• 대한소아치과학회지
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• 제44권1호
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• pp.72-81
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• 2017

본 연구의 목적은 유치 상아질의 복합레진 술식에서 각 단계별로 치면에 인공타액이 오염되었을 때와 이것을 제거하는 방법이 한 단계 자가부식 접착제와 두 단계 산 부식 접착제의 결합강도에 미치는 영향을 비교 분석하는 것이다. 연구 목적을 달성하기 위해, 건전한 유구치 42개를 선정하여 세 종류의 상아질 접착제인 Scotchbond Universal Adhesive(SBU), All-Bond Universal(ABU)과 Prime & Bond NT(PNT)에 따라 3개의 군으로 분류하였다. 이를 다시 각 접착제에서 7개의 하위 그룹으로 나누었다. 대조군인 1군을 제외한 나머지 군은 인공타액으로 오염시킨 군으로 다음과 같이 분류하였다: 2, 3군 - 접착제 도포 전; 4, 5군 - 접착제 중합 전; 6, 7군 - 접착제 중합 후. 인공타액은 수세, 건조(2, 4, 6군)와 건조(3, 5, 7군)로 제거하였다. 처치된 치면에 복합레진(Filtek, Z-350)으로 수복하고 시편을 제작한 후 미세인장 결합강도(Microtensile bond strength, MTBS)를 측정하였다. One-way ANOVA와 Tukey HSD test를 이용해서 통계분석을 실시하였다(p < 0.05). 대조군에서 MTBS의 평균값은 PNT가 ABU와 SBU에 비해 높게 나타났다(p < 0.001). 세 가지 접착제의 각 오염단계에서 수세와 건조를 시행했을 때(2, 4, 6군)가 건조만 시행했을 때(3, 5, 7군)보다 높은 결합강도를 나타내었다. 그리고 접착제 중합 전 단계에서 인공타액의 오염이 발생했을 때(4, 5군)는 대조군에 비해 낮은 MTBS를 보였다(p < 0.001). 전반적으로 두 단계 산 부식 접착제가 한 단계 자가부식 접착제에 비해 높은 MTBS를 보였다. 접착제를 중합하기 전 단계에서 인공타액에 오염되었을 경우에는 접착 강도가 현저히 감소하였고, 수세와 건조 과정으로 접착강도를 회복할 수 없었다.

• Restorative Dentistry and Endodontics
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• 제35권5호
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• pp.321-334
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• 2010

연구목적: 본 연구는 상아질 접착제의 잔류 용매가 접착 효율에 미치는 영향을 평가하고자 하였다. 연구 재료 및 방법: 본 연구에서는 5세대 2단계 산부식형 접착제와 7세대 단일과정 자가부식형 접착제를 사용하였다. 상아질 접착제의 증발률과 전환률, 적용 후 용매의 공기건조 방법에 따른 미세인장결합강도를 측정하였으며 접착 계면을 FE-SEM을 이용하여 관찰하였다. 결과: 1. 시간에 따라 접착제의 증발률은 증가하나 접착제의 종류에 따라 증가 양상이 서로 달랐다. 2. 대부분 전환률은 증발률에 비례하는 경향을 나타내었다. 3. 공기건조 방법에 따라 결합강도는 대부분 under군, control군, over군 순으로 증가하는 양상을 나타내었다. 4. FE-SEM에서 아세톤을 용매로 사용하는 접착제는 공기건조 방법에 따라 droplet이나 gap이 관찰되었다. 결론: 상아질 접착제의 잔류 용매는 접착 효율에 부정적인 영향을 미치기 때문에, 상아질 접착제의 선택과 사용 시 용매의 종류와 특징에 대한 적절한 이해가 필요할 것이다.

• Archives of Plastic Surgery
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• 제33권1호
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• pp.107-112
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• 2006

If autogenous nail is lost in nail bed injuries, alternative effective nail bed protection material is questionable in postoperative follow up period. The conventional modality with autogenous nail coverage have several disadvantages such as drawback of maintenance, higher chance of loss and complex dressing step (eg. ointment apply for humidification and nail fixation using tape or bandage). So, we have studied the usefulness of adhesive silicone gel sheet for alternative nail bed protection material until the end of nail regeneration. From March 2003 to July 2004, we have experienced 215 traumatic nail bed injuries except fingertip loss. Among these patient, we classified two groups, 30 cases with autogenous nail protection(Group I) and 30 cases with adhesive silicone gel sheet protection(Group II). Mean full nail growth time was 3.6 months in group I and 3.8 months in group II. Mean final nail appearance score(0: poor, 4: excellent) was 3.0 in group I and 3.5 in group II. Adhesive silicone gel sheet protection(Group II) was slightly superior to the autogenous nail protection in final appearance, especially sterile matrix laceration. In conclusion, we believe that adhesive silicone gel sheet application is a simple, acceptable, alternative method for protecting nail bed with loss of autogenous nail. It has a number of advantages compared with autogenous nail such as better humidification, controllable hygiene, less pain, less hospitalization, less frequent visit, less chance of loss, avoiding complex dressing step and more even pressure with adhesiveness, flexibility and durability.

• Restorative Dentistry and Endodontics
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• 제24권4호
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• pp.546-553
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• 1999

In Older to evaluate the effectiveness of 'One-bottle dentin adhesive system', the shear bond strengths of two fourth generation dentin adhesive systems and two One-bottle systems to the occlusal dentin of the freshly extracted third molars were measured by the regulation of the ISO TR 11405. The fourth generation dentin adhesive systems used in this study were Scotchbond Multi-Purpose Plus and All-Bond 2, and the One-bottle systems were Single Bond and One-Step. The effects of the thickness of hybrid layer and adhesive layer, the diameter of resin tag and the ratio between the diameter of resin tag and that of dentinal tubule were analyzed as the contributing factors of the shear bond strength of dentin bonding systems from the Scanning Electron Microscopic images. The results were as follows: 1. The shear bond strengths of Scotchbond Multi-Purpose, All-Bond 2, and Single Bond were 16.98${\pm}$3.40 MPa, 15.10${\pm}$2.77 MPa and 15.05${\pm}$3.18 MPa, respectively. There were no statistical differences(p>0.05). 2. But, the shear bond strength of One-Step were significantly lower than those of the other groups (11.81${\pm}$1.95 MPa, p<0.05). 3. The thicknesses of hybrid layer and adhesive layer of One-Step were significantly thinner than those of the other groups(p<0.05). The differences of the diameter of resin tag(p=0.0685) and the ratio between the diameter of resin tag and that of dentinal tubule(p=0.2401) were not significant among all the material groups. 4. The thickness of hybrid layer and adhesive layer might be considered as contributing factors of the she at bond strengths of dentin bonding systems, but the diameter of resin tag and the ratio between the diameter of resin tag and that of dentinal tubule might not.

• Restorative Dentistry and Endodontics
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• 제24권2호
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• pp.381-391
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• 1999

A new 5th generation adhesive system(ONE-STEP) has been supplied which operators can apply to conditioned tooth surfaces by one simplified step. The purpose of this study was to determine whether different methods of adhesive application and various air drying duration after applying adhesive affect the shear bond strength of composite resin to dentin, and to evaluate the adhesive pattern of composite resin and dentin under SEM. Seventy-seven extracted human molar teeth were cleaned and mounted in palstic test tubes. The occlusal dentin surfaces were exposed with Diamond Wheel Saw and smoothed with Lapping and Polishing Machine (South Bay Technology Co., U.S.A.). Teeth were randomly divided into 7 groups (n=11), In experimental A group, adhesive was applied to dentin with agitation for 20 sec. In experimental N-A group, adhesive were continuously applied to dentin for 20 sec. Also control and experimental 1, 2, 3, 4 groups were dried for 10, 0, 5, 20, 30 seconds after applying adhesive, respectively, Adhesives were light cured for 10 sec. A gelatin capsule 5mm in diameter was filled with Aelitefil$^{TM}$ composite resin, placed on the treated dentin surface and light cured for 40 see, from three sides, All specimens were stored in distilled water at room temperature for 24 hours. The shear bond strengths were measured using a universal testing machine(AGS-1000 4D, Japan) at a crosshead speed of 5mm/min. An one-way ANOVA and LSD test were used for statistical analysis of the data. For SEM evaluation, seven specimens were made and sectioned. Representive postfracture and seven specimens were mounted on brass stubs, sputter-coated with gold and observed under SEM. The results were as follows : 1. The shear bond strength of experimental A group which adhesive were applied to dentin with agitation was higher than that of experimental N-A group (continuous application), and there was significant difference between two groups (p<0.01). 2. The interface between composite and dentin according to different application methods showed close adaptation in experimental A group and showed tinny gap in experimental N-A group. 3. The shear bond strength accoding to various air drying duration was the lowest value(7.57${\pm}$2.60 MPa) in experimental 1 group, so there was significant difference between experimental 1 group and other four groups (p<0.05). But there was no significant difference of shear bond strength between four groups (p>0.05). 4. The interface between composite and dentin according to various air drying duration showed close adaptation in control group and tinny gap in experimental 3 and 4 groups. But experimental 1 and 2 groups showed $30{\mu}$ and 6 - $10{\mu}m$ thick gaps, respectively.

• Restorative Dentistry and Endodontics
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• 제36권1호
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• pp.50-58
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• 2011

연구목적: 이 연구는 2종의 전부식 접착제와 4종의 자가부식 접착제를 이용하여 유동성 레진을 법랑질에 접착할 경우, 접착제에 따른 미세전단 결합강도와 파절양상을 비교하기 위하여 시행하였다. 연구 재료 및 방법: 발거된 60개의 대구치 치관의 법랑질을 이용하였고, 사용된 접착시스템의 종류에 따라 6개의 군; OS 군(One-Step), SB 군(Single Bond), SE 군(Clearfil SE Bond), TY 군(Tyrian SPE와 One-Step Plus), AP 군(Adper prompt L-Pop), GB 군(G-Bond)으로 분류하였다. 각 군의 법랑질 표면에 배정된 접착시스템을 적용한 후, Tygon tube를 이용하여 법랑질 표면에 유동성 레진(Filtek Z 350 flowable resin)을 접착하였다. 각 군의 미세전단 결합강도를 측정한 후 주사전자현미경하에서 파절양상을 비교하였다. 결과: 1. SB 군의 결합강도는 다른 모든 군보다 통계학적으로 높게 나타났고, GB 군의 결합강도는 다른 모든 군의 결합강도 보다 통계학적으로 낮게 나타났다(p < 0.05). 2. OS 군과 SE 군 및 AP 군의 결합강도는 SB 군보다 낮게 나타났지만, TY 군과 GB 군보다 통계학적으로 높게 나타났다(p < 0.05). 3. TY 군의 결합강도는 GB 군보다 통계학적으로 높게 나타났다(p < 0.05). 4. 접착성 파절은 TY 군과 GB 군에서 가장 많이 나타났고, 혼합파절은 SB 군과 SE 군에서 가장 많이 나타났으며, 응집성 파절은 OS 군, SB 군, SE 군 및 AP 군에서 각각 1개씩 나타났다. 결론: 접착 단계가 같은 접착시스템이라 해도 법랑질에 대한 유동성 레진의 미세전단 결합강도는 서로 다르게 나타났다.

• Restorative Dentistry and Endodontics
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• 제40권1호
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• pp.68-74
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• 2015

Objectives: This study examined the effects of additional acid etching on the dentin bond strength of one-step self-etch adhesives with different compositions and pH. The effect of ethanol wetting on etched dentin bond strength of self-etch adhesives was also evaluated. Materials and Methods: Forty-two human permanent molars were classified into 21 groups according to the adhesive types (Clearfil SE Bond [SE, control]; G-aenial Bond [GB]; Xeno V [XV]; Beauti Bond [BB]; Adper Easy Bond [AE]; Single Bond Universal [SU]; All Bond Universal [AU]), and the dentin conditioning methods. Composite resins were placed on the dentin surfaces, and the teeth were sectioned. The microtensile bond strength was measured, and the failure mode of the fractured specimens was examined. The data were analyzed statistically using two-way ANOVA and Duncan's post hoc test. Results: In GB, XV and SE ($pH{\leq}2$), the bond strength was decreased significantly when the dentin was etched (p < 0.05). In BB, AE and SU (pH 2.4 - 2.7), additional etching did not affect the bond strength (p > 0.05). In AU (pH = 3.2), additional etching increased the bond strength significantly (p < 0.05). When adhesives were applied to the acid etched dentin with ethanol-wet bonding, the bond strength was significantly higher than that of the no ethanol-wet bonding groups, and the incidence of cohesive failure was increased. Conclusions: The effect of additional acid etching on the dentin bond strength was influenced by the pH of one-step self-etch adhesives. Ethanol wetting on etched dentin could create a stronger bonding performance of one-step self-etch adhesives for acid etched dentin.

• The Journal of Advanced Prosthodontics
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• 제8권4호
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• pp.251-258
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• 2016

PURPOSE. This study was undertaken to investigate whether use of an adhesive penetration enhancer, dimethyl sulfoxide (DMSO), improves bond stability of fiber posts to root dentin using two two-step etch-and-rinse resin cements. MATERIALS AND METHODS. Forty human maxillary central incisor roots were randomly divided into 4 groups after endodontic treatment and post space preparation, based on the fiber post/cement used with and without DMSO pretreatment. Acid-etched root dentin was treated with 5% DMSO aqueous solution for 60 seconds or with distilled water (control) prior to the application of Excite DSC/Variolink II or One-Step Plus/Duolink for post cementation. After micro-slicing the bonded root dentin, push-out bond strength (P-OBS) test was performed immediately or after 1-year of water storage in each group. Data were analyzed using three-way ANOVA and Student's t-test (${\alpha}$=.05). RESULTS. A significant effect of time, DMSO treatment, and treatment${\times}$time interaction were observed (P<.001). DMSO did not affect immediate bonding of the two cements. Aging significantly reduced P-OBS in control groups (P<.001), while in DMSO-treated groups, no difference in P-OBS was observed after aging (P>.05). CONCLUSION. DMSO-wet bonding might be a beneficial method in preserving the stability of resin-dentin bond strength over time when fiber post is cemented with the tested etch-and-rinse adhesive cements.

• 구강회복응용과학지
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• 제23권4호
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• pp.283-292
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• 2007

Two-step or one-step bonding systems generally inhibit curing process of dual-cured core build-up resin composite for their adhesive acidity. In addition this dual-cured core build-up resin composite can be applied to dentin of pulp chamber and root at the time that complete the endodontic treatment. The purpose of this investigation was to determine the influence of sodium hypochlorite on rnicrotensile bond strength of dual-cured core build-up resin composite. Extracted human molars were horizontally sectioned with 1mm thickness using low speed diamond saw. After the sectioned specimens were divided into 8 groups, adhesive systems (Clearfil SE-Bond, Prime&Bond NT[2-step, 1-step], Adper Prompt L-Pop) were then applied with or without sodium hypochlorite pretreatment. The treated specimen was filled with dual-cured core build-up resin composite (Luxacore, DMG corp., German). Then light cured for 40 seconds and soaked in $37^{\circ}C$ water bath for 24 hours. After the treated specimen was grinded with 1mm width and measured rnicrotensile bond strength by testing machine. Additionally 8 teeth were prepared for SEM evaluation. The results were as follows. : NaOCl treated groups generally had lower rnicrotensile bond strength but did not show any difference statistically except Adper Prompt L-Pop. When the teeth were treated by NaOCl, though the difference of applied adhesive system, it had no statistically significant difference within the NaOCl treated groups except the relation of between ClearFil SE-Bond adhesive system and Adper Prompt L-Pop adhesive system. In the SEM evaluation, NaOCl treated groups presented relatively long resin tags and incomplete hybrid layer formation generally.

• 구강회복응용과학지
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• 제27권2호
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• pp.161-174
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• 2011

본 연구에서는 과수분 상태에서 두단계 산부식 접착제를 적용할 때 부가적으로 에탄올을 첨가하였고 이러한 에탄올의 첨가가 접착제의 효율에 미치는 영향을 평가하고자 하였다. 접착제의 효율을 평가하기 위해 잔존 휘발성분의 양을 측정하고 접착제의 상변화를 관찰하였으며 전환율과 미세인장 결합강도를 측정하였다. 접착제 10 ${\mu}l$만을 사용한 1군, 증류수 3 ${\mu}l$에 접착제 10 ${\mu}l$를 적용한 2군, 그리고 여기에 부가적으로 100% 에탄올을 1 ${\mu}l$에서 6 ${\mu}l$까지 1 ${\mu}l$씩 단계적으로 추가한 6개의 실험군을 포함하여 총 8개의 실험군으로 분류하였다. 슬라이드 글라스 위에서 10초, 30초, 60초 동안 공기건조하고 잔존 휘발성분의 양을 측정하였다. 또한 각 실험군의 실험조건에 따라 미세인장 결합강도와 전환율을 측정하였다. 모든 실험값은 one-way ANOVA와 Tukey HSD test를 사용해 95% 유의수준에서 통계적으로 분석하였다. 이 연구에서 다음과 같은 결과를 얻었다. 잔존 휘발성분의 양에 있어서 1군을 제외한 다른 모든 실험군들에서 공기건조 시간이 증가할수록 양이 감소하였고, 2군, 3군, 4군 보다 5군, 6군, 7군이 더 낮았다 (p < 0.05). 5군, 6군에서 공기건조 시간이 증가함에 따라 전환율이 증가하였다 (p < 0.05). 5군, 6군, 7군에서 공기건조 시간이 증가함에 따라 미세인장 결합강도가 증가하였다 (p < 0.05). 광학현미경 관찰에서 5군, 6군, 7군, 8군에서 공기건조 시간이 증가할수록 상분리가 소실되는 상이 관찰되었다. 이에 과수분 상태에서 두단계 산부식 접착제에 부가적으로 에탄올을 첨가하는 것은 수분을 제거하고 접착효율을 높이는데 효과적인 것으로 사료된다.