Self-etching primer를 사용하여 교정용 브라켓 접착 시 접착제와 타액오염에 따른 전단결합강도 변화

Change in shear bond strength of orthodontic brackets using self-etching primer according to adhesive types and saliva contamination

  • 남은혜 (인하대학교 의과대학 치과학교실) ;
  • 윤영아 (인하대학교 의과대학 치과학교실) ;
  • 김일규 (인하대학교 의과대학 치과학교실)
  • Nam, Eun-Hye (Department of Dentistry, College of Medicine, In-Ha University) ;
  • Yoon, Young-Ah (Department of Dentistry, College of Medicine, In-Ha University) ;
  • Kim, Il-Kyu (Department of Dentistry, College of Medicine, In-Ha University)
  • 발행 : 2005.12.31

초록

본 연구의 목적은 브라켓 접착 시 산부식과 전처리 과정을 결합하여 접착 단계를 단순화시킨 self-etching primer (SEP)를 차용하는 경우 접착제 종류와 타액의 존재 유무에 따른 전단결합강도의 차이에 관하여 비교 연구 하는 것이다. 소의 하악 영구 전치를 포매하여 만든 시편을 접착제의 종류에 따라 레진 접착제와 레진 강화형 글래스 아이오노머 접착제를 이용한 군으로 나누었고 각각 37% 인산으로 산부식 후 기존의 본딩용 프라이머를 사용하여 접착한 군과, SEP를 사용하여 접착한 군으로 분류하고, 타액 오염 유무에 따라 다시 각 군을 분류하여 전단결합 강도를 측정하였다. 그 결과 레진 접착제로 브라켓을 부착한 경우 SEP를 사용하여 접착한 군의 전단결합강도는 인산 처리군에 비해 낮은데 비해 레진 강화형 글래스 아이오노머를 사용한 경우, 전처리법에 따른 전단결합강도는 통계적으로 유의한 차가 없었으며, 접착제의 종류에 관계없이 타액 오염이 존재 시에는 SEP를 사용한 군이 인산처리군에 비해 높은 전단결합강도를 보였다. 이상의 결과에서 SEP를 사용 시 레진 접착제와 레진 강화형 글래스 아이오노머 접착제 모두 임상적으로 사용 가능한 전단결합강도를 보였으며, 특히 타액에 오염된 치면에서도 SEP를 사용하여 브라켓을 접착하는 것은 적절한 결합강도를 얻을 수 있으므로 임상적으로 유용할 것으로 생각된다.

The purpose of this study was to evaluate and compare the shear bond strength of orthodontic brackets depending on the variety of adhesives and whether saliva exists, by using self-etching primer (SEP). Groups were divided according to the type of adhesive into resin adhesive (Trans bond XT) and resin-modified glass ionomer cement (Fuji Ortho LC). One group of resin adhesive used XT primer after etching with 37% phosphoric acid, and the other group used self-etching primer. One group of resin-modified glass ionomer cement only used etching for bonding, and the other group used SEP. Each of the groups were also classified by whether saliva was contaminated or not. and then the shear bond strength was measured. The results showed that when using resin adhesive, the shear bond strength of SEP was lower than the XT primer. In the resin-modified glass ionomer cement groups, the shear bond strength which depends on the priming method, did not have a meaningful difference statistically When saliva was contaminated, the group which used SEP, regardless of the adhesive variety, had a greater shear bond strength than the normal priming group. From these results, SEP showed a shear bond strength that is possible to be used clinically, regardless of the adhesive variety. It can especially be clinically useful to use SEP to bond brackets even on tooth surfaces contaminated with saliva, because it offers the appropriate bonding strength as well as shorter treatment time and easy application.

키워드

참고문헌

  1. Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surface. J Dent Res 1955;34:849-53 https://doi.org/10.1177/00220345550340060801
  2. Newman GV. Epoxy adhesives for orthodontic attachments: progressive report. Am J Orthod 1965;51 :901-12 https://doi.org/10.1016/0002-9416(65)90203-4
  3. Proffit WR. Contemporary orthodontics. St Louis: Mosby: 2000. p. 397-402
  4. Tavas MA, Salem NS. Glass ionomers for direct bonding: an in vitro assessment. Br J Orthod 1990;17:223-8 https://doi.org/10.1179/bjo.17.3.223
  5. Itoh T, Fukushima T, Inoue Y, Arita S, Miyazaki K. Effect of water, saliva and blood contamination on bonding of metal brackets with a 4-META/MMA/TBB resin to etched enamel. Am J Dent 1999;12: 299-304
  6. Xie J, Power JM, McGuckin RS. In vitro bond strength of two adhesives to enamel and dentin under normal and contaminated conditions. Dent Mater 1993;9:295-9 https://doi.org/10.1016/0109-5641(93)90046-S
  7. Benderli Y, Gokce K, Buyukgokcesu S. In vitro shear bond strength of adhesive to normal and fluoridated enamel under various contaminated condition. Quintessence Int 1999;30:570-5
  8. Chigara H, Koike T, Hasegawa T, ltho K, Wakumoto S, Hyakawa T. Effect of the self-etching dentin primers on the bonding efficacy of a dentin adhesive. Dent Mater J 1989;8:86-92 https://doi.org/10.4012/dmj.8.86
  9. Asgari S, Salas A, English J, Powers J. Clinical evaluation of bond failure rates with a new self-etching primer. J Clin Orthod 2002;35: 687-90
  10. Bishara S, Oonsombat C, Ajlouni R, Laffoon J. Comparison of the shear bond strength of 2 self-etching primer/adhesive systems. Am J Orthod Dentofacial Orthop 2004; 125:348-50 https://doi.org/10.1016/j.ajodo.2003.04.010
  11. Kent BE, Lewis BG, Wilson AD. The properties of a glass ionomer cement. Br Dent J 1973;135:322-6 https://doi.org/10.1038/sj.bdj.4803083
  12. Cook PA, Youngson CC. An in vitro study of the bond strength of glass ionomer cement in the direct bonding of orthodontic brackets. Br J Orthod 1988;15:247-53 https://doi.org/10.1179/bjo.15.4.247
  13. Chadwick SM, Gordon PHH. An investigation into the fluoride release of a variety of orthodontic bonding agent. Br J Orthod 1995;22:29-33 https://doi.org/10.1179/bjo.22.1.29
  14. Larmour CJ, Stirrups DR. An ex vivo assessment of a resin-modified glass ionomer cement in relation to bonding technique. J Orthod 2001; 28:207-10 https://doi.org/10.1093/ortho/28.3.207
  15. Cacciafesta V, Jost-Brinkmann PG, Subenberger U, Miethke RR. Effects of saliva and water contamination on the enamel shear bond strength of a light glass ionomer cement. Am J Orthod Dentofacial Orthop 1998;113:402-7
  16. Oesterle LJ, Shellhart WC, Belanger GK. The use of bovine enamel in bonding studies. Am J Orthod Dentofacial Orthop 1998;113:514-9
  17. Nakamich I, Iwaku M, Fusayama T. Bovine teeth as possible substitutes in the adhesion test. J Dent Res 1983;62:1076-81 https://doi.org/10.1177/00220345830620101501
  18. Smith HZ, Casko JS, Leinfelder KF, Utley JD. Comparison of orthodontic bracket bond strength; human vs bovine enamel. J Dent Res 1976;55:153-367 https://doi.org/10.1177/002203457605500309011
  19. Alexendre P, Young J, Sandrik JL, Bowman D. Bond strength of three orthodontic adhesives. Am J Orthod 1981;79:653-60 https://doi.org/10.1016/0002-9416(81)90357-2
  20. 임병철, 황현식. 브라켓 간접부착술식시 레진 베이스의 표면 처리가 전단 결합강도에 미치는 영향. 대치교정지 1998;28:1-15
  21. 서미영, 황현식. 간접부착술식시 치면과 레진 베이스의 간격 및 접착제에 따른 결합강도. 대치교정지 2001;31:459-65
  22. Webster MJ, Nanda RS, Duncanson MG, Khajotia SS, Sinha PK. The effect of saliva on shear bond strengths of hydrophilic bonding system. Am J Orthod Dentofacial Orthop 2001;119:54-8 https://doi.org/10.1067/mod.2001.109888
  23. Cacciafesta V, Sfondrini MF, Baluga L, Scribante A, Klersy C. Use of a self-etching primer in combination with a resin-modified glass ionorrer: Effect of water and saliva contamination on shear bond strength. Am J Orthod Dentofacial Orthop 2003;124:420-6 https://doi.org/10.1016/S0889-5406(03)00572-9
  24. Leung RL, Fan PL, Johnson WM. A mathematical model for postirradiation hardening of photoactived composite resins. Dent Mater 1985;1:191-4 https://doi.org/10.1016/S0109-5641(85)80017-8
  25. Wang MN, Meng CL. A study of bond strength between light-and self-cured orthodontic resin. Am J Orthod Dentofacial Orthop 1992; 101:350-4 https://doi.org/10.1016/S0889-5406(05)80328-2
  26. Fox NA, McCabe JF, Buckley JG. A critique of bond strength testing in orthodontics. Br J Orthod 1994;21:33-43 https://doi.org/10.1179/bjo.21.1.33
  27. Zachrisson BJ, A posttreatment evaluation of direct bonding in orthodontics. Am J Orthod 1977;71:173-89 https://doi.org/10.1016/S0002-9416(77)90394-3
  28. Grandhi RK, Combe EC, Speidel TM. Shear bond strength of stainless steel orthodontic brackets with a moisture-insensitive primer. Am J Orthod Dentofacial Orthop 2001:119:251-5 https://doi.org/10.1067/mod.2001.110988
  29. Rajagopal R, Padmanabhan S, Gnanamani J, A comparison of shear bond strength and debonding characteristics of conventional, moisture -insensitive, and self-etching primers in vitro. Angle Orthod 2004;74: 264-8
  30. Barkmeier WW, Los SA, Triolo PT Jr. Bond strengths and SEM evaluation of Clearfil Liner Bond 2. Am J Dent 1995;8:289-93
  31. Miyazaki M, Hirohata N, Takagaki K, Onose H, Moore BK. Influence of self-etching primer drying time on enamel bond strength of resin composites. J Dent 1999;27:203-7 https://doi.org/10.1016/S0300-5712(98)00044-X
  32. Bishara SE, VonWald L, Laffoon JF, Warren JJ. Effect of a self-etch primer/adhesive on the shear bond strength of orthodontic brackets. Am J Orthod Dentofacial Orthop 2001:119:621-4 https://doi.org/10.1067/mod.2001.113269
  33. Velo S, Carano A. Self-etching vs. traditional bonding systems in orthodontics: an in vitro study. Orthod Craniofacial Res 2002;81:66-9
  34. Arnold RW, Combe EC, Warford JH. Bonding of stainless steel brackets to enamel with a new self-etching primer. Am J Orthod Dento facial Orthop 2002;122:274-6 https://doi.org/10.1067/mod.2002.125712
  35. 안윤표, 김효영, 전영미, 김정기. Self-etching primer를 이용하여 접착된 교정용 브라켓의 전단결합강도. 대치교정지 2003;33:51-61
  36. 김유신, 이형순, 이현정, 전영미, 김정기. Self-etching primer/adhesive를 사용한 교정용 브라켓 접착시 오염이 전단결합강도에 미치는 영향. 대치교정지 2004;34:4,39-47
  37. Reynolds IR, von Fraunhofer JA. A review of direct orthodontic bonding. Br J Orthod 1975:2:171-8 https://doi.org/10.1080/0301228X.1975.11743666
  38. Keizer S, ten Cate JM, Arends J. Direct bonding of orthodontic brackets. Am J Orthod 1976:69:318-27 https://doi.org/10.1016/0002-9416(76)90079-8
  39. McCarthy MF, Hondrum SO. Mechanical and bond strength properties of light-cured and chemically cured glass ionomer cements. Am J Orthod Dentofacial Orthop 1994:105:135-41 https://doi.org/10.1016/S0889-5406(94)70109-1
  40. 고영무, 김경남, 김광남, 김교한, 김형일, 박영준 등. 치과 재료학. 3판 서울: 군자 출판사; 2001. p. 244-7
  41. Yamada R, Hayakawa T, Kasai K. Effect of using self-etching primer for bonding orthodontic brackets. Angle Orthod 2002;72:558-64
  42. Toledano M, Osorio R, de Leonardi G, Rosales-Leal JI, Ceballos L, Cabrerizo- Vilchez MA. Influence of self-etching primer on the resin adhesion to enamel and dentin. Am J Dent 2001; 14:205-10
  43. Sonis AL. Effect of a new bonding agent on bond strength to saliva-contaminated enamel. J Clin Orthod 1994:28:93-4