• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.173-186
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• 1993

The purpose of this study is to observe the morphological changes of prepared dentin surfaces by 5 dentin conditioning agents. Freshly extracted 48 healthy human molars were used in this study. The teeth were stored at $4^{\circ}C$ physiologic saline solution befor experiment. The teeth were cross-sectioned to expose dentin below 3.0mm at the cusp tip and above 2.0mm at the cemento-enamel junction with Crystal Cutter (MC411 D, Maruto Co., Japan). The specimens were then divided into 12 groups. The sectioned dentin surfaces in group 1, 3, 5, 7, 9, and 11 were prepared with No. 301 diamond point under air-water spray and those in group 2, 4, 6, 8, 10, and 12 were prepared with No. 700 carbide bur. The prepared dentin surfaces were conditioned with Nitric acid, Citric acid, Poly acrylic acid, EDTA, and Phosphoric acid. All the specimens were gold-coated with Eiko ion coater (Eiko-engineering Co.) and observed in Hitachi S-2300 Scanning electron microscope at 20 KV. The following results from this study were obtained; 1. The dentinal smear layers prepared with diamond point were compacted than those prepared with the carbide bur. 2. The dentinal smear layers prepared with diamond point or carbide bur were thick but after treatment of dentin conditioning agents smear layers were removed almost. 3. Irrespective of the uses of the diamond point or the carbide bur the morphological changes of dentin surfaces treated with the same conditioning agents were similar. 4. Treatment of nitric acid and EDTA was a little effect in removing dentinal smear layer. 5. Treatment of citric acid and phosphoric acid removed the smear layer very effectively and showed dissolution of peritubular dentin and opening of dentinal tubules.

• 대한소아치과학회지
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• 제45권1호
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• pp.90-97
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• 2018

본 연구의 목적은 교합면 우식열구에서 열구성형술이 유동성 레진의 침투와 미세누출에 미치는 영향을 평가하는데 있다. 교합면 우식증이 있는 발거된 소구치 250개를 대상으로 열구 성형술을 시행하지 않는 군을 대조군(n = 50), 열구성형술을 시행한 군을 실험군으로 하였으며, 실험군은 $Fissurotomy^{(R)}$ original bur (n = 50), $Fissurotomy^{(R)}$ Miro NTF bur (n = 50), SF104R tapered diamond bur (n = 50), 1/2 round carbide bur (n = 50) 등 4가지 유형의 bur를 이용하여 열구성형술을 시행한 후 2가지 종류의 유동성 레진($UniFil^{(R)}Flow$, $Filtek^{(R)}Flow$)을 적용하고 침투도와 미세누출의 평가를 통하여 전색효과를 비교하였다. 열구성형술을 시행한 군이 시행하지 않은 대조군에 비해 침투도가 컸으며 미세누출은 적었다. 1/2 round bur를 사용하여 열구성형술을 시행한 군이 다른 bur를 사용한 군에 비해 유동성 레진의 열구내로의 침투도는 높았으나 미세누출은 차이가 없었다. 유동성 레진의 종류($Unifil^{(R)}Flow$와 $Filtek^{(R)}Flow$)에 따른 침투도의 차이는 있었으나 미세누출은 차이가 없었다.

• Restorative Dentistry and Endodontics
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• 제11권1호
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• pp.11-18
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• 1985

The purpose of this study was to observe the facial, lingual and gingival walls of the cavity walls with various kinds of cutting tools. Class II cavities were prepared in newly extracted sound humen mandibular 1st left premolars, and observed in Sanning electron microscope. Diamond point (#201) and Tungsten Carbide burs (#170L) were used in ultra high speed handpieces (rpm 200000), and Tungsten Carbide bur (#702) and Steel bur (#560) were used in conventional handpieces (rpm 6000). All cavities were prepared under water spray, except for some which were finished with a dry abrasive stone (#57). Some cavities were finished with chisels (#41, 42, 83). The following results were obtained. 1. The cavity walls prepared with Diamond point were rougher than the cavity walls with Carbide burs and Steel burs. 2. The chisels were produced the smoothest surface. 3. The cavity walls which were prepared with cutting blades rotated toward enamel surface from outside, were smoother than cavity walls which were prepared with cutting blades rotated toward outside from the enamel surface.

• Restorative Dentistry and Endodontics
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• 제47권1호
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• pp.4.1-4.13
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• 2022

Objectives: This study evaluated the effects of different smear layer preparations on the dentin permeability and microtensile bond strength (µTBS) of 2 self-etching adhesives (Clearfil SE Bond [CSE] and Clearfil Tri-S Bond Universal [CTS]) under dynamic pulpal pressure. Materials and Methods: Human third molars were cut into crown segments. The dentin surfaces were prepared using 4 armamentaria: 600-grit SiC paper, coarse diamond burs, superfine diamond burs, and carbide burs. The pulp chamber of each crown segment was connected to a dynamic intra-pulpal pressure simulation apparatus, and the permeability test was done under a pressure of 15 cmH₂O. The relative permeability (%P) was evaluated on the smear layer-covered and bonded dentin surfaces. The teeth were bonded to either of the adhesives under pulpal pressure simulation, and cut into sticks after 24 hours water storage for the µTBS test. The resin-dentin interface and nanoleakage observations were performed using a scanning electron microscope. Statistical comparisons were done using analysis of variance and post hoc tests. Results: Only the method of surface preparation had a significant effect on permeability (p < 0.05). The smear layers created by the carbide and superfine diamond burs yielded the lowest permeability. CSE demonstrated a higher µTBS, with these values in the superfine diamond and carbide bur groups being the highest. Microscopic evaluation of the resin-dentin interface revealed nanoleakage in the coarse diamond bur and SiC paper groups for both adhesives. Conclusions: Superfine diamond and carbide burs can be recommended for dentin preparation with the use of 2-step CSE.

• Restorative Dentistry and Endodontics
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• 제19권2호
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• pp.513-533
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• 1994

The smooth surface after polishing of composite resin contributes to the patient's comfort, and appearance and longevity of the restoration. This study was performed for the quantitative analysis of the effects of the various finishing and polishing instruments on the surface roughness and reflectivity of the microfill, and hybrid composite resins. Cylindrical specimens 2mm thick and 10mm in diameter of Silux Plus, Durafill VS ; Z100, Prisma TPH, Brilliant, and Herculite XR composite resin were polymerized under the matrix strip. 18 specimens for each composite resin materials were divided into 6 groups ; 5 experimental groups were abraded with # 600 sand paper to remove resin-rich layer, except control. Thereafter, using diamond bur(Mani Dia-Burs), carbide bur(E. T. carbide set 4159), rubber point(Composite polishing kit), aluminum-oxide disk(Sof-Lex disk), polishing paste(Enhance system) ; each specimen was polished to its best achievable surface according to manufacturer's directions. Final polished surfaces were evaluated for the surface roughness with profilometer(${\alpha}$-step 200, Tencor instruments, USA) and for the reflectivity with image analyser(Omniment Image Analyser, Buehler, USA). The results were as follows. 1. Polishing paste or aluminum-oxide disk finish in the microfill, and hybrid composite resins was as smooth as matrix strip finish on the surface roughness test. 2. Polishing paste or aluminum-oxide disk finish in the microfill ; polishing paste finish in the hybrid composite resins was as reflective as matrix strip finish on the refectivity test. 3. For the polishing paste, there were no significant differences between the composite resin materials on the surface roughness and refectivity tests. 4. For the aluminum-oxide disk, the best result was obtained with the microfill composite resin on the surface roughness and reflectivity test. 5. Diamond bur, carbide bur, and rubber point were inappropriate for the final polishing instruments.

• 대한치과교정학회지
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• 제49권6호
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• pp.404-412
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• 2019

Objective: To assess shear bond strength and failure mode (Adhesive Remnant Index, ARI) of orthodontic brackets bonded to polymethylmethacrylate (PMMA) blocks for computer-aided design/manufacture (CAD/CAM) fabrication of temporary restorations, following substrate chemical or mechanical treatment. Methods: Two types of PMMA blocks were tested: $CAD-Temp^{(R)}$ (VITA) and $Telio^{(R)}$ CAD (Ivoclar-Vivadent). The substrate was roughened with 320-grit sandpaper, simulating a fine-grit diamond bur. Two universal adhesives, Scotchbond Universal Adhesive (SU) and Assure Plus (AP), and a conventional adhesive, Transbond XT Primer (XTP; control), were used in combination with Transbond XT Paste to bond the brackets. Six experimental groups were formed: (1) $CAD-Temp^{(R)}/SU$; (2) $CAD-Temp^{(R)}/AP$; (3) $CAD-Temp^{(R)}/XTP$; (4) $Telio^{(R)}$ CAD/SU; (5) $Telio^{(R)}$ CAD/AP; (6) $Telio^{(R)}$ CAD/XTP. Shear bond strength and ARI were assessed. On 1 extra block for each PMMA-based material surfaces were roughened with 180-grit sandpaper, simulating a normal/medium-grit ($100{\mu}m$) diamond bur, and brackets were bonded. Shear bond strengths and ARI scores were compared with those of groups 3, 6. Results: On $CAD-Temp^{(R)}$ significantly higher bracket bond strengths than on $Telio^{(R)}$ CAD were recorded. With XTP significantly lower levels of adhesion were reached than using SU or AP. Roughening with a coarser bur resulted in a significant increase in adhesion. Conclusions: Bracket bonding to CAD/CAM PMMA can be promoted by grinding the substrate with a normal/medium-grit bur or by coating the intact surface with universal adhesives. With appropriate pretreatments, bracket adhesion to CAD/CAM PMMA temporary restorations can be enhanced to clinically satisfactory levels.

• 대한치과보철학회지
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• 제37권4호
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• pp.465-473
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• 1999

Bond strength of luting cements to dentin is a critical consideration for success of complete cast crowns. This study was performed to evaluate the relationship between surface characteristics of teeth prepared for complete cast crowns and retention of cemented restorations. Eighty artificial crowns were cast for standardized complete crown tooth preparations accomplished with the use of a special device on recently extracted human teeth. Coarse diamond(#102R, Shofu) and superfine finishing diamond(#SF102R, Shofu) burs of similar shape were used. Crowns in each group were randomly subdivided into few subgroups of 10 for luting cements selected for this study: zinc phosphate cement (FLECK' S), polycarboxylate cement (Poly-F), rein-forced glass ionomer cement (Fuji PLUS). and adhesive resin cement (Panavia 21). Retention was evaluated by measuring the tensile load required to dislodge the artificial crown from tooth preparations with an Instron testing machine, and analysed by one-way ANOVA and Student's t-test. The obtained results were as follows ; 1. When tooth preparation was done with coarse diamond bur, retentive force was diminished in order of Panavia 21 Fuji PLUS, FLECK'S, and Poly-F. Retentive forces showed the significant difference between Fuji PLUS group and FLECK'S group(p<0.001). 2. When tooth preparation was done with superfine diamond bur, retentive force was diminished in order of Fuji PLUS, Panavia 21, FLECK'S, and Poly-F. Retentive forces showed the significant difference between Panavia 21 group and FLECK'S group(p<0.001). 3. Retentive force in coarse tooth surfaces was significantly higher than that in superfine tooth surface with all luting cements(p<0.001), and cement residues were almost retained with-in the cast crown in all groups.

• Journal of Periodontal and Implant Science
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• 제24권1호
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• pp.131-143
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• 1994

구강내 노출된 임프란트를 건강한 상태로 유지하기 위해서는 임프란트 매식체 표면을 처치하여 주위조직과 잘 적합할 수 있는 표면구조를 만들어 주어야 한다. 실패한 임프란트의 처리방법으로 구연산이나 air-abrasive system과 같은 여러 가지 방법이 소개 되었으나 HA 피막 처치된 임프란트와 같은 거친 표면이 구강내로 노출된 경우에는 구연산이나 air-abrasive system을 이용한 표면 처리방법을 세균독소 제거에는 효과적이나 HA 피막 처리된 매식체의 거친 표면 제거는 어렵기 때문에 계속되는 치태침착을 방지하기에는 효과적이지 못하므로 세균독소를 제거하는 한편 표면성상을 변화시키지 않고 평활한 표면을 만들기 위한 처리방법들을 알아보고자 하였다. IMZ사에서 제작한 HA 피막 처리된 disc에 high speed diamond bur, low speed diamond bur, stone bur, rubber point, jetpolisher를 처치하고 표면평활도를 알아보기 위하여 표면조도측정 및 주사전자현미경으로 표면상태를 관찰하고 표면성분 변화 유무를 알아보기 위하여 EDX를 이용하여 표면성분을 분석한 결과 다음과 같은 결과를 얻었다. 각 시편에 대한 표면조도 측정 결과는 실험 I군 $2.11{\mu}m$, 실험 II군 $4.17{\mu}m$, 실험 III군 $7.28{\mu}m$, 실험 IV군 $8.61{\mu}m$, 실험 V군 $39.44{\mu}m$의 최대높이값을 나타내므로써, I, II, III, IV, V군 순으로 표면이 평활하게 나타났다. 주사전자현미경 관찰에서는 실험 I군은 비교적 평활한 면을 보였고, 실험 II군은 HA 입자가 거의 삭제되었으나 잔존하는 일부의 HA 입자로 인하여 I군보다 약간 거친 표면을 보였다. 실험 III군과 IV군은 삭제되지 않고 잔존하는 HA 입자가 많아 거친 양상을 보였으며 실험 V군인 HA 피막 처리된 면의 경우는 깊은 홈과 돌출된 부분을 가진 매우 불규칙한 표면 구조를 보였다. 시편의 단면 관찰에서는 실험 I군은 균일한 면을 보였으며 실험 III군과 IV군에서는 삭제되지 않고 잔존하는 다량의 HA 입자로 인해 거친 표면을 보였으나 HA 피막의 두께는 상당량 감소되어 나타났다. 또한 실험 II군과 I군과 유사한 양상을 보였다. 실험 V군의 경우는 일정하지는 않지만 약 $40{\mu}m$의 두께를 보였다. EDX에 의한 표면성분 분석 결과, 삭제가 가장 우수한 실험 II군에서는 calcium과 phosphorus가 소량 나타났고, 삭제가 완전하지 않은 실험 III, IV군에서는 calcium peak와 phosphorus peak를 보였다. 모든 군에 나타난 aluminum은 제조과정 중의 혼입으로 사료된다. 모든 실험군에서 titanium, aluminum, calcium, phosphorus 이외의 다른 성분은 나타나지 않았다.

• Journal of Oral Medicine and Pain
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• 제30권2호
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• pp.269-276
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• 2005

재래의 고속핸드피스 bur를 이용한 와동 형성시 레진 접착력과 레이저를 사용한 와동형성시 접착력을 비교하여 레이저의 임상적용 여부를 평가하는 것이 본 연구의 목적이다. 총 96개 치아 표본의 법랑질 협면과 상아질 mid-coronal 부에 Er:YAG laser를 사용하여 조사하였다. 사전에 산부식을 시킨 군(48개)과 부식시키지 않은 군(48개)으로 구별하고 각각 flowable 접착시스템(Metafil Flo)과 자가중합 시스템(Clearfil FII New Bond)를 레진에 접착시켰다. 37$^{\circ}C$ 증류수에서 24시간동안 보관한 후 미세 결합강도(micro-tensile shear strength)를 만능시험기(universal testing machine)로 측정하여 다음과 같은 결과를 얻었다. 1. 법랑질과 상아질 모두 산부식 전처리를 한 경우에 산처리를 하지 않은 경우보다 결합강도가 높았고, 레이저 처리 표본에서도 마찬가지여서 레이저만으로 처리하는 것보다는 산부식 처리를 하는 것이 강도면에서 유리한 것으로 나타났다. 2. 법랑질의 경우 레이저 처치한 경우가 bur로 삭제한 경우보다 두 레진군 모두에서 결합강도가 낮았으나(P<0.05), 상아질의 경우에는 flowable 레진군에서는 두 군 간의 차이가 없었다. 3. 레이저 처치군내에서 상아질의 경우, 광중합 flowable 레진의 결합강도가 자가중합형 레진의 강도보다 높았으나, 법랑질에서는 차이가 없었다. 따라서 레이저를 활용하여 와동을 형성하는 것은 상아질까지 확대된 와동의 경우에 법랑질에 국한된 경우보다 결합강도면에서 유리하며, flowable레진을 사용하는 것이 자가중합형 레진보다 유리한 것으로 판단되었다.

• 대한치과교정학회지
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• 제34권1호
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• pp.83-91
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• 2004

본 연구는 탈접착 후처치시 사용된 핸드피스(handpiece)속도에 따른 처치 효율성과 환자 불편감 정도를 알아보기 위하여 시행되었다. 발거된 소구치(50개)에 브라켓을 접착하고 제거한 후 tungsten carbide bur를 장착한 저속 핸드피스와 ultra-fine diamond finishing bur를 장착한 고속 핸드피스로 각각 25개씩 탈접착 후처치를 시행했으며, 이때 각 실험군내 치아의 진동정도와 치수강내 온도 변화를 측정하였다. 이후 각 실험군(저속, 고속 핸드피스군)에서 임으로 10개씩의 치아를 선택하여 주사전자현미경으로 법랑질 표면에 대한 평가를 시행하여, 다음과 같은 결론을 얻었다. 1. 저속 핸드피스를 사용한 레진 제거시 다양한 진폭의 치아 진동이 고속 핸드피스를 이용한 경우보다 많이 나타났다. 2. 고속 핸드피스를 이용한 경우의 치수강내 온도변화가 저속 핸드피스를 사용한 경우보다 유의성 있게 높았으며, 레진 제거 시간 역시 두 배정도 길게 걸렸다. 3. 레진 제거 후 법랑질 표면에 대한 주사전자현미경상은 고속 핸드피스를 사용한 경우에서 절흔들(notches)과 잔여레진들이 저속 핸드피스를 사용한 경우보다 많은 것을 보여주었다.