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Volume 28 (5); September 2003
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Original Articles
The effect of additional enamel etching on microleakage of the adhesion of self-etching primer system
Jung-Jin Yoon, Kyung-San Min, Chan-Ui Hong
J Korean Acad Conserv Dent 2003;28(5):363-368.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.363
AbstractAbstract PDFPubReaderePub

The purpose of this study is to evaluate the effect of additional enamel etching with phosphoric acid on the microleakage of the adhesion of self-etching primer system.

Class V cavity(4 mm×3 mm×1.5 mm) preparations with all margins in enamel were prepared on buccal surface of 42 extracted human upper central incisor teeth. Prepared teeth were randomly divided into 3 groups.

Group 1 : no additional pretreatment with 37% phosphoric acid (NE).

Group 2 : additional pretreatment with 37% phosphoric acid for 10 seconds (E10s).

Group 3 : additional pretreatment with 37% phosphoric acid for 20 seconds (E20s).

The adhesives(Clearfil SE Bond®, Kuraray, Osaka, Japan) and composite resins(Clearfil AP-X®, Osaka, Kuraray, Japan) were applied following the manufacturer's instructions. All the specimens were finished with the polishing disc(3M dental product, St Paul, MN, USA), thermocycled for 500 cycles between 5℃ and 55℃ and resected apical 3-mm root. 0.028 stainless steel wire was inserted apically into the pulp chamber of each tooth and sealed into position with sticky wax. Surrounding tooth surface was covered with a nail varnish 2 times except areas 1 mm far from all the margins. After drying for one day, soaked the samples in the distilled water. Microleakage was assessed by electrochemical method(System 6514, Electrometer®, Keithley, USA) in the distilled water.

In this study, the microleakage was the lowest in group 1(NE) and the highest in group 3(E20s)(NE<E10s<E20s). But no statistically significant differences were found(p=0.5).

On the basis of findings from this experiment, it can be concluded that additional enamel etching has no influence on the microleakage of the adhesion of self-etching primer system.

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Surface roughness of universal composites after polishing procedures
Jae-Yong Lee, Dong-Hoon Shin
J Korean Acad Conserv Dent 2003;28(5):369-377.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.369
AbstractAbstract PDFPubReaderePub

The aim of this study was to evaluate the effect of two polishing methods and chemical conditioning on the surface of hybrid composites.

Ninety cylindrical specimens (diameter: 8 mm, depth: 2 mm) were made with three hybrid composites - Filtek Z250, Tetric Ceram, DenFil. Specimens for each composite were randomly divided into three treatment subgroups - ① Mylar strip (no treatment), ② Sof-Lex XT system, ③ PoGo system. Average surface roughness(Ra) was taken using a surface profilometer at the time of setting and after immersion into 0.02N lactic acid for 1 week and 1 month. Representative specimens were examined by scanning electron microscopy. The data were analyzed using ANOVA and Scheffe's tests at 0.05% significance level.

The results were as follows:

Mylar strip resulted in smoother surface than PoGo and Sof-Lex system(p<0.001). Sof-Lex system gave the worst results.

Tetric Ceram was smoother than DenFil and Z250 when cured under only mylar strip. However, it was significantly rougher than other materials when polished with PoGo system.

All materials showed rough surface after storage in 0.02N lactic acid, except groups polished with a PoGo system.

The PoGo system gave a superior polish than Sof-Lex system for the three composites. However, the correlation to clinical practice may be limited, since there are several processes, such as abrasive, fatigue, and corrosive mechanisms. Thus, further studies are needed for polishing technique under in vivo conditions.

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Effect of a desensitizer on microtensile bond strength of different adhesives
Sung-Yeon Hwang, Kyung-Ha Lee, Mi-Kyung Yu, Kwang-Won Lee
J Korean Acad Conserv Dent 2003;28(5):378-384.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.378
AbstractAbstract PDFPubReaderePub

This study evaluated the influence of a desensitizer(MS coat) on microtensile bond strength of different adhesives: a three-step adhesive(All-Bond 2), a two-step adhesive(Single Bond), a one-step adhesive(One-up Bond F).

Non-caries extracted human molars were used. Dentin surface was obtained by horizontal section on midportion of crown using a water-cooled low speed diamond saw. Teeth were randomly divided into 6 group. AMO(MS coat + All Bond)-, SMO(MS coat + Single Bond)- and OMO(MS coat + One-up Bond F)-dentin surface were treated with 17% EDTA before bonded adhesive. AMX-, SMX- and OMX-dentin surface were bonded with All-Bond 2, Single Bond and One-up Bond F, respectively, with no previous treatment with MS coat and 17% EDTA. About 1cm high resin composite(Z-250™) were incrementally build-up on the treated surface. The specimens for the microtensile test were serially sectioned perpendicular to the adhesive layer to obtain 0.7×0.7 mm sticks. 30 sticks were prepared from each group.

After that, tensile bond strength for each stick was measured with Microtensile Tester at a 1mm/min crosshead speed. Fractured dentin surfaces were observed under the SEM. The results were statistically analysed by using a One-way ANOVA and Tukey's test(p<0.05).

Value in MPa were: AMO-44.35±13.21; SMO-39.35±13.32; OMO-31.07±10.25; AMX-49.22±16.38; SMX-56.02±13.35; OMX-72.93±16.19. Application of MS coat reduced microtensile bond strengths of both Single Bond and One-up Bond F, whereas microtensile bond strengths of All-Bond 2 were not affected significantly.

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The verification of the MTT assay on the viability of periodontal ligamental cells in rat molars through the histologic examination
Hyun-Ki Kim, Eui-Seoung Kim, In-Bok Choi, Jin Kim, Seung-Jong Lee
J Korean Acad Conserv Dent 2003;28(5):385-391.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.385
AbstractAbstract PDFPubReaderePub

The purpose of this study is to examine the viability of PDL cells in rat molars by using MTT assay and to verify the MTT assay through the histologic observation. Thirty of Sprague-Dawley white female rats of 4-weeks old with a body weight of about 100 grams were used. Groupings are as follows:

Immediate Group : Positive control group(n=10)-after extraction immediately.

Dried Group : Negative control group(n=10)-after drying for an hour under warm dry.

ViaSpan® Group : 1hour ViaSpan® group(n=10)-after storing in ViaSpan® at 4℃ for 1hour.

Ten teeth of each group were treated as same as above and replanted to the original socket of experimental animals. After two weeks of replantation, all the experimental animals were sacrificed. And after fixation, extracted maxillary jaw was dimineralized. After it was embedded in paraffin, serial section by 5µm was carried out and for construction of specimen, hematoxylin-eosin dye was used.

The mean MTT measurement of immediate group(positive control) is 2.81 and the mean measurement of dried group(negative control) is 0.98 which is significant differnt(P<0.05). The mean measurement of ViaSpan® group is 2.65 and there is significant difference between dried group and ViaSpan® group(P<0.05). However, there is no difference between immediate group and ViaSpan® group. The average resorption points of immediate group is 3.03 points. In the dried group, average 6.44 points resorption and 2.68 points showed resorption in the ViaSpan® group. Unlike with MTT assay, there was no significant difference between the immediate group and ViaSpan® group.

The usage of MTT assay as a viable cell marker may give us a better indication of the maintenance of periodontal ligament cell vitality.

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Effect of dentinal tubules orientation on penetration pattern of dentin adhesives using confocal laser scanning microscopy
Dong-Jun Kim, Yun-Chan Hwang, Sun-Ho Kim, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2003;28(5):392-401.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.392
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the penetration pattern of dentin adhesives according to the orientation of dentinal tubules with confocal laser scanning microscopy. Specimens having perpendicular, parallel and oblique surface to dentinal tubules were fabricated. The primer of dentin adhesives (ALL BOND® 2, CLEARFIL™ SE BOND and PQ1) was mixed with fluorescent material, rhodamine B isothiocyanate (Aldrich Chem. CO., Milw., USA). It was applied to the specimens according to the instructions of manufactures. The specimens were covered with composite resin (Estelite, shade A2) and then cut to a thickness of 500 µm with low speed saw (Isomet™, Buehler, USA). The adhesive pattern of dentin adhesives were observed by fluorescence image using confocal laser scanning microscopy.

The results were as follows.

For the groups with tubules perpendicular to bonded surface, funnel shape of resin tag was observed in all specimen. However, resin tags were more prominent in phosphoric acid etching system (ALL BOND® 2 and PQ1) than self etching system (CLEARFIL™ SE BOND).

For the groups with tubules parallel to bonded surface, rhodamine-labeled primer penetrated into peritubular dentin parallel to the orientation of dentinal tubules. But rhodamine-labeled primer of PQ1 diffused more radially into surrounding intertubular dentin than other dentin adhesive systems.

For the groups with tubules oblique to bonded surface, resin tags appeared irregular and discontinuous. But they penetrated deeper into dentinal tubules than other groups.

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Metamerism in composite resins under five standard illuminants - D65, A, C, FCW and TL84
Ki-Jeong Park, Yun-Chan Hwang, Sun-Ho Kim, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2003;28(5):402-408.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.402
AbstractAbstract PDFPubReaderePub

This study was done to present a criterion in selection of the most proper light sources and materials by measuring metamerism index(MI) of the light curing composite resins with spectrocolorimeter. Metamerism is defined when two objects appear to be the same color in one illuminant but different in another. This is due to the fact that they have different spectral curves that fail to match under the second illuminant.

In this study, A1 & A3 shade of five light curing composite resins (Esthet-X, Filteck Z250, Filteck A110, Charisma, Vitalescence) were chosen based on Vita shade. Five samples were made for shade of each product with Teflon mold (diameter: 15mm, thickness: 2mm).

Metamerism index of each samples on a Barium sulfate plate (L*=96.54, a*=0.19, b*=0.01) prepared for sample fixation were measured with spectrocolorimeter(Miniscan XE plus, Model 4000s, Hunter Lab, USA) by applying standard light source D65, C, Fcw, TL84 and A. Standardization was done with reference standard (X=80.8, Y=85.7, Z=90.8) and light trap. The results were as follows.

Different resins with same Vita shade showed recognizable color difference(ΔE*>2).

All composites had MI below accepted value 0.5 between standard illuminant(D65, C, & A) and below 1.5 under fluorescent condition (Fcw & TL84).

MI value between D65 and A showed higher value than MI value between other source of light(p<0.01).

All resins except Z250 showed MI value that A3 is higher than A1 between D65 and A(p<0.05).

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Culturing the Human Dental pulp cells in the Collagen Matrix and on the ground tooth surface
Sang-Hyuk Park
J Korean Acad Conserv Dent 2003;28(5):419-424.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.419
PDFPubReaderePub
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Evaluation of Sodium Dichloroisocyanurate as a root canal irrigation solution; Cl- concentration, pH, Cytotoxicity and Antimicrobial effect in vitro
Woo-Cheol Lee, Bong-Sun Kang, Cheol-Ho Kim, Ho-Hyun Son
J Korean Acad Conserv Dent 2003;28(5):425-430.   Published online September 30, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.5.425
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the clinical applications of the Sodium Dichloroisocyanurate effervescent tablet as a routine root canal irrigant by performing several in vitro tests such as Cl- content, cytotoxicity, antimicrobial effect as well as its pH level compared to the equivalent concentration of sodium hypochlorite solution.

Sodium Dichloroisocyanurate demonstrated lower level of Cl- concentation than each dilution of sodium hypochlorite solution. Both solution has increased level of Cl- as the concentration of each solution increased. There was no significant change of Cl- concentration in sodium hypochlorite as time goes by. However, Cl- concentration in Sodium Dichloroisocyanurate was increased.

The antimicrobial effects of both solutions were increased when their concentrations were increased. One day after dilution, antimicrobial effect of Sodium Dichloroisocyanurate was slightly higher than sodium hypochlorite, however, there was no difference in 1 week dilution solution. One month dilution solution of sodium hypochlorite still retain its activity, but antimicrobial effect of Sodium Dichloroisocyanurate was drastically decreased 1 month after dilution.

The cytotoxicity of Sodium Dichloroisocyanurate was rather higher than same concentration of sodium hypochlorite solution until 1 week after dilution. Then in 1 month, cytotoxicity of Sodium Dichloroisocyanurate was decreased than that of 1 week dilution solution, especially 4% Sodium Dichloroisocyanurate solution has almost no toxicity. However, 1% and 2% sodium hypochlorite solution has unchanged moderate degree of cytotoxicity after the dilution. Furthermore, 4% sodium hypochlorite solution showed high level of toxicity.

The pH level of Sodium Dichloroisocyanurate showed that the solution was weak acid (pH5). On the other hand, sodium hypochlorite was revealed as a strong alkaline solution (pH12). There was no change in pH following the dilution of each solution.

As results, Sodium Dichloroisocyanurate solution fully satisfy the basic requirements as a root canal irrigation solution. However, we strongly recommend to use this solution clinically in low concentration and try to apply into the root canal within 1 week after dilution.

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