• Journal of the Korean Academy of Esthetic Dentistry
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• v.25 no.2
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• pp.98-108
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• 2016

In recent days, perhaps the biggest driver in new material development is the desire to improve restorations esthetics compared to the traditional metal substructure based ceramics or all-ceramic restorations. Each material type performs differently regarding strength, toughness, effectiveness of machining and the final preparation of the material prior to placement. For example, glass ceramics are typically weaker materials which limits its use to single-unit restorations. On the other hand, zirconia has a high fracture toughness which enables multi-unit restorations. This material requires a long time sintering procedure which excludes its use for fast chair side production. Hybrid ceramic material developed for CAD/CAM system is contained improved nano ceramic elements. This new material, called a Resin Nano Hybrid Ceramic is unique in durability of function and aesthetic base compositions. The new nano-hybrid ceramic material is not a composite resin. It is also not a pure ceramic. The material is a mixture of both and consists of nano-ceramic fillers. Like a composite, the material is not brittle and is fracture resistant. Like a glass ceramic, the material has excellent polish retention for lasting esthetics. The material is easily machined by chair side or in a dental lab side, could be an useful restorative option.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.4
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• pp.478-486
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• 2021

This report demonstrates a method of generating a chair-side and computer-aided template for implant surgery based on the Top-Down and restoration-driven concept. Compared to the traditional CAD-CAM process which requires multiple steps to be taken between dental clinic and laboratory, this alternative procedure, VARO guide system (VARO Guide, CAD, Pre-Guide, VARO-mill, NeoBiotech, Seoul, South Korea) enables accurate and patient-friendly implant surgery as well as immediate provisional restoration in a single visit. First, bite-registration at centric jaw relation and CBCT were taken using the Pre-Guide. The CBCT data was then reorganized directly through the chair-side CAD, and we could determine the most appropriate 3-dimensional position of implant. The STL file was extracted and put into the chair-side CAM (VARO-mill) to fabricate a VARO. This surgical guide allowed the implants to be accurately positioned into the planned sites within an hour.

• Journal of Technologic Dentistry
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• v.42 no.3
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• pp.228-233
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• 2020

Purpose: This study aimed to assess and compare the marginal fit of ceramic-based hybrid resin restoration (HYB) and zirconia restoration (ZIR) for dental computer-aided design/computer-aided manufacturing systems. Methods: A stainless steel master model was produced. The impression was first made with silicone, and then stone working models were produced. A total of twenty restorations were fabricated with two different materials: ZIR and HYB. The silicone film thickness of the marginal gap was measured using a digital microscope; digital photos were taken at a magnification of ×160, and then analyzed using a measurement software. The values of the result were evaluated with the independent-sample t-test (α=0.05). All statistical analyses were performed with a statistical software. Results: The mean values for the marginal gap was 37.14±2.96 ㎛ for HYB, compared with 40.37±5.26 ㎛ for ZIR. No significant difference was found between ZIR and HYB (p=0.107). Conclusion: As a result, the marginal fit of the restoration fabricated using the hybrid resin was better than that of the restoration fabricated using zirconia. Also, the marginal fit of all groups was below the clinical acceptable range of 120 ㎛. Thus, HYB for dental CAD/CAM system in this study is expected to be suitable for clinical use in dentistry.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.349-355
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• 2014

The purpose of this study was to evaluate marginal gap of fixed dental prostheses (FDPs) fabricated by soft metal material with using dental computer aided design/computer aided manufacturing (CAD/CAM) system and to compare gap of its by a conventional method. Ten same cases of study models were manufactured and scanned for digital models fabricating. Ten FDPs were fabricated by soft metal material using dental CAD/CAM (SMB group). Then, ten FDPs were fabricated by cast metal using lost wax technique and casting method (LWC group). Marginal gap was measured by silicone replica technique. Gap was measured by digital microscope (${\times}160$). Mann-Whitney test for statistical analysis was executed (${\alpha}=0.05$). The mean (standard deviations) of marginal gap was $76.5{\mu}m$ (35.2) for the SMB group, and $82.9{\mu}m$ (22.1) for the LWC group. Statistically significant differences were not found between SMB and LWC. As results, FDPs fabricated by soft metal material were clinically acceptable range.

• Journal of dental hygiene science
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• v.12 no.4
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• pp.368-374
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• 2012

Dental CAD (computer-aided design)/CAM (computer-aided manufacturing) systems facilitate the use of zirconia core for all-ceramic crown. The purpose of this study was to evaluate the marginal and internal fit of zirconia core fabricated using a dental CAD/CAM system and to compare the fit of metal cores by a conventional method. Ten identical cases of single coping study models (abutment of teeth 11) were manufactured and scanned. Ten zirconia cores were fabricated using dental CAD/CAM system. An experienced dental technician fabricated 10 samples of metal cores for the control group using the lost wax technique. Marginal and internal fit was measured by the silicone replica technique. Fit was measured with magnification of 160 using a digital Microscope. Margin, rounded chamfer, axial wall and incisal fits were measured for comparison. T-test of independent sample for statistical analysis was executed with SPSS 12.0 for Windows (SPSS Inc., Chicago, IL, USA) (${\alpha}$=0.05). The mean (SD) for marginal, rounded chamfer, axial wall and incisal were: $97.0\;(25.3){\mu}m$, $104.0\;(22.0){\mu}m$, $59.6\;(21.4){\mu}m$ and $124.8\;(33.3){\mu}m$ for the zirconia core group, and $785.2\;(18.4){\mu}m$, $83.8\;(15.1){\mu}m$, $42.7\;(9.6){\mu}m$ and $83.4\;(14.4){\mu}m$ for the metal core group. T-test showed significant differences between groups for margin (p<.001), rounded chamfer (p<.001), axial wall (p<.001) and incisal (p<.001). But zirconia core group observed that the marginal and internal fit values in the present study were within clinically acceptable range.

• Journal of Technologic Dentistry
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• v.38 no.3
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• pp.127-133
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• 2016

Purpose: Currently advanced in Dental CAD/CAM technology increase a use of Co-Cr sinter metal block at Dental CAD/CAM part traditionally it has been being used with metal casting method. There is an advantage that can leave out a step of investment and casting as well as reducing a working time to compare with conventional casting method in a dry milling. Methods: In this research, compare a deformation of before and after sinter result of Co-Cr sinter metal block. Design a specimen figure by 3D CAD software and transformed it to a STL file can be used at Dental CAD/CAM. With a transformed STL file, milled a Co-Cr sinter metal specimen by using a Dental CAD/CAM dry milling machine. It arrived at the following conclusions after measuring an outer form and thickness of a machined specimen and then after sinter measure it again in a way of before sinter measurement method. Results: It is confirmed that there is no error while a 3D design figure specimen is transformed to a Dental CAD data. It is observed that there is no error at Co-Cr sinter metal specimen which consider a length of single coping and bridge. Conclusion: It is observed that there is no deformation at a specimen of AS05 and AB05 are made of 0,5mm thickness. On the other hand, the out of range of deformation is observed at a specimen of AS10 and AB10 which are made of 1mm thickness.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.1
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• pp.97-106
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• 2021

Dental implants should be placed at ideal sites for implant-supported restorations. For a patient with insufficient residual ridge, mouth preparation including surgical intervention can be indicated to establish a soft and hard tissue environment favorable for a definitive prosthesis. Prosthodontic design based on computer-guided surgery and computer-aided design-computer-aided manufacturing (CAD-CAM) provides a visual blueprint allowing a clinician to assess the necessity of such a surgical intervention beforehand. In this case, a definitive restoration was planned and made via a CAD-CAM system according to the patient's oral status before treatment, simulated surgical interventions and serial provisional restorations. Based on the planning, a guided template was made and the implants were installed with bone augmentation using the template. Customized abutments, the first and the second provisional restorations were designed and fabricated by CAD-CAM. The definitive restorations were digitally made following the shape of the second provisional prostheses, which were confirmed in the patient's mouth. The patient was satisfied with the masticatory, phonetic and aesthetic functions of these definitive prostheses.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.1
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• pp.57-65
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• 2019

Computer aided design and manufacturing and implant surgery using a guide template improve restoration-driven implant treatment procedures. This case utilized those digital technologies to make definitive prostheses for a patient. According to the work flow of digital dentistry, cone beam computed tomography established the treatment plan, which was followed to make the guide template for implant placement. The template guided the implants to be installed as planned. The customized abutments and surveyed fixed restorations were digitally designed and made. The metal framework of the removable partial denture was cast from resin pattern using an additive manufacturing technique, and the artificial resin teeth were replaced with the zirconia onlays for occlusal stability. These full mouth rehabilitation procedures provided functionally and aesthetically satisfactory results for the patient.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2014.11a
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• pp.184-184
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• 2014

본 연구에서는 치과용 주조합금의 개발을 위하여 Ni-Cr 및 Ni-Cr-Ti합금을 소결체를 제조하고 기계적 특성 및 표면특성을 조사하였다. Ti원소가 첨가됨에 따라 결정조직의 결정립이 미세화하는 경향을 보였으며 조직이 다르게 나타났다. Ti 원소가 증가할수록 경도는 더욱 높게 나타났으며 Ti가 10 wt. %로 증가되었을 때 경도가 가장 높았다. 또한 압분체, 소결체, 벌크상태 순으로 경도가 증가하였다. 표면의 거칠기와 결합력에서도 Ti의 함유량이 증가함에 따라 개선되었다.

• Journal of Technologic Dentistry
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• v.40 no.3
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• pp.125-131
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• 2018

Purpose: Automatic dental prosthesis manufacturing process was accelerated by the spread of dental CAD / CAM system. The CAD / CAM system with milling alloys were needed supplement. So, sintered alloy blocks were introduced. In this study, we want to study sintered alloy block. And to evaluate the alloy block manufacture and alloy properties. Methods: The alloy powders were prepared by high pressure water dispersion method. The sintered alloy blocks were prepared by low temperature pressing method. Their components observation were EDX, and the alloy structure was observed by XRD. Results: Co-Cr alloy powders were observed to have a circle shape with an average diameter of about $100{\mu}m$ and a Ni-Cr alloy powder had a circle shape with an average diameter of about $50{\mu}m$. The Co-Cr alloy block is composed of Co (34.62 wt%), Cr (17.33 wt%), Mo (2.98 wt%), Si (0.36 wt%) and C (44.17 wt%). The Ni-Cr alloy powder was composed of Ni (40.29 wt%), Cr (19.37 wt%), Mo (3.53 wt%), Si (0.52 wt%) and C (33.18 wt%). The peak of the Co and CoCr peaks were observed in the CoCr alloy body by the means of XRD study. Cr2Ni3 of the peak was observed in the Ni-Cr alloy material. Conclusion : As a result, the following conclusions were obtained. 1. Prepared by high-pressure water-law Co-Cr alloy powder has an average diameter $100{\mu}m$, Ni-Cr alloy powder was found to have the form of sphere having an average diameter $50{\mu}m$. 2. Co-Cr alloy and Ni-Cr alloy block produced by low-temperature processing showed a certain ratio. 3. In the XRD study, Co phase appeared in Co-Cr alloy block after sintering. and Cr2Ni3 phase appeared in Ni-Cr alloy block after sintering.