Light emitting diode를 이용한 광중합 시 금합금과 교정용 금속 브라켓의 전단접착강도
Shear bond strength between gold alloy and orthodontic metal bracket using light emitting diode curing light
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성인 교정환자의 수요가 증가하면서 보철물 표면에 교정장치를 부착해야 하는 빈도가 늘어나고 있다. 본 연구는 금속표면에 교정장치를 직접 접착하고자 할 때 사용하는 metal primer와 silicoating으로 각각 금합금의 표면을 처리한 후 light emitting diode (LED) 광중합기를 사용하여 광중합을 시행하여 접착력을 평가해 보고자 하였다. Type III gold alloy 표면에 aluminum oxide를 이용한 sandblasting 후 4-META 계열의 metal primer로 처리한 시편과 silica를 이용한 sandblasting 후 silane으로 처리한 시편에 광중합형 접착레진인 Transbond XT를 이용하여 금속 브라켓을 접착하고 접착 후 1시간, 6시간, 24시간 후 전단접착강도의 변화를 비교, 관찰하였다. 측정된 값을 이원분산분석(two-way analysis of variance)을 이용하여 비교하고 두 가지 표면처리 방법 간에 접착강도에 차이가 있는지도 살펴보았다. 연구결과, metal primer에 비하여 silicoating을 시행한 시편에서 높은 전단접착강도가 관찰되었으며, 시간이 경과할수록 접착강도가 증가하는 경향을 보였다. Adhesive remnant index (ARI)에서는 군 간 유의한 차이를 보이지 않았다. LED를 이용하여 광중합을 시행하는 경우 법랑질에 비하여 긴 시간의 광중합을 실시하고 metal primer보다는 silicoating 방법을 사용하는 것이 금합금표면에 교정장치를 부착할 때 더 높은 접착강도를 얻을 수 있을 것이다. (대치교정지 2010;40(1):27-33)
Abstract
Objective: The need to bond orthodontic brackets onto various alloys has increased because of the increasing demand for adult orthodontic treatment. This study tried to evaluate the shear bond strength between gold alloy and metal bracket using light emitting diode (LED) light curing after metal primer and silicoating surface conditioning. Methods: Half of the type III gold alloy plates were treated with sandblasting with aluminum oxide and metal primer containing 4-META, the other half were treated with silica and silane. Metal brackets were bonded with Transbond XT light curing adhesive on these plates and shear bond strength were evaluated 1 hour, 6 hours, and 24 hours later. The differences of shear bond strength between groups were evaluated with two-way ANOVA. Results: The results showed higher bond strength in the silicoating group and a tendency of bond strength increase over time. Conclusions: When using LED curing lights for metal bracket bonding to alloy surfaces, long curing time and silicoating can produce a reliable bonding strength. (Korean J Orthod 2010;40(1):27-33)
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