DOI QR코드

DOI QR Code

연마 방법에 따른 flowable bulk fill 복합레진의 표면 거칠기

Surface roughness of flowable bulk fill composite resin by different polishing protocols

  • 최연수 (국립강릉원주대학교 치과대학 치과보존학교실) ;
  • 권영민 (국립강릉원주대학교 치과대학 치과보존학교실) ;
  • 김진우 (국립강릉원주대학교 치과대학 치과보존학교실) ;
  • 박세희 (국립강릉원주대학교 치과대학 치과보존학교실) ;
  • 조경모 (국립강릉원주대학교 치과대학 치과보존학교실)
  • Youn-Su Choi (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Youngmin Kwon (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Jin-Woo Kim (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Se-Hee Park (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Kyung-Mo Cho (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2025.06.13
  • 심사 : 2025.07.07
  • 발행 : 2025.08.31

초록

목적: 표층 적용이 가능한 full body bulk fill flowable 복합레진을 일반 복합레진과 동일하게 연마했을 때의 표면 특성을 평가하고자 하였다. 연구 재료 및 방법: 일반 복합레진인 Filtek Supreme Flowable과 3종의 full body bulk fill flowable 복합레진인 Metafil Bulk Fill, Charisma Bulk Flow ONE, G-aenial BULK Injectable을 사용하였다. 시편은 SoflexTM Extra-thin, One Gloss midi, One Gloss midi + Jiffy brush의 세 가지 방법으로 연마하였고, 공초점레이저현미경과 주사전자현미경을 이용해 표면 조도 및 형상을 분석하였다. 통계는 이원배치 분산분석 및 Scheffe's test를 시행하였다. 결과: 복합레진 종류와 연마 방법 간 상호작용은 없었으며, Metafil Bulk Fill이 가장 거친 표면을 나타냈고, 연마 방법에서는 SoflexTM Extra-thin 사용군이 가장 매끈한 표면을 보였다(P < 0.05). 결론: Full body bulk fill 복합레진은 복합레진의 종류와 연마 방법에 따라 표면 거칠기가 차이날 수 있으므로 적절한 제품과 연마 방법을 선택하는 것이 중요하다.

Purpose: This study aimed to evaluate the surface characteristics of full body bulk fill flowable composite resins when polished using the same protocols applied to conventional flowable composite resins. Materials and Methods: One conventional composite resin (Filtek Supreme Flowable) and three full body bulk fill flowable composite resins (Metafil Bulk Fill, Charisma Bulk Flow ONE, G-aenial BULK Injectable) were tested. Specimens were polished using three methods: SoflexTM Extra-thin, One Gloss midi, and One Gloss midi combined with Jiffy brush. Surface roughness (Sa) was measured using a confocal laser scanning microscope, and surface morphology was examined under a scanning electron microscope. Statistical analysis was performed using two-way ANOVA and Scheffé's test. Results: No interaction was found between the composite resin type and polishing method. Metafil Bulk Fill showed the highest surface roughness, while specimens polished with SoflexTM Extra-thin showed the smoothest surfaces (P < 0.05). Conclusion: The surface roughness of full body bulk fill composite resins varies depending on the resin type and polishing method. Therefore, understanding each product's characteristics and selecting an appropriate polishing technique is essential for achieving a clinically acceptable surface finish and long-term success of the restoration.

키워드

과제정보

이 논문은 2023년도 강릉원주대학교치과병원 협동임상연구비(CR2301) 지원에 의하여 수행되었음.

참고문헌

  1. Freitas F, Pinheiro de Melo T, Delgado AH, Monteiro P, Rua J, Proença L, Caldeira J, Mano Azul A, Mendes JJ. Varying the Polishing Protocol Influences the Color Stability and surface roughness of bulk-fill resin-based composites. J Funct Biomater 2020;12:1. https://doi.org/10.3390/jfb12010001
  2. Paolone G, Moratti E, Goracci C, Gherlone E, Vichi A. Effect of Finishing Systems on Surface Roughness and Gloss of Full-Body Bulk-Fill Resin Composites. Materials (Basel) 2020;13:5657. https://doi.org/10.3390/ma13245657
  3. Chesterman J, Jowett A, Gallacher A, Nixon P. Bulk-fill resin-based composite restorative materials: A review. Br Dent J 2017;222:337-44. https://doi.org/10.1038/sj.bdj.2017.214
  4. Yap AU, Lye KW, Sau CW. Surface characteristics of tooth-colored restoratives polished utilizing different polishing systems. Oper Dent 1997;22:260-5.
  5. Moraes RR, Gonçalves LS, Lancellotti AC, Consani S, Correr-Sobrinho L, Sinhoreti MA. Nanohybrid resin composites: nanofiller loaded materials or traditional microhybrid resins? Oper Dent 2009;34:551-7. https://doi.org/10.2341/08-043-L
  6. Ishii R, Takamizawa T, Tsujimoto A, Suzuki S, Imai A, Barkmeier WW, Latta MA, Miyazaki M. Effects of Finishing and Polishing Methods on the Surface Roughness and Surface Free Energy of Bulk-fill Resin Composites. Oper Dent 2020;45:E91-E104. https://doi.org/10.2341/18-246-L
  7. Gömleksiz S, Gömleksiz O. The effect of contemporary finishing and polishing systems on the surface roughness of bulk fill resin composite and nanocomposites. J Esthet Restor Dent 2022;34:915-23. https://doi.org/10.1111/jerd.12874
  8. Chen MH. Update on dental nanocomposites. J Dent Res 2010;89:549-60. https://doi.org/10.1177/0022034510363765
  9. Kumari CM, Bhat KM, Bansal R. Evaluation of surface roughness of different restorative composites after polishing using atomic force microscopy. J Conserv Dent 2016;19:56-62. https://doi.org/10.4103/0972-0707.173200
  10. Terry DA. Direct applications of a nanocomposite resin system: Part 1 - The evolution of contemporary composite materials. Pract Proced Aesthet Dent 2004;16:417-22.
  11. Ilie N, Bucuta S, Draenert M. Bulk-fill Resin-based composites: an in vitro assessment of their mechanical performance. Oper Dent 2013;38:618-25. https://doi.org/10.2341/12-395-L
  12. Didem A, Gözde Y, Nurhan Ö. Comparative Mechanical Properties of Bulk-Fill Resins. Open J Compos Mater 2014;4:117-21. https://doi.org/10.4236/ojcm.2014.42013
  13. Kim EH, Jung KH, Son SA, Hur B, Kwon YH, Park JK. Effect of resin thickness on the microhardness and optical properties of bulk-fill resin composites. Restor Dent Endod 2015;40:128-35. https://doi.org/10.5395/rde.2015.40.2.128
  14. Van Ende A, De Munck J, Lise DP, Van Meerbeek B. Bulk-Fill Composites: A Review of the Current Literature. J Adhes Dent 2017;19:95-109.
  15. Lassila L, Säilynoja E, Prinssi R, Vallittu PK, Garoushi S. The effect of polishing protocol on surface gloss of different restorative resin composites. Biomater Investig Dent 2020;7:1-8. https://doi.org/10.1080/26415275.2019.1708201
  16. Erdemir U, Yildiz E, Eren MM. Effects of sports drinks on color stability of nanofilled and microhybrid composites after long-term immersion. J Dent 2012;40 Suppl 2:e55-63. https://doi.org/10.1016/j.jdent.2012.06.002
  17. Guler S, Unal M. The Evaluation of Color and Surface Roughness Changes in Resin based Restorative Materials with Different Contents After Waiting in Various Liquids: An SEM and AFM study. Microsc Res Tech 2018;81:1422-33. https://doi.org/10.1002/jemt.23104
  18. Antonson SA, Yazici AR, Kilinc E, Antonson DE, Hardigan PC. Comparison of different finishing/polishing systems on surface roughness and gloss of resin composites. J Dent 2011;39 Suppl 1:e9-17. https://doi.org/10.1016/j.jdent.2011.01.006
  19. Ergücü Z, Türkün LS. Surface Roughness of novel resin composites polished with one-step Systems. Oper Dent 2007;32:185-92. https://doi.org/10.2341/06-56
  20. Can Say E, Yurdagüven H, Yaman BC, Özer F. Surface roughness and morphology of resin composites polished with two-step polishing systems. Dent Mater J 2014;33:332-42. https://doi.org/10.4012/dmj.2013-287
  21. Jung M. Surface roughness and cutting efficacy of composite finishing instruments. Oper Dent 1997;22:98-104.
  22. Roeder LB, Tate WH, Powers JM. Effect of finishing and polishing procedures on the surface roughness of packable composites. Oper Dent 2000;25:534-43.
  23. Waheeb N, Silikas N, Watts D. Initial polishing time affects gloss retention in resin composites. AM J Dent 2012;25:303-6.
  24. Monterubbianesi R, Tosco V, Orilisi G, Grandini S, Orsini G, Putignano A. Surface evaluations of a nanocomposite after different finishing and polishing systems for anterior and posterior restorations. Microsc Res Tech 2021;84:2922-9. https://doi.org/10.1002/jemt.23850
  25. Jang JH, Kim HY, Shin SM, Lee CO, Kim DS, Choi KK, Kim SY. Clinical effectiveness of different polishing systems and self-etch adhesives in class V composite resin restorations: Two-year randomized controlled clinical trial. Oper Dent 2017;42:19-29. https://doi.org/10.2341/16-104-C
  26. Willems G, Lambrechts P, Braem M, Vuylsteke Wauters M, Vanherle G. The surface roughness of enamel-to-enamel contact areas compared with the intrinsic roughness of dental resin composites. J Dent Res 1991;70:1299-305. https://doi.org/10.1177/00220345910700091301
  27. Elgammal YA, Temirek MM, Hassanein OE, Abdelaziz MM. The Effect of Different Finishing and Polishing Systems on Surface Properties of New Flowable Bulk-fill Resin Composite. J Contemp Dent Pract 2023;24:587-94. https://doi.org/10.5005/jp-journals-10024-3548
  28. Avsar A, Yuzbasioglu E, Sarac D. The Effect of Finishing and Polishing Techniques on the Surface Roughness and the Color of Nanocomposite Resin Restorative Materials. Adv Clin Exp Med 2015;24:881-90. https://doi.org/10.17219/acem/23971