지르코니아 표면 처리와 시멘트 종류에 따른 치면과의 전단 결합 강도 비교 연구

Abstract

State of problem : The use of zirconium oxide all-ceramic material provides several advantages, including a high flexural strength(>1000MPa) and desirable optical properties, such as shading adaptation to the basic shades and a reduction in the layer thickness. Along with the strength of the materials, the cementation technique is also important to the clinical success of a restoration. Nevertheless, little information is available on the effect of different surface treatments on the bonding of zirconium high-crystalline ceramics and resin luting agents. Purpose : The aim of this study was to test the effects of surface treatments of zirconium on shear bond strengths between bovine teeth and a zirconia ceramic and evaluate differences among cements Material and methods : 54 sound bovine teeth extracted within a 1 months, were used. They were frozen in distilled water. These were rinsed by tap water to confirm that no granulation tissues have left. These were kept refrigerated at 4 until tested. Each tooth was placed horizontally at a plast ℃ ic cylinder (diameter 20mm), and embedded in epoxy resin. Teeth were sectioned with diamond burs to expose dentin and grinded with #600 silicon carbide paper. To make sure there was no enamel left, each was observed under an optical microscope. 54 prefabricated zirconium oxide ceramic copings(Lava, 3M ESPE, USA) were assigned into 3 groups ; control, airborne-abraded with 110 Al ㎛ 2O3 and scratched with diamond burs at 4 directions. They were cemented with a seating force of 10 per tooth, using resin luting ㎏ cement(Panavia FⓇ ), resin cement(Superbond C&BⓇ ), and resin modified GI cement(Rely X LutingⓇ ). Those were thermocycled at 5 and 55 for 5000 cycles with a 30 second dwell ℃ ℃ time, and then shear bond strength was determined in a universal test machine(Model 4200, Instron Co., Canton, USA). The crosshead speed was 1 mm/min. The result was analyzed with one-way analysis of variance(ANOVA) and the Tukey test at a significance level of P<0.05. Results : Superbond C&BⓇ at scratching with diamond burs showed the highest shear bond strength than others (p<.05). For Panavia FⓇ , groups of scratching and sandblasting showed significantly higher shear bond strength than control group(p<.05). For Rely X LutingⓇ , only between scratching & control group, significantly different shear bond strength was observed(p<.05). Conclusion : Within the limitation of this study, Superbond C&BⓇ showed clinically acceptable shear bond between bovine teeth & zirconia ceramics regardless of surface treatments. For the surface treatment, scratching increased shear bond strength. Increase of shear bond strength by sandblasting with 110 Al ㎛ 2O3 was not statistically different.