• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.2
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• pp.216-224
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• 2008

The purpose of this study was to evaluate the effectiveness of fissurotomy and double application time of acidic primer of self-etching adhesive system of acid treatment on enamel surfaces for prevention of microleakage of pit and fissure sealants. The microleakage of pit and fissure sealants was evaluated by measuring the penetration depth of methylene blue solution. Specimens were divided by 4 groups according to the method of treatment. Group I: 35% phosphoric acid etching, 20 seconds. Group II: Priming with self-etching primer, 20 seconds. Group III: Priming with self-etching primer, 40 seconds. Group IV: Priming with self-etching primer, 20 seconds, after fissurotomy. The etched pattern produced on enamel was observed using a scanning electron microscope. Obtained data were analysed statistically using Kruscal-Wallis test followed by Mann-Whitney test for comparison of groups. The results are as follows: 1. Microleakage scores of group IV priming with self-etching primer 20 seconds after fissurotomy was the lowest. 2. Microleakage scores between group II and group III were not shown significant difference. 3. Enamel for 20 seconds etching with 35% phosphoric acid was observed the most effective etching pattern. And the etching pattern on the fissure enamel with self-etching adhesive 20 seconds after fissurotomy was more prominent than group II, III only using self-etching primer.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.4
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• pp.514-521
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• 2009

The aim of this study was to evaluate the bonding ability of two self etch systems to human primary and permanent enamel and the effect of additional acid etching time. Exfoliated, caries free human primary molar(n=65) and permanent molar extracted (n=65) were used. prepared enamel specimens were randomly divided into 2 test groups and a control group. The control group(n=10) were treated with 35% phosphoric acid gel and Scotchbond Multi-purpose adhesive. Experimental groups(self-etching systems) were subdivided into 6 groups(each n=10) according to additional etching time(0s, 5s, 10s, 15s, 20s, 30s). The result were as follows : 1) The shear bond strengths of the self-etching adhesives(Clearfil SE Bond, Adper Prompt L-pop) without additional etching were lower than control group(Scotch Bond Multipurpose). 2) Between the same self-etch adhesive groups, additional etched groups showed higher shear bond strength 3) There was no significant difference between primary and permanent enamel. In conclusion, bond strength of self-etch adhesives to enamel could be increased with additional etching.

• Restorative Dentistry and Endodontics
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• v.32 no.4
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• pp.365-376
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• 2007

The purpose of this study was to evaluate the effect of different etching times on microtensile bond strength (${\mu}TBS$) to dentin both initial and after thermocycling with 3 different types of total-etching adhesives. Fifty four teeth were divided into 18 groups by etching times (5, 15, 25 sec), adhesives types (Scotchbond Multipurpose (SM), Single Bond (SB), One-Step (OS)) and number of thermocycling (0, 2,000 cycles). Flat dentin surfaces were prepared on mid-coronal dentin of extracted third molars. After exposed fresh dentin surfaces were polished with 600-grit SiC papers, each specimen was acid-etched with 35% phosphoric acid (5, 15, 25 sec) and bonded with 3 different types of total etching adhesives respectively. Then, hybrid composite Z-250 was built up. Half of them were not thermocycled (control group) and the ethers were subjected to 2,000 thermocycle (experimental group). They were sectioned occluso-gingivally into $1.0\;{\times}\;1.0\;mm^2$ composite-dentin beams and tested with universal testing machine at a crosshead speed of 1.0 mm/min. Within limited data of this study, the results were as follows 1. There was no statistically significant difference in ${\mu}TBS$ between the thermocycled and non-thermocycled groups, except for both SM and SB etched for 25 sec. 2. In thermocycled SM and SB groups, bond strength decreased by extended etching time. In total etching systems, adhesive durability for dentin could be affected by type of solvents in adhesive and etching time. Especially, extended etching time may cause deteriorate effects on bond strength when ethanol-based adhesive was used.

• Restorative Dentistry and Endodontics
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• v.29 no.2
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• pp.185-190
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• 2004

자가산부식 접착제 (self-etching primer)는 법랑질과 상아질을 동시에 산부식과 프라이머 처리를 함으로 임상 시술 시간을 단축시킬 뿐만 아니라, 임상과정 중 발생할 수 있는 술자의 실수 및 타액등에 의한 오염의 가능성을 줄일 수 있는 장점을 가지고 있다. 그러나 약산을 이용한 산부식법이 법랑질에 대해 탈회효과 및 접착강도에 있어 논란이 되고 있다. 이에 본 연구에서는 인산을 이용한 추가적인 산부식 및 자가산부식 접착제의 적용시간을 달리할 경우 법랑질에 대한 접착강도의 변화를 알아보고자 하였다. 135개의 발거한 우치의 법랑질 면을 ＃600사포로 연마한 후 9개의 군으로 분류하였다. 각 군은 부가적인 32% 인산을 처리하지 않은 군 (1~3군), 15초간 처리한 군 (4~6군), 60초간 처리한 군 (7~9군)으로 나누고, 이를 다시 Clearfil SE Bond의 프라이머로 5초 (1, 4, 7군), 20초 (2, 5, 8군), 60초 (3, 6, 9군)간 처리한 군으로 분류하였다. 접착제 처리한 면에 Clearfil AP-X 복합레진을 접착하고 24시간 경과 후 전단응력 강도를 측정하였다. 결과는 One-way ANOVA 처리후 Duncan's multiple range test로 사후검증하였다. 동일한 자가산부식 프라이머 처리 시간을 가진 군에서 산 부식을 한 경우가 그렇지 않은 군에 비해 높은 접착강도를 나타내었으며 인산부식 시간의 차이에 의한 영향은 없었다.(1 < 4, 7군/ 2 < 5, 8군/ 3 < 6, 9군). 자가산부식제의 프라이머 적용 시간에 의한 효과는 1군(5초 적용)을 제외한 나머지 군의 경우 동일한 인산 처리군에서는 차이가 없는 것으로 나타났다.(1군 < 2, 3군/ 4＝5＝6군/ 7＝8＝9군). Clearfil SE Bond 접착제의 법랑질에 대한 접착강도는 부가적인 산부식을 통하여 증가시킬 수 있으며 프라이머의 적용 시간에 의한 효과는 제조자의 지시에 의한 시간 이상 적용할 경우 차이가 없는 것으로 나타났다.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.2
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• pp.321-331
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• 2005

The purpose of this study was to compare the effectiveness of mechanical and acid treatment on enamel surfaces for the retention of pit and fissure sealants and evaluate the presence of a prismless layer. The etch pattern produced on enamel from immature and mature premolar teeth extracted with varying period of acid etching using 37% phosphoric acid was examined using a scanning electron microscope(SEM). The composition of each groups was evaluated using an energy dispersive x-ray(EDX) spectroscopy. The result of present study can be summarized as follows: 1. Prismless layer was commonly observed on the fissure enamel in young and mature premolar. 2. There were no differences in micro-structure and etching pattern on fissure enamel between the young and the mature premolar. 3. The most effective etching pattern for retention of pit and fissure sealant was observed in 60 seconds of etching time and no apparent difference of etching pattern was found among 15, 30, and 45 seconds of etching time which showed non-retentive etching patterns. 4. The etching pattern obtained by grinding enamel surface with bur followed by 60 seconds of etching was similar to that of 60 seconds of etching without any pretreatment of fissure surface. 5. Type 2 etching pattern was commonly found on fissure enamel in both young and mature premolar. 6. The calcium content and P/Ca ratio in fissure enamel between the young and the mature premolar were significantly different(P<0.05). But content of calcium, phosphate and P/Ca ratio on various regions of fissure enamel in both young and mature premolar did not showed any difference. Based on these results, prismless layer may negatively influence the retention of pit and fissure sealants. Therefore, the mechanical removal of the prismless layer by grinding prior to etching or by prolonged etching time of enamel within the fissure system should result in an improved bonding of a pit and fissure sealant.

• Journal of the korean academy of Pediatric Dentistry
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• v.27 no.2
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• pp.229-236
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• 2000

For the purpose of evaluating the microleakage of compomer restorations in cervical cavities of primary molars according to the length of etching time, an experiment was performed through next procedures. 48 extracted human primary molars were divided into 6 groups according to applied compomers and the etching time of 0, 15, 30 seconds. All the restorations were filled under the manufacturer's direction, and the degree of dye penetration was evaluated with stereomicroscope. The microleakage of etch group was measured and statistically analyzed and obtained the results as follows: 1. Compared with groups without etching, the degree of microleakage was reduced by acid etching the cavities (p<0.05). 2. There revealed similar preventive effects of microleakage when the teeth were etched for 15 seconds and 30 seconds respectively(p>0.05). 3. No significant difference was observed between two compomers examined in this study(p>0.05). It was, therefore, thought acid etching is effective to minimize the microleakage of compomer restorations in primary teeth, and in cases of performing, 15 seconds is adequate for etching.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.3
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• pp.472-480
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• 2005

The purpose of this study was to investigate the effective penetration methods of acid etching agents in the pit and fissures on the occlusal surface. Extracted maxillary first and second premolars were divided into 4 groups : to Group I only acid etching agent was applied, to Group II ultrasonic scaler as well as acid etching agent were applied, to Group III after fissurotomy acid etching agent was applied, and to Group IV after fissurotomy the same process performed with Group II. The comparison between the 4 groups by the use of scanning electron microscope showed the results as follows : 1. Comparing each groups with regard to the penetration rate(%) of acid etching agents, Group III and Group IV showed improved penetration rate(%) compared with Group I. Group II made no significant different results from Group I, but had somewhat better penetration rate(%). 2. Comparing each groups with regard to the penetration rate(%) of acid etching agents according to regions within fissures, Group III and Group IV showed more improved penetration rate than Group I in the mesial pit and distal pit. However, no significant difference between each groups was showed in the middle fissure.

• Restorative Dentistry and Endodontics
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• v.34 no.1
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• pp.38-41
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• 2009

When we use the total-etch dentin adhesive system for composite resin restorations, gel or liquid acid etchant such as 37% phosphoric acid is commonly used. Thirty seven percentage phosphoric acid is very powerful erosive agent, and can cause severe harmful effects when it contacts with an oral mucosa and facial skin. This case describes iatrogenic chemical burn on facial skin caused by phosphoric acid which was happened during composite resin restorative procedure. Chemical burn by acid etchant can be evoked by careless handling of remnant and syringe. In order to prevent these iatrogenic injuries, we should check the complete removal of the etching agent both in intra and extra-oral environments after etching and rinsing procedure and it is necessary to use of the rubber dam or isolation instruments. If accidental burn were occurred. immediate wash with copious water. And bring the patient to the dermatologist as soon as possible.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.3
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• pp.299-306
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• 2018

The aim of this study was to evaluate the effect of etching time and bonding agents on bond strength of sealant applied to the occlusal surface of primary molars. Forty non-carious exfoliated human primary molars were included in the study. The teeth were randomly divided into 4 groups for measurement. For group I, no acid etching treatment was used. For group II, III, and IV, acid etching gels were applied on the occlusal surface for 15, 30, and 60 seconds, respectively. Each group was divided into 2 subgroups; one group was treated with bonding agents on the enamel while the other was not. Microtensile bond strength was evaluated using a universal testing machine. There were no statistically significant differences in bond strength with varying duration of etching among groups. The results revealed that the use of bonding agents prior to application of fissure sealant increased the bond strength(p < 0.05). It could be concluded that etching time greater than 15 seconds does not significantly enhance the bond strength, but the use of bonding agents as an intermediate layer between the primary molar and fissure sealant would be beneficial in increasing the bond strength.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.143-152
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• 2003

The aims of the present study was to observe resin tag of the resin/enamel, dentin interface produced by self-etching adhesive systems and evaluate effect of additional acid etching on resin tag formation. Three self-etching primer(SE bond, AQ bond and L Pop) and an one bottle adhesive(Single bond) were used. Flat occlusal enamel and dentin disks were obtained from extracted human molars. A total of 20 surfaces were collected and divided into four groups of 5 samples. One-half of each specimen in each group was etched with 35% phosphoric acid prior to the application of each adhesive system, with the second half being kept unetched. Subsequently, resin composite was placed and polymerized. The samples were sliced and immersed into HCl and NaOCl solutions, followed by drying and sputter coating for examination with a SEM. The results were as follows; 1. Additional etching side of dentin displayed longer and thicker resin tag than unetched side in all self-etching adhesive groups. 2. In enamel, additional etching side displayed deeper and more distinct etching pattern than unetched side except L Pop. There is no difference between etched and unetched enamel in L Pop. The results obtained suggest the self-etching adhesive did not etch enamel and penetrate into dentinal tubule as deeply as did additional etching. Further research should include the evaluation of the relationship of boding strength, microleakage and resin tag morphology.