• The Journal of Korean Academy of Prosthodontics
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• v.46 no.1
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• pp.22-30
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• 2008

Purpose: The purpose of this study is to compare three different CAD/CAM systems through the fracture strength of zirconia core and to evaluate the clinical availability of each system. Material and methods: The following three groups of 30 maxillary mesial incisor core for all-ceramics(each group 10) were fabricated as follows: group 1. $Adens^{(R)}$ CAD/CAM system, group 2. $Cerasys^{(R)}$ CAD/CAM system, group 3. 3M $Lava^{(R)}$ CAD/CAM system. All specimens were manufactured consistently thickness 0.5mm and relief $40{\mu}m$. Specimens were subjected to compressive loading on the lingual area by Z250/$SN5S^{(R)}$. Each group's mean and standard deviation were calculated and Kruskal Waillis test, Wilcoxon Rank Sum test were utilized to find out the relationship among the groups. Results: The results were as follows: 1. The mean fracture strength of $Adens^{(R)}$ system was $615.89{\pm}156.1N$, the $Cerasys^{(R)}$ system was $863.98{\pm}151.5N$, and the 3M $Lava^{(R)}$ system was $1143.1{\pm}286.6N$. 2. The fracture strength of the systems showed the significant statistical differences in order of 3M $Lava^{(R)}$ system, $Cerasys^{(R)}$ system, $Adens^{(R)}$ system. Conclusion: In this study, in spite of the differences among the groups, every group showed clinically useful results. It is necessary to study further clinical experiments on a long term basis.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.1
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• pp.73-79
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• 2011

Purpose: The aim of this study was to evaluate the effect of repeated firings on the color of zirconia restoration with different shading method. Materials and methods: Three different types of zirconia frameworks (adding metallic pigments to the initial zirconia powder before sintering (Group NM), dipping the milled frameworks in dissolved coloring agents (Group KI), or application of liner material to the sintered white frameworks (Group KW) were used to support A3 shade dentin porcelain. Repeated firings (3, 5, or 7) were performed, color differences among ceramic specimens were measured using a colorimeter. Repeated measurements analysis of variance (ANOVA) was used to analyze the data for significant difference. The Tukey Honestly Significant Different (HSD) test was used to perform multiple comparisons (${\alpha}$ = .05). Results: 1. $L^*a^*b^*$ values of the ceramic systems were affected by the number of firings (1, 3, 5 or 7 firings) (P < .001) and shading methods (P < .001). 2. As the number of firings increased, the $L^*$ (for all groups) and $a^*$ value (for KW and NM groups) decreased and the $b^*$ value(for all groups) increased. 3. The mean color differences caused by repeated firings were perceptible (${\Delta}E$ > 1) for group KW and KI fired after 3 times, except for group NM fired after 7 times. 4. In order of decreasing ${\Delta}E$ value fired after 7 times, the values were group KI(${\Delta}E$ = 2.26) > group KW (${\Delta}E$ = 1.47) > group NM (${\Delta}E$ = 1.08) (P < .001). Conclusion: Repeated firings influenced the color of the zirconium-oxide all-ceramic specimens with different shading methods.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.135-142
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• 2010

Purpose: This study was aimed to compare the margin and internal fitness of single anterior all-ceramic crown zirconia core made by three deferent CAD/CAM systems. Material and methods: Five single zirconia cores were manufactured by three deferent CAD/CAM systems($Cerasys^{(R)}$system, KaVo $Everest^{(R)}$system, $LAVA^{TM}$system). The manufactured zirconia cores were duplicated through the use of replica technique, and a replicated sample was sectioned in the center of bucolingual and mesiodistal direction to measure the marginal and internal gap. Measurement was carried out by using measuring microscope ($AXIO^{(R)}$) and $I-Solution^{(R)}$ and analysed through the use of ANOVA. Results: As for the mean marginal fitness of the zirconia core, it was $84.74{\pm}27.57{\mu}m$, in $Cerasys^{(R)}$, $80.23{\pm}21.07{\mu}m$ in KaVo $Everest^{(R)}$ and $96.37 {\pm}11.45{\mu}m$ in $LAVA^{TM}$, and as for the mean internal gap, it was $94.11{\pm}30.07{\mu}m$ in $Cerasys^{(R)}$, $92.31{\pm}25.18{\mu}m$ in KaVo $Everest^{(R)}$, and $94.99{\pm}18.74 {\mu}m$ in $LAVA^{TM}$. There was no significant statistically deference among the total average gap of three systems. The internal gap in KaVo $Everest^{(R)}$ seemed to be smaller than $LAVA^{TM}$ (P < .05). The internal gap in the incisal area was larger in all of the three systems. Conclusion: There was no difference in marginal fitness in $Cerasys^{(R)}$, KaVo $Everest^{(R)}$ and $LAVA^{TM}$. As for the internal fitness, it was smaller in KaVo $Everest^{(R)}$ system than $LAVA^{TM}$ system. In all of the three systems, there was a larger gap in incisal area. The marginal and internal gap was within the clinically allowed range in all of the three systems.

• The Journal of the Korea Contents Association
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• v.13 no.11
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• pp.800-806
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• 2013

The purpose of this study was to evaluate the marginal fitnesses on the effect of span length of bridge and the marginal gaps within the clinically allowed range. The samples were fabricated with zirconia core using CAD/CAM system. The test groups were divided by four groups, single crown, 2-units bridge, 3-units bridge and 4-units bridge and 10 zirconia cores per each group. The results of mean marginal gaps were $42.95{\pm}6.93{\mu}m$ in the single crown, $43.53{\pm}5.27{\mu}m$ in 2-unit, $53.43{\pm}13.38{\mu}m$ in 3-unit, and $50.85{\pm}8.25{\mu}m$ in 4-unit on each. The marginal gap of mesial and distal surfaces were statistically significant differences between single, 2-unit group and 3-unit, 4-unit group (p<.05) and this results was effected by the span length. The buccal and lingual surfaces were no statistically significant differences within all groups(p>.05). From this results the span length of the zirconia core may have influence on marginal fitness and the marginal gaps were within the clinically allowed range.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.143-150
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• 2010

Purpose: The purpose of this study is to fabricate the new zirconia block (CNU block) and to evaluate fit of core and porcelain veneered zirconia crown. Material and methods: The experimental blocks were fabricated from the commercial ytrria-stabilized zirconia powder (KZ-3YE Type A). The powder was uniaxial pressing and the green bodies were conducted using the Cold Isostatic Pressing. The zirconia blocks were presintered at $1040^{\circ}C$ and the final sintering was performed at $1450^{\circ}C$. The Kavo Everest ZS $blank{(R)}$ (KaVo, Biberach/ $Ri{\beta}$.) was used as a control group. The linear shrinkage of CNU block and Kavo block were compared. Twenty-one cores for porcelain veneered crowns were fabricated with CAD/CAM system ($Everest{(R)}$, Biberach/ $Ri{\beta}$.). Group I; seven cores fabricated from Kavo blocks, Group II; seven cores fabricated from CNU blocks, Group III; seven cores from CNU blocks and porcelain veneering for crowns. All specimens were cemented and sectioned into two planes; diagonal and bucco-lingual. The measurement of the marginal, internal, and occlusal fit was carried out using SEM ($S-4800^{(R)}$) at $30{\times}$. The results were analyzed by one-way ANOVA test. Results: The linear shrinkage of the CNU block and the KaVo block was 19.00% and 20.09%. The marginal gap of cores ($29.67{\pm}6.58{\mu}m$) fabricated from CNU blocks showed significantly smaller than that of the cores of Kavo blocks ($36.84{\pm}7.18{\mu}m$) (P < .05). The internal gaps of the porcelain veneered crowns ($32.23{\pm}6.33{\mu}m$) were larger than those of the other two groups ($37.57{\pm}6.81{\mu}m$ and $38.14{\pm}6.81{\mu}m$). Conclusion: No statistically significant difference was found in between experimental groups and control group. The experimental groups in marginal gap showed significantly smaller than the control group.

• 대한치과보철학회:학술대회논문집
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• 2004.11a
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• pp.96-96
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• 2004

• The Journal of the Korea Contents Association
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• v.12 no.8
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• pp.240-247
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• 2012

Marginal and internal fit is an important part of the longevity of dental restorations. The purpose of this study was to analysis the marginal and internal fit of zirconia core by dental CAD/CAM system using innovative and non-destructive methods such as optical coherence tomography(OCT) and compare with conventional method such as silicone replica technique(SRT). Ten dental stone models of abutment of maxillary right central incisal were manufactured and scanned. Ten zirconia cores were fabricated with commercial CAD/CAM system. To measure the marginal and internal fit of each sample, five point of fitness were measured using 2 different methods(OCT and SRT). Statistical analysis was performed using independent sample t-test(${\alpha}$=0.05). OCT and SRT groups were not significantly different(P>0.05). By this results, analysis the fitness of dental restorations using OCT were acceptable measuring method.

• Journal of Dental Rehabilitation and Applied Science
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• v.37 no.4
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• pp.199-208
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• 2021

Purpose: The purpose of this study was to compare and evaluate the masking ability of three types of high translucent zirconia according to the various thicknesses and backgrounds. Materials and Methods: Using three types of high-translucency zirconia (Ceramill zolid fx white, Ceramill zolid ht+ white, Ceramill zolid ht+ preshade A2), 10 cylindrical specimens were fabricated in 10mm diameter and each with four thicknesses (0.6 mm, 1.0 mm, 1.5 mm, 2.0 mm), respectively by CAD/CAM method. The background was 10 mm in diameter and 10 mm in thickness. A1, A2, A3 flowable resin backgrounds, blue-colored core resin background, and Ni-Cr alloy background were prepared, and black, white backgrounds provided by the spectrophotometer manufacturer (x-rite, Koblach, Austria) were used. zirconia specimens and the background specimen were stacked to measure L, a^*, b^* with Spectrophotometer (Color i5, x-rite, Koblach, Austria) and the ΔE value with the other background is calculated. The Calculated mean ΔE values were compared based on perceptibility threshold 1.0 and acceptability threshold 3.7. Nonparametric tests such as Kruskal-Wallis test were performed to verify statistical significance (α = 0.05). Results: There was a significant difference in the mean ΔE value according to the zirconia type, background and thickness change (P = 0.000). Conclusion: According to the results of this study, the pre-colored high-translucent zirconia can obtain the desired zirconia shade when it is restored on teeth, composite resins, and abutments except for the blue resin core.

• The Journal of Korean Academy of Prosthodontics
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• v.52 no.2
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• pp.136-142
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• 2014

Nowadays, dental zirconia is widely used as a framework material for a fixed dental prosthesis as well as a single restoration. However, clinical studies have reported high incidence of veneer chipping of zirconia-ceramic restorations compared to that of metal-ceramics. Several factors were raised as the possible causes of veneer ceramic chipping, however, it is still in debate. Recently, residual stresses in the veneer ceramics after cooling process gathers attention as one possible cause of chipping and many studies reported that the rate of cooling significantly influenced the types and the amount of residual stress. The purpose of current review was to briefly describe the effect of cooling rate on the residual stress in zirconia-ceramics. It was also described that the different behavior of residual stress between zirconia-ceramics and metal-ceramics following different cooling rate.

• Journal of dental hygiene science
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• v.14 no.2
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• pp.140-149
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• 2014

The purpose of this study was to investigate the influence of etching surface treatment and aging treatment of zirconia on the shear bond strength between zirconia core and veneered ceramic. Four groups of zirconia-ceramic specimens were prepared; 1) NEZ group (no etching zirconia), 2) EZ group (etching zirconia), 3) ANEZ group (aging and no etching zirconia), 4) AEZ group (aging and etching zirconia). The shear bond strength between zirconia and porcelain was measured using Instron Universal Testing Machine. Surface texture with crystalline structure of zirconia surface was examined by the field emission scanning electron microscopy (FE-SEM) with ingredient analysis. The fractured surfaces of specimens were examined to determine the failure pattern by a digital microscope. The mean${\pm}$standard deviation of shear bond strengths were $23.47{\pm}3.47$ Mpa in NEZ, $28.30{\pm}4.34$ Mpa in EZ, $21.85{\pm}4.65$ Mpa in ANEZ, $24.65{\pm}3.65$ Mpa in AEZ group, respectively, and were significantly different (p<0.05). The average shear bond strength was largest in EZ group, followed by AEZ, NEZ, and ANEZ groups. Most specimens in NEZ group showed adhesive failure and most specimens in EZ, AEZ, and ANEZ group showed mixed failure. Surface of etching treatment group (EZ and AEZ) showed complex micro-structure and irregular surface texture which may facilitate mechanical interlocking, while untreated zirconia surface presented simpler micro-structure. In conclusion, an etching treatment improved bonding strength between zirconia and porcelain by forming mechanical interlocking.