초록
본 연구는 6세대 교정용 접착 시스템인 Transbond Plus Self-Etching Primer(3M/Unitek Dental Products, Monorovia, Calif)를 이용하여 법랑질면에 브라켓을 접착하는 방법과, 통상적인 산부식 방법에 의해 브라켓를 접착한 경우의 전단결합강도 차이를 비교$\cdot$평가하고, self etching primer를 이용하여 브라켓을 접착할 때 치면에 존재하는 수분이 브라켓의 저단결합강도에 미치는 영향에 관하여 조사하였다. $37\%$ 인산용액과 Self-Etching Primer를 이 용하여 법랑질을 표면 처 리하고 Transbond XT를 이 용하여 브라켓을 치면에 부착하였다. 또한 수분의 존재에 따른 전단결합강포의 차이를 평가하기 위해 인공타액을 치면예 도보후 Self-Etching Primer를 사용하여 브라켓을 부착한 후 30분과 24시간에 따른 전단결합강도를 비교 평가하여 다음과 같은 결론을 얻었다. 1. Self-etching primer군에서 건조군과 습윤군의 전단결합강도는 $37\%$인산처리군의 결합강도보다 낮았다(p<0.05). 그러나 Self-etching primer군의 전단결합강도는 일상적으로 유용한 수준의 이상이었다. 2. 모든군에서 24시간군의 전단결합강도가 30분군의 전단결합강도보다 높았으며 (p<0.05), 이는 브라켓 접착후 일정시간의 경과가 결합강도를 증가시켜 줌을 알 수 있었다. 3. Self-etcing primer군에서 습윤군의 전단결합강도는 건조군보다 높은 경향이었으나 통계적 유의성은 인정되지 않았다(P>0.05). 4 ARI 점수의 비교결과 인산처리군에서는 0점과 1점의 빈도가 높았으며, Self-etching primer 건조군과 습윤군에서는 2점과 3점의 빈도가 높아(p<0.05) Self-etching primer군이 인산처리군보다 법랑질-레진 접착계면부위에서의 파절이 많이 일어남을 알 수 있었다.
The purpose of this study was to evaluate the effects of a self-etching primer on the shear bond strength of orthodontic brackets and on the failure pattern of bracket-adhesive interfaces in dry or wet condition. Brackets were bonded to extracted human teeth according to one of three experimental protocols. In the Group P, teeth were etched with $37\%$ phosphoric acid. After the Transbond XT Primer was applied onto the etched surfaces, the brackets were bonded with Transbond XT(3M, Unitek, Monrovia, Calif) and light cured for 40 seconds. In the Group SD, a self-etching primer(3M, Unitek, Monrovia, Calif) was placed on the enamel for 3 seconds and gently evaporated with air, as suggested by the manufacturer. The brackets were then bonded with Transbond XT as in the Group P In the Group SW, artificial saliva was applied to the enamel surface for 10 seconds to allow complete hydration of the surface before application self-etching primer The brackets were then bonded following the procedures of Group SD. Each group was divided into 2 sub-groups(0.5h, 24h) according to debonding time. Shear bond strengths were measured by Instron universal testing machine. After debonding, the teeth and brackets were examined under scanning electron microscope and assessed with the adhesive remnant index. The result obtained were summarized as follows ; 1. The shear bond strengths were high enough to use clinically in all testing groups, but the shear bond strengths of Group SD and SW were significantly lower than Group P(p<0.05). 2. With respect to comparison of debonding time, 24h debonding samples exhibited heigher shear bond strength than 0.5h debonding samples in Group P, SD and SW(p<0.05). 3. In the self etching primer groups(Group SD and Group SW), there was no significant difference in mean shear bond strength between under dry and wet state(p>0.05). 4. There was a greater frequency of ARI score of 0 and 1 with the Group P. On the other hand, there was a higher frequency of ARI scores of 2 and 3 with Group SD and Group SW(p<0.05).
