• 대한치과보철학회지
• /
• 제49권2호
• /
• pp.101-105
• /
• 2011

연구 목적: 본 연구에서는CAD/CAM (computer-aided design / computer-aided manufacturing) 시스템으로 제작된LAVA (3M ESPE, Seefeld, Germany) 3-unit bridge와 통상적인 방법으로 제작된 PFG 3-unit bridge의 변연 적합도를 비교 분석해 보고자 한다. 연구 재료 및 방법: 레진치를 전부 도재관을 위한 삭제를 시행하고 인상 채득하여 레진 모형 (Exakto-form model resin, Bredent, Senden, Germany)을군당10개씩 제작하였다. 레진 모형의 인상을 채득하여 석고 모형을 제작하고 PFG, LAVA 3-unit bridge를 10개씩 제작하였다. 제작된 bridge를 레진 모형에 접착하고 실체 현미경(Stereoscopic microscope, Nikon DS-Fi 1, Nikon, Japan)을 사용하여 각 치아당 4점에서 변연 적합도를 측정하였다 (${\times}75$). 측정된 결과는 independent t-test로 통계 분석하였다 (${\alpha}$ = 0.05). 결과: 각 군에서 변연 적합도의 평균과 표준편차는 PFG bridge 중절치에서는 $97.1{\pm}18.7\;{\mu}m$, 견치에서는 $76.6{\pm}21.8\;{\mu}m$, LAVA bridge 중절치에서는 $90.4{\pm}26.7\;{\mu}m$, 견치에서는$110.2{\pm}30.2\;{\mu}m$ 이었다. PFG 3-unit bridge와LAVA 3-unit bridge에서 중절치에서는 통계적 유의성이 없었고, 견치에서는LAVA의 변연 간격이 큰 것으로 나타났다 (P<.05). 결론: PFG 3-unit bridge와 LAVA 3-unit bridge 두 군 모두 임상적으로 받아들여질 만한 변연 적합도를 보였다.

• 대한치과기공학회지
• /
• 제38권2호
• /
• pp.63-68
• /
• 2016

Purpose: The purpose of this study was to assess the internal fitness of the PMMA 3-unit bridge that was fabricated with 5-axis milling machine and to verify the clinically allowable values. Methods: For fabrication of the crown bridge in this study, 25-27 abutment teeth were used. The prepare abutment teeth were scanned with a scanner and 3-unit bridge was designed by using design software. Upon the completion of the design, the 3-unit bridge was fabricated by using a PMMA block with 5-axis milling machine. The internal surface of the fabricated 3-unit bridge was scanned by using a scanner and the difference between the 3-unit bridge and the abutment teeth was assessed by merging them together. Results: $RMS{\pm}SD$ values for PRE group, MOL group, and BRI group were $51.2{\pm}18.2$, $44.8{\pm}10.0$, and $52.1{\pm}8.3{\mu}m$, respectively. The mean of the PRE group was bigger than that of the MOL and BRI group; however, statistically significant difference was not found (p>0.05). Conclusion: The PMMA 3-unit bridge that was fabricated with 5-axis milling machine presented stable internal values for each crown and overall internal values were within the range of clinically allowable values.

• The Journal of Advanced Prosthodontics
• /
• 제6권4호
• /
• pp.253-258
• /
• 2014

PURPOSE. To compare marginal and internal gaps of zirconia substructure of single crowns with those of three-unit fixed dental prostheses. MATERIALS AND METHODS. Standardized Co-Cr alloy simulated second premolar and second molar abutments were fabricated and subsequently duplicated into type-III dental stone for working casts. After that, all zirconia substructures were made using $Lava^{TM}$ system. Marginal and internal gaps were measured in 2 planes (mesial-distal plane and buccal-palatal plane) at 5 locations: marginal opening (MO), chamfer area (CA), axial wall (AW), cusp tip (CT) and mid-occlusal (OA) using Replica technique. RESULTS. There were significant differences between gaps at all locations. The $mean{\pm}SD$ of marginal gap in premolar was $43.6{\pm}0.4{\mu}m$ and $46.5{\pm}0.5{\mu}m$ for single crown and 3-unit bridge substructure respectively. For molar substructure the $mean{\pm}SD$ of marginal gap was $48.5{\pm}0.4{\mu}m$ and $52.6{\pm}0.4{\mu}m$ for single crown and 3-unit bridge respectively. The largest gaps were found at the occlusal area, which was $150.5{\pm}0.5{\mu}m$ and $154.5{\pm}0.4{\mu}m$ for single and 3-unit bridge premolar substructures respectively and $146.5{\pm}0.4{\mu}m$ and $211.5{\pm}0.4{\mu}m$ for single and 3-unit bridge molar substructure respectively. CONCLUSION. Independent-samples t-test showed significant differences of gap in zirconia substructure between single crowns and three-unit bridge (P<.001). Therefore, the span length has the effect on the fit of zirconia substructure that is fabricated using CAD/CAM technique especially at the occlusal area.

• 한국콘텐츠학회논문지
• /
• 제13권11호
• /
• pp.800-806
• /
• 2013

본 연구의 목적은 CAD/CAM 시스템을 이용하여 지르코니아 코어를 제작한 다음 span의 길이가 변연 적합도에 미치는 영향과, 변연 간격이 임상적으로 허용 가능한 범위 내에 있는지를 평가하였다. 실험군은 지르코니아 single crown, 2-unit bridge, 3-unit bridge, 4-unit bridge의 4그룹으로 나누고 각 그룹별로 10개씩 코어를 제작하였다. 평균 변연 간격은 single $42.95{\pm}6.93{\mu}m$, 2-unit $43.53{\pm}5.27{\mu}m$, 3-unit $53.43{\pm}13.38{\mu}m$, 4-unit $50.85{\pm}8.25{\mu}m$으로 나타났다. 근심면, 원심면에서는 single, 2-unit 그룹과 3-unit, 4-unit 그룹 간 span의 길이 요인에 따라 통계학적으로 유의한 차이가 있는 것으로 나타났다(p<.05). 협면, 설면에서는 모든 그룹에서 span의 길이 요인에 따라 통계학적으로 유의한 차이가 없었다(p>.05). 이러한 결과는 지르코니아 코어의 span 길이가 변연 적합도에 영향을 주었고, 변연간격은 모든 그룹에서 임상적 허용 범위 내에 존재 하였다.

• 복합신소재구조학회 논문집
• /
• 제6권4호
• /
• pp.24-29
• /
• 2015

Bridge construction cost estimates have generally been conducted by using historial unit-price(per meter or square meter). The traditional estimating method based on unit-price references can never completely reflect the specialty of cable supported bridge. In this paper, we have developed the system for supporting the approximate construction cost and the quantity estimation based on 3D model information in the pre-project planning phase of 3-span continuous suspension bridge with 2-pylons. First of all, we'd analyzed the design information (such as structural design report, blueprint and quantity) and the real cost data from the existing suspension bridges and derived the design variables of the bridges. We developed the BIM wizard that generates a suspension bridge model parametrically based on derived design variables. The principle material quantities of suspension bridge are calculated directly from 3-dimensional bridge model built by using the BIM wizard. We have established the system that the construction cost can be estimated more specific than the traditional estimating method.

• 대한치과보철학회지
• /
• 제38권3호
• /
• pp.283-290
• /
• 2000

State ment of Problems. Although some clinicians report long-term success with fixed partial denture (FPD) that contain cantilever pontic, the use of cantilever FPDs may be hazardous because of unfavorable leverages during mastication. Purpose of Study. This study aims to compare the stress induced in the periodontium with normal and reduced bone support, and to analyze the stress distribution patterns of anterior cantilevered FPDs using the finite element method. Results. Cantilever bridge with a reduced bone level generated the highest peak stresses in the periodontium. In the models of reduced bone support, a cantilever bridge exhibited the great-est mobility and a 3-unit fixed restorations induced the smallest mobility of canine. The highest peak stress level of a 3-unit bridge in the periodontium is similar to the unrestored situation. But stress distribution in the bone is modified. Conclusion. In reduced bone support, a cantilever bridge exhibited the greatest mobility and stress.

• 대한치과기공학회지
• /
• 제6권1호
• /
• pp.11-14
• /
• 1984

The auther performed this experimental study on cervical margin distortion in preheating method during soldering. 1. In soldering methods, the method using the furnace has less distortion than the method using open-flame and longer the bridge spon, the larger the distortions. 2. Table Ⅰ Showed that buccal margin, lingual margin, mesial margin and distal margin had respectively 0.01mm, 0.02mm, 0.03mm, 0.03mm closer adaptation in 3 unit bridge than in 5 unit bridges. 3. Table II showed that buccal margin, lingual margin, mesial margin and distal margin had respectively 0.06mm, 0.07mm, 0.11mm, 0.05mm closer adaptation in 3 unit bridge than in 5 unit bridges.

• 대한심미치과학회지
• /
• 제5권1호
• /
• pp.34-43
• /
• 1996

In nowdays many dental CAD/CAM system were developed. Among those only Cerec and Celay were used globally as clinical application. Celay is a machinable ceramic system that is capable of milling inlays, onlays, and veneers from prefabricated industrial ceramic blocks(Vita Celay Blanks). The advatages of Celay are to simplify the manufactures and to save the processing time. For esthetics In-Ceram Alumina bridges were introduced into maxillary anterior restoration. They have a high strength, a high translucency and an excellent marginal adapation. But the laboratory processes are very difficult and complicated. So the construction of In-Ceram Alumina bridge combined with celay system was desgined. The patient is a 28 year old age male. The chief complain is missing of maxillary left central incisor. He wants to restore anterior bridge for esthetically. The Alumina bridge framework was constructed easily by celay system. Glass ilfiltration was occurred. After that, vitadura-${\alpha}$porcelain build up was occurred by conventional method. The translucency of In-Ceram Alumina 3 unit bridge revealed to be superior to that of porcelain fused to metal bridge. So we report it with clincal case and literature reviews.

• 대한치과보철학회지
• /
• 제43권2호
• /
• pp.176-190
• /
• 2005

Statement of problem. The current trend in prosthodontics is the adoption of a conservative approach to preparing dental prostheses by minimizing the amount of sound tooth structure removal during preparation. Purpose. The major disadvantage of the adhesion bridge is the inherently poor resistance to dislodgement that its use in areas subjected to high occlusal load is limited. The purpose of this study was to compare the dislodgement resistance of $Bio-pin^{(R)}$, conventional 3-unit and adhesion bridges. Material and methods. The experimental groups were classified as follows : Group I : 3-unit bridge cemented using $Super-Bond^{(R)}$ C&B Group II : Adhesion bridge cemented using $Super-Bond^{(R)}$ C&B Group III : $Bio-pin^{(R)}$ design adhesion bridge without incorporation of $Bio-pin^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Group IV-1 : $Bio-pin^{(R)}$ retained adhesion bridge incorporating a single $Bio-pin^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Group IV-2 : $Bio-pin^{(R)}$ retained adhesion bridge incorporating a single $Bio-pin^{(R)}$ (cemented using $Panavia^{(R)}$ F) Group V : $Bio-pin^{(R)}$ retained adhesion bridge incorporating two $Bio-pins^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Results. The results of this study were as follows : 1. Significant differences in dislodgement resistance of the restorations were found between Group I, Group II and Group III (p<0.05). No significant differences in dislodgement resistance of the restorations were observed between Group I Group IV-1 and Group V. However, there were significant differences in dislodgement resistance between Group II and the other groups (p<0.05). 2. No significant differences in dislodgement resistance of the restorations were observed between GroupIV-1 and GroupIV-2, both of which utilized a single $Bio-pin^{(R)}$. However, significant differences were observed when Group III was compared to either GroupIV-1 or Group V (p<0.05). 3. No significant differences in dislodgement resistance relative to the type of dental cements used were found. Conclusion. From the above results, it is concluded that the dislodgement resistance of $Bio-pin^{(R)}$ bridge restorations utilizing a single $Bio-pin^{(R)}$ is similar to that of a conventional 3-unit bridge. The results also suggest that $Bio-pin^{(R)}$ bridge restorations using a single $Bio-pin^{(R)}$ are a viable alternative to the conventional 3-unit bridge when minimal removal of sound tooth structure and fulfillment of both function and esthetic aspects are considered.

• 대한치과보철학회지
• /
• 제35권3호
• /
• pp.544-556
• /
• 1997

All ceramic restorations except In-Ceram Alumina system gave a good esthetics and an exellent marginal fidelity. The flexural strength of them had about 150MPa, so the indication is only single crown. By using In-ceram Alumina System(450Mpa), it is thought to be possible to construct bridge for its high flexural strength. But the prognosis is unclear, The purposes of this study are to clear short term prognosis of In-Ceram bridge restorations, to elucidate its clinical significance. Among 22 In-Ceram Bridge restored in our department, 11 In-Ceram bridges with follow up were used. The period of placement is from 1 to 18 months. The results were as follows : 1. Among follow up 11 bridges, 2 bridges were fractured. One is 4 unit in maxillary lateral incisors, the other is 3 unit bridge in maxillary canine and premolar. Including 11 bridge without follow up, failure rate is very low(2/22). 2. The fracture sites are connector areas between abutment and pontic. To maintain In-Ceram bridge for long term period, it is needed to remove the nonphysiologic occlusal force and to have sufficient thickness of alumina core. For estabilishing clinical use of In-Ceram bridges, it is thought to need clinical research during long term period.