• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.1
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• pp.132-135
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• 2005

The purpose of this study was to propose the modified strip crown technique for esthetic restoration of primary anterior teeth using glass fibers. Celluloid crown form(3M, USA), Z100(P shade, 3M, USA). Aeliteflo(Bisco Inc., USA), and Clearfil SE Bond(Kuraray Medical Inc., Japan) were used for this technique. Mesh type of glass fiber(TESCERA Fiber Mesh, Bisco Inc, USA) was used for reinforcing material. After trimming the celluloid crown form, resin adhesive and flowable resin were applied on the pre-shaped glass fiber mesh. That mesh was placed on the lingual surface of inside of celluloid crown form and followed by light activation. Composite resin was filled into the celluloid crown form and put it on a prepared tooth and then light activated and finished the margin. The new modified strip crown technique can provide esthetics and increased durability for restoration of primary anterior teeth.

• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.3
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• pp.184-193
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• 2016

Purpose: To evaluate marginal leakage of bulk fill flowable composite resin filling with different curing time by using microcomputed tomography technology. Materials and Methods: 30 previously extracted human molars were randomly divided into 6 groups based upon restorative system and different curing time. Class II cavities (vertical slot cavities) were prepared. An individual metallic matrix was used to build up the proximal wall. The SonicFill or SureFil SDR flow was inserted into the preparation by using 1 bulk increment, followed by light polymerization for different curing times. The different exposure times were 20, 40, and 60 seconds. All specimens were submitted to 5,000 thermal cycles for artificial aging. Micro-CT scanning was performed by using SkyScan 1272. One evaluator assessed microleakage of silver nitrated solution at the resin-dentin interface. The 3D image of each leakage around the restoration was reconstructed with CT-Analyser V.1.14.4. The leakage was analyzed with the Mann-Whitney test. Results: Significant differences were observed between the light curing times, but no significant differences were found between the bulk fill composite resins. Increasing in the photoactivation time resulted in greater microleakage in all the experimental groups. Those subjected to 60 seconds of light curing showed higher microleakage means than those exposed for 20 seconds and 40 seconds. Conclusion: Increasing the photoactivation time is factor that may increase marginal microlekage of the bulk fill composite resins. Further, micro-CT can nondestructively detect leakage around the resin composite restoration in three dimensions.

• Restorative Dentistry and Endodontics
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• v.34 no.4
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• pp.364-370
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• 2009

The aim of this study was to evaluate the effect of fiber direction on the polymerization shrinkage of fiber-reinforced composite. The disc-shaped flowable composite specimens (d = 10 mm, h = 2 mm, Aeliteflo A2, Bisco, Inc., IL, USA) with or without glass fiber bundle (X-80821P Glass Fiber, Bisco, Inc., IL, USA) inside were prepared, and the longitudinal and transversal polymerization shrinkage of the specimens on radial plane were measured with strain gages (Linear S-series 350${\Omega}$, CAS, Seoul, Korea). In order to measure the free polymerization shrinkage of the flowable composite itself, the disc-shaped specimens (d = 7 mm, h = 1 mm) without fiber were prepared, and the axial shrinkage was measured with an LVDT (linear variable differential transformer) displacement sensor. The cross-section of the polymerized specimens was observed with a scanning electron microscope to examine the arrangement of the fiber bundle in composite. The mean polymerization shrinkage value of each specimen group was analyzed with ANOVA and Scheffe post-hoc test (${\alpha}$=0.05). The radial polymerization shrinkage of fiber-reinforced composite was decreased in the longitudinal direction of fiber, but increased in the transversal direction of fiber (p<0.05). We can conclude that the polymerization shrinkage of fiber-reinforced composite splint or restoratives is dependent on the direction of fiber.

• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.2
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• pp.259-267
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• 2008

This in vitro study aimed to investigate the influence of flowable composite lining with different thicknesses on the marginal quality. One hundred twenty cavities, each preparated with proximal boxtype( 3mm of bucco-lingual width, 2mm of mesio-distal depth and gingival margin of 1mm supra-CEJ) were randomly dived into four groups. group I : Tetric ceram filling alone(control group) group II: 0.5mm thickness Tetric flow + Tetric ceram filling group III: 1.5mm thickness Tetric flow + Tetric ceram filling group IV: 2.5mm thickness Tetric flow + Tetric ceram filling The followings are the results: 1. Group II showed significantly less microleakage compared to group I(control group)(p<0.05). 2. There was no statistically significant difference between group III, IV and group I(p>0.05). 3. Group II showed significantly less microleakage compared to group III, IV(p<0.05). 4. There was microleakage more or less in all group. It was concluded that 0.5mm flowable composite lining improved cavity adaptation and marginal sealing.

• Composites Research
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• v.30 no.6
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• pp.393-398
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• 2017

The shrinkage distribution of a dental composite (Clearfil AP-X, Kuraray, Japan) used for dental restoration was observed using a digital image correlation method. In order to analyze the shrinkage distribution formed during and after light irradiation, digital images were taken with different photographing conditions for each period. Optimal photographing conditions during LED irradiation were obtained through a preliminary experiment in which the exposure time was applied from 0.15 ms to 0.55 ms in 0.05 ms intervals. The DIC analysis results showed that the strain was non-uniform. For the initial 20 s of light irradiation the composite resin shrank to the level of 50~60% of the final curing shrinkage. Such large shrinkage amount of the composite resin lump affected the tensile stress concentration near the adhesive region between the composite resin and the substrate.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.4
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• pp.365-373
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• 2016

Composites are the most useful restorative material. However, composites have some disadvantages such as polymerization shrinkage, long working time, and susceptibility to water and contamination, which are stood out more especially when treating children. To solve these problems, bulk-fill composites have been developed. The aim of this study is to compare mechanical properties of bulk-fill and conventional composites. Bulk-fill composites (SureFil SDR flow (SDR), Tetric N-Ceram bulk fill (TBF)) and conventional composites (Filtek Z-350 (Z-350), Unifil Flow (UF), Unifil Loflo Plus (UL)) were used. The Vickers hardness tester was used to measure the microhardness of materials, and Fourier transform infrared spectroscopy was used to measure the degree of conversion. Polymerization shrinkage was measured by using a linometer. Flexural and compressive properties were measured by using the universal testing machine. Data were statistically analyzed by ANOVA and Scheffe's post hoc test. The level of significance was set to p < 0.05. Most conventional composites showed higher microhardness than bulk-fill composites. However, bulk-fill composites showed a higher top/bottom microhardness ratio than conventional composites. Bulk-fill composites showed a higher top/bottom degree of conversion ratio than conventional composites. The polymerization shrinkage was highest in UL and lowest in Z-350. The polymerization shrinkage of flowable composites was higher than that of non flowable composites. The compressive properties were highest in Z-350 and lowest in SDR and UL. In terms of flexural properties, Z-350 was the highest. However, none of the bulk-fill composites exhibited mechanical properties as good as those of conventional composites. Nonetheless, the ratio of microhardness and degree of conversion, which are important properties of bulk filling, were higher in bulk-fill composites. Therefore, the bulk-fill composites might be considered suitable restorative materials in pediatric dentistry.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.3
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• pp.440-447
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• 2009

This study was performed to compare the wear resistance of sealant and flowable resins for analyzing the effect of flowable resin as a sealant in preventive resin restorations. Specimens were made and Vicker's hardness number and surface roughness were measured. SEM observations of the polished and abraded surfaces were established. Kruskal-Wallis rank test and Mann-Whitney U test at the significant level of ${\alpha}$=0.05 were used. The following results were obtained: 1. The microhardness was decreased among groups in following order: Z350 (3M ESPE, U.S.A), Estelite (Tokuyama Dental, Japan) and Ultraseal (Ultradent, U.S.A). There were significant differences in all groups (p<0.0001). 2. The surface roughness was decreased among groups in following order: Ultraseal XT plus, Palfique Estelite LV and Filtek Z350 flowable. However, there is no statistically significant differences in roughness among Estellite, Z350 and Ultraseal at the significance level of ${\alpha}$=0.05, with p=0.116 3. SEM observation of the unworn and worn surfaces revealed the qualitative differences in the wear appearance among groups. The results in this study indicate that flowable resin is better than sealant in aspect of physical properties.

• Composites Research
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• v.33 no.3
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• pp.125-132
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• 2020

The polymerization shrinkage behavior of dimethacrylate-based composite (Clearfil AP-X, Kuraray) and silorane-based composite (Filtek P90, 3M ESPE) used for dental composite restorations was measured using digital image correlation method. The stress distribution on the surface of specimen was calculated by finite element analysis with equivalent elastic modulus and was compared with the measured shrinkage distribution. Camera images were monitored by a CCD camera during and after the irradiation of light. As a result of the DIC analysis, a non-uniform shrinkage distribution was observed in both composite resins, and the resin core inside the ring specimen had free flowability, leading to in greater shrinkage strain than the resin/ring interfacial region. It was observed that as the distance from the center of the resin increased, the radial average shrinkage strain decreased. The radial average shrinkage strain during light irradiation occurred to be 33% for P90 and 57% for AP-X of the entire strain at the end of the test. The shrinkage behavior of P90 and AP-X was measured to be significantly different from each other during light irradiation. In the resin near the resin/ring interface, it was confirmed that the tensile strain rapidly formed to increase after light irradiation, causing a tensile stressed, interface weak.

• Restorative Dentistry and Endodontics
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• v.33 no.2
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• pp.83-89
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• 2008

The purpose of this study was to evaluate the effect of the polymerization shrinkage and modulus of elasticity of composites on the cusp deflection of class V restoration in premolars. The sixteen extracted upper premolars were divided into 2 groups with similar size. The amounts of cuspal deflection were measured in Class V cavities restored with a flowable composite (Filtek flow) or a universal hybrid composite (Z-250). The bonded interfaces of the sectioned specimens were observed using a scanning electron microscopy (SEM). The polymerization shrinkage and modulus of elasticity of the composites were measured to find out the effect of physical properties of composite resins on the cuspal deflection. The results were as follows. 1. The amounts of cuspal deflection restored with Filtek flow or Z-250 were $2.18\;{\pm}\;0.92{\mu}m$ and $2.95\;{\pm}\;1.13\;{\mu}m$, respectively. Filtek flow showed less cuspal deflection but there was no statistically significant difference (p > 0.05). 2. The two specimens in each group showed gap at the inner portion of the cavity. 3. The polymerization shrinkages of Filtek flow and Z-250 were 4.41% and 2.23% respectively, and the flexural modulus of elasticity of cured Filtek flow (7.77 GPa) was much lower than that of Z-250 (17.43 GPa). 4. The cuspal deflection depends not only on the polymerization shrinkage but also on the modulus of elasticity of composites.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.2
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• pp.89-96
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• 2018

Purpose: The aim of this study was to evaluate the effect of delayed time, surface treatment, and repair materials on repair of bis-acryl composite resin through comparison of shear bond strength and to evaluate the utility of bis-acryl composite resin repair using polymethyl methacrylate resin. Materials and Methods: A total of 90 bis-acryl composite resin specimens were fabricated and classified into 9 test groups, each of 10 pieces according to delayed time, surface treatment and repair material. The shear bond strength of each specimen was measured using a universal testing machine immediately after fabrication and analyzed using a statistical analysis program (IBM SPSS statistics 20). After the shear bond strength measurement, the fracture surface of the specimen was observed. Results: The highest shear bond strength ($17.54{\pm}3.14MPa$) was observed in the experimental group bonded immediately with a light-curing flowable composite resin using a bonding agent. Conclusion: When repairing bis-acryl composite resin, it is necessary to consider whether to remake according to the delayed time. For effective repair, it is desirable to consider appropriate materials and surface treatment methods according to the site or purpose of use.