연구목적: 치과용 접착제에서 기저단량체로 사용되는 Bis-GMA를 Bis-M-GMA로 대체한 접착레진이, Bis-GMA/TEGDMA 를 사용한 접착제와 비교할 만한 물성과 접착강도를 가지는지 알아보고자 하였다. 연구 재료 및 방법: 다양한 구성비의 Bis-GMA, Bis-M-GMA 및 TEGDMA 를 함유한 접착레진을 제작하여, 점도(${eta}$), 중합률(DC) 및 굴곡강도(FS)를 측정하고, 상아질에 대한 미세인장접착강도(MTBS)를 측정하였다. 해석을 위해 각 단량체들의 용해도 상수(${delta}_t$)를 비교하였고, 접착계면을 주사전자현미경으로 관찰하였다. 결과: Bis-M-GMA의 점도는 3.65 Pa s로 크게 감소하였다. Bis-GMA를 함유하지 않는 접착레진은 Bis-GMA를 함유한 접착레진에 비해 낮은 굴곡강도를 보였다(p < 0.05). TEGDMA 함량이 낮은 접착레진은 TEGDMA 함량이 높은 접착레진에 비해 낮은 미세인장접착강도를 보였으며(p < 0.05), 주사전자현미경 사진에서 균열이나 틈이 관찰되었다. 결론: 높은 접착강도를 얻기 위해서는 접착레진의 높은 굴곡강도와 초기 중합률 뿐 아니라, 접착레진과 primer 처리 된 상아질 사이의 용해도 상수의 적합성도 요구되었다.
Objectives: This study investigated the effect of the strength and wetting characteristics of adhesives on the bond strength to dentin. The experimental adhesives containing various ratios of hydrophobic, low-viscosity Bis-M-GMA, with Bis-GMA and TEGDMA, were made and evaluated on the mechanical properties and bond strength to dentin. Materials and Methods: Five experimental adhesives formulated with various Bis-GMA/Bis-MGMA/TEGDMA ratios were evaluated on their viscosity, degree of conversion (DC), flexural strength (FS), and microtensile bond strength (MTBS). The bonded interfaces were evaluated with SEM and the solubility parameter was calculated to understand the wetting characteristics of the adhesives. Results: Although there were no significant differences in the DC between the experimental adhesives at 48 hr after curing (p > 0.05), the experimental adhesives that did not contain Bis-GMA exhibited a lower FS than did those containing Bis-GMA (p < 0.05). The experimental adhesives that had very little to no TEGDMA showed significantly lower MTBS than did those containing a higher content of TEGDMA (p < 0.05). The formers exhibited gaps at the interface between the adhesive layer and the hybrid layer. The solubility parameter of TEGDMA approximated those of the components of the primed dentin, rather than Bis-GMA and Bis-M-GMA. Conclusions: To achieve a good dentin bond, a strong base monomer, such as Bis-GMA, cannot be completely replaced by Bis-M-GMA for maintaining mechanical strength. For compatible copolymerization between the adhesive and the primed dentin as well as dense cross-linking of the adhesive layer, at least 30% fraction of TEGDMA is also needed.
