• The Journal of Korean Academy of Prosthodontics
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• v.52 no.3
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• pp.202-210
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• 2014

Purpose: The aim of this study was to evaluate the stress concentration and distribution whether restoring the cavity or not while restoring with metal ceramic crown on tooth with abfraction lesion using finite element analysis. Materials and methods: Maxillary first premolar was selected and made a total of 10 finite element model. Model 1 was natural tooth; Model 2 was tooth with metal ceramic crown restoration which margin was positioned above 2 mm from CEJ; Model 3 was tooth with metal ceramic crown restoration which margin was positioned on CEJ; Model 4 was natural tooth which has abfraction lesion; Model 5 and 6 had abfraction lesion and the other condition was same as model 2 and 3, respectively; Model 7 was natural tooth which had abfraction lesion restored with composite resin; Model 8 and 9 was tooth with metal ceramic crown after restoring on abfraction lesion with composite resin; Model 10 was restored tooth on abfraction lesion with composite resin and metal ceramic crown restoration which margin is positioned on lower border of abfraction lesion. Load A and Load B was also designed. Von Mises value was evaluated on each point. Results: Under load A or load B, on tooth with abfraction lesion, stress was concentrated on the apex of lesion. Under load A or load B, on tooth that abfraction lesion was restored with composite resin, the stress value was reduced on the apex. Conclusion: In case of abfraction lesion was restored with composite resin, the stress was concentrated on the apical border of restored cavity regardless of marginal position. It was favorable to place crown margin on the enamel for restoring with metal ceramic crown.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.2
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• pp.201-212
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• 2002

This study investigated the shear bond strengths between abrasion-resistant denture teeth and composite resins according to surface treatments. Denture teeth for this study were Trubyte IPN teeth(Dentsply Inc., USA) with interpenetrating polymer network and Endura Posterio (Shofu Inc. Japan) of composite resin teeth, and restorative composite resins were Clearfil FII (Kuraray, Japan) of the self-cured composite resin and Z100(3M Dental Product, USA) of the light-cured composite resin. Five different surface treatments were evaluated: (1) $50{\mu}m\;A1_2O_3$ sandblasting: (2) #100 carbide paper; (3) chloroform; (4) retentive holes; and (5) no treatment. After surface treatments, denture teeth were examined by scanning electron microscopy(SEM), and the maximum shear bond strengths between abrasion-resistant denture teeth and composite resins were measured using Instron. The results were as follows; 1. IPN teeth treated with sandblasting had the highest shear bond strength, and Endura treated with sandblasting and carbide paper had significantly greater shear bond strength than with any other surface treatment. 2. Regardless or composite resins, the shear bond strength on Endura was greater than on IPN teeth. 3. Regardless of denture teeth, the shear bond strength of Clearfil FII was greater han of Z100. 4. In appearance of SEM, IPN teeth treated with sandblasting showed generalized roughness on the all of surface, however, carbide paper treatment resulted in partly rough. Endura treated with sandblasting and carbide paper showed similar surface characteristics. Wetting denture teeth surface with chloroform removed the debris and created a particle-free and smooth surface.

• Journal of Technologic Dentistry
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• v.29 no.2
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• pp.9-15
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• 2007

As the development of nanotechnology, the use of composite resins which containing nanofillers becomes popular. The purpose of this study was to test the degree of polymerization of nanofillercontaining composite resins. For the study, three different nanofiller-containing composite resins and two different light-curing units were used. To evaluate the degree of polymerization, the maximum polymerization shrinkage taking place during the light curing, and the microhardness, after the light curing, were measured. As results, two light-curing units exhibited a similar emission spectrum to that of the included photoinitiator, camphorquinone. The only difference between the light-curing units were the width of the emission spectrum. Three different composite resins showed different microhardness values. Among them, Grandio showed the greatest microhardness value. However, there was less microhardness difference on the top and bottom surfaces due to the difference of the light-curing units. The maximum polymerization shrinkage values were also similar in the tested specimens regardless of the difference of the light-curing units. However, Grandio showed the least polymerization shrinkage. According to the manufacturers' data, Grandio showed the highest filler content(vol%).

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.2
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• pp.199-206
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• 2001

The purpose of study was to compare the plasma arc light with the halogen light in compostie resin curing. Three composite resin materials(Z-100, 3M, USA; Tetric Ceram, Vivadent, Liechtenstein; SureFil, Dentsply, USA) were filled in the teflon molds (4mm in diameter and 2, 3, 4, 5mm in thickness) and cured with either the conventional low-intensity light curing unit with a halogen lamp (Optilux 360, Demetron, U.S.A.) for duration of 40 seconds or with the high-intensity light curing unit with a plasma arc lamp (Flipo, Lokki, France) for duration of 3, 6, and 9 seconds. The intensity of halogen light was about $370mW/cm^2$ and that of plasma light was about $1,900mW/cm^2$. After one week, the surface hardnesses of both the top and the bottom of the resin samples were measured with a microhardness tester(MXT70, Matsuzawa, Japan). There were significant differences in the hardness between the top and the bottom of the resin samples except the 2mm thickness samples cured by halogen light for 40s or by plasma light for 9s. There was no significant difference between the hardness values of the top surfaces of the thickness groups. The hardness values of the bottom surfaces decreased as the curing time decreased and as the thickness of resin samples increased, and the three kinds of resin composites showed similar patterns. The results suggest that the halogen light for 40 seconds might be able to cure greater depth of resin composites than the plasma light for 3, 6, or 9 seconds.

• The Journal of Advanced Prosthodontics
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• v.7 no.4
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• pp.317-322
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• 2015

PURPOSE. The aim was to evaluate the effect of curing mode and different dentin surface pretreatment on microtensile bond strength (${\mu}TBS$) of self-adhesive resin cements. MATERIALS AND METHODS. Thirty-six extracted human permanent molars were sectioned horizontally exposing flat dentin surface. The teeth were divided into 12 groups (3 teeth/group) according to the dentin surface pretreatment methods (control, 18% EDTA, 10% Polyacrylic acid) and curing mode (self-curing vs. light-curing) of cement. After pretreatment, composite resin blocks were cemented with the following: (a) G-CEM LinkAce; (b) RelyX U200, followed by either self-curing or light-curing. After storage, the teeth were sectioned and ${\mu}TBS$ test was performed using a microtensile testing machine. The data was statistically analyzed using one-way ANOVA, Student T-test and Scheffe's post-hoc test at P<.05 level. RESULTS. For G-CEM LinkAce cement groups, polyacrylic acid pretreatment showed the highest ${\mu}TBS$ in the self-cured group. In the light-cured group, no significant improvements were observed according to the dentin surface pretreatment. There were no significant differences between curing modes. Both dentin surface pretreatment methods helped to increase the ${\mu}TBS$ of RelyX U200 resin cement significantly and degree of pretreatment effect was similar. No significant differences were found regarding curing modes except control groups. In the comparisons of two self-adhesive resin cements, all groups within the same pretreatment and curing mode were significantly different excluding self-cured control groups. CONCLUSION. Selecting RelyX U200 used in this study and application of dentin surface pretreatment with EDTA and polyacrylic acid might be recommended to enhance the bond strength of cement to dentin.

• Composites Research
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• v.22 no.6
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• pp.45-51
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• 2009

The marginal integrity at the composite resin-tooth interface has been analyzed in real time through acoustic emission (AE) monitoring during the polymerization shrinkage of composite resin subjected to the light exposure. It was found that AE signals were generated by the polymerization shrinkage. Most AE hit events showed a blast type signal having the principal frequency band of 100-200kHz. Bad bonding states were indicated by many hit events in the initial curing period of 1 minute with high contraction rate. The quantity of hit events for the human molar dentin specimen was much less than that for the steel ring specimen but more than that for the PMMA ring specimen. The better the bonding state, the less the AE hit events. The AE characteristics were related with the tensile crack propagation occurring in the adhesive region between the composite resin and the ring substrate as well as the compressive behavior of the ring substrate, which could be used for a nondestructive characterization of the marginal disintegrative fracture of the dental restoration.

• The Journal of the Korean dental association
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• v.55 no.5
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• pp.339-350
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• 2017

The aim of the study was to analyze the distribution of dental filling materials for carious permanent teeth of school children in a city. The study was designed as time-serial study, using the data of the dental survey for children aged 8-, 10- and 12-year children living in Gimhae city. The samples were selected by stratified clusters sampling. The number of surveyed samples in depth-analysis for types of dental filling materials were 567 in 2009 and 331 in 2013, respectively. They had dental restorations on one or more teeth. The changing pattern of used dental filling materials was analyzed between 2009 and 2013. Statistical analysis was conducted according to variables related to dental filling material type; DMFT and DMFS index, number of fissure sealed teeth and surface and surveyed year. Amalgam filling rate decreased from 27.9% in 2009 to 18.8% in 2013, while filling rate of tooth-colored materials increased from 56.1% in 2009 and 68.9% in 2013. Amalgam filling rate was a negative correlation with filling rate of tooth-colored materials or gold and number of fissure sealed teeth and a positive correlation with DMFT index. Filling rate of tooth-colored materials was a negative correlation with filling rate of amalgam or gold and DMFT index and a positive correlation with number of fissure sealed teeth. The light-curing composite resin should be included in the reimbursement range of National Health Insurance to solve an inequity of dental health care services.

• Journal of Korean Dental Science
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• v.2 no.2
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• pp.5-11
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• 2009

Objectives : This study investigated the hypothesis that the dentin bond strength of self-etching adhesives (SEAs) may be improved by applying a coat of hydrophobic, neutral adhesive resin in addition to SEA. Method and Materials : The bond strengths of two SEAs - Experimental SEA (EX) and Adper Prompt (AP) - were measured with three bonding protocols. The D/E resin of All-Bond 2 was applied as the hydrophobic, neutral adhesive. Clearfil SE Bond (SE, self-etching primer system) and All-Bond 2 (AB, total etching system) were used as references. The following protocols were used: (1) EX1 (EX 1 coat); (2) EX2 (EX 2 coats); (3) EX+ (EX 1 coat + D/E resin); (4) AP1 (AP 1 coat); (5) AP2 (AP 2 coats); (6) AP+ (AP 1 coat + D/E resin); (7) SE (SE primer + SE bond); (8) SE+ (SE primer + D/E resin); (9) AB (etching + AB primer + D/E resin). Filtek Z250 composite resin was built up and the microtensile bond strength (MTBS) values of the specimens were compared. The fractured surfaces were observed using SEM. Results : When SEA was used as self-etching primer and hydrophobic, neutral adhesive was applied as well, MTBS was significantly higher than that when either one coat or two coats of SEA only were used (p < 0.05). Conclusion : The hydrophobic, neutral adhesive improved the integrity of the bonded interface obtained with SEA.

• Restorative Dentistry and Endodontics
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• v.38 no.1
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• pp.11-20
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• 2013

Objectives: In most retrospective studies, the clinical performance of restorations had not been considered in survival analysis. This study investigated the effect of including the clinically unacceptable cases according to modified United States Public Health Service (USPHS) criteria into the failed data on the survival analysis of direct restorations as to the longevity and prognostic variables. Materials and Methods: Nine hundred and sixty-seven direct restorations were evaluated. The data of 204 retreated restorations were collected from the records, and clinical performance of 763 restorations in function was evaluated according to modified USPHS criteria by two observers. The longevity and prognostic variables of the restorations were compared with a factor of involving clinically unacceptable cases into the failures using Kaplan-Meier survival analysis and Cox proportional hazard model. Results: The median survival times of amalgam, composite resin and glass ionomer were 11.8, 11.0 and 6.8 years, respectively. Glass ionomer showed significantly lower longevity than composite resin and amalgam. When clinically unacceptable restorations were included into the failure, the median survival times of them decreased to 8.9, 9.7 and 6.4 years, respectively. Conclusions: After considering the clinical performance, composite resin was the only material that showed a difference in the longevity (p < 0.05) and the significantly higher relative risk of student group than professor group disappeared in operator groups. Even in the design of retrospective study, clinical evaluation needs to be included.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.3
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• pp.370-377
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• 2018

Although the frequency of composite resin restoration in children is gradually increasing, there are insufficient researches about the rate of composite resin repair in children. The purpose of this study was to evaluate the repair rate of composite resin restorations in the permanent first molar in children under 12 years old. This study retrospectively analyzed 169 children treated with composite resin restoration in the permanent first molar from May 2014 to April 2015. According to the location of the tooth, the repair rate was higher in the mandible than maxilla and in the left than right. In the classification of restoration, the repair rate was the highest in the class II cavity, and the repair rate was the lowest in the restoration of the occlusal surface only. Repair rate in two years was 14.8%, and repair hazard ratio decreased with age. The most common reason of composite resin restoration replacement was the secondary caries (74.1%). Within the limits of study, the repair rate of children was higher than that of adult due to the characteristics of children. Therefore, dentists should understand these characteristics and try to reduce the repair rate of composite resin composite restorations.