• Restorative Dentistry and Endodontics
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• 제27권4호
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• pp.403-410
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• 2002

Several ways of curing are being tried to improve material's properties and reduce marginal gap. However, all are considering about the pattern of light intensity. It was noted from the preliminary study the change of light wavelength from filter changing may give an impact on material's property and microleakage. The object of this study was to verify the effect of filters with various wavelength width on the microhardness and microleakage of composite resin ; hybrid type of DenFil and submicron hybrid type of Esthet X. Composite resins were cured using 3 kinds of filter; narrow-banded(465-475 nm), mid-banded(430-470 nm), wide-banded(400-500 nm). After the estimation of microhardness. degree of dye penetration and the maximum gap from SEM evaluation were done between 4 groups that showed no difference in microhardness value of the lower surface . The results were as follows : 1 Adequate microhardness could not be gained with a narrow-banded filter irrespective of curing time. At the upper surface, DenFil should be polymerized with middle or wide-banded filter for 20 seconds at least, while Esthet X be col$.$ed with middle or wide-banded filter for 30 seconds at least to get simitar hardness value to control group. 2. There was little dye penetration in enamel margin, but all dentin margins skewed much more dye penetration irrespective of curing conditions. Although there was no statistical difference, groups cured with mid-banded filter for 40 seconds and with wide-width filter for 20 seconds showed relatively less dye penetration. 3. It was revealed from the SEM examination that group cured with wide-banded filter had the smallest gap without statistical significance. Spearman's rho test showed that the correlation between the results of dye penetration and SEM examination was very low. From these results, it could be concluded that curing with wide-width filter would be better than the other techniques, even though the curing technique using mid-width filter seems to have its own unique advantage.

• Journal of Korean Dental Science
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• 제10권1호
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• pp.29-34
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• 2017

Purpose: The purpose of this study was to evaluate the microleakage of various types of resin-bonded fixed partial dentures (RBFPDs) after artificial aging. Materials and Methods: Forty models with missing first molar were fabricated using artificial resin teeth and were divided into four groups: Group A, conventional RBFPDs design; Group B, modified RBFPDs design; Group C, assembled 3-piece RBFPDs design; and Group D, assembled 3-piece RBFPDs with different occlusal rest positions. Half of the specimens underwent chewing simulation process (240,000 cycles, 50 N load, 1.7 Hz) and thermocycling (temperatures $5^{\circ}C{\sim}55^{\circ}C$, dwelling time 30 seconds) and the remaining 20 specimens didn't receive any treatment. All the specimens were immersed in 2% methylene blue solution for 24 hours to evaluate microleakage, and were sectioned at the middle part of abutment teeth. To evaluate the microleaskage, a dye penetration was calculated. Result: With artificial aging, cyclic loading and thermocycling, a 3-piece RBPFD and a 2-piece RBPFD using original tooth undercuts have significantly lower microleakge (P<0.05) compared to the conventional design of RBPFD and modified RBPFD. Conclusion: Within the limit of this experiment, the assembled RBFPDs exhibited a smaller microleakage than the conventional RBFPDs, implying that the assembled RBFPDs can be more effective for reducing the dislodgement of the RBFPDs.

• 대한소아치과학회지
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• 제28권3호
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• pp.530-534
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• 2001

많은 치과 임상가들은 아말감을 치질에 접착시키기 위해서 여러 접착재료를 이용해왔다. 이 런 술식의 장점으로는 미세누출의 감소로 인한 술후과민증의 감소, 변연파절의 감소, 삭제 후 치질의 강화, 적은 유지형태에서의 수복물의 유지등이 제시되어 왔다. 실제로 임상적 상황에서 이러한 술식의 장점을 확인할 필요가 있다. 이런 접착제가 임상적 환경에서 어떠한 잇점을 보이지 않는다면 시간과 비용을 낭비하는 이런 술식을 정당화하지 못할 것이다. 본 연구에서는 73개의 치아를 대상으로 하여 I급 와동과 II급 와동에 접착형과 비접착형 아말감으로 수복하였다. 접착제로는 Fuji I Glass Ionomer luting cement를 이용하였다. 평균 2년 후에 변연적합성을 평가하였으나 접착형 아말감과 비접착형 아말감 사이에 유의한 차이는 없었다.

• 대한소아치과학회지
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• 제27권1호
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• pp.54-61
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• 2000

아말감은 널리 사용되어 온 대표적 치과재료이지만 치질과의 접착성이 없어 와동의 형태에 의해 유지되는 단점을 가진다. 아말감 수복물은 산화물에 의한 변연봉쇄가 일어나기 전까지 초기에 큰 미세누출을 보이며 수복초기에 이를 적절하게 예방하지 않으면 타액이나 미생물이 와동내에 침투하게 되고 이로 인해 수복 후의 과민반응, 충전물의 용해 및 파괴, 변연 변색과 2차 우식이 유발되어, 결과적으로 수복물의 수명이 단축되며 치수 병변이 발생될 수도 있다. 최근 기존 아말감 수복의 장점을 그대로 유지하면서 치질삭제를 줄이고 변연을 봉쇄하며 소와열구에 예방적 처치를 함께 할 수 있는 수복법이 제안되었는데 이를 이른바 sealed amalgam이라 한다. 이 술식은 예방적 확대 없이 병소만을 제거한 뒤 수복물 변연과 인접 소와열구에 치면열구전색재를 도포함으로서 소와열구의 예방적 충전은 물론 수복물 변연과 치질사이의 틈을 봉쇄하여 미세누출을 감소시킬 수 있다고 하였다. 이에 저자는 아말감 수복후 수복물의 마무리 처리와 전색재 적용시점을 달리 하여 sealed amalgam 수복과 기존의 아말감 수복과의 미세누출의 차이를 비교하고자 30개의 상, 하악 소구치를 준비하여 V급 와동을 소구치의 협, 설측에 형성하고 통상적 아말감 수복을 시행한 후 다음의 각 군으로 나누어 처리하였다. 제 1 군 : 24시간 후 연마 (대조군) 제 2 군 : 연마하지 않음, 즉시 전색재 적용 제 3 군 : 연마하지 않음, 열순환(thermocycling) 500회 후 전색재 적용 위의 처리 후 각 군을 $5^{\circ}C$와 $55^{\circ}C$의 온도변화를 30초씩 번갈아 주며 총 500회의 열순환을 실시한 후 1% methylene blue 용액에 침윤시켜서 100% 습도가 유지된 $37^{\circ}C$ 항온기에 24시간 보관하였다. 치아를 레진에 매몰한 후 협설측으로 치아 장축에 평행하게 절단하여 stereomicroscope를 사용해 색소침투도를 관찰하여 다음과 같은 결론을 얻었다. 1. 평균 미세누출은 연마하지 않고 바로 치면열구전색재를 도포한 2군이 가장 낮았고, 연마만 시행한 1군이 가장 높았다. 2. 실험군간의 미세누출 비교에서 연마만 시행한 1군은 2군에 비해 미세누출이 켰으며 통계적으로 유의성 있는 차이를 보였다(p<0.05). 3군은 1군보다 평균미세누출이 작았으나 통계적으로 유의한 차이가 없었다(p>0.05). 2군은 3군보다 평균 미세누출이 작았으나 통계적으로 유의한 차이가 없었다(p>0.05).

• 대한소아치과학회지
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• 제23권2호
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• pp.401-414
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• 1996

The purpose of this study was to compare the marginal leakage of resin liner which was used as a liner to amalgam restoration. Control group composed of no liner group, copalite group and experimental group composed of All-bond 2, Vitrebond, Superbond D-liner applied groups were evaluated. Cl.V preparation with a size of $3{\times}2{\times}1.5mm$ on 70 extracted primary molars were made and applied appropriate liners for each groups. After amalgam filling and polishing, polished specimens underwent temperature changed from $5^{\circ}C\;to\;55^{\circ}C$ a thousand times. After thermocycling, specimens were placed in 2% methylene blue dye solution for 72 hours in an incubator set at $37^{\circ}C$. The teeth were sectioned buccolingually and the degree of dye penetration was observed with a spectroscopy. (${\times}30$) The following results were obtained. 1. Vitrebond, All-bond 2, Superbond D-liner group exhibited a statistically significant lower degree of dye penetration than no liner and copalite group. (Kruskal-Wallis analysis, P<0.05) 2. No liner group and copalite group exhibited a similar degree of dye penetration. (Mann-Whitney analysis, P>0.05) 3. All-bond 2 group exhibited a statistically significant lower degree of dye penetration than Vitrebond group, (Mann-Whitney analysis, P<0.05) Superbond D-liner group also exhibited a lower degree of dye penetration than Vitrebond group but was statistically insignificant. (Mann-Whitney analysis, P>0.05)

• Restorative Dentistry and Endodontics
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• 제20권2호
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• pp.832-838
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• 1995

The purpose of this study was to evaluate the amount of marginal microleakage of 2 light curable GI cements(Fuji II LC & VariGlass), which contain some resin components. 4 volunteers kept on acrylic resin plates, which contained dentin disks with cavities filled with test materials for 2 weeks. The time when polishing was done(5 minutes and 24 hours after filling) and the use of protective agents were varied, so 8 groups with each 6 specimens were tested. After having specimens(disks with cavities filled with materials) penetrated with 1% Methylene Blue solution, specimens were stored in 40% nitric acid solution for 4 days to extract adsorbed dye material. Supernatants of centrifuged samples were diluted 5 times and Spectrophotometer was used to determine the degree of absorption. Dye concentration was calculated through the pre-obtained Linear Regression Curve. The results were as follows. 1. The best result was seen in groups (PF24, PV24) which were protected and polished 24 hours later and the opposite phenomenon was seen in groups(NF24, NV24) which were held without protection and polished 24 hours later. Groups polished S minutes later showed moderate leakage pattern. 2. Groups polished 5 minutes later showed similar leakage amount irrespective of using of protective agent. But statistically insignificant lower values were seen in VariGlass than in Fuji II LC groups, So It was considered that VariGlass may be more resistant to early moisture attack than Fuji II LC. 3. In groups polished 24 hours later, there was no significant difference between materials but was definitely significant difference according to the use of protective agent. If the cement in which polishing will be done 24 hours later, Protective agent should be used to cover the surface.

• 대한소아치과학회지
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• 제24권2호
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• pp.460-474
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• 1997

The purpose of this study was to evaluate and compare the effectiveness of various low-viscosity resin systems used as rebonding agents to prevent microleakage at the margins of class I composite resin restorations. Seventy sound human premolars were selected for experiment. Class I cavities were prepared and each cavity was conditioned with a 37% phosphoric acid for 15 sec, rinsed with water for 15 sec, and dried with compressed air. Bonding agent(Scotchbond Multipurpose, 3M Co.) was applied and a hybrid composite resin (Z-100, 3M Co.) was placed using an incremental technic. The excess cured composite resin was carefully removed with Sof-Lex discs(3M Co.) to expose the original margins of the cavity. The following seven groups were established : group 1 was not rebonded and used as control group ; group 2 was rebonded with a Scotchbond Multipurpose(3M Co.) and finished ; group 3 was rebonded with a Fortify(BISCO) and finished ; group 4 was rebonded with a Concise white sealant(3M Co.) and finished ; group 5 was rebonded with a Concise white sealant(3M Co.) and not finished ; group 6 was rebonded with a P&F sealant(BISCO) and finished; group 7 was rebonded with a P&F sealant(BISCO) and not finished. The specimens were then subjected to 500 thermocycles between 5 & 65 with a 10 see dwell time and immersed in 2% methylene blue dye solution for 24 hours and sectioned with low-speed diamond cutter into two part under water condition. The extent of microleakage at rebonded margins was evaluated microscopically and scored for dye penetration according to the following scale : 0=no dye penetration ; 1=dye penetration to half-way along axial wall between enamel surface and DEJ ; 2=dye penetration beyond halfway along axial wall between enamel surface and DEJ ; 3=dye penetration to the full depth of DEJ or beyond DEJ. Selected samples were prepared for SEM observation to determine the depth of penetration of the rebonding agent into the marginal interface. The obtained results were as follows: 1. In the group 2 and 3, which is rebonded with a Scotchbond Multipupose and Fortify, dye penetration score were decreased significantly than that of group 1 (P<0.05), but group 4 and 6 were not statistically different from group 1(P>0.05). 2. There were significant differences between group 4, 6 and group 5, 7 when compared by dye penetration score (P<0.05). 3. In the SEM observation, Scotchbond Multipurpose and Fortify were penetrated within $30-40{\mu}m$ depth of the outermost surface. However, both sealants were failed to penetrate into the debonded interface.

• Restorative Dentistry and Endodontics
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• 제25권2호
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• pp.299-308
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• 2000

The purpose of this in vitro study was to evaluate the microleakage of 5 curing methods in class V composite restorations which are composed of two-step light curing, pulse-delay cure, low curing-light intensity, moderate curing-light intensity and high curing-light intensity. In this study, class V cavities were prepared on buccal and lingual surfaces of 50 extracted human upper or lower molars on cementum margin. Single Bond adhesive and Z-100 shade A2 were applied for each group following the manufacture's instruction. The experimental teeth were randomly divided into 5 groups of 10 samples (20 surfaces) each. Group 1: two-step light curing; Group 2: pulse-delay cure; Group 3: low curing-light intensity; Group 4: moderate curing-light intensity; Group 5: high curing-light intensity. After 500 thermocycling between $5^{\circ}C$ and $55^{\circ}C$, the 60 teeth were placed in 2% methylene blue dye for 24 hours, then rinsed with tab water. The specimens were embedded in clear resin, then sectioned buccolingually through the center of restoration with a low speed diamond saw. The dye penetration on each of the specimen was then observed with a stereomicroscope at ${\times}20$. The composite resin/tooth interfaces were examined under Scanning Electron Microscopy. The results were statistically analyzed using the Kruskal-Wallis One Way ANOVA and Dunn's Method. The results of this study were as follows. 1. In all groups, the leakage values seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05). 2. No group in this study showed significant differences in leakage values at both the enamel and the dentin margins(P<0.05). 3. In all groups, the gaps seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05). 4. The gaps in this study showed significant differences and two-step light-curing and low curing-light intensity produced significant less gap than high curing-light intensity(P<0.05).

• Restorative Dentistry and Endodontics
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• 제27권2호
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• pp.158-174
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• 2002

Filtek$^{TM}$ Z-250(3M Dental Products, St. Paul., MN. USA) 광중합형 복합레진을 대상으로 다양한 광조사 방식이 중합수축, 중합도 및 미세누출에 미치는 영향을 알아보고자 하였다. VIP$^{TM}$(Bisco Dental Products, Schaumburg, IL, USA)를 이용하여 200, 400 및 600mW/$\textrm{cm}^2$의 일정한 광도로 중합시킨 세 군(V2, V4 및 V6군)과 200mW/$\textrm{cm}^2$의 광도로 3초간 중합시키고 5분간 방치 한 후 다시 600mW/$\textrm{cm}^2$의 광도로 중합시키는 pulse-delay 방식을 이용한 군(VPD군) 그리고 Optilux 501$^{TM}$(Demetron/Kerr, Danbury, CT, USA)을 이용하여 C-mode와 R-mode로 중합시킨 두 군(OC군, OR군) 등 모두 6개의 군으로 나누어 실험하였으며, 복합레진의 중합과 누출을 다음의 네 가지 방법으로 측정하였다. 첫째, V2, V4, V6, OC군은 60초간, OR군은 20초간 그리고 VPD군은 두번째 광조사를 60초간 시행하면서 시간에 따른 선형 중합수축을 Linometer(R&B, Daejeon, Korea)로 측정하였다. 둘째, V2, V4, V6, OC군은 각각 5, 10, 20, 40, 60초간 그리고 OR군과 VPD군은 정해진 조건에 따라 중합시킨 2mm 두께 시편의 바닥면에서 시료를 채취한 후 KBr method로 시편을 제작하고, FTIR spectrometer(IFS 120 HR, Broker, Karlsruhe, Germany)로 미반응 잔류단량체의 양을 계측하여 중합도를 측정하였다. 셋째, 두번째 실험과 같은 조건으로 중합시킨 2mm 두께 시편의 광조사면과 바닥면에서 중합 10분 후 미세경도 측정기(FM7, Future-Tech Co., Tokyo, Japan)로 500g의 하중을 10초간 가하여 Knoop Hardness Number(KHN) 값을 측정하였다. 끝으로, 90개의 발거치 치경부에 제5급 와동을 형성하고 V2군은 60초간, V4군은 40초간, V6군은 30초간 그리고 OC, OR, VPD군은 정해진 조건에 따라 중합시킨 후, methylene blue 용액에 침적시키고 종절단하여 법랑질과 상아질 변연의 미세누출 정도를 측정하였다. 중합수축. 중합도 및 미세경도 측정치는 one-way ANO-VA와 Duncan's multiple range test를, 변연누출 정도는 chi-square test를 이용, 통계처리하여 다음의 결과를 얻었다. . 중합수축의 정도는 VIP$^{TM}$(Bisco) 사용군에서 전체 조사광도가 높을수록 큰 경향을 보여 600mW/$\textrm{cm}^2$군에서 가장 크게 나타났고, 그 다음으로 Pulse-delay군, 400mW/$\textrm{cm}^2$군, 200 mW/$\textrm{cm}^2$군 순이었고, Optilux 501$^{TM}$(Demetron/Kerr) 사용군에서는 Continuous 방식이 Ramp 방식 보다 크게 나타났다. . 중합도와 미세경도 값은 공히, 전체 조사광도가 높을수록 높게 나타났으며 , 최종 중합도는 44.77~54.98%의 범위를, 미세경도 값은 34.10~56.30의 범위를 보였다. . 미세누출은 전반적으로 상아질 변연이 법랑질 변연에 비해 많았고, VIP$^{TM}$(Bisco) 사용 군에서는 광도가 높을수록 상아질 변연에서 미세누출이 증가하는 양상을 보였으며, 법랑질 변연에서는 Optilux 501$^{TM}$(Demetron/Kerr)의 Continuous 방식이, 상아질 변연에서는 Ramp 방식이 가장 적은 미세누출을 보였다.

• 대한소아치과학회지
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• 제31권3호
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• pp.527-533
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• 2004

저점도의 레진을 복합레진 수복물 위에 도포하는 것은 미세누출방지와 변연 완전성(integrity) 유지를 위한 한 방법이다. 하지만 장기간 관찰하면, 수복물은 저작압에 의한 영향을 받게 되는데, 저점도의 레진으로 수복물 변연부를 재접착(rebonding)하였을 때 저작압에 의한 응력에 견디면서 계속하여 수복물에 긍정적인 영향을 주는지에 대한 연구는 미흡한 실정이다. 본 연구는 부하순환(load cycling) 하에서 제V급 수복물의 미세변연누출에 대한 재접착제(rebonding agent)의 효과를 알아보고자 하였다. 40개의 건전한 소구치의 협면에 제V급 와동을 형성하고 제조사의 지시대로 광중합복합레진으로 수복하였다. 20개씩 무작위로 나누어 표면전색을 하지 않는 I군과 표면을 산부식 후 재접착한 II군으로 설정하였다. 열순환 후 각 군에서 10개씩의 하위군(A군=No load cycling군, B군=Load cycling군)으로 나누어 이중 B군의 시편에 1 Hz의 속도로 수직력이 4-100N까지 100,000회의 부하순환을 가하였다. methylene blue 용액에 침윤시켜 변연의 미세누출정도를 평가하여 다음과 같은 결과를 얻었다. 1. 교합변연에서는 재접착과 무관하게 유의한 차이가 없었다(IA-IIA군, IB-IIB군)(p>0.05). 2. 치은변연의 경우는 부하순환을 하지 않은 군의 경우 재접착을 한 군(IIA군)이 재접착을 하지 않은 군(IA군)에 비해 더 적은 미세누출결과를 보였다(p<0.05). 3. 치은 변연에서 부하순환을 시행한 군의 경우에는 재접착을 한 군(IIB군)과 재접착을 하지 않은 군(IB군)과 유의차가 없는 비슷한 미세누출의 결과를 보였다(p>0.05).