• The Journal of the Korea Contents Association
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• v.18 no.10
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• pp.361-367
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• 2018

The purpose of this study was to evaluate the influence of hydrofluoric acid etching treatment on the bonding strength of yttria-stabilized tetragonal zirconia polycrystal(Y-TZP). Four groups of zirconia-resin cement specimens were prepared; 1) ZGS group (zirconia, no treatment), 2) ZGSH group (zirconia, hydrofluoric acid etching treatment) 3) H-ZGS group (Hybrid zirconia, no treatment) 4) H-ZGSH group (Hybrid zirconia, hydrofluoric acid etching treatment). The shear bond strength between zirconia and porcelain was measured using a Instron Universal Testing Machine(Model DBBP-500, Instron Corporation, Kyonggi, Korea). Data were statistically analyzed using independent t-test and two-way ANOVA(${\alpha}=0.05$). The ceramic-resin cement bonding strength was affected by hydrofluoric acid etching treatment(p<0.05). Digital microscope examination of the fracture surface showed mixed failures with adhesive and cohesive types in hydrofluoric acid etching treatment with treated zirconia and hybrid zirconia groups.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.2
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• pp.152-159
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• 2016

Implant fixed prosthesis for the complete edentulous maxilla provides significant benefits in the aspects of functions and esthetics compared with the conventional denture. Implant supported fixed prosthesis are totally supported by implant, and thus stabilizes the prosthesis to the maximum degree as possible. Also, the improved retention and stability of fixed prosthesis enhance patients' psychological and psychosocial health. This clinical presentation describes a maxillary full arch implant-supported fixed prosthesis in complete maxillary edentulous patient who showed vertical and horizontal alveolar bone resorption in the anterior ridge. To rehabilitate the esthetics and proper lip support, the zirconia framework was fabricated and the pink porcelain was veneered to reproduce the natural gingival tissue. After 9 months of follow up, the restorations were maintained without complications and the patient was satisfied with the restoration both functionally and esthetically.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.3
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• pp.194-201
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• 2010

Purpose: The purpose was to compare the marginal fidelity and the fracture resistance of the zirconia crowns according to the various coping designs with different thicknesses and cement types. Materials and methods: Zirconia copings were designed and fabricated with various thicknesses using the CAD/CAM system (Everest, KaVo Dental GmbH, Biberach., Germany). Eighty zirconia copings were divided into 4 groups (Group I: even 0.3 mm thickness, Group II: 0.3 mm thickness on the buccal surface and the buccal half of occlusal surface and the 0.6 mm thickness on the lingual surface and the lingual half of occlusal surface, Group III: even 0.6 mm thickness, Group IV: 0.6 mm thickness on the buccal surface and the buccal half of occlusal surface and the 1.0 mm thickness on the lingual surface and the lingual half of occlusal surface) of 20. By using a putty index, zirconia crowns with the same size and contour were fabricated. Each group was divided into two subgroups by type of cement: Cavitec$^{(R)}$ (Kerr Co, USA) and Panavia-$F^{(R)}$ (Kuraray Medical Inc, Japan). After the cementation of the crowns with a static load compressor, the marginal fidelity of the zirconia crowns were measured at margins on the buccal, lingual, mesial and distal surfaces, using a microscope of microhardness tester (Matsuzawa, MXT-70, Japan, ${\times}100$). The fracture resistance of each crown was measured using a universal testing machine (Z020, Zwick, Germany) at a crosshead speed of 1 mm/min. The results were analyzed statistically by the two-way ANOVA and oneway ANOVA and Duncan's multiple range test at $\alpha$=.05. Results: Group I and III showed the smallest marginal fidelity, while group II demonstrated the largest value in Cavitec$^{(R)}$ subgroup (P<.05). For fracture resistance, group III and IV were significantly higher than group I and II in Cavitec$^{(R)}$ subgroup (P<.05). The fracture resistances of Panavia-$F^{(R)}$ subgroup were not significantly different among the groups (P>.05). Panavia-$F^{(R)}$ subgroup showed significantly higher fracture resistance than Cavitec$^{(R)}$ subgroup in group I and II (P<.05). Conclusion: Within the limitation of this study, considering fracture resistance or marginal fidelity and esthetics, a functional ceramic substructure design of the coping with slim visible surface can be used for esthetic purposes, or a thick invisible surface to support the veneering ceramic can be used depending on the priority.

• Journal of Technologic Dentistry
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• v.46 no.1
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• pp.1-7
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• 2024

Purpose: The goal of this study was to determine the clinical acceptability of various cement space settings for the marginal and internal fit of a zirconia core manufactured using additive manufacturing. Methods: The maxillary right incisor served as the master model. After scanning the maxillary right incisor with a dental 3D (three-dimensional) scanner, the stereo lithography file was created using different cement space settings of 40, 120, and 200 ㎛ using computer-aided design software (Dental System 2018; 3Shape). The marginal and internal fit of the 3 groups were determined using the silicon replica technique. Measurement points were divided into the following three categories: margin, axial wall, and incisal. To ensure more accurate measurements, these three measurement points were divided into 8 points. The Shapiro-Wilk, one-way ANOVA, and Tukey's honestly significant difference test (for all tests α=0.05) were the statistical analyses that were included in the study. Results: The CS (cement space)-200 group had better marginal and internal fit than the CS-40 and CS-120 groups, and there were statistically significant differences at the marginal and incisal points, except for the axial wall points. CS-200 group, both marginal and internal fit were within 120 ㎛, which is the clinically acceptable value. Conclusion: This study suggests that a 200 ㎛ cement space setting is ideal for optimal marginal and internal fit of 3D-printed ceramic crowns.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.2
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• pp.107-112
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• 2013

Complications increases when crown height space is excessive and one should be careful of choosing type of fixed prosthesis in case crown height space is over 12 mm. In this condition, tooth seems to be longer, therefore, it is needed to use gingival shade in aesthetically important area for fixed prosthesis. In this case, fixed prosthesis which has inappropriate maintenance and hygiene could hold food, plaque, calculus, thus increase incidence of inflammation and infection. Moreover, it could lead to chronic inflammation and infection and in that case surgical improvement could be necessary. In present case report, gingival inflammation and swelling developed around prosthesis after having made it considering articulation and aesthetic view in patient who had excessive crown height space. Finding out that design of prosthesis is a factor to make it hard to maintain oral hygiene, a temporary prosthesis which has enough interproximal space and proper emergence profile was fabricated. After two months of observation, significant abnormal symptoms are not found and oral reconstruction is performed using fixed prosthesis with zircornia infrastructure and porcelain build-up based on convenient self hygiene design. Through serial treatment, inappropriate soft tissue response is not observed and satisfactory result in functional aspect comes out.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.335-341
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• 2020

This study examined the shear bond strength between the zirconia core and pressed lithium disilicate veneering ceramics. The Schmitz-Schulmeyer test method was used to investigate the core-veneer shear bond strength of industrially manufactured zirconia core ceramic (Zirtooth, HASS, Gangneung, Korea) and pressed veneer ceramic (IPS e.max Zirpress, Vita PM9, GC Initial IQ, HASS Rosetta SM) (N=40). Data were statistically analyzed using one-way ANOVA and Tukey's test (a=0.05). The fractured surfaces of the specimens were examined to determine the failure pattern using a digital microscope. The mean ± SD shear bond strength in MPa were 16.69±3.11, 14.21±3.63, 11.17±2.92, and 27.90±5.71 for IPS e.max Zirpress, VITA PM9, GC Initial IQ, and HASS Rosetta SM, respectively. The average shear bond strength was largest for HASS Rosetta SM, followed by IPS e.max Zirpress, Vita PM9, and GC Initial IQ(p<0.05). The digital microscopy examination of the fracture surface showed adhesive and cohesive failure in pressed lithium disilicate veneering ceramics. The use of lithium disilicate veneer ceramic produced a significantly higher shear bond strength.

• The Journal of Korean Academy of Prosthodontics
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• v.53 no.1
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• pp.51-57
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• 2015

When an implant-supported maxillary full-arch fixed prosthesis is planned for patients with the horizontal and vertical bone resorption induced by periodontal disease, it is necessary to consider the masticatory function, esthetics and phonetics when placing implants. For this reason, thorough clinical and radiological diagnosis is necessary. Extensive bone and soft tissue grafting may be required as well. Since there is no clear guideline for proper number of implants, segment or splinting of substructure and method of retaining prosthesis, these should be considered during diagnostic process. This clinical report describes a patient who has experienced several tooth extractions and periodontal treatment due to severe periodontitis on maxilla and mandible. With bone and soft tissue graft before dental implant placement, the patient have satisfactory result in esthetic and functional aspect with the implant-supported maxillary full-arch fixed prosthesis opposing mandibular natural dentition.