• The Journal of Korean Academy of Prosthodontics
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• v.47 no.3
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• pp.342-347
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• 2009

Statement of problem: when using resin for class II restoration, micoleakage by instrumentation can be regarded as the primary negative characteristic. A review of the available literature suggests that using flowable resin as liner to decreased microleakage. Purpose: The aim of this study was to determine the influence of the nanofilled flowable resin lining on marginal microleakage after load cycling in class II composite restoration fillings using nanofiller resin. Material and methods: 24 extracted premolars were prepared with class II cavity. F group was restored the nanofilled resin with the nanofilled flowable resin as liner. NF group was restored the nanofilled resin only. After restoration, an experiment was performed on 2 groups using a 300N load at 104, 105 and 106 cycles. Prior to and before each load cycling, it was gauged length on total marginal microleakage, axial marginal microleakage and buccal, gingival, lingual marginal microleakage. Data were analyzed with the Mann-Whitney test & Kruskal-Wallis test. Results: There were statistically significant differences between 2 groups and between individual groups. (P <.05) The result showed less microleakage in teeth restored by the nanofilled resin, which was lined by the nanofilled flowable resin. Conclusion: There was significant reduction in microleakage when the nanofilled flowable resin lining was placed underneath the nanofilled resin in class II composite restoration fillings.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.4
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• pp.693-698
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• 2006

In Class I cavity, the highest C-factor could be obtained and it means the highest polymerization shrinkage stress. In this study, high C-factor model was designed. The pulpose of present study was to determine differences of Microtensile bond strength (MTBS) of class I cavity pulpal and axial wall specimens in primary molar. Twenty clean mandibular 2nd primary molars were randomly divided into two groups Different composite Resins (Filtek Z250, 3M ESPE & Filtek Supreme, 3M ESPE) were bulk filled and photo cured. Axial wall specimens and pulpal specimens were prepared at the same teeth, All specimens were divided into 4 groups and MTBS were evaluated. Group ZP : Filtek Z250-Pulpal wall Group ZA : Filtek Z250-Axial wall Group SP : Filtek Supreme - Pulpal wall Group SA : Filtek Supreme - Axial wall The results were as follows: 1. Mean MTBS of ZP & ZA and SP & SA were significantly different(p<.001). 2. There was no significant difference between MTBS of ZP & SP and ZA & SA.

• Restorative Dentistry and Endodontics
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• v.33 no.1
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• pp.28-38
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• 2008

This study was to investigate the influence of composite resins with different elastic modulus, cavity modification and occlusal loading condition on the stress distribution of restored notch-shaped noncarious cervical lesion using 3-dimensional (3D) finite element (FE) analysis. The extracted maxillary second premolar was scanned serially with Micro-CT. The 3D images were processed by 3D-DOCTOR. ANSYS was used to mesh and analyze 3D FE model. A notch-shaped cavity and a modified cavity with a rounded apex were modeled. Unmodified and modified cavities were filled with hybrid or flowable resin. After restoration, a static load of 500N was applied in a point-load condition at buccal cusp and palatal cusp. The stress data were analyzed using analysis of principal stress. The results were as follows: 1. In the unrestored cavity, the stresses were highly concentrated at mesial CEJ and lesion apex and the peak stress was observed at the mesial point angle under both loading conditions. 2. After restoration of the cavity, stresses were significantly reduced at the lesion apex, however cervical cavosurface margin, stresses were more increased than before restoration under both loading conditions. 3. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin. 4. Cavity modification the rounding apex did not reduce compressive stress, but tensile stress was reduced.

• Journal of dental hygiene science
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• v.13 no.3
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• pp.330-338
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• 2013

In order to explore microleakage in class V cavity based on different kinds of several dentin adhesive and composite resin, 2 kinds of composite resin was restored and exposed after applying 4 kinds of dentin adhesives. Deposited in methylene blue solution for 4 hours and cut in parallel with tooth longitudinal axis. By observing dye penetration level of enamel and dentin margins of each restored resin following conclusion was obtained. 1. In composite resin Filtek Z350XT Universal (3M/ESPE Dental Products, USA) in enamel margin, Easy Bond (3M/ESPE Dental Products) showed the lowest microleakage and this leakage was represented to be high in the order of Single Bond 2 (3M/ESPE Dental Products), Scotchbond Multi-Purpose (3M/ESPE Dental Products) and Cearfil SE Bond (Kuraray Medical Inc., Japan). In case of Filtek Z350XT Flowable (3M/ESPE Dental Products), Scotchbond Multi-Purpose showed the lowest microleakage and this leakage was represented to be high in the order of Single Bond 2, Clearfil SE Bond and Easy Bond. 2. In case of Filtek Z350XT Universal in dentin margin, Easy Bond showed the lowest microleakage and this leakage was represented to be high in the order of Scotchbond Multi-Purpose, Single Bond 2 and Clearfil SE Bond. In case of Filtek Z350XT Flowable, Scotchbond Multi-Purpose and Single Bond showed the lowest microleakage and this leakage was represented to be high in the order of Clearfil SE Bond and Easy Bond. 3. In all the groups excepting S-U group (Single Bond 2+Filtek Z350XT Universal), enamel margin showed more higher microleakage than that of dentin margin. 4. There was a difference between enamel and dentin margin among each group but it was not significant statistically (p>0.05). When summarizing this result, it is considered that composite resin and dentin adhesive could be applied selectively and particularly in case of applying 1-step self-etching dentin adhesive, this method would be advantageous for manipulation convenience and shortening of operation time.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.2
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• pp.169-174
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• 2011

Acoustic emission (AE) signals were detected and analyzed in real time during the polymerization shrinkage of composite resin restoration in an artificial dental ring with a class I cavity. Most AE hit events were observed in the initial curing period of the 1st region with high contraction rate. The range of the $2^{nd}$ region for the stainless steel specimen was shorter than that for the PMMA specimen but longer than that for the human dentin specimen. AE hit events showed a blast-type signal having an amplitude in the range of 25.45 dB and a frequency band of 100.200 kHz or 240.300 kHz. These values of amplitude and frequency indicated the fracture of resin or of the adhesive layer.

• Restorative Dentistry and Endodontics
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• v.30 no.6
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• pp.450-460
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• 2005

The aim of this study was to evaluate the effect of cavity shape, bond quality of bonding agent and volume of resin composite on shrinkage stress developed at the cavity floor. This was done by measuring the shear bond strength with respect to iris materials (cavity shape , adhesive-coated dentin as a high C-factor and Teflon-coated metal as a low C-factor), bonding agents (bond quality: $Scotchbond^{TM}$ Multi-purpose and Xeno III) and iris hole diameters (volume; 1mm or 3mm in $diameter{\times}1.5mm$ in thickness). Ninety-six molars were randomly divided into 8 groups ($2{\times}2{\times}2$ experimental setup). In order to simulate a Class I cavity, shear bond strength was measured on the flat occlusal dentin surface with irises. The iris hole was filled with Z250 restorative resin composite in a bulk-filling manner. The data was analyzed using three-way ANOVA and the Tukey test. Fracture mode analysis was also done When the cavity had high C-factor, good bond quality and large volume, the bond strength decreased significantly The volume of resin composite restricted within the well-bonded cavity walls is also be suggested to be included in the concept of C-factor, as well as the cavity shape and bond quality. Since the bond quality and volume can exaggerate the effect of cavity shape on the shrinkage stress developed at the resin-dentin bond, resin composites must be filled in a method, which minimizes the volume that can increase the C-factor.

• Restorative Dentistry and Endodontics
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• v.30 no.2
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• pp.112-120
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• 2005

This study was done to evaluate whether there were any differences in microleakage of class V composite restorations according to restoration site and cavity size. Total sixty-four restorations were made in molar teeth using Esthet-X. Small ($2\;{\times}\;2\;{\times}\;1.5\;mm$) and large ($4{\times}2{\times}1.5\;mm$) restorations were made at the buccal/lingual surface and the proximal surface each. After 1,000 times of thermocycling ($5^{\circ}\;-\;55^{\circ}C$), resin replica was made and the percentage of marginal gap to the whole periphery of the restoration was estimated from SEM evaluation. Thermocycled tooth was dye penetrated with $50\%$ silver nitrate solution. After imbedding in an auto-curing resin, it was serially ground with a thickness of 0.25 mm. Volumetric microleakage was estimated after reconstructing three dimensionally. Two-way ANOVA and independent T-test for dye volume, Mann-Whitney U test for the percentage of marginal gap, Spearman's rho test for the relationship between two techniques were used, The results were as follows : 1. The site and size of the restoration affected on the microleakage of restoration. Namely, much more leakage was seen in the proximal and the large restorations rather than the buccal/lingual and the small restorations. 2. Close relationship was found between two techniques (Correlation coefficient = 0.614/ P = 0.000). Within the limits of this study, it was noted that proximal and the large restorations leaked more than buccal/lingual and the small restorations. Therefore, it should be strictly recommended large exposure of margins should be avoided by reducing unnecessary tooth reduction.

• Proceedings of the KACD Conference
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• 2008.05a
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• pp.184-197
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• 2008

This study was to investigate the influence of combining composite resins with different elastic modulus, and occlusal loading condition on the stress distribution of restored notch-shaped non-carious cervical lesion using 3D finite element (FE) analysis. The extracted maxillary second premolar was scanned serially with Micro-CT. The 3D images were processed by 3D-DOCTOR. ANSYS was used to mesh and analyze 3D FE model. A notch-shaped cavity was modeled and filled with hybrid, flowable resin or a combination of both. After restoration, a static load of 500N was applied in a point-load condition at buccal cusp and palatal cusp. The stress data were analyzed using analysis of principal stress. Results showed that combining method such that apex was restored by material with high elastic modulus and the occlusal and cervical cavosurface margin by small amount of material with low elastic modulus was the most profitable method in the view of tensile stress that was considered as the dominant factor jeopardizing the restoration durability and promoting the lesion progression.

• Restorative Dentistry and Endodontics
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• v.33 no.3
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• pp.184-197
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• 2008

This study was to investigate the influence of combining composite resins with different elastic modulus, and occlusal loading condition on the stress distribution of restored notch-shaped non-carious cervical lesion using 3D finite element (FE) analysis. The extracted maxillary second premolar was scanned serially with Micro-CT. The 3D images were processed by 3D-DOCTOR. ANSYS was used to mesh and analyze 3D FE model. A notch-shaped cavity was modeled and filled with hybrid, flowable resin or a combination of both. After restoration, a static load of 500N was applied in a point-load condition at buccal cusp and palatal cusp. The stress data were analyzed using analysis of principal stress. Results showed that combining method such that apex was restored by material with high elastic modulus and the occlusal and cervical cavosurface margin by small amount of material with low elastic modulus was the most profitable method in the view of tensile stress that was considered as the dominant factor jeopardizing the restoration durability and promoting the lesion progression.

• Proceedings of the KACD Conference
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• 2003.05a
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• pp.288-288
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• 2003

1960년대 중반부터 도입된 구치부 복합레진 수복은 복합레진과 접착시스템의 향상된 물성 때문에 구치부 사용에 대한 주목할 만한 결과를 보고하고 있다. 현재는 다수의 1급, 2급 수복물에 복합레진이 적응증으로 기술되며, 사실상 미국치과의사 협회(ADA)도 초기와 중등과 크기의 병소를 보존적 I, II급 와동으로 형성된 뒤 복합레진으로 수복하는 시술의 적절성을 인정하고 있다. ADA는 "복합레진을 유치나 영구치의 I급, II급, V급 수복에 올바르게 적용하면 아발감의 수명에 뒤지지 않는다."라고 기술하고 있다. 이에 본 강연에서는 I급과 II급 복진레진 수복을 위한 관련된 재료들의 특성과 단점들을 극복하기 위한 노력들을 설명하고자 한다. 특히 중합수축과 관련된 문제점들을 해결하기 위해 제시되고 있는 방법들의 임상적 적용 가능성의 한계와 술후 과민증을 줄이기 위한 방법, 그리고 구치부에 적용된 레진들의 마모를 줄일 수 있는 방법들을 모색하고 한다. 더불어 구치부 복합레진 수복을 위한 임상 시술 시 가장 흔하게 발생되는 단조로운 인접면 외형 형성 및 접촉점 개방의 문제점을 인식하고 이를 막기 위한 노력 및 기구들의 사용 조작에 대해 토의해 보고자 한다.