• Journal of dental hygiene science
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• v.13 no.2
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• pp.135-141
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• 2013

One factor for successful prognosis of finished dental prosthesis is good marginal fit. The purpose of this study in vitro investigation was to compare the marginal fit of all-ceramic crown before and after porcelain veneering, to evaluate the influence of high temperature of the porcelain firing on the fit. For this experiment, model of abutment tooth of maxillary right central incisor was prepared. Ten working models were produced. Ten zirconia cores were made by dental computer aided design/computer aided manufacturing system. The marginal fit of specimens were examined using silicone replica technique. Silicone replicas were sectioned four times and were measured through a digital microscope (${\times}160$). Marginal fit is a distance connected between edge end part of specimen and abutment margin. Each specimens was measured twice, the first measurement was done prior to veneering porcelain firing, while the second measurement was done after the porcelain firing to evaluate this process. Statistical analyses were performed with paired t-test. $Mean{\pm}SD$ marginal fit was $60.8{\pm}14.2{\mu}m$ for zirconia core and $86.1{\pm}13.3{\mu}m$ for all-ceramic crown. They were statistically significant differences (p<0.001). But all specimens showed a marginal fit where the gap widths ranged within the clinical recommendation ($120{\mu}m$), all-ceramic crown production using the zirconia core was adequate.

• Journal of Technologic Dentistry
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• v.42 no.4
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• pp.307-312
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• 2020

Application of ceramic materials for fabrication of dental restoration materials has been a focus of interest in the field of esthetic dentistry. The ceramic materials of choice are glass ceramics, spinel, alumina, and zirconia. The development of yttrium tetragonal zirconia polycrystal (YTZP)-based systems is a recent addition to all-ceramic systems that have high strength and are used for crowns and fixed partial dentures. Computer-aided design/computer-aided manufacturing (CAD/CAM)-produced, YTZP-based systems are popular with respect to their esthetic appeal for use in stress-bearing regions. The highly esthetic nature of zirconia and its superior physical properties and biocompatibility have enabled the development of restorative systems that meet the demands of today's patients. Many in vitro trials have been performed on the use of zirconia; however, relatively fewer long-term clinical studies have been published on this subject. The use of zirconia frameworks for long-span fixed partial dentures is currently being evaluated; in the future, more in vivo research and long-term clinical studies are required to provide scientific evidence for drawing solid guidelines. Further clinical and in vitro studies are required to obtain data regarding the long-term clinical use of zirconia-based restorations.

• The Journal of Korean Academy of Prosthodontics
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• v.55 no.4
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• pp.372-380
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• 2017

This study was conducted to compare the marginal and internal fit of all ceramic crown using the replica technique and the triple-scan protocol. Materials and methods: Twenty zirconia ceramic crowns were fabricated using titanium abutment model. All crowns were divided into two groups of 10 each, depending on the replica technique and the triple-scan protocol. The internal and marginal fit of 10 zirconia ceramic crowns were measured at 17 points for each specimen using the replica technique. The other 10 ceramic crowns were measured using the triple-scan protocol. Statistical analysis was performed by t-test (${\alpha}=.05$). Results: The mean and standard deviation of marginal and internal fit were significantly different between the replica technique ($49.86{\pm}29.69{\mu}m$) and triple-scan protocol ($75.35{\pm}64.73{\mu}m$, P<.001). The mean and standard deviation of internal fit except marginal fit were $58.38{\pm}31.77{\mu}m$ and $64.00{\pm}46.43{\mu}m$, respectively (P>.343). Conclusion: There was a statistically significant difference in the marginal fit measured by the two methods. However, there was no statistically significant difference in the internal fit between the two methods.

• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.1
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• pp.95-101
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• 2013

Recently, the demand for esthetic improvement by a treatment neither time consuming nor invasive is increasing. The patient wanted the maxillary anterior teeth appearance to be improved by prosthetic treatment, not other treatments such as orthodontic, periodontal, and endodontic treatments, despite the limit of esthetic improvement. In this case, among the recent variety of all ceramic systems for the aesthetic prosthetic restoration, we selected the zirconia-based system as a method of restoration in order to conceal the discoloration of teeth. The patient was satisfied with the esthetic results.

• Journal of Dental Rehabilitation and Applied Science
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• v.18 no.3
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• pp.205-215
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• 2002

This study investigated the compressive fracture strength of Targis ceromer crown by the difference of occlusal thickness on a maxillary first premolar. Control group was a castable IPS-Empress all-ceramic crown with occlusal thickness of 1.5 mm constructed by layered technique. Experimental groups were Targis crowns having different occlusal thicknesses of 1.0 mm, 1.5 mm, 2.0 mm, 2.5 mm, respectively. The classification of Targis group is T10, T15, T20, T25 and T15N (for no-thermocycling and occlusal thickness of 1.5mm). Ten samples were tested per each group. Except occlusal thickness, all dimension of metal die is same with axial inclination of $10^{\circ}$and marginal width 0.8mm chamfer. All crowns were cemented with Panavia F and thermocycled 1,000 times between $5^{\circ}$ and $55^{\circ}$ water bath with 10 sec dwelling time and 10 sec resting time. The compressive fracture strength was measured by universal testing machine. The results were as follows : 1. Fracture strength was increased as the occlusal thickness increased : compressive fracture strength of Group T10, T15, T20, T25 was $66.65{\pm}4.88kgf$, $75.04{\pm}3.01kgf$, $87.07{\pm}7.06kgf$ and $105.03{\pm}10.56kgf$, respectively. 2. When comparing material, Targis crown had higher fracture strength than IPS-Empress crown : the mean compressive strength of group T15 was $75.04{\pm}3.01kgf$ and the value of group Control was $37.66{\pm}4.28kgf$. 3. Fracture strength was decreased by thermocycling : the compressive fracture strength of T15 was $75.04{\pm}3.01kgf$, which is lower than $90.69{\pm}6.88kgf$ of group T15N. 4. The fracture line of crowns began at the loading point and extended along long axis of tooth. IPS-Empress showed adhesive failure pattern whereas Targis had adhesive and cohesive failure. In the SEM view, stress was distributed radially from loading point and the crack line was more prominent on Targis crown.

• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.4
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• pp.309-315
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• 2006

The availability of high-technology systems that use computer-aided design(CAD) and computer-aided machining(CAM) is on the increase. One such system is the Procera system, which fabricates an all-ceramic crown composed of a densely sintered, high-purity aluminum oxide coping combined with a compatible veneering porcelain. Strength, precision of fit, esthetics, cementation, and biocompatibility are among the many factors that concern clinicians when fabricating all-ceramic restorations with this system. This paper reviews the long history and background development of technical, laboratory and clinical applications and presents, in summary form, the data from the many studies on the Procera system.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.4
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• pp.313-320
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• 2020

Purpose: The purpose of this study was to evaluate the machining precision and the marginal and internal fit of single restorations fabricated with three types of lithium disilicate ceramic blocks and to evaluate the correlation. Materials and methods: Single restorations were designed using a CAD software program. The crown designed model file was extracted from the CAD software program. Three types of lithium disilicate blocks (Rosetta; HASS, IPS e.max CAD; Ivoclar vivadent, VITA Suprinity; VITA) were milled using a milling machine. For the fabrication of the crown scanned model file, the intaglio surface of the restoration was digitized using a contact scanner. Then, using the three-dimensional inspection software (Geomagic control X; 3D Systems), the process of the overlap of the crown designed model and the scanned model and 3-dimensional analysis was conducted. In addition, the marginal and internal fit of the crowns was evaluated by a silicone replication method. The difference among three types of single ceramic crown was analyzed using a Kruskal-Wallis H test, and Spearman correlation analysis was performed to analyze the correlation between machining precision and fitness (α=.05). Results: There was a significant difference in the machining precision and the marginal and internal fit according to the type of ceramic block (P<.001). In addition, the machining precision and the marginal and internal fit were positively correlated (P<.001). Conclusion: The marginal fit of crowns fabricated according to the types of ceramic blocks was within the clinically acceptable range (< 120 ㎛), so it can be regarded as appropriate machining precision applicable to all clinical as aspects in terms of the marginal fit.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.1
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• pp.22-28
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• 2011

Purpose: This article attempted to examine how teeth for restoration is made in a clinical practice and utilize it as future educational material of teeth formation and basic data for additional research. Materials and methods: This experiment investigated the models sent to milling center for production of zirconia crowns. After scanned with Lava CAD/CAM System (3M ESPE, Seefeld, Germany), they are measured on 'ImageJ (version 1.32j, National Institutes of Health, USA)' program and compared and analyzed. Convergence angle from mesio-distal surfaces and bucco-lingual surfaces of each teeth are measured. Also, bucco-lingual diameter of the region lowered as much as 0.4 mm from incisal edge in anterior teeth except canines.(This measure is defined as the Peak 0.4) The analysis of data between each group was conducted by Windows SPSS statistic program, and was proved significant on 95% confidence level by independent t-test, one-way ANOVA and multiple analysis (Sheff${\'{e}}$ test). Results: The mean value of convergence angle was $18.67^{\circ}$ It is ranked as molar ($26.70^{\circ}$) > premolar ($16.87^{\circ}$) > anterior teeth ($14.81^{\circ}$) in the order of mesio-distal convergence angle; anterior teeth ($22.32^{\circ}$) > molar ($20.93^{\circ}$) > premolar ($15.41^{\circ}$) in the order of bucco-lingual convergence angle. The mean value of Peak 0.4 was 1.18 mm. Conclusion: Convergence angle of abutment of zirconia all ceramic crown has difference depending on the location in the arch. Due to the nature of production of zirconia all ceramic crown, convergence angle of abutment and line angle finishing degree can have an effect on internal suitability of restoration.

• The Journal of Advanced Prosthodontics
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• v.8 no.1
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• pp.43-52
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• 2016

PURPOSE. This study was conducted to evaluate the effects of full-coverage all-ceramic zirconia, lithium disilicate glass-ceramic, leucite glass-ceramic, or stainless steel crowns on antagonistic primary tooth wear. MATERIALS AND METHODS. There were four study groups: the stainless steel (Steel) group, the leucite glass-ceramic (Leucite) group, the lithium disilicate glass-ceramic (Lithium) group, and the monolithic zirconia (Zirconia) group. Ten flat crown specimens were prepared per group; opposing teeth were prepared using primary canines. A wear test was conducted over 100,000 chewing cycles using a dual-axis chewing simulator and a 50 N masticating force, and wear losses of antagonistic teeth and restorative materials were calculated using a three-dimensional profiling system and an electronic scale, respectively. Statistical significance was determined using One-way ANOVA and Tukey's test (P<.05). RESULTS. The Leucite group ($2.670{\pm}1.471mm^3$) showed the greatest amount of antagonist tooth wear, followed by in decreasing order by the Lithium ($2.042{\pm}0.696mm^3$), Zirconia ($1.426{\pm}0.477mm^3$), and Steel groups ($0.397{\pm}0.192mm^3$). Mean volume losses in the Leucite and Lithium groups were significantly greater than in the Steel group (P<.05). No significant difference was observed between mean volume losses in the Zirconia and Steel groups (P>.05). CONCLUSION. Leucite glass-ceramic and lithium disilicate glass-ceramic cause more primary tooth wear than stainless steel or zirconia.

• Journal of Technologic Dentistry
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• v.37 no.3
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• pp.107-113
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• 2015

Purpose: This study provided the basic data for selecting the zirconia blocks by comparing the mechanical properties of the all ceramic crown between the domestic, import, translucent and shade blocks that were used in clinically. Methods: Currently, the most commercial block of five types(one import and two domestic block which is the translucent and shade) were used. It were elucidated by means of three point bending test, hardness test, FE-SEM observations and EDX analysis. The results were analyzed using a one-way ANOVA and Scheffe post hoc test for significant findings. Results: For flexural strength, LT specimen was the highest as 733.1 MPa, followed by JT specimen(712.0 MPa), ZT specimen(646.0 MPa), LS specimen(553.1 MPa), JS specimen(429.0 MPa). One-way ANOVA showed statistically significant difference between groups for flexural strength(p<0.05). For hardness, ZT specimen was the highest as 1556.5 Hv, followed by JT specimen(1540.3 Hv), LT specimen(1512.3 Hv), JS specimen(1472.0 Hv), LS specimen(1353.3 Hv). One-way ANOVA showed statistically significant difference between groups for hardness(p<0.05). Conclusion: Domestic block was higher than import block for flexural strength, and translucent block was higher than shade block for flexural strength. However, all blocks showed clinically acceptable range. There was no significant difference in hardness between domestic and import blocks. And significant difference was observed in translucent and shade blocks.