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Volume 29 (3); May 2004
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Original Articles
Effect of wetness on the enamel bonding
Keun-Ho Ko, Young-Gon Cho, Cheul-Hee Jin, Sang-Hoon Yoo, Jong-Uk Kim, Byung-Cheul Park, Young-Jae Ki, Hee-Young Choi, Jong-Jin Kim
J Korean Acad Conserv Dent 2004;29(3):205-211.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.205
AbstractAbstract PDFPubReaderePub

This study evaluated the microleakage and interfacial gap between enamel and composite resin under the dry and wet condition of the enamel surface. V shaped class 5 cavities were prepared on the occlusal portion of extracted human molars. Samples were divided into three groups: D group (air dry for 10-15 s), BD group (blot dry with moist cotton pellet), and DR group (air dry for 10-15 s and rewet with Aqua-Prep F for 20 s).

Cavities were filled using Aelitefil composite resin after applied One-Step. Microleakage was tested by 2% methylene blue dye solution and the data were statistically analysed by Kruskal-Wallis test and Mann-Whitney test. Also Enamel-resin interface was observed under SEM. Group BD showed statistically lower microleakage than group D (p < 0.05), but there was no statistically significant difference between group BD and DR (p > 0.05). At the enamel-resin interface, group D showed the gap of 2 µm thickness, but group BD and DR showed close adaptation.

In conclusion, the use of blot dry and rewetting agent (Aqua-Prep F) resulted in decreased microleakage and improved adhesion between enamel and resin when using One-Step.

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THE EFFECT OF GUTTA-PERCHA REMOVAL USING NICKEL-TITANIUM ROTARY INSTRUMENTS
Jeong-Hun Jeon, Jeong-Beom Min, Ho-Keel Hwang
J Korean Acad Conserv Dent 2004;29(3):212-218.   Published online January 14, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.212
AbstractAbstract PDFPubReaderePub
ABSTRACT

The purpose of this study was to quantify the amount of remaining gutta-percha/sealer on the walls of root canals when three types of nickel-titanium rotary instruments(Profile, ProTaper and K3) and a hand instrument(Hedstrom file) used to remove these materials.

The results of this study were as follows:

In the total time for gutta-percha removal, Profile group was the fastest and followed by K3, Protaper, Hedstrom file group.

In case of the evaluation of the volume of remained gutta-percha from radiograph, K3 group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3.

In case of the evaluation of the volume of gutta-percha remained from stereomicroscope, K3 group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3.

These results showed that instrumentation using nickel-titanium rotary instrument groups was faster than that using hand instrument group. The effect of gutta-percha removal using Profile group was better than that using Protaper and K3 group in the nickel-titanium rotary instrument groups.

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The effect of various commercially available bleaching agents on the microshear bond strength of composite resin to enamel
Hoon-Sang Chang, Kyung-Mo Cho, Jin-Woo Kim
J Korean Acad Conserv Dent 2004;29(3):219-225.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.219
AbstractAbstract PDFPubReaderePub

This study evaluated the microshear bond strength of composte resin to teeth bleached with commercial whitening strips and compared with those bleached with home bleaching gel. Twelve extracted human central incisors were cut into pieces and central four segments were chosen from each tooth and embedded in acrylic resin. Four blocks with 12 tooth segments embedded in acrylic resin were acquired and numbered from group one to group four. Group 1 was bleached with Crest Whitestrips, group 2 with Claren, group 3 with Opalescence tooth whitening gel (10% carbamide peroxide). Group 4 was used as control. The bleaching procedure was conducted for 14 days according to the manufacturer's instructions; the bleaching strips twice a day for 30 min and the bleaching gel once a day for 2 hr. After bleaching, composite resin (Filtek Supreme) was bonded to the enamel surfaces with a self-etching adhesive (Adper Prompt L-Pop) using Tygon tube. Microshear bond strength was tested with a universal testing machine (EZ-test). The data were statistically analysed by one-way ANOVA. The study resulted in no statistical differences in microshear bond strength between the tooth segments bleached with 2 different whitening strips and bleaching gel. It can be concluded that the effect of bleaching with either commercial whitening strips or bleaching gel on enamel is minimal in bonding with self-etching adhesive to composite resin.

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Measurement of the excessive stimulus time after the sensory threshold level during electric pulp testing
Ki-Chang Nam, Seon-Hui Ahn, Soo-Chan Kim, Deok-Won Kim, Seung-Jong Lee
J Korean Acad Conserv Dent 2004;29(3):226-232.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.226
AbstractAbstract PDFPubReaderePub

Use of electric pulp testing elicits painful response in vital teeth. In this study, we examined the excessive time from pain feeling to stimulation disconnection in clinical situation. D626D (Parkell Inc., USA.) scan type electric pulp tester was used in total of 23 young healthy individuals. Each of the right central incisors and first premolars were used as testing teeth. Stimulation disconnection was achieved by EMG in anterior belly of digastric muscle, finger span, and voice and the excessive stimulation time over the sensory threshold was recorded. As a result, we found that the short responses before the stimulation disconnection appeared following order; EMG, finger span, and voice. The EMG disconnection is suggested to be used to reduce the excessive stimulus time in electric pulp testing.

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The effect of delayed composite resin filling on microtensile bond strength
Hyun-Sik Park, Young-Gon Cho, Byung-Cheul Park, Jong-Uk Kim, Hee-Young Choi, Jong-Jin Kim, Cheul-Hee Jin, Sang-Hoon Yoo, Young-Jae Ki
J Korean Acad Conserv Dent 2004;29(3):233-238.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.233
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of immediate or delayed composite resin filling on dentinal microtensile bond strength (µTBS) after applied the adhesive.

The coronal dentin of human third molars was exposed. Single-Bond or One-Step was applied on the dentin surfaces, and composite resin were constructed immediately (group 1) or 5 min., 10 min., 15 min., 20 min. and 30 min. (groups 2-6) after an adhesive was applied. The specimens were sectioned and made bar-shaped. Each surface area of them was about 1mm2. The µTBS test was performed by EZ test. The results were analysed by One-way ANOVA and Tukey's test at 95% significance level.

The results suggested that the µTBS of Single-Bond to dentin was decreased when the composite resin was constructed 20 min. and 30 min. after Single-Bond was applied. But the µTBS of One-Step was not affected by delayed composite resin filling.

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Local application of NK1 receptor antagonists and pulpal blood flow in cat
Young-Kyung Kim, Wan-Sik Chu, Ho-Jeong Lee, Dong-Kuk Ahn, Hyun-Mi Yoo, Sung-Kyo Kim
J Korean Acad Conserv Dent 2004;29(3):239-248.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.239
AbstractAbstract PDFPubReaderePub

The purpose of this study was to investigate the influence of NK1 receptor antagonists on the pulpal blood flow (PBF) when applied iontophoretically through the dentinal cavity of the teeth in order to understand whether iontophoretically applied NK1 receptor antagonists can control the pulpal inflammation.

Eleven cats were anesthetized with alpha-chloralose and urethane, and substance P (SP) was administered to the dental pulp through the catheterized lingual artery in doses that caused PBF change without the influence of systemic blood pressure. NK1 receptor antagonists were applied iontophoretically to the prepared dentinal cavity of ipsilateral canine teeth of the drug administration, and PBF was monitored. Data were analyzed statistically with paired t-test.

PBF increase after iontophoretic application of the NK1 receptor antagonists followed by the intra-arterial administration of SP was significantly less than PBF increase after iontophoretic application of the 0.9% saline followed by the intra-arterial administration of SP as a control (p < 0.05).

Iontophoretic application of the NK1 receptor antagonists (0.2~3.4 mM) following the intra-arterial administration of SP resulted in less increase of PBF than the iontophoretic application of the 0.9% saline following the intra-arterial administration of SP as a control (p < 0.05).

Therefore, the results of the present study provide evidences that the iontophoretic application is an effective method to deliver drugs to the dental pulp, and that iontophoretically applied NK1 receptor antagonists block SP-induced vasodilation effectively. The above results show the possibility that the iontophoretical application of NK1 receptor antagonists can control the neurogenic inflammation in the dental pulp.

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Effect of pH and storage time on the elution of residual monomers from polymerized composite resins
Cheol-Min Jeon, Hyun-Mi Yoo, Hyuk-Choon Kwon
J Korean Acad Conserv Dent 2004;29(3):249-266.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.249
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to determine whether pH and time has any influence on the degradation behavior of composite restoration by analyzing the leached monomers of dental composites qualitatively and quantitatively after storage in acetate buffer solution as a function of time using high performance liquid chromatography (HPLC) / mass spectrometer.

Materials and Methods

Three commercial composite restorative resin materials (Z-250, Heliomolar and Aeliteflo) with different matrix structure and filler composition were studied. Thirty specimens (7mm diameter×2mm thick) of each material were prepared. The cured materials were stored in acetate buffer solution at different pH (4, 7) for 1, 7 and 45days. As a reference, samples of unpolymerized composite materials of each product were treated with methanol (10 mg/ml). Identification of the various compounds was achieved by comparison of their mass spectra with those of reference compound, with literature data, and by their fragmentation patterns. Data were analysed statistically using ANOVA and Duncan's test.

Results

1. Amounts of leached TEGDMA in Aeliteflo were significantly larger than those of UDMA in Z-250 and Heliomolar at experimental conditions of different storage time and pH variation (p < 0.001).

2. As to comparison of the amounts of leached monomers per sorage time, amounts of leached TEGDMA in Aeliteflo and UDMA in Z-250 and Heliomolar were increased in the pH 4 solution more significantly than in the pH 7 solution after 1day, 7days and 45days, respectively (p < 0.001).

3. In total amounts of all the leached monomers with storage times, the overall amounts of pH 4 extracts were larger than those of pH 7 extracts for all resin groups, but there was no significant difference (p > 0.05).

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Effect of surface defects and cross-sectional configuration on the fatigue fracture of NiTi rotary files under cyclic loading
Yu-Mi Shin, Eui-Sung Kim, Kwang-Man Kim, Kee-Yeon Kum
J Korean Acad Conserv Dent 2004;29(3):267-272.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.267
AbstractAbstract PDFPubReaderePub

The purpose of this in vitro study was to evaluate the effect of surface defects and cross-sectional configuration of NiTi rotary files on the fatigue life under cyclic loading. Three NiTi rotary files (K3™, ProFile®, and HERO 642®) with #30/.04 taper were evaluated. Each rotary file was divided into 2 subgroups: control (no surface defects) and experimental group (artificial surface defects). A total of six groups of each 10 were tested. The NiTi rotary files were rotated at 300rpm using the apparatus which simulated curved canal (40 degree of curvature) until they fracture. The number of cycles to fracture was calculated and the fractured surfaces were observed with a scanning electron microscope. The data were analyzed statistically. The results showed that experimental groups with surface defects had lower number of cycles to fracture than control group but there was only a statistical significance between control and experimental group in the K3™ (p<0.05). There was no strong correlation between the cross-sectional configuration area and fracture resistance under experimental conditions. Several of fractured files demonstrated characteristic patterns of brittle fracture consistent with the propagation of pre-existing cracks.

This data indicate that surface defects of NiTi rotary files may significantly decrease fatigue life and it may be one possible factor for early fracture of NiTi rotary files in clinical practice.

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The etching effects and microtensile bond strength of total etching and self-etching adhesive system on unground enamel
Sun-Kyong Oh, Bock Hur, Hyeon-Cheol Kim
J Korean Acad Conserv Dent 2004;29(3):273-280.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.273
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the etching effects and bond strength of total etching and self-etching adhesive system on unground enamel using scanning electron microscopy and microtensile bond strength test.

The buccal coronal unground enamel from human extracted molars were prepared using low-speed diamond saw. Scotchbond Multi-Purpose (group SM), Clearfil SE Bond (group SE), or Adper Prompt L-Pop (group LP) were applied to the prepared teeth, and the blocks of resin composite (Filtek Z250) were built up incrementally. Resin tag formation was evaluated by scanning electron microscopy, after removal of enamel surface by acid dissolution and dehydration. For microtensile bond strength test, resin-bonded teeth were sectioned to give a bonded surface area of 1mm2. Microtensile bond strength test was perfomed.

The results of this study were as follows.

1. A definite etching pattern was observed in Scotchbond Multi-Purpose group.

2. Self-etching groups were characterized as shallow and irregular etching patterns.

3. The results (mean) of microtensile bond strength were SM; 26.55 MPa, SE; 18.15 MPa, LP; 15.57 MPa. SM had significantly higher microtensile bond strength than SE and PL (p < 0.05), but there was no significant differance between SE and PL.

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The effect of adhesive property on microtensile bond strength to human dentin
Hyoun-Jin Kim, Bock Hur, Hyun-Cheol Kim
J Korean Acad Conserv Dent 2004;29(3):281-287.   Published online May 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.3.281
AbstractAbstract PDFPubReaderePub

The purposes of this study were to evaluate the effect of adhesive property on microtensile bond strength and to determine the failure mode.

Flat occlusal dentin surfaces were prepared using low-speed diamond saw. The dentin was etched with 37% phosphoric acid. The following adhesives were applied to the etched dentin to manufacturer's directions; Scotchbond Multi-Purpose in group SM, Prime&Bond NT in group NT, Scotchbond Multi-Purpose followed by Tetric-flow in group TR. After adhesive application, a cylinder of resin-based composite was built up on the occlusal surface. Each tooth was sectioned vertically to obtain the 1 × 1mm2 "sticks". Microtensile bond strength were determined. Each specimen was observed under stereomicroscope and scanning electron microscope (SEM) to examine the failure mode. Data were analyzed using one way ANOVA.

The results of this study were as follows;

1. The microtensile bond strength value were; group SM (18.98 ± 3.01MPa), group NT (16.01 ± 4.82MPa) and group TR (17.56 ± 3.22MPa). No significant statistical differences were observed among the groups (P>0.05).

2. Most of specimens showed mixed failure. In group TR, there was a higher number of specimens showing areas of cohesive failure in resin.

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