Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
권호 표지
DOI QR코드

DOI QR Code

A SURVEY ON THE USE OF COMPOSITE RESIN IN CLASS II RESTORATION IN KOREA

2급 와동 수복 시 한국 치과 지사들의 복합레진 사용 실태 연구

  • Shin, Dong-Ho (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Park, Se-Eun (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Yang, In-Seok (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Chang, Ju-Hea (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Lee, In-Bog (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Cho, Byeong-Hoon (Department of Conservative Dentistry, School of Dentistry, Seoul National University) ;
  • Son, Ho-Hyun (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
  • 신동호 (서울대학교 치의학대학원 치과보존학교실) ;
  • 박세은 (서울대학교 치의학대학원 치과보존학교실) ;
  • 양인석 (서울대학교 치의학대학원 치과보존학교실) ;
  • 장주혜 (서울대학교 치의학대학원 치과보존학교실) ;
  • 이인복 (서울대학교 치의학대학원 치과보존학교실) ;
  • 조병훈 (서울대학교 치의학대학원 치과보존학교실) ;
  • 손호현 (서울대학교 치의학대학원 치과보존학교실)
  • Published : 2009.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to assess the current materials, methods and difficulties according to the year of licence and educational background of Korean dentists in Class II direct composite resin restorations. Total 17 questions were included in the questionnaire. Questions were broadly divided into two parts: first. operator's information. and second. the materials and methods used in Class II posterior composite restoration. The questionnaire was sent to dentists enrolled in Korean Dental Association via e-mail. Total 12,193 e-mails were distributed to dentists. 2,612 e-mails were opened, and 840 mails (32.2%) were received from respondents. The data was statically analyzed by chi-square test using SPSS(v. 12.0.1, SPSS Inc. Chicago, IL, USA). Male dentists among respondents was 79%. 60.3% of the respondents acquired their licences recently (1998-2007), and 77% practiced in private offices. 83.4% have acquired their knowledge through school lectures, conferences and seminars. For the Class II restorations, gold inlays were preferred by 65.7% of respondents, while direct composite resin restorations were used by 12.1 % amalgam users were only 4.4% of respondents. For the restorative technique, 74.4% of respondents didn't use rubber dam as needed. For the matrix. mylar strip (53.4%), metal matrix (33.8%) and Palodent system (6.5%) were used. 99.6% of respondents restored the Class II cavity by incremental layering. Obtaining of the tight interproximal contact was considered as the most difficult procedure (57.2%) followed by field isolation (21 %). Among various bonding systems, 22.6% of respondents preferred SE Bond and 20.2% used Single Bond. Z-250 was used most frequently among a variety of composite resins.

본 연구는 2008년 1월 현재 한국 치과의사들의 복합레진 사용 실태에 관한 설문 조사로서, 2급 와동을 수복하는 증례에서 치과의사의 면허 년도, 교육 배경 및 진료환경 등에 따라 수복재료의 선택, 복합레진의 사용여부 및 사용방법, 문제점 등을 비교하였다. 한국 치과의사들을 대상으로 2급 와동 수복에 관한 17 문항의 설문지를 제작하였다. 이 설문지는 시술자 정보, 2급 와동의 수복으로 크게 2부분으로 나누어진다. 이 설문지는 대한치과의사협회를 통해 12,193명의 치과의사들에게 E-메일로 발송되었다. 이 중 2,612개의 메일이 수신 확인되었고 840 개의 설문지가 작성되어 회신되었다 수신 확인된 메일 수에 대한 회신된 메일 수의 비율 (회신율)은 32.2%이었고, 이 자료는 SPSS 프로그램에서 카이제곱 분석을 이용하여 교차 분석하였다. 답변자의 비율은 면허년도를 기준으로 $1998{\sim}2007$년에 면허를 취득한 그룹 (한국 전체 치과의사의 33.3%, 추정년령 26-35세)이 60.3%로 1997년 이전에 면허 취득한 그룹 (한국 전체 치과의사의 66.7%, 추정 년령 36세 이상)의 39.7%보다 높은 것으로 나타났다. 또한 이들이 근무하는 병원은 개인의원 (77%)이 가장 많았고, 남자 치과의사 (79%)가 많았다. 복합레진 수복에 대한 지식은 학생 때 수업이나 학회 세미나를 통하여 (83.4%) 얻은 것으로 나타났다. 2급 와동 수복 시 재료 선호도를 살펴보면 금인레이가 65.7%를 차지하고 있고 복합레진 직접 수복은 12.1%로 낮게 나타났다. 2급 와동의 복합레진 직접 수복 시 시술 방법에 있어서는 러버댐을 사용하지 않거나 잘 사용하지 않는 그룹의 비율 (74.4%)이 더 많았고, 격벽법으로는 mylar strip (53.4%)이나 metal matrix (33.8%), Palodent system (6.5%)를 사용하였다. 충전은 적층법 (99.6%)을 사용하는 것으로 나타났으며, 시술 시 인접면 형성을 가장 어려워하였다(57.2%). 2-step 접착시스템 (76%)이 3-step 접착시스템 (16%)보다 많이 사용되고 있었다. 사용하는 레진 제품으로는 Z250 (20%)이 가장 많이 사용되고 있었다.

Keywords

References

  1. Wahl MJ. A resin alternative for posterior teeth: ques tions and answers on dental amalgam. Dent Update 30(5): 256-262 , 2003 https://doi.org/10.12968/denu.2003.30.5.256
  2. Manhart J , Garcia-Godov F , Hickel R. Direct posterior restorations: clinical results and new developments. Dent Clin North Am 46(2): 303-339, 2002 https://doi.org/10.1016/S0011-8532(01)00010-6
  3. Melchart D, Vogt S, Kohler W. Treatment of health complaints attributed to amalgam. J Dent Res 87(4):349-353, 2008 https://doi.org/10.1177/154405910808700410
  4. Burke FJT , McHugh S , Hall AC, Randall RC , Widstrom E, Forss H. Amalgam and composite use in UK general dental practice in 2001. Br Dent J 194(11) :613-618, 2003 https://doi.org/10.1038/sj.bdj.4810258
  5. Burke FJT, McHugh S , Randall RC, Meyers IA, Pitt J. Hall AC' Direct restorative materials use in Australia in 2002. Aust Dent J 49(4): 185-191. 2004 https://doi.org/10.1111/j.1834-7819.2004.tb00071.x
  6. Fontana M, Gonzalez-Cabezas C. Secondary caries and restoration replacement: an unresolved problem. Compend Contin Educ Dent 21(1) :15-18, 21-24, 26, 2000
  7. Ortengren U. On composite resin materials. Degradation , erosion and possible adverse effects in dentists. Swed Dent J Suppl. (141): 1-61, 2000
  8. Deliperi S, Bardwell DN. An alternative method to reduce polymerization shrinkage in direct posterior composite restorations. J Am Dent Assac 133 (10): 1387-1398. 2002 https://doi.org/10.14219/jada.archive.2002.0055
  9. Sano H. Kanemura N, Burrow MF. Inai N, Yamada T, Tagami J. Effect of operator variability on dentin adhesion: students vs. dentists. Dent Mater J 17:51-58, 1998 https://doi.org/10.4012/dmj.17.51
  10. Rabe P, Holmen A, Sjogren P. Attitudes , awareness and ·perceptions on evidence based dentistry and scien. tific publications among dental professionals in the country of Holland, Sweden. Swed Dent J 31:113-120. 2007
  11. Haj-ali RN, Walker MP, Petrie CS. Utilizat ion of Evidence-based informational resources for clinical decisions related to posterior composite restorations. J Dent Edu 69(11): 1251-1256, 2005
  12. Lynth CD, McConnell RJ. Wilson NHF. Teaching the placement of posterior resin-based composite restorations in U.S. dental schools. J Am Dent Assoc 137: 619-625. 2006 https://doi.org/10.14219/jada.archive.2006.0257
  13. Mccomb D. Class I and Class II silver amalgam and resin composite posterior restorations: teaching approaches in Canadian faculties of dentistry. J Can Dent Assoc 71(6) :405-406 , 2005
  14. Peutzfeldt A, Vigild M. A survey of the use of dentin bonding systems in Denmark. Dent Mater (17) :211-216. 2001 https://doi.org/10.1016/S0109-5641(00)00071-3
  15. Domejean-Orliaguet S, Tubert-Jeannin S, Riordan PJ , Espelid I, Tveit AB. French dentists' restorative treat. ment decisions. Oral Health Prey Dent 2(2): 125-131, 2004
  16. Brennan DS, Spencer AJ. Restorative service patterns in Australia: amalgam , composite resin and glass ionomer restorations. lnt Dent J 53(6) :455-463, 2003 https://doi.org/10.1002/j.1875-595X.2003.tb00887.x
  17. Wilson NHF , Christensen GJ , Cheung SW, Burke FJT, Brunton PA. Contemporary dental practice in the UK aspects of direct restorations , endodontics and bleaching. Br Dent J 197(12) :753-756, 2004 https://doi.org/10.1038/sj.bdj.4811905
  18. Idriss S, Abduljabbar T, Habib C, Omar R. Factors associated with microleakage in Class II resin compos ite restorations. Oper Dent 32(1) :60-66. 2007 https://doi.org/10.2341/06-16
  19. Ghavamnasiri M, Moosavi H. Effect of centripetal and incremental methods in Class II composite resin restorations on gingival microleakage. J Contemp Dent Pract 8(2): 113-120, 2007
  20. Haj-ali RN, Walker MP, Williams K. Survey of general dentists regarding posterior restorations , selection cri teria , and associated clinical problems. General Dent 369-375, 2005
  21. Forss H, Widstrom E. From amalgam to composite selection of restorative materials and restoration longevity in Finland. Acta Odontol Scand 59(2):57-62, 2001 https://doi.org/10.1080/000163501750157090
  22. Raskin A, Setcos JC. Vreven J. Influence of isolation method on the 10-year clinical behaviour of posterior resin composite restorations. Clin Oral lnves 25:148-152. 2000
  23. Fusayma T. Total etch technique and cavity isolation. J Esthet Dent 4: 105-109, 1992 https://doi.org/10.1111/j.1708-8240.1992.tb00674.x
  24. 박준규, 임범순, 이인복. 5급 와동의 복합레진 수복 시 발생되는 교두 굴곡에 관한 연구. 대한치과보존학회지 33(2) :83-89, 2008
  25. 구봉주, 신동훈. 법랑질 변연으로 이루어진 복합레진 수복물의 체적과 C-factor가 미세누출에 미치는 영향 대한치과보존학회지 31(6) :452-459, 2006 https://doi.org/10.5395/JKACD.2006.31.6.452
  26. 조영곤, 김문홍, 이명구. 복합레진 수복물의 미세누출 감소를 위한 레진 전색제의 효과, 대한치과보존학회지 31(4) :282-289. 2006 https://doi.org/10.5395/JKACD.2006.31.4.282
  27. Nakabayashi N, Kojima K, Masuhara E. The promotion of adhesion by the infiltration of monomers into tooth substrates. J Biomed Mater Res 16:1240-1243. 1982
  28. Munck JD , Landuyt KV, Peumans M. Meerbeek BV. A critical review of the durability of adhesion to tooth tissue : Methods and results. J Dent Res 84(2): 118-132. 2005 https://doi.org/10.1177/154405910508400204
  29. Peumans M. Kanumilli P , Munck JD , Meerbeek BV Clinical effectiveness of contemporary adhesives ‘ A systematic review of current clinical trials. Dent Mater 21:864-881. 2005 https://doi.org/10.1016/j.dental.2005.02.003
  30. Munck JD , Meerbeek BV. One-day bonding effective ness of new self-etch adhesives to bur-cut enamel and dentin. Oper Dent 30:39-49, 2005
  31. Shirai K, Munck JD , Yoshida Y, Meerbeek BV. Effect of cavity configuration and aging on the bonding effec tiveness of six adhesives to dentin Dent Mater 21: 110-124. 2005 https://doi.org/10.1016/j.dental.2004.01.003
  32. Yoshida Y, Meerbeek BV. Comparative study on adhesive performance of functional monomers. J Dent Res 83(6) :454-458, 2004 https://doi.org/10.1177/154405910408300604

Cited by

  1. Comparison of operative techniques between female and male dentists in class 2 and class 5 resin composite restorations vol.35, pp.2, 2010, https://doi.org/10.5395/JKACD.2010.35.2.116