• The Journal of Korean Academy of Prosthodontics
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• v.38 no.5
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• pp.606-617
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• 2000

The purpose of this study was to measure the marginal fidelities and the fracture strength of IPS Empress $2^{(R)}\;and\;In-Ceram^{(R)}$ ceramic crowns. After constructed of 12 experimental dies for each group, ceramic crowns were fabricated on the metal master dies prepared on the maxillary right premolar Marginal gaps were measured on the specimen between the margin of each crown and finish-ing line of the metal master die by using stereo-microscope($SZ-ST^{(R)}$ Olympus, Japan) and all specimens were cemented on the metal master die with Bistite $II^{(R)}$ (Tokuyama soda Co, LTD., Japan) resin cement. Finally marginal gaps were measured again. To measure of the fracture strength, buccal incline on the functional cusp of specimens were loaded until the catastrophic failure occurred by using the AGS-1000 $D^{(R)}$(Shimadzu, Japan). The result of marginal fidelities and fracture strength were statistically analyzed with the SPSS version 8.0 programs. The results of this study were as follows : 1. No significant difference was found in the mean marginal fidelities and fracture strength between the IPS Empress $2^{(R)}\;and\;In-Ceram^{(R)}$. 2. In comparison of marginal fidelities between before and after cementation, there was significant difference(P<0.05). The IPS Empress 2 system was shown in this study that had good marginal fidelities and fracture strength compared to In-Ceram ceramics. Although this system was acceptable to clinical applications, the system still has to be considered long-term researches about marginal fidelities and fracture strength due to the lack of data about the clinical researches.

• The Journal of Korean Academy of Prosthodontics
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• v.38 no.5
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• pp.640-649
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• 2000

In the restoration of endodontically treated teeth, carbon fiber post was recently introduced. The purpose of this in vitro study was to investigate the fracture strength of teeth restored with a pre-fabricated carbon fiber post in comparison with teeth restored with a prefabricated titanium post & custom cast gold post after cyclic loading in the different environment. A total of 30 recently extracted human central incisors of similar dimension with crowns removed were used. All teeth were placed into acrylic blocks and every steps for post and core fabrication were made accord-ing to manufacture's instruction. The post length and core dimensions were standardizd. All teeth were divided into 6 groups: 1) carbon fiber post / atmosphere, 2) titanium post / atmosphere, 3) gold post / atmosphere, 4) carbon fiber post / wet, 5) titanium post / wet, 6) gold post / wet. Carbon fiber post and titanium post were cemented in place using resin cement and cores were fabricated with Ti-Core. Custom cast gold post was made from Duralay pattern resin and cemented using resin cement, too. All specimens were thermocycled 10,000 times. After 50,000 cyclic loading, failure strength was measured using Instron testing machine. Kruskal-Wallis test followed by Mann-Whitney test was used to compare the mean fracture strength. Results were as follows : 1. All specimens showed lower fracture strength in wet environment after cyclic loading than in atmosphere condition, but did not reveal a significant difference. 2. There was no significant difference between carbon fiber post specimen and titanium post specimen in the same environment. 3. Gold cast post specimen showed significant different greater fracture strength than those of others in the same environment. 4. Carbon fiber post specimen showed no root fracture.

• The Journal of Korean Academy of Prosthodontics
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• v.55 no.2
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• pp.212-217
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• 2017

In case of the insufficient horizontal bone loss, a regular diameter implant is not possible without lateral bone augmentation. In this situation, narrow diameter implants (NDIs) could be the alternative to lateral bone augmentation procedures. However, complication generally expected with the NDI is implant fracture. Recently, the survival rate and success rate of NDI in the posterior region are similar to that of standard-diameter implants (SDIs). These 3 case reports demonstrate the incorporation of NDI to replace missing mandibular posterior teeth. So far, the follow-up examination period was maintained and no unusual complications were presented for more than four years. Long term follow-up clinical data are needed to confirm the excellent clinical performance of these implants.

• The Journal of Korean Academy of Prosthodontics
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• v.56 no.1
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• pp.56-63
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• 2018

Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.

• The Journal of Korean Academy of Prosthodontics
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• v.56 no.4
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• pp.384-390
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• 2018

Hybrid telescopic double crown have ever been good treatment option for patient with periodontally unfavorable few remaining teeth for successful prognosis. Tooth and implant combined telescopic double crown can be used for improving retention and support for denture with strategically placed implants on edentulous ridge. In this case, an 55-year-old female patient had chronic periodontitis with few remaining teeth on maxilla and fixed partial prosthodontics on mandible. Treatment of hybrid telescopic double crown with friction pin lasted 9.5 years only with natural teeth. After 9.5 years, additional implants was installed due to fracture of cast-posted abutment teeth. After implantation, tooth and implant combined double crown had fabricated. Through re-treatment, no complications of new denture has been found during 2 years follow up. This case presents fair prognosis of tooth and implant combined double crown denture in periodontally unfavorable condition.

• Journal of Dental Rehabilitation and Applied Science
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• v.20 no.1
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• pp.19-29
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• 2004

The purpose of this study was to compare the fracture strength of the IPS Empress ceramic crown according to the incisal reduction(2.0mm, 2.5mm, 3.0mm) and axial inclination ($4^{\circ}$, $8^{\circ}$, $12^{\circ}$) of the lower canine. After 10 metal dies were made for each group, the IPS Empress ceramic crowns were fabricated and each crown was cemented on each metal die with resin cement. The cemented crowns mounted on the testing jig were inclined 30 degrees and a universal testing machine was used to measure the fracture strength. The results of this study were as follows : 1. The fracture strength of the ceramic crown with 3.0mm depth and $12^{\circ}$ inclination was the highest(1377N). Crowns of 2.0mm depth and $4^{\circ}$ inclination had the lowest strength (731 N). 2. There were no significant differences of the fracture strength by axial inclination in same incisal reduction group. 3. The fracture mode of the crowns was similar. Most of fracture lines began at the loading area and extended through proximal surface perpendicular to the margin irrespective of incisal reduction.

• Journal of Dental Rehabilitation and Applied Science
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• v.36 no.2
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• pp.121-127
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• 2020

Prosthodontic decision and management should be considered the patient's aesthetic need for anterior teeth in maxillary edentulism. This case report describes 10-year clinical outcome of a maxillary edentulous patient was rehabilitated by means of an implant-supported fixed dental prosthesis (ISFDP) for the anterior region and a distal-extension removable partial denture (RPD) for the posterior region. The ISFDP was designed to splint 4 endosseous implants as one unit and engaged by the RPD. The edentulous mandible was restored by means of an implant-supported overdenture. Over the course, no major adverse event occurred other than wear, discoloration, and breakage of resin veneers and artificial teeth.

• Restorative Dentistry and Endodontics
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• v.9 no.1
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• pp.101-106
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• 1983

It was the purpose of this study to investigate the fracture mode of dental amalgam by observing the crack propagation, and to relate this to the microstructure of the amalgam. Caulk 20th Century Regular, Caulk Spherical, Dispersalloy, and Tytin amalgam alloys were used for this study. After each amalgam alloy and Hg measured exactly by the balance was triturated by the mechanical amalgamator (Capmaster, S.S. White), the triturated mass was inserted into the cylindrical metal mold which was 4 mm in diameter and 12 mm in height and was pressed by the Instron Universal Testing Machine at the speed of 1mm/min with 120Kg. The specimen removed from the mold was stored in the room temperature for a week. This specimen was polished with the emery papers from #100 to #200 and finally on the polishing cloth with 0.06${\mu}Al_2O_3$ powder suspended in water. The specimen was placed on the Instron testing machine in the method similar to the diametral tensile test and loaded at the crosshead speed of 0.05mm/min. The load was stopped short of fracture. The cracks on the polished surface of specimen was examined with scanning electron microscope (JSM-35) and analyzed by EPMA (Electron probe microanalyzer). The following results were obtained. 1. In low copper lathe-cut amalgam, the crack went through the voids and ${\gamma}_2$ phase, through the ${\gamma}_1$ phase around the ${\gamma}$ particles. 2. In low copper spherical amalgam, it was observed that the crack passed through the ${\gamma}_2$ and ${\gamma}_1$ phase, and through the boundary between the ${\gamma}_1$ and ${\gamma}$ phase. 3. In high copper dispersant (Dispersalloy) amalgam, the crack was found to propagate at the interface between the ${\gamma}_1$ matrix and reaction ring around the dispersant (Ag-Cu) particles, and to pass through the Ag-Sn particles. 4. In high copper single composition (Tytin) amalgam, the crack went through the ${\gamma}_1$ matrix between ${\eta}$ crystals, and through the unreacted alloy particle (core).

• The Journal of Korean Academy of Prosthodontics
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• v.35 no.1
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• pp.130-143
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• 1997

A heat-pressed technique(IPS-Empress, Ivoclar) has been described to construct single unit crown, inlay/onlay and veneers using a partially pre-cerammed and pre-colored glass-leucite ingot that has the greateast strength by the combination of heat-pressed procedure through the smalldiameter sprue and heat treatment procedure. The purpose of this study was to evaluate the flexure strength of a heat-pressed ceramic material(IPS-Empress) without simulated firing treatments according to pontic designs. Two groups of 9 disks(1.4mm thick, 14mm in diameter) each using two types of sprues with different diameters($({\Phi}2.8\;,{\Phi}1.8)$) and numbers were prepared. The specimens were mounted in the testing jig. The flexural strengths were determined, by means of the bi-axial bending test, by loading the center of disk to failure using a universal testing machine(Zwick 145141, Zwick, Germany) at a cross-head speed of 1.0 mm/min. The means flexural strength value of one group using a sprue with ${\Phi}2.8$ was $140.4{\pm}8.0Mpa$. That of the other group using two sprues with ${\Phi}1.8$ was $151.8{\pm}10.3Mpa$. After analysis, results showed that there was a statistical difference between groups(t=2.33m p<0.05). No clnical implications were drawn from these data because of absence of simulated firing treatment.

• Journal of Biomedical Engineering Research
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• v.19 no.5
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• pp.433-441
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• 1998

This study was performed to evaluate the effects of surface flaw on the fracture of all-ceramic materials. A feldspathic porce lain of VMK68, a cashable ceramic of IPS-Empress, and an alumina-glass composite of In-Ceram were used. Specimens were prepared as 12$\times$3$\times$1mm in dimensions, and a Vickers-produced indentation crack was made at the center of the tensile surface. Test specimens were immersed in dlstilled water and In oil, which were broken under a crosshead speed of 0.05 mm/min by 3-point bend test at 37$^{\circ}C$. The characteristic patterns of Vickers indentation and fracture surfaces were examined by an optical microscope and a scanning electron microscope. The fracture surfaces of the VMK68 and the IPS-Empress showed a median crack pattern at the fracture origin and indicated a tendency to cleavage hackle. The fracture surface of the alumina-glass composite, In-Ceram, showed a Palmqvist crack pattern at the fracture origin and indicated a tendency of toughening by the frictional Interlocking between the microstructurally rough fracture surfaces.