• 대한소아치과학회지
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• 제33권2호
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• pp.221-232
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• 2006

본 연구는 단계별 광중합 방법이 복합레진의 중합 및 수축 응력에 미치는 효과를 비교, 평가하고자 자연치를 대상으로 와동을 형성하고 할로겐 광중합기와 LED 광중합기의 통법에 의한 연속 조사 및 단계별 조사법으로 각각 복합레진을 중합시킨 후 수축 응력을 측정하고 주사전자현미경을 통해 수복물과 와동의 계면부에서 접착 상태를 관찰하여 다음과 같은 결과를 얻었다. 1. 모든 군에서 광중합 직후에는 일시적으로 팽창되었다가 초기에는 급격한 수축 응력의 증가를 보였고 시간이 경과될수록 수축 응력의 증가가 완만해지는 경향을 보였다(P<0.05). 2. 동일한 광조사 군내에서는 hybrid형인 Filtek $Z-250^{TM}$군보다는 flowable형인 $Filtek\;flow^{TM}$군이 더 적은 수축 응력을 보였다. 3. Filtek $Z-250^{TM}$군에서는 LED 단계별 조사군이 수축 응력 이 가장 적게 나타났다(P<0.05) 4. $Filtek\;flow^{TM}$군 역시 LED단계별 조사군이 수축 응력이 가장 작게 나타났으나(P<0.05) Filtek Z-250군에서와 같이 다른 조사군에 비해 많은 차이를 보여주지는 못했다. 5. 주사전자현미경으로 관찰한 복합레진과 와동벽과의 접합 상태는 긴밀한 상태를 보였으나 LED 조사군에서 일부 틈이 관찰되었다. 이상의 결과를 종합해 보면 hybrid형 복합레진의 경우 단계별 중합방식을 사용할 경우 단일광도의 중합방식에 비해 수축 응력을 감소시킬 수 있고 적절한 변연 적합상태를 유지시킴으로써 임상적으로 고광도 LED 광중합기의 경우 단계별 중합방식의 사용이 유리하다고 사료된다.

• 대한소아치과학회지
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• 제29권2호
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• pp.180-188
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• 2002

최근에 소개된 plasma arc curing units는 비교적 높은 광 강도를 가지고 짧은 시간내에 복합레진을 적절히 중합시킨다고 한다. 이 연구는 plasma arc curing units의 강한 광도와 짧은 시간에 의한 중합이 복합레진에 미치는 영향을 평가하기 위해 기존의 가시광선 중합기를 대조군으로 하여 표면 미세경도와 5급 수복물의 변연에 나타나는 미세누출을 색소침투방법으로 측정, 분석하여 다음과 같은 결론을 얻었다. 1. 각 깊이에서의 미세경도는 AHL군이 AP3, AP6군보다 모든 깊이에서 높았고, ZHL군보다 ZP6군이 표면에서 더 높았으며(P<0.05), 1mm와 2mm에서는 차이가 없었다(P>0.05). 그 외 모든 깊이에서 ZHL군이 ZP3, ZP6군보다 높았다(P<0.05). 2. 각 중합방법내 깊이에 따른 미세경도는 AHL군의 표면-1mm와 ZHL군의 1mm-2mm를 제외하고는 모든 군에서 깊이에 따라 감소되었다(P<0.05). 3. 교합면측과 치경부측 미세누출은 모든 중합군에서 교합면측이 낮게 나타났지만 유의한 차이는 없었다(P>0.05). 4. 중합방법간 미세누출은 모든 군에서 차이가 없었다(P>0.05). 5. 각 중합방법에 따른 재료간의 미세누출은 차이가 없었다(P>0.05).

• 대한소아치과학회지
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• 제33권4호
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• pp.624-632
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• 2006

기존에 사용하고 있는 할로겐 광중합기는 여러 가지 장점에도 불구하고 중합시간이 오래 걸린다는 문제 때문에 시술시간이 길어지는 단점이 있는데, 최근에 개발된 플라즈마 광중합기는 매우 짧은 시간에 중합시킬 수 있다고 제조회사는 주장하고 있다. 본 연구에서는 임상에서 흔히 상용하고 있는 복합 레진을 광중합 할 때, 할로겐 광중합으로 얻을 수 있는 플라즈마 광중합기의 적절한 중합시간을 알아보고자 한다. 2mm 두께의 레진 샘플을 만들어 광중합 하고 24 시간 후 상, 하면의 미세경도를 측정하였다. point $4^{(R)}$에서는 플라즈마 광중합기로 6초간 중합했을 때 할로겐과 유사한 경도를 얻었지만, $Z250^{(R)}$에서는 $Flipo^{(R)}$만 9초간 중합시 할로겐과 유사한 광중합을 나타냈다. 이번 연구에서 사용한 플라즈마 광중합기는 적어도 6초 혹은 9초정도 광중합 했을 때 할로겐과 유사한 중합을 얻을 수 있다는 것을 알 수 있었다.

• 대한소아치과학회지
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• 제24권1호
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• pp.139-147
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• 1997

Argon laser used in this case report, is special in having two wavelength of 488, 514nm blue-green visible light spectrum. Blue light is used for composite resin polymerization and caries detection. Green light is used for soft tissue surgery and coagulation. Maximum absorption of this laser light occurs in red pigmentation such as hemoglobin. The argon laser may be well-suited for selective destruction of blood clots and hemangioma with minimal damage to adjacent tissues. Argon laser light penetrates tissue to the 1 mm depth, so its thermal intensity is lower than $CO_2$ laser light. Also, due to its short wavelength it can be focused in a small spot and even single gene can be excised by this laser and microscopy. After applicating argon laser to 4 patient for surgical procedure and to 1 patient for curing the composite resin, following results were obtained. 1. Improved visibility were gained due to hemostasis and no specific technique were needed according to easy recontouring of the tissue. 2. Ability to use by contact mode, tactile sense was superior but tissue dragability and accumulation of tissue on the tip needed sweeping motion. 3. Additive local anesthetic procedure was needed. 4. No suture and less curing time reduced chair time, this made argon laser available in pediatric dentistry.

• Restorative Dentistry and Endodontics
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• 제14권1호
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• pp.41-56
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• 1989

The purpose of this study was to examine the effect of temperature dependence of the behavior on the physical properties of posterior composite resins. Three light cure posterior composite resins (Heliomolar, Litefil-P, and P-50) and one chemical cure posterior composite resin (Bisfil-II) were used as experimental materials. Composite resin was placed in a cylindrical brass mold (2.5 mm high and 6.5 mm inside diameter) that was rested on a glass plate. Another flat glass was placed on top of the mold, and the plate was tightly clamped together. After the mold had been filled with the light cure composite material, the top surface was cured for 30 seconds with a light source. Chemical cure resin specimens were made in the same manner as above. Three hundreds and twenty composite resin specimens were constructed from the four composite materials. One hundred and sixty specimens of them were placed in a heater at $50^{\circ}C$, $75^{\circ}C$, $100^{\circ}C$, $125^{\circ}C$, $150^{\circ}C$, $175^{\circ}C$ and $200^{\circ}C$ for 5 minutes or 10 minutes respectively before compressive strengths were measured. Another one hundred and sixty specimens were tested for the diametral tensile strengths in the same way as above. They were randomly divided into eight groups according to the mode of heating methods as follows and stored in distilled water at $37^{\circ}C$ for 24 hours. Group $37^{\circ}C$ - specimens were stored at $37^{\circ}C$ in distilled water for 24 hours. Group $50^{\circ}C$ - specimens were heated at $50^{\circ}C$ after curing. Group $75^{\circ}C$ - specimens were heated at $75^{\circ}C$ after curing. Group $100^{\circ}C$ - specimens were heated at $100^{\circ}C$ after curing. Group $125^{\circ}C$ - specimens were heated at $125^{\circ}C$ after curing. Group $150^{\circ}C$ - specimens were heated at $150^{\circ}C$ after curing. Group $175^{\circ}C$ - specimens were heated at $175^{\circ}C$ after curing. Group $200^{\circ}C$ - specimens were heated at $200^{\circ}C$ after curing. Twenty specimens of each of four composite resins were respectively made by insertion of materials into same mold for examining the dimensional changes between before and after heating. The final eighty specimens were stored in distilled water at $37^{\circ}C$ for 24 hours before testing the dimensional changes. Compressive and diametral tensile strengths were measured crosshead speed 1mm/minute and 500Kg in full scale with a mechanical testing machine (DLC 500 Type, Shimadzu Co., Japan). Dimensional changes were determined by measuring the diametral changes of eighty specimens with micrometer (Mitutoyo Co., Japan). Results were as follows: 1. Diametral tensile strengths of specimens in all groups were increased with time heated compared with control group except for that in group $50^{\circ}C$ and the maximum diametral tensile strength was appeared in the specimen of Litefil-P heated for 10 minutes at $100^{\circ}C$. In heliomolar and P-50, it could be seen in the specimen heated for 10 minutes at $150^{\circ}C$, but in Bisfil-II, it could be found in the specimen heated for 5 minutes at $150^{\circ}C$. 2. Compressive strengths of specimens in all groups was tended to be also increased with time heated but that in group $50^{\circ}C$ and the maximum compressive strengths were showed in the same specimens conditioned as the diametral tensile strengths of four composite materials tested. 3. In Heliomolar, Litefil-P, and Bisfil-II, it was decreased in diameters of resin specimens between before heating and increased in diameters of resin specimens after storing in distilled water, but it was not in P-50. 4. There is little difference in diametral tensile strengths, compressive strengths, and dimensional changes followed by heating the resin specimens for 5 minutes and 10 minutes, but there is no statistical significances.

• Restorative Dentistry and Endodontics
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• 제21권1호
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• pp.174-186
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• 1996

The purpose of this study was to evaluate the adaptability to tooth structure of composite resin and glass ionomer cement according to filling methods. In this study. two class V cavities were prepared on the buccal and lingual surface of each tooth of forty extracted human premolars. and they were randomly assigned into 4 groups with 10 teeth. The cavities of each group were filled with the CLEARFIL FII self curing resin(Control Group), Z-100 light curing resin (Group 1). $Vitremer^{TM}$ light curing glass ionomer cement(Group 2) and Z-100 light curing resin over the $Vitremer^{TM}$ liner(Group 3). The specimens underwent temperature changed from $5^{\circ}C$ to $55^{\circ}C$ five hundred times. After thermocycling. specimens were immersed in 2% methylene blue solution and stored in 100% relative humidity at $37^{\circ}C$ for 24 hours. And then. the specimens sectioned buccolingually. Degree of dye penetration at tooth-restoration interfaces were examined by Tool maker's microscope(x 200) and Image analyzer. The results were as follows : 1. On the occlusal margin. among the experimental groups. the group 2 showed the highest dye penetration($2.40{\pm}0.68$) and the group 3 showed the lowest dye penetration($1.15{\pm}0.37$). There was significant difference among the experimental groups(p<0.001). 2. On the gingival margin, among the experimental groups, the group 1 showed the highest dye penetration($3.30{\pm}0.57$) and the group 2 showed the lowest dye penetration($1.65{\pm}0.49$). There was significant difference among the experimental groups(p>0.001). 3. About total degree of dye penetration, the group 1 showed the highest dye penetration($2.25{\pm}1.17$) and the group 3 showed the lowest dye penetration ($1.43{\pm}0.55$). There was significant difference among the experimental groups(p<0.001). 4. The sum of dye penetration at occlusal margin was less than gingival margin. There was significant difference between occlusal margin and gingival margin (p<0.001). The results showed that differences were more pronounced at the gingival margin. Composite restorations inserted over the glass-ionomer liner demonstrated significantly less leakage than single restoration that used composite resin or glass-ionomer cement.

• Restorative Dentistry and Endodontics
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• 제19권2호
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• pp.409-428
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• 1994

Endodontic surgery is performed when conventional endodontic therapy fails or is contraindicated. In such cases, retrograde filling materials including amalgam, composite resin, and various cements have been used. Biocompatibilty and margin sealing ability of retrograde filling materials are important for the long term success of endodontic surgery. In vitro cell culture is frequently used as the method of measuring the biocompatibilty of dental materials. The purpose of this study was to evaluate the cytotoxicity of six kinds of retrograde filling materials including newly developed light curing glass ionomer cements. Each material was mixed according to. the manufacture's instruction and evaluated as : freshly mixed, 24-hour after mixing, and 168-hour after mixing respectively. The elution solution was extracted after 24-hour contact with materials using media. Cytotoxicity was evaluated by direct contact, or elution contact. Test results of radiochromium($^{51}Cr$) release, cell viability using tetrazolium dye (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl dimethyltetrazolium bromide(MTT) test and lactate dehydrogenase(LD) of damaged L929 cells were analyzed. In the $^{51}Cr$ release of direct contact, all experimental retrograde filling materials except amalgam and glass ionomer cement showed increased cytotoxicity compared to control. In the $^{51}Cr$ release of elution solution, the released $^{51}Cr$ was so minimal that it was impossible. to evlauate the cytotoxicity exactly. The elution solutions of glass ionomer cement and IRM showed marked cytotoxicity in MTT test. LD enzyme activity was highest in tests of direct contact with composite, light curing composite, and light curing glass ionomer cement and IRM. Amalgam revealed least cytotoxicity while IRM showed cytotoxicity using all three methods. Composite, light curing composite and light curing glass iomomer cement were cytotoxic in the tests of $^{51}Cr$ release and LD activity. Glass ionomer cement showed cytotoxic effect only in the MTT method. From these results it is suggested that the standardization and optimization of cytotoxicity testing, especially using elution solutions, should be strongly advised.

• 대한소아치과학회지
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• 제29권4호
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• pp.592-599
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• 2002

광중합형 복합레진 및 다양한 레진 접착제는 최근 소아의 유치 수복에 사용이 증가하고 있다. 본 연구는 유치의 복합레진 수복 시 중합방법과 접착제에 따른 미세누출의 차이를 실험적으로 관찰하고자 하였다. 탈락기에 있는 건전한 유전치 150개의 순면에 직경 1.6mm, 깊이 1.6mm의 와동을 형성하였다. 와동의 충전재로써 1종의 복합레진, 1종의 콤포머, 4종의 레진 접착제를 사용하였다. 중합 광원은 3종을 사용하였다. 충전이 완료된 각 시편은 Sof-Lex 폴리싱 디스크로 표면을 연마한 후 $5^{\circ}C$와 $55^{\circ}C$에 각 30초씩 계류시켜 1,000회 열순환하고 2% methylene blue 수용액에 넣어 색소를 침투시킨 후 저속 diamond cutter($Isomet^{TM}$, Buehler, USA)를 이용하여 순면을 근원심으로 절단하였다. 각 재료별 미세누출의 정도를 관찰하여 다음과 같은 결과를 얻었다. 1. 충전재 및 광중합 방법에 따른 미세누출을 측정한 결과, 콤포머를 사용한 5군에서 충전방법과 관계없이 가장 작았고, Clearfil SE bond를 Optilux 501로 중합한 군에서 가장 컸으나 통계적으로 유의한 차이는 아니었다(P>0.05). 2. 충전재에 따른 미세누출을 측정한 결과, 콤포머를 충전한 5군에서 $1{\sim}4$군의 복합레진 충전군에 비해 더 작은 미세누출을 보였다(P<0.05). 3. 광중합 방법에 따른 미세누출을 측정한 결과, Optilux 501을 사용한 군에서 가장 작았고, Flipo를 사용한 군에서 가장 컸으나 통계적으로 유의한 차이는 아니었다(P>0.05).

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2002년도 추계학술대회
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• pp.675-675
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• 2002

No Abstract, See Full Text

• 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.