구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제35권2호
  • /
  • Pages.72-80
  • /
  • 2019
  • /
  • 2384-4353(pISSN)
  • /
  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지
DOI QR코드

DOI QR Code

법랑질 표면 처리방법에 따른 레진계 치아 고정재료의 접착강도 비교

Comparison of adhesive strength of resinous teeth splinting materials according to enamel surface treatment

  • 이예림 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 김수연 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 김진우 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 박세희 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 조경모 (강릉원주대학교 치과대학 치과보존학교실)
  • Lee, Ye-Rim (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Kim, Soo-Yeon (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Kim, Jin-Woo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Park, Se-Hee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry) ;
  • Cho, Kyung-Mo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University School of Dentistry)
  • 투고 : 2019.03.06
  • 심사 : 2019.04.29
  • 발행 : 2019.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 본 연구의 목적은 레진계 치아고정 재료의 법랑질 치면 처리 방법에 따른 전단결합강도와 파절 양상을 비교 분석하는 것이다. 연구 재료 및 방법: 레진계 치아고정 재료로 G-FIX, LightFix를 사용하였다. 시편 제작을 위해 소의 하악 절치 20개를 사용했다. 노출된 법랑질 표면을 4부분으로 구분하여, 각 분획 마다 37% 인산(E), 37% 인산+Adhesive resin (E+A), 37% 인산+G-premio bond (E+GP), G-premio bond (GP)로 각각의 치면 처리를 하고, 재료를 접착하였다. 만능 시험기를 이용하여 전단결합강도를 측정하였고, 시편의 파절된 표면을 현미경으로 확대하여 파절 양상을 관찰하였다. Two-way ANOVA를 이용하여 재료와 표면처리 방법 사이의 상호작용을 검증하였고 각 재료에서 표면처리 방법 사이의 비교를 위해 One-Way ANOVA test를 하고 Scheffe's test로 사후 검정 하였다. 각 표면처리 방법에서 재료 사이의 전단결합강도를 비교하기 위해 independent t-test를 하였다. 모든 통계는 95% 유의수준에서 진행하였다. 결과: 동요치 고정을 위한 G-FIX는 산부식만 시행한 후 재료를 적용해도 접착 레진을 추가적으로 사용했을 때와 유사한 전단결합강도를 보였으며 LightFix는 산부식을 시행한 후 접착 레진을 추가적으로 사용했을 때 가장 높은 전단결합강도를 보였다. 또한, G-FIX와 LightFix 모두에서 별도의 산부식 없이 자가부식 접착제만 처리했을 때 가장 낮은 전단결합강도를 보였다. 교호작용의 검증 결과 치아고정용 레진과 표면처리 방법 사이의 상호 연관됨이 관찰되었다. 파절 양상은 모든 군에서 대부분 혼합성 파절이 관찰되었다. 결론: 치아 고정용 레진인 G-FIX와 LightFix의 사용시 제조사의 지시와 같이 산부식만 시행한 후 재료를 적용해도 충분한 접착이 이루어질 것으로 생각된다.

Purpose: The purpose of this study is to compare and analyze the shear bond strength and fracture pattern in different enamel tooth surface treatments for resin splinting materials. Materials and Methods: G-FIX and LightFix were used as tooth splinting materials. Twenty bovine mandibular incisors were used for the preparation of the specimens. The exposed enamel surface was separated into four parts. Each tooth was treated with 37% phosphoric acid, 37% phosphoric acid + adhesive resin, 37% phosphoric acid + G-premio bond, and G-premio bond for each fraction. Shear bond strength was measured using a universal testing machine. After measuring the shear bond strength, the fractured surface of the specimen was magnified with a microscope to observe the fracture pattern. Two-way ANOVA was used to verify the interaction between the material and the surface treatment method. One-way ANOVA was used for comparison between the surface treatment methods of each material and post-hoc test was conducted with Scheffe's test. An independent t-test was conducted to compare shear bond strengths between materials in each surface treatment method. All statistics were conducted at 95% significance level. Results: G-FIX, a tooth splinting resin, showed similar shear bonding strength when additional adhesive resins were used when material was applied after only acid etching, and LightFix showed the highest shear bonding strength when additional adhesive resins were used after the acid etching. In addition, both G-FIX and LightFix showed the lowest shear bond strength when only self-etching adhesive was applied without additional acid etching. Verification of interactions observed interconnection between resins and surface treatment methods. Most of the mixed failure was observed in all counties. Conclusion: When using G-FIX and LightFix, which are tooth-splinting materials, it is considered that sufficient adhesion will be achieved even after applying only acid etching as instructed by the manufacturer.

키워드

참고문헌

  1. Liu X, Zhang Y, Zhou Z, Ma S. Retrospective study of combined splinting restorations in the aesthetic zone of periodontal patients. Br Dent J 2016;220:241-7. https://doi.org/10.1038/sj.bdj.2016.178
  2. Bernal G, Carvajal JC, Munoz-Viveros CA. A review of the clinical management of mobile teeth. J Contemp Dent Prac 2002;3:10-22.
  3. Mazzoleni S, Meschia G, Cortesi R, Bressan E, Tomasi C, Ferro R, Stellini E. In vitro comparison of the flexibility of different splint systems used in dental traumatology. Dent Traumatol 2010;26:30-6. https://doi.org/10.1111/j.1600-9657.2009.00843.x
  4. Yoo JI, Kim SY, Batbayar B, Kim JW, Park SH, Cho KM. Comparison of flexural strength and modulus of elasticity in several resinous teeth splinting materials. J Dent Rehabil Appl Sci 2016;32:169-75. https://doi.org/10.14368/jdras.2016.32.3.169
  5. Wood M, Kern M, Thompson VP, Romberg E. Ten-year clinical and microscopic evaluation of resin-bonded restorations. Quintessence Int 1996;27:803-7.
  6. Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res 1955;34:849-53. https://doi.org/10.1177/00220345550340060801
  7. Ando S, Watanabe T, Tsubota K, Yoshida T, Irokawa A, Takamizawa T, Kurokawa H, Miyazaki M. Effect of adhesive application methods on bond strength to bovine enamel. J Oral Sci 2008;50:181-6. https://doi.org/10.2334/josnusd.50.181
  8. Bermudez L, Wajdowicz M, Ashcraft-Olmscheid D, Vandewalle K. Effect of Selective Etch on the Bond Strength of Composite to Enamel Using a Silorane Adhesive. Oper Dent 2015;40:E242-9. https://doi.org/10.2341/14-311-L
  9. Oskoee SS, Bahari M, Kimyai S, Navimipour EJ, Firouzmandi M. Shear bond strength of self-etching adhesive systems with different pH values to bleached and/or CPP-ACP-treated enamel. J Adhes Dent 2012;14:447-52. https://doi.org/10.3290/j.jad.a23316
  10. Fowler CS, Swartz ML, Moore BK, Rhodes BF. Influence of selected variables on adhesion testing. Dent Mater 1992;8:265-9. https://doi.org/10.1016/0109-5641(92)90097-V
  11. Edmunds DH, Whittaker DK, Green RM. Suitability of human, bovine, equine, and ovine tooth enamel for studies of artificial bacterial carious lesions. Caries Res 1988;22:327-36. https://doi.org/10.1159/000261132
  12. Soares FZ, Follak A, da Rosa LS, Montagner AF, Lenzi TL, Rocha RO. Bovine tooth is a substitute for human tooth on bond strength studies: A systematic review and meta-analysis of in vitro studies. Dent Mater 2016;32:1385-93. https://doi.org/10.1016/j.dental.2016.09.019
  13. Reis AF, Giannini M, Kavaguchi A, Soares CJ, Line SR. Comparison of microtensile bond strength to enamel and dentin of human, bovine, and porcine teeth. J Adhes Dent 2004;6:117-21.
  14. Shimada Y, Senawongse P, Harnirattisai C, Burrow MF, Nakaoki Y, Tagami J. Bond strength of two adhesive systems to primary and permanent enamel. Oper Dent 2002;27:403-9.
  15. Sano H, Shono T, Sonoda H, Takatsu T, Ciucchi B, Carvalho R, Pashley DH. Relationship between surface area for adhesion and tensile bond strengthevaluation of a micro-tensile bond test. Dent Mater 1994;10:236-40. https://doi.org/10.1016/0109-5641(94)90067-1
  16. Pashley DH, Carvalho RM. Dentine permeability and dentine adhesion. J Dent 1997;25:355-72. https://doi.org/10.1016/S0300-5712(96)00057-7
  17. Hayakawa T, Kikutake K, Nemoto K. Influence of self-etching primer treatment on the adhesion of resin composite to polished dentin and enamel. Dent Mater 1998;14:99-105. https://doi.org/10.1016/S0109-5641(98)00015-3
  18. Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J, Van Meerbeek B. Comparative study on adhesive performance of functional monomers. J Dent Res 2004;83:454-8. https://doi.org/10.1177/154405910408300604
  19. Erickson RL, Barkmeier WW, Kimmes NS. Bond strength of self-etch adhesives to pre-etched enamel. Dent Mater 2009;25:1187-94. https://doi.org/10.1016/j.dental.2009.04.004
  20. Miguez PA, Castro PS, Nunes MF, Walter R, Pereira PN. Effect of acid-etching on the enamel bond of two self-etching systems. J Adhes Dent 2003;5:107-12.
  21. Luhrs AK, Guhr S, Schilke R, Borchers L, Geurtsen W, Gunay H. Shear bond strength of self-etch adhesives to enamel with additional phosphoric acid etching. Oper Dent 2008;33:155-62. https://doi.org/10.2341/07-63
  22. Barkmeier WW, Erickson RL, Kimmes NS, Latta MA, Wilwerding TM. Effect of enamel etching time on roughness and bond strength. Oper Dent 2009;34:217-22. https://doi.org/10.2341/08-72
  23. Park BY, Kim SY, Kim JW, Park SH, Cho KM. Influence of water absorption on flexural strength and elastic modulus in several resinous teeth splinting materials. J Dent Rehabil Appl Sci 2018;34:72-9. https://doi.org/10.14368/jdras.2018.34.2.72
  24. Hannig M, Reinhardt KJ, Bott B. Self-etching primer vs phosphoric acid: an alternative concept for composite-to-enamel bonding. Oper Dent 1999;24:172-80.
  25. Tay FR, King NM, Suh BI, Pashley DH. Effect of delayed activation of light-cured resin composites on bonding of all-in-one adhesives. J Adhes Dent 2001;3:207-25.
  26. Ferrari M, Mason PN, Vichi A, Davidson CL. Role of hybridization on marginal leakage and bond strength. Am J Dent 2000;13:329-36.
  27. Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. State of the art of self-etch adhesives. Dent Mater 2011;27:17-28. https://doi.org/10.1016/j.dental.2010.10.023