산부식형 상아질 접착제의 접착 내구성에 관한 연구

• Published in: 大韓齒科保存學會誌 Vol. 32; no. 4; pp. 365 - 376
• Main Authors: 정미라, 최기운, 박상혁, 박상진, Jung, Mi-Ra, Choi, Gi-Woon, Park, Sang-Hyuk, Park, Sang-Jin
• Format: Journal Article
• Language: Korean
• Published: 2007
• ISSN: 1225-0864

The purpose of this study was to evaluate the effect of different etching times on microtensile bond strength (${\mu}TBS$) to dentin both initial and after thermocycling with 3 different types of total-etching adhesives. Fifty four teeth were divided into 18 groups by etching times (5, 15, 25 sec), adhesives types (Scotchbond Multipurpose (SM), Single Bond (SB), One-Step (OS)) and number of thermocycling (0, 2,000 cycles). Flat dentin surfaces were prepared on mid-coronal dentin of extracted third molars. After exposed fresh dentin surfaces were polished with 600-grit SiC papers, each specimen was acid-etched with 35% phosphoric acid (5, 15, 25 sec) and bonded with 3 different types of total etching adhesives respectively. Then, hybrid composite Z-250 was built up. Half of them were not thermocycled (control group) and the ethers were subjected to 2,000 thermocycle (experimental group). They were sectioned occluso-gingivally into $1.0\;{\times}\;1.0\;mm^2$ composite-dentin beams and tested with universal testing machine at a crosshead speed of 1.0 mm/min. Within limited data of this study, the results were as follows 1. There was no statistically significant difference in ${\mu}TBS$ between the thermocycled and non-thermocycled groups, except for both SM and SB etched for 25 sec. 2. In thermocycled SM and SB groups, bond strength decreased by extended etching time. In total etching systems, adhesive durability for dentin could be affected by type of solvents in adhesive and etching time. Especially, extended etching time may cause deteriorate effects on bond strength when ethanol-based adhesive was used. 본 연구의 목적은 3종의 전체산부식 상아질 접착 시스템에서 적절한 산부식 시간과 접착제의 침투 능력에 대해 규명하고자 하였다. 우식이 없는 54개의 제3대구치의 상아질 표면을 5, 15, 25초 동안 산부식하고 산부식형 접착제 3종 (Scotchbond multipurpose, Single Bond, One Step) 을 도포한 후 복합레진을 충전하였다. 각 시편은 0회 (대조군) 또는 2000회 열순환 ($5^{\circ}C\;-\;55^{\circ}C$) (실험군) 후 미세인장강도를 측정하고 파단면을 관찰하여 다음과 같은 결론을 얻었다. 1. 실험군은 대조군에 비하여 결합강도가 감소하였으며, 특히 25초 산부식한 SM 및 SB군에서는 통계학적 유의차를 나타내었다. 2. 열순환 처리한 SM군과 SB군의 경우, 25초 간 산부식한 군이 5초 간 산부식한 군과 15초 간 산부식한 군에 비해 유의성 있게 낮은 결합강도를 나타냈다 (p < 0.05). 3. OS군의 경우, 산부식 시간 및 열순환 여부에 따른 유의성 있는 차이가 나타나지 않았다 (p > 0.05). 상아질 접착의 내구성은 접착제의 용매와 산부식 시간에 의해 영향을 받으며 특히, ethanol-based adhesive를 사용할 때 과도한 산부식은 유의해야 한다.