one-way ANOVA, student-Newman-Keuls' multiple comparison test, 그리고 t-test가 사용되었다. 결과 및 결론 1. 접착시스템과 관계없이, 절삭방법에 따른 미세인장결합강도의 유의한 차이가 있었고, 높은 순서대로 나열하면 다음과 같다: 3 W, 2 W, Bur, 4 W (p<0.001). 2. 절삭방법과 관계없이, Scotchbond Multipurpose Plus로 처리한 군이 Clearfil SE bond로 처리한 군보다 유의하게 높은 미세인장결합강도를 나타냈다 (p<0.001). 3. Scotchbond Multipurpose Plus로 처리한 군 중에서, 3 W 레이저 절삭군이 가장 높은 미세인장결합강도를 나타냈고, 다음이 Bur, 2 W, 4 W 절삭군 순이었다 (p<0.001). 4. Clearfil SE bond로 처리한 군 중에서 3 W 레이저 절삭군이 가장 높은 미세인장결합강도를 나타냈고, 다음이 2 W, 4 W, Bur 절삭군 순이었다 (p<0.001). 5. 두 가지 접착 시스템 모두에서, 레이저로 절삭한 군의 미세인장결합강도의 차이가 있었고, 높은 순서대로 나열하면 3 W, 2 W, 4 W 순이었다 (p<0.001). :상아질에 접착된 컴포지트 레진의 미세인장결합강도는 절삭방법과 접착시스템의 상호작용에 의해 유의한 영향을 받았다. 임상에서 레진 수복시, 2 W-3 W 범위내로 Er:YAG laser를 사용한다면 전통적 핸드피스 못지않게 수복물의 우수한 결합강도를 얻을 수 있다. 특히 시술시간의 단축, 과도한 산부식에 따른 부작용의 예방을 위해 Clearfil SE bond를 포함한 self etching system을 사용하고자 한다면 bur보다 Er:YAG laser를 이용한 삭제방법이 더 유용한 결합력을 제공할 것이다.

• Restorative Dentistry and Endodontics
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• 제33권2호
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• pp.141-147
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• 2008

본 연구의 목적은 나노리터 수준의 물 흐름을 계측할 수 있는 장치를 개발하고, 상아질의 물 투과성을 측정하여 치아과민증 치료제와 상아질 접착제의 상아세관 밀폐효과를 알아보고자 하였다. 본 연구에서 제작한 미세흐름 측정장치는 첫째, 물의 흐름을 감지하는 모세관과 광 센서부, 둘째 물의 흐름을 추적하는 서보모터와 구동부, 셋째, 모터의 회전을 측정하여 물의 이동량으로 변환하는 엔코더와 컴퓨터 기록장치 등 세 부분으로 구성되어 있다. 본 장비를 이용하여 교합 면이 절단되어 노출된 상아질의 물 투과도와 치아과민증 치료제인 BisBlock과 자가부식형 상아질접착제인 Clearfil SE bond의 상아질 밀폐효과를 측정하여 다음과 같은 결과를 얻었다. 1. 나노리터 수준의 물 흐름을 측정할 수 있는 장치를 제작하였고, 이를 이용하여 상아질의 물 투과도를 측정할 수 있었다. 2. 삭제 후 노출 연마된 상아질은 0.84 - 15.2 nL/s의 물 투과도를 보였고 Oxalate 제재인 BisBlock 이나 자가부식형 접착제 Cleafil SE bond 적용 시 투과도가 39.8 - 89.6% 감소하였다.

• 대한치과보철학회지
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• 제32권2호
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• pp.225-233
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• 1994

The restorations of the severely damaged teeth by post core have been increased with the developement of endodontic procedures. But high failure rates of these procedures being reported, various restorative modifications were induced for successful treatments. Cast post-core and prefabricated post with core buildups are choice of treatment. The main causes of failure of the restorations are the fracture of post and core, root fracture, and recurrent caries due to microleakage. Recently, the acid etching technique and the use of dentin bonding agent at tooth surface to reduce the possible microleakage at the tooth-restoration interfaces were introduced. The object of this study was to measure and compare the microleakage by the types and cementation methods of post-core. For this study, forty extracted human anterior teeth were selected for specimen. After cleansing and routine endodontic procedures, anatomic crowns of each specimen were removed at the level of 2mm above the cementoenamel junction. Canals were preparated for post insertion and specimens were divided into four groups randomly. Post-cores were fabricated according to method for each group. Microleakage was measured by length of dye penetration at the tooth-restoration interfaces with measuring microscope at 50 magnification. Oneway ANOVA and t-test were performed for statistical analysis of resulting data. The following results were obtained from this study. 1. There wert significant statistical differences in degree of microleakage between each group (p<0.01). 2. Cast post-core cemented with ZPC (Group I) showed the most severe microleakage pattern$(1.5547{\pm}0.0872mm)$, and cast post-core cemented with adhesive resin cement after tooth surface treatment with dentin bonding agent (Group II) showed the least microleakage $(0.1497{\pm}0.0872mm)$. 3. Group IV revealed less dye penetrations than group III, but no statistical significance was seen between two groups.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.126-132
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• 2013

PURPOSE. Post surface conditioning is necessary to expose the glass fibers to enable bonding between fiber post and resin cement. The purpose of the present study was to evaluate the effect of different surface conditioning on tensile bond strength (TBS) of a glass fiber reinforced post to resin cement. MATERIALS AND METHODS. In this in vitro study, 40 extracted single canal central incisors were endodontically treated and post spaces were prepared. The teeth were divided into four groups according to the methods of post surface treatment (n=10): 1) Silanization after etching with 20% $H_2O_2$, 2) Silanization after airborne-particle abrasion, 3) Silanization, and 4) No conditioning (Control). Adhesive resin cement (Panavia F 2.0) was used for cementation of the fiber posts to the root canal dentin. Three slices of 3 mm thick were obtained from each root. A universal testing machine was used with a cross-head speed of 1 mm/minute for performing the push-out tests. Two-way ANOVA and Tukey post hoc tests were used for analyzing data (${\alpha}$=0.05). RESULTS. It is revealed that different surface treatments and root dentin regions had significant effects on TBS, but the interaction between surface treatments and root canal regions had no significant effect on TBS. There was significant difference among $H_2O_2$ + Silane Group and other three groups. CONCLUSION. There were significant differences among the mean TBS values of different surface treatments. Application of hydrogen peroxide before silanization increased the bond strength between resin cements and fiber posts. The mean TBS mean values was significantly greater in the coronal region of root canal than the middle and apical thirds.