• The Journal of Advanced Prosthodontics
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• v.12 no.5
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• pp.251-258
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• 2020

PURPOSE. The bond strengths between resin denture teeth with various compositions and denture base resins including conventional and CAD/CAM purposed materials were evaluated to find influence of each material. MATERIALS AND METHODS. Cylindrical rods (6.0 mm diameter × 8.0 mm length) prepared from pre-polymerized CAD/CAM denture base resin blocks (PMMA Block-pink; Huge Dental Material, Vipi Block-Pink; Vipi Industria) were bonded to the basal surface of resin teeth from three different companies (VITA MFT^®; VITA Zahnfabrik, Endura Posterio^®; SHOFU Dental, Duracross Physio^®; Nissin Dental Products Inc.) using resin cement (Super-Bond C&B; SUN MEDICAL). As a control group, rods from a conventional heat-polymerizing denture base resin (Vertex™ Rapid Simplified; Vertex-Dental B.V. Co.) were attached to the resin teeth using the conventional flasking and curing method. Furthermore, the effect of air abrasion was studied with the highly cross-linked resin teeth (VITA MFT^®) groups. The shear bond strengths were measured, and then the fractured surfaces were examined to analyze the mode of failure. RESULTS. The shear bond strengths of the conventional heat-polymerizing PMMA denture resin group and the CAD/CAM denture base resin groups were similar. Air abrasion to VITA MFT^® did not improve shear bond strengths. Interfacial failure was the dominant cause of failure for all specimens. CONCLUSION. Shear bond strengths of CAD/CAM denture base materials and resin denture teeth using resin cement are comparable to those of conventional methods.

• The Journal of Advanced Prosthodontics
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• v.7 no.2
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• pp.151-159
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• 2015

PURPOSE. To describe and characterize the surface topography and cleanliness of CAD/CAM manufactured zirconia abutments after steaming and ultrasonic cleaning. MATERIALS AND METHODS. A total of 12 ceramic CAD/CAM implant abutments of various manufacturers were produced and randomly divided into two groups of six samples each (control and test group). Four two-piece hybrid abutments and two one-piece abutments made of zirconium-dioxide were assessed per each group. In the control group, cleaning by steam was performed. The test group underwent an ultrasonic cleaning procedure with acetone, ethyl alcohol and antibacterial solution. Groups were subjected to scanning electron microscope (SEM) analysis and Energy-dispersive X-ray spectroscopy (EDX) to verify and characterize contaminant chemical characterization non- quantitatively. RESULTS. All zirconia CAD/CAM abutments in the present study displayed production-induced wear particles, debris as well as organic and inorganic contaminants. The abutments of the test group showed reduction of surface contamination after undergoing an ultrasonic cleaning procedure. However, an absolute removal of pollutants could not be achieved. CONCLUSION. The presence of debris on the transmucosal surface of CAD/CAM zirconia abutments of various manufacturers was confirmed. Within the limits of the study design, the results suggest that a defined ultrasonic cleaning process can be advantageously employed to reduce such debris, thus, supposedly enhancing soft tissue healing. Although the adverse long-term influence of abutment contamination on the biological stability of peri-implant tissues has been evidenced, a standardized and validated polishing and cleaning protocol still has to be implemented.

• Journal of the KSME
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• v.20 no.3
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• pp.184-193
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• 1980

제1절에서는 CAD/CAM 이 기계공업의 발전에 중요한 역할을 담당하고 있으며 그 이유가 무엇 인가를 설명하였다. 설명의 목적은 이와 같은 역사적인 흐름을 정확히 제시하므로써 우리 기계 공업이 나가는 방향을 설정하는데 있어 정확한 상황판단을 도우려 하였다. 제2절, 제3절 및 제4 절을 통해 CAD/CAM의 내용이 무언가를 설명 하였다. 제2절에서는 현대적 의미의 CAD/CAM을 설명하였고 제3절과 제4절에서 는 이에 필요한 전자계산기 System의 Hardware 와 Software를 설명하였다. 특히 제3절의 Work Station의 구성은 사람과 기계간의 직접적인 대화 수단이라는 면에서 대단히 중요한 의미를 가지며, 제4절에 설명된 각 Software에 의해 수행되고, 형성, 전 달되는 Data Base의 생성과 그 이용은 재래의 생산과정에서 발생되는 여러 문제가 어떻게 전 자계산기 내에서 처리되는지를 이해하는데 도움을 준다. 비록 우리의 기계공업이 아직 선진기 술을 받아드릴 여건이 되어 있지 않다 하더라도 외국의 발전 상황에 항상 정확한 정보를 입수 하고 있어야 한다. 이와 같이 정확한 자기 위치의 판단은 외국과의 기술제휴나 기술교류에 있어 가 능한 좋은 조건을 선택할 수 있는 기본이 되는 것이며 자체연구의 방향을 정확히 제시할 수 있는 능력을 가질 수 있는 것이다. 제5절에서는 CAD/CAM의 국내현황과 방향에 대해 언급하 였다. 국내의 기술수준의 후진성 때문에 협의의 CAD/CAM과 현대의미의 CAD/CAM이 명확한 구별 없이 사용되었다. 결론적으로 각 기업은 가까운 미래에 당면할 사태를 준비한다는 입장 에서 하루빨리 전자계산기를 생산 활동에 사용할 수 있도록 하여 필요한 요원을 교육하는 것이 바람직하다. 초기에 큰 투자없이 System을 개발 사용하기 위하여 기존 전자계산소를 이용하는 방법이 바람직하며 System의 도입은 자체운영을 결정하기 전에 경제적인 여건 등 여러가지 문제를 검토하여야 한다. 특히 Turn Key Base로 System를 도입할 경우에는 System의 도입목 적과 사용빈도, 앞으로의 확장성 현재 설계및 생산 과정과의 마찰가능성, 유지보수문제 등을 신 중히 검토하여야 한다. 이제 기계공업도 전자계산기를 이해하고 사용하므로 서 발전할 수 있는 단계가 되었다. 예로부터 좋은 공구를 개발하여 적절히 사용하는 것이 기계공업 발전의 첩경이 었다. 전자계산기는 현대 기술이 개발한 가장 강력하고 사용하기 좋은 공구이다.

• The Journal of Advanced Prosthodontics
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• v.14 no.5
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• pp.273-284
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• 2022

PURPOSE. Computer-aided design and manufacturing (CAD-CAM) of implant abutments has been shown to result in surface contamination from site-specific milling and fabrication processes. If not removed, these contaminants can have a potentially adverse effect and may trigger inflammatory responses of the peri-implant tissues. The aim of the present study was to evaluate the bacterial disinfection and cleaning efficacy of ultrasonic reprocessing in approved disinfectants to reduce the microbial load of CAD-CAM abutments. MATERIALS AND METHODS. Four different types of custom implant abutments (total N = 32) with eight specimens in each test group (type I to IV) were CAD-CAM manufactured. In two separate contamination experiments, specimens were contaminated with heparinized sheep blood alone and with heparinized sheep blood and the test bacterium Enterococcus faecium. Abutments in the test group were processed according to a three-stage ultrasonic protocol and assessed qualitatively and quantitatively by determination of residual protein. Ultrasonicated specimens contaminated with sheep blood and E. faecium were additionally eluted and the dilutions were incubated on agar plates for seven days. The determined bacterial counts were expressed as colony-forming units (CFU). RESULTS. Ultrasonic reprocessing resulted in a substantial decrease in residual bacterial protein to less than 80 ㎍ and a reduction in microbiota of more than 7 log levels of CFU for all abutment types, exceeding the effect required for disinfection. CONCLUSION. A three-stage ultrasonic cleaning and disinfection protocol results in effective bacterial decontamination. The procedure is reproducible and complies with the standardized reprocessing and disinfection specifications for one- or two-piece CAD-CAM implant abutments.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.67-71
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• 2023

Recently, the method of making a dental prothesis is changed in the ICT based digital way. In particular, with the emergence of the CAD/CAM or 3D printing for dental purpose, a computer based digital type is selected gradually more than an analog type. To make an implant abutment, it is possible to apply the conventional technique of making round bars, or the technique using a CNC milling machine. This study tested these two types of the techniques to find which one had more precision and a smaller error when the margin and occlusal surface was made. According to the test, the technique using a CNC milling machine to make an implant abutment had a small error and supported precise processing in terms of the margin fit and the occlusal surface. Therefore, it was found to be useful in making a custom-made prothesis.

• The Journal of Advanced Prosthodontics
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• v.16 no.2
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• pp.115-125
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• 2024

PURPOSE. The purpose of this in vitro study was to investigate the fracture resistance, surface hardness, and color stain of 3D printed, CAD-CAM milled, and conventional interim materials. MATERIALS AND METHODS. A total of 80 specimens were fabricated from auto polymerizing polymethyl methacrylate (PMMA), bis-acryl composite resin, CAD-CAM polymethyl methacrylate resin (milled), and 3D printed composite resin (printed) (n = 20). Forty of them were crown-shaped, on which fracture strength test was performed (n = 10). The others were disc-shaped specimens (10 mm × 2 mm) and divided into two groups for surface hardness and color stainability tests before and after thermal cycling in coffee solution (n = 10). Color parameters were measured with a spectrophotometer before and after each storage period, and color differences (CIEDE2000 [DE00]) were calculated. The distribution of variables was measured with the Kolmogorov Smirnov test, and one-way analysis of variance (ANOVA), Tukey HSD, Kruskal-Wallis, Mann-Whitney U tests were used in the analysis of quantitative independent data. Paired sample t-test was used in the analysis of dependent quantitative data (P < .05). RESULTS. The highest crown fracture resistance values were determined for the 3D printed composite resin (P < .05), and the lowest were observed in the bis-acryl composite resin (P < .05). Before and after thermal cycling, increase in mean hardness values were observed only in 3D printed composite resin (P < .05) and the highest ΔE₀₀ value were observed in PMMA resin for all materials (P < .05). CONCLUSION. 3D printing and CAD-CAM milled interim materials showed better fracture strength. After the coffee thermal cycle, the highest surface hardness value was again found in 3D printing and CAD-CAM milled interim samples and the color change of the bis-acryl resin-based samples and the additive production technique was higher than the PMMA resin and CAD-CAM milled resin samples.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 1992.04a
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• pp.317-322
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• 1992

Developed in this reseach is a CAM system for 5-axis NC Machining of sculpture surfaces. We identify problems in generating 5-axis NC data and propose methods of overcoming them. Issues discussed in this report are; kinematic modelling of NC machines; Determination of cutter position(location and orientation); check of machine work-range; linear trajectory planning; calculation of feedrate number. The proposed system has been implemented in FORTRAN77 on the Personal IRIS EWS, and it also consitutes a module of the CAD/CAM system 'CASSETTE' developed in KIST CAD/CAM lab..

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.4
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• pp.364-370
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• 2015

Fixed restoration using implants for patients with posterior partial edentulism is generalized technique. As patient demands increase, the functional and esthetic implant restoration to achieve similar results to lost natural teeth is becoming an important issue. It is inevitable to use customized CAD/CAM abutments rather than ready-made abutments for the creation of implant prosthesis which closely resembles natural teeth. Using CAD/CAM abutment made it possible to obtain natural emergency profiles for posterior implant prostheses, ensuring more comfortable, efficient management of oral hygiene. However, keratinized gingiva with sufficient width and height for a natural emergence profile is required to use a large diameter CAD/CAM abutment which ensures stability and esthetics of hard/soft tissue around the implants. In this case, for esthetical and functional implant zirconia prosthesis, soft tissue graft was performed and customized CAD/CAM abutments were used following ridge augmentation, sinus graft and implantation. Satisfactory results were obtained functionally and esthetically through periodic clinical evaluation, and I hereby report this case.

• The Journal of Advanced Prosthodontics
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• v.7 no.4
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• pp.271-277
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• 2015

PURPOSE. This study was to evaluate the marginal fit of two CAD-CAM anatomic contour zirconia crown systems compared to lithium disilicate glass-ceramic crowns. MATERIALS AND METHODS. Shoulder and deep chamfer margin were formed on each acrylic resin tooth model of a maxillary first premolar. Two CAD-CAM systems (Prettau$^{(R)}$Zirconia and ZENOSTAR$^{(R)}$ZR translucent) and lithium disilicate glass ceramic (IPS e.max$^{(R)}$press) crowns were made (n=16). Each crown was bonded to stone dies with resin cement (Rely X Unicem). Marginal gap and absolute marginal discrepancy of crowns were measured using a light microscope equipped with a digital camera (Leica DFC295) magnified by a factor of 100. Two-way analysis of variance (ANOVA) and post-hoc Tukey's HSD test were conducted to analyze the significance of crown marginal fit regarding the finish line configuration and the fabrication system. RESULTS. The mean marginal gap of lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) was significantly lower than that of the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) (P<.05). Both fabrication systems and finish line configurations significantly influenced the absolute marginal discrepancy (P<.05). CONCLUSION. The lithium disilicate glass ceramic crown (IPS e.max$^{(R)}$press) had significantly smaller marginal gap than the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia). In terms of absolute marginal discrepancy, the CAD-CAM anatomic contour zirconia crown system (ZENOSTAR$^{(R)}$ZR translucent) had under-extended margin, whereas the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) and lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) had overextended margins.

• Journal of Dental Rehabilitation and Applied Science
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• v.28 no.4
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• pp.423-439
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• 2012

This case report described a technique utilizing a computer-aided design (CAD)/computer-aided machining (CAM) - guided surgical implant placement and prefabricated temporary fixed prosthesis for an immediately loaded restoration. The advantages of CAD/CAM guided implant procedures are flapless, minimally invasive surgery and shorter surgery time. With this technique, less postoperative morbidity and delivery of prosthesis for immediate function would be possible. A patient with an edentulous maxilla received 8 implants in maxilla using CAD/CAM surgical templates. Prefabricated provisional maxillary implant supported fixed prosthesis were connected immediately after implant installation. Provisional prosthesis was evaluated for aesthetics, function during 6 months. Definitive implant supported fixed porcelain fused metal bridges were fabricated.