산성음료가 치아색 수복재의 표면에 미치는 영향
The effect of acidic drinks on the surface of tooth-colored restorative materials
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초록
법랑질 침식의 병인 중에서 식이습관은 많은 관심을 받아왔고 특히 산성음료의 음용이 많은 주의를 끌어왔다. 산성음료의 급속한 소비량 증가는 치아뿐만 아니라 치아색 수복재료의 표면에도 많은 영향을 미칠 것으로 생각된다. 따라서 본 연구는 어린이들이 비교적 일상적으로 접하는 산성음료 중 가장 보편화된 3종을 선택하여 치아색 수복재료의 노출시간에 따른 표면의 변화를 조사할 목적으로 시행되었다. Resin-modified glass-ionomer, polyacid-modified composite resin, composite resin을 0.9% NaCl, 콜라, 오렌지 쥬스, 스포츠 음료의 각 4개 군으로 나누어 저장하였다. 저장 전과 저 장 후 1일, 1-, 2-, 3-, 4-주에 표면강도 및 표면조도를 측정하였고 다음과 같은 결론을 얻었다. 1. 산성음료에 저장했을 경우 composite resin을 제외한 치아색 수복재들은 통계학적으로 유의한 표면강도와 표면조도의 변화를 보였다(p<0.05). 2. 표면강도 및 표면조도의 변화는 resin-modified glass-ionomer, polyacid-modified composite resin, composite resin 순으로 크게 나타났다. 3. 콜라나 오렌지 쥬스보다 스포츠 음료에서 표면변화는 더 크게 나타났다. 4. 산성음료에 저장한 군의 SEM 촬영에서 resin-modified glass-ionomer, polyacid-modified composite resin의 경우 충전제의 상실이 관찰되었으며 특히 resin-modified glass-ionomer의 경우 심한 균열이 관찰되었다.
Abstract
Among the etiologic factors of enamel corrosion, daily intake has been considered with a profound interest, especially the intake of acidic drinks. It is thought that the rapid consumption of acidic drinks will not only results in the affection to the teeth but also to the surface of the tooth-colored restorative materials. Therefore, the puopose of this study is to examine the alterations occurred in the surface of the tooth-colored materials according to the exposed time, with 3 most common acidic drinks in contact with daily life. Resinmodified glass-ionomer, polyacid-modified composite resin, composite resin were immersed on 0.9% NaCl, Coke, orange juice, sports beverages as 4 groups in each. The surface hardness and the surface roughness of specimens were measured with following methods: before immersion, 1 day after immersion, 1-,2-,3-,4- weeks after immersion. Results were as follows. 1. Tooth-colored restorative materials, with the exception of composite resin, showed statistically significant changes in surface hardness and roughness when immersed on acidic drinks(p<0.05). 2. The degree of change in surface hardness and roughness occurred as follows, in order of severity from greatest to least: resin-modified glass-ionomer, polyacid-modified composite resin, composite resin. 3. Sports beverages resulted in greater alterations to surfaces than Coke and orange juice. 4. In the SEM image of the groups immersed in acidic drinks, resin-modified glass-ionomer and polyacid-modified composite resin showed loss of filler. Severe cracks were observed, especially on the resin-modified glass-ionomer.
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