The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Influence of air abrasion and different dentin sealing techniques on microtensile bond strength to dentin

상아질의 봉쇄 시기와 표면처리 방법이 미세인장 결합강도에 미치는 영향

  • Kang, Dong-Ho (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Han, Chong-Hyun (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Park, Jung-Won (Department of Conservative Dentistry, Dental Hospital, Gangnam Severance Hospital, Yonsei University) ;
  • Kim, Sun-Jai (Department of Prosthodontics, College of Dentistry, Yonsei University)
  • 강동호 (연세대학교 치과대학 치과보철학교실) ;
  • 한종현 (연세대학교 치과대학 치과보철학교실) ;
  • 박정원 (연세대학교 강남세브란스 치과병원 보존과) ;
  • 김선재 (연세대학교 치과대학 치과보철학교실)
  • Published : 2010.01.29
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Abstract

Purpose: The purpose of this study was to evaluate the effect of various methods of dentin bonding agent application and air abrasion pretreatment on microtensile bond strength between dentin and resin, using a self-etching adhesive system. Material and methods: Thirty freshly extracted human molars were obtained and divided into 6 groups of 5 teeth. A 2-step self etching adhesive system (Clearfil SE Bond) was used for all groups. The control specimens were prepared using a direct immediate bonding technique. The delayed dentin sealing specimens were prepared using an indirect approach without dentin prebonding. The immediate dentin sealing specimens were prepared using dentin prebonding immediately following preparation. Immediate dentin sealing teeth and delayed dentin sealing teeth had provisional restorations using Fermit for two weeks. Then all specimens of each group were divided into two groups of three, depending on air abrasion pretreatment. Composite "crowns" were incrementally built on and specimens were stored in water for 24 hours. All teeth were prepared for a microtensile bond strength test. Bond strength data were analyzed with a one-way ANOVA test, and post hoc comparison was done using the Scheffe's test. Results: The mean microtensile bond strengths of all groups were not statistically different from each other. Conclusion: When preparing teeth for indirect restorations, IDS and DDS with Clearfil SE bond, have no difference on the microtensile bond strength between dentin and resin. Air abrasion pretreatment did not affect the microtensile bond strength when using IDS and DDS with Clearfil SE bond.

연구 목적: 본 연구에서는 자가부식 접착제를 이용한 즉시 상아질 봉쇄 (immediate dentin sealing; IDS)와 지연 상아질 봉쇄 (delayed dentin sealing; DDS)에서 상아질 접착제의 결합강도를 비교하고 즉시 상아질 봉쇄에서 접착제 표면의 오염물을 제거하기 위해 사용되는 air abrasion이 상아질에 대한 미세 인장 결합강도에 어떠한 영향을 주는지에 대해 평가하였다. 연구 재료 및 방법: 1개월 이내에 발거된 사람의 건전한 대구치 30개를 6개의 군으로 분리하였고 상아질 접착제로는 자가부식 접착제 Clearfil SE bond (Kuraray, Okayama, Japan)를 사용하였다. 군분류는 치관부를 삭제하여 상아질을 노출시킨 후 즉시 접착제를 도포하고 복합레진 Filtek Z250 (3M ESPE, St Paul, MN, USA)을 충전한 군을 대조군 (Control), 노출된 상아질에 즉시 상아질 접착제를 도포하고 2주 후 재차 접착제를 도포해 복합레진과 같이 광중합하는 즉시 상아질 봉쇄군 (IDS), 상아질 노출 후 상아질 접착을 즉시 시행하지 않고 2주 후 상아질 접착과 복합레진의 충전을 시행하는 지연 상아질 봉쇄군 (DDS)으로 분류하였다. 그후Control군에 air abrasion을 시행한 군을 C-A, IDS군에 air abrasion을 시행한 군을 IDS-A군, DDS군에 air abrasion을 시행한 군을DDS-A군으로 세분화하였다. Control군과 C-A을 제외한 모든 군은 2주간 Fermit을 이용한 임시수복기간을 두었으며 대조군과 실험군 모두 미세인장 결합강도 실험 전 24시간동안 증류수에 보관 후 미세인장 결합강도를 측정하였다. 측정된 미세인장 결합강도는 one-way ANOVA를 이용하여 비교 분석하였으며 유의차가 있는 경우 Scheffe test를 이용한 사후검증을 시행하였다. 결과: 1. 자가부식 상아질 접착제인 Clearfil SE bond를 치아 삭제 직후 상아질 접착을 시행하고 2주간 임시수복 기간을 거친 후 접착제를 재도포하고 복합레진을 수복한 군과 치아삭제 후 2주간의 임시수복기간을 거친 후 상아질 접착을 시행하고 복합레진을 수복한 군 사이에 상아질-레진 간 미세인장 결합강도는 유의한 차이가 없었다 (P>.05). 2. 자가부식 상아질 접착제인 Clearfil SE bond를 상아질 접착 시행 전 $50{\mu}m$ 크기의 aluminum oxide particle로 air abrasion 처리하는 것은 상아질-레진 간 미세인장 결합강도에 유의한 영향을 주지 않았다 (P>.05).

Keywords

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