• The Journal of Advanced Prosthodontics
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• 제10권3호
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• pp.177-183
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• 2018

PURPOSE. The purpose of the current study was to evaluate the effect of incorporating nanoparticles of silver (NAg) and amorphous calcium phosphate (NACP) into a self-etching primer of a resin cement on the microtensile bond strength of dentin, regarding the proven antibacterial feature of NAg and remineralizing effect of NACP. MATERIALS AND METHODS. Flat, mid-coronal dentin from 20 intact extracted human third molars were prepared for cementation using Panavia F2.0 cement. The teeth were randomly divided into the four test groups (n=5) according to the experimental cement primer composition: cement primer without change (control group), primer with 1% (wt) of NACP, primer with 1% (wt) of physical mixture of NACP+Nag, and primer with 1% (wt) of chemical mixture of NACP+Nag. The resin cement was used according to the manufacturer's instructions. After storage in distilled water at $37^{\circ}C$ for 24 h, the bonded samples were sectioned longitudinally to produce $1.0{\times}1.0mm$ beams for micro-tensile bond strength testing in a universal testing machine. Failure modes at the dentin-resin interface were observed using a stereomicroscope. The data were analyzed by one-way ANOVA and Tukey's post-hoc tests and the level of significance was set at 0.05. RESULTS. The lowest mean microtensile bond strength was obtained for the NACP group. Tukey's test showed that the bond strength of the control group was significantly higher than those of the other experimental groups, except for group 4 (chemical mixture of NACP and NAg; P=.67). CONCLUSION. Novel chemical incorporation of NAg-NACP into the self-etching primer of resin cement does not compromise the dentin bond strength.

• Restorative Dentistry and Endodontics
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• 제20권1호
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• pp.129-141
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• 1995

Composite resin and glass-ionomer cement can be used for the purpose of repair of defective amalgam restoration. The purpose of this study was to evaluate of shear bond strength of esthetic restorative materials to dental amalgam. The materials used in this study were Photo Clearfil Bright(light curing composite resin), Clearfil F II(chemical curing composite resin), Fuji II LC(light curing glass-ionomer cement), Fuji II (chemical curing glass-ionomer cement), All-Bond 2(intermediary), and Scotchbond Multi-Purpose (intermediary). A total of 120 acrylic cylinders with amalgam were divided into 8 groups After amalgam condensation, all specimens were stored for 48 hours in water at $37^{\circ}C$ and tested with Instron universal testing machine between amalgam and composite resins and glass-ionomer cements. The data were analyzes statiscally by ANOVA and Duncan test. The following results obtained ; 1. The shear bond strength of bonded composite resin to amalgam was higher than bonded glass-ionomer cement(P<.001). 2. The group 4 had highest shear bond strength with 15.45kgf/$cm^2$ and the group 5 had lowest shear bond strenght with 3.26kgf/$cm^2$(P<.001). 3. In the group 3, 4, 5, 6, the group 3, 4 with All-Bond 2 had higher shear bond strength than the group 5, 6 with Scotch bond MP both in light-curing and in chemical curing. 4. Both in composite resin and glass-ionomer cement, chemical curing materials had higher shear bond stength than light curing materials(P<.001).

• 대한소아치과학회지
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• 제23권2호
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• pp.357-364
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• 1996

소아치과 임상에서 자주 사용되는 3 종의 광중합형 GIC의 아말감에 대한 접착능을 평가 할 목적으로 60 개의 아말감 부착시편을 이용하여 중간결합제인 Scotchbond 의 사용여부에 따른 경화된 아말감에 대한 광중합 GIC의 전단결합강도를 측정하고 경계부의 파절양상을 관찰한 결과, 다음과 같은 결론을 얻었다. 1. 아말감에 대한 광중합형 GIC의 전단강도는 Fuji II LC, Vitremer, Vitrebond의 순으로 높게 나타났다 (p<0.05). 2. 중간결합제인 Scotchbond를 사용하지 않은 경우에서 Scotchbond 를 사용한 경우에 비해 전단결합강도가 높게 나타났다(p<0.05). 3. 결합파절면은 Scotchbond를 사용한 경우의 대부분에서 Scotchbond와 아말감의 경계부에서 시편의 탈락이 나타났다. 아말감과 광중합 GIC의 결합을 시도할 경우에는 Scotchbond는 사용하지 않는 것이 바람직할 것으로 사료되었다.

• The Journal of Advanced Prosthodontics
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• 제7권6호
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• pp.446-453
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• 2015

PURPOSE. To compare the push-out bond strength of feldspar and zirconia-based ceramic inlays bonded to dentin with different resin cements following simulated aging. MATERIALS AND METHODS. Occlusal cavities in 80 extracted molars were restored in 2 groups (n=40) with CAD/CAM feldspar (Vitablocs Trilux forte) (FP) and zirconia-based (Ceramill Zi) (ZR) ceramic inlays. The fabricated inlays were luted in 2 subgroups (n=20) with either etch-and-bond (RelyX Ultimate Clicker) (EB) or self-adhesive (RelyX Unicem Aplicap) (SA) resin cement. Ten inlays in each subgroup were subjected to 3,500 thermal cycles and 24,000 loading cycles, while the other 10 served as control. Horizontal 3 mm thick specimens were cut out of the restored teeth for push out bond strength testing. Bond strength data were statistically analyzed using 1-way ANOVA and Tukey's comparisons at ${\alpha}=.05$. The mode of ceramic-cement-dentin bond failure for each specimen was also assessed. RESULTS. No statistically significant differences were noticed between FP and ZR bond strength to dentin in all subgroups (ANOVA, P=.05113). No differences were noticed between EB and SA (Tukey's, P>.05) bonded to either type of ceramics. Both adhesive and mixed modes of bond failure were dominant for non-aged inlays. Simulated aging had no significant effect on bond strength values (Tukey's, P>.05) of all ceramic-cement combinations although the adhesive mode of bond failure became more common (60-80%) in aged inlays. CONCLUSION. The suggested cement-ceramic combinations offer comparable bonding performance to dentin substrate either before or after simulated aging that seems to have no adverse effect on the achieved bond.

• 대한소아치과학회지
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• 제46권4호
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• pp.392-399
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• 2019

이 연구의 목적은 tricalcium silicate cement 중 하나인 TheraCal LC의 광중합 시간과 거리에 따른 중합도를 평가하는 것이었다. 금속주형을 이용해 시편을 제작하여 Vickers hardness number (VHN)를 측정하였으며, 중합시간과 조사시간에 따른 시편의 미세경도 값을 비교 분석하였다. 그 결과, 모든 군에서 상면의 VHN이 하면의 VHN보다 유의성 있게 컸다(p < 0.05). 하면의 VHN은 모든 중합거리에서 중합시간이 증가함에 따라 유의하게 증가하였고(p < 0.05), 중합시간이 일정하고 중합거리가 4.0 mm 이상이 되었을 때 유의하게 감소하였다(p < 0.05). 또한 시편을 20초간 중합한 경우 하면의 VHN은 2를 넘지 못했으며 이는 상면의 10%에 해당하였다. 이 연구 결과에 의하면, 모든 중합거리에서 TheraCal LC 시편의 하면까지 중합하기에 20초의 광중합 시간은 충분하지 않았으며, 중합도를 높이기 위해서 중합시간의 증가와 도포 두께의 감소를 고려해볼 필요가 있다.

• Restorative Dentistry and Endodontics
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• 제43권4호
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• pp.36.1-36.12
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• 2018

Objectives: Direct pulp capping is a treatment for mechanically exposed pulp in which a biocompatible capping material is used to preserve pulpal vitality. Biocompatibility tests in animal studies have used a variety of experimental protocols, particularly with regard to the exposure site. In this study, pulp exposure on the occlusal and mesial surfaces of molar teeth was investigated in a rat model. Materials and Methods: A total of 58 maxillary first molars of Wistar rats were used. Forty molars were mechanically exposed and randomly assigned according to 3 factors: 1) the exposure site (occlusal or mesial), 2) the pulp-capping material (ProRoot White MTA or Bio-MA), and 3) 2 follow-up periods (1 day or 7 days) (n = 5 each). The pulp of 6 intact molars served as negative controls. The pulp of 12 molars was exposed without a capping material (n = 3 per exposure site for each period) and served as positive controls. Inflammatory cell infiltration and reparative dentin formation were histologically evaluated at 1 and 7 days using grading scores. Results: At 1 day, localized mild inflammation was detected in most teeth in all experimental groups. At 7 days, continuous/discontinuous calcified bridges were formed at exposure sites with no or few inflammatory cells. No significant differences in pulpal response according to the exposure site or calcium-silicate cement were observed. Conclusions: The location of the exposure site had no effect on rat pulpal healing. However, mesial exposures could be performed easily, with more consistent results. The pulpal responses were not significantly different between the 2 capping materials.

• The Journal of Advanced Prosthodontics
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• 제15권1호
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• pp.44-54
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• 2023

PURPOSE. To assess the clinical performance of monolithic CAD-CAM lithium disilicate glass-ceramic (LDGC) crowns and metal-ceramic (MC) crowns provided by predoctoral students. This study also assessed the effects of patient and provider-related factors on their clinical performance as well as patient preference for these types of crowns. MATERIALS AND METHODS. Twenty-five patients who received 50 crowns (25 LDGC CAD-CAM and 25 MC) provided by predoctoral students were retrospectively examined. LDGC CAD-CAM crowns were milled in-house using the CEREC Bluecam system and cemented with either RelyX Unicem or Calibra Esthetic resin cements. MC crowns were cemented with RelyX Unicem cement. Clinical assessment of the crowns and the supporting periodontal structures were performed following the modified California Dental Association (CDA) criteria. Patients' preference was recorded using a visual analog scale (VAS). The results were statistically analyzed using log-rank test, Pearson Chi-squared test and Kaplan-Meier survival analysis. RESULTS. Twelve complications were observed in the MC crown group (9-esthetic, 2-technical and 1-biological). In comparison, 2 complications in the LDGC CAD-CAM crown group were observed (1-technical and 1-esthetic). The 6-year cumulative survival rates for MC crowns and LDGC CAD-CAM were 90.8% and 96%, respectively, whereas the success rates were 83.4% and 96%, respectively. Overall, patients preferred the esthetic outcomes of LDGC CAD-CAM crowns over MC crowns. CONCLUSION. The high survival and success rates, low number of complications, and the high level of patients' acceptance of monolithic LDGC CAD-CAM crowns lend them well as predictable and viable alternatives to the "gold standard" MC crowns.

• The Journal of Advanced Prosthodontics
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• 제15권3호
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• pp.136-144
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• 2023

PURPOSE. The study objective was to evaluate the influence of the type of resin cement on the flexural strength and load to fracture of two chairside CADCAM materials after aging. MATERIALS AND METHODS. A polymer-infiltrated ceramic network (PICN) and a nanoceramic resin (RNC) were used to produce the specimens. Two types of dual-cure resin cements, a self-adhesive and a universal, were investigated. Bilayer specimens were produced (n = 10) and aged for 6 months in a humid environment before the biaxial flexural strength test (σ_f). Bonded specimens were subjected to a mechanical aging protocol (50 N, 2 Hz, 37℃ water, 500,000 cycles) before the compressive load test (L_f). σ_f and L_f data were analyzed using two-way ANOVA and Tukey tests (α = .05). Chi-square test was used to analyze the relationship between failure mode and experimental group (α = .05). RESULTS. The type of resin cement and the interaction between factors had no effect on the σ_f and L_f of the specimens, while the type of restorative material was significant. RNC had higher σ_f and L_f than PICN. There was a significant association among the type of cracks identified for specimens tested in L_f and the restorative material. CONCLUSION. The type of resin cement had no effect on the flexural strength and load to fracture of the two investigated CAD-CAM chairside materials after aging.

• 대한소아치과학회지
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• 제33권3호
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• pp.498-503
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• 2006

글라스 아이오노머 시멘트는 초기 우식 치질의 재광화 효과가 있다고 알려져 있다. 본 연구에서는 세 가지 종류의 시판되고 있는 글라스 아이오노머 시멘트(Fuji IX GP, Vitremer, F2000)를 실험군으로, 컴퍼짓트 레진(Filtek Z250)을 대조군으로 사용하여 9개월간 인접면 우식증에 대한 재광화 효과를 시편의 파괴 없이 3개월 간격으로 미세전산화 단층촬영으로 시편의 상을 얻고, 이렇게 얻은 상을 3차원으로 재구성하고 우식 부위의 미세밀도의 변화를 측정하여 재광화 정도를 평가하였다. 인접면 수복물은 인공 우식 병소가 있는 치아 시편과 수복 재료(세가지 글라스 아이오노머 및 컴퍼짓트 레진)를 접촉시켜 재현하였고, 이것을 인공 타액에 완전히 잠기도록 하여 pH 7.0, $37^{\circ}C$를 유지하였다. 치아 시편들은 실험 시작 후 90, 180, 270일 뒤에 꺼내어 미세 전산화 단층 촬영을 시행하였다. 얻어진 영상을 $Vworks^{TM}$ 4.0(CyberMed, Korea)을 사용하여 각 시편의 미세 밀도 값을 얻어낸 후, 각 군에서 얻어진 값은 SPSS 11판을 사용하여, one-way ANOVA로 분석하고, post HOC Tukey multiple comparison test로 검증을 시행하였다. 그 결과 모든 군에서 병소의 밀도가 증가하였으며, 매 3개월마다 실험군의 평균 밀도 증가량은 대조군의 평균 밀도 증가량과 비교하여 유의하게 높았다(P<0.05)또한 실험군 간의 밀도 증가는 통계적인 유의 차가 없었다. 이번 실험의 의의는 기존의 연구 방법으로 알려져 있던 글라스 아이오노머의 초기 우식병소 재광화 효과를 보다 시각적이고 객관적인 방법으로 검증했다는 점과 우식 병소의 재광화 효과의 연구에 사용될 수 있는 새로운 연구 방법을 제시한 점에 있다.

• Journal of Korean Dental Science
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• 제8권2호
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• pp.82-88
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• 2015

Purpose: To evaluate the effect of light-curing on the immediate and delayed micro-shear bond strength (${\mu}SBS$) between yttria-tetragonal zirconia polycrystal (Y-TZP) ceramics and RelyX Ultimate when using Single Bond Universal (SBU). Materials and Methods: Y-TZP ceramic specimens were ground with #600-grit SiC paper. SBU was applied and RelyX Ultimate was mixed and placed on the Y-TZP surface. The specimens were divided into three groups depending on whether light curing was done after adhesive (SBU) and resin cement application: uncured after adhesive and uncured after resin cement application (UU); uncured after adhesive, but light cured after resin cement (UC); and light cured after adhesive and light cured resin cement (CC). The three groups were further divided depending on the timing of ${\mu}SBS$ testing: immediate at 24 hours (UUI, UCI, CCI) and delayed at 4 weeks (UUD, UCD, CCD). ${\mu}SBS$ was statistically analyzed using one-way ANOVA and Student-Newman-Keuls multiple comparison test (P<0.05). The surface of the fractured Y-TZP specimens was analyzed under a scanning electron microscope (SEM). Result: At 24 hours, ${\mu}SBS$ of UUI group ($8.60{\pm}2.06MPa$) was significantly lower than UCI group ($25.71{\pm}4.48MPa$) and CCI group ($29.54{\pm}3.62MPa$) (P<0.05). There was not any significant difference between UCI and CCI group (P>0.05). At 4 weeks, ${\mu}SBS$ of UUD group ($24.43{\pm}2.88MPa$) had significantly increased over time compared to UUI group (P<0.05). The SEM results showed mixed failure in UCI and CCI group, while UUI group showed adhesive failure. Conclusion: Light-curing of universal adhesive before or after application of RelyX Ultimate resin cement significantly improved the immediate ${\mu}SBS$ of resin cement to air-abrasion treated Y-TZP surface. After 4 weeks, the delayed ${\mu}SBS$ of the non-light curing group significantly improved to the level of light-cured groups.