• 대한치과교정학회지
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• 제36권2호
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• pp.114-124
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• 2006

본 연구는 교정용 브라켓 부착을 위한 레진 접착부위 및 그 인접부위 즉, primer만 도포된 부위의 색변화를 알아보기 위하여 시행되었다. 교정치료를 위해 발치된 60개의 건전한 소구치를 재료로 사용하여 분광측정기로 색을 측정한 후 CIE $L^*a^*b^*$ 색표계로 기록하였다. 20개의 소구치에 광중합형 접착레진으로 브라켓을 부착한 후 부착 전과 제거 후의 색을 측정하였으며 다른 20개의 소구치에는 primer만 도포하고 도포 전과 도포 후의 색을 측정한 후, $L^*$ 값을 이용하여 명암 변화를 살펴본 결과 브라켓 부착 및 primer 도포 모두의 경우 명도가 감소하는 경향을 보였으며, $a^*$ 값과 $b^*$ 값을 이용하여 색상 변화를 살펴본 결과 황색이 증가하는 양상을 나타내었다. 또한 측정된 $L^*a^*b^*$ 값을 이용하여 색변화를 산출하고 임상적으로 인지할 수 있는 색변화 값 3.7을 기준치로 하여 비교 및 분석을 시행한 결과 브라켓 부착 전과 제거 후의 색변화는 기준치보다 큰 것으로 나타났으며 primer 도포에 따른 색변화는 기준치보다 크지 않은 것으로 나타났다. 한편 primer만 도포한 경우 칫솔질에 따른 색변화를 알아보고자 나머지 20개의 소구치를 대조로 하여 칫솔질을 시행한 결과 칫솔질 시행 후 색변화는 기준치보다 큰 것으로 나타났다. 브라켓 제거 후 자연광 노출의 영향을 알아보기 위하여 모든 경우에 추가적으로 photoaging을 시행한 결과 부가적인 색변화는 기준치보다 작은 것으로 나타났다. 이상의 결과는 교정치료를 위한 브라켓 부착으로 인해 브라켓 부착 및 인접부위의 치아색 변화가 있음을 의미하며 임상과정에서 이에 대한 고려가 필요함을 시사하였다.

• Restorative Dentistry and Endodontics
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• 제27권6호
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• pp.555-560
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• 2002

치근부 민감성 (hypersensitivity)은 부분적으로 치근면에서의 개방된 상아세관이 존재하는 것에 기인한다고 생각되며 이러한 치근부의 개방된 상아세관은 치경부 병소 (cervical lesion)에 주로 존재하는데 이는 칫솔질에 의한 마모(toothbrush abrasion), 화학적 침식 (chemical erosion), 또는 abfraction 등의 결과로 나타난다고 한다. 이미 Nd-YAG 레이저를 이용한 실험에서 레이저를 조사한 상아질 표면의 상아 세관 구경이 감소되고 상아세관의 폐쇄가 많이 증가되는 양상을 관찰한 바 있다. 이 실험의 목적은 고출력레이저인 Nd-YAC 레이저를 이용한 상아질 표면처치의 임상사용가능성을 좀 더 상세히 평가하기 위해 상아질에 레이저를 처리한 후 기계적으로 마모시킨 경우 상아질 표면의 변화를 관찰하는 것이다. 50개의 발치된 치아의 상아질을 노출시켜 표면을 연마한 후 대조군에서는 37% 인산으로 산부식하여 상아 세관을 노출시킨 후 레이저를 조사하였고, 실험군에서는 대조군과 같은 조건으로 산과 레이저로 처리된 상아질 표면을 15, 45, 90 그리고 180분 동안 전동 칫솔로 기계적으로 마모시켜 그 표면을 주사전자현미경으로 관찰한 결과, 대조군, 칫솔질을 15, 45분간 시행한 실험군에서는 상아 세관 입구가 10% 이내에서 노출되었고 50 그리고 180분간 칫솔질을 시행한 실험군에서는 45 그리고 48%의 상아세관 입구의 노출이 관찰되었다. 그러므로 Nd-YAC레이저의 조사는 상아질 표면에서 축적 시간이 45분 이상에서 90분 이하인 기계적 마모에 의한 상아 세관 입구의 노출을 억제할 수 있을 것이라 사료된다.

• Journal of Periodontal and Implant Science
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• 제29권1호
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• pp.95-102
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• 1999

The purpose of this study was to observe histopathologically the influence of advanced periodontitis on pulp tissue, and to conclude the correlation between the results with clinical manifestations. The samples were teeth with over 7mm pocket depth and over 50% radiographic bone loss. These were diagnosed to have very poor prognosis and thus planned to be extracted. Those with any of following conditions were excluded from the samples, loss of vitality, periapical pathology, restoration or prosthesis, dental caries, and attrition or abrasion. It was because these conditions could affect pulp without any correlation with periodontal disease. For the experiment, 17 teeth from 11 patients were selected. Average age of patient was 47. Each tooth was examined for following categoris; pocket depth, gingival recession, electric pulp test, mobility, percussion test, sensitivity test. The extracted teeth were fixed buffered neutral formalin solution. It was decalcified using 4% nitric acid. Sliced histological samples observed using light microscope, for pulp status, and severeity of inflammation. 4 samples were excluded due to histologic sample discrepency. Thus 13 samples were subject to observation. 4 showed normal conditions. Focal reversable pulpitis was shown in 5 samples. Chronic pulpitis was observed 1 sample. Pulpal abscess was observed in 3 samples.

• Journal of Periodontal and Implant Science
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• 제39권4호
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• pp.437-441
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• 2009

Purpose: The purpose of this report is to show three cases treated by an intergrated periodontal and restorative dentistry approach. Methods: Three patients with Miller Class Ⅰgingiva recessions associated with cervical lesions were enrolled for treatment. Two patients received a connective tissue graft and resin modified glass ionomer, and one patient was treated with a connective tissue graft, resin restoration. Keratinized gingiva and relative gingival recession were measured. Results: The mean reduction of relative gingival recession was 3.7 mm, and the mean keratinized gingiva increase was 2.5 mm. The percentage of root coverage was 80% in average. No signs of gingival inflammation or bleeding on probing were seen. The patients were satisfied with the final esthetics and had no more dentin hypersensitivity. Conclusions: This report indicates that teeth with Miller ClassⅠ gingival recession associated with cervical lesions can be successfully treated by a connective tissue graft combined with restorative dentistry. However, longitudinal randomized controlled clinical trials must be performed to support this approach.

• 구강회복응용과학지
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• 제35권4호
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• pp.206-213
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• 2019

목적: 굴곡파절의 대부분 연구들이 협측에 한정되어있다. 본 연구에서는 상악 구치부에서 구개측 굴곡파절의 빈도 조사를 통해 굴곡파절의 원인을 분석해보고자 한다. 연구 재료 및 방법: 총 3193개의 상악 구치를 대상으로 조사를 진행하였다. 구내 관찰과 모형 관찰, 그리고 모형 스캔을 통해 제작된 가상 모형을 관찰하는 방법으로 조사를 진행하였다. 그 결과를 치아, 연령, 성별, 악궁에 따라 분류하였다. 통계적 유의성의 평가를 위해 Chi-square test를 시행하였다(α = 0.05). 결과:상악 소구치(6.8%)보다 대구치(10.8%)에서 구개측 굴곡파절이 높은 빈도로 관찰되었고, 그중 제1대구치(39.1%)에서 가장 높은 빈도로 관찰되었다. 연령이 증가할수록 구개측 굴곡파절이 높은 빈도로 관찰되었으며 이는 통계적으로 유의성이 있었다(P < 0.05). 구개측 굴곡파절의 빈도는 성별에 따른 차이에서는 통계적으로 유의성이 없었으며(P > 0.05), 악궁에 따른 차이에서는 좌측에서 더 높은 빈도로 나타났고 통계적으로 유의성이 있었다(P < 0.05). 결론: 상악 구치에서 구개측 굴곡파절은 상악 제1대구치에서 높은 빈도로 관찰되었고, 연령의 증가에 따라 증가하는 양상을 보였다. 이와 같은 결과는 굴곡파절의 가장 주된 원인이 교합력임을 의미한다.

• Journal of Oral Medicine and Pain
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• 제25권4호
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• pp.415-425
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• 2000

In order to obtain the basic data concerning the optimal lasing conditions in using Nd:YAG laser as an adjunctive modality of periodontal therapy of root planing without irreversible structural deterioration of cervical cementum, the author selected 36 human teeth having no cervical abrasion and caries (; 12 anteriors, 12 premolars. 12 molars) extracted due to periodontal diseases, and divided them into 4 groups as Group I, II, III and IV (; each group of 3 anteriors, 3 premolars, 3 molars), and prepared a cementum specimen with thickness of $1.0mm{\pm}0.2mm$ sectioned longitudinally at the middle of mesio-distal thickness (; Group I) or horizontally at 1mm-2mm below the cemento-enamel junction (; Group II, III, IV) from each tooth of each group by low speed diamond wheel saw, and treated them with 0.5 M ethylene diamine tetraacetic acid (; EDTA, pH=7.4) for 2 minutes for elimination of remnants during tooth-sectioning. And the author applied the laser energy from a fiberoptic delivered, free running, pulsed Nd:YAG laser (; wavelength 1064nm. pulse duration $120{\mu}sec$, fiber diameter $320{{\mu}m}$) to cementum surfaces in triplicates of one experiment under the following lasing conditions: 1. stationary mode of fiber in contact to cementum surfaces without air-spray (; Group I )/with air-spray (; Group II), 2. unidirectional moving mode of fiber in contact to cementum surfaces under speed of 3mm-4mm/sec without air-spray (; Group III)/with air-spray (; Group IV), 3. energy per pulse (mJ/pulse) [; energy density ($J/cm^{2}$)] in order of 1.0W/10Hz (100J/pulse); $124J/cm^{2}$, 0.5W/10Hz (50mJ/pulse); $62J/cm^{2}$, 0.4W/10Hz (40mJ/pulse); $50J/cm^{2}$, 0.3W/10Hz (30mJ/pulse); $37J/cm^{2}$, 4. exposure time of 1 second. And the author applied the platinum coating on surfaces of cementum specimens, and evaluated the characteristics of ultrastructural change on surfaces of cementum using the scanning electron microscopy. In general the ultrastructural loss of cervical cementum irradiated under the same lasing condition of laser energy density occurred least in specimens of Group IV. And especially, the ultrastructural loss of cervical cementum irradiated under the laser energy density of $37J/cm^{2}$ almost did not occur in specimens of Group IV. Therefore, it is considered that the pulsed Nd:YAG laser should be applied with the lasing conditions of unidirectional moving mode of fiber in contact to cementum surfaces under speed of 3mm-4mm/sec with air-spray and of laser energy density within $37J/cm^{2}$ as an adjunctive modality of periodontal therapy of root planing without irreversible structural deterioration of cervical cementum.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 춘계학술대회
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• pp.235-237
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• 2001

;Dentistry has benefited from tremendous advances in technology with the introduction of new techniques and materials, and patients are aware that esthetic approaches in dentistry can change one's appearance. Increasingly. tooth-colored restorative materials have been used for restoration of posterior teeth. Tooth-colored restoration for posterior teeth can be divided into three categories: 1) the direct techniques that can be made in a single appointment and are an intraoral procedure utilizing composites: 2) the semidirect techniques that require both an intraoral and an extraoral procedure and are luted chairside utilizing composites: and 3) the indirect techniques that require several appointments and the expertise of a dental technician working with either composites or ceramics. But, resin restoration has inherent drawbacks of microleakage. polymerization shrinkage, thermal cycling problems. and wear in stress-bearing areas. On the other hand, Ceramic restorations have many advantages over resin restorations. Ceramic inlays are reported to have less leakage than resin restoration and to fit better. although marginal fidelity depends on technique and is laboratory dependent. Adhesion of luting resin is more reliable and durable to etched ceramic material than to treated resin composite. In view of color matching, periodontal health. resistance to abrasion, ceramic restoration is superior to resin restorationl. Materials which have been used for the fabrication of ceramic restorations are various. Conventional powder slurry ceramics are also available. Castable ceramics are produced by centrifugal casting of heat-treated glass ceramics. and machinable ceramics are feldspathic porcelains or cast glass ceramics which are milled using a CAD/CAM apparatus to produce inlays (for example, Cered. They may also be copy milled using the Celay apparatus. Pressable ceramics are produced from feldspathic porcelain which is supplied in ingot form and heated and moulded under pressure to produce a restoration. Infiltrated ceramics are another class of material which are available for use as ceramic inlays. An example is $In-Ceram^{\circledR}$(Vident. California, USA) which consists of a porous aluminum oxide or spinell core infiltrated with glass and subsequently veneered with feldspathic porcelain. In the 1980s. the development of compatible refractory materials made fabrication easier. and the development of adhesive resin cements greatly improved clinical success rates. This case report presents esthetic ceramic inlays for posterior teeth.teeth.

• 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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• 제11권1호
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• pp.7-15
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• 2019

PURPOSE. The aim of this study was to identify the effects of three aesthetic restorative materials on the wear between tooth and restoration by a pin-on-disk manner. MATERIALS AND METHODS. Six aesthetic restorative materials were used to prepare disk specimens for wear test, which were Lava Zirconia as zirconia group, Vintage MP and Cerabien ZR as veneering porcelain group, Gradia Direct microhybrid composite containing prepolymerized fillers, Filtek Z250 microhybrid composite containing zirconia glass and colloidal silica particles, and Filtek Z350 nanocomposite as composite resin group. Vertical loss of the worn cusp, change of the surface roughness of the restoration materials, and the surface topography were investigated after wear test under 9.8-N contact load. RESULTS. The porcelain groups (Vintage MP and Cerabien ZR) caused the largest vertical loss of teeth when compared with those of the composite resin and zirconia groups, and Filtek Z250 microhybrid composite results in the second-largest vertical loss of teeth. The surface of Filtek Z350 nanocomposite was deeply worn out, but visible wear on the surface of the zirconia and Gradia Direct microhybrid composite was not observed. When the zirconia surface was roughened by sand-blasting, vertical loss of teeth considerably increased when compared with that in the case of fine polished zirconia. CONCLUSION. It was identified that microhybrid composite resin containing a prepolymerized filler and zirconia with reduced surface roughness by polishing were the most desirable restorative materials among the tested materials to prevent the two-body wear between aesthetic restorative material and tooth.

• 대한치과보철학회지
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• 제37권3호
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• pp.313-327
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• 1999

The aim of this study was to compare wear resistance of resin denture teeth opposing various restorative materials. The wear resistance of conventional acrylic resin teeth(Trubyte Biotone) and three high-strength resin teeth(Bioform IPN, Endura, SR-Orthosit-PE) opposing different restorative materials(gold alloys, dental porcelain, composite resin) was compared. Wear tests were conducted with a sliding-induced wear testing apparatus which applied 100,000 strokes to the specimen in a mesio-distal direction under conditions of 100 stroke/min and constant loading of 1Kgf/tooth. Wear resistance of the resin denture teeth was evaluated by the following criteria : 1) wear depth, 2) weight loss, and 3) SEM observation. Results were as follows. 1. When opposed to gold alloys and composite resin, high-strength resin teeth showed superior wear resistance compared to acrylic resin teeth. But, in cases opposing dental porcelain, differences between the wear of the high-strength and acrylic resin teeth were not statistically significant (p<0.05). 2. When comparing wear resistance among high-strength resin teeth, opposing gold alloys, Endura was slightly more resistant and while in cases opposing dental porcelain, SR-Orthosit-PE was showed to be slightly resistant(p<0.05). 3. The wear of high-strength resin teeth was greater by 5 to 7 times when opposing porcelain and 2 to 3 times when opposing composite resin compared to gold alloys(p<0.05). 4. SEM observations of the wear surface showed that wear of resin teeth opposing gold alloys is a fatigue type of wear and wear of resin teeth opposing dental porcelain is fatigue and abrasion type of wear. Trubyte Biotone showed more severe fatigue type of wear than high-strength resin teeth. In conclusion, the use of dental porcelain should seriously be considered as restorative material in cases opposing resin denture teeth and improvement seems to be needed on resin teeth in the areas of wear resistance.