練和後のセルフアドヒーシブセメントのpHの変化について
目的 : 近年, 前処理を必要としないセルフアドヒーシブセメントが開発, 市販され始めた. その一方で, インレー修復の術後疼痛の原因の一つとして, 歯科用セメントが練和直後に酸性を示すことが挙げられている. 接着性レジンセメントについては, 接着に必要な接着性モノマーが酸性であるため, 硬化中の酸性度が歯髄に影響を与える可能性がある. そこで今回われわれは, 接着性レジンセメントのpH値を測定し, 練和後のpHの変化について検討した. 材料・方法 : 被験材料としてMaxcem Elite (Kerr), Clearfil SAセメントAutomix (クラレノリタケデンタル), RelyX...
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| Published in | The Japanese Journal of Conservative Dentistry Vol. 61; no. 4; pp. 235 - 240 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本歯科保存学会
2018
The Japanese Society of Conservative Dentistry |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-2343 2188-0808 |
| DOI | 10.11471/shikahozon.61.235 |
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| Abstract | 目的 : 近年, 前処理を必要としないセルフアドヒーシブセメントが開発, 市販され始めた. その一方で, インレー修復の術後疼痛の原因の一つとして, 歯科用セメントが練和直後に酸性を示すことが挙げられている. 接着性レジンセメントについては, 接着に必要な接着性モノマーが酸性であるため, 硬化中の酸性度が歯髄に影響を与える可能性がある. そこで今回われわれは, 接着性レジンセメントのpH値を測定し, 練和後のpHの変化について検討した. 材料・方法 : 被験材料としてMaxcem Elite (Kerr), Clearfil SAセメントAutomix (クラレノリタケデンタル), RelyX Unicem 2 Automix (3M ESPE) を使用し, 各材料の練和方法はメーカーの指示に従った. 各試料のpH測定にはブックpH試験紙 (Advantec) を使用した. 蒸留水にて湿潤したpH試験紙を3分間反応させ, standard pH color chartを参考にし, 各試料の練和直後, 練和後5, 10分, 24, 48時間および72時間のpH値を測定した. 試料は各群3個とし, Tukeyの検定を用い統計解析を行った. 結果 : Maxcem EliteについてのpH値は練和直後から72時間後まであまり変化がみられず, 硬化後もpHは3.0と強い酸性の値を示した. Clearfil SAセメントAutomixについては, 練和直後のpHは2.5と高い酸性を示し, 72時間後になると6.2へと上昇した. 最後に, RelyX Unicem 2 Automixについては, 練和直後のpHは2.8と強い酸性の値を示すが, 72時間後には7.4に上昇した. 結論 : 以上の結果より, Clearfil SA セメント AutomixとRelyX Unicem 2 AutomixのpHは練和直後から10分後までは低かったが, 24時間後のpHは上昇し, 特にRelyX Unicem 2 Automixは中性に近づいた. 一方, Maxcem EliteのpHは72時間後においても上昇は少なく酸性度が低いままであった. |
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| AbstractList | Purpose: Recently developed self-adhesive resin cement that does not require pretreatment is now available on the market. However, it is considered that postoperative pain after inlay restoration may be related to the acidity of the dental cement immediately after mixing. Therefore, we measured the pH values of different self-adhesive resin cements and investigated the determinations of pH after mixing. Methods: Maxcem Elite (Kerr), Clearfil SA Cement Automix (Kuraray Noritake) and RelyX Unicem 2 Automix (3M ESPE) were used as the test materials. The mixing of each material was carried out according to the manufacturer’s instructions. Advantec pH paper was immersed in distilled water and allowed to react with the sample for 3 min. Referring to the standard pH color chart, the pH value was determined immediately after mixing, and 5 min, 10 min, 24 h, 48 h and 72 h after mixing. The data was statistically analyzed using Tukey’s test (n=3). Results: Maxcem Elite showed no significant change between immediately after and 72 h after mixing (pH=3.0). The pH of Clearfil SA Cement Automix and RelyX Unicem 2 Automix immediately after mixing was 2.5 and 2.8, respectively, but rose to 7.4 and 6.2 after 72 h. Conclusion: The pH of Clearfil SA Cement Automix and RelyX Unicem 2 Automix was low immediately after mixing but approached neutrality after 72 h. On the other hand, the pH of Maxcem Elite remained low from immediately after mixing to 72 h after mixing.
目的 : 近年, 前処理を必要としないセルフアドヒーシブセメントが開発, 市販され始めた. その一方で, インレー修復の術後疼痛の原因の一つとして, 歯科用セメントが練和直後に酸性を示すことが挙げられている. 接着性レジンセメントについては, 接着に必要な接着性モノマーが酸性であるため, 硬化中の酸性度が歯髄に影響を与える可能性がある. そこで今回われわれは, 接着性レジンセメントのpH値を測定し, 練和後のpHの変化について検討した. 材料・方法 : 被験材料としてMaxcem Elite (Kerr), Clearfil SAセメントAutomix (クラレノリタケデンタル), RelyX Unicem 2 Automix (3M ESPE) を使用し, 各材料の練和方法はメーカーの指示に従った. 各試料のpH測定にはブックpH試験紙 (Advantec) を使用した. 蒸留水にて湿潤したpH試験紙を3分間反応させ, standard pH color chartを参考にし, 各試料の練和直後, 練和後5, 10分, 24, 48時間および72時間のpH値を測定した. 試料は各群3個とし, Tukeyの検定を用い統計解析を行った. 結果 : Maxcem EliteについてのpH値は練和直後から72時間後まであまり変化がみられず, 硬化後もpHは3.0と強い酸性の値を示した. Clearfil SAセメントAutomixについては, 練和直後のpHは2.5と高い酸性を示し, 72時間後になると6.2へと上昇した. 最後に, RelyX Unicem 2 Automixについては, 練和直後のpHは2.8と強い酸性の値を示すが, 72時間後には7.4に上昇した. 結論 : 以上の結果より, Clearfil SA セメント AutomixとRelyX Unicem 2 AutomixのpHは練和直後から10分後までは低かったが, 24時間後のpHは上昇し, 特にRelyX Unicem 2 Automixは中性に近づいた. 一方, Maxcem EliteのpHは72時間後においても上昇は少なく酸性度が低いままであった. 目的 : 近年, 前処理を必要としないセルフアドヒーシブセメントが開発, 市販され始めた. その一方で, インレー修復の術後疼痛の原因の一つとして, 歯科用セメントが練和直後に酸性を示すことが挙げられている. 接着性レジンセメントについては, 接着に必要な接着性モノマーが酸性であるため, 硬化中の酸性度が歯髄に影響を与える可能性がある. そこで今回われわれは, 接着性レジンセメントのpH値を測定し, 練和後のpHの変化について検討した. 材料・方法 : 被験材料としてMaxcem Elite (Kerr), Clearfil SAセメントAutomix (クラレノリタケデンタル), RelyX Unicem 2 Automix (3M ESPE) を使用し, 各材料の練和方法はメーカーの指示に従った. 各試料のpH測定にはブックpH試験紙 (Advantec) を使用した. 蒸留水にて湿潤したpH試験紙を3分間反応させ, standard pH color chartを参考にし, 各試料の練和直後, 練和後5, 10分, 24, 48時間および72時間のpH値を測定した. 試料は各群3個とし, Tukeyの検定を用い統計解析を行った. 結果 : Maxcem EliteについてのpH値は練和直後から72時間後まであまり変化がみられず, 硬化後もpHは3.0と強い酸性の値を示した. Clearfil SAセメントAutomixについては, 練和直後のpHは2.5と高い酸性を示し, 72時間後になると6.2へと上昇した. 最後に, RelyX Unicem 2 Automixについては, 練和直後のpHは2.8と強い酸性の値を示すが, 72時間後には7.4に上昇した. 結論 : 以上の結果より, Clearfil SA セメント AutomixとRelyX Unicem 2 AutomixのpHは練和直後から10分後までは低かったが, 24時間後のpHは上昇し, 特にRelyX Unicem 2 Automixは中性に近づいた. 一方, Maxcem EliteのpHは72時間後においても上昇は少なく酸性度が低いままであった. |
| Author | 澤井, 健司郎 奥村, 瑳恵子 韓, 嘯宇 松田, 有之 岩﨑, 和恵 小正, 玲子 王, 丹 保尾, 謙三 鞏, 雅楠 吉川, 一志 山本, 一世 |
| Author_FL | Xiaoyu HAN Tomoyuki MATSUDA Reiko KOMASA Yanan GONG Kenshiro SAWAI Saeko OKUMURA Kenzo YASUO Kazushi YOSHIKAWA Dan WANG Kazue IWASAKI Kazuyo YAMAMOTO |
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| References | 24) Cox CF, Keall CL, Keall HJ, Ostro E, Bergenkoltz G. Biocompability of surface-sealed dental materials against exposed pulps. J Prosthet Dent 1987; 57: 1-8. 13) Shintani H, Futagami M, Yukihiro A, Satou J, Satou N, Kai M, Hayashihara H, Inoue T, Seo T. Bond strength and marginal closure of newly developed adhesive cements. Dent Mater J 1985; 4: 175-180. 15) Ferracane J, Stansbury J, Burke F. Self-adhesive resin cements―chemistry, properties and clinical considerations. J Oral Rehabil 2010; doi. org/10.1111/j.1365-2842.2010.02148.x. 3) Howe DF, Denehy GE. Anterior fixed partial dentures utilizing the acid-etch technique and a cast metal framework. J Prosthet Dent 1977; 37: 28-31. 7) Nakabayashi N. Effectiveness of HEMA on dentin adhesion. Adhes Dent 1991; 9: 144-150. (in Japanese 10) Mizuno R, Suzuki K, Kondo Y. Adhesiveness of resin to acid-etched dentin: Morphological change and adhesive of adherend surface by HEMA solution treatment (Part 2). J J Dent Mater 1994; 13: 475-482. (in Japanese 1) Barcelirio Mde O, De Miranda MS, Dias KR, Sekito T Jr. Shear bond strength of porcelain laminate veneer bonded with flowable composite. Oper Dent 2003; 28: 423-428. 19) Noguchi H, Koshinaka Y, Nakamura K, Ozonoe Y, Kikuchi K. Recent tooth adhesion cement tested. DE 1984; 69: 18-29. (in Japanese 2) Khairy AE, Sobhy F. Bonding of laminate veneer materials to enamel. Egypt Dent J 1994; 40: 941-948. 25) Jontell M, Hanks CT, Bratel J, Bergenholtz G. Effects of unpolymerized resin components on the function of accessory cells derived from the rat incisor pulp. J Dent Res 1995; 74: 1162-1167. 18) Masuhara E, Kojima K, Kubota T, Kaku E, Kadoma Y. A study on the physical engineering properties of new adhesive composite resin. J J Dent Mater 1983; 2: 468-492. (in Japanese 21) Murakami H, Matsuya Y, Akamine A. Structure of zine phosphate cement and its dissolution behavior in organic acid solutions. Jpn J Conserv Dent 1996; 39: 955-963. (in Japanese 17) Nakata K, Takeyama M, Nakabayashi N, Masuhara E. On the properties of adhesive resin cement containing 4-META. Dent Mater J 1981; 22: 143-146. 23) Sinya A, Lin J. Effectiveness of self-adhesive resin cements. J J Dent Mater 2011; 30: 141-145. (in Japanese 6) Chweh M. Durability of adhesion between resin cement and metal. J J Dent Mater 1998; 17: 1-13. (in Japanese 22) Ulker HE, Sengun A. Cytotoxicity evaluation of self adhesive composite resin cements by dentin barrier test on 3D pulp cells. Euro J Dent 2007; 28: 3757-3785. 14) Inoue G, Tagami J. The effect of self-adhesive cements as a bonding agent. Dent Mater J 2011; 30: 150-153. 11) Mishima N, Fujita M, Kondo Y, Yatani H, Yamashita A. Studies on the marginal leakage of various setting materials of a metal crown, including newly developed adhesive resins. J Jpn Prosthodont Soc 1987; 31: 88-100. (in Japanese 12) Hatakeyama N, Kasahara S, Ando M, Kimura K. Properties of adhesive resin cement part 1. Mechanical strength. Tohoku Univ Dent J 1999; 18: 166-174. (in Japanese 4) Audenino G, Giannella G, Morello GM, Ceccarelli M, Carossa S, Bassi F. Resin-bonded fixed partial dentures: ten-year follw-up. Int J Prosthodont 2006; 19: 22-23. 16) Morita Y. Resin bonding to a conventional glass-ionomer cement or resin-modified glass-ionomer cements conditioned with self-etching priming systems. Jpn J Conserv Dent 2011; 54: 448-465. (in Japanese 20) Noguchi H, Nakamura K, Ozonoe Y, Etchu Y. On adhesive and mechanical properties of dental cements: Thermal influence. J J Dent Mater 1985; 4: 543-550. (in Japanese 5) Wilson AD, Kent BE. The glassionomer cement. A new translucent filling materials. J Appl Chem Biotechnol 1971; 21: 313. 8) Suzuki K, Nakai H. Adhesion of restorative resin to tooth substance: Treatment of acid-etched dentin by aqueous solution of HEMA. J J Dent Mater 1993; 12: 34-44. (in Japanese 9) Watanabe I, Hiranuma K, Nakabayashi N. Effect of HEMA on bonding to dentin pretreated with acids. J J Dent Mater 1993; 12: 705-713. (in Japanese |
| References_xml | – reference: 12) Hatakeyama N, Kasahara S, Ando M, Kimura K. Properties of adhesive resin cement part 1. Mechanical strength. Tohoku Univ Dent J 1999; 18: 166-174. (in Japanese) – reference: 13) Shintani H, Futagami M, Yukihiro A, Satou J, Satou N, Kai M, Hayashihara H, Inoue T, Seo T. Bond strength and marginal closure of newly developed adhesive cements. Dent Mater J 1985; 4: 175-180. – reference: 11) Mishima N, Fujita M, Kondo Y, Yatani H, Yamashita A. Studies on the marginal leakage of various setting materials of a metal crown, including newly developed adhesive resins. J Jpn Prosthodont Soc 1987; 31: 88-100. (in Japanese) – reference: 19) Noguchi H, Koshinaka Y, Nakamura K, Ozonoe Y, Kikuchi K. Recent tooth adhesion cement tested. DE 1984; 69: 18-29. (in Japanese) – reference: 6) Chweh M. Durability of adhesion between resin cement and metal. J J Dent Mater 1998; 17: 1-13. (in Japanese) – reference: 21) Murakami H, Matsuya Y, Akamine A. Structure of zine phosphate cement and its dissolution behavior in organic acid solutions. Jpn J Conserv Dent 1996; 39: 955-963. (in Japanese) – reference: 2) Khairy AE, Sobhy F. Bonding of laminate veneer materials to enamel. Egypt Dent J 1994; 40: 941-948. – reference: 10) Mizuno R, Suzuki K, Kondo Y. Adhesiveness of resin to acid-etched dentin: Morphological change and adhesive of adherend surface by HEMA solution treatment (Part 2). J J Dent Mater 1994; 13: 475-482. (in Japanese) – reference: 5) Wilson AD, Kent BE. The glassionomer cement. A new translucent filling materials. J Appl Chem Biotechnol 1971; 21: 313. – reference: 9) Watanabe I, Hiranuma K, Nakabayashi N. Effect of HEMA on bonding to dentin pretreated with acids. J J Dent Mater 1993; 12: 705-713. (in Japanese) – reference: 18) Masuhara E, Kojima K, Kubota T, Kaku E, Kadoma Y. A study on the physical engineering properties of new adhesive composite resin. J J Dent Mater 1983; 2: 468-492. (in Japanese) – reference: 16) Morita Y. Resin bonding to a conventional glass-ionomer cement or resin-modified glass-ionomer cements conditioned with self-etching priming systems. Jpn J Conserv Dent 2011; 54: 448-465. (in Japanese) – reference: 1) Barcelirio Mde O, De Miranda MS, Dias KR, Sekito T Jr. Shear bond strength of porcelain laminate veneer bonded with flowable composite. Oper Dent 2003; 28: 423-428. – reference: 3) Howe DF, Denehy GE. Anterior fixed partial dentures utilizing the acid-etch technique and a cast metal framework. J Prosthet Dent 1977; 37: 28-31. – reference: 4) Audenino G, Giannella G, Morello GM, Ceccarelli M, Carossa S, Bassi F. Resin-bonded fixed partial dentures: ten-year follw-up. Int J Prosthodont 2006; 19: 22-23. – reference: 7) Nakabayashi N. Effectiveness of HEMA on dentin adhesion. Adhes Dent 1991; 9: 144-150. (in Japanese) – reference: 15) Ferracane J, Stansbury J, Burke F. Self-adhesive resin cements―chemistry, properties and clinical considerations. J Oral Rehabil 2010; doi. org/10.1111/j.1365-2842.2010.02148.x. – reference: 24) Cox CF, Keall CL, Keall HJ, Ostro E, Bergenkoltz G. Biocompability of surface-sealed dental materials against exposed pulps. J Prosthet Dent 1987; 57: 1-8. – reference: 20) Noguchi H, Nakamura K, Ozonoe Y, Etchu Y. On adhesive and mechanical properties of dental cements: Thermal influence. J J Dent Mater 1985; 4: 543-550. (in Japanese) – reference: 17) Nakata K, Takeyama M, Nakabayashi N, Masuhara E. On the properties of adhesive resin cement containing 4-META. Dent Mater J 1981; 22: 143-146. – reference: 8) Suzuki K, Nakai H. Adhesion of restorative resin to tooth substance: Treatment of acid-etched dentin by aqueous solution of HEMA. J J Dent Mater 1993; 12: 34-44. (in Japanese) – reference: 14) Inoue G, Tagami J. The effect of self-adhesive cements as a bonding agent. Dent Mater J 2011; 30: 150-153. – reference: 23) Sinya A, Lin J. Effectiveness of self-adhesive resin cements. J J Dent Mater 2011; 30: 141-145. (in Japanese) – reference: 22) Ulker HE, Sengun A. Cytotoxicity evaluation of self adhesive composite resin cements by dentin barrier test on 3D pulp cells. Euro J Dent 2007; 28: 3757-3785. – reference: 25) Jontell M, Hanks CT, Bratel J, Bergenholtz G. Effects of unpolymerized resin components on the function of accessory cells derived from the rat incisor pulp. J Dent Res 1995; 74: 1162-1167. |
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| Snippet | 目的 : 近年, 前処理を必要としないセルフアドヒーシブセメントが開発, 市販され始めた. その一方で, インレー修復の術後疼痛の原因の一つとして, 歯科用セメントが練和直後に酸性を示すことが挙げられている. 接着性レジンセメントについては, 接着に必要な接着性モノマーが酸性であるため,... Purpose: Recently developed self-adhesive resin cement that does not require pretreatment is now available on the market. However, it is considered that... |
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| SubjectTerms | adhesive resin cement pH test pH試験 pulp irritation 接着性レジンセメント 歯髄刺激性 |
| Title | 練和後のセルフアドヒーシブセメントのpHの変化について |
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| ispartofPNX | 日本歯科保存学雑誌, 2018, Vol.61(4), pp.235-240 |
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