• The Journal of Korean Academy of Prosthodontics
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• v.48 no.1
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• pp.1-7
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• 2010

Purpose: The purpose of this study was to evaluate the fit of zirconia core using MAD/MAM system comparing to that of conventional metal-ceramic and CAD/CAM system. Materials and methods: Duplicating the prepared resin tooth, 50 improved stone dies were fabricated. These dies are classified as a group of 5 to create the core. The groups were composed of metal-ceramic, $Cercon^{(R)}$, $Ceramill^{(R)}$, $Rainbow^{TM}$, and $Zirkonzhan^{(R)}$. Each core was cemented to stone die, and then, absolute marginal discrepancy was measured with microscope at a magnification of ${\times}50$. Statistical analysis was done with one-way ANOVA test and Tukey's HSD test. Results: The mean absolute marginal discrepancy for metal-ceramic was $51.97{\pm}23.38{\mu}m$, for $Cercon^{(R)}$ was $62.16{\pm}25.88{\mu}m$, for $Ceramill^{(R)}$ was $67.64{\pm}40.38{\mu}m$, for $Rainbow^{TM}$ was $125.07{\pm}42.19{\mu}m$, and for $Zirkonzhan^{(R)}$ was $105{\pm}44.61{\mu}m$. Conclusion: 1. Fit of margin was identified as in the order of metal-ceramic, $Cercon^{(R)}$, $Ceramill^{(R)}$, $Zirkonzhan^{(R)}$, and $Rainbow^{TM}$. 2. Absolute marginal discrepancy of the zirconia core that designed by MAD/MAM system had significant differences in order of $Ceramill^{(R)}$, $Zirkonzhan^{(R)}$, and $Rainbow^{TM}$. 3. The mean absolute marginal discrepancy between $Cercon^{(R)}$ and $Ceramill^{(R)}$ did not show significant differences.

• Journal of Technologic Dentistry
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• v.38 no.4
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• pp.273-280
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• 2016

연구목적: 본 연구의 목적은 통상적으로 사용되는 글라스 세라믹과 고분자를 침투시킨 지르코니아 소재로 제작된 코어와 레진 시멘트의 굴곡강도 및 결합강도를 비교하여 하이브리드 기술이 치과 재료의 물리적인 성질에 미치는 영향을 조사하기 위함이다. 연구방법: 본 두 가지의 통상적으로 사용되는 세라믹소재[Vita PM9(GC) and I-JAM(ZC)] 와 다른 두 가지 하이브리드 세라믹 소재 [CELTRA Duo(ZRC) and Vita Enamic(RIZ)] 를 평가하였다. 각 그룹의 소재를 선택하여 결합강도와 굴곡강도, 그리고 scanning electron microscopy(SEM)을 이용하여 표면분석을 시행하였다. 도출된 결과 데이터는 일원분산분석(One-way ANOVA)을 통해 분석되었으며, 제1종 오류의 수준은 0.05로 하였다. 연구결과: RIZ 그룹에서 가장 높은 결합강도를 보였으며(p<0.05), ZC 그룹이 가장 낮은 결과를 보였다. 상대적으로 굴곡강도는 ZC 그룹이 가장 높은 수치를 나타내었으며, RIZ 그룹이 가장 취약했다. 연구결론: 하이브리드 기술로 제작된 소재(RIZ 그룹)는 우수한 레진 시멘트와의 결합강도를 보였지만, 그에 비해 굴곡강도는 상대적으로 통상적인 지르코니아 소재보다 비교적 취약한 결과를 보였다.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.1
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• pp.49-56
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• 2011

Purpose: The aim of this study was to evaluate the effect of mechanical, chemical surface treatments on the zirconia-to-resin cement shear bond strength (SBS). Materials and methods: Eighty zirconia discs (Lava, 3M ESPE) and eighty zirconia/alumina composite (Zirace, Acucera) were embedded in an epoxy resin base. Zirconia discs were randomly divided in to four treatment groups(10 for each manufacturer): $50\;{\mu}m$ $Al_2O_3$ sandblasting (S50), $110\;{\mu}m$ $Al_2O_3$ sandblasting (S110), $50\;{\mu}m$ $Al_2O_3$ and primer (Z-Prime Plus, Bisco Inc) (S50z) and $110\;{\mu}m$ $Al_2O_3$ and primer (Z-Prime Plus) (S110z). Two resin-based luting cements (Calibra, Panavia F) were used to build 2 mm diameter cylinders onto the zirconia. After 24 h of storage in water, SBS testing was evaluate using a universal testing machine. Bond strength data were analyzed with one-way ANOVA, two-way ANOVA test and post hoc comparison was done using Tukey test (${\alpha}$ = .05). Results: Groups using primer showed the high shear bond strength. The groups that did not use primer presented lower shear bond strengths. Conclusion: The use of primer (Z-Prime Plus, Bisco) had significantly higher shear bond strengths.

• Journal of dental hygiene science
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• v.13 no.3
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• pp.290-295
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• 2013

The purpose of this study was to investigate the shear bond strength between various commercial all-ceramic system core and veneering ceramics, and evaluate the clinical stability by comparing the conventional metal ceramic system. The test samples were divided into three groups: Ni-Cr alloy (metal bond), yttria-stabilized, tetragonal zirconia polycrystal (Y-TZP) (zirconia bond), lithium disilicate (lithium disilicate bond). The veneering porcelain recommended by the manufacturer for each type of material was fired to the core. After firing, the specimens were subjected to shear force in a universal testing machine. Load was applied at a crosshead speed of 0.50 mm/min until failure. Average shear strengths (mega pascal) were analyzed with a one-way analysis of variance and the Tukey test (${\alpha}$=0.05). The mean shear bond strength${\pm}$SD in MPa was $44.79{\pm}2.31$ in the Ni-Cr alloy group, $28.32{\pm}4.41$ in the Y-TZP group, $15.91{\pm}1.39$ in the Lithium disilicate group. The ANOVA showed a significant difference among groups (p<0.05). None of the all-ceramic system core and veneering ceramics could attain the high bond strength values of the metal ceramic combination.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.3
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• pp.236-244
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• 2011

Purpose: This study was aimed to compare the margin and internal fitness of 3-unit zirconia bridge cores fabricated by several CAD/CAM systems using replica technique. Materials and methods: Three unit-bridge models in which upper canine and upper second premolar were used as abutments and upper first premolar was missed, were fabricated. Fourty models were classified into 4 groups (Cerasys$^{(R)}$ (Group C), Dentaim$^{(R)}$ (Group D), KaVo Everest$^{(R)}$ (Group K), $Lava^{TM}$ (Group L)), and zirconia cores were fabricated by each company. Sixteen points were measured on each abutment by replica technique. Statistical analysis was accomplished with two way ANOVA and Dunnett T3 (${\alpha}$=.05). Results: In most systems, there was a larger gap on inter margin than outer margin. In the Group K, overall fitness was excellent, but the incisal gap was very large. In the Group C, marginal gap was significantly larger than Group K, but overall internal gap was uniform (P<.05). The axial gap was under $100\;{\mu}m$ in all system. The difference between internal and external gap was small on Group L and C. However, internal gap was significantly larger than external gap in Group D (P<.05). The fitness of canine was better than second premolar among abutments (P<.05). Conclusion: The marginal and internal gap was within the clinically allowed range in all of the three systems. There was a larger gap on second premolar than canine on internal and marginal surface. In most systems, there was a larger gap on occlusal surface than axial surface.

• Journal of dental hygiene science
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• v.14 no.1
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• pp.29-34
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• 2014

The purpose of this study was to evaluate the influence of low temperature degradation (LTD) on the bonding strength of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP). The push-shear bond test method was used to investigate the core-veneer bonding strength of industrially manufactured Y-TZP core ceramic and manufacturer recommended veneering ceramic. Four groups from ceramic-zirconia specimens (n=28; n=7 per group) were assigned into four experimental aging conditions, namely storage in an autoclave at $134^{\circ}C$ for 0, 3, 5, 10 hours. Bonding strength was obtained using a universal testing machine with crosshead speed 0.5 mm/min. Data were statistically analyzed using one-way ANOVA and Tukey's test (${\alpha}=0.05$). In bonding strength test, the group which was treated with LTD showed lower bonding strength than no treated group. The ceramic-zirconia bonding strength was affected by LTD (p<0.05). Digital microscope examination of the fracture surface showed mixed failures with adhesive and cohesive types in LTD with treated Y-TZP groups.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.151-157
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• 2010

Purpose: The purposes of this study was to evaluates shear bond strength between zirconia core and veneer-ceramic in order to examine the clinical practice of colored zirconia block fabricated by infiltration method into the metal chloride solution. Material and methods: CNU block and $Everest{(R)}$ ZS blank were used. VITA In-$Ceram{(R)}$2000 YZ Coloring liquid (LL1) and 3 aqueous metal chloride solutions containing chromium and molybdenum ingredients were used. 40 zirconia specimens were prepared into cuboid shape ($5{\times}5{\times}10 mm$). All specimens were divided into 5 groups by infiltrating into the coloring liquids. After that, porcelain was build up into the shape of $5{\times}5{\times}4mm^3$, followed by sintering. The maximum loading and shear bond strength was measured. Failure patterns and failure sites were examined. Results: 1. There were no statistical differences in shear bond strength between zirconia blocks (P > .05). 2. There were no statistically significant differences in shear bond strength between non-colored and colored zirconia blocks, while shear bond strength of non-colored zirconia blocks is higher than that of colored specimen (P > .05). 3. In the comparison with shear bond strength among colored zirconia blocks, there were no statistical differences according to kinds of coloring liquid (P > .05). 4. Mixed failure patterns were mainly observed in the failure between zirconia and veneering ceramic. The veneering ceramic failure of all specimens was observed in either interface of zirconia or veneering ceramic. Conclusion: Shear bond strength between colored zirconia and veneering ceramic shows lower tendency than non-colored zirconia, but there was clinically allowable value.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.4
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• pp.374-381
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• 2019

A conventional approach for the treatment of long-span edentulous areas is the use of removable dentures. However, placing implants in these areas results in superior functional outcomes by increasing the stability, support, and resistance of the prostheses and improving the masticatory efficiency. Treatment modalities utilizing implants can be further classified into either removable or fixed-type prostheses. Several factors such as the amount of alveolar bone resorption, inter-arch relationship, patient preferences, and socioeconomic status should be considered when determining the appropriate treatment approach. Monolithic zirconia has been considered a suitable material for implant-supported fixed dental prosthesis, because of the drastic improvement in its mechanical properties. It exhibits fewer incidences of fracture and chipping of the prostheses, and has greater bulk of material than metal-ceramic crowns and zirconia-veneered ceramics. Moreover, highly translucent monolithic zirconia is also available in the market, and its application is gradually increasing for anterior tooth rehabilitation. The present report describes a patient who underwent full-mouth rehabilitation with fixed dental prostheses (eight upper and three lower implant placements). All teeth, except bilateral mandibular canines and left mandibular first and second premolars, were extracted after the diagnosis of generalized chronic moderate-to-advanced periodontitis of the remaining teeth. The patient reported satisfactory esthetic and functional outcomes during the one-year follow-up visit.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.2
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• pp.120-127
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• 2011

Purpose: The purpose of this study was to examine the effects of chromium chloride addition on coloration, mechanical property and microstructure of 3Y-TZP. Materials and methods: Chromium chloride was weighed as 0.06, 0.12, and 0.25 wt% and each measured amount was dissolved in alcohol. $ZrO_2$ powder was mixed with each of the individual slurry to prepare chromium doped zirconia specimen. The color, physical properties and microstructure were observed after the zirconia specimen were sintered at $1450^{\circ}C$. In order to evaluate the color, spectrophotometer was used to analyze the value of $L^*$, $C^*$, $a^*$ and $b^*$, after placing the specimen on a white plate, and measured according to the International Commission on Illumination (CIE) standard, Illuminant D65 and SCE system. The density was measured in the Archimedes method, while microstructures were evaluated by using the scanning electron microscopy (SEM) and XRD. Fracture toughness was calculated Vickers indentation method and indentation size was measured by using the optical microscope. The data were analyzed with 1-way ANOVA test (${\alpha}$ = 0.05). The Tukey multiple comparison test was used for post hocanalysis. Results: 1. Chromium chloride rendered zirconia a brownish color. While chromium chloride content was increased, the color of zirconia was changed from brownish to brownish-red. 2. Chromium chloride content was increased; density of the specimen was decreased. 3. More chromium chloride in the ratio showed increase size of grains. 4. But the addition of chromium chloride did not affect the crystal phase of zirconia, and all specimens showed tetragonal phase. 5. The chromium chloride in zirconia did not showed statistically significant difference in fracture toughness, but addition of 0.25 wt% showed a statistically significant difference (P<.05). Conclusion: Based on the above results, this study suggests that chromium chlorides can make colored zirconia while adding in a liquid form. The new colored zirconia showed a slight difference in color to that of the natural tooth, nevertheless this material can be used as an all ceramic core material.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.2
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• pp.114-119
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• 2011

The aim of this study was to investigate effect of specimen preparation method on the microtensile bond strength of veneering ceramic to zirconia core. Materials and methods: Cylindrical Lava zirconia block (3M ESPE, Seefeld, Germany) was cut into discs using a diamond disc. After sintering, the core specimens were placed in an adjustable mold and veneered with Lava ceram (3M ESPE, Seefeld, Germany). The disc shaped specimen of group 1 was cut into microbars ($1{\times}1{\times}7\;mm^3$) using a low speed diamond disc under water cooling (n = 15). The specimen of group 2 was cut into microbars ($1.2{\times}1.2{\times}7\;mm^3$) in the same way. Whereafter the microbars were trimmed ($1{\times}1{\times}7\;mm^3$) using a thick diamond disc under water cooling (n = 15). The microtensile bond strength was tested in a microtensile tester (Instron 8848, $Instron^{(R)}$ Co., Norwood, USA). Fractured microtensile specimens were analyzed under a stereomicroscope (MZ6, Leica Microsystems GmbH, Wetzlar, Germany) at magnification ${\times}30$. Results: The microtensile bond strength of group 1 ($28.8{\pm}7.0\;MPa$) was significantly higher than group 2 ($11.0{\pm}33\;MPa$) (P=.00). Conclusion: It appears advisable to avoid the trimming action, especially high strength ceramic specimens.