유동성 레진의 두께가 미세누출에 미치는 영향
The effect of marginal microleakge according to thickness of flow able resin
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초록
본 연구는 2급 복합레진 수복 시 다양한 두께의 유동성 레진 이장이 법랑질 또는 상아질 치은측 변연부의 미세누출에 미치는 영향을 평가하기 위하여 시행하였다. 발거된 상, 하악 대구치의 근심 또는 원심면에 2급 와동을 형성하고 혼성 복합레진만으로 충전한 군 (대조군)과 유동성 레진을 치은측에 0.5 mm (실험 1군), 1 mm (실험 2군), 2 mm (실험 3군) 두께로 이장한 후 복합레진을 충전한 군으로 분류하였다. 각 군은 5℃와 55℃에서 500회 열순환을 시행한 후 2% methylene blue에 24시간 동안 침적시켜 광학 입체현미경 하에서 변연부의 색소 침투를 관찰하였다. 본 연구의 결과 유동성 레진의 다양한 두께는 복합레진 수복물의 변연부 미세누출에 영향을 미쳤다. 복합레진을 이용한 구치부 2급 와동 수복 시 법랑질 또는 상아질 변연에서 0.5 mm 두께로 유동성 레진을 적용하는 것이 미세누출 감소에 효과적인 것으로 나타났다.
Abstract
This study investigated the effect of thickness of flowable resin lining on marginal leakage in class II composite restorations. 80 experimental teeth were prepared with class II preparations with enamel margin or dentin margin. Each group was devided into four groups according to flowable resin lining thickness ; Control group - no flowable resin lining, Group 1 - 0.5 mm flowable resin lining, Group 2 - 1 mm flowable resin lining, Group 3 - 2 mm flowable resin lining. The cavities were restored using Scotchbond Multi-Purpose adhesive system, Filtek Flow and Filtek Z 250 composite resin. Following one day storage in distilled water, the restored teeth were thermocycled for 500 cycles and immersed in 2% methylene blue for 24 hours. The results of this study were as follows: 1. Ranking of mean microleakage scores at the enamel margins was Group 1 < Control = Group 2 < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 and Group 2 (p<0.05). 2. Ranking of mean microleakage scores at the dentin margins was Group 1 < Group 2< Control < Group 3. The microleakage of Group 3 was significantly higher than that of Control, Group 1 (p<0.05). 3. Compared with microleakage between the enamel and dentin margins, enamel margin group were significantly lower than dentin margin group.
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