본문 바로가기
KERD
논문KCI 등재

다양한 접착시스템을 이용하여 섬유 강화형 포스트로 수복한 치아에서의 미세누출에 관한 연구

In vitro study of microleakage of endodontically treated teeth restored with different adhesive systems and fiber-reinforced posts

최유성|박준호
대한치과보철학회 (The Korean Academy Of Prosthodontics)|2014.04|대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)|제52권 제2호|pp. 74-81|DOI https://doi.org/10.4047/jkap.2014.52.2.74

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

MicroleakageResin cement미세누출섬유 강화형 포스트Fiber-reinforced post레진 시멘트접착 시스템Adhesive systems
주제분류치의학

초록

이용하여섬유 강화형 포스트로 수복한 치아에서의 치근부 미세누출에 대해 비교 연구하고자 하였다. 연구 재료 및 방법: 36개의 근관치료된 상악 영구 중절치를 3가지 포스트 그룹으로 분류하였다: Zirconia-glass fiber, Quarze-glass fiber, Polyethylene fiber 포스트. 포스트 공간이 형성되었고 각 포스트는 세가지 접착시스템으로 접착되었다: 3-stage total-etch adhesive, 2-stage total-etch adhesive, 1-stage self-etch adhesive. 각 시편들을 2% 메틸렌 블루 용액에 1주일 동안 담구었다. 세척한 시편을 자가중합 아크릴릭 레진에 포매하였다. 각 시편을 치근단, 중앙, 치관 부위로 수평 절단하였다. 메틸렌 블루가 침투된 각 시편의 절단부를 교합면 측에서 stereomicroscope로 측정하였다. 시료 침투량은 메틸렌 블루 침투 표면과 총 상아질 표면의 비율로 평가하였다. 결과: 모든 절단부위에서 모든 군들은 미세 누출을 보였다. 각 절단 부위별로 접착 시스템에 따른 포스트간의 비교에서는 유의한 차이는 없었다. All Bond 2로 접착한 3단계 접착시스템으로 처리한 치아 중앙절편에서 zirconia-glass fiber와 quarze-glass fiber 포스트 간, zirconia-glass fiber와 polyethylene fiber 포스트 간, quarze-glass fiber와 polyethylene fiber 포스트 간에 미세누출에는 유의한 차이가 있었다(P<.05). 각각의 포스트의 치근단과 치관 부위 사이에는 유의한 차이가 있었고, quarze-glass fiber와 polyethylene fiber 포스트에서 치근단과 중앙 부위 사이에 유의한 차이가 있었다(P<.05). 결론: 포스트 종류에 따른 접착 시스템 간에 미세누출의 유의한 차이가 없었다. 각 절단 부위별로 접착 시스템에 따른 포스트간의 비교에서는 유의한 차이는 없었으나, 유일하게 3단계 접착시스템으로 처리한 포스트의 중앙절편에서 zirconia-glass fiber가 다른 포스트에 비해 유의하게 적은 미세누출을 보였다.

Abstract

While studies have examined microleakage in endodontically treated teeth restored with posts, microleakage among post and adhesive systems remains a concern. This study compared the sealing properties of 3 adhesively luted post systems. Materials and methods: Thirty-six endodontically treated permanent maxillary central incisors were divided into 3 groups: Zirconia-glass fiber, Quartz-glass fiber, Polyethylene fiber posts. Post space was prepared and each post was adhesively luted with 3 systems. The specimens were separately immersed in freshly prepared 2% methylene blue solution for 1 week. The cleaned specimens were then embedded in autopolymerizing acrylic resin. The root portion of tooth were horizontally sectioned into three pieces (apical, middle, and coronal portions). An occlusal view of each section was digitally photographed with a stereomicroscope. The methylene blue-infiltrated surface for each specimen was measured. Dye penetration was estimated as the ratio of the methylene blue-infiltrated surface to the total dentin surface. Results: No significant differences were found among post types. The variables of middle section and 3-stage adhesive produced significant differences in microleakage between the following post pairs: zirconia-glass fiber versus quartz-glass fiber, zirconia-glass fiber versus polyethylene fiber, and quartz-glass fiber versus polyethylene fiber (P<.05). There were significant differences between the apical and coronal sections of each post type, and between apical versus middle sections of quarze-glass fiber and polyethylene fiber posts (P<.05). Conclusion: No significant differences were found among post types. The 3-stage adhesive produced significant differences in microleakage between the following post pairs.

참고문헌 (39)

  1. Erkut S, "Microleakage in overflared root canals restored with different fiber reinforced dowels", Oper Dent, 33, pp.96~105 (2008)
  2. Segerstrom S, "A retrospective long term study of teeth restored with prefabricated carbon fiber reinforced epoxy resin posts", Swed Dent J, 30, pp.1~8 (2006)
  3. Usumez A, "Microleakage of endodontically treated teeth with different dowel systems", J Prosthet Dent, 92, pp.163~169 (2004)
  4. Akkayan B, "Resistance to fracture of endodontically treated teeth restored with different post systems", J Prosthet Dent, 87, pp.431~437 (2002)
  5. Fredriksson M, "A retrospective study of 236 patients with teeth restored by carbon fiber-reinforced epoxy resin posts", J Prosthet Dent, 80, pp.151~157 (1998)
  6. Assif D, "Effect of post design on resistance to fracture of endodontically treated teeth with complete crowns", J Prosthet Dent, 69, pp.36~40 (1993)
  7. Sorensen JA, "Clinically significant factors in dowel design", J Prosthet Dent, 52, pp.28~35 (1984)
  8. Ferrari M, "Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores", Am J Dent, 13, pp.15B~18B (2000)
  9. Sidoli GE, "An in vitro evaluation of a carbon fiber-based post and core system", J Prosthet Dent, 78, pp.5~9 (1997)
  10. Mannocci F, "Intermittent loading of teeth restored using quartz fiber, carbon-quartz fiber, and zirconium dioxide ceramic root canal posts", J Adhes Dent, 1, pp.153~158 (1999)
  11. Vichi A, "An SEM evaluation of several adhesive systems used for bonding fiber posts under clinical conditions", Dent Mater, 18, pp.495~502 (2002)
  12. Boschian Pest L, "Adhesive postendodontic restorations with fiber posts: push-out tests and SEM observations", Dent Mater, 18, pp.596~602 (2002)
  13. Goracci C, "Evaluation of the adhesion of fiber posts to intraradicular dentin", Oper Dent, 30, pp.627~635 (2005)
  14. Goracci C, "The contribution of friction to the dislocation resistance of bonded fiber posts", J Endod, 31, pp.608~612 (2005)
  15. Pirani C, "Does hybridization of intraradicular dentin really improve fiber post retention in endodontically treated teeth?", J Endod, 31, pp.891~894 (2005)
  16. Mak YF, "Micro-tensile bond testing of resin cements to dentin and an indirect resin composite", Dent Mater, 18, pp.609~621 (2002)
  17. Freedman GA, "Esthetic post-and-core treatment", Dent Clin North Am, 45, pp.103~116 (2001)
  18. Mannocci F, "Microleakage of endodontically treated teeth restored with fiber posts and composite cores after cyclic loading: a confocal microscopic study", J Prosthet Dent, 85, pp.284~291 (2001)
  19. Jung SH, "Microleakage and fracture patterns of teeth restored with different posts under dynamic loading", J Prosthet Dent, 98, pp.270~276 (2007)
  20. Goto Y, "Fatigue resistance of endodontically treated teeth restored with three dowel-andcore systems", J Prosthet Dent, 93, pp.45~50 (2005)
  21. Yang B, "Micro-tensile bond strength of three luting resins to human regional dentin. Dent Mater Albashaireh ZS, Ghazal M, Kern M. Effects of endodontic post surface treatment, dentin conditioning, and artificial aging on the retention of glass fiber-reinforced composite resin posts", J Prosthet Dent, 103, pp.31~39 (2010)
  22. Saunders WP, "Coronal leakage as a cause of failure in root-canal therapy: a review", Endod Dent Traumatol, 10, pp.105~108 (1994)
  23. Swartz DB, "Twenty years of endodontic success and failure", J Endod, 9, pp.198~202 (1983)
  24. Demirel F, "Microleakage of endodontically treated teeth restored with prefabricated posts and tooth-colored restorative materials", Int J Periodontics Restorative Dent, 25, pp.73~79 (2005)
  25. Drummond JL, "Static and cyclic loading of fiberreinforced dental resin", Dent Mater, 19, pp.226~231 (2003)
  26. Cohen BI, "Pilot study of the cyclic fatigue characteristics of five endodontic posts with four core materials", J Oral Rehabil, 27, pp.83~92 (2000)
  27. Chersoni S, "In vivo fluid movement through dentin adhesives in endodontically treated teeth", J Dent Res, 84, pp.223~227 (2005)
  28. Fogel HM, "Microleakage of posts used to restore endodontically treated teeth", J Endod, 21 (1995)
  29. Tjan AH, "Microleakage of composite resin cores treated with various dentin bonding systems", J Prosthet Dent, 66, pp.24~29 (1991)
  30. Bachicha WS, "Microleakage of endodontically treated teeth restored with posts", J Endod, 24, pp.703~708 (1998)
  31. Wu MK, "Microleakage along apical root fillings and cemented posts", J Prosthet Dent, 79, pp.264~269 (1998)
  32. Mannocci F, "Randomized clinical comparison of endodontically treated teeth restored with amalgam or with fiber posts and resin composite:five-year results", Oper Dent, 30, pp.9~15 (2005)
  33. Lambjerg-Hansen H, "Mechanical properties of endodontic posts", J Oral Rehabil, 24, pp.882~887 (1997)
  34. Ferrari M, "Efficacy of different adhesive techniques on bonding to root canal walls: an SEM investigation", Dent Mater, 17, pp.422~429 (2001)
  35. Albashaireh ZS, "Effect of dentin conditioning on retention of airborne-particle-abraded, adhesively luted glass fiber-reinforced resin posts", J Prosthet Dent, 100, pp.367~373 (2008)
  36. Bouillaguet S, "Microtensile bond strength between adhesive cements and root canal dentin", Dent Mater, 19, pp.199~205 (2003)
  37. Ravanshad S, "An in vitro study of coronal microleakage in endodontically-treated teeth restored with posts", Aust Endod J, 29, pp.128~133 (2003)
  38. Eskitaçcioğlu G, "Evaluation of two post core systems using two different methods (fracture strength test and a finite elemental stress analysis)", J Endod, 28, pp.629~633 (2002)
  39. Ray HA, "Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration", Int Endod J, 28, pp.12~18 (1995)

관련 논문AI추천

심미적 포스트 코어의 종류에 따른 미세누출에 관한 연구박은진, 박지근, 박지만대한치과보철학회 · 대한치과보철학회지2009 · 제47권 제1호다양한 접착 시스템 및 포스트의 표면 처리가 섬유 강화 포스트의 접착 강도에 미치는 영향김민우, 김이경, 심혜원, 안진희대한치과보철학회 · 대한치과보철학회지2016 · 제54권 제3호포스트 접착 시멘트의 종류와 적용 방법에 따른 접착 효율 비교허복, 김현철, 박정길, 이상진, 조옥인대한치과의사협회 · 대한치과의사협회지2010 · 제48권 제9호레진시멘트의 중합방법이 포스트의 결합강도와 접착계면에 미치는 영향김문홍, 김혜정, 조영곤대한치과보존학회 · Restorative Dentistry and Endodontics2009 · 제34권 제2호수 종의 복합레진 접착 시스템에서의 미세 누출의 비교김영진, 김현정, 남동우, 남순현, 석충기대한소아치과학회 · 대한소아치과학회지2004 · 제31권 제4호다양한 레진시멘트로 합착한 섬유포스트의 결합강도 비교이현아, 조영곤대한치과보존학회 · Restorative Dentistry and Endodontics2008 · 제33권 제6호

이 간행물의 다른 논문 (9건)

Comparison of the mechanical properties and microstructures of fractured surface for Co-Cr alloy fabricated by conventional cast, 3-D printing laser-sintered and CAD/CAM milled techniques최윤정, 안진수, 김성균, 박동수, 곽재영, 허성주pp. 67-73치과용 레진 시멘트의 유변학적 성질김희경, 김성훈, 이재봉, 여인성, 한중석, 하승룡, 이재림pp. 82-89열가압성형도재의 사용이 금속도재관 치경부 변연적합도에 미치는 영향이청희, 김지은, 김세연pp. 90-96레진계 임플란트용 시멘트의 방사선 불투과성에 대한 비교연구이정열, 신상완, 한경환, 김민수, 천호영pp. 97-104임플란트 식립 초기 의원성 동요가 최종 골결합에 미치는 영향이두형, 조진현, 이청희, 곽명배pp. 105-112
원문 보기