• 대한소아치과학회지
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• 제29권3호
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• pp.423-429
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• 2002

최근 유동성 복합레진은 조작시 빠르고 간편하며 우수한 접근성으로 임상에서의 사용이 증가하고 있으나 각 제품간 그리고 혼합형 복합레진과의 물리적 성질이나 특성에 관한 비교 연구는 미흡한 실정이다. 이에 본 연구에서는 현재 임상적으로 자주 쓰이는 4종의 유동성 복합레진(Filtek Flow, Tetric Flow, Revolution, Palfique Esthelite LV high flow)의 압축 강도, 상대적 유동성, 방사선 불투과성을 측정하여 그 특성을 비교하여 다음과 같은 결론을 얻었다. 1. 압축강도에 있어서 4종의 유동성 복합레진 각 제품간의 유의한 차이는 없었으나 유동성 복합레진이 혼합형 복합레진(Z-100, 3M, USA)에 비하여 유의성 있게 낮은 압축강도를 나타내었다(p<0.001). 2. 각 제품간의 상대적 유동성은 Palfique Esthelite LV high flow, Revolution, Filtek Flow와 Tetric Flow 순으로 높았고(p<0.001), Filtek Flow와 Tetric Flow간에 유의한 차이는 없었으며, 모든 제품은 TeethmateF-1(Kuraray, Japan)에 비하여 유의성 있게 낮았다(p<0.001). 3. 유동성 복합레진 4종의 방사선 불투과성을 비교 분석한 결과 측정된 모든 유동성 복합레진은 상아질과 유사하거나 높은 방사선 불투과성을 나타내었고 각 제품간 유의한 차이가 있었다(p<0.001). 그 중 Tetric Flow와 Filtek Flow는 법랑질과 유사하거나 높은 방사선 불투과성을 나타내었다(p<0.001). 이상의 실험 결과는 4종의 유동성 복합레진은 혼합형 복합레진 보다 낮은 압축강도를 가지므로 임상에 적용 시 가해질 수 있는 응력을 고려하여야 하며, 각 제품간 유동정의 유의한 차이는 시술 시 재료의 선택에 고려사항이 될 수 있으리라 사료된다. 또한 4종의 유동성 복합레진의 방사선 불투과성은 모두 국제 인증 규격에 합당한 것으로 사료된다.

• 대한치과보철학회지
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• 제44권3호
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• pp.333-342
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• 2006

Statement of problem. Although many studies have been carried out to investigate the correlation between the degree of conversion and the flexural strength of composite resins, there is minimal information in the literature attempting to compare degree of conversion, flexural strength and their correlation between restorative composite resins and flowable composite resins. Purpose. The purposes of this study were to measure the degree of conversion and flexural strength of composite resins with different rheological behavior and to correlate the two properties. Materials and methods. Four restorative (Vit-1-escence, Z-250, Tetric ceram, Esthet-X) and four flowable (Aeliteflo, Admiraflow, Permaflo, Revolution) light-curing composite resins were investigated. The degree of conversion(DC) was analyzed with Fourier transfer infra-red spectroscopy(FTIR) spectrum by a potassium bromide(KBr) pellet transmission method. The spectrum of the unpolymerized specimen had been measured before the specimen was irradiated for 60s with a visible light curing unit. The Poiymerized specimen was scanned for its in spectrum. The flexural strength(FS) was measured with 3-point bending test according to ISO 4049 after storage in water at $37^{\circ}C$ for 24 hours. The data were statistically analyzed by an independent sample t-test and one-way ANOVA at the significance level of 0.05. The dependence of flexural strength on the degree of conversion was also analyzed by regression analysis. Results. Mean DC and FS values ranged from 43% to 61% and from 84.7MPa to 156.7MPa respectively. DC values of the flowable composite resins were significantly higher than those of restorative composite resins (P < 0.05). The FS values of restorative composite resins were greater than those of flowable composite resins. No statistically significant correlation was observed between the DC and the FS tested in any of the composites. The dependence of FS on DC in restorative or flowable composite resins was not significant. Conclusion. It can be concluded that radical polymerization of the organic matrix is not a major factor in determining flexural strength of the commercially available composite resins.

• 대한소아치과학회지
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• 제48권1호
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• pp.12-20
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• 2021

이 연구의 목적은 소아 환자의 유구치 인접면 우식증 치료에 유동성 복합레진을 이용한 II급 와동 수복물의 생존율을 기성금속관과 비교하여 후향적으로 평가하는 것이다. 2015년 6월부터 2019년 8월까지 인접면 우식증으로 진단되어 유동성 복합레진과 기성금속관 수복 치료를 시행한 590명의 1,504개의 유구치에 대한 전자의무기록과 방사선사진을 조사하였다. 수집된 자료는 Kaplan-Meier method를 이용해 생존 분석을 하였다. 유동성 복합레진 수복된 치아의 1년 생존율은 98.5%, 3년 생존율은 87.7%, 평균 생존기간은 39개월이었으며, 기성금속관과 비교할 때 통계적으로 유의한 차이는 없었다(p = 0.896). 현 연구의 한계 내에서 유동성 복합레진을 이용한 II급 수복은 유구치 인접면 우식증 치료의 예지력 있는 선택지가 될 수 있다고 사료된다.

• Restorative Dentistry and Endodontics
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• 제27권3호
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• pp.249-256
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• 2002

The use of flowable composite resins as liners in class II packable composite restoration has been suggested by some manufacturers. However, the contributions of this technique are unproven. The purpose of this study was to compare the gingival microleakage in class II packable composite restorations with or without the use of flowable composite resins as liners. Slot cavities were prepared on both proximals of 80 extracted human molars and randomly assigned to 8 groups of 20 each. The gingival margins were located at 1mm above CEJ in 80 cavities (group1-4) and 1mm below CEJ in 80 cavities (group5-8). The prepared teeth were mounted in the customized tray with adjacent teeth to simulate clinical conditions and metallic matrix band (Sectional matrix) and wooden wedges were applied. After acid etching and application of Single Bond, each group was restored with the following materials using incremental placement technique: Group 1,5 (Filtek P60), group 2, 3, 4 and group 6, 7, 8 (AeliteFlo, TetricFlow, Revolution/ Filtek P60). All specimens were thermocycled 500 times between 5$^{\circ}C$ and 55$^{\circ}C$ with 1 mimute dwell time, immersed 2% methylene blue dye for 24 hours and then rinsed with tab water. The specimens were embedded in clear resin and sectioned longitudinally through the center of restoration with a low speed diamond saw. Dye penetration at gingival margin was viewed at 20 magnification and analyzed on a scale of 0 to 4. Kruscal-Wallis One way analysis and Mann-Whitney Rank sum test were used to analyze the results. The results of this study were as follows. 1. The leakage values seen at the enamel margin were significantly lower than those seen at the dentin margin(P<0.05). 2. On the enamel margin, packable composite resins with flowable liners showed lower leakage than those without flowable liners, but there were no significant differences among the four groups(P>0.05). 3. On the dentin margin, four groups demonstrated moderate to severe leakage, and there were no significant differences in leakage values(P>0.05).

• 대한소아치과학회지
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• 제29권2호
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• pp.217-225
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• 2002

시술시간을 줄이는데 유리한 재료인 유동성 복합레진을 유구치부에 사용하려고 고려할 때 중요한 물성 중 하나는 마모저항성이다. 이 연구의 목적은 유동성 복합레진의 마모저항성을 일반복합레진의 마모저항성과 비교하는 것이다. 실험에 사용된 유동성 복합레진으로 1군에서는 Arabesk flow (VOCO, Germany) 2군에서는 Tetric flow (Vivadent, Liechtenstein) 3군에서는 Aeliteflow (Bisco, U.S.A.), 4군에서는 Filtek flow (3M Dental Co, U.S.A)을 사용하였으며 대조군으로 사용한 5군의 복합레진은 Z100 (3M Dental Co, U.S.A)이었다. 시편들(n=10)은 두께 2mm, 지름 5mm의 원통모양으로 제작하여 마모시험 전 $37^{\circ}C$의 증류수에서 7일 동안 담가 놓았다. 제1소구치와 레진시편을 MTS 시스템에서 2Hz로 50,000회 접촉, 마모시켰다. 마모시험시 lateral excursion은 0.4mm, 교합력은 2-100N의 조건이었다. 마모시험후 마모된 부피, 최대마모깊이, 재료자체의 표면경도를 측정하였고 마모 되지 않은 표면과 마모가 일어난 표면을 주사전자현미경으로 관찰하였으며 다음과 같은 결과를 얻었다. 1. 마모된 부피는 3군에서 가장 적었고 4군에서 가장 많았으며 3군<1군<2군<5군<4군의 순서로 증가하였다. 2. 3군, 1군, 2군은 5군이나 4군에 비해 통계적으로 유의하게 마모부피가 적었다(p<0.05). 그러나, 3군, 1군, 2군 사이에서와 5군, 4군 사이에서는 각각 통계적으로 유의한 차이가 없었다. 3. 최대마모깊이는 1군에서 가장 낮았고, 4군에서 가장 깊었으며 1군<3군<5군<2군<4군의 순서로 증가 하였다. 4. 5군의 표면경도는 다른 유동성 복합레진군에 비해 통계적으로 유의하게 높았으나(p<0.05), 마모부피나 최대마모깊이와는 통계적으로 유의한 상관관계를 보이지 않았다. 5. 마모되지 않은 표면과 마모가 일어난 표면을 주사전자현미경으로 관찰한 결과, 유동성 복합레진군과 5군 사이에 마모양상이 다르게 나타나는 것을 볼 수 있었다.

• Restorative Dentistry and Endodontics
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• 제26권1호
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• pp.16-22
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• 2001

The purpose of this study was to evaluate the marginal microleakage of condensable composite resin restorations according to flowable resin lining of internal cavity wall. The eighty extracted human molar teeth without caries and/or restorations are used The experimental teeth were randomly assigned into four groups of ten teeth each. Eighty caries-free extracted human molars were used in this study. The conventional class II cavities (box-shaped on mesial and distal surface, faciolingual width : 3mm, gingival wall depth : 1.5mm) were prepared 1mm below cementoenamel junction with a # 701 carbide bur. The teeth were divided into four groups, and then each group were subdivided into A & B group according to flowable resin & compomer lining ; Group 1-A : Tetric Ceram filling, Group 1-B : Tetric Flow lining and Tetric Ceram filling, Group 2-A Ariston pHc filling, Group 2-B : Tetric Flow lining and Ariston pHc filing, Group 3-A SureFil filling, Group 3-B : Dyract Flow lining and SureFil filling, Group 4-A : Pyramid filling, Group 4-B : Aeliteflo lining and Pyramid filling. To simulate as closely as possible the clinical situation during retoration placement, a "restoration template" was fabricated, and the condensable resin was filled using a three-sited light-curing incremental technique. All the materials used were applied according to the manufacturers' instructions. The specimens were stored in the 100% humidity for 7 days prior to thermocycling (100 thermal cycles of 5~55$^{\circ}C$ water with a 30-second dwell time) The specimens were immersed in 2% metyleneblue dye for 24 hours, and then embedded in transparent acrylic resin and sectioned mesiodistally with diamond wheel saw. The degree of marginal leakage was scored under stereomicroscope ($\times$20) and the data were analyzed by Kruskal-Wallis test and Wilcoxon signed ranks test. The results were as follows : 1. In the gingival margins of all the group, microleakage of subgroup B was less than subgroup A. 2. In the group 1, 2, 4, there was significant differences between subgroup A and B (p<0.05), but in the group 3, there was not significant different between group 3-A (SureFil) and group 3-B (Dyract flow/SureFil) (p>0.05). 3. In the subgroup A and B, there was significant different between all group except group 4 of subgroup A. From the results above, it was suggested that the cavity lining of flowable resin and flowable compomer in condensable resin restoration decrease microleakage at gingival margin, and does improve their ability to seal the gingival margin of class II preparation.

• 대한치과보철학회지
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• 제44권1호
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• pp.1-9
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• 2006

Purpose: The purpose of this study was to evaluate the efficacy and substitute possibility of a newly developed flowable composite resins as a luting cement for translucent fiber post. Material & Method: Two kinds of 12 mm translucent fiber Post (D.T. Light-Post (Bisco, USA) and FRC Postec (Ivoclar vivadent, Liechtenstein) was inserted into the teflon mold (7 mm diameter, 9 mm long) and Filtek-Flow (3M ESPE. USA), a light activated flowable composite resin, was polymerized for 60 seconds through the post. Also, the post was cut from the tip to 9 mm, 6 mm, 3 mm, and Filtek-Flow was light cured according to each length. For comparison, 60 seconds light-cured and 24 hours self-cured two dual cured resin cement (Duo-cement (Bisco, USA) and 2 Panavia-F (Kuraray, Japan)) samples were prepared as control group. Also cavities (1 mm in width, 1 mm in depth and 12 mm in length) were prepared using acrylic plate and aluminum bar, and flowable composite resin was flied and light cured by the diffused light from the fiber post's side wall. The degree of polymerization was measured according to the distance from curing light using Vickers' hardness test. Result: Within the limitation of this study, the following conclusions were drawn: 1. Vickers' hardness of light cured dual cured resin cement and flowable composite resin decreased from Panavia-F, Filtek-Flow and Duo-cement accordingly (p<0.05). In the dual curing resin cement, light curing performed group showed higher surface hardness value than self cured only group (p<0.05). 2. Surface hardness ratio (light cured through fiber post /directly light cured) of D.T. Light-Post using Filtek-Flow showed about 70% in the 6 mm deep and about 50% in the 12 mm deep FRC Postec showed only 40% of surface hardness ratio. 3. Surface hardness ratio by diffused light from the post's side wall showed about 50% at 6 mm and 9 mm deep, and about 40% at 12 mm deep in D.T. Light-Post. However, FRC Postec showed about 40% at 6 mm deep, and almost no polymerization in 9 mm and 12 mm deep.

• 대한소아치과학회지
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• 제45권4호
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• pp.436-444
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• 2018

이 연구의 목적은 최근 새로 소개된 3-in-1 자가부식, 자가접착 유동성 복합레진의 유치 법랑질과 상아질에 대한 결합력을 기존의 접착 시스템들과 비교 평가하기 위함이다. 110개의 발치된 건전한 유전치를 상아질과 법랑질, 그리고 접착 시스템에 따라 11개의 군으로 나눴다. 연구재료로 Scotchbond Multi-Purpose Plus, Single bond 2, Clearfil SE Bond, All-Bond Universal, Constic을 사용하여 전단결합강도를 평가하였다. 3-in-1 자가부식, 자가접착 유동성 복합레진은 상아질과 법랑질 연구에서 모두 가장 낮은 전단결합강도를 나타냈지만 몇몇 접착 시스템과는 유의한 차이를 나타내지 않아 유치 수복에서 사용될 수 있을 것으로 생각되나 추가적인 연구가 필요할 것으로 여겨진다.

• Restorative Dentistry and Endodontics
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• 제26권4호
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• pp.332-340
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• 2001

Flowable composite resin has lower filler content, increased flow, and lower modules of elasticity. It is suggested that flowable composite resin can be bonded to the tooth structure intimately and absorb or dissipate the stress. Therefore, it may be advantageous to use flowable composite resin for the base material of class II restoration and for the class V restoraton. The purpose of this study was to evaluate the microleakage and shear bond strength of four flowable composite resins (Aeliteflo, Flow-It, Revolution, Ultraseal XT Plus) compared to Z100 using Scotchbond Multi Purpose dentin bonding system. To evaluate the microleakage, notch-shaped class V cavities were prepared on buccal and lingual surfaces of 80 extracted human premolars and molars on cementum margin. The teeth were randomly divided into non-thermocycling group (group 1) and thermocycling group (group 2) of 40 teeth each. The experimental teeth of each group were randomly divided onto five subgroups of eight samples (sixteen surfaces). The Scotchbond Multi-Purpose and composite resin were applied for each group following the manufacturer's instructions. the teeth of group 2 were thermocycled five hundred times between 5$^{\circ}C$ and 55$^{\circ}C$. The teeth of group 2 were placed in 2% methylene blue dye for 24 hours, then rinsed with tab water. The specimens were embedded in clear resin, and sectioned longitudinally with a diamond saw. The dye penetration on each of the specimen were observed with a stereomicioscope at $\times$20 magnification. To evaluate the shear bond strength, 60 teeth were divided into five groups of twelve teeth each. The experimental teeth were ground horizontally below the dentinoenamel junction, so that no enamel remained. After applying Scotchbond Multi-Purpose on the dentin surface, composite resin was applied in the shape of cylinder. The cylinder was 4mm in diameter and 2mm in thickness. Shear bond strength was measured using Instron with a cross-head speed of 0.5mm/min. After shear bond strength measurement, mode of failure was evaluated with a stereomicroscope at $\times$30 magnification. All data were statistically analyzed by One Way ANOVA and Student-Newman-Keuls method. The correlation between microleakage and shear bond strength was analyzed by linear regression. The results of this study were as follows ; 1. In non-thermocycling group, the leakage value of Z100 was significantly lower than those of flowable composite resins at the enamel and dentin margin, margin, except that Revolution showed the lower leakage value than that of Z100 at the dentin margin (p<0.05). 2. In thermocycling group, the leakage values of Z100 and Ultraseal XT Plus were lower than those of other subgroup at the enamel and dentin margin, except that Flow-It showed the lower leakage value than that of Ultraseal XT Plus at the dentin margin (p<0.05). 3. The leakage value of Z100 and Ultraseal XT Plus in thermocycling group were not higher than that in non-thermocycling group at the enamel margin. The leakage value of Z100 in thermocycling group was not higher than that in non-thermocycling group at the dentin margin (p<0.05). 4. As for the shear bond strength measurement, there were no statistically significant differences among groups (p<0.05). The shear bond strengths given in descending order were as follows: Z100(16.81$\pm$2.98 MPa), Flow-It(14.8$\pm$4.43 MPa), Aeliteflo(14.34$\pm$3.69 MPa), Revolution(13.46$\pm$4.23 MPa), Ultraseal XT Plus(12.83$\pm$3.16 MPa). 5. Failure modes of all specimens were adhesive failures. 6. There was no correlation between microleakage and shear bond strength.

• Restorative Dentistry and Endodontics
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• 제30권5호
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• pp.363-371
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• 2005

본 연구는 2급 복합레진 수복 시 다양한 두께의 유동성 레진 이장이 법랑질 또는 상아질 치은측 변연부의 미세누출에 미치는 영향을 평가하기 위하여 시행하였다. 발거된 상, 하악 대구치의 근심 또는 원심면에 2급 와동을 형성하고 혼성복합레진만으로 충전한 군 (대조군)과 유동성 레진을 치은측에 0.5 mm (실험 1군), 1 mm (실험 2군), 2 mm (실험 3군) 두께로 이장한 후 복합레진을 충전한 군으로 분류하였다. 각 군은 $5^{\circ}$와 $55^{\circ}C$에서 500회 열순환을 시행한 후 $2\%$ methylene blue에 24시간 동안 침적시켜 광학 입체현미경하에서 변연부의 색소 침투를 관찰하였다. 본 연구의 결과 유동성 레진의 다양한 두께는 복합레진 수복물의 변연부 미세누출에 영향을 미쳤다. 복합레진을 이용한 구치부 2급 와동 수복 시 법랑질 또는 상아질 변연에서 0.5 mm두께로 유동성 레진을 적용하는 것이 미세누출 감소에 효과적인 것으로 나타났다.