접착제에 따른 유동성 복합 레진 수복물의 미세누출 양상에 관한 연구
The study on the microleakage pattern of flowable composite resin restorations according to the type of adhesive materials
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본 연구는 5급 와동에서 유동성 복합 레진 수복 시 수종의 상아질 접착제에 따른 미세 누출 양상을 비교하고, resin tag 및 혼성층의 형상을 전자 현미경으로 관찰하고 비교 분석하였다. 행동 조절에 어려움이 많은 소아 환자의 접착 수복에서 술식의 간편화 및 시간 단축이 장점으로 부각되고 있는 All-in-one 상아질 접착제의 임상 적용 가능성을 평가하고 다음과 같은 결론을 얻었다. 1. 법랑질 변연에서는 Ⅱ군(AQ Bond Plus)이 가장 높은 미세누출을 보였고 Ⅲ군(AdheSE. One), Ⅰ군(Adper™ Single Bond 2) 순으로 감소하였으며, Ⅱ군은 Ⅰ군, Ⅲ군과 통계학적 유의차를 보였고(p<0.05), Ⅰ군과 Ⅲ군 사이에는 유의차가 없었다. 2. 상아질 변연에서는 Ⅱ군, Ⅰ군, Ⅲ군의 순으로 미세누출이 증가하였고, 각각 통계학적 유의차를 보였다(p<0.05). 3. Ⅰ군과 Ⅲ군에서는 법랑질 변연이 상아질 변연보다 유의하게 낮은 미세누출을 보였으나(p<0.05), Ⅱ군에서는 통계학적 유의차를 보이지 않았다(p>0.05). 4. 주사전자현미경 소견에서 Ⅱ군과 Ⅲ군은 resin tag의 형성이 매우 미약하고 불규칙한 양상을 보인 반면, Ⅰ군에서는 비교적 긴밀하고 균일한 resin tag가 관찰되었다. 이상의 결과를 종합해보면, AQ Bond Plus와 AdheSE. One은 처리 과정의 단순화로 인한 시간 절약의 장점을 가지고 있으나 Adper™ Single Bond 2에 비해 상대적으로 높은 미세누출과 약한 결합력을 보인 본 실험의 결과를 미루어 볼 때, 임상 적용 시 술식과 case에 따른 선택적 사용이 추천되는 바이다.
Abstract
This study was performed to evaluate the quality of newly offered dentin bonding system(AdheSE. One) by comparing the degree of microleakage measured with those of several conventional adhesive materials(AQ Bond Plus and Adper™ Single Bond 2). The quality of hybrid layer and resin tags was analyzed by observing restoration/ tooth interface under SEM. All-in-one system is in the limelight for having advantage of reducing chair time of children with difficult behavior pattern. Therefore the possibility of clinical application of All-in-one system was evaluated. The results obtained are as follows; 1. At the enamel margin, group Ⅱ(AQ Bond Plus) showed the highest value of microleakage, and the other groups showed decreased value in order of group Ⅲ(AdheSE. One) and Ⅰ(Adper™ Single Bond 2). There was statistically significant difference between group Ⅱ and the others(p<0.05), and no statistical difference was found between group Ⅰ and Ⅲ. 2. At the dentin margin, microleakage value was increased in order of group Ⅱ, Ⅰ, Ⅲ and significant difference between all groups(p<0.05). 3. In group Ⅰ and Ⅲ, microleakage value measured at the enamel margin was significantly lower than that seen at the dentin margin(p<0.05), and there was no statistical difference in group Ⅱ. 4. Resin tags observed under SEM were very weak and tangled in group Ⅱ and Ⅲ while the strong and thick tags were observed in group Ⅰ. In conclusion, careful case selection and accurate clinical application is recommended in using AQ Bond Plus and AdheSE. One, giving consideration of the results showing its higher microleakage and weaker strength than Adper™ Single Bond 2.
참고문헌 (43)
- Alani AH, "Detection of microleakage around dental restorations", Oper Dent, 22, pp.173~185 (1997)
- Buonocore MG, "A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces", J Dent Res, 34, pp.849~853 (1955)
- Buonocore M, "A report on a resin composition capable of bonding to human dentin surfaces", J Dent Res, 35, pp.846~851 (1956)
- Nakabayashi N, "The promotion of adhesion by the infiltration of monomers into tooth substrates", J Biomed Mater Res, 16, pp.265~273 (1982)
- Kugel G, "The science of bonding: from first to sixth generation", J Am Dent Assoc, 131, pp.20~25 (2000)
- Fusayama T, "Non-pressure adhesion of a new adhesive restorative resin", J Dent Res, 58, pp.1364~1370 (1979)
- Eick JD, "Current concepts on adhesion to dentin", Crit Rev Oral Biol Med, 8, pp.306~335 (1997)
- Kanca J 3rd, "Effect of resin primer solvents and surface wetness on resin composite bond strength to dentin", Am J Dent, 5, pp.213~215 (1992)
- Watanabe I, "Bonding durability of photocured phenyl-P in TEGDMA to smear layer-retained bovine dentin", Quintessence Int, 24, pp.335~342 (1993)
- Ferrari M, "Bonding mechanism of three "one-bottle" systems to conditioned and unconditioned enamel and dentin", Am J Dent, 10, pp.224~230 (1997)
- Silveira de Araujo C, "Microleakage of seven adhesive systems in enamel and dentin", J Contemp Dent Pract, 7, pp.26~33 (2006)
- Raskin A, "Reliability of in vitro microleakage tests: a literature review", J Adhes Dent, 3, pp.295~308 (2001)
- 박헌정, "유동성 복합 레진을 적용한 예방적 레진 수복물의 미세 누출 양상에 관한 비교 연구", 대한소아치과학회지, 27, pp.419~430 (2000)
- Piva E, "Dyes for caries detection: influence on composite and compomer microleakage", Clin Oral Investig, 6, pp.244~248 (2002)
- Scherer W, "Third generation dentin bonding agents: a microleakage study", J Esthet Dent, 2, pp.33~35 (1990)
- Vargas MA, "Interfacial micromorphology and shear bond strength of singlebottle primer", adhesives, 1997, pp.13, 316~324
- Hannig M, "Self-etching primer vs phosphoric acid: an alternative concept for composite-to-enamel bonding", Oper Dent, 24, pp.172~180 (1999)
- Ernest CP, "In vitro shear bond strength of self-etching adhesives in comparison to 4th and 5th generation adhesives", J Adhes Dent, 6, pp.293~299 (2004)
- Crim GA, "Evaluation of two methods for assessing marginal leakage", J Prosthet Dent, 45, pp.160~163 (1981)
- Kemp-Scholte CM, "Complete marginal seal of Class V resin composite restorations effected by increased flexibility", J Dent Res, 69, pp.1240~1243 (1990)
- Davidson CL, "Relaxation of polymerization contraction stresses by flow in dental composites", J Dent Res, 63, pp.146~148 (1984)
- Feilzer AJ, "Setting stress in composite resin in relation to configuration of the restoration", J Dent Res, 66, pp.1636~1639 (1987)
- Davidson CL, "Polymerization shrinkage and polymerization shrinkage stress in polymerbased restoratives", J Dent, 25, pp.435~440 (1997)
- No¨r JE, "Dentin bonding: SEM comparison of the resin-dentin interface in primary and permanent teeth", J Dent Res, 75, pp.1396~1403 (1996)
- Phillips RW, "Advancements in adhesive restorative dental materials", J Dent Res, 45, pp.1662~1667 (1966)
- Santini A, "Influence of cavity configuration on microleakage around Class V restorations bonded with seven self-etching adhesives", J Esthet Restor Dent, 16, pp.128~135 (2004)
- Gwinnett AJ, "Moist versus dry dentin: its effect on shear bond strength", Am J Dent, 5, pp.127~129 (1992)
- Pashley DH, "Permeability of dentin to adhesive agents", Quintessence Int, 24, pp.618~631 (1993)
- Tay FR, "Micromorphological spectrum from overdrying to overwetting acid-conditioned dentin in water-free acetone-based, singlebottle primer", adhesives, 1996, pp.12, 236~244
- Tay FR, "The overwet phenomenon: an optical, micromorphological study of surface moisture in the acid-conditioned, resindentin interface", Am J Dent, 9, pp.43~48 (1996)
- Van Meerbeek B, "A TEM study of two water-based adhesive systems bonded to dry and wet dentin", J Dent Res, 77, pp.50~59 (1998)
- Perdigao J, "In vitro bond strengths and SEM evaluation of dentin bonding systems to different dentin substrates", J Dent Res, 73, pp.44~55 (1994)
- Tay FR, "Structural evidence of a sealed tissue interface with a total-etch wet-bonding technique in vivo", J Dent Res, 73, pp.629~636 (1994)
- Van Meerbeek B, "Morphological aspects of the resin-dentin interdiffusion zone with different dentin adhesive systems", J Dent Res, 71, pp.1530~1540 (1992)
- Prati C, "Resin-infiltrated dentin layer formation of new bonding systems", Oper Dent, 23, pp.185~194 (1998)
- Tanumiharja M, "Field-emission scanning electron microscopy of resin-dentin interface morphology of seven dentin adhesive systems", J Adhes Dent, 2, pp.259~269 (2000)
- Tay FR, "Effect of smear layers on the bonding of a self-etching primer to dentin", J Adhes Dent, 2, pp.99~116 (2000)
- Retief DH, "Phosphoric acid as a dentin etchant", Am J Dent, 5, pp.24~28 (1992)
- Gwinnett AJ, "Quantitative contribution of resin infiltration", hybridization to dentin bonding, 1993, pp.6, 7~9
- Sano H, "Nanoleakage: leakage within the hybrid layer", Oper Dent, 20, pp.18~25 (1995)
- Li H, "Nanoleakage patterns of four dentin bonding systems", Dent Mater, 16(1), pp.48~56 (2000)
- Prati C, "Permeability of marginal hybrid layers in composite restorations", Clin Oral Investig, 9(1), pp.1~7 (2005)
- 오소희, "수종의 One-bottle 상아질 결합제의 전단 결합 강도에 관한 연구", 대한소아치과학회지, 28(4), pp.553~565 (2001), 대한소아치과학회