• 대한소아치과학회지
• /
• 제27권1호
• /
• pp.45-53
• /
• 2000

Enamel microabrasion은 염산과 연마제를 사용하여 치아의 착색을 제거하는 술식으로서, 그 효과는 법랑질 표층에 국한된다. Enamel microabrasion으로 모든 착색이 치료 가능한 것은 아니므로, 착색이 깊을 경우에는 microabrasion 후에도 제거되지 않고 남은 착색부위를 광중합 복합레진을 사용해 수복할 것이 권장된다. 본 연구의 목적은 enamel microabrasion의 방법과 시간이 법랑질에 대한 복합레진의 전단결합강도에 미치는 영향을 조사하는 것이었다. 아무런 처치도 하지 않은 대조군을 1군으로 하였고, 18% 염산과 fine pumice의 혼합물을 hand applicator로 치면에 5초씩 5, 10회 적용시킨 것을 각각 2, 3군으로 하였다. 10% 염산과 연마제의 혼합물인 기성품 PREMA를 10 : 1 gear reduction handpiece로 20초씩 5, 10회 적용시킨 것을 각각 4, 5군으로 하였다 여기에 37% 인산으로 부식 후 복합레진을 결합시켜 thermocycling 후 전단결합강도를 측정하여 다음과 같은 결론을 얻었다. 1. 2군이 가장 높은 결합강도$(24.36{\pm}3.34MPa)$를 나타내었고, 3군이 가장 낮은 결합강도$(19.35{\pm}3.43MPa)$를 보였다. 전단결합강도는 2>4>5>1>3군의 순서로 감소하였다. 2. 2군은 1군과 3군보다 통계학적으로 유의성 있게 높은 결합강도를 나타내었다(p<0.05). 3. 염산과 pumice로 enamel microabrasion을 시행한 2, 3군과 PREMA를 사용한 4, 5군 사이에는 유의한 결합강도의 차이가 없었다(p>0.05). 4. 파절면 검사에서, adhesive failure는 3, 4군에서 나타났고, cohesive failure는 1, 2, 3, 4군에서 관찰되었다. 5군에서는 mixed failure만이 관찰되었다. 5. SEM 관찰에서, 염산과 pumice로 enamel microabrasion을 시행한 2, 3군에서는 인산으로 부식한 것과 비슷한 표면 양상이 관찰되었고, PREMA로 처리한 4, 5군에서는 1군과 흡사한 매끈한 표면양상이 관찰되었다. 각 군의 시편을 인산으로 부식시킨 다음에는 전형적인 산부식 후의 표면양상이 관찰되었고, 군간 별다른 차이가 없었다.

• 대한치과교정학회지
• /
• 제33권1호
• /
• pp.51-61
• /
• 2003

본 연구는 6세대 교정용 접착 시스템인 Transbond Plus Self-Etching Primer(3M/Unitek Dental Products, Monorovia, Calif)를 이용하여 법랑질면에 브라켓을 접착하는 방법과, 통상적인 산부식 방법에 의해 브라켓를 접착한 경우의 전단결합강도 차이를 비교$\cdot$평가하고, self etching primer를 이용하여 브라켓을 접착할 때 치면에 존재하는 수분이 브라켓의 저단결합강도에 미치는 영향에 관하여 조사하였다. $37\%$ 인산용액과 Self-Etching Primer를 이 용하여 법랑질을 표면 처 리하고 Transbond XT를 이 용하여 브라켓을 치면에 부착하였다. 또한 수분의 존재에 따른 전단결합강포의 차이를 평가하기 위해 인공타액을 치면예 도보후 Self-Etching Primer를 사용하여 브라켓을 부착한 후 30분과 24시간에 따른 전단결합강도를 비교 평가하여 다음과 같은 결론을 얻었다. 1. Self-etching primer군에서 건조군과 습윤군의 전단결합강도는 $37\%$인산처리군의 결합강도보다 낮았다(p<0.05). 그러나 Self-etching primer군의 전단결합강도는 일상적으로 유용한 수준의 이상이었다. 2. 모든군에서 24시간군의 전단결합강도가 30분군의 전단결합강도보다 높았으며 (p<0.05), 이는 브라켓 접착후 일정시간의 경과가 결합강도를 증가시켜 줌을 알 수 있었다. 3. Self-etcing primer군에서 습윤군의 전단결합강도는 건조군보다 높은 경향이었으나 통계적 유의성은 인정되지 않았다(P>0.05). 4 ARI 점수의 비교결과 인산처리군에서는 0점과 1점의 빈도가 높았으며, Self-etching primer 건조군과 습윤군에서는 2점과 3점의 빈도가 높아(p<0.05) Self-etching primer군이 인산처리군보다 법랑질-레진 접착계면부위에서의 파절이 많이 일어남을 알 수 있었다.

• Restorative Dentistry and Endodontics
• /
• 제33권2호
• /
• pp.148-161
• /
• 2008

본 연구는 상아질 혼성층의 교원섬유를 가수분해하는 효소인 MMPs (Matrix metalloproteinses)의 억제제로 알려진 chlorhexidine (CHX)을 적용 후 결합강도를 측정하였으며, 이를 각각 열순환 처리 후 결합강도를 측정하였다. 또한 주사전자현미경으로 접착계면에서의 파괴 양상을 비교 분석하였다. 우식이 없는 발거한 32개의 제3대구치의 교합면 상아질을 노출시키고 GI그룹에서는 dentin conditioner를 처리 후 2% chlorhexidine을 적용시키고, 산부식 접착제 그룹에서는 인산 산부식을 시행하고 2% chlorhexidine을 적용 후 3단계 산부식형 상아질 접착제 (Scotchbond Multipurpose, SM), 2단계 산부식형 상아질 접착제 (Single Bond, SB)를 도포하고, 자가부식 접착제 그룹에서는 2% chlorhexidine 적용 후 자가부식 상아질 접착제 (Clearfil Tri-S, TS)를 도포한다. 이후 복합 레진 (Z-250)과 GI (Fuji-II LC)를 충전한 시편을 $1\;mm^2$의 단면을 갖는 beam으로 제작하여 열순환 하지 않거나, 10,000회 열순환 ($5\;{\sim}\;55^{\circ}C$)하였다. Universal testing machine (EZ-test; Shimadzu, Japan)에서 cross head speed 1 mm/min로 인장력을 가하여, 미세인장결합강도를 측정하였다. 실험 결과는 유의수준 0.05 level에서 two-way ANOVA를 이용하여 통계분석하였다. 그 후 파절된 시편의 파괴 양상을 현미경 (SEM)으로 관찰하여 다음과 같은 결론을 얻었다; 1. 2% CHX을 적용한 모든 실험군에서 상아질과의 미세인장결합강도가 증가하였고, 열순환은 상아질과의 미세인장결합강도를 감소시켰다 (P > 0.05). 2. CHX 적용 후 열순환 한 군은 CHX을 적용하지 않고 열순환한 군에 비하여 상아질과의 미세인장결합강도가 높았으며, 특히 GI와 TS군에서 유의한 차이를 나타내었다 (P < 0.05). 3. 파괴 양상 분석 결과, 혼성층에서의 접착성 파괴를 보이며, CHX을 적용하면 혼성층 기저부에서 상부로 파괴 부위가 옮겨가는 양상을 나타내었다. 이상의 연구 결과를 토대로, MMPs 억제제인 2% CHX은 글래스 아이오노머 시멘트와 상아질 접착제의 초기 미세인장결합강도에는 영향을 미치지 않으며, CHX 적용이 접착내구성을 유지하는데 도움이 되었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제34권3호
• /
• pp.325-340
• /
• 2008

The purpose of this study was to evaluate the artificial dental plaque by Streptococcus mutans on 4 different implant surfaces. In this study, the specimens were divided into 4 groups according to implant surface treatment. Uncoated implant group(n=5) which has an uncoated, smooth surfaced implant(Osstem, Korea), SLA implant group(n=5) which has an sandblasted large grit and acid-etched surface implant(Bicon, USA). Oxidized implant group(n=5) which has an oxidized surfaced implant (Osstem, Korea), and RBM implant group(n=5) which has resorbable blasting media(RBM) surfaced implant(Osstem, Korea). Acquired pellicle by human saliva and dental plaque by Streptococcus mutans were made on each implant surface. To analyze the plaque condition on implants surfaces, cell count and optical density were taken as a microbiologic method, and SEM(Scanning Electronic Microscope) findings was also taken for evaluation of surface condition. The following results were obtained. 1. Cell counting results of artificial dental plaque were Uncoated group($658.0{\pm}102.0$), RBM group($878.0{\pm}170.0$), SLA group ($946.0{\pm}42.0$), Oxidized group($992.0{\pm}40.0$), and there was difference between Oxidized group and Uncoated implant group(p<0.05). In case of modified cell counting results by v/w% were RBM group($197.8{\pm}45.2$), Oxidized group($207.04{\pm}8.34$), Uncoated group($261.6{\pm}40.6$), SLA group($315.4{\pm}14.0$), and there was difference between RBM group and SLA group(p<0.05). 2. Optical density results of artificial dental plaque after ultrasonic treatment was that there was difference among groups, and optical density of RBM group was higher than that of Uncoated group(p<0.05). In case of modified optical density results by v/w%, there was difference among groups, and the modified optical density of Uncoated group and SLA group was higher than those of Oxidized group and RBM group(P>0.05). 3. SEM findings of artificial dental plaque on the surfaces of implant as follows; there were artificial dental plaque on the surfaces of all test implants. Streptococcus mutans and by-product were observed at 10,000 times magnified condition on all test implants. Adhesion area of artificial dental plaque was about 1/2 of total surface after 24 hours incubate at $37^{\circ}C$. These results showed that there were differences among implant surfaces on the growth of Streptococcus mutans, and bacteria and by-product were covered about 1/2 area of total implant surfaces at 24 hours incubate at $37^{\circ}C$.

• Restorative Dentistry and Endodontics
• /
• 제27권4호
• /
• pp.382-388
• /
• 2002

Compomer is composed of matrix and filler : matrix is made of the combination of resins and polycarboxylic molecules that are light-cured, and a filler is a glass component which is capable of ion-release. The resin content of compomers produces polymerization shrinkage which can adversely affect marginal adaptation. Pretreatment is a fundamental step which is treated with conditioner or primer in the use of these materials. Microleakage of restorative materials has been investigated mostly by dye penetration method. Dye penetration method was not quantitative and not measured repeatedly. Fluid filtration method, introduced and developed by Pashley's group, has been extensively used for 20 years for research purpose to understand the physiology of dentin, as well as the effects of various restorative treatments on dentin permeability. It permits quantitative, nondestructive measurment of microleakage in a longitudinal manner. The purpose of this study was to evaluate the change of dentin permeability according to the process of compomer restoration. In this study. Cl V cavities were prepared on buccal surface of thirty extracted human molars. The prepared cavities were etched by 37% phosphoric acid. The experimental teeth were randomly divided into three groups. Each group was treated with following materials Group 1 : Prime & Bond NT/Dyract AP, Group2： Single Bond/F2000 compomer, Group 3 : Syntac Single Component/Compoglass. The bonding agent and compomer were applied for each group following manufacturers information. Dentin permeability of each group was measured at each process by fluid filtration method; Step 1 : preparation(smear layer). Step 2 : etching(smear layer removal), Step 3 : applying the bonding agent, Step 4 : filling the compomer. Dentin permeability was expressed by hydraulic conductance ($\mu\textrm{l}$ min$^{-1}$cm$H_2O$$^{-1}$). The data were analysed statistically using One-way ANOVA and Sheffe's method. The results were as follows : 1. Dentin permeability differences between each process were significant except between step 1 and step 2(p<0.01). 2. Dentin permeability after removal of smear layer was highly increased(p<0.01). 3. In most case, decrease of dentin permeability was obtained by applying bonding agent(p<0.01). 4. Dentin permeability differences among the experimental groups were not significant(p>0.05). 5. None of compomers used in this study showed perfect seal at the interface.

• 대한치과보철학회지
• /
• 제41권5호
• /
• pp.606-616
• /
• 2003

Purpose : The purpose of this study was to research the properties of some chemically cured methacrylate polymers such as MMA, HEMA, TEG-DMA, bis-GMA, GMA. Material and Method : 5 kinds of methacrylates were selected and added 2% tertiary amine and benzoyl peroxide to make a chemically curable polymer 25 micron crushed silicas which are treated with silane were selected as filler, they were added into methacrylate monomer until the consistency did not changed by the load of 500gram. All of the experimental resins were 5 kinds, and a serial test was done with 3 kinds of items including the filler contents, the tensile strength, and the bond strength. The number of specimen were 10 for each group. Filler contents were obtained by reducing the specimens to ashes at $600^{\circ}C$ for 1 hour. The specimens with the dimension of 6mm in diameter and 3mm thick were immersed in $37{\pm}1^{\circ}C$ distilled water for 24 hours before test, and tensile strength were measured with cross-head speed 1mm/min. Shear bond strength were mea sured on the specimens attached to bovine enamel etched with 37% phosphoric acid for 1 minute. Results : 1. Maximum filler incorporation was the highest as 75.5% on MMA, and the least as 53.4% on bis- GMA(p<0.0001). 2. The tensile stregth were MMA 141.3, GMA 154.3, TEG-DMA 157.4, bis-GMA 161.4 MPa, and HEMA showed the highest value, 226.9MPa(p = 0.0004). 3. The bond strength were GMA 10.1, TEG-DMA 11.7, HEMA 12.2, bis-GMA 13.3 MPa, and MMA showed the highest value, 15.3MPa, however statistical significances were not (p =0.3838), 4. TEG-DMA and HEMA were not different on the aspect of maximum filler contents and shear bond strength(p>0.05). Conclusion : HEMA can be used as an another diluent substituting TEG-DMA with the increased strength and with the constant bond strength and the constant filler contents.

• Journal of Periodontal and Implant Science
• /
• 제44권5호
• /
• pp.242-250
• /
• 2014

Purpose: This study aimed to evaluate the effects of fibronectin and oxysterol immobilized on machined-surface dental implants for the enhancement of cell attachment and osteogenic differentiation, on peri-implant bone healing in the early healing phase using an experimental model in dogs. Methods: Five types of dental implants were installed at a healed alveolar ridge in five dogs: a machined-surface implant (MI), apatite-coated MI (AMI), fibronectin-loaded AMI (FAMI), oxysterol-loaded AMI (OAMI), and sand-blasted, large-grit, acid-etched surface implant (SLAI). A randomly selected unilateral ridge was observed for 2 weeks, and the contralateral ridge for a 4-week period. Histologic and histometric analyses were performed for the bone-to-implant contact proportion (BIC) and bone density around the dental implant surface. Results: Different bone healing patterns were observed according to the type of implant surface 2 weeks after installation; newly formed bone continuously lined the entire surfaces in specimens of the FAMI and SLAI groups, whereas bony trabecula from adjacent bone tissue appeared with minimal new bone lining onto the surface in the MI, AMI, and OAMI groups. Histometric results revealed a significant reduction in the BIC in MI, AMI, and OAMI compared to SLAI, but FAMI demonstrated a comparable BIC with SLAI. Although both the BIC and bone density increased from a 2- to 4-week healing period, bone density showed no significant difference among any of the experimental and control groups. Conclusions: A fibronectin-coated implant surface designed for cell adhesion could increase contact osteogenesis in the early bone healing phase, but an oxysterol-coated implant surface designed for osteoinductivity could not modify early bone healing around implants in normal bone physiology.

• 치위생과학회지
• /
• 제11권5호
• /
• pp.431-436
• /
• 2011

본 연구는 현재 국내에서 시판되고 있는 지각과민 완화 치약의 단기간 내 효과를 알아보고자 자동칫솔질 기계를 이용하여 상아세관 폐쇄효과를 평가한 후 다음과 같은 결론을 얻었다. 1. 수평왕복동작으로 50회와 150회 칫솔질 했을 때 실험치약의 상아세관 평균면적은 각각 $1.00{\sim}2.98{\mu}m^2$, $1.76{\sim}3.53{\mu}m^2$로 나타났으므로, 150회 칫솔질을 한 경우보다 50회 칫솔질 했을 때 모든 실험 치약군에서 상아세관 폐쇄효과가 높았다. 2. 50회 칫솔질을 한 경우, 질산칼륨이 주성분인 센소다인 후레쉬민트 치약의 상아세관 폐쇄효과가 가장 높았으며, 염화스트론튬이 주성분인 센소다인 오리지널 치약의 상아세관 폐쇄효과가 가장 낮게 나타났다. 또한 센소다인 오리지널 치약과 센서티브 치약에 비해 덴티가드 시린이, 센소다인 후레쉬민트, 시린메드에프 치약에서 통계적으로 유의하게 상아세관 폐쇄효과가 높게 나타났다(p<0.05). 3. SEM 사진상에서도 덴티가드 시린이, 센소다인 후레쉬민트, 시린메드 에프 치약군에서는 유효성분들이 상아질 표면을 전체적으로 덮고 있어서 노출된 상아세관을 거의 볼 수 없지만, 센소다인 오리지널 치약과 센서티브 치약군은 부분적으로 개방된 상아세관을 관찰할 수 있었다. 이상의 연구결과를 종합해 볼 때, 질산칼륨과 인산삼칼슘이 주성분인 지각과민 완화치약은 단기간내 상아세관 폐쇄효과가 뛰어났으므로, 지각과민 환자들이 자가관리법으로 치료하고자 할 때 이러한 성분이 함유된 지각과민 완화치약을 초기에 사용하고, 지각과민증상이 완화되면 마모력이 적절한 일반치약으로 전환하여 사용하는 것이 지각과민 치료에 효과적이라고 사료된다.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제30권2호
• /
• pp.142-149
• /
• 2008

The purpose of this study was to evaluate histomorphometrically a toothash - plaster of Paris mixture associated with collagen membrane ($Bio-Gide^{(R)}$), regarding new bone formation in the peri-implantitis defects in dogs. Three mandibular molars were removed from 1-year-old mongrel dogs. After 2 months of healing, 2 titanium implants with sandblasted with large grit and acid etched (SLA) surface were installed in each side of the mandible. Experimental peri-implantitis was induced with ligatures after successful osseointegration. Ligatures were removed after identification of bone defect beneath the level of 5th thread of fixture on radiographic image. The mucoperiosteal flaps were elevated and the contaminated fixtures were treated with chlorhexidine and saline. The bone defects were assigned to one of the following treatments: no guided bone regeneration (GBR) procedure (group 1), GBR with Bio-$Oss^{(R)}$ and Bio-$Gide^{(R)}$ (group 2), or GBR with toothash - plaster of Paris mixture (TPM) and Bio-$Gide^{(R)}$ (group 3). The dogs were sacrificed after 8 or 16 months. The mean percentages of new bone formation within the limits of the 5 most coronal threads were $17.83{\pm}10.69$ (8 weeks) and $20.13{\pm}13.65$ (16 weeks) in group 1, $34.25{\pm}13.32$ (8 weeks) and $36.33{\pm}14.21$ (16 weeks) in group 2, and $46.33{\pm}18.39$ (8 weeks) and $48.00{\pm}17.78$ (16 weeks) in group 3, respectively. The present study confirmed statistically considerable new bone formation within the threads in group 3 compared with group 1 at 8 and 16 weeks (P<0.05). Although, data analysis did not reveal significant differences between group 2 and 3, the latter showed better results during the period of 8 or 16 weeks. Our findings support the effectiveness of TPM as a GBR material in the treatment of peri-implantitis bone defect.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제32권6호
• /
• pp.514-523
• /
• 2006

The purpose of the present study was to evaluate the effects of several implant surface treatments to the bone formation, by placing Machined implants, 75${\mu}m$ Calcium phosphate-blasted implants and $Al_2O_3$-blasted and acid-etched implants in rabbit tibia through histomorphometric study. Two animals of each group were sacrificed at 2, 4, 8 weeks. The specimens containing the implants were dehydrated and embedded into hard methylmethacrylate plastic. Thereafter, the sections were ground to 50${\mu}m$. The specimens were stained with Villanueva bone stain for a light microscopic study. The results were as follows; 1. When the surface roughness of three different implants was measured by Surfcorder, the Ra of the Machined group, the RBM group and the SLA group was 0.16${\mu}m$, 0.44${\mu}m$, and 1.08${\mu}m$. 2. When examining the surfaces of the implants in the scanning microscope, Machined implant has the smooth surface with a few scratches, RBM implant has the rough surface with curled ridges and valleys, and SLA implant has the rough surface structures such as sharp protruding parts and micropits measuring 1-2${\mu}m$ in diameter. 3. After 2 weeks of implantation, the percentage of bone-to-implant contact of the Machined group, the RBM group and the SLA group was 26.86%, 35.40% and 45.99%. However, its differences between each group decreased during the healing periods. 4. After 2 weeks of implantation, the percentage of bone area inside the threads of the Machined group, the RBM group and the SLA group were 21.55%, 30.43% and 41.18%. However, its difference of bone area between machined group and surface treatment groups was maintained but the difference within the surface treatment groups decreased during the healing periods. In summary, the amount of bone formation in RBM and SLA group was greater than Machined group in early healing stage. These results suggest that RBM and SLA implants can reduce the healing period for osseointegration and may be suitable for early function.