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유동성 레진의 교합면 열구내 침투도와 미세누출 평가

Evaluation of Microleakage and Penetration Ability of Flowable Resin in Occlusal Fissure

이상호|이난영|정혜란|임성옥
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2017.02|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제44권 제1호|pp. 89-98

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참고문헌

키워드

Microleakage미세누출치면열구전색제유동성 레진열구성형술침투도Pit and fissure sealantFlowable resinFissurotomyPenetration ability
주제분류치의학

초록

본 연구의 목적은 유동성 레진의 교합면 열구에서의 침투도와 미세누출을 평가하여 치면열구전색제로서의 사용 가능성을규명해 보고자 하는데 있다. 발거된 120개 치아를 4개 군으로 분류하고 I군은 대조군으로 레진계 치면열구전색제로 전색, II군은 유동성 레진으로 전색, III군은 상아질접착제를 도포한 후 유동성 레진으로 전색, IV군은 열구성형술을 시행하고 상아질접착제를 도포한 후 유동성레진으로 전색하여 열구 내로의 침투도와 미세누출을 비교 평가하고 주사전자현미경으로 침투 및 접착상태를 관찰하였다. 유동성 레진의 열구내 침투도나 미세누출은 레진계 전색제에 비해 낮게 나타났으나 상아질접착제를 도포하거나 열구성형술을 시행한 후 상아질접착제를 도포한 경우는 레진계 전색제와 침투도의 차이가 없었으며 미세누출은 더 작게 나타났다. 주사전자현미경상에서 열구의 형태나 열구성형술의 여부에 따라 침투도의 차이가 관찰되었으며 상아질접착제를 사용하지않은 일부 유동성 레진 시편에서는 법랑질 표면과 긴밀한 접착이 이루어지지 않았다. 이상의 결과를 종합해보면 유동성 레진은 치면열구전색제로서의 적용이 가능하며 열구성형술과 상아질접착제를 사용한다면 침투도를 높이고 미세누출을 줄일 수 있을 것으로 사료된다.

Abstract

The aim of this study was to compared the penetration scores and microleakage levels of flowable resin in comparison to resin-based pit and fissure sealant. A total 120 extracted premolars were used and classified with group I (resin-based pit and fissure sealant), group II (flowable resin), group III (bonding agent + flowable resin), IV (fissurotomy + bonding agent + flowable resin) depending on the materials and the application methods. The penetration scores of the group treated with flowable resin following fissurotomy were similar to those of the group treated with resin-based sealant, but higher compared to those of the other groups treated with flowable resin without fissurotomy or bonding agent. The group treated with flowable resin following fissurotomy also exhibited the lowest microleakage levels. The group treated with resin-based sealant and the one treated with a bonding agent prior to the application of flowable resin showed similar microleakage levels. In conclusion, flowable resin may be applied as a pit and fissure sealant, and its application along with fissurotomy could increase the penetration scores.

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