Correlation between Linear polymerization shrinkage & tooth cuspal deflection
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이 논문의 목적은 복합레진과 컴포머에서, 중합수축의 양과 이로 인하여 야기되는 교두변위와의 상관관계를 알아보기 위함이다. 수복재료로서 Dyract AP, Compoglass F, Z100, Surefil, Pyramid, SynergyCompact, Heliomolar 와 Heliomolar HB 가 사용되었으며, 접착제로서는 SE Bond 가 사용되었다. 수복재료의 중합수축의 양을 측정하기 위하여, 자체제작한 linometer 를 사용하여, 60초간 일어나는 선수축량을 측정하였다. 한 수복재료 당 10회 측정하였으며, one way ANOVA 와 사후검정방법으로 Tukey Test를 이용하여 95% 신뢰수준에서 각 수복재료의 중합수축량의 차이를 비교하였다. 치아에서 일어나는 교두변위의 양을 측정하기 위하여 사람의 상악소구치에 표준화된 MOD 와동을 형성하고(깊이 3mm, 넓이 3.5mm), 접착제를 도포한 후 광조사 시킨 후, 수복재료로 충전하였다. 치아를 자체 제작한 교두변위측정장치에 위치시키고, 광조사 시키고, 이 때 발생하는 교두의 변위를 10분간 측정하였다. 한 수복재료 당 15회를 측정하였으며 one way ANOVA 와 사후검정방법으로 Tykey Test를 이용하여 95% 신뢰수준에서 각 수복재료의 교두변위량의 차이를 비교하였다. 중합수축의 양과 교두변위의 양의 상관관계를 회귀분석법을 이용하여 분석하였다. 중합수축의 양은 Heliomolar, Surefil< Heliomolar HB <Z100, SynergyCompact <Dyract AP, Pyramid, Compoglass F (p<0.05), 교두변위의 양은 Heliomolar, Surefil, Z100, Heliomolar HB, SynergyCompact<Compoglass F< Pyramid, Dyract AP (p<0.05) 였다. 중합수축의 양과 교두변위는 높은 상관관계를 나타내었다 (p<0.001).
Abstract
The purpose of the present study was to evaluate the relationship between the amount of cuspal deflection and linear polymerization shrinkage in resin composite and polyacid modified resin composite. For cuspal defelction and shrinkage measurement, Dyract AP, Compoglass F, Z100, Surefil, Pyramid, Synergy Compact, Heliomolar, and Heliomolar HB were used. For measuring polymerization shrinkage, a custom made linometer (R&B, Daejon, Korea) was used. The amount of shrinkage among materials was compared using One-way ANOVA analysis and Tukey’s test at the 95% of confidence level. For measuring cuspal deflection of teeth, standardized MOD cavities were prepared in extracted maxillary premolars. After a self-etching adhesive was applied, cavities were bulk filled with one of the filling materials. Fifteen teeth were used for each material. Cuspal deflection was measured by a custom made cuspal-deflection measuring device. One-way ANOVA analysis and Tukey’s test were used to determine differences between the materials at the 95% of confidence level. Correlation of polymerization shrinkage and cuspal deflection were analyzed by regression analysis. The amount of polymerization shrinkage from least to greatest was Heliomolar, Surefil < Heliomolar HB< Z100, Synergy Compact < Dyract AP < Pyramid, Compoglass F (p<0.05). The amount of cuspal deflection from least to greatest was Z100, Heliomolar, Heliomolar HB, Synergy Compact Surefil, < Compoglass F < Pyramid, Dyract AP (P < 0.05). The amount of polymerization shrinkage and cuspal deflection showed a correlation (p<0.001).
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