• Journal of Korean society of Dental Hygiene
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• v.21 no.5
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• pp.545-553
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• 2021

Objectives: This study aimed to investigate the cytotoxicity of Nexus RMGIC, an indirect restorative cement, on cell survival rate and reactive oxygen species (ROS) production in periodontal stem cells (PDSCs). Methods: PDSCs were incubated with serially diluted Nexus RMGIC eluates with and without the addition of N-acetyl-cysteine (NAC). Cell survival was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The ROS generation was determined by measuring the fluorescence intensity for 2',7'-dichlorofluorescin diacetate. Results: Nexus RMGIC exposure decreased cell proliferation and cell survival rate in a dose-dependent manner (1:8, 1:4, 1:2, 1:1) in PDSCs. The cytotoxicity of Nexus RMGIC was inhibited by treatment with 10-mM NAC. In addition, the production of ROS was detected by immunofluorescence after PDSCs were exposed to Nexus RMGIC. However, ROS generation was significantly suppressed in the NAC pretreatment compared with the Nexus RMGIC group. Conclusions: Nexus RMGIC increased the cytotoxicity and ROS generation. ROS was involved in Nexus RMGIC-induced cell toxicity.

• Journal of the korean academy of Pediatric Dentistry
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• v.48 no.4
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• pp.460-466
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• 2021

The purpose of this study was to compare the effect of the hemostatic agent containing aluminum chloride with hemostatic agent containing ferric sulfate on the shear bond strength of resin-modified glass ionomer cement(RMGIC) to dentin in primary tooth. Twenty extracted non-carious human primary teeth were collected in this study. The specimens were cut to expose dentin and polished. The specimens were randomly seperated into 3 groups for treatment; group I: polyacrylic acid(PAA), RMGIC; group II: aluminum chloride, PAA, RMGIC; group III: ferric sulfate, PAA, RMGIC Ten specimens from each group were subjected to shear bond strength test. The mean shear bond strength of each group was as follows: 10.07 ± 1.83 MPa in Group I, 7.62 ± 0.78 MPA in group II, 5.23 ± 0.78 MPa in group III. There were significant differences among all groups(p < 0.001). In conclusion, both aluminum chloride hemostatic agent and ferric sulfate hemostatic agent decreased the shear bond strength of RMGIC to dentin. And ferric sulfate hemostatic agent decreased the shear bond strength of RMGIC more than the aluminium chloride hemostatic agent.

• Journal of the korean academy of Pediatric Dentistry
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• v.48 no.4
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• pp.397-404
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• 2021

The purpose of this study was to evaluate the effect of a hemostatic agent containing aluminum chloride on the shear bond strength of resin-modified glass ionomer cement (RMGIC) to the dentin of primary teeth. Thirty-six extracted non-carious human primary teeth were collected in this study. Dentin surfaces were cut and polished. The specimens were randomly divided into 4 groups; group I: RMGIC without conditioning; group II: polyacrylic acid (PAA), RMGIC; group III: aluminum chloride, RMGIC; group IV: aluminum chloride, PAA, RMGIC. All teeth were thermocycled between 5.0℃ and 55.0℃ for 5000 cycles. Fifteen specimens from each group were subjected to shear bond strength test and 3 specimens from each group were inspected using scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy. The mean shear bond strength of each group was as follows: 4.04 ± 0.88 MPa in group I, 8.29 ± 1.40 MPa in group II, 1.39 ± 0.47 MPa in group III, 6.24 ± 2.76 MPa in group IV. There were significant differences among all groups (p < 0.001). SEM image of the dentinal tubules were partially exposed in group III and group IV. Fully exposed dentinal tubules were found in group II. In conclusion, aluminum chloride decreased the shear bond strength of RMGIC to dentin, regardless of PAA conditioning.

• Restorative Dentistry and Endodontics
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• v.43 no.4
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• pp.45.1-45.11
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• 2018

Objectives: This study was conducted to evaluate fluoride release and the micro-shear bond strength of resin-modified glass ionomer cement (RMGIC) in casein phosphopeptide-amorphous calcium phosphate (CPP-ACP)-remineralized caries-affected dentin (CAD). Materials and Methods: Exposed dentin surfaces of 30 human third molar teeth were divided into 2 equal groups for evaluating fluoride release and the micro-shear bond strength of RMGIC to CAD. Each group was subdivided into 3 equal subgroups: 1) control (sound dentin); 2) artificially demineralized dentin (CAD); 3) CPP-ACP remineralized dentin (remineralized CAD). To measure fluoride release, 15 disc-shaped specimens of RMGIC (4 mm in diameter and 2 mm in thickness) were bonded on one flat surface of the dentin discs of each group. Fluoride release was tested using ion chromatography at different intervals; 24 hours, 3, 5, 7 days. RMGIC micro-cylinders were built on the flat dentin surface of the 15 discs, which were prepared according to the assigned group. Micro-shear bond strength was measured after 24 hours water storage. Data were analyzed using 1- and 2-way analysis of variance and the post hoc least significant difference test (${\alpha}=0.05$). Results: Fluoride detected in solutions (at all intervals) and the micro-shear bond strength of RMGIC bonded to CPP-ACP-remineralized dentin were significantly higher than those bonded to artificial CAD (p < 0.05). Conclusions: Demineralized CAD consumes more fluoride released from RMGIC into the solution for remineralization than CPP-ACP mineralized dentin does. CPP-ACP increases the micro-shear bond strength of RMGIC to CAD.

• Journal of Dental Rehabilitation and Applied Science
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• v.35 no.2
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• pp.81-89
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• 2019

Purpose: This study aimed to investigate the correlation between the solubility and the amount of fluoride release when a resin surface coating agent is applied to RMGIC. Materials and Methods: To measure the fluoride release and solubility, Fuji II $LC^{(R)}$and $Filtek^{TM}$ Z350XT without a surface coating, Fuji II $LC^{(R)}$ with G coat $plus^{TM}$ and Fuji II $LC^{(R)}$ with $Permaseal^{(R)}$ were prepared. And the amount of fluoride release and solubility were measured. Results: There was no significant difference in the daily fluoride release between the surface coating agents. The cumulative fluoride release was significantly different between the groups using RMGIC at 56 days (P < 0.05). In the solubility measurement, RMGIC without surface coating was significantly different only on the 7th day compared to the other three groups (P < 0.05). Conclusion: Surface coating agents can prevent the degradation of properties by the initial solvent in RMGIC. Therefore, fluoride is preserved inside the restorative material and the effect of surface coating after the addition is reduced, so that the effect on fluoride release and storage is also reduced.

• Restorative Dentistry and Endodontics
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• v.27 no.1
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• pp.12-15
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• 2002

The first purpose of present study was to compare the anticariogenic effect of compomer, resin modified glass ionomer cement and composite (RMGIC). The second purpose was to evaluate the recently introduced methods, which use confocal scanning micro-scope, in detecting initial caries around restoration. 2$\times$4$\times$1.5mm cavities were prepared from the recently extracted 50 human teeth on the buccal or lingual surface. The prepared teeth were randomly devided into 5 groups and restored with each filling material. Group 1: Dyract AP, Group 2: compoglass F, Group 3: F2000, Group 4: Z100. Group 5:Fuji II LC. The teeth were stored for 30 days in the distilled water, then stored in the buffer solution for artificial caries development: pH 4.3, lactic acid 100 mM, calcium 16 mM, phosphate 8mM, sodium azide 3mM. Then, the samples were sectioned longitudinally and examined with confical scanning microscope. The results showed that the use of compomer and resin modified glass ionomer cement showed caries inhibition zone whereas the composite did not. There was no difference in the width of caries inhibition zone between compomers and RMGIC. The confocal scanning microscope was useful in detecting initial caries around restoration.

• Journal of the korean academy of Pediatric Dentistry
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• v.47 no.3
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• pp.257-265
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• 2020

This study was performed to evaluate the restoration combined with resin infiltration (RI) of early cavitated smooth surface caries lesion in terms of microleakage. Flowable resin and resin-modified glass ionomer cement (RMGIC) were compared. Sound 20 extracted 3rd molars were divided into 2 groups randomly. Artificial decalcified lesion was induced. Cavities were prepared on the mesial and distal surfaces, and randomly set as experimental and control group. RI was applied to the experimental group before cavity restoration. The control group was restored without RI. In group I and II, flowable resin and RMGIC was used for restoration respectively. After thermocycling and silver nitrate immersion, microleakage was assessed by μ-CT. Depth of microleakage was lower in experimental group than control group only in group II (p = 0.05). Microleakage depth was lower in group II than group I in both experimental and control groups (p = 0.05). RI pretreatment before restoration of early cavitated caries lesions might reduce the microleakage and help long-term maintenance of restoration. In this study, RMGIC was less polymerization shrinkage. Restoration with RMGIC after RI pretreatment reduced the microleakage of the restoration compared to the flowable resin.

• Restorative Dentistry and Endodontics
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• v.45 no.3
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• pp.36.1-36.10
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• 2020

Objectives: This study aims to assess the effect of universal adhesives pretreatment on the bond strength of resin-modified glass ionomer cement to dentin. Materials and Methods: Fifty caries-free human third molars were employed. The teeth were randomly assigned into five groups (n = 10) based on dentin surface pretreatments: Single Bond Universal (3M Oral Care), Gluma Bond Universal (Heraeus Kulzer), Prime&Bond Elect (Dentsply), Cavity Conditioner (GC) and control (no surface treatment). After Fuji II LC (GC) was bonded to the dentin surfaces, the specimens were stored for 7 days at 37℃. The specimens were segmented into microspecimens, and the microspecimens were subjugated to microtensile bond strength testing (1.0 mm/min). The modes of failure analyzed using a stereomicroscope and scanning electron microscopy. Data were statistically analyzed with one-way analysis of variance and Duncan tests (p = 0.05). Results: The surface pretreatments with the universal adhesives and conditioner increased the bond strength of Fuji II LC to dentin (p < 0.05). Single Bond Universal and Gluma Bond Universal provided higher bond strength to Fuji II LC than Cavity Conditioner (p < 0.05). The bond strengths obtained from Prime&Bond Elect and Cavity Conditioner were not statistically different (p > 0.05). Conclusions: The universal adhesives and polyacrylic acid conditioner could increase the bond strength of resin-modified glass ionomer cement (RMGIC) to dentin. The use of universal adhesives before the application of RMGIC may be more beneficial in improving bond strength.

• Journal of the korean academy of Pediatric Dentistry
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• v.44 no.2
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• pp.200-209
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• 2017

The aim of this study was to evaluate the shear bond strength (SBS) of three typical restorative materials - glass ionomer cement (GIC), resin-modified glass ionomer (RMGIC) and composite resin (CR) - to different pulp capping materials, i.e., Theracal $LC^{TM}$ (TLC), $Biodentine^{TM}$ (BD), and $ProRoot^{TM}$ white MTA (WMTA). 90 acrylic blocks with a center hole were prepared. The holes were completely filled with three pulp capping materials (TLC, BD, and WMTA), with 30 specimens per capping material. The samples were then randomly divided into 3 subgroups of 10 specimens each and were overlaid with GIC, RMGIC, or CR. A total 9 specimen groups were prepared. The SBS was assessed using a universal testing machine. Kruskal-Wallis test and Mann-Whitney's test were performed to compare the SBS among the subgroups (p < 0.05). After the SBS test, the fractured surfaces were examined under a stereomicroscope at a magnification of $25{\times}$. The highest and lowest SBS values were recorded for TLC-CR and TLC-GIC, respectively. With regard to the SBS to the three pulp capping materials, CR was found to be superior to RMGIC and GIC. BD showed a higher SBS compared to TLC and WMTA when used with GIC.

• Journal of Dental Rehabilitation and Applied Science
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• v.21 no.1
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• pp.69-81
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• 2005

The objective of this study was to evaluate the toothbrush abrasion characteristics of class V restorations. Thirty extracted human premolars, which were collected from oral surgery clinics were used. We mounted five teeth in a metal ring mold of 50 mm in diameter and 15 mm in height using chemically cured acrylic resin. Class V cavities were prepared in lingual cervical root surfaces and restored using one of following restorative materials : Dentin Conditioner/Fuji II LC (Group FL), All Bond II/Z-250 (Group ZT), One-up Bond F/Palfigue Estelite (Group PE), F2000 Primer/Adhesive (Group FT), and Prime & Bond 2.1/Dyract AP (Group DR). They were stored under distilled water at $37^{\circ}C$ for seven days. The toothbrush abrasion test was conducted using a wear testing machine of pin-on disk type under a load of 1.5 N for 100,000 cycles. We have examined the bonded interfaces, the changes of surface roughness and color of abraded surfaces. From this experiment, the following results were obtained. 1. The change of surface roughness showed high degree: RMGIC>compomer>composite resin (p<0.05). 2. Because of the protrusion and missing of filler particles, SEM observation of abraded surfaces of RMGIC and compomers revealed the increase of surface roughness due to the selective removal of matrix resin. 3. The color change by toothbrush abrasion was affected in large part by the change of $L^*$ and $b^*$ of resin composites (p<0.05). 4. The color change by toothbrush abrasion was so small to detect by human eyes. 5. SEM observation of abraded surfaces revealed the interface bonding was the best in the FT group.