CPP-ACP 적용이 치면열구전색제의 결합강도에 미치는 영향
The effect of CPP-ACP pre-treatment on bond strength of a sealant
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
최근 CPP-ACP의 초기 우식증의 재광화 및 예방 효과에 대한 연구가 많이 진행되고 있다. 그러나, CPP-ACP 적용으로인한 법랑질 산부식 저항성 증가가 치면열구전색제 접착에 미치는 영향에 대해서는 연구가 부족한 실정이다. 본 연구에서는 CPP-ACP의 치면 도포 여부와 치면열구전색제의 접착 방법의 차이가 법랑질과 치면열구전색제의 결합력에미치는 영향에 대하여 미세전단결합강도 측정법으로 알아보고자 하였다. 건전한 제3대구치를 사용하여 150개의 시편을 제작하였으며, 다음과 같이 6군으로 나누었다. I군: 인공타액에 2주 보관 후 35% 인산 산부식II군: 인공타액에 2주 보관 후 35% 인산 산부식 + 접착제III군: 인공타액에 2주 보관 후 자가 부식 접착제IV군: CPP-ACP 2주 적용 후 35% 인산 산부식V군: CPP-ACP 2주 적용 후 35% 인산 산부식 + 접착제VI군: CPP-ACP 2주 적용 후 자가 부식 접착제6군의 시편에 치면열구전색제 접착 후 미세전단결합강도를 측정하여 다음과 같은 결과를 얻었다. CPP-ACP 적용은 전통적인 산부식 방법으로 치면열구전색제를 접착하는 경우에는 결합강도와 산부식 양상에 영향을 미치지 않으나, 자가 부식 접착제를 사용한 경우에는 치면열구전색제의 결합강도를 약화시켰다.
Abstract
Recently the effect of CPP-ACP on early caries remineralization and prevention has hashbeen extensively researched. However, there has been a lack of research on micro-shear bond strength of a sealant applied on a CPP-ACP treated surface. Therefore, the purpose of this study was to evaluate the effect of CPP-ACP on the micro-shear bond strength of a sealant bonded with 3 different bonding systems. From the sound human 3rd molars, the 150 specimens were prepared and randomly assigned to six groups. Group I: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid Group II: Immersion in artificial saliva for 2 weeks + 35% phosphoric acid + dentin bonding agent Group III: Immersion in artificial saliva for 2 weeks + self-etching adhesive Group IV: CPP-ACP application for 2 weeks + 35% phosphoric acid Group V: CPP-ACP application for 2 weeks + 35% phosphoric acid + dentin bonding agent Group VI: CPP-ACP application for 2 weeks + self-etching adhesive Sealant was applied and the micro-shear bond strength was measured. From the result of this study, it can be assumed that the CPP-ACP pretreatment can weaken the bond strength of a sealant if the enamel surface is conditioned with self-etch adhesive.
참고문헌 (32)
- Featherstone JD, "The continuum of dental cariesevidence for a dynamic disease process", J Dent Res, 83(Spec C), pp.C39~42 (2004)
- Pitts NB, "Modern concepts of caries measurement", J Dent Res, 83(Spec C), pp.C43~47 (2004)
- 강지선, "법랑질 인공우식병소에서 APF gel과 CPP-ACP 제제의 재광화 효과", 대한소아치과학회지, 35(4), pp.684~691 (2008), 대한소아치과학회
- Reynolds EC, "Effect of casein and wheyprotein solutions on caries experience and feeding patterns of the rat", Arch Oral Biol, 29, pp.927~933 (1984)
- Cross KJ, "Casein phosphopeptides in oral health-chemistry and clinical applications", Curr Pharm Des, 13, pp.793~800 (2007)
- Reynolds EC, "Anticariogenic complexes of amorphous calcium phosphate stabilized by casein phosphopeptides:a review", Spec Care Dentist, 18, pp.8~16 (1998)
- Cross KJ, "Physicochemical characterization of casein phosphopeptide-amorphous calcium phosphate nanocomplexes", J Biol Chem, 280, pp.15362~15369 (2005)
- 최한주, "탈회된 법랑질에서 CPP-ACP의 재광화 깊이", 대한소아치과학회지, 35(2), pp.278~286 (2008), 대한소아치과학회
- Reynolds EC, "Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat", J Dent Res, 74, pp.1272~1279 (1995)
- Shen P, "Remineralization of enamel subsurface lesions by sugar-free chewing gum containing casein phosphopeptide-amorphous calcium phosphate", J Dent Res, 80, pp.2066~2070 (2001)
- Iijima Y, "Acid resistance of enamel subsurface lesions remineralized by a sugarfree chewing gum containing casein phosphopeptideamorphous calcium phosphate", Caries Res, 38, pp.551~556 (2004)
- Ahovuo-Saloranta A, "Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents", Cochrane Database Syst Rev, CD001830 (2008)
- Hitt JC, "Use of a bonding agent to reduce sealant sensitivity to moisture contamination: an in vitro study", Pediatr Dent, 14, pp.41~46 (1992)
- Feigal RJ, "Self-etch adhesives for sealants?", J Esthet Restor Dent, 19, pp.69~70 (2007)
- 김백일, "CPP-ACP의 소개 및 임상적 활용", 대한치과의사협회지, 46(3), pp.139~145 (2008), 대한치과의사협회
- Moule CA, "Resin bonding using an all-etch or self-etch adhesive to enamel after carbamide peroxide and", or CPP-ACP treatment, 2007, pp.52, 133~137
- Adebayo OA, "Effects of conditioners on microshear bond strength to enamel after carbamide peroxide bleaching and", or casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) treatment, 2007, pp.35, 862~870
- Weerasinghe DS, "Micro-shear bond strength and morphological analysis of a self-etching primer adhesive system to fluorosed enamel", J Dent, 33, pp.419~426 (2005)
- Feigal RJ, "Clinical trial of a self-etching adhesive for sealant application: success at 24 months with Prompt L-Pop", Am J Dent, 16, pp.249~251 (2003)
- Perdigao J, "Microtensile adhesion of sealants to intact enamel", Int J Paediatr Dent, 15, pp.342~348 (2005)
- Venker DJ, "Twelve-month sealant retention in a school-based program using a self-etching primer", adhesive, 2004, pp.64, 191~197
- Asselin ME, "Bond strength of a sealant to permanent enamel: evaluation of 3 application protocols", Pediatr Dent, 31, pp.323~328 (2009)
- Tay FR, "Aggressiveness of self-etch adhesives on unground enamel", Oper Dent, 29, pp.309~316 (2004)
- Perdigao J, "Bonding characteristics of self-etching adhesives to intact versus prepared enamel", J Esthet Restor Dent, 15, pp.32~42 (2003)
- Kanemura N, "Tensile bond strength to and SEM evaluation of ground and intact enamel surfaces", J Dent, 27, pp.523~530 (1999)
- Cavalcante LM, "Influence of different tests used to measure the bond strength to dentin of two adhesive systems", Am J Dent, 19, pp.37~40 (2006)
- Hadavi F, "The effect of dentin primer on the shear bond strength between composite resin and enamel", Oper Dent, 18, pp.61~65 (1993)
- Woronko GA, Jr, "Effect of dentin primer on the shear bond strength between composite resin and enamel", Oper Dent, 21, pp.116~121 (1996)
- Placido E, "Shear versus micro-shear bond strength test: a finite element stress analysis", Dent Mater, 23, pp.1086~1092 (2007)
- Holzmeier M, "A new generation of self-etching adhesives: comparison with traditional acid etch technique", J Orofac Orthop, 69, pp.78~93 (2008)
- Adebayo OA, "An SEM evaluation of conditioned and bonded enamel following carbamide peroxide bleaching and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) treatment", J Dent, 37, pp.297~306 (2009)
- Xiaojun D, "Effects of CPPACP paste on the shear bond strength of orthodontic brackets", Angle Orthod, 79, pp.945~950 (2009)