에탄올의 첨가가 치과용 접착제의 효율에 미치는 영향
Effect of Ethanol Addition on Efficacy of Dental Adhesive
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본 연구에서는 과수분 상태에서 두단계 산부식 접착제를 적용할 때 부가적으로 에탄올을 첨가하였고 이러한 에탄올의 첨가가 접착제의 효율에 미치는 영향을 평가하고자 하였다. 접착제의 효율을 평가하기 위해 잔존 휘발성분의 양을 측정하고 접착제의 상변화를 관찰하였으며 전환율과 미세인장 결합강도를 측정하였다. 접착제 10 μl만을 사용한 1군, 증류수 3 μl에 접착제 10 μl를 적용한 2군, 그리고 여기에 부가적으로 100% 에탄올을 1 μl에서 6 μl까지 1 μl씩 단계적으로 추가한 6개의 실험군을 포함하여 총 8개의 실험군으로 분류하였다. 슬라이드 글라스 위에서 10초, 30초, 60초 동안 공기건조하고 잔존 휘발성분의 양을 측정하였다. 또한 각 실험군의 실험조건에 따라 미세인장 결합강도와 전환율을 측정하였다. 모든 실험값은 one-way ANOVA와 Tukey HSD test를 사용해 95% 유의수준에서 통계적으로 분석하였다. 이 연구에서 다음과 같은 결과를 얻었다. 잔존 휘발성분의 양에 있어서 1군을 제외한 다른 모든 실험군들에서 공기건조 시간이 증가할수록 양이 감소하였고, 2군, 3군, 4군 보다 5군, 6군, 7군이 더 낮았다 (p < 0.05). 5군, 6군에서 공기건조 시간이 증가함에 따라 전환율이 증가하였다 (p < 0.05). 5군, 6군, 7군에서 공기건조 시간이 증가함에 따라 미세인장 결합강도가 증가하였다 (p < 0.05). 광학현미경 관찰에서5군, 6군, 7군, 8군에서 공기건조 시간이 증가할수록 상분리가 소실되는 상이 관찰되었다. 이에 과수분 상태에서 두단계 산부식 접착제에 부가적으로 에탄올을 첨가하는 것은 수분을 제거하고 접착효율을 높이는데 효과적인 것으로 사료된다.
Abstract
The purpose of this study was to evaluate the effect of ethanol addition on efficacy of two-step total-etch adhesive under over-wet condition by measurement of remaining volatile part (RVP), microtensile bond strength (μTBS), and degree of conversion (DC). Two-step total-etch adhesive, Optibond Solo Plus (Kerr, Orange, USA), was used. Experimental groups were divided into 8 groups: Group 1 (only 10 μl adhesive), Group 2 (mixture of 3 μl distilled water and 10 μl adhesive), From Group 3 to Group 8 (mixture of 3 μl distilled water, 10 μl adhesive, and ethanol added in1 μl increment from 1 μl to 6 μl ). The mixtures were placed on slide glass and evaporated for 10 s, 30 s, and 60 s by air-drying. The weight of RVP was measured by precision weight. Same procedures were performed for μTBS test and measurement of DC. The condition of mixed solution was observed under light microscope. For RVP weight, the weights of experimental groups except for group 1 decreased with the increase of air-drying time (p<0.05). The DC increased with the increase of air-drying time in only group 5 and 6 (p<0.05). The μTBS increased with the increase of air-drying time in group only 5, 6, and 7 (p<0.05). The phase separation was examined and water blisters were diminished with the increase of air-drying time in group 5, 6, 7, and 8. Within the limits of this study, ethanol additionally applied to adhesive decreased RVP and increased DC and μTBS under over-wet condition. It was shown that the addition of ethanol to two-step total-etch adhesive under over-wet condition would remove water and increase the efficacy of adhesive.
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