• 대한치과의사협회지
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• 제48권9호
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• pp.680-687
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• 2010

The purpose of this study was to compare post cementation efficacy according to the different adhesive systems and cement delivery methods. A total of 40 extracted human single-rooted premolar teeth were randomly divided in four groups according to the two luting agents of Unicem applicap (3M ESPE, St. Paul, MN, USA) or Variolink II (Ivoclar Vivadent, Liechtenstein) and cement delivery methods of direct cement application or lentulo spiral application. After restoration using glass?fiber posts, the samples were embedded in acrylic resin. Three sections of 2 mm thickness were prepared from each specimen, and the post in each section was subjected to a push-out test. The data were analysed statistically at significant level of 95%. The Unicem had significantly higher push-out bond strength than Variolink and the lentulo spiral application made higher bond strength (p<0.05). Adhesive failure between cement and dentin was predominant in all groups. The Unicem of self-etch system and cement delivery using lentulo spiral showed clinically acceptable and comparable bonding strength for the fiber post.

• Restorative Dentistry and Endodontics
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• 제30권6호
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• pp.493-504
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• 2005

본 연구는 상아질 접착제와 레진 시멘트의 적합성 여부를 알아보고자 시행하였다. 발거한 제3대구치의 상아질 표면을 노출시킨 후 Tescera ATL 복합레진 시편을 상아질 접착제 [All Bond 2 (Bisco), Clearfil SE Bond (Kuraray), Adper Prompt L-POP (3M), One-Up Bond F (Tokuyama)]와 레진시멘트 [Choice (Bisco), Panavia F (Kuraray), RelyX ARC (3M), Bistite II DC (Tokuyama)]로 접착하고 미세인장 결합강도 및 주사전자 현미경 관찰을 시행한 결론은 다음과 같다. 1. Clearfil SE Bond와 All-Bond 2가 Prompt L-Pop과 One-Up Bond F 보다 높은 미세인장 결합강도를 보였다(p<0.05). 2. Clearfil SE Bond와 All-Bond 2 사용시 1-step 상아질 접착제보다 혼성층이 두껍고 레진 tag가 길었다.

• The Journal of Advanced Prosthodontics
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• 제10권1호
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• pp.43-49
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• 2018

PURPOSE. The purpose of this in vitro study is to examine the effects of a nano-structured alumina coating on the adhesion between resin cements and zirconia ceramics using a four-point bending test. MATERIALS AND METHODS. 100 pairs of zirconium bar specimens were prepared with dimensions of $25mm{\times}2mm{\times}5mm$ and cementation surfaces of $5mm{\times}2mm$. The samples were divided into 5 groups of 20 pairs each. The groups are as follows: Group I (C) - Control with no surface modification, Group II (APA) - airborne-particle-abrasion with $110{\mu}m$ high-purity aluminum oxide ($Al_2O_3$) particles, Group III (ROC) - airborne-particle-abrasion with $110{\mu}m$ silica modified aluminum oxide ($Al_2O_3+SiO_2$) particles, Group IV (TCS) - tribochemical silica coated with $Al_2O_3$ particles, and Group V (AlC) - nano alumina coating. The surface modifications were assessed on two samples selected from each group by atomic force microscopy and scanning electron microscopy. The samples were cemented with two different self-adhesive resin cements. The bending bond strength was evaluated by mechanical testing. RESULTS. According to the ANOVA results, surface treatments, different cement types, and their interactions were statistically significant (P<.05). The highest flexural bond strengths were obtained in nano-structured alumina coated zirconia surfaces (50.4 MPa) and the lowest values were obtained in the control group (12.00 MPa), both of which were cemented using a self-adhesive resin cement. CONCLUSION. The surface modifications tested in the current study affected the surface roughness and flexural bond strength of zirconia. The nano alumina coating method significantly increased the flexural bond strength of zirconia ceramics.

• The Journal of Advanced Prosthodontics
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• 제5권1호
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• pp.16-20
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• 2013

PURPOSE. To assess the retention of glass fiber post cemented with self-adhesive resin cement into optimum and over-prepared root canals following obturation in the presence of either eugenol (EB) or calcium hydroxide (CB)-based sealers. MATERIALS AND METHODS. Roots of extracted premolars were endodontically-treated in 5 groups (n = 10). Roots of Group 1 (control) were left with no obturation and then optimally prepared to receive endodontic dowels. Other root canals were obturated with gutta-percha in the presence of either eugenol-based (Groups 2 and 4) or calcium hydroxide-based (Groups 3 and 5) sealer. Dowel spaces were prepared with optimal diameter in Groups 2 and 3, one size larger in Groups 4 and 5. Standardized fiber posts were luted to the prepared spaces using self-adhesive resin cement and its retention was then tested on an universal testing machine. Both one-way ANOVA and Tukey's HSD comparisons (${\alpha}$=0.05) were used to identify the significance of inter-group retention differences. Scanning electron microscopy (SEM) of both optimally and over-prepared dowel spaces was also considered to figure the nature of their interior out. RESULTS. The post retention was significantly higher to the non-obturated, optimally-prepared dowel spaces of Group 1 compared to the obturated, optimally-prepared ones of Groups 2 and 3. For each dowel space diameter, root canals obturated using CB of Groups 3 and 5 showed significantly higher dowel retention compared to those obturated using EB of Groups 2 and 4. Post retention to the over-prepared dowel spaces of Groups 4 and 5 was significantly higher than that recorded for the optimally-prepared ones of Groups 1-3. SEM images revealed traces of endodontic sealer and gutta-percha on the walls of the optimally-prepared dowel spaces. CONCLUSION. Despite the adverse effect of endodontic sealers on the retention of fiber posts, the over-preparation of dowel spaces helps to improve the retention.

• The Journal of Advanced Prosthodontics
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• 제9권2호
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• pp.85-92
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• 2017

PURPOSE. The aim of this study was to evaluate the effect of tooth surface pre-treatment steps on shear bond strength, which is essential for understanding the adhesive cementation process. MATERIALS AND METHODS. Shear bond strengths of different cements with various tooth surface treatments (none, etching, priming, or etching and priming) on enamel and dentin of human teeth were measured using the Swiss shear test design. Three adhesives (Permaflo DC, Panavia F 2.0, and Panavia V5) and one self-adhesive cement (Panavia SA plus) were included in this study. The interface of the cement and the tooth surface with the different pre-treatments was analyzed using SEM. pH values of the cements and primers were measured. RESULTS. The highest bond strength values for all cements were achieved with etching and primer on enamel ($25.6{\pm}5.3-32.3{\pm}10.4MPa$). On dentin, etching and priming produced the highest bond strength values for all cements ($8.6{\pm}2.9-11.7{\pm}3.5MPa$) except for Panavia V5, which achieved significantly higher bond strengths when pre-treated with primer only ($15.3{\pm}4.1MPa$). Shear bond strength values were correlated with the micro-retentive surface topography of enamel and the tag length on dentin except for Panavia V5, which revealed the highest bond strength with primer application only without etching, resulting in short but sturdy tags. CONCLUSION. The highest bond strength can be achieved for Panavia F 2.0, Permaflo DC, and Panavia SA plus when the tooth substrate is previously etched and the respective primer is applied. The new cement Panavia V5 displayed low technique-sensitivity and attained significantly higher adhesion of all tested cements to dentin when only primer was applied.

• 대한소아치과학회지
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• 제45권3호
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• pp.314-323
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• 2018

이 연구의 목적은 3종 시멘트의 전단결합강도를 평가하고 열순환 시행이 전단결합강도에 미치는 영향을 알아보고자 한다. 소아치과에서 사용되는 소아용 기성 지르코니아 전장관($NuSmile^{(R)}$ ZR crown)의 내면과 유사한 디스크 형태의 지르코니아 시편(Zirconia discs)을 제작하였다. 소아용 기성 지르코니아 전장관의 내면과 지르코니아 시편의 표면이 동일하도록 같은 몰드를 이용하여 제작하였으며 주사전자현미경을 통해 유사함을 확인하였다. 60개의 지르코니아 시편과 60개의 유구치 상아질 시편을 3종의 시멘트 $Ketac^{TM}$ Cem Permanent Glass Ionomer Luting Cement(KGI), $RelyX^{TM}$ Luting Plus Cement(RLP), $RelyX^{TM}$ Unicem Self-Adhesive Universal Resin Cement(RUR)에 따라 20개씩 나누고, 열순환 시행 유무에 따라 다시 10개씩 2개의 하위그룹으로 나누었다. 하위그룹 A는 열순환을 시행하지 않았고 하위그룹 B는 5500회의 열순환을 시행하였다. 만능 재료 시험기를 이용하여 전단결합강도를 측정한 후 파절 양상을 주사전사현미경으로 관찰하였다. 지르코니아 시편 및 유구치 상아질 시편에 접착한 시멘트의 전단결합강도는 RUR이 KGI와 RLP보다 높았으며 통계적으로 유의한 차이가 관찰되었다(p < 0.05). RUR의 전단결합강도는 열순환 시행하지 않은 군과 열순환 시행한 군 사이에 통계적으로 유의한 차이가 없었다.

• Restorative Dentistry and Endodontics
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• 제36권2호
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• pp.132-138
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• 2011

연구목적: 본 연구는 3종의 이중중합 레진시멘트에서 자가중합법과 이중중합법이 중합도에 미치는 영향을 간접적으로 알아보고자 시간경과에 따라 미세경도를 측정하였다. 연구 재료 및 방법: 실험을 위해 자가접착 레진시멘트인 Maxcem Elite (Kerr)와 Rely-X Unicem (3M ESPE) 및 전통형 레진시멘트인 Rely-X ARC (3M ESPE)를 사용하였으며 각 레진시멘트를 동일한 크기의 테플론 몰드에 채우고 자가중합법과 이중중합법으로 중합을 하여 각각 10개씩 시편을 제작하였으며 중합 시작 후 10분, 30분, 1시간, 3시간, 6시간, 12시간, 24시간이 지난 시점에 미세경도를 측정하였다. 결과: 각 시점에서 레진시멘트별로 중합법 사이의 비교를 위한 independent samples t-test 및 모든 실험군 사이의 비교를 위한 one-way ANOVA와 Scheffe 사후검정을 95% 유의수준에서 실시하여 다음과 같은 결과를 얻었다. 1. 모든 실험군에서 시간이 경과함에 따라 미세경도가 증가하는 경향을 보였다. 2. Maxcem에서 중합 1시간 후 부터를 제외하고 이중중합이 자가중합에 비해 높은 미세경도 값을 보였다(p<0.05). 3. 매 시점에서 자가중합법의 Rely-X Unicem이 가장 낮은 미세경도를 보였으며 이중중합법의 Rely-X Unicem이 가장 높은 미세경도 값을 보였다. 결론: 이상의 실험 결과로 볼 때 이중중합 레진시멘트의 충분한 중합을 위해서는 광조사를 반드시 하여야 할 것으로 생각한다.

• Restorative Dentistry and Endodontics
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• 제38권4호
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• pp.234-240
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• 2013

Objectives: This study evaluated the effects of intraradicular moisture on the pushout bond strength of a fibre post luted with several self-adhesive resin cements. Materials and Methods: Endodontically treated root canals were treated with one of three luting cements: (1) RelyX U100, (2) Clearfil SA, and (3) G-Cem. Roots were then divided into four subgroups according to the moisture condition tested: (I) dry: excess water removed with paper points followed by dehydration with 95% ethanol, (II) normal moisture: canals blot-dried with paper points until appearing dry, (III) moist: canals dried by low vacuum using a Luer adapter, and (IV) wet: canals remained totally flooded. Two 1-mm-thick slices were obtained from each root sample and bond strength was measured using a push-out test setup. The data were analysed using a two-way analysis of variance and the Bonferroni post hoc test with p = 0.05. Results: Statistical analysis demonstrated that moisture levels had a significant effect on the bond strength of luting cements (p < 0.05), with the exception of G-Cem. RelyX U100 displayed the highest bond strength under moist conditions (III). Clearfil SA had the highest bond strength under normal moisture conditions (II). Statistical ranking of bond strength values was as follows: RelyX U100 > Clearfil SA > G-Cem. Conclusions: The degree of residual moisture significantly affected the adhesion of luting cements to radicular dentine.

• The Journal of Advanced Prosthodontics
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• 제12권5호
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• pp.291-298
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• 2020

PURPOSE. The aim of this study is to evaluate the influence of repeated surface treatments on wettability and surface roughness for zirconia surface and bond strength of zirconia-based ceramics to resin cement. MATERIALS AND METHODS. Seventy blocks (10 × 10 × 3 mm) of zirconia-based ceramics were fabricated and divided into two groups according to the surface treatments: (A) 110 ㎛ Al₂O₃ airborne-particle abrasion and (R) 110 ㎛ silica modified Al₂O₃ airborne-particle abrasion. At stage 2, each group was subdivided into 5 groups according to the surface retreatments: (a) 110 ㎛ Al₂O₃ airborne-particle abrasion, (r) 110 ㎛ silica modified Al₂O₃ airborne-particle abrasion, (D) diamond bur, (Da) diamond bur + 110 ㎛ Al₂O₃ airborne-particle abrasion, and (Dr) diamond bur + 110 ㎛ silica modified Al₂O₃ airborne-particle abrasion. Cylinders of self-adhesive resin cement were cemented onto each treated ceramic surface and subjected to micro-shear bond strength test. Additional specimens were prepared for roughness and wettability analyses. The data were subjected to t-test and One-way ANOVA followed by Tukey's post hoc test (α=.05). RESULTS. At stage 1, group R presented higher bond strength values than group A (P=.000). There was a statistically significant increase of bond strength at stage 2 for group A (P=.003). The diamond bur influenced the surface roughness, increasing the values (P=.023). Group R provided better wettability. Regardless of the applied surface treatment, most of failures were adhesive. CONCLUSION. The combination of application and reapplication of Rocatec Plus showed the best results of bond strength. Surface retreatment and recementation might be an indicated clinical strategy.

• Restorative Dentistry and Endodontics
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• 제33권6호
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• pp.526-536
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• 2008

이 연구의 목적은 수종의 상아질 접착시스템이 즉시 및 지연 상아질 봉쇄에서 미세인장결합강도에 미치는 영향을 평가하는 것이었다. 18개의 발거된 대구치를 사용하여 지연 상아질 봉쇄그룹은 노출된 상아질면을 임시수복하였으며, 1주간 보관 후, 접착제에 따라 3개의 소그룹으로 나누어 도포하였다; SB 그룹 (3 단계 산 부식 접착제), SE 그룹 (2단계 자가 부식 접착제), XE 그룹 (1단계 자가 부식 접착제). 즉시 상아질 봉쇄그룹은 3개의 소그룹으로 나누어 접착제를 도포하고 임시수복 후 1주간 보관하였다. 모든 시편은 간접 복합레진과 레진 시멘트로 합착하고 미세인장결합강도를 측정하여, 다음과 같은 결과를 얻었다. 1. 즉시 상아질 봉쇄그룹은 지연 상아질 봉쇄그룹에 비해 3단계 산 부식과 2단계 자가 부식 접착제에서 높은 미세인장결합강도를 보였다 (p < 0.05). 2. 즉시 및 지연 상아질 봉쇄그룹 모두 미세인장결합강도는 3단계 산 부식, 2단계 자가 부식, 1단계 자가 부식 접착제순으로 감소하였고, 즉시 상아질 봉쇄그룹에서는 1단계 자가 부식 접착제와 다른 소그룹간 유의한 차이가 있었으며 (p< 0.05), 지연 상아질 봉쇄 그룹에서는 모든 소그룹간 유의한 차이가 있었다 (p < 0.05). 3. 파절 양상은 대부분 혼합성 파절을 보였으며, 1단계 자가 부식 접착제에서만 접착성 파절을 보였다.