• The Journal of Korean Academy of Prosthodontics
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• v.30 no.1
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• pp.73-83
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• 1992

Now composite resin restoration is clinically accepted in the repair of fractured PFM case, many mechanical surface treatment methods are performed to increase retentive force. The main purpose of this study was to compare the retentive force among the possible surface treatments and to insure the best method for the clinical application to the fractures porecelain and the exposed metal surface. To compare and to analyze the retentive force of repair resin, porcelain specimen were divided into 2 groups, etching group and non-etching group, and etching group were treated with 37% $H_3PO_4$, 1.23% APF, 10% HF and non-etching groups were treated with diamond bur, micro-sandblasasting. Also, metal specimens were divided by 2 groups : one was non-precious metal group which was treated with diamond bur, micro-sandblasting and tin plating and electrolytic etching, the other was precious metal group which was composed of micro-sandblasting treatment only and tin plating treatment with micro-sandblasting. Each specimen had been restored for 48 hours and the bond strength of each specimen was calculated with Universal testing machine. The results were as follows : 1. Porcelain specimen had higher bonding strength than metal specimen for the repair resin(P<0.01). 2. In porcelain specimen, 10% HF etching group had the highest bonding strength among etching and non-etching group. 3. Metal specimen treated with micro-sandblasting had highest bonding strength among the non-sandblasting had hightest bonding strength among the non-precious group, tin plating group had higher bonding strength than micro-sandblasting group between the precious metal groups. 4. Bonding strength of tin plating was increased in precious metal group only.

• The Journal of Korean Academy of Prosthodontics
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• v.41 no.1
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• pp.48-60
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• 2003

The purpose of this study was to compare the fracture strength of the IPS Empress ceramic crown according to the occlusal depth (1.5mm, 2.0mm, 2.5mm) and axial inclination ($4^{\circ},\;8^{\circ},\;12^{\circ}$) of the lower First Molar. After 10 metal dies were made for each group, the IPS Empress ceramic crowns were fabricated and cemented with resin cement(Bistite resin cement, Tokuyama Soda Co. LTD., Japan). The cemented crowns were mounted on the testing jig with inclination of 30 degrees and the universal testing machine(Zwick Z020, Zwick, Germany)was used to measure the fracture strength. The results of this study were as follows : 1. The fracture strength of the ceramic crown with 2.5mm depth and $12^{\circ}$ inclination was the highest (1789 N). Crowns of 1.5mm depth and $4^{\circ}$ inclination had the lowest strength (1091 N). 2. There were no significant differences in the fracture strength by axial inclination of the same occlusal depth group. 3. Most fracture lines began at the loading area and extended through proximal surface perpendicular to the margin, irrespective of occlusal depth. Size of fragment was affected by the amount of occlusal reduction.

• The Journal of Korean Academy of Prosthodontics
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• v.50 no.3
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• pp.210-215
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• 2012

Some patients with generalized attrition and teeth discoloration may want their anterior teeth to be treated just for esthetic improvement. Ameologenesis imperfecta, however, should be considered for such patients prior to any treatment with thorough clinical and radiographic examination. If a patient is diagnosed with amelogenesis imperfecta, the treatment on anterior teeth just for esthetic purpose is not advisable. In this case, a young man with amelogenesis imperfecta was treated with metal-ceramic restorations. The patient had generalized attrition, teeth discoloration, crown fracture, and cross-bite on the left teeth. The ultimate objective of this treatment was to enhance esthetics and masticatory function. The cross-bite on the left anterior teeth was treated with restorations, whereas the reverse horizontal overlap was maintained on the posterior. The patient was satisfied with the result esthetically and functionally, and the third month recall examination revealed no pathologic changes associated with the treatment.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.1
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• pp.80-86
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• 2011

When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.110-115
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• 2003

Dens evaginatus is an anomalous tooth development arising during morphodifferentiation. It is most often reported in premolar, and familial occurrence has been reported. The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. Pathosis of the pulp can occur before complete root formation with cessation of root development. A rational and conservative approach to the management of dens evaginatus in vital teeth includes early diagnosis and treatment to prevent fracture or attrition of the tubercle. This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. When presented with a case of dens evaginatus in a nonvital tooth with incomplete root development, the treatment of choice has been extraction, apexification. We report two cases of dens evaginatus that appear in two sisters. In the elder, a periapical lesion on radiographs is shown, and it is treated by calcium hydroxide apexification. The other sister is early recognized of dens evaginatus, it is treated using glass ionomer cement reinforcing with sequential grinding.

• Journal of Korean society of Dental Hygiene
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• v.15 no.4
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• pp.661-669
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• 2015

Objectives: The purpose of the study is to investigate of visiting time and major cause of disease by operating time changes of a university dental emergency room. Methods: This study was a retrospect study carried out by reviewing 9,172 records visiting the university emergency room from January 1997 to December 2009. Data were analyzed by frequency test, chi-square test, and logistic regression using SAS version 9.3. Results: Twenty four hours emergency room had 19 percent more patients than those in daytime emergency room. Daytime emergency room had more male patients during spring(26.6%) and winter(20.2%) than female patients(p<0.05). Female patients exceeded male patients during summer(24.4%) and autumn(36.2%)(p<0.05). Twenty-four hours emergency room had the maximal patients in autumn and the minimal patients in winter(p<0.05). The most common injury in the daytime was tooth fracture from 0 to 19 years old(p<0.05). Tooth fracture, jaw fracture, and soft tissue injury were the most common injury in dental emergency room and majority of the patients were the male(p<0.05). Conclusions: Twenty-four hours dental emergency room had a variety of causes of dental emergency thant that in the daytime. Twenty four hours dental emergency room must be prepared for the dental emergency patients at any time provided with personnel and facilities.

• Journal of Technologic Dentistry
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• v.27 no.1
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• pp.89-95
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• 2005

In the manufacture of ceramo-metal crown, difference of fracture strength according to the metal depth has been known to be an important influence on enough intensity and internal stress to endure an occlusion-pressure as well as aesthetics of rehabilitating similar colour such as natural teeth. Depth of ceramic material could be determined by that of metal in three groups: first case of thin depth, second case of thick depth, and third case of constant depth. For the enhancement of the fracture strength between metal and ceramic materials and aesthetic satisfaction, a study on the bonding force, fracture strength, and aesthetics have been required more. In this study, therefore metal coping were made in three groups of A, B and C by using both ceramic powder of Norithe and metal of Columbium, which have been used primarily in the market. A group was made in $0.2mm\times10mm\times10mm$, B group was made in $0.4mm\times10mm\times10mm$, and, C group was made in $0.8mm\times10mm\times10mm$, respectively. The number of metal coping in each group was 10, and total sample numbers used in this study were 30 metal copings. After these metal coping tissue were in the process of build-up in 1.5mm constant depth of porcelain, firing, and glazing, the fracture strength about each metal coping tissue was investigated using oil press. It was found that the average values of durable occlusion pressure for separation of ceramic material in the porcelain fused to metal crown (PFM) in the each group showed the increasing order of A group (30 bar), B group (42 bar), and C group (44 bar), respectively. Proper depth of metal coping in the PFM was considered to be 0.4mm in the B group because this metal size showed higher durable property to the occlusion pressure and better coupling strength in the ceramo-metal crown.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.79-86
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• 2008

The purpose of this study was to investigate the effect retention element formed by metal surface treatment method on the bond strength of indirect composite resin and metal. The metal specimens were cast from Ni-Cr alloy($Rexillium^{(R)}$ III). They were divided into 5 groups by applied retention element: $50{\mu}m$ aluminium oxide sandblasting group, $250{\mu}m$ aluminium oxide sandblasting group, 0.2mm retention crystal group, 10% $H_{2}SO_{4}$ solution etching group, $110{\mu}m$ $Rocatec^{TM}$ Plus system group. Total 50 metal specimens were veneered with Sinfony indirect composite resin system. Specimens were tested for shear bond strength on an Instron universal testing machine and fracture mode of fractured specimens were analyzed by SEM and EDS. 1. 0.2 mm retention crystals were most effective in improving the resin-metal shear bond strength (p<0.05). 2. Sandblasting by $250{\mu}m$ aluminium oxide were more effective than sandblasting by $50{\mu}m$ aluminium oxide in improving the resin-metal shear bond strength(p<0.05). 3. Fracture mode of resin-metal fractured surface were cohesive failure mode in 0.2mm retention crystal, mixed failure mode in sandblasted specimens, etched specimens and the specimens sandblasted with $110{\mu}m$ $Rocatec^{TM}$ Plus system.

• Journal of Technologic Dentistry
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• v.29 no.2
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• pp.173-180
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• 2007

There was a great problem about the deposition between materials of a different kind at the beginnings of the introduction of porcelains, however, thereafter the deposition efficiency was settlded to the sufficient level of all user thanks to effort to have studied by many scholars and clinical authorities. But in a clinical process, as the difference of designs has an effect on fractures of porcelains, this researcher divided them into 4 groups of A: 1 mm, B: 2 mm, C: 3 mm, and D: 4 mm, and made 40 pieces to each 10 as the test samples to consider a length axis of tooth for studies in accordance with a position of a finishing line to meet between porcelain and metal at the contact point at the adjacent side to a metal porcelain. The sample materials are those to be use at the open market and the test samples wer completed by the same manufacturing technique to that of existent metal porcelain tube. s a result of the strength test on fractures, the average value is as in the following, A: 1 mm - 8.5bar, B: 2 mm - 10.5bar, C: 3 mm - 14.3bar, and D: 4 mm - 15.0bar. In case of the metal porcelain tube, the more faraway to process parts of metal and porcelain from the contact point of adjacent side has the stronger strength of fractures, Accordingly, the research shows that it had better to keep off more than 3 to consider a ledngth axis of tooth.

• The Journal of Korean Academy of Prosthodontics
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• v.29 no.2
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• pp.117-127
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• 1991

The purpose of this study was to evaluate the effect of surface treatment of fractured metal-ceramic crown on bond strength of porcelain repair resin. The specimens were divided into two groups for metal specimens add five groups for porcelain specimens by surface treatment methods. the metal specimens were treated by 2 methods. : micro-sandblasting with $50{\mu}m$ aluminum oxide and grinding with diamond bur. The porcelain specimens were treated by 5 methods : micro-sandblasting with $50{\mu}m$ aluminum oxide, grinding with diamond bur, etching with porcelain etching agent, combination of micro-sandblasting and etching procedure, and combination of grinding and etching procedure. After surface treatment, each specimen was bonded with composite resin and the bond strength was measured and the surface texture was observed by scanning electromicroscope(SEM). The results were as follows : 1. There was significant difference in shear bond strength between metal specimen and prorcelain specimen. 2. Bood strength of metal specimens treated with diamond bur was higher than that treated with $50{\mu}m$ aluminum oxide sandblasting. 3. Bond strength of porcelain specimen treated with diamond bur was higher than that treated with $50{\mu}m$ aluminum oxide sandblasting and porcelain etching agent. 4. There was no significant difference in shear bond strength between the group treated with diamond bur and combined treatment groups respectively. 5. The large undercuts were observed in group treated with diamond bur by SEM.