• Journal of the Korean Academy of Esthetic Dentistry
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• v.9 no.1
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• pp.82-90
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• 2000

In esthetic dentistry, color and strength are basic requirements for the long-term success of the restorative materials. Several all ceramic systems have been introduced to esthetic dentistry recently. However, the inherent natures of ceramic material, the application of all ceramic system is mainly limited to single tooth restorations. With the improvement of material science, the alumina and zirconia/alumina composite power and block can be applied to fabrication of all ceramic bridges. The conventional inceram core fabrication takes time for sintering however, the shaping of block with a copy milling machine can reduce great amount of time. The block is easy to manipulate and prepare in any shape accurately. This clinical report demonstrates the application of all ceramic ante rior 3 unit bridge with a alumina block in CELAY system.

• The Journal of Korean Academy of Prosthodontics
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• v.39 no.6
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• pp.641-658
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• 2001

All-ceramic restorations have become an attractive alternative to porcelain-fused-to-metal crowns. In-Ceram, and more recently IPS Empress 2 were introduced as a new all-ceramic system for single crowns and 3-unit fixed partial dentures. But their strength and marginal fit are still an important issue. This study evaluated the fracture resistance and marginal fit of three systems of 3 unit all-ceramic bridge fabricated on prepared maxillary anterior resin teeth in vitro. The 3 all-ceramic bridge systems were: (1) a glass-infiltrated, sintered alumina system (In-Ceram) fabricated conventionally, (2) the same system with copy-milled alumina cores (copy-milled In-Ceram), (3) a heat pressed, lithium disilicate reinforced glass-ceramic system (IPS Empress 2). Ten bridges of each system with standardized design of framework were fabricated. All specimens of each system were compressed at $55^{\circ}$ at the palatal surface of pontic until catastrophic fracture occurred. Another seven bridges of each system were fabricated with standard method. All of the bridge-die complexes were embedded in epoxy resin and sectioned buccolingually and mesiodistally. The absolute marginal discrepancy was measured with stereomicroscope at ${\times}50$ power. The following results were obtained: 1. There was no significant difference in the fracture strength among the 3 systems studied. 2. The Weibull modulus of copy-milled In-Ceram was higher than that of In-Ceram and IPS Empress 2 bridges. 3. Copy-milled In-Ceram($112{\mu}m$) exhibited significantly greater marginal discrepancy than In Ceram ($97{\mu}m$), and IPS Empress 2 ($94{\mu}m$) at P=0.05. 4. The lingual surfaces of the ceramic crowns showed smaller marginal discrepancies than mesial and distal points. There was no significant difference between teeth (incisor, canine) at P=0.05. 5. All-ceramic bridges of three systems appeared to exhibit sufficient initial strength and accept able marginal fit values to allow clinical application.

• 대한치과보철학회:학술대회논문집
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• 1992.05a
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• pp.11-13
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• 1992

• 대한치과보철학회:학술대회논문집
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• 2006.04a
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• pp.64-65
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• 2006

• Journal of Technologic Dentistry
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• v.32 no.4
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• pp.351-356
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• 2010

Purpose: The purpose of this study was to evaluate the fracture strength between the core and veneering ceramic according to 2 core materials, In-Ceram Alumina and In-Ceram Zirconia, fabricated by electro ceramic layering technique. 2 different fixed partial denture cores of three units were veneered by veneering ceramic(Ceranion, Noritake) (n=10). Methods: The fracture strengths between the core and veneering ceramic were measured through the 3 point bending test. The interfaces between the core and veneering ceramic were observed with the X-ray dot mapping of EPMA. Results: The result of fracture strength was observed that IZP group, In-Ceram Zirconia core, had higher fracture strength. IPA group, In-Ceram Alumina core, had fracture strength of 359.9(${\pm}$86.2) N. IZP group, In-Ceram Zirconia core, had fracture strength of 823.2(${\pm}$243.0) N. X-ray dot mapping observation showed that a major element in the core and veneering ceramic of IPA group was alumina and silica, respectively. No binder was observed in interfaces between the core and veneering ceramic, and no ion diffusion or transition was observed between the core and veneering ceramic. However, apparent ion diffusion or transition was observed between the core and veneering ceramic of IZP group.

• The Journal of Korean Academy of Prosthodontics
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• v.41 no.1
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• pp.81-88
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• 2003

Resin-bonded bridge has been an alternative to conventional bridge, since resin-bonded bridge has many attractive advantages such as minimal tooth preparation, short chair time and low cost over conventional bridge. Unfortunately, however, it was reported that resin-bonded bridge showed high failure rate from debonding of retainer in spite of consecutive advances in preparation and materials. And it was shown that multiple abutments were more likely to fail. The majority of debonding failure was considered due to the mobility of the abutment during function. In this view, recently, modification in resin-bonded bridge design was tried. Single retainer, single pontic. 2-unit cantilevered resin-bonded bridge was applied to clinical performance and was shown as retentive or more retentive than fixed-fixed type resin-bonded bridge. This was consistent with the results of studies in 2-unit cantilevered resin-bonded bridges made with all ceramic, In-ceram. The purpose of this article was to overview principles of design and to analyze clinical results of 2-unit cantilevered resin-bonded bridge in comparison with the reports of fixed-fixed resin-bonded bridge.

• The Journal of Korean Academy of Prosthodontics
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• v.35 no.3
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• pp.544-556
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• 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.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.23 no.2
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• pp.86-94
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• 2014

In recent years, perhaps the biggest driver in new material development is the desire to improve crown and bridge esthetics compared to the traditional PFM or all-metal restorations. As such, zirconia, leucite-containing glass ceramic and lithium disilicate glass ceramic have become prominent in the dental practice. Each material type performs differently regarding strength, toughness, ease of machining and the final preparation of the material prior to placement. For example, glass ceramic are typically weaker materials which limits its use to single-unit restorations. On the other hand, zirconia has a high fracture toughness which enables multi-unit restorations. This material requires a long sintering procedure which excludes its use for fast chair side production. Developed hybrid material of CAD/CAM is contained nano ceramic elements. This new material, called a Resin Nano Ceramic is unique in durability and function. The material is not a resin or composite. It is also not a pure ceramic. The material is a mixture of both and consists of ceramic. Like a composite, the material is not brittle and is fracture resistant. Like a glass ceramic, the material has excellent polish retention for lasting esthetics. The material is easily machined chair side or in a dental lab, polishes quickly to an esthetic finish and if necessary, can be useful restoratives.

• The Journal of Korean Academy of Prosthodontics
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• v.27 no.2
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• pp.53-78
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• 1989

This study was taken to observe the changes of the residual stress in the alloy and to measure 3 dimensional distortions of the long span ceramo-metal bridge. The materials used in this study were Pors-on 4 (Pd-Ag alloy), and Ceramco and Vita VMK 68 powders. The residual stress of the alloy was measured on the six specimens (dia. 8m/m) by the X-ray diffraction stress analyzer according to the kind of ceramic powder and different measuring stages. And, for the measurement of the distortions, fifteen specimens of the anterior 8-unit ceramo-metal brige were fabricated and subjected to the 3-D coordinate measuring machine. Variables included the 2 kinds of a ceramic powder and the presence or absence of a splint bar at the cast metal framework. The measuring stages in both were after casting, after degassing and after glazing. The following conclusions were obtained : 1. The residual stress of the alloy showed increasing tendency for the tension by the ceramic fusing, but there was not significance. 2. The tendency of the distortions in the cast metal frameworks were decrease of the width, the anterior displacement and sagging. 3. The amount of the distortions at the degassing stage were greater than that at the ceramic fusing stage. 4. The splint bar was effective to control the distortion only at ceramic fusing stage. 5. The sagging distortion in the Ceramco firing were even through all measuring stages, but in the Vita firing, pronounced at degassing stage.

• The Journal of Advanced Prosthodontics
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• v.10 no.1
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• pp.18-24
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• 2018

PURPOSE. In literature, many studies compare survival rates of different types of FPDs. Most of them compared restorations, which originated from one university, but from different clinicians. Data about restoration survival rates by only one experienced dentist are very rare. The aim of this study was to evaluate the survival rate of all-ceramic FPDs without the blurring effects of different clinicians. MATERIALS AND METHODS. 153 veneered-zirconia FPDs were observed for follow-up. 22 patients received 131 single crowns and 22 bridges. Because of the different bridge lengths, one unit was defined as a restored or replaced tooth. In total, 201 units were included. Only the restorations performed by the same clinician and produced in the same dental laboratory from 2011 to 2016 were included. Considered factors were defined as "type of unit", "type of abutment", "intraoral region", and "vitality". Modified UHPHS criteria were used for evaluation. Statistical analysis was performed using cox-regression. RESULTS. 189 units (94.0%) showed no kind of failure. 5 chippings (2.4%) could be corrected by intraoral polishing. 4 units (1.9%) exhibited spontaneous decementation. These polishable and recementable restorations are still in clinical use. Chippings or decementations, which lead to total failure, did not occur. One unit was completely fractured (0.5 %). Biological failures (caries, periodontitis or periimplantitis) did not occur. The statistical analysis of the factors did not reveal any significant differences. CONCLUSION. Modern all-ceramic FPDs seem to be an appropriate therapy not only for single restorations but for complex occlusal rehabilitations.