• 대한치과교정학회지
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• 제40권3호
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• pp.184-194
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• 2010

본 연구는 탈락된 세라믹 브라켓을 tribochemical silica coating하고 nano-filled flowable composite resin (Transbond Supreme LV, 3M Unitek, Monrovia, Calif, USA)을 이용하여 재접착하였을 때 교정치료에 충분한 접착강도를 얻을 수 있는지 평가하기 위해 시행하였다. 총 60개의 소구치를 준비하여 다음의 4개 군으로 나누었다: Tribochemical silica coating (TC) + Transbond Supreme LV (LV), TC + Transbond XT (XT), Sandblast treatment(SA) + LV, SA + XT. 재처리된 세라믹 브라켓은 각각의 접착제를 이용하여 치아에 부착하였다. 시편들을 상온의 생리식염수에 1주일간 보관한 뒤 열순환을 시켰다. 만능시험기로 전단접착강도를 측정한 뒤 파절양상을 평가하였다. TC군은 임상적으로 충분한 강도를 보였다(TCLV: 10.82 $\pm$ 1.82 MPa, TCXT: 11.50 $\pm$ 1.72 MPa). 하지만 SA군은TC군에 비하여 유의하게 낮은 전단접착강도를 보였다(SALV: 1.23 $\pm$ 1.16 MPa, SAXT: 1.76 $\pm$ 1.39 MPa, p < 0.05). LV군과 XT군의 전단접착강도는 유의한 차이가 없었다. TCLV, TCXT군 모두 시편의 77%가 접착제에서의 파절을 보였고, 각 군당 1개씩의 시편에서 법랑질 파절이 관찰되었다. SA군은 모든 파절이 브라켓과 접착제 계면에서 발생하였다. LV군과 XT군의 탈락양상에는 유의한 차이가 없었다. 이상의 연구 결과에서 보면 nano-filled flowable composite resin과 tribochemical silica coating 처리를 이용하여 세라믹 브라켓을 재접착하면 충분한 전단접착강도를 얻을 수 있다. 단 법랑질 파절의 가능성이 있으므로 탈접착 시 적절한 기구와 기술을 이용해 주의깊게 브라켓을 제거해야 한다.

• Restorative Dentistry and Endodontics
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• 제43권2호
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• pp.19.1-19.10
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• 2018

Objectives: This study investigated the effect of continuous application of 10-methacryloyloxydecyldihydrogen phosphate (MDP)-containing primer and luting resin cement on bond strength to tribochemical silica-coated yttria-stabilized tetragonal zirconia polycrystal (Y-TZP). Materials and Methods: Forty bovine teeth and Y-TZP specimens were prepared. The dentin specimens were embedded in molds, with one side of the dentin exposed for cementation with the zirconia specimen. The Y-TZP specimen was prepared in the form of a cylinder with a diameter of 3 mm and a height of 10 mm. The bonding surface of the Y-TZP specimen was sandblasted with silica-coated aluminium oxide particles. The forty tribochemical silica-coated Y-TZP specimens were cemented to the bovine dentin (4 groups; n = 10) with either an MDP-free primer or an MDP-containing primer and either an MDP-free resin cement or an MDP-containing resin cement. After a shear bond strength (SBS) test, the data were analyzed using 1-way analysis of variance and the Tukey test (${\alpha}=0.05$). Results: The group with MDP-free primer and resin cement showed significantly lower SBS values than the MDP-containing groups (p < 0.05). Among the MDP-containing groups, the group with MDP-containing primer and resin cement showed significantly higher SBS values than the other groups (p < 0.05). Conclusions: The combination of MDP-containing primer and luting cement following tribochemical silica coating to Y-TZP was the best choice among the alternatives tested in this study.

• The Journal of Advanced Prosthodontics
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• 제9권2호
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• pp.130-137
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• 2017

PURPOSE. The purpose of this study was to evaluate the effect of nano-structured alumina surface coating on shear bond strength between Y-TZP ceramic and various dual-cured resin cements. MATERIALS AND METHODS. A total of 90 disk-shaped zirconia specimens (HASS CO., Gangneung, Korea) were divided into three groups by surface treatment method: (1) airborne particle abrasion, (2) tribochemicalsilica coating, and (3) nano-structured alumina coating. Each group was categorized into three subgroups of ten specimens and bonded with three different types of dual-cured resin cements. After thermocycling, shear bond strength was measured and failure modes were observed through FE-SEM. Two-way ANOVA and the Tukey's HSD test were performed to determine the effects of surface treatment method and type of cement on bond strength (P<.05). To confirm the correlation of surface treatment and failure mode, the Chi-square test was used. RESULTS. Groups treated with the nano-structured alumina coating showed significantly higher shear bond strength compared to other groups treated with airborne particle abrasion or tribochemical silica coating. Clearfil SA Luting showed a significantly higher shear bond strength compared to RelyX ARC and RelyX Unicem. The cohesive failure mode was observed to be dominant in the groups treated with nano-structured alumina coating, while the adhesive failure mode was prevalent in the groups treated with either airborne particle abrasion or tribochemical silica coating. CONCLUSION. Nano-structured alumina coating is an effective zirconia surface treatment method for enhancing the bond strength between Y-TZP ceramic and various dual-cured resin cements.

• 구강회복응용과학지
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• 제29권1호
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• pp.69-79
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• 2013

본 연구의 목적은 각각 다른 표면처리를 한 지르코니아를 레진시멘트로 접착한 후 전단결합강도를 평가, 비교하는 것이다. 디스크 모양의 산화 지르코늄(3-TZP, Kyoritsu, Tokyo, Japan) 시편 120 개를 다음과 같이 표면처리 하였다. (1)110 ${\mu}m$ 산화 알루미나 분사 처리 (2)Silica coating(RocatecTM, 3M ESPE) (3)처리하지 않음 시편을 한 군당 10 개씩 총 6 개군으로 나누어 두 개의 지르코니아 시편을 자가 접착형 레진 시멘트(RelyX U-200, 3M ESPE)로 합착하였다. (1)처리하지 않음/처리하지 않음 (2)처리하지 않음/110 ${\mu}m$ 산화 알루미나 분사처리 (3)처리하지 않음/Silica coating (4)110 ${\mu}m$ 산화 알루미나 분사 처리/110 ${\mu}m$ 산화 알루미나 분사 처리 (5)110 ${\mu}m$ 산화 알루미나 분사 처리/Silica coating (6)Silica coating/Silica coating. 각 군의 전단결합강도를 만능시험기로 측정하였다. 표면처리에 따른 결합강도의 차이를 살펴보기 위해 일원변량분석(One-way ANOVA)을 이용하고 사후 분석으로 Tukey HSD test를 실시하였다. Silica coating을 한 두 개의 시편을 접착한 군이 가장 높은 결합 강도를 보였다(P<0.05). 표면 처리하지 않은 시편을 접착한 군과 두 개의 시편 모두 알루미나 분사 처리한 시편을 접착한 군은 서로 간에 유의한 차이를 보이지 않았으며, 그 외의 군에 비해서는 유의하게 낮았다(P<0.05). 본 연구의 결과에 따르면 Silica coating은 자가중합형 레진시멘트를 이용하여 접착한 두 지르코니아 간의 결합을 증진시키는데 효과적이었다.

• 대한치과보철학회지
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• 제48권4호
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• pp.251-258
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• 2010

연구 목적: 이 연구의 목적은 표면처리방법이 지르코니아와 네 종류의 시멘트의 전단결합 강도에 미치는 영향을 평가하는 것이다. 연구 재료 및 방법: 총 120개의 디스크 모양의 산화 지르코늄 (3Y-TZP, Kyoritsu, Tokyo, Japan) 시편을 다음과 같이 표면처리 하였다: (1) $110\;{\mu}m$ 산화 알루미나 분사처리 (2) Silica coating ($Rocatec^{TM}$ 3M ESPE)를 이용한 표면처리 (3) 처리하지 않음. 각각의 표면 처리 후, 2종의 자가 접착형 시멘트 (RelyX Unicem, Maxcem)와 레진 강화 글라스 아이오노머 시멘트 (RelyX Luting), Bis-GMA 레진 시멘트 (Nexus3)를 시편에 부착하였으며 각 군은 UTM을 이용하여 전단결합강도를 측정하였다. 표면처리, 시멘트의 종류에 따른 결합강도의 차이를 살펴보기 위하여 일원변량분석 (One-way ANOVA)과 이원변량분석 (two-way ANOVA)을 이용하고 사후 분석으로 Tukey HSD test를 실시하였다. 결과: 로카텍 처리 후, RelyX Unicem을 부착한 군이 가장 높은 결합 강도를 보였으며 (P<.05) 알루미나 분사처리를 한 군과 로카텍 처리를 한 군은 아무런 처리를 하지 않은 군보다 유의하게 높은 결합 강도를 보였다 (P<.05). 또한 모든 표면상태에서 RelyX Luting은 다른 군에 비해 통계적으로 유의하게 가장 낮은 결합강도를 보였다 (P<.05). 결론: 본 연구의 결과에 따르면 RelyX Unicem은 지르코니아와 강한 결합력을 보였으며 로카텍 처리는 결합을 증진시키는데 효과적이었다.

• 구강회복응용과학지
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• 제22권3호
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• pp.221-230
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• 2006

Recently, the need for esthetic results has increased the interest for all-ceramic crown prosthesis. Furthermore, the development of zirconium core via CAD/CAM system has allowed the all ceramic restorations to be applied to almost all fixed prosthesis situations. But, the increased strength has been reported to increase in proportion with the bond strength of cement, and recently, the tribochemical system which increases the bond strength through, silica coating and silanization has been introduced. The purpose of this study was to compare the $Rocatec^{TM}$ system and $CoJet^{TM}$ system with the traditional acid etching and silanization method of the irconium based ceramic. The surface character was observed via SEM(X2000), and the bond strength with the resin cement were measured. 50 In-Ceram Zirconia (Adens, Korea) discs were fabricated and embedded in resin, group 1 was treated with glass-bead blasting and cleaning, group 2 was treated with 20% HF for 10 minutes and silanized, group 3 was treated with the $Rocatec^{TM}$ system, and group 4 was treated with the $CoJet^{TM}$ system. Each group was comprised of 10 specimens. The specimens were cemented to a $3mm{\times}5mm$ resin block with Super-Bond C&B. The shear bond strength was measured with the $Instron^{(R)}$ 8871 at a crosshead speed of 0.5mm/min. The results were as follows. 1. According to SEM results, there were little difference between group 1 & group 2, but in group 3 and 4, silica coating was detected and there was increase in surface roughness. 2. The shear bond strength decreased in the order of group 3(46.28MPa), group 4(42.04MPa), group 2(31.56MPa), and group 1(27.46MPa). 3. There was significant differnce between group 1&2 and group 3&4(p<0.05). From the results above, it can be considered that the conventional method of acid etching and silane treatment cannot increase the bond strength with resin cements, and that by applying the tribochemical system of $Rocatec^{TM}$ system and $CoJet^{TM}$ system, we can achieve a stronger all ceramic restoration. Further studies on surface treatments to increase the bond strength are thought to be needed.

• 대한치과보철학회지
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• 제45권6호
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• pp.743-752
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• 2007

Statement of problem. The aims of the study were to evaluate the effect of current surface conditioning methods on the bond strength of a resin composite luting cement bonded to ceramic surfaces and to identify the optimum cement type. Material and methods. The sixty zirconia ceramic specimens(10 per group) with EVEREST milling machine and 60 tooth block were made. The zirconia ceramic surface was divided into two groups according to surface treatment: (1) airborne abrasion with $110{\mu}m$ aluminum oxide particles; (2) Rocatec system, tribochemical silica coating. The zirconia ceramic specimens were cemented to tooth block using resin cements. The tested resin cements were Rely X ARC, Panavia F and Superbond C&B. Each specimen was mount in a jig of the universal testing machine for shear strength. The results were subjected to 2-way ANOVA and Post hoc tests was performed using Tukey, Scheffe, and Bonferroni test. Results. The mean value of shear bond strength(MPa) were as follows: $$RelyXARC(+Al_2O_3),5.35{\pm}1.69$$; $$RelyXARC(+Rocatec),8.50{\pm}2.13$$; $$PanaviaF(+Al_2O_3),9.58{\pm}1.13$$; $$PanaviaF(+Rocatec),12.98{\pm}1.71$$; $$SuperbondC&B(+Al_2O_3)8.27{\pm}2.04$$; $$SuperbondC&B(+Rocatec),14.46{\pm}2.39$$. There was a significant increase in the shear bond strength when the ceramic surface was subjected to the tribochemical treatment(Rocatec 3M) in all cement groups(P<0.05). Bonding strengths of cements applied to samples treated with $Al_2O_3$ were compared; Rely X ARC showed the lowest values, whereas Panavia F cement showed higher value than that of Superbond C&B group with no statistical significance. When the bond strength of cements with of Rocatec treatment was compared, Rely X ARC showed lowest values. Overall, it was apparent that tribochemical treated Super-Bond possessed higher mean bond strength (14.46MPa; P<0.05) than that of Panavia F cement group with no significance. Conclusions. Silica coating followed silanization(Rocatec treatment) increase the bond strength between resin cement and zirconia ceramic. Panavia F containing phosphate monomer and Superbond C&B comprised of 4-META tend to bond chemically with zirconia ceramic, thus demonstrating higher bond strength compared to BisGMA resin cement. Superbond C&B has shown to have highest value of bonding strength to zirconia ceramic after Rocatec treatment compared to other cement.

• The Journal of Advanced Prosthodontics
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• 제10권1호
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• pp.43-49
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• 2018

PURPOSE. The purpose of this in vitro study is to examine the effects of a nano-structured alumina coating on the adhesion between resin cements and zirconia ceramics using a four-point bending test. MATERIALS AND METHODS. 100 pairs of zirconium bar specimens were prepared with dimensions of $25mm{\times}2mm{\times}5mm$ and cementation surfaces of $5mm{\times}2mm$. The samples were divided into 5 groups of 20 pairs each. The groups are as follows: Group I (C) - Control with no surface modification, Group II (APA) - airborne-particle-abrasion with $110{\mu}m$ high-purity aluminum oxide ($Al_2O_3$) particles, Group III (ROC) - airborne-particle-abrasion with $110{\mu}m$ silica modified aluminum oxide ($Al_2O_3+SiO_2$) particles, Group IV (TCS) - tribochemical silica coated with $Al_2O_3$ particles, and Group V (AlC) - nano alumina coating. The surface modifications were assessed on two samples selected from each group by atomic force microscopy and scanning electron microscopy. The samples were cemented with two different self-adhesive resin cements. The bending bond strength was evaluated by mechanical testing. RESULTS. According to the ANOVA results, surface treatments, different cement types, and their interactions were statistically significant (P<.05). The highest flexural bond strengths were obtained in nano-structured alumina coated zirconia surfaces (50.4 MPa) and the lowest values were obtained in the control group (12.00 MPa), both of which were cemented using a self-adhesive resin cement. CONCLUSION. The surface modifications tested in the current study affected the surface roughness and flexural bond strength of zirconia. The nano alumina coating method significantly increased the flexural bond strength of zirconia ceramics.

• The Journal of Advanced Prosthodontics
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• 제6권6호
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• pp.434-443
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• 2014

PURPOSE. The purpose of this study was to evaluate and compare the effects of different surface pretreatment techniques on the surface roughness and shear bond strength of a new self-adhering flowable composite resin for use with lithium disilicate-reinforced CAD/CAM ceramic material. MATERIALS AND METHODS. A total of one hundred thirty lithium disilicate CAD/CAM ceramic plates with dimensions of $6mm{\times}4mm$ and 3 mm thick were prepared. Specimens were then assigned into five groups (n=26) as follows: untreated control, coating with $30{\mu}m$ silica oxide particles ($Cojet^{TM}$ Sand), 9.6% hydrofluoric acid etching, Er:YAG laser irradiation, and grinding with a high-speed fine diamond bur. A self-adhering flowable composite resin (Vertise Flow) was applied onto the pre-treated ceramic plates using the Ultradent shear bond Teflon mold system. Surface roughness was measured by atomic force microscopy. Shear bond strength test were performed using a universal testing machine at a crosshead speed of 1 mm/min. Surface roughness data were analyzed by one-way ANOVA and the Tukey HSD tests. Shear bond strength test values were analyzed by Kruskal-Wallis and Mann-Whitney U tests at ${\alpha}=.05$. RESULTS. Hydrofluoric acid etching and grinding with high-speed fine diamond bur produced significantly higher surface roughness than the other pretreatment groups (P<.05). Hydrofluoric acid etching and silica coating yielded the highest shear bond strength values (P<.001). CONCLUSION. Self-adhering flowable composite resin used as repair composite resin exhibited very low bond strength irrespective of the surface pretreatments used.

• 대한치과보철학회지
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• 제45권2호
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• pp.159-168
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• 2007

Statement of problem: Literature showed different results on the durability of bonded ceramic restoration. Purpose: The purpose of this article is to review the effect of surface treatment of ceramics in resin-ceramic bond to get predictable results. Material and method: PubMed data base was utilized to search the articles which were written in English and published in 1986 and 2006. Some electronic published articles which are forthcoming to publish in paper were also included for this review. This review article focused on the effect of acid etching and silane application on the silica based ceramics. The durability of resin-ceramic bonding, the methodology for bond strength test and resin bonding to alumina or zirconia based ceramics were compared in brief at the end of the review. Results and Conclusion: the effect of silane application can be influenced by the contaminations of saliva or solutions. Micromechanical retention by acid etching as well as silane application plays an important role in initial and durable bond strength between resin and ceramic. The use of phosphate modified resin cement following tribochemical silica coating and silane application produced best bond strength for alumina or zirconia based ceramics.