Tensile Bond Strength of Composite Resin Treated with Er:YAG Laser

Er:YAG 레이저를 활용한 와동형성시 컴포짓 결합강도

  • Shin, Min (Department of Oral Medicine and Wonkwang Dental Research Center, School of Dentistry, Wonkwang University) ;
  • Ji, Young-Duk (Department of Oral Medicine and Wonkwang Dental Research Center, School of Dentistry, Wonkwang University) ;
  • Rhu, Sung-Ho (Department of Oral Medicine and Wonkwang Dental Research Center, School of Dentistry, Wonkwang University) ;
  • Cho, Jin-Hyoung (Department of Oral Medicine and Wonkwang Dental Research Center, School of Dentistry, Wonkwang University)
  • 신민 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소) ;
  • 지영덕 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소) ;
  • 류성호 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소) ;
  • 조진형 (원광대학교 치과대학 구강내과학교실 및 원광치의학연구소)
  • Published : 2005.06.30

Abstract

This in vitro study evaluated the influence of a flowable composite resin on the tensile bond strength of resin to enamel and dentin treated with Er:YAG laser and diamond bur. 96 Buccal enamel and mid-coronal dentin were laser-irradiated using an Er:YAG laser and treated with diamond bur. Each groups(48) were divided two small groups depends on acid-etching procedure. Light-cure flowable resin(Metafil Flo) and self-cure resin(Clearfil FII New Bond) were used in this study. After surface etching with 37% phosphoric acid and the application of an adhesive system, specimens were prepared with a hybrid composite resin. After 24hours storage in distilled water at 37$^{\circ}C$, all samples were submitted to the tensile bond strength evaluation, using a universal testing machine(Z020, Zwick, Germany). The obtained results were as follows: 1. TBS of acid-etching group were higher than those of non-etching group in both enamel and dentin treated with Er:YAG laser and diamond bur. Laser 'conditioning' was clearly less effective than acid-etching. Moreover, acid etching lased enamel and dentin significantly improved the microTBS of M-Flo. 2. In enamel, TBS of laser-irradiated group were lower than those of bur-prepared group. However, in flowable resin subgroup, there were not differed those between two groups in dentin. 3. In laser-treated group, TBS of flowable composite resin were higher than those of self-curing resin in dentin, however, there was no difference in enamel. From this study, we can conclude that the self- and light-cure composite resin bonded significantly less effective to lased than to bur-cut enamel and dentin, and that acid-etch procedure remains mandatory even after laser ablation. We suggest that Er:YAG laser was useful for preparing dentin cavity with flowable resin filling.

재래의 고속핸드피스 bur를 이용한 와동 형성시 레진 접착력과 레이저를 사용한 와동형성시 접착력을 비교하여 레이저의 임상적용 여부를 평가하는 것이 본 연구의 목적이다. 총 96개 치아 표본의 법랑질 협면과 상아질 mid-coronal 부에 Er:YAG laser를 사용하여 조사하였다. 사전에 산부식을 시킨 군(48개)과 부식시키지 않은 군(48개)으로 구별하고 각각 flowable 접착시스템(Metafil Flo)과 자가중합 시스템(Clearfil FII New Bond)를 레진에 접착시켰다. 37$^{\circ}C$ 증류수에서 24시간동안 보관한 후 미세 결합강도(micro-tensile shear strength)를 만능시험기(universal testing machine)로 측정하여 다음과 같은 결과를 얻었다. 1. 법랑질과 상아질 모두 산부식 전처리를 한 경우에 산처리를 하지 않은 경우보다 결합강도가 높았고, 레이저 처리 표본에서도 마찬가지여서 레이저만으로 처리하는 것보다는 산부식 처리를 하는 것이 강도면에서 유리한 것으로 나타났다. 2. 법랑질의 경우 레이저 처치한 경우가 bur로 삭제한 경우보다 두 레진군 모두에서 결합강도가 낮았으나(P<0.05), 상아질의 경우에는 flowable 레진군에서는 두 군 간의 차이가 없었다. 3. 레이저 처치군내에서 상아질의 경우, 광중합 flowable 레진의 결합강도가 자가중합형 레진의 강도보다 높았으나, 법랑질에서는 차이가 없었다. 따라서 레이저를 활용하여 와동을 형성하는 것은 상아질까지 확대된 와동의 경우에 법랑질에 국한된 경우보다 결합강도면에서 유리하며, flowable레진을 사용하는 것이 자가중합형 레진보다 유리한 것으로 판단되었다.

Keywords

References

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