• Restorative Dentistry and Endodontics
• /
• 제28권5호
• /
• pp.392-401
• /
• 2003

The purpose of this study was to evaluate the penetration pattern of dentin adhesives according to the orientation of dentinal tubules with confocal laser scanning microscopy. Specimens having perpendicular. parallel and oblique surface to dentinal tubules were fabricated. The primer of dentin adhesives (ALL $BOND^{\circledR}{\;}2,{\;}CLEARFIL^{TM}$ SE BOND and PQ1) was mixed with fluorescent material. rhodamine B isothio-cyanate (Aldrich Cherm. CO., Milw., USA), It was applied to the specimens according to the instructions of manufactures. The specimens were covered with composite resin (Estelite, shade A2) and then cut to a thickness of 500$\mu\textrm{m}$ with low speed saw (Isomet^{TM}, Buehler. USA). The adhesive pattern of dentin adhesives were observed by fluorescence image using confocal laser scanning microscopy. The results were as follows. 1. For the groups with tubules perpendicular to bonded surface. funnel shape of resin tag was observed in all specimen. However. resin tags were more prominent in phosphoric acid etching system (ALL $BOND^{\circledR}$ 2 and PQ1) than self etching system ($CLEARFIL^{TM}$ SE BOND). 2. For the groups with tubules parallel to bonded surface. rhodamine-labeled primer penetrated into peritubular dentin parallel to the orientation of dentinal tubules. But rhodamine-labeled primer of PQ1 diffused more radially into surrounding intertubular dentin than other dentin adhesive systems. 3. For the groups with tubules oblique to bonded surface. resin tags appeared irregular and discontinuous. But they penetrated deeper into dentinal tubules than other groups.

• Imaging Science in Dentistry
• /
• 제51권3호
• /
• pp.261-269
• /
• 2021

Purpose: The aim of this study was to evaluate the radiopacities of various types of restorative materials with different thicknesses compared with enamel, dentin, and aluminum. Materials and Methods: Four bulk-fill resins, 2 hybrid ceramics, 2 micro-hybrid resin composites, 6 glass ionomer-based materials, 2 zinc phosphate cements, and an amalgam were used in the study. Twelve disk-shaped specimens were prepared from each of 17 restorative materials with thicknesses of 1 mm, 2 mm, and 4 mm (n=4). All the restorative material specimens with the same thickness, an aluminum (Al) step wedge, and enamel and dentin specimens were positioned on a phosphor storage plate and exposed using a dental X-ray unit. The mean gray values were measured on digital images and converted to equivalent Al thicknesses. Statistical analyses were performed using 2-way analysis of variance and the Bonferroni post hoc test(P<0.05). Results: Radiopacity was significantly affected by both the thickness and the material type (P<0.05). GCP Glass Fill had the lowest radiopacity value for samples of 1 mm thickness, while Vita Enamic had the lowest radiopacity value for 2-mm-thick and 4-mm-thick samples. The materials with the highest radiopacity values after the amalgam were zinc phosphate cements. Conclusion: Significant differences were observed in the radiopacities of restorative materials with different thicknesses. Radiopacity was affected by both the material type and thickness.

• 대한치과보철학회지
• /
• 제43권5호
• /
• pp.587-598
• /
• 2005

Statement of problem: Ceramic restorations should be made of porcelain layers of different opacity, shade, and thickness in order to provide a natural appearance. Lithium disilicate glass-ceramic system has superior color reproducibility, because it uses the ceramic ingot which is similar to teeth shade and uses the staining technique and layering technique. However, staining technique has a fault of discoloration. Also, porcelain is divided core and dentin layer, it is not enough to study about the influence of porcelain layer thickness and shade on the shade of ceramic restorations. Purpose: The purpose of this study was to evaluate the influence of porcelain layer thickness and color on the final shade of ceramic restorations. Materials and method: The CIE $L^*a^*b^*$(CIELAB) values of 72 assembled specimens, each consisting of 3 discs (enamel porcelain 0.2 mm/dentin porcelain -1.2, 0.9, 0.7, 0.5 or 0.3 mm/ceramic core -0.3, 0.5, 0.7, 0.9 or 1.2 mm, diameter is 1.0 mm) were evaluated with a spectrophotometer (Model Chromaview 300, Spectron Tech Co, Korea) for the shade A1, A2, A3 and A4. Distilled water (refractive index: 1.7) was used to attain optical contact between the layers. White, white gray, and white brown backgrounds were used to assess the influence of the background on the final shade. And the mean color difference value$({\Delta}E)$ was calculated. Results and conclusion: The results obtained from this study were as follows. 1. There was a significant correlation between the thickness ratio of the ceramic core/dentin porcelain system and $L^*,\;a^*\;and\;b^*$ values when the total thickness of specimen combination was smaller than 1.4 mm(P<0.05). 2. The specimen which the ceramic core thickness was more than 0.7 mm had the best masking effect against background colors. 3. The mean color difference value$({\Delta}E)$ is smaller than 2 $({\Delta}E<2)$ when the ceramic core thickness was larger than 0.7 mm and the total thickness of specimen was more than 1.4 mm.

• 대한치과보철학회지
• /
• 제38권4호
• /
• pp.472-483
• /
• 2000

Before impression making in the fixed restorations or other prosthesis, hemostatic solutions are used for hemostasis and moisture control. Hemostatic solutions effectively control bleeding but their major ingredients, acid removes smear layers which are formed in the tooth preparation, exposes the dentinal tubular orifices which are occluded by smear layers, makes dentinal tubular fluid displace more easily to the various external stimulus, and according to the hydrodynamic theory, consequently causes dentin hypersensitivity. To know the effect of hemostatic solutions on dentin permeability, coronal dentin discs, 1mm in thickness, were prepared from extracted third molars free from decay and wear, and a split chamber device was used. Hydraulic conductance values and SEMs, which were measured before and after treatment with $Astringedentr^{(R)},\;Altract^(R)\;and\;Epri-dent^{(R)}$, were compared and ana-lysed. The following conclusions were drawn: 1. Hydraulic conductance values which were measured after the treatment of hemostatic solutions were increased in all groups(p<0.05). 2. %change values of hydraulic conductance were compared but no significant difference was found among the three hemostatic solutions(p<0.05). 3. On SEM observations of all groups, after treatment smear layers were removed and dentinal tubular orifices were partially exposed. On the basis of these conclusions, the reckless use of hemostatic solutions should be restricted, and when in use, various methods should be considered to protect dentin.

• Restorative Dentistry and Endodontics
• /
• 제24권4호
• /
• pp.546-553
• /
• 1999

In Older to evaluate the effectiveness of 'One-bottle dentin adhesive system', the shear bond strengths of two fourth generation dentin adhesive systems and two One-bottle systems to the occlusal dentin of the freshly extracted third molars were measured by the regulation of the ISO TR 11405. The fourth generation dentin adhesive systems used in this study were Scotchbond Multi-Purpose Plus and All-Bond 2, and the One-bottle systems were Single Bond and One-Step. The effects of the thickness of hybrid layer and adhesive layer, the diameter of resin tag and the ratio between the diameter of resin tag and that of dentinal tubule were analyzed as the contributing factors of the shear bond strength of dentin bonding systems from the Scanning Electron Microscopic images. The results were as follows: 1. The shear bond strengths of Scotchbond Multi-Purpose, All-Bond 2, and Single Bond were 16.98${\pm}$3.40 MPa, 15.10${\pm}$2.77 MPa and 15.05${\pm}$3.18 MPa, respectively. There were no statistical differences(p>0.05). 2. But, the shear bond strength of One-Step were significantly lower than those of the other groups (11.81${\pm}$1.95 MPa, p<0.05). 3. The thicknesses of hybrid layer and adhesive layer of One-Step were significantly thinner than those of the other groups(p<0.05). The differences of the diameter of resin tag(p=0.0685) and the ratio between the diameter of resin tag and that of dentinal tubule(p=0.2401) were not significant among all the material groups. 4. The thickness of hybrid layer and adhesive layer might be considered as contributing factors of the she at bond strengths of dentin bonding systems, but the diameter of resin tag and the ratio between the diameter of resin tag and that of dentinal tubule might not.

• 대한치과보철학회지
• /
• 제37권5호
• /
• pp.658-671
• /
• 1999

The major influencing factors on the strength of all-ceramic crowns are types of dental ceramics, fabrication techniques, methods of abutment preparation and cementation modes of all-ceramic restorations. Zinc phosphate cement and glass-ionomer cement were used as an early lot-ing media for all-ceramic crowns. Recently many studies have reported that resin cements have more advantages in increasing the fracture strength of restorations comparing with zincphosphate cement and glass-ionomer cement. The purpose of this study is to investigate the effect of etching, silane treatment, sandblasting and dentin bonding agents on fracture strengths of dental ceramics. 40 flat dentin specimens and 40 ceramic discs of 1.5mm thickness and 8mm diameter were fabricated, and divided into 4 groups according to surface treatments. Surface treatments before cementation were as follows Group I : (ceramic) : HF etching - silane treatment - application of bonding resin (dentin) : application of dentin bonding agent Group II : (ceramic) : sandblasting - application of bonding resin (dentin) : application of dentin bonding agent Group III : (ceramic) : application of bonding resin (dentin) : application of dentin bonding agent Group IV : (ceramic) : HF etching - silane treatment - application of bonding resin (dentin) : no dentin bonding procedure Dentin specimens and ceramic discs were cemented with dual cure resin cement, and went through thermocycling. Compressive stress es were loaded on the centers of ceramic discs with Instron test-ing machine, and fracture strengths resistance for catastrophic fracture were measured The results were as follows. 1. The group I showed the highest fracture resistance. The next was group II And group III, IV followed. 2. There was a significant difference in the mean value of fracture strengths between group I and group III (p<0.05), but no significant differences between group I and group II, and group II and group III (p>0.05). 3. There was a significant difference in the mean value of fracture strengths between group I and group IV (p<0.05).

• Journal of Periodontal and Implant Science
• /
• 제44권5호
• /
• pp.227-234
• /
• 2014

Purpose: Dentin hypersensitivity is a potential threat to oral health. Laser irradiation may provide reliable and reproducible treatment but remains controversial. The present study aimed to evaluate the effects of $CO_2$ or erbium-doped yttrium aluminium garnet (Er:YAG) laser therapy, and to assess mineral content. Methods: Eighteen human single-rooted teeth affected with advanced periodontitis were obtained. Buccal and lingual surfaces were planed to form 36 specimens. Ethylenediaminetetraacetic acid gel (24%) was applied to remove the smear layer and simulate hypersensitive teeth. The experimental groups were: group 1, control (no irradiation); group 2, $CO_2$ laser (repetitive pulsed mode, 2 W, $2.7J/cm^2$); and group 3, Er:YAG laser (slight contact mode, 40 mJ/pulse and 10 Hz). To evaluate dentinal tubule occlusion, six specimens per group (2-mm thickness) were prepared and observed using scanning electron microscopy (SEM) for calculation of the occlusion percentage. To evaluate the mineral content, six specimens per group (0.6-mm thickness) were used, and then the levels of Ca, K, Mg, Na, and P were measured by inductively coupled plasma-atomic emission spectrometry. In addition, the surface temperature of the specimens during laser irradiation was analyzed by a thermograph. Results: The SEM photomicrographs indicated melted areas around exposed dentinal tubules and a significantly greater percentage of tubular occlusion in the $CO_2$ and Er:YAG laser groups than the control, and in the Er:YAG group than the $CO_2$ laser group. In addition, no significant differences were noted among the experimental groups for the mineral elements analyzed. The $CO_2$ laser group showed an evident thermal effect compared to the Er:YAG group. Conclusions: $CO_2$ and Er:YAG laser are effective in treating dentin hypersensitivity and reducing its symptoms. However, the Er:YAG laser has a more significant effect; thus, it may constitute a useful conditioning item. Furthermore, neither $CO_2$ nor Er:YAG lasers affected the compositional structure of the mineral content.

• 대한치과보존학회:학술대회논문집
• /
• 대한치과보존학회 2008년도 Spring Scientific Meeting(the 129th) of Korean Academy if Conservative Dentistry
• /
• pp.177-183
• /
• 2008

심미성 복합레진은 자연 치질을 보존시키며 나아가 잔존 치질의 강도를 강화시켜 준다. 복합레진 수복시 더 많은 치질을 남기기 위해 첨와 (undercut) 형태의 교합면 치질을 남긴 채 복합레진으로 수복하는 경우가 많으나, 어느 정도 강도가 복원되는지에 대해서는 잘 알려져 있지 않다. 이에 본 연구에서는 첨와 형태의 와동을 잔존치질의 두께 (법랑질 /법랑질과 상아질)에 따라 형성하고 복합레진으로 충전한 경우, 수복된 치아의 파절 저항성을 손상이 없는 자연치와 비교 평가하였다. 상악 대구치 40개의 교합면을 편평하게 삭제한 후 방사선 사진에서 치수각의 위치를 확인하였다. 대상 치아를 각 10개씩 4개군으로 분류하였으며, $1{\sim}3$군은 실험군으로 모두 협측에 깊이 7 mm, 근원심 폭경 5 mm의 첨와 형태 와동을 형성하였고, 와동저에서 치수각까지의 거리를 약 0.5 mm로 유지하였으며 교합면쪽의 치질 두께를 달리하였다. 1군은 법랑질과 소량의 상아질로 구성된 치질 두께를 1 mm, 2군은 법랑질과 상아질의 두께를 1.5 mm, 3군은 법랑질과 상아질의 두께를 2 mm가 되도록 하였고, 4군은 건전한 자연치를 와동형성 없이 대조군으로 사용하였다. 두께 측정은 방사선 사진을 스캔한 후 길이 확대 프로그램을 이용하였다. 각 와동을 37% 인산으로 산부식한 다음 단일병 접착제 Single $Bond^{TM}$ (3M/ESPE, USA)를 적용하였고 혼합형 복합레진 Filtek $Z-250^{TM}$ (3M/ESPE, USA)을 사용하여 적층 충전하였다. 치아를 실온에서 증류수에 24시간 동안 보관한 다음 Sof-Lex system (3M/ESPE, USA)을 사용하여 연마하였다. 이후 자가중합형 레진에 교합면을 기저부에 평행한 상태로 치근부를 매몰한 다음 Universal testing machine (Zwick Z010, Germany)에서 지름 3 mm의 staineless steel rod를 1 mm/min의 cross-head speed로 하중을 가하여 파절 강도를 측정하였다. 통계 분석은 95% 유의 수준의 One-way ANOVA와 Tukey test를 이용하였으며 다음과 같은 결과를 얻었다. 1. 와동 형성 후 복합레진을 수복한 군들은 대조군에 비해 약 75%의 파절 강도를 보였다. 2. 교합면쪽 잔존 치질의 두께에 따른 파절 저항은 유의한 차이를 보이지 않았다 (p > 0.05). 복합레진을 이용하여 첨와 형태의 와동을 수복한 후 파절 강도를 측정한 결과 건전 치아보다는 강도가 낮았지만, 상부의 잔존 치질이 대부분 법랑질로 이루어진 경우에도 복합 레진으로 수복하면 건전 치아 파절 강도의 75%까지 유지할 수 있다는 결론을 얻었다.

• Restorative Dentistry and Endodontics
• /
• 제33권3호
• /
• pp.177-183
• /
• 2008

심미성 복합레진은 자연 치질을 보존시키며 나아가 잔존 치질의 강도를 강화시켜 준다. 복합레진 수복시 더 많은 치질을 남기기 위해 첨와 (undercut) 형태의 교합면 치질을 남긴 채 복합레진으로 수복하는 경우가 많으나, 어느 정도 강도가 복원되는지에 대해서는 잘 알려져 있지 않다. 이에 본 연구에서는 첨와 형태의 와동을 잔존 치질의 두께 (법랑질 / 법랑질과 상아질)에 따라 형성하고 복합레진으로 충전한 경우, 수복된 치아의 파절 저항성을 손상이 없는 자연치와 비교평가하였다. 상악 대구치 40개의 교합면을 편평하게 삭제한 후 방사선 사진에서 치수각의 위치를 확인하였다. 대상 치아를 각 10개씩 4개군으로 분류하였으며, 1$\sim$3군은 실험군으로 모두 협측에 깊이 7 mm, 근원심 폭경 5 mm의 첨와 형태 와동을 형성하였고, 와동저에서 치수각까지의 거리를 약 0.5 mm로 유지하였으며 교합면쪽의 치질 두께를 달리하였다. 1군은 법랑질과 소량의 상아질로 구성된 치질 두께를 1 mm, 2군은 법랑질과 상아질의 두께를 1.5 mm, 3군은 법랑질과 상아질의 두께를 2 mm가 되도록 하였고, 4군은 건전한 자연치를 와동형성 없이 대조군으로 사용하였다. 두께 측정은 방사선 사진을 스캔한 후 길이 확대 프로그램을 이용하였다. 각 와동을 37% 인산으로 산부식한 다음 단일병 접착제 Single $Bond^{TM}$ (3M/ESPE, USA)를 적용하였고 혼합형 복합레진 Filtek $SZ-250^{TM}$ (3M/ESPE, USA)을 사용하여 적층 충전하였다. 치아를 실온에서 증류수에 24시간 동안 보관한 다음 Sof-Lex system (3M/ESPE, USA)을 사용하여 연마하였다. 이후 자가중합형 레진에 교합면을 기저부에 평행한 상태로 치근부를 매몰한 다음 Universal testing machine (Zwick Z010, Germany)에서 지름 3 mm의 staineless steel rod를 1 mm/min의 cross-head speed로 하중을 가하여 파절 강도를 측정하였다. 통계 분석은 95% 유의 수준의 One-way ANOVA와 Tukey test를 이용하였으며 다음과 같은 결과를 얻었다. 1. 와동 형성 후 복합레진을 수복한 군들은 대조군에 비해 약 75%의 파절 강도를 보였다. 2. 교합면쪽 잔존 치질의 두께에 따른 파절 저항은 유의한 차이를 보이지 않았다 (p > 0.05). 복합레진을 이용하여 첨와 형태의 와동을 수복한 후 파절 강도를 측정한 결과 건전 치아보다는 강도가 낮았지만, 상부의 잔존 치질이 대부분 법랑질로 이루어진 경우에도 복합 레진으로 수복하면 건전 치아 파절 강도의 75%까지 유지할 수 있다는 결론을 얻었다.

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