• The Journal of Advanced Prosthodontics
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• v.9 no.6
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• pp.416-422
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• 2017

PURPOSE. To investigate the effect of reducing tooth preparation and ceramic thickness on fracture resistance of lithium disilicate crowns. MATERIALS AND METHODS. Specimen preparation included a standard complete crown preparation of a typodont mandibular left first molar with an occlusal reduction of 2 mm, proximal/axial wall reduction of 1.5 mm, and 1.0 mm deep chamfer (Group A). Another typodont mandibular first molar was prepared with less tooth reduction: 1 mm occlusal and proximal/axial wall reduction and 0.8 mm chamfer (Group B). Twenty crowns were milled from each preparation corresponding to control group (n=5) and conditioned group of simultaneous thermal and mechanical loading in aqueous environment (n=15). All crowns were then loaded until fracture to determine the fracture load. RESULTS. The mean (SD) fracture load values (in Newton) for Group A were 2340 (83) and 2149 (649), and for Group B, 1752 (134) and 1054 (249) without and with fatigue, respectively. Reducing tooth preparation thickness significantly decreased fracture load of the crowns at baseline and after fatigue application. After fatigue, the mean fracture load statistically significantly decreased (P<.001) in Group B; however, it was not affected (P>.05) in Group A. CONCLUSION. Reducing the amount of tooth preparation by 0.5 mm on the occlusal and proximal/axial wall with a 0.8 mm chamfer significantly reduced fracture load of the restoration. Tooth reduction required for lithium disilicate crowns is a crucial factor for a long-term successful application of this all-ceramic system.

• Journal of Dental Rehabilitation and Applied Science
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• v.17 no.4
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• pp.257-274
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• 2001

To properly prepare teeth, dentists require a direct view of the working area and are often placed in a difficult position, moreover, a high proportion of dentists suffer from headache and back pain. Dentists who make use of the dental mirror and position their patients carefully to gain a proper view report less headache, pain and discomfort in the shoulders. It is recommended that dentists learn the "Home Position(H.P.)" which among the various "Random Position(R.P.)" methods, enables dentists to approach their patients in a stable posture. The purpose of this study was to compare tooth preparation in the H.P. and the R.P., and evaluate the clinical efficacy of the H.P.. Tooth preparation for a full cast crown was performed on the maxillary left 1st molar using the H.P. and the R.P., and the shapes of the prepared tooth surfaces at the two different operating positions were compared. The amount of occlusal reduction, marginal width, height, and axial taper were measured and analyzed. A T-test was performed separately to compare the results of the H.P. and the R.P. with respect to the accuracy of the corresponding tooth reduction. The results were as follows. ; 1. The amount of occlusal reduction was excessive on the mesiobuccal cusp(P<0.05), and deficient on the lingual cusp in the H.P.(P<0.01). In the R.P., this was excessive on the buccal cusp and deficient on the fossa and distolingual cusp(P<0.01). 2. The amounts of marginal width were excessive in all areas except on the lingual and mesial surfaces in the H.P. and lingual surface in the R.P.(P<0.01). 3. The marginal heights were achieved more accurately in the R.P. than the H.P.(P<0.01). 4. Axial surface taper was excessive in all areas in the H.P.(P<0.01). But the axial taper of measured areas was even, and tooth is more like to retain its original axis after reduction. In the R.P., axial surface taper was excessive on the mesial and buccal area, and deficient on the distolingual area(P<0.01), and therefore, the axis of the prepared teeth was tipped in the distolingual direction. 5. The times needed for preparation were 12 minutes and 49 seconds in the H.P., and 11 minutes and 35 seconds in the R.P., and the R.P. was statistically faster(P<0.01). The tooth preparation in the H.P. achieved its goal, in that it enabled the operator to make even tooth reduction. In conclusion, the H.P. system offers an improved method that can be used in clinic after specific training.

• The Journal of Korean Academy of Prosthodontics
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• v.28 no.2
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• pp.77-90
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• 1990

The purpose of this study was to compare the amount of the vertical pin opening of $33^{\circ}$ resin and $0^{\circ}$ resin teeth during processing and to determine whether the changes in tooth contacts by using articulation ribbon and T-Scan system follow any identifiable pattern, and to determine if there is any correlation between the changes in tooth contacts and the amount of the vertical pin opening after processing. Through statistical analyses on the data from this study, the following conclusions were obtained. 1. The amounts of the vertical pin opening were 0.78m, 0.87mm for $0^{\circ}$ teeth and $33^{\circ}$ teeth, respectively. But there was no significant difference between them. 2. The total number of contact points recorded by articulating ribbon after processing was decreased to 442.5% of that before processing. 3. The mean values for the number of contact points per tooth recorded by articulating ribbon after processing were 4.3 for the second molar, 3.8 for the first molar, 1.3 for the second premolar, 0.8 for the first premolar. The reduction of contact points per tooth became greater moving in an anterior direction. 4. The correlation between the reduction of contact points and the amount of the pin opening after processing was not significant. 5. The mean values for the numbers of contact points per tooth recorded by T-Scan system after processing were 2.2, 2.5, 1.0, and 0.5 at the second molar, the first molar, the second premolar, and the first premolar, respectively. 6. The correlation between the number of contact points by using articulating ribbon and TScan system after processing was not significant.

• Journal of the korean academy of Pediatric Dentistry
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• v.46 no.1
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• pp.64-75
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• 2019

The purpose of this study was to obtain instructions for size selection of prefabricated crown and tooth reduction by 3-dimensional analysis of the size and shape of the maxillary primary central and lateral incisors and prefabricated crowns (celluloid strip, resin veneered stainless steel, and zirconia crowns). The maxillary primary central and lateral incisors of 300 Korean children was scanned with three types of prefabricated crown to create standard three-dimensional tooth models and prefabricated crowns. The shapes of the prefabricated crowns and natural teeth were compared according to four parameters (mesio-distal width, height, labio-palatal width, and labial surface curvature coefficient) and calculated the amount of tooth reduction required for each prefabricated crown. The size 2 resin veneered stainless steel crown, size 1 zirconia crown, and size 2 celluloid strip crown were most similar in shape to the primary central incisor. The size 3 rein veneered stainless steel crown, size 2 zirconia crown, and size 3 celluloid strip crown were most similar to the primary lateral incisor. The amount of tooth reduction was similar in both maxillary primary central and lateral incisors. The incisal reduction was greatest for the zirconia crown. At the proximal surface, the zirconia and celluloid strip crowns required a similar amount of tooth reduction, but more than the resin veneered stainless steel crown. The labial surface reduction was greatest for the zirconia crown. The degree of lingual surface reduction was not significant among the three prefabricated crowns. Among the assessment parameters, mesio-distal crown width was the most important for choosing a prefabricated crown closest to the actual size of the natural crown.

• Journal of Dental Rehabilitation and Applied Science
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• v.35 no.4
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• pp.220-227
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• 2019

Purpose: The purpose of this study was to compare the degree of tooth preparation abilities of students according to three self-assessment methods. Materials and Methods: forty-eight sophomores in Kyungpook National University College of Dentistry were divided into three experimental groups. Students performed tooth preparation of the left mandibular first molar for full gold crown. They performed self-assessment using the three methods (visual, digital, and putty index self-assessment group), and reperformed tooth preparation. An intraoral scanner was used to scan each tooth model (prepared tooth and unprepared tooth), and data were acquired in standard tessellation language (STL) file format. The STL files of prepared tooth and unprepared tooth were superimposed using the 3-dimensional analysis software (Geomagic control X). And the reduction amount was measured. In the statistical analysis, all values of reduction amount were analyzed with the Wilcoxon signed rank test and Kruskal-Wallis test (α = 0.05). Results: The three self-assessment methods showed statistically significant differences (P < 0.001). The putty index self-assessment group showed the highest reduction in error than the digital self-assessment method. Conclusion: Within limitations of this study, students showed significant differences in improvement of tooth preparation ability according to the three self-evaluation methods.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.1
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• pp.41-56
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• 2018

The purpose of this study was to provide clinical recommendations for restoration with selection of the most similar zirconia crown by 3-dimensional analysis of the shape of the maxillary primary central and lateral incisors in Korean individuals and prefabricated zirconia crowns. The average shape of the sound maxillary primary central and lateral incisors in 300 children was reproduced by 3-dimensional scanning. Zirconia crowns of 4 manufacturers (NuSmile $ZR^{(R)}$ Crown, Cheng $Crowns^{(R)}$, Kinder $Krowns^{(R)}$, and EZ $Pedo^{(R)}$ Crown) were scanned 3-dimensionally, and coordinates for comparison of the shape were measured to evaluate the similarity between the teeth and crowns. The most similar crowns were selected by comparing the mesiodistal length, crown height, crown shape ratio, distance between the same coordinates of a tooth and crown, the radius of curvature of the labial surface, and the volume. As a result of analysis, Cheng $Crowns^{(R)}$ size 3 and NuSmile $ZR^{(R)}$ Crown size 2 were the most similar crowns in the maxillary primary central and lateral incisors, respectively. Scanning the inner surface of the crowns and evaluating the amount of tooth reduction required suggested that an overall lesser amount of tooth reduction compared to that presented by the manufacturer's guidelines should be performed.

• Journal of Korean Dental Science
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• v.5 no.1
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• pp.37-44
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• 2012

Purpose: Among the facilitation of tooth movement in adult orthodontic treatment methods, surgical approaches are gaining popularity but complications following mechanical bone reduction are a problem. In this study, tooth movement was observed after alveolar bone was chemically demineralized to verify whether tooth movement had been facilitated. Materials and Methods: Twelve rabbits were used. In the experimental group, the alveolar bone of the left first molar area was exposed and demineralized. Thirty seven percents phosphoric acid was applied for 5 minutes for demineralization. The opposite first molar area was used as control. Two teeth were pulled with 200 g force and 4 rabbits each were sacrificed at 3, 7, and 14 days after the force was applied. Histologic examination was done with hematoxylin and eosin and tartrate-resistant acid phosphatase staining. Result: The histologic examination results revealed more bone resorption in the demineralized area. As time passed, the number of osteoclasts increased in the compressed area. The amount of tooth movement was larger in the experimental group compared to the control group but the difference was not statistically significant. Conclusion: The demineralization with etchant resulted in limited bone resorption, more tooth movement and less damage of the cementum after applied orthodontic force.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.34 no.11
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• pp.1623-1630
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• 2010

In this study, effective forming methods for reducing the roll-over of a sector tooth, which is a main component of an automotive seat recliner, are proposed. Due to the large amount of roll-over, accurate contact between the inner gear of a sector tooth and the outer gear of a pawl tooth cannot be normally achieved; thus sensitivity and safety for the passengers decrease. To overcome the aforementioned drawback, we investigated the effect of flowcontrol forming methods involving local embossing die, coining punch, and VIC (Variable Inverse Clearance) on the roll-over depth by FE-analysis and an experiment. The results of a fine-blanking experiment for verifying the proposed methods showed that VIC type is decidedly superior from the aspects of reduction of roll-over and tool strength of the sector tooth.

• The Journal of Korean Academy of Prosthodontics
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• v.35 no.3
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• pp.470-485
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• 1997

A fundamental principle in clasp selection for a specific abutment is the reduction of the transmission of excessive forces to the abutment tooth. Those forces include tilting, tipping, and stress on the abutment tooth. The flexibility of a clasp was believed to directly affect the reduction of such forces. Opinions have been expressed concerning the proper type of clasp to be used to prevent stress on periodontium. In order to evaluate and compare the various designs of a clasp system, it is necessary to measure these forces. This study compared the average measurements of forces required to dislodge three kinds of circumferential clasps having different amount of undercuts : the first with a round retentive arm, the second with a half round retentive arm, the third with a wrought wire retentive arm under tensile load. Three commonly used undercuts( 0.01, 0.02, 0.03 inch) were created on nine cast crowns, premolars and molars. The test was run six times for a same clasp. The means of tensile load required to dislodge each of the different clasps were compared statistically using the ANOVA test and multiple range test (Duncan test). The results were as follows. 1. The amount of tensile load of the wrought wire clasp was significantly different from the cast round or half round clasp (p<0.05). 2. The more amount of the undercut, the more tensile load was needed to dislodge the clasps. There were significant differences among them (p<0.05). 3. The molar showed higher tensile load than the premolar, and there was significant difference (p<0.05). 4. The means of tensile load according to clasp types showed significant differences at the molar between wrought wire clasp and cast clasp (p<0.05), but did not at the premolar.

• Journal of Dental Rehabilitation and Applied Science
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• v.28 no.1
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• pp.15-25
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• 2012

The relationship between occlusion and periodontal health has been extensively studied. However, reports on the effects of passive eruption using occlusal reduction has not been sufficient. The purpose of the present randomized clinical trial was to assess the influence of passive eruption using occlusal reduction on the clinical periodontal parameters consisting of attachment level, pocket depth, tooth mobility, width of keratinized gingiva and osseous defect. The study was performed on 40 teeth of 16 subjects who have been treated for the moderate periodontitis at the Department of Periodontology, Pusan National University Hospital. At the baseline examination, after hygienic-phase and after 6 month from passive eruption using occlusal reduction, clinical parameters were monitored and radiographs were taken. The 20 teeth in the test group received passive eruption using occlusal reduction while the 20 control teeth did not receive any occlusal reduction. The results were as follows; 1) Degree of inflammation of periodontium was improved by initial therapy 2) Teeth received passive eruption using occlusal reduction demonstrated significantly greater reduction in pocket depth, tooth mobility and amount of bone loss, and increase in the width of keratinized gingiva, but no significant changes in the attachment level compared to the control teeth 3) There was significantly greater reduction in pocket depth, mobility, amount of bone loss and attachment level in the test teeth after initial hygienic phase when compared with baseline data. Taken together, these results suggest that the passive eruption using occlusal reduction would be helpful to improve periodontal health.