Restorative Dentistry and Endodontics

  • 제35권2호
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  • Pages.69-79
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  • 2010
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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레진 시멘트의 film thickness가 간접 복합 레진 수복물의 접착 효율에 미치는 영향에 관한 연구

EFFECT OF FILM THICKNESS OF RESIN CEMENT ON BONDING EFFICIENCY IN INDIRECT COMPOSITE RESTORATION

  • 이상혁 (경희대학교 대학원 치의학과 치과보존학교실) ;
  • 최기운 (경희대학교 대학원 치의학과 치과보존학교실) ;
  • 최경규 (경희대학교 대학원 치의학과 치과보존학교실)
  • Lee, Sang-Hyuck (Department of Conservative Dentistry, Division of Dentistry, Graduate of Kyung Hee University) ;
  • Choi, Gi-Woon (Department of Conservative Dentistry, Division of Dentistry, Graduate of Kyung Hee University) ;
  • Choi, Kyung-Kyu (Department of Conservative Dentistry, Division of Dentistry, Graduate of Kyung Hee University)
  • 투고 : 2009.10.14
  • 심사 : 2010.03.05
  • 발행 : 2010.03.31
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초록

본 연구는 여러 레진 시멘트의 film thickness에 따른 상아질과 간접 레진 수복물 간의 미세인장 결합 강도를 측정하고, 각 레진 시멘트의 중합 수축 및 굴곡 강도, 탄성 계수를 비교 분석하며, 접착 계면 및 파단면의 주사전자 현미경 관찰을 통하여 레진 시멘트의 film thickness가 레진 간접 수복물의 접착 효율에 미치는 영향을 평가하고자 시행하였다. 복합 레진형 레진 시멘트인 Variolink II와 Duo-Link, 접착형 레진 시멘트인 Panavia F와 Rely X Unicem의 4가지 레진 시멘트를 사용하였고, 각각의 시멘트를 film thickness에 따라 < $50\;{\mu}m$ (control)의 대조군과 $50\;{\mu}m$ (T50), $100\;{\mu}m$ (T100), $150\;{\mu}m$ (T150)의 실험군으로 나누어 총 16개의 군으로 분류하였다. 데이터는 ANOVA와 Duncan's multiple comparison test (p < 0.05)를 이용하여 통계 분석하였으며 다음과 같은 결론을 얻었다; 1. Variolink Ⅱ는 모든 film thickness에서 접착형 레진 시멘트보다 높은 결합 강도를 나타냈지만(p < 0.05), Duo-Link는 대조군을 제외하고는 통계학적 유의차가 없었다(p > 0.05). 2. Film thickness가 증가할수록 복합 레진형 레진 시멘트의 결합 강도는 유의성 있게 감소(p < 0.05)하는 경향을 보인 반면, 접착형 레진 시멘트는 통계학적 유의차가 없었다(p > 0.05). 3. Panavia F는 통계학적으로 유의성 있게 낮은 중합 수축량을 나타냈다(p <0.05). 4. 굴곡 강도와 탄성 계수는 복합 레진형 레진 시멘트가 접착형 레진 시멘트보다 유의성 있게 높게 나타났다(p < 0.05). 5. FE-SEM 관찰 결과 결합 강도가 높은 복합 레진형 레진 시멘트는 균일한 접착층과 잘 발달된 resin tag 소견을 보였으나, 접착형 레진 시멘트는 불분명한 접착층과 resin tag 소견을 나타냈다. 파단면 관찰에서 복합 레진형 레진 시멘트는 혼합형 파괴 양상을 나타냈으나 접착형 레진 시멘트는 접착성 파괴 양상을 나타냈다.

The purpose of this study was to evaluate the effect of film thickness of various resin cements on bonding efficiency in indirect composite restoration by measurement of microtensile bond strength, polymerization shrinkage, flexural strength and modulus, fractographic FE-SEM analysis. Experimental groups were divided according to film thickness (< $50\;{\mu}m$-control, $50\;{\mu}m$-T50, $100\;{\mu}m$-T100, $150\;{\mu}m$-T150) using composite- based resin cements (Variolink II, Duo-Link) and adhesive-based resin cements (Panavia F, Rely X Unicem). The data was analyzed using ANOVA and Duncan's multiple comparison test (p < 0.05). The results were as follows ; 1. Variolink II showed higher microtensile bond strength than that of adhesive-based resin cements in all film thickness (p < 0.05) but Duo-Link did not show significant difference except control group (p > 0.05). 2. Microtensile bond strength of composite-based resin cements were decreased significantly according to increasing film thickness (p < 0.05) but adhesive-based resin cements did not show significant difference among film thickness (p > 0.05). 3. Panavia F showed significantly lower polymerization shrinkage than other resin cements (p < 0.05). 4. Composite-based resin cements showed significantly higher flexural strength and modulus than adhesive-based resin cements (p < 0.05). 5. FE-SEM examination showed uniform adhesive layer and well developed resin tags in composite-based resin cements but unclear adhesive layer and poorly developed resin tags in adhesive-based resin cements. In debonded surface examination, composite-based resin cements showed mixed failures but adhesive-based resin cements showed adhesive failures.

키워드

참고문헌

  1. Kramer N, Lohbauer U, Frankenberger R. Adhesive luting of indirect restorations. Am J Dent 13:60D-76D, 2000.
  2. Rosenstiel SF, Land MF, Crispin BJ. Dental luting agents: a review of the current literature. J Prosthet Dent 80:280-301, 1998. https://doi.org/10.1016/S0022-3913(98)70128-3
  3. Diaz-Arnold AM, Vargas MA, Haselton DR. Current status of luting agents for fixed prosthodontics. J Prosthet Dent 81:135-141, 1999. https://doi.org/10.1016/S0022-3913(99)70240-4
  4. Inokoshi S, Willems G, Van Meerbeek B, Lambrechts P, Braem M, Vanherle G. Dual-cure luting composites. Part I. Filler particle distribution. J Oral Rehabil 20:133-146, 1993. https://doi.org/10.1111/j.1365-2842.1993.tb01597.x
  5. Sjogren G, Molin M, Van Dijken J, Bergman M. Ceramic inlays(Cerec) cemented with either a dualcured or a chemically cured composite resin luting agent. A 2-year clinical study. Acta Odontol Scand 53:325-330, 1995. https://doi.org/10.3109/00016359509005995
  6. Casson AM, Glyn Jones JC, Youngson CC, Wood DJ. The effect of luting media on fracture resistance of a flame sprayed all-ceramic crown. J Dent 29:539-544, 2001. https://doi.org/10.1016/S0300-5712(01)00040-9
  7. Burke FJ. The effect of variations in bonding procedure on fracture resistance of dentin-bonded all-ceramic crowns. Quintessence Int 26:293-300, 1995.
  8. Dietschi D, Maeder M, Meyer JM, Holz J. In vitro resistance to fracture of porcelain inlays bonded to tooth. Quintessence Int 21:823-831, 1990.
  9. Cook WD, Thomasz F. A photocured composite resin with an apparent infinite depth of cure. Aust Dent J 28:243, 1983. https://doi.org/10.1111/j.1834-7819.1983.tb02959.x
  10. Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, Van Landuyt K, Lambrechts P, Vanherle G. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Oper Dent 28:215-235, 2003.
  11. Sensat ML, Brackett WW, Meinberg TA, Beatty MW. Clinical evaluation of two adhesive composite cements for the suppression of dentinal cold sensitivity. J Prosthet Dent 88:50-53, 2002. https://doi.org/10.1067/mpr.2002.126793
  12. Ogawa T, Tanaka M, Matsuya S, Aizawa S, Koyano K. Setting characteristics of five autopolymerizing resins measured by an oscillating rheometer. J Prosthet Dent 85:170-176, 2001. https://doi.org/10.1067/mpr.2001.113354
  13. Sanares AM, Itthagarun A, King NM, Tay FR, Pashley DH. Adverse surface interactions between one-bottle light-cured adhesive and chemical-cured composites. Dent Mater 17:542-556, 2001. https://doi.org/10.1016/S0109-5641(01)00016-1
  14. Kious AR, Roberts HW, Brackett WW. Film thickness of recently introduced luting cements. J Prosthet Dent 101:189-192, 2009. https://doi.org/10.1016/S0022-3913(09)60026-3
  15. Goracci C, Cury AH, Cantoro A, Papacchini F, Tay FR, Ferrari M. Microtensile bond strength and interfacial properties of self-etching and self-adhesive resin cements used to lute composite onlays under different seating forces. J Adhes Dent 8:327-335, 2006.
  16. Kunzelmann KH, Hickel R, Meister C, Petschelt A. Curing contraction in thin bonding composite resin layers. In: Mormann WH, editor. Proceedings of the International Symposium on Computer Restoration. The state of art of the Cerec method. Berlin: Quintessence 577-590, 1991.
  17. Lutz F, Krejci I, Barbakow F. Quality and durability of marginal adaptation in bonded composite restorations. Dent Mater 7:107-113, 1991. https://doi.org/10.1016/0109-5641(91)90055-4
  18. Davidson CL, De Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res 63:146-148, 1984. https://doi.org/10.1177/00220345840630021001
  19. Davidson CL. Resisting the curing contraction with adhesive composites. J Prosthet Dent 55:446-447, 1986. https://doi.org/10.1016/0022-3913(86)90173-3
  20. Feilzer AJ, De Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of restoration. J Dent Res 66:1636-1639, 1987. https://doi.org/10.1177/00220345870660110601
  21. Feilzer AJ, De Gee AJ, Davidson CL. Increased wallto-wall curing contraction in thin bonded resin layers. J Dent Res 68L 48-50, 1989.
  22. Gemalmaz D, Kkrer D. In vivo and in vitro evaluation of marginal fit of class II ceromer inlays. J Oral Rehabil 33:436-442, 2006. https://doi.org/10.1111/j.1365-2842.2005.01562.x
  23. D’Arcangelo C, Cinelli M, De Angelis F, D’Amario M. The effect of resin cement film thickness on the pullout strength of a fiber-reinforced post system. J Prosthet Dent 98:193-198, 2007. https://doi.org/10.1016/S0022-3913(07)60055-9
  24. Pashley DH, Sano H, Ciucchi B, Yoshiyama M, Carvalho RM. Adhesion testing of dentin bonding agents: a review. Dent Mater 11:117-125, 1995. https://doi.org/10.1016/0109-5641(95)80046-8
  25. Li ZC, White SN. Mechanical properties of dental luting cements. J Prosthet Dent 81:597-609, 1999. https://doi.org/10.1016/S0022-3913(99)70216-7
  26. Shono Y, Ogawa T, Terashita M, Carvalho RM, Pashley EL, Pashley DH. Regional measurement of resin-dentin bonding as an array. J Dent Res 78:699-705, 1999. https://doi.org/10.1177/00220345990780021001
  27. ISO 4049 : International Standard Dentistry Resinbased dental filling materials. 1998.
  28. Nakabayashi N, Pashley DH. Hybridization of dental hard tissues. Tokyo: Quintessence c, 1998.
  29. Carvalho RM, Pegoraro TA, Tay FR, Pegoraro LF, Silva NRFA, Pashley DH. Adhesive permeability affects coupling of resin cements that utilise self-etching primers to dentine. J Dent 32:55-65, 2004. https://doi.org/10.1016/j.jdent.2003.08.003
  30. Audenino G, Bresciano ME, Bassi F, Carossa S. In vitro evaluation of fit of adhesively luted ceramic inlays. Int J Prosthodont 12:342-347, 1999.
  31. Molin MK, Karlsson SL, Kristiansen MS. Influence of film thickness on joint bend strength of a ceramic/resin composite joint. Dent Mater 12:245-249, 1996. https://doi.org/10.1016/S0109-5641(96)80030-3
  32. Wassell RW, Gagliano G. Effects of adhesive fixed prosthesis retainer design on resultant resin luting agent thickness. J Prosthet Dent 80:479-484, 1998. https://doi.org/10.1016/S0022-3913(98)70015-0
  33. Choi KK, Condon JR, Ferracane JL. The effects of adhesive thickness on polymerization contraction stress of composite. J Dent Res 79:812-817, 2000. https://doi.org/10.1177/00220345000790030501
  34. Tay FR, Gwinnett AJ, Pang KM, Wei SH. Resin permeation into acid-conditioned, moist, and dry dentin: a paradigm using water-free adhesive primers. J Dent Res 75:1034-1044, 1996. https://doi.org/10.1177/00220345960750040601
  35. 조민우, 박상혁, 김종률, 최경규. 레진 시멘트의 접착 내구성에 관한 연구. 대한치과보존학회지 32:343-355, 2007.
  36. Mak YF, Lai SCN, Cheung GSP, Chan AW, Tay FR, Pashley DH. Micro-tensile bond testing of resin cements to dentin and an indirect resin composite. Dent Mater 18:609-621, 2002. https://doi.org/10.1016/S0109-5641(02)00005-2
  37. Tay FR, Pashley DH, Yiu CKY, Sanares AM, Wei SW. Factors contributing to the incompatibility between simplified-step adhesives and self-cured or dual-cured composites. Part I. Single-step self-etch adhesive. J Adhes Dent 5:27-40, 2003.
  38. Ikemura K, Endo T. Effect on adhesion of new polymerization initiator systems comprising 5- monosubstituted barbituric acids, aromatic sulphonate amides, and tert-butyl peroxymaleic acid in dental adhesive resin. J App Poly Sci 72:1655-1668, 1999. https://doi.org/10.1002/(SICI)1097-4628(19990624)72:13<1655::AID-APP2>3.0.CO;2-0
  39. Nyunt NM, Imai Y. Adhesion to dentin with resin using sulfinic acid initiator system. Dent Mater 15:175-182, 1996. https://doi.org/10.4012/dmj.15.175
  40. Tay FR, Pashley DH, Suh BI, Carvalho RM, Itthagarun A. Single-step adhesives are permeable membranes. J Dent 30:371-382, 2002. https://doi.org/10.1016/S0300-5712(02)00064-7
  41. 최승모, 박상혁, 최경규, 박상진. 중간층 레진 적용이 단일 접착과정 상아질 접착제의 접착에 미치는 영향. 대한치과보존학회지 32:313-326, 2007. https://doi.org/10.5395/JKACD.2007.32.4.313
  42. 김도완, 박상진, 최경규. 자가 부식형 상아질 접착제와 레진 시멘트와의 적합성에 관한 연구. 대한치과보존학회지 30:493-504, 2005.
  43. Tezvergil-Mutluay A, Lassila LV, Vallittu PK. Degree of conversion of dual-cure luting resins light-polymerized through various materials. Acta Odontol Scand 65:201-205, 2007. https://doi.org/10.1080/00016350701311632
  44. Kumbuloglu O, Lassila LV, User A, Vallittu PK. A study of the physical and chemical properties of four resin composite luting cements. Int J Prosthodont 17:357-363, 2004.
  45. De Munck J, Vargas M, Van Landuyt K, Hikita K, Lambrechts P, Van Meerbeek B. Bonding of an autoadhesive luting material to enamel and dentin. Dent Mater 20:963-971, 2004. https://doi.org/10.1016/j.dental.2004.03.002
  46. Yang B, Ludwig K, Adelung R, Kern M. Micro- tensile bond strength of three luting resins to human regional dentin. Dent Mater 22:45-56, 2006. https://doi.org/10.1016/j.dental.2005.02.009
  47. Kleverlaan CJ, Feilzer AJ. Polymerization shrinkage and contraction stress of dental resin composites. Dent Mater 21:1150-1157, 2005. https://doi.org/10.1016/j.dental.2005.02.004