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와동 세척제가 상아질 결합제의 결합에 미치는 영향

Effect of cavity disinfectant on the bond strength and microleakage of dentin bondingagents

이주현|박호원|송승호
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2005.12|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제32권 제4호|pp. 595-603

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참고문헌

키워드

Shear bond strengthMicroleakageCavity disinfectant미세누출전단결합강도클로르헥시딘ChlorhexidineConsepsis와동 세척제
주제분류치의학

초록

와동 형성시 박테리아에 감염된 상아질이나 법랑질을 완전히 제거하지 않는 것은 수복학적 측면에서 볼 때 잠재적 문제점이 된다. 수복물 하방에서의 박테리아의 활동에 의해 술후 과민반응, 치수의 염증, 이차 우식 등이 진행될 수 있다. 와동 세척제는 와동 형성 후 잔존 박테리아의 제거를 위해 효과적으로 사용될 수 있지만 상아세관에 잔유물을 남겨 상아질 결합제와 치질간의 긴밀한 결합을 방해하여 미세누출을 증가시키고 결합강도를 약화시킬 가능성이 있다.본 연구는 2% 클로르헥시딘을 함유하는 와동 세척제인 Consepsis(Ultradent, USA)가 AdperTM ScotchbondTM Multi-Purpose(3M ESPE, USA), AdperTM Single Bond(3M ESPE, USA), AdperTM PromptTM L-PopTM(3M ESPE, USA)의 결합에 미치는 영향을 평가하기 위하여 발거된 제 3대구치 120개를 이용하여 Consepsis 와동 세척제를 사용한 군과 사용하지 않은 군으로 나누어 전단결합강도 측정과 수복물 변연에 나타나는 미세누출 정도를 색소 침투 평가 방법으로 분석함으로써 다음과 같은 결론을 얻었다.1. Consepsis 와동 세척제의 사용 유무는 AdperTM ScotchbondTM Multi-Purpose, AdperTM Single Bond, AdperTM PromptTM L-PopTM의 전단결합강도에 있어 통계학적으로 유의한 차이를 보이지 않았다(p >0.05).2. Consepsis 와동 세척제의 사용 유무는 AdperTM ScotchbondTM Multi-Purpose, AdperTM Single Bond, AdperTM PromptTM L-PopTM의 미세누출 양상에 있어 통계학적으로 유의한 차이를 보이지 않았다(p >0.05).

Abstract

Incomplete removal of bacteria contaminated dentin or enamel associated with caries is a potential problem in restorative dentistry. Secondary or residual caries, pulpal inflammation and hypersensitivity may result from bacteria left after the initial preparation, especially if an adequate seal against microleakage is not obtained. A possible solution to eliminate residual bacteria left in a cavity preparation would be to treat the cavity with cavity disinfectant wash. But a potential problem with using a cavity disinfectant with dentin bonding agents could be their interference with the ability of the resin to bond to the tooth micromechanically. The purpose of this study was to evaluate the effect of 2% chlorhexidine containing cavity disinfectant(ConsepsisⓇ) on shear bond strength and microleakage of dentin bonding agents, AdperTM ScotchbondTM Multi-Purpose, AdperTM Single Bond and AdperTM PromptTM L-PopTM. Sixty and sixty sound human third molar teeth, respectively, were used for shear bond strength and microleakage test. For experimental group, cavity disinfectant was applied before dentin bonding agents, and was not applied for the control group. The result from the this study can be summarized as follows ; 1. Use of 2% chlorhexidine containing cavity disinfectant(ConsepsisⓇ) does not significantly affect the shear bond strength of dentin bonding agents. 2. Use of 2% chlorhexidine containing cavity disinfectant(ConsepsisⓇ) does not significantly affect the microleakage of dentin bonding agents.

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