• 대한치과보철학회지
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• 제52권3호
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• pp.202-210
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• 2014

목적: 이 연구의 목적은 abfraction병소가 있는 금속도재관수복 치아를 수복하거나 하지 않을 때 나타나는 응력집중과 분포를 유한요소분석으로 평가하는 것이다. 재료 및 방법: 상악 제1 소구치를 선정하여 총 10개의 유한요소모델을 만들었다. 모델 1은 자연치; 모델 2는 협측과구개측 백악법랑경계 상방 2 mm에 변연이 위치한 금속도재관; 모델 3은 협측과구개측 백악법랑경계에 변연이 위치한 금속도재관; 모델 4는 abfraction병소를 가진 자연치; 모델 5와 6은 다른 조건은 각각 모델 2와 3과 동일하면서 abfraction병소를 가진 치아; 모델 7은 abfraction병소를 가지고 composite resin으로 수복된 자연치;모델 8과 9는 각각 모델 5와 6과 동일한 모델에 abfraction병소를 composite resin으로 수복한 후 금속도재관 장착한 치아; 모델 10은 composite resin으로 abfraction lesion을 수복하고 금속도재관의변연을 abfraction병소보다 하방에 위치시킨 치아였다. 위치를 서로 달리한 하중 load A와 load B를 가하여, 각 기준점에서의 von Mises stress값들을 측정하여 비교하였다. 결과: Abfraction병소가 있는 치아에 load A 또는 load B를 주었을 때, 응력은 lesion의 apex에 집중되었다. 반면, abfraction병소를 composite resin으로 충전한 치아에 load A 또는 load B를 주었을 때 응력값은 apex에서 감소하였다. 결론: Abfraction이 있는 치아는 복합 레진으로 수복해주는 것이 응력의 집중을 줄여서 병소의 예후에 유리한 것으로 나타났으며, Abfraction이 발생된 치아를 금속 도재관으로 수복할 경우 협측변연을 법랑질 상에 위치시키는 것이 유리하였다.

• Restorative Dentistry and Endodontics
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• 제26권5호
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• pp.399-408
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• 2001

Tooth bleaching has been prevailing recently for its ability to recover the color and shape of natural teeth without reduction of tooth material. However, it has been reported that bleaching procedure adversely affects the adhesive bond strength of composite resin to tooth. At the same time the bond strength was reported to be regained by application of some chemical agents. The purpose of this in vitro study was to investigate the effect of the removal of residual peroxide on the composite- enamel adhesion and also evaluated fracture mode between resin and enamel after bleaching. Sixty extracted human anterior and premolars teeth were divided into 5 groups and bleached by combined technique using of office bleaching with 35 % hydrogen peroxide and matrix bleaching with 10% carbamide peroxide for 4 weeks. After bleaching, the labial surfaces of each tooth were treated with catalase, 70% ethyl alcohol, distilled water and filled with composite resin. Shear bond strength was tested and the fractured surfaces were also examined with SEM. Analysis revealed significantly higher bond strength values. (p＜0.05) for catalase-treated specimens, but water-treated specimens showed reduction of bond strength, alcohol- treated specimens had medium value between the two groups(p＜0.05). The fracture mode was shown that the catalase group and the alcohol group had cohesive failure but the water sprayed group had adhesive failure. It was concluded that the peroxide residues in tooth after bleaching seems to be removed by gradual diffusion and the free radical oxygen from peroxide prevents polymerization by combining catalyst in the resin monomer. Therefore it may be possible to eliminate the adverse effect on the adhesion of composite resin to enamel after bleaching by using water displacement solution or dentin bonding agent including it for effective removal of residual peroxide.

• 대한치과교정학회지
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• 제20권3호
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• pp.583-591
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• 1990

If the bond strength is sufficient to resist orthodontic force, orthodontic brackets can be bonded to restorations. Orthodontic brackets were bonded to composite resin and glass ionomer cement restorations with no-mix adhesive or glass ionomer cement. The shear bond strength of adhesives bonded to restorations was studied in vitro. Orthodontic brackets were bonded to 10 extracted natural teeth, 40 composite resin restorations and 40 glass ionomer restorations. The surfaces of composite resin restorations were roughened or applied with bonding agent (Scothbond) after surface roughening. The surfaces of glass ionomer cement restorations were conditioned with acid etching or applied with Scotchbond to etched surface. The adhesive was no-mix resin or glass ionomer cement. The shear bond strength was measured. The results were as follows: 1. Orthodontic brackets could be bonded to composite resin restorations effectively as they could be bonded to acid etched enamel with no-mix adhesive. The shear bond strength was sufficient to resist orthodontic force and was not affected by bonding agent greatly. 2. The shear bond strength of no-mix adhesive bonded to acid etched glass ionomer cement restorations was sufficient to resist orthodontic force. However. the fracture risk of glass ionomer cement restorations was increased during debonding. The bonding agent couldn't increase the shear bond strength greatly. 3. The shear bond strength of glass ionomer cement bonded to glass ionomer cement restorations was lower than that of no-mix adhesive. The shear bond strength was sufficient to resist orthodontic force and was greatly decreased by bonding agent. 4. The shear bond strength of glass ionomer cement bonded to composite resin restorations was too low to resist orthodontic force.

• Restorative Dentistry and Endodontics
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• 제35권2호
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• pp.106-115
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• 2010

본 연구는 간접 복합레진 수복물을 1종의 자가부식형 레진시멘트와 3종의 자가접착형 레진시멘트를 이용하여 상아질에 합착하였을 때 각 레진시멘트의 미세인장 결합강도와 결합계면의 차이를 평가하기 위하여 시행하였다. 발거된 상.하악 대구치 교합면 측 상아질에 Tescera 복합레진 블록을 레진시멘트(PA 군: Panavia F 2.0, RE 군: RelyX Unicem Clicker, MA 군: Maxem, BI 군: BisCem)를 이용하여 합착하였다. 증류수에 24시간 동안 보관한 후, 합착된 면의 단면적이 $1.0\;{\times}\;1.0\;mm$인 막대모양의 시편을 제작하여 각 시편에 분당 0.5 mm의 crosshead speed로 인장하중을 가하였다. 각 군의 미세인장 결합강도는 one-way ANOVA와 Tukey의 HSD 방법을 이용하여 비교하였다. FE-SEM 하에서 모든 파절편의 상아질 쪽 파절양상과 레진시멘트-상아질 및 레진시멘트-복합레진의 계면을 관찰하였다. 본 연구의 결과 간접 복합레진 블록을 레진시멘트로 상아질에 합착할 때 PA 군과 RE 군은 MA 군과 BI군보다 높은 결합강도와 긴밀한 접착 및 레진테그가 관찰되었고, 복합레진과 레진시멘트 간에는 간극이 관찰되었다.

• 대한치과기공학회지
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• 제41권2호
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• pp.87-92
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• 2019

Purpose: The Purpose of this study is to compare the fracture strength of 4 kinds of direct composite resins. Methods: his study performed experiments on the fracture strength of direct composite resins after polymerizing 4 kinds of direct composite resins on the MOD cavity standard specimens. Results: The fracture strength of Aelite(Bisco) was the highest at 176.26N(p<0.05). According to post-hoc study with Turkey honest significant difference by multiple comparison on fracture strength test results, there were statistically significant differences between all kinds of direct composite resin. But the statistical difference between Z350(3M) and Spectrum(DP) was not significant. Conclusion: Aelite(Bisco) scored the highest concerning the fracture strength.

• Restorative Dentistry and Endodontics
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• 제16권1호
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• pp.60-73
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• 1991

The purpose of this study is to evaluate the effects of etching time, environmental temperature and humidity on the adhesion of composite resin to glass-ionomer cement. Two chemical cure composite resins (Clearfil F II and Microrest AP) and two glass-ionomer cements (Fuji ionomer Type I and KET AC-CEM) were used as the experimental materials. The experiment is performed in 3 stages: The first stage is to bond composite resins to glass-ionomer cements, and the surface was not etched, and etched for 20 seconds, 40 seconds, and 60 seconds. Then specimens are stored in distilled water at $37^{\circ}C$ for 24 hours to measure tensile strength. The second stage is to choose the one group that had the highest tensile strength from the first stage and prepare two experimental groups: One group with composite resin bonded to glass-ionomer cement without etching and bonding agent application and the other with composite resin bonded to glass-ionomer cement with etching but without any bonding agent application. The specimens are stored in distilled water at $37^{\circ}C$ for 24 hours and tensile strength is measured. The third stage is to choose group that had the highest tensile strength from the first stage experiment, and bond composite resin to glass-ionomer cement at $24^{\circ}C$ 44%, $30^{\circ}C$ 44%, $30^{\circ}C$ 80%, and $32^{\circ}C$ 92%. The storage time of specimens is to bond immediately after storage, then changed to 30 sec., 60 sec., and 120 sec.. Specimens are stored in distilled water at $37^{\circ}C$ for 24 hours and their tensile strength are measured again. The following results were obtained: 1. As the etching time increases, the tensile bond strength between glass-ionomer cement and composite resin increase, and the tensile bond strength is the highest when acid etched for 60 minutes (P < 0.05). 2. After acid etching for 60 minutes, the tensile strength of the group with bonding agent was stronger than that without bonding agent application (P < 0.05). 3. The tensile strength of Clearfil F II was stronger than that of Microrest AP. 4. It was observed that the tensile bond strength is not affected by different storage time with different temperature and humidity. 5. As the humidity was increased, the tensile bond strength between glass-ionomer cement and composite resin decreased (P < 0.05).

• 대한치과보철학회지
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• 제36권1호
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• pp.133-149
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• 1998

Clinical application of composite resin recently draw great concerns in dentistry. Especially due to advantages such as esthetics, adhesiveness, simple clinical procedures, various shapes and kinds of composite resins are widely being applied to prosthodontics, conservative dentistry, and orthodontics. But, clinical problems attributable to the polymerization shrinkage of composite resin have been proposed, and we have to regard clinical problems such as secondary caries, loss of restoration, fracture of the surrounding tooth structure, marginal discoloration, and tooth sensitivity, and many portions are remained to be overcome. Therefore, this study attempts to analyze stress distribution between resin and tooth structure which is generated during polymerization shrinkage of composite resin using three dimensional finite element method. Three dimensional finite element models with conventional box-shape cavity and erosion/abrasion type V-shape lesion cavity in upper central incisor were developed. These cavities were filled with four different types of placement techniques. (bulk filling, horizontal increment filling, oblique occlusal increment filling, oblique gingival increment filling) The stresses generated by polymerization shrinkage of composite resin were calculated. The results analyzed with three dimensional finite element method were as follows : 1. The increment filling technique showed the highest maximum normal stress in both conventional box-shape and V-shape cavities and showed a tendency to decrease after complete polymerization. 2. The bulk filling technique resulted in increased stresses during the curing process in both conventional box-shape and V-shape cavities and the highest maximum normal stress occurred after complete polymerization. 3. The bulk filling resulted in the lowest maximum normal stress in both box-shape and V-shape cavities 4. Regardless of placement method, in conventional box-shape cavity, the maximum normal stress increased in dentin floor, enamel, dentin sequence and in V-shape cavity, the maximum normal stress increased in enamel, dentin sequence.

• 대한소아치과학회지
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• 제26권1호
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• pp.62-68
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• 1999

One of the many dilemmas that the clinical restorative dentist must face is treating young adolescent patient who prematurely loses his permanent teeth. Temporary prosthetic replacement can be achieved with removable denture, orthodontic band-wire fixed denture, adhesion bridge, composite resin splint with reinforcing material until the patients go through growth and development. But, all of these have limitations. Advances in restorative materials and reinforcement materials have made possible new techniques which are as much esthetic, conservative and more economic and stronger than adhesion brides. Two cases are being presented where gas-plasma treated, woven polyethylene fabric to reinforce composite resin was used to fabricate a temporary prosthetic restoration to replace a missing maxillary central incisor. This relatively noninvasive and basically reversible procedure allows the patient to decide the final restoration as he or she goes thorough maturation of the hard and soft tissues.

• 대한치과보철학회지
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• 제26권1호
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• pp.23-30
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• 1988

An in vitro study was performed to compare the retentive value of cast post cemented with three commonly used cements and one composite resin. Twenty cast posts were made from twenty extracted lower premolars. The samples were randomly divided into four groups. The first group was cemented with zinc phosphate cement, the second group with polycarboxylate cement, the third group with glass-ionomer cement, and the fourth group with composite resin. The tensile load test was performed on an Instron testing machine with crosshead speed of 2 mm/min and the results were compared statistically. The results were as follows ; 1. The mean value of tensile break force of cemented cast post was 23.36Kg in case of zinc phosphate cement, 16.28Kg in case of polycarboxylate cement, 22.09Kg in case of glass-ionomer cement , and 26.88Kg in case of composite resin. 2. Retention was not significantly different among zinc phosphate cement, glass-ionomer cement and composite resin. 3. Polycarboxylate cement was found to be less retentive than zinc phosphate cement, glass-ionomer cement , and composite resin.

• Restorative Dentistry and Endodontics
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• 제8권1호
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• pp.97-106
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• 1982

The purpose of this study was to evaluate the effect of different polishing procedures on the surfaces of composite resins. Two-paste type comosite restorative resin (Hipol) was selected for this study. 70 cavities prepared on the plaster-stone dies, 6mm in diameter and 2mm in depth, was filled with composite resin according to the manufacturer's specifications and by polymerizing against mylar strips. The polymerized composite resin specimens were polished (surface finished) by using 6 polishing devices; white stones, diamond finishing points, 12-fluted carbide finishing burs, green stones, sand paper disks, and Quasite rubber disk after polished with sand paper disks and green stones. A profilometer (Bendix type) was used to record in microinches the surface roughness of each surface finished composite resin specimens. The results were as follows. 1. The best finished surface that can be obtained is a surface formed by the mylar matrix strip 2. The white stones produced the smoothest surface in the experimental group. 3. The green stones produced the roughest surface in the experimental group. 4. It was proved that the gradual use of finishing instruments from a rough one to fine ones reduced the surface roughness.