광중합형 복합레진과 shade guide의 색차에 관한 연구
A Spectrophotometric Study on Color Differences between Various Light-Cured Composite Resins and Shade Guides
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심미적인 특성을 가진 복합레진은 전치부 수복용 재료로 많이 이용되고 있다. 복합레진 수복 시 만족스러운 결과를 얻기 위해서는 색조의 선택이 중요한 역할을 한다. 현재 대부분의 수복용 복합레진은 Vita Lumin 색조견본(shade guide)이나 각각의 회사에서 제공하는 색조견본을 사용하고 있으나, 색조 견본 사이의 색차와 수복물과 견본 사이에 색차가 예상되어 그 차이를 규명하여 임상적인 선택 시에 도움이 되고자 하였다. 4종의 광중합 복합레진(Gradia Direct (GD), Z250 (Z250), Clearfil AP-X (AP-X), Esthet․X (E․X))과 A2와 A3의 색조 견본을 사용하였다. 각 재료마다 3개의 시편과 1개의 색조 견본을 제작하였다. Teflon 주형(깊이 1.35 mm, 직경 8 mm)에 각각의 복합레진을 채우고 응축한 후에 중합하여 젖은 사포로 연마하였다. 색조 견본을 연마용 stone과 고무를 이용하여 1.35 mm 두께로 연마하였다. 컴퓨터에 의해 조절되는 spectrophotometer(color i5, GretagMacbeth, USA)를 이용하여 시편과 색조견본의 색의 특성을 CIELAB coordinates (L*, a*, b*)로 평가하였다. CIELAB 계측을 통하여 복합레진과 색조 견본의 색차(∆E*ab)를 비교 평가 하였다. 광원으로는 CIE standard D65를 사용하였다. 다음과 같은 결과를 얻었다. 1. 동일한 shade로 설계된 여러 제조회사의 복합레진 시편의 L*, a*, b* 값 간에 유의할 만한 수준의 차이를 나타냈다(p<0.05). 2. 동일한 shade로 설계된 여러 제조회사의 복합레진 시편 간에 대부분 육안으로 인지할 만한 색차(∆E*ab>3.3)값을 나타냈다. 3. 동일한 shade로 설계된 여러 제조회사의 복합레진과 제조회사에서 제공되는 shade guide 및 Vita Lumin shade guide 간에 대부분 육안으로 인지할 만한 색차(∆E*ab>3.3)값을 나타냈다. 4. 임상에서 보다 나은 색 조화를 얻어 심미성을 향상시키기 위해서는 실제 수복물로 제작한 custom shade guide의 제작이 필요할 것으로 생각된다. 제조사에 의해 제공되는 색조 견본이나 Vita Lumin 색조 견본은 임상의에게 복합레진의 색조 선택 시에 정확한 기준을 제공하지는 않았고, 대부분의 제품에서 인지할 수 있는 색차가 있었다. 그러므로 보다 나은 색조 선택을 위해 수복용 레진으로 제작한 맞춤형 색조 견본을 사용하는 것을 추천한다.
Abstract
The composite resin, due to its esthetic quality, is considered the material of choice for restoration of anterior teeth. To get a satisfactory result in the composite resin restorations, it is necessary to choose right shade. At present, most of the commercial composite resins are based on the Vita Lumin shade guides or shade guides that are provided by their company, but color differences among them might be expected even using the same shade in various materials. This study is to measure color differences between various light-cured composite resins and shade guides and to provide the clinicians with information which may aid in improved color match of esthetic restoration. Four kinds of light-cured composite resins (Gradia Direct (GD), Z250 (Z250), Clearfil AP-X (AP-X), Esthet․X (E․X)) and shade guides with A2 and A3 shade were used. Three specimens of each material and one specimen of each shade guide were made. Each composite resin was filled into the Teflon mold (1.35 mm depth, 8 mm diameter), followed by compression, polymerization and polishing with wet sandpaper. Shade guides were grinded with polishing stones and rubber points to a thickness of approximately 1.35 mm. Color characteristics were performed with a spectrophotometer(color i5, GretagMacbeth, USA). A computer-controlled spectrophotometer was used to determine CIELAB coordinates (L*, a*, b*) of each specimen and shade guide. The CIELAB measurements made it possible to evaluate the amount of the color difference values (∆E*ab) between composite resins and shade guides. CIE standard D65 was used as the light source. The results were as follows : 1. Among the L*, a*, b* values of most of 4 kinds of composite resin specimens which are produced by same shade, there were significant differences(p<0.05). 2. Among all 4 kinds of composite resin specimens which are produced by same shade, there were color differences that is perceptible to human eye(∆E*>3.3). 3. Between most of composite resin specimens investigated and their corresponding shade guides, there were color differences that is perceptible to human eye(∆E*>3.3). 4. In the clinical environment, it is recommended that custom shade guides be made from resin material itself for better color matching. Shade guides supplied by manufacturers or Vita Lumin shade guide may not provide clinicians a accurate standard in matching color of composite resins, and there are perceptible color differences in most of products. Therefore, it is recommended that custom shade guides be made from resin material itself and used for better color matching.
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