• Restorative Dentistry and Endodontics
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• 제20권1호
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• pp.152-163
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• 1995

This experiment was performed to observe the adhesion pattern and microleakage in the gingival margin according to variation in the resin cement thickness which results from thickness of Die spacer. which is considered to effect the adaptability of the composite resin inlays. Clearfil CR inlays were fabricated on stone models with CR Sep applicated once and Nice fit twice, 4 times, and 6 times each. After 2nd curing within the CRC-100 oven, CR inlays were cemented with CR inlay cement. Dye(2% methylene blue) penetration and adhesion pattern were evaluated after sectioning of gingival margin into :3 pieces. The results were as follows ; 1. The thickness of resin cement showed unevenchanging pattern with that of die spacer, namely, it was increased until 4 times' application of Nice-Fit but was decreased with 6 times' application of that. 2. The degree of dye penetration wasn't affected by cement thickness within a limited value. 3. Most of dye penetration was shown through the interface between cement and enamel rather than the interface between cement and CR inlay. This shows that the affinity of resin cement for CR inlay was superior to the adhesive strength with tooth structure. 4. No gap was found at the interface between enamel and cement but some showed separation between dentin and cement. It is concidered that the contraction force of cement was less than the bond strength with the enamel. 5. Lots of voids were found in the CR inlay and resin cement. There was a pooling tendency of bonding agent and cement in the axiogingival line angle portion. 6. In some specimens, cracks were shown in enamel margin. From this it could be considered that cavity preparation and surface treatment weakened the tooth structure.

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.334-346
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• 1997

Incidence of using esthetic composite resin in the posterior area is increasing but there were lots of inconsistent reports about their microleakage and marginal adaptation. The purpose of this study was to evaluate the differences of microleakage and marginal adaptation according to restorative techniques. 30 cavities with enamel gingival margin were prepared and restored with 3 types of composite resin [Z-100($Scotchbond^{TM}$ MP), AELITEFIL ($Onestep^{TM}$), Her culite XRV(Fuji BOND LC)] in direct technique and another 30 cavities were restored with preformed CR inlays and 3 different modern resin and resin-modified GI cements (Superbond C&B, Choice, Fuji Duet). Samples were chemically stressed in 75% ethanol for 24 hours and were thermocycled (5-$55^{\circ}C$(500 times. The degree of microleakage through proximal and gingival margins was examined by 1 % MB dye and the degree of marginal adaptation by examining the margins via SEM. The following results were obtained ; 1. In direct groups, Herculite XRV [Fuji BOND LC, 35.13 (15.50) %] group showed statistically different, less microleakage than Z-100 [$Scotchbond^{TM}$ MP, 72.91 (16.91 %] group and AELITEFIL [One-step, 93.73 (13.66) %] group (p<0.05). 2. In indirect groups, the degree of microleakage in Mean(S.D.) were: Super bond C & B [39.00 (24.35) %], Choice [57.19 (33.80) %], Fuji Duet [58.22 (40.36) %]. But there was no significant difference. 3. There was no significant difference between resin cement and resin-modified GI cement. 4. There were gaps at the interface with the tooth structure, but no gap was seen at the interface with restoration in all specimens. 5. In direct groups, Herculite XRV(Fuji BOND LC) group made little gap compared with other groups, but 40-$50{\mu}m$ thickness of bonding agent, Fuji BOND LC, looked like a cement used in indirect technique. 6. All indirect groups showed a variety of cement thickness, from less than $20{\mu}m$ to over $100{\mu}m$ and that dimension of buccal/lingual margin was less than that of gingival margin.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.680-692
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• 1997

New bonding agent systems have been supplied which operators can simply apply to conditioned tooth surfaces. The purpose of this study was to evaluate the shear bond strengths and the microleakages of three bonding agents and composite resins to dentin. Seventy-five extracted human maxillary and mandibular molar teeth were used in this study. For the shear bond strength test, the entire occlusal dentin surfaces of thirty teeth were exposed with Diamond Wheel Saw and smoothed with Lapping and Polishing Machine (South Bay Technology Co., U.S.A). For the microleakage test, Class V cavities were prepared in the buccal surfaces of fourtyfive teeth. They were randomly assigned into 3 groups according to dentin bonding agents ($Scotchbond^{TM}$ Multi-Purpose plus, ONE-$STEP^{TM}$ and Prime & $Bond^{TM}$)and composite resins (Z-100, $Aelitefil^{TM}$ and TPH $Spectrum^{TM}$) to be used. Bonding agents and composite resins were bonded to exposed dentin surfaces of the tooth crown and to Class V cavities on the buccal surfaces respectively according to manufacturer's directions. The shear bond strengths were measured by universal testing machine($U^{TM}$ AGS-100, Japan). In addition, the degree of micro leakage at the occlusal and gingival margin was examined by 2 % methylene blue and stereomicroscope(Olymous SZH 10, Japan). The results were as follows: 1. The shear bond strength to dentin was the highest value in SBMP-Plus group($16.68{\pm}7.38$ MPa) and the lowest value in Prime & Bond group($11.61{\pm}5.82$ MPa), but there was no significant difference of shear bond strength among three groups. 2. The degree of microleakage at both occlusal and gingival margin was showed the lowest in SBMP-Plus group and the highest in ONE-STEP group. 3. At both occlusal and gingival margin, there was significant difference of microleakage between SBMP-Plus and ONE-STEP/ Prime & Bond groups(p<0.05), but no significant difference of microleakage between ONE-STEP and Prime & Bond group(p>0.05).

• Restorative Dentistry and Endodontics
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• 제21권2호
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• pp.559-568
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• 1996

The purpose of this study was to evaluate the micro leakage of composite resin when various phosphoric acid agents were used to etch the enamel and dentin. In this study, class V cavities were prepared on the buccal surfaces of fourty extracted human molar teeth, and they were randomly assigned into 4 groups with 10 teeth. The cavities of each groups were etched with 10%, 32%, 35% and 37% phosphoric acids for 15 seconds, washed and dried and the cavities were restored with composite resin after application of the adhesive. The specimens were immersed in 2% methylene blue solution for 3 days. And then, the specimens were sectioned buccoligually. Degree of dye penetration at tooth-restoration interfaces was examined by Inverted Metallurgical Microscope at the occlusal and gingival margins. The result were as follows : 1. The degree of microleakage at occlusal and gingival margin in all group was statistically difference among 10% and 35% (P<0.01), 10% and 37% (P<0.01), 32% and 35% (P<0.05) and 32% and 37% (P<0.05) acid concentrations, but was not statistically difference between 10% and 32%, 35% and 37% acid concentrations (P>0.05). The degree of microleakage was showed to dimish with increase of acid concentration. 2. The degree of microleakage at the occlusal margin was statistically significant difference among 10% and 32%,10% and 35%, 10% and 37% acid concentrations(P<0.05). The degree of microleakage among 32% and 35%, 32% and 37% and 32% and 37% acid concentrations was not statistically significant difference. 3. In comparison of microleakage at the gingival margin, the degree of microleakage above 32% acid concentration was not showed less than 10% acid concentration (P>0.05). In comparison of 32%, 35%, 37% acid concentrations, the degree of microleakage at 35% and 37% acid concentrations was showed less than 32% acid concentration(P<0.05).

• 대한치과보철학회지
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• 제59권3호
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• pp.319-332
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• 2021

심미적인 도재 재료와 레진 시멘트의 비약적인 발전으로 임상에서 금속도재관에서 전부도재관으로의 전환이 활발히 이루어지고 있으며, 도재 수복물 제작 시 그에 적합한 형태와 기술을 이용하여야 그 장점을 최대화할 수 있다. 최근 법랑질을 최대한 보존하고 접착 효율을 높이는 최소 침습적 치아 삭제법을 적용하여 치은 연상 변연을 가진 심미적인 도재 부분피 개관 수복방법이 소개되었는데, 이를 통해 치질 삭제의 최소화, 시멘트 제거의 용이성 등 여러 장점들을 얻을 수 있다고 보고된다. 또한 이 제작법은 치은 압배사의 삽입이 불필요하여 치은 압배사 삽입에 소요되는 시간을 절약할 수 있으며 환자의 불편감도 감소시킬 수 있다. 더 나아가 치은 열구액이나 혈액의 개입 없이 명확하게 변연을 채득할 수 있어 더 정확한 수복물 제작이 가능하다고 보고된다. 본 증례에서는 각각 해당 치아 부위에 부분적인 결함이 있는 환자에서 통상적인 전부피개관이 아닌 접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 치은 연상 변연 도재 부분피개관으로 다양한 제작 방법을 활용하여 수복함으로써 불필요한 치아 삭제를 방지하고 잔존 치질을 최대한 보존할 수 있었다. 치료 후 환자와 술자 모두 심미적, 기능적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

• Restorative Dentistry and Endodontics
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• 제36권6호
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• pp.515-520
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• 2011

전치부 치간이개를 치료할 때 가장 어려운 것은 레진으로 축성 후 치아 사이의 "black triangle"없이 치간공극을 메우는 것이다. 이를 위해서는 치경부 형태와 접촉점의 위치에 기초하여 치은 형태를 결정하는 것이 중요하다. 이 증례보고는 적절한 접촉점을 형성하기 위해 비침습적 방법을 사용하여 접촉점의 위치를 설정하였다. 또한 치은-치아 사이에 위치한 Mylar strip을 이용한 기존의 방법을 바꾸어 자연스러운 형태를 갖도록 변형하였다. Mylar strip을 치은연 상방으로 약 1 mm 정도 되게 치은열구에 위치시키고 작은 면구를 치은과 그 사이에 위치시켜 출현윤곽(emergence contour)을 부여하였다. 이와 같은 변형된 방법은 적절한 출현윤곽과 치은형태를 형성하는데 유용하였으며, 임상적용에 유효하였다.

• 대한치과보철학회지
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• 제47권2호
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• pp.182-190
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• 2009

연구목적: 본 연구의 목적은 복합 레진(Z250)으로 수복한 5급 와동에서 변연부 미세누출에 대한 3종의 레진 표면 전색제(Fortify, Permaseal, Biscover LV)의 효과를 평가하는 것이다. 연구 재료 및 방법: 3개월 이내에 발거된 건전한 40개의 소구치와 대구치에 백악-법랑 경계를 중심으로 교합측 변연은 법랑질에, 치은측 변연은 백악질에 위치하도록 5급 와동을 협면과 설면에 각각 형성하였다. Clearfil SE bond와 복합 레진으로 충전한 치아를 무작위로 4개의 군으로 분류한 후 대조군을 제외한 실험군은 각각 20개의 와동에 레진 표면 전색제 3가지 제품을 각각 적용하고 24시간동안 생리식염수에 보관하였다. 보관한 시편을 열순환시킨 후 24시간 동안 2% methylene blue 염색 용액에 담가 두었다가 투명 레진에 매몰하였다. 매몰한 시편을 협설면의 충전물 중앙을 지나도록 절단한 후 현미경을 사용하여 교합면측과 치은측 변연부의 염색 용액의 침투도를 관찰함으로써 미세누출 여부와 정도를 분석하였다. 결과: 복합레진으로만 수복한 대조군은 실험군에 비해 교합면측과 치은측에서 미세누출이 컸으며 통계적으로 유의한 차이가 있었다(P<0.05). 레진 표면 전색제를 적용한 실험군들 사이에는 교합면측과 치은측 모두 통계적으로 유의한 차이가 없었다(P>0.05). 각 군의 교합면측과 치은측의 변연 미세누출을 비교 시 통계적으로 유의한 차이가 없었다. Fortify는 대조군과 비교시 치은측에서는 통계적으로 유의한 미세누출 감소 효과가 없었다. 결론: 복합레진으로 충전한 5급 와동 변연에 레진 표면 전색제를 적용한 경우 교합면측과 치은측 변연에서 미세누출 감소 효과가 있었다. 그러나 치은측 변연은 레진 표면 전색제의 적용 후에도 미세누출을 보이므로 각별히 주의를 요해야 할 것으로 사료된다.

• Restorative Dentistry and Endodontics
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• 제24권2호
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• pp.392-398
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• 1999

The purpose of this study was to assess the effect of catalase used following bleaching for the elimination of hydrogen peroxide residues from human teeth on the microleakage at the tooth-resin composite interface. In this study, class V cavities were prepared on the buccal or lingual surfaces of seventy extracted human molar teeth, and crown of sixty teeth were immersed in 30% hydrogen peroxide at $37^{\circ}C$ for 5 days except for negative control group. Then the teeth were rinsed with water and distributed randomly into seven groups of 10 each and were conditioned as following Negative control group: No bleaching Positive control group : bleaching and no application of catalase (C-40) Experimental group 1 : one cycle of catalase application for 3 min. and water rinse for 2 min. after bleaching Experimental group 2 : two cycles of catalase application for 3 min. and water rinse for 2 min. after bleaching Experimental group 3 : three cycles of catalase application for 3 min. and water rinse for 2 min. after bleaching Experimental group 4 : four cycles of catalase application for 3 min. and water rinse for 2 min. after bleaching Experimental group 5 : five cycles of catalase application for 3 min. and water rinse for 2 min. after bleaching The cavities of each groups were restored with composite resin. The teeth were thermocycled, stained with 2% methylene blue, and sectioned buccolingually. Degree of dye penetration at tooth-restoration interfaces were examined by stereomicroscope(${\times}30$) at occlusal and gingival margin The results were as follows : 1. On the occlusal margin, there was no significant difference in the microleakage between the negative coltrol group and experimental groups (p>0.05). But on the gingival margin, experimental groups showed higher microleakage than the negative coltrol group (p<0.05). 2. On the occlusal margin, positive coltrol group showed higher microleakage than experimental groups (p<0.05) and among the experimental groups, group 1 showed higher microleakage than group 3, 4, 5 (p<0.05). 3. On the gingival margin, there was no significant difference between the positive coltrol group and experimental groups, and between experimental groups (p>0.05). The result indicated that catalase used in bleached cavity for the elimination of hydrogen peroxide residues from human teeth maybe reduced microleakage at the tooth-resin composite interface.

• Journal of Periodontal and Implant Science
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• 제50권4호
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• pp.226-237
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• 2020

Purpose: This study was conducted to assess the efficacy of prophylactic gingival grafting in the mandibular anterior labial area for preventing orthodontically induced gingival recession. Methods: Eight mongrel dogs received gingival graft surgery at the first (I1) and third (I3) mandibular incisors on both sides based on the following group allocation: AT group (autogenous connective tissue graft on I1), AT-control group (contralateral side in the AT group), CM group (xenogeneic cross-linked collagen matrix graft on I3) and CM-control group (contralateral side in the CM group). At 4 weeks after surgery, 6 incisors were splinted and proclined for 4 weeks, followed by 16 weeks of retention. At 24 weeks after surgery, casts were made and compared with those made before surgery, and radiographic and histomorphometric analyses were performed. Results: Despite the proclination of the incisal tip (by approximately 3 mm), labial gingival recession did not occur. The labial gingiva was thicker in the AT group (1.85±0.50 mm vs. 1.76±0.45 mm, P>0.05) and CM group (1.90±0.33 mm vs. 1.79±0.20 mm, P>0.05) than in their respective control groups. Conclusions: The level of the labial gingival margin did not change following labial proclination of incisors in dogs. Both the AT and CM groups showed enhanced gingival thickness.

• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.55-72
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• 1993

The aim of this study was to compare the marginal leakage of class II light curing composite resin restoration according to filling methods. With using acid etching technique and dentin bonding agent, various methods were suggested to eliminate or reduce the marginal leakage. In this study, class II cavities were prepared in 100 extracted human premolars with cementum margin(1mm below the CEJ) and the teeth were randomly assigned to 5 groups of 20 teeth each. The teeth in group 1, 2, 3 and 4 were restored by direct filling methods using P-50 and Clearfil Photoposterior of 10 teeth each, but the method of insertion of the restorative materials varied with each group. And the teeth in group 5 were restored by inlay method using Kulzer Inlay and CR Inlay. Filling methods are as follows : Group 1 : The composite resin was inserted in one layer in the proximal box and one layer in the occlusal portion. Group 2 : Insertion was in two equally thick horizontal layers in the proximal box. Group 3 : Insertion was in two diagonally placed layers in the proximal box. Group 4 : The composite resin was inserted in the same way as in group 3 except that a glass ionomer liner was first placed on the axial wall and gingival floor. Group 5 : The teeth were restored by Inlay technique using dure cure resin cement. All the teeth were thermocycled, stained with 1 % methylene blue solution, sectioned mesiodistally, and scored for marginal leakage. To compare the marginal leakage, ANOVA and T-test were used in analysis. The following results were obtained : 1. In direct filling methods, there was no significant difference in marginal leakage at both occlusal and cervical margins. 2. In all groups, occlusal margin showed significantly less leakage than cervical margin. 3. In group using glass ionomer liner, there was no significant reduction of marginal leakage at the cervical margin. 4. The group restored by inlay method showed significantly less marginal leakage than groups restored by direct filling methods at both occlusal and gingival margins. 5. There was no significant difference in each group according to filling materials.