Journal of the Korean Academy of Pediatric Dentistry 2003;30(4):581-592.
Published online November 30, 2003.
A STUDY OF THE EFFECT OF CHEMO-MECHANICAL CARIES REMOVAL SYSTEM ON THE REMOVAL OF CARIOUS DENTIN AND RESIN ADHESION TO DENTIN
 
화학제재를 이용한 우식상아질 제거효과 및 레진과의 결합강도에 관한 연구
강덕일, 박인천, 이난영, 이상호, 이창섭
조선대학교 치과대학 소아치과학 교실
Correspondence:  , 
Abstract
The aim of this study was to evaluate the effect of chemo-mechanical caries removal system(CarisolvTM, Medi Team, Sweden) for resin adhesion to carious primary and permanent dentin compared with conventional drilling method. The buccal surface of 92 primary molars and 92 permanent molars were used. Exposed dentins were occurred artificial caries. 32 tooth of primary molars and 32 tooth of permanent molars were prepared to observe treated dentin surface with CarisolvTM and conventional drilling method by SEM. Other tooth were prepared to measure resin-dentin shear bonding strength according to caries removal methods and dentin adhesive system. Two adhesive systems and a composite resin were used; single bonding agent(Scotchbond Multi-Purpose Plus, 3M) and self-etching bonding system(Prompt L-pop, 3M ESPE), and a composite resin (Z-250, 3M). The results were as follows : 1. The removal effect of carious dentin on CarisolvTMwas stronger on the primary dentin than that to permanent dentin, and dentin surface became rougher with treated CarisolvTM than drilling method. 2. Acid-etched dentin surfaces were showed smoothening without smear layer. 3. In specimen applied single bonding system hybrid layer and adhesive layer were 2-4μm and 10-15μm in thickness, whereas self-etching bonding system were showed only thin hybrid layer(1-2μm). 4. The shear bonding strength of group applied single bonding agent was higher than that applied self-etching priming system(P<0.05). 5. The shear bonding strength of group applied CarisolvTM and self-etching priming system were slightly higher than that applied conventional drilling method and self-etching priming system(P>0.05).
Key Words: Chemo-mechanical caries removal system, CarisolvTM, Hybrid layer, Dentin shear bonding strength


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