• 한국치위생학회지
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• 제13권2호
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• pp.361-368
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• 2013

Objectives : The purpose of this in vitro study was to evaluate the effect of firing cycles on the marginal and internal fit of metal ceramic crown. Methods : Ten same cases of stone models (abutment teeth 11) were manufactured. Ten cobalt-chrome cores were made per each models and the marginal and internal fit was evaluated through a silicone replica technique. The marginal and internal fit of specimens was measured twice. The first measurement was done after manufacturing cobalt-chrome alloy core and the second measurement was done after porcelain firing. T-test of paired sample for statistical analysis was executed with SPSS 12.0K for Windows (${\alpha}$=0.05). Results : Mean(SD) marginal and internal fit were 77.1(23.3) ${\mu}m$ for the cobalt-chrome alloy core group and 84.4(21.9) ${\mu}m$ for the metal-ceramic crown group. They were statistically significant differences between groups for marginal and internal fit (p<.05). Conclusions : All metal ceramic crowns showed marginal and internal fit ranged within the current clinical recommendations.

• 대한치과보철학회지
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• 제35권4호
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• pp.742-766
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• 1997

The purpose of this study was to determine the effect of finish line design, amount of incisal reduction, and loading condition on the stress distribution in anterior all-ceramic crowns. Three-dimensional finite element models of an incisor all-ceramic crown with 3 different finish line designs : 1) shoulder with sharp line angle 2) shoulder with rounded line angle 3) chamfer : and 2 different incisal reductions : 2mm and 4mm were developed. 300 N force with the direction of 45 degree to the long axis of the tooth was applied at 3 different positions : A) incisal 1/3, B) incisal edge, C) cervical 1/5. Stresses developed in ceramic and cement were analyzed using three-dimensional finite element method. The results were as follows : 1. Stresses were concentrated in the margin region, which were primarily compressive in the labial and tensile in the lingual. 2. Stresses were larger in the area near line angle than on the crown surface of the margin region. In case of shoulder with sharp line angle, stresses were highly concentrated in the porcelain near line angle. 3. At the interface between porcelain and cement and at the porcelain above the margin on crown surface, stresses were the highest in chamfer, and decreased in shoulder with sharp line angle and shoulder with rounded line angle, respectively. 4. At the interface between cement and abutment on crown surface, stresses were the highest in shoulder with sharp line angle, and decreased in shoulder with rounded line angle and chamfer, respectively. 5. The amount of incisal reduction had little influence on the stress distribution in all-ceramic crowns. 6. When load was applied at the incisal edge, higher stresses were developed in the margin region and the incisal edge than under the other loading conditions. 7. When load was applied at the cervical 1/5, stresses were very low as a whole.

• 대한치과보철학회지
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• 제38권6호
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• pp.800-805
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• 2000

In an effort to facilitate fabrication procedure of all ceramic crowns, a novel preparation method for all ceramic crown using alumina tape was developed. The alumina tape having a uniform thickness was cast by using Doctor blade method. The physical properties of newly introduced alumina tape has biaxial flexure strength of $500\sim600MPa$. The value of toughness is $3.18\sim3,28MPa.m^{1/2}$ which corelates with fracture and the linear shrinkage rate of the alumina tape is 0.44% during core production. The marginal fitness of the alumina tape all-ceramic restoration with $90{!`}$shoulder margin had average marginal discrepancy at $78.3{\S}$ > and average marginal gap at $44.4{\S}$ >. At the marginal preparation of $135{!`}$deep chamfer, the average marginal discrepancy at $82.1{\S}$ > and the average marginal gap at $40.2{\S}$ > had been reported. This fabrication procedure of all ceramic crowns with alumina tapes is easier and less technical sensitive for dental technicians. After restoration with new all ceramic crowns we followed the patients 2 years later, there were no complications as porcelain fractures or periodontal disease. We had good esthetic clinical results with new all ceramic crowns.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.179-186
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• 2013

PURPOSE. One of the most important factors in evaluating the quality of fixed dental prostheses (FDPs) is their gap. The purpose of this study was to compare the marginal and internal gap of two different metal-ceramic crowns, casting and selective laser sintering (SLS), before and after porcelain firing. Furthermore, this study evaluated whether metal-ceramic crowns made using the SLS have the same clinical acceptability as crowns made by the traditional casting. MATERIALS AND METHODS. The 10 study models were produced using stone. The 20 specimens were produced using the casting and the SLS methods; 10 samples were made in each group. After the core gap measurements, 10 metal-ceramic crowns in each group were finished using the conventional technique of firing porcelain. The gap of the metal-ceramic crowns was measured. The marginal and internal gaps were measured by two-dimensional and three-dimensional replica techniques, respectively. The Wilcoxon signed-rank test, the Wilcoxon rank-sum test and nonparametric ANCOVA were used for statistical analysis (${\alpha}$=.05). RESULTS. In both groups, the gap increased after completion of the metal-ceramic crown compared to the core. In all measured areas, the gap of the metal cores and metal-ceramic crowns produced by the SLS was greater than that of the metal cores and metal-ceramic crowns produced using the casting. Statistically significant differences were found between cast and SLS (metal cores and metal-ceramic crown). CONCLUSION. Although the gap of the FDPs produced by the SLS was greater than that of the FDPs produced by the conventional casting in all measured areas, none exceeded the clinically acceptable range.

• 대한치과보철학회지
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• 제38권6호
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• pp.806-813
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• 2000

Statement of problems. There are only a few studies available that deal with the clinical behavior of ceromer systems as potential substitutes for metal-ceramic crowns. Purpose. This prospective study was initiated to evaluate the clinical performance of 35 Sculpture crowns after 2 years in service. Material and methods. Thirty five Sculpture crowns were placed for 20 patients (7 men and 13 women). All patients were treated by the same dentist, and all restorations were fabricated by the same dental laboratory. Crown placement involved both the anterior and posterior regions of the dental arches. Patients were evaluated by two examiner at baseline, 12, and 24 months using the CDA quality assessment system in addition to periodontal criteria. Results. Of 34 crowns remaining in the study after 2 years, only one crown had experienced a marginal fracture. The crown was replaced as a result of recurrent caries. All remaining crowns were ranked as either excellent or acceptable for surface and color, anatomic form, and marginal integrity. Conclusion. The 2-year clinical observations and ranking with the CDA quality assessment criteria supported the conclusion that Sculpture crowns may be used in substitutes for metal-ceramic crowns.

• 대한치과보철학회지
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• 제39권3호
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• pp.260-272
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• 2001

All-ceramic restorations have had a more limited life expectancy than metal ceramic restorations because of their low strength. Their relatively lower strength and resistance to fracture have restricted the use of all-ceramic crowns to anterior applications where occlusal loads are lower. But there has been increasing interest in all-ceramic restorations because patients are primarily concerned with improved esthetics. Many efforts have been made to in prove the mechanical properties of dental ceramics. This study was designed to elucidate the influence of the luting agent on the strength of the Empress 2 crown (staining technique) cemented on human teeth. Seventy extracted human permanent molar teeth were chosen. Teeth were prepared for Empress 2 crowns with milling machine on a surveyor. A dental bur was placed in the mandrel that was positioned so that the long axis of the bur was perpendicular to the surveyor base. Dimensions of the Empress 2 crown preparation were $6^{\circ}$ taper on each side, $1.5{\pm}0.1mm$ shoulder margin, and 4mm crown height. The luting cements used in this study were as follow: 1. Uncemented 2. Zinc phosphate cements (Confi-Dental) 3. Conventional glass ionomer cement : Fuji 1 (GC) 4. Resin-modified glass ionomer cements : Fuji plus (GC) 5. Adhesive cements : Panavia F (Kuralay), Variolink II (Vivadent), Choice (Bisco). Fracture test using Instron. The crowns were loaded in compressive force to evaluate the effect of these cements on the breaking strength of these all-ceramic crowns. A steel ball with a diameter of 4mm was placed on the occlusal surface and load was applied to the steel ball by a cylindrical bolt with a crosshead speed of 0.5mm per minute until fracture occurred. The fractured surface was examined using Scanning Electron Microscopic Image (SEM) to discover the correlation between fracture strength and bonding capacity. Within the limitation of this in vitro study design, the results were as follows : 1. fomentations significantly increased the fracture resistance of Empress ceramic crowns compared to control. Uncemented (206.9 N): ZPC (812.9 N): Fuji 1 (879.5 N): Fuji Plus (937.7 N): Choice (1105.4 N): Variolink II (1221.1 N): Panavia F (1445.2 N). 2. Resin luting agent, treated by a silane bond enhancing agents, yielded a significant increase in fracture resistance. In some of the Panavia F group, a fracture extended into dentin. 3. According to SEM images of fractured Empress crowns, the stronger the bond at both interfaces(crown and die), the more fracture strength was acquired.

• The Journal of Advanced Prosthodontics
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• 제7권2호
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• pp.146-150
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• 2015

PURPOSE. This in vitro study aimed to compare the failure load and failure characteristics of two different zirconia framework designs of premolar crowns when subjected to static loading. MATERIALS AND METHODS. Two types of zirconia frameworks, conventional 0.5 mm even thickness framework design (EV) and 0.8 mm cutback of full contour crown anatomy design (CB), were made for 10 samples each. The veneer porcelain was added on under polycarbonate shell crown made by vacuum of full contour crown to obtain the same total thickness of the experiment crowns. The crowns were cemented onto the Cobalt-Chromium die. The dies were tilted 45 degrees from the vertical plane to obtain the shear force to the cusp when loading. All crowns were loaded at the lingual incline of the buccal cusp until fracture using a universal testing machine with cross-head speed 0.5 mm/min. The load to fracture values (N) was recorded and statistically analyzed by independent sample t-test. RESULTS. The mean and standard deviations of the failure load were $1,170.1{\pm}90.9$ N for EV design and $1,450.4{\pm}175.7$ N for CB design. A significant difference in the compressive failure load was found (P<.05). For the failure characteristic, the EV design was found only cohesive failures within veneering porcelain, while the CB design found more failures through the zirconia framework (8 from 10 samples). CONCLUSION. There was a significant difference in the failure load between two designs, and the design of the framework influences failure characteristic of zirconia crown.

• 한국세라믹학회지
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• 제36권10호
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• pp.1123-1131
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• 1999

Alumina-glass composites which are considered as the material of the choice for all dental crown was prepared by aqeous-based tape casting and sintering for 2h at 1120$^{\circ}C$ followed by glass infiltration for 2h at 1100$^{\circ}C$ Biaxial strength and fracture toughness of the composites were evaluated to determine the optimum composition of the tape as a function of the amount of constituent such as alumina binder and plasticizer. The strength and the fracture toughness of the alumina tape increased with increasing the contents of alumina and binder. These observations are consistent with in fluence of the constituents on mean alumuna particle distance in tapes suggesting that high strength of the glass infiltrated alumina composites is related to toughening by crack bowing. The biaxial strength and the fracture toughness of the composite containing the optimum constituent composition were 523 MPa and 3.3 MPa$.$1/2 respectively.

• 대한치과보철학회지
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• 제52권2호
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• pp.90-96
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• 2014

연구 목적: 이 연구의 목적은 열가압성형기법이 금속도재관의 치경부 변연적합도에 미치는 영향을 확인하는 것이다. 연구 재료 및 방법: 실험에 앞서, 4개의 금속 주모형을 형성하였다. 각 모형은 각각chamfer, heavy chamfer, shoulder with bevel, shoulder (collarless)변연을 형성하였다. 각 변연당 10개씩의 금관을 제작하여, 총 40개를 제작하였다. Coping 단계에서, 그리고 금속도재관 완성 단계에서 주모형과 금관 사이의 변연간극은 100배율의 광학현미경 관찰을 통하여 측정되었다. Data분석은 paired t-test along with one-way ANOVA와 Duncan multiple comparison test를 이용하여 이루어졌다. 결과: 변연간극의 평균과 표준편차를 분석한 결과, 금속 코핑과 그 후 완성된 금속도재관, 모든 경우에서 변연부 간격은 임상적 허용범위 안에 있었다. Chamfer 변연 실험군의 경우 Heavy chamfer 변연 실험군에 비하여 금속도재관 완성 후 변연부 간격의 유의한 증가가 있었다. 그리고Shoulder 변연 실험군에서 도재로 처리된 변연이 Chamfer와 Shoulder변연 실험군의 금속변연에 비하여 변연부 간격이 유의하게 작게 나타났다. 결론: 열가압성형기법을 통하여 제작한 금속도재수복물의 변연적합도는 전통적인 방법으로 제작한 금속도재수복물의 변연적합도와 유의한 차이점이 없었다. 제작과정의 효율성으로, 열가압성형기법은 임상에서의 효과적인 사용법으로 고려될 수 있다.

• 대한치과보철학회지
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• 제35권4호
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• pp.781-792
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• 1997

This study was peformed to evaluate the dynamic fatigue characteristics of the dental ceramics for all-ceramic crown. A feldspathic porcelain of VMK68. glass ceramic of IPS-Empress, and glass infiltrated alumina ceramic of In-Ceram were used. Disc specimens were prepared to the final dimensions of 12 mm in diameter and 1 mm in thickness. The biaxial flexure test was conducted using a ball-on-three-ball method. 240 specimens were tested in $37^{\circ}C$ water by testing 20 samples at each of four loading rates:0.05, 0.2, 1, and 5mm/min. 60 specimens were tested in a moisture-free environment by testing 20 samples at 5mm/min. The inert strength of VMK68 was 80.25MPa, and the fatigue parameters were n=29.1, ${\sigma}_{fo}=52.90MPa$. The inert strength of IPS-Empress was 104.76MPa, and the fatigue parameters were n=32.46, ${\sigma}_{fo}=67.52MPa$. The inert strength of In-Ceram was 429.33MPa, and the fatigue parameters were n=31.46, ${\sigma}_{fo}=258.36MPa$. 10-year failure stresses of VMK68, IPS-Empress, and In-Ceram were 20.3MPa, 24.8MPa, and 93.6MPa, respectively. Failure strength and fatigue life showed the highest value in In-Ceram, and then, IPS-Empress and VMK68.