• The Journal of Korean Academy of Prosthodontics
• /
• v.55 no.1
• /
• pp.79-87
• /
• 2017

The open bite malocclusion is a common clinical entity and has multifactorial causes. Development of effective treatment plan and management is dependent on proper diagnosis. The skeletal open bite patient requires a coordinated orthodontic and orthognathic surgical approach to achieve stable occlusion, acceptable esthetics, and improved function. But in case of open bite with severely decayed dentition, restoration in the entire dentition is necessary. Using the facial analysis and diagnostic wax-up, the most effective treatment was prosthetic rehabilitation. The provisional restorations were fabricated to satisfy esthetic and functional requirements, which result in the uniformly distributed occlusal force, anterior and canine guidance. The inter-arch relationship, labio-dental harmony, and the soft tissue aspect, which is important to estimate the longevity were evaluated. Definitive restorations of monolithic zirconia were made by replicating provisional restorations by using the latest CAD/CAM technology. They were delivered to the patient and clinical follow-up observation was satisfactory.

• Restorative Dentistry and Endodontics
• /
• v.43 no.3
• /
• pp.27.1-27.9
• /
• 2018

Objectives: The aim of this in vitro study was to evaluate the effects of the thickness and shade of 3 types of computer-aided design/computer-aided manufacturing (CAD/CAM) materials. Materials and Methods: A total of 120 specimens of 2 shades (A1 and A3) and 2 thicknesses (1 and 2 mm) were fabricated using VITA Mark II (VM; VITA Zahnfabrik), IPS e.max CAD (IE; IvoclarVivadent), and VITA Suprinity (VS; VITA Zahnfabrik) (n = 10 per subgroup). The amount of light transmission through the ceramic specimens was measured by a radiometer (Optilux, Kerr). Light-cured resin cement samples (Choice 2, Bisco) were fabricated in a Teflon mold and activated through the various ceramics with different shades and thicknesses using an LED unit (Bluephase, IvoclarVivadent). In the control group, the resin cement sample was directly light-cured without any ceramic. Vickers microhardness indentations were made on the resin surfaces (KoopaPazhoohesh) after 24 hours of dark storage in a $37^{\circ}C$ incubator. Data were analyzed using analysis of variance followed by the Tukey post hoc test (${\alpha}=0.05$). Results: Ceramic thickness and shade had significant effects on light transmission and the microhardness of all specimens (p < 0.05). The mean values of light transmittance and microhardness of the resin cement in the VM group were significantly higher than those observed in the IE and VS groups. The lowest microhardness was observed in the VS group, due to the lowest level of light transmission (p < 0.05). Conclusion: Greater thickness and darker shades of the 3 types of CAD/CAM ceramics significantly decreased the microhardness of the underlying resin cement.

• The Journal of Advanced Prosthodontics
• /
• v.13 no.5
• /
• pp.281-291
• /
• 2021

PURPOSE. To evaluate the wear of computer-aided design/computer-aided manufacturing (CAD-CAM) dental ceramic materials opposed by enamel as a function of increased chewing forces. MATERIALS AND METHODS. The enamel cusps of healthy human third molar teeth (n = 40) opposed by materials from CAD-CAM dental ceramic groups (n = 10), including Vita Enamic^® (ENA), a polymer-infiltrated ceramic network (PICN); GC Cerasmart^® (CERA), a resin nanoceramic; Celtra^® Duo (DUO), a zirconia-reinforced lithium silicate (ZLS) ceramic; and IPS e.max ZirCAD (ZIR), a polycrystalline zirconia, were exposed to chewing simulation (1,200,000 cycles; 120 N load; 1 Hz frequency; 0.7 mm lateral and 2 mm vertical motion). The wear of both enamel cusps and materials was quantified using a 3D laser scanner, and the wear mechanisms were evaluated by scanning electron microscopy (SEM). The results were analysed using Welch ANOVA and Kruskal Wallis test (α = .05). RESULTS. ZIR showed lower volume loss (0.02 ± 0.01 mm³) than ENA, CERA and DUO (P = .001, P = .018 and P = .005, respectively). The wear of cusp/DUO [0.59 mm³ (0.50-1.63 mm³)] was higher than cusp/CERA [0.17 mm³ (0.04-0.41 mm³)] (P = .007). ZIR showed completely different wear mechanism in SEM. CONCLUSION. Composite structured materials such as PICN and ZLS ceramic exhibit more abrasive effect on opposing enamel due to their loss against wear, compared to uniform structured zirconia. The resin nano-ceramic causes the lowest enamel wear thanks to its flexible nano-ceramic microstructure. While zirconia appears to be an enamel-friendly material in wear volume loss, it can cause microstructural defects of enamel.

• Journal of Korean society of Dental Hygiene
• /
• v.22 no.6
• /
• pp.467-475
• /
• 2022

Objectives: This study aimed to understand the definitions, types, and principles of computer-aided design/computer-aided manufacturing (CAD/CAM) and scanners due to the introduction of digital workflows. Methods: This study was based on information from the government's law and articles published in academic journals. Results: CAD/CAM is a technology that measures the shape three-dimensionally, saves it as data, designs it into the desired shape, and processes the product. Scanners, which are classified as intraoral and extraoral scanners, measure teeth and the intraoral environment three-dimensionally and convert them into three-dimensional (3D). A 3D printer is a machine that creates a 3D object by layering materials based on a 3D drawing. It can be classified into four types according to the method: extrusion, powder bonding, lamination, and photopolymerization methods. The most used 3D printer methods in dentistry are stereolithograhpy and digital light processing, and they are widely used in prosthetic, surgical, and orthodontic fields. Conclusions: As the dental system is digitized, it is expected that the government will classify the dental hygienist scope of work and the universities will reflect the curriculum; it is necessary to develop excellent dental hygienists, diversify the educational pathways, and establish policies to meet the needs of the increasing number of patients.

• Journal of the Korean Society for Precision Engineering
• /
• v.22 no.4
• /
• pp.68-75
• /
• 2005

This paper presents a new method for the optimization of feed rate in sculptured surface machining. A NC verification model based on Z-map was utilized to obtain chip load according to feed per tooth. This optimization method can regenerate a new NC program with respect to the commanded cutting conditions and the NC program that was generated from CAM system. The regenerated NC program has not only the same data of the ex-NC program but also the updated feed rate in every block. The new NC data can reduce the cutting time and produce precision products with almost even chip load to the feed per tooth. This method can also reduce tool chipping and make constant tool wear.

• Restorative Dentistry and Endodontics
• /
• v.42 no.1
• /
• pp.9-18
• /
• 2017

Objectives: This study evaluated color differences (${\Delta}Es$) and translucency parameter changes (${\Delta}TPs$) of various computer-aided design/computer-aided manufacturing (CAD/CAM) blocks after immersion in coffee. Materials and Methods: Eight CAD/CAM blocks and four restorative composite resins were evaluated. The CIE $L^{\ast}a^{\ast}b^{\ast}$ values of 2.0 mm thick disk-shaped specimens were measured using the spectrophotometer on white and black backgrounds (n = 6). The ${\Delta}Es$ and ${\Delta}TPs$ of one day, one week, and one month immersion in coffee or water were calculated. The values of each material were analyzed by two-way ANOVA and Tukey's multiple comparisons (${\alpha}=0.05$). The ${\Delta}Es$ after prophylaxis paste polishing of 1 month coffee immersion specimens, water sorption and solubility were also evaluated. Results: After one month in coffee, ${\Delta}Es$ of CAD/CAM composite resin blocks and restorative composites ranged from 1.6 to 3.7 and from 2.1 to 7.9, respectively, and ${\Delta}TPs$ decreased. The ANOVA of ${\Delta}Es$ and ${\Delta}TPs$ revealed significant differences in two main factors, immersion periods and media, and their interaction except for ${\Delta}Es$ of TEL (Telio CAD, Ivoclar Vivadent). The ${\Delta}Es$ significantly decreased after prophylaxis polishing except GRA (Gradia Block, GC). There was no significant correlation between ${\Delta}Es$ and water sorption or solubility in water. Conclusions: The ${\Delta}Es$ of CAD/CAM blocks after immersion in coffee varied among products and were comparable to those of restorative composite resins. The discoloration of CAD/CAM composite resin blocks could be effectively removed with prophylaxis paste polishing, while that of some restorative composites could not be removed.

• Korean Journal of Computational Design and Engineering
• /
• v.7 no.3
• /
• pp.148-156
• /
• 2002

Most Rapid Prototyping (RP) processes adopt a solid Computer Aided Design (CAD) model, which will be sliced into thin layers of constant thickness in the building direction. Each cross-sectional layer is successively deposited and, simultaneously, bonded onto the previous layer; and eventually the stacked layers from a physical part of the model. A new RP process, the transfer-type Variable Lamination Manufacturing process using expandable polystyrene foam sheet (VLM-ST), has been developed to reduce building time and to improve the surface finish of parts with the thick layers and a sloping surface. This paper describes the generation of Unit Shape Layer (USL), the cutting path data of the linen. hotwire cutter for the VLM-ST process. USL is a three-dimensional layer with a thickness of more than 1 mm and a side slope, and it is the basic unit of cutting and building in the VLM-ST process. USL includes data such as layer thickness, positional coordinates, side angles of each layer, hotwire cutting speed, the heat input to the hotwire, and reference shape. The procedure of generating USL is as follows: (1)Generation of the mid-slice from the CAD model, (2)Conversion of the mid-slice into a simply connected domain, (3)Generation to the reference shape for the mid-slice, (4)Calculation of the rotation angle of the hotwire of the cutting system.

• Journal of Korean Institute of Industrial Engineers
• /
• v.17 no.1
• /
• pp.37-49
• /
• 1991

This report describes an integrated approach to sculptured surface design and manufacture, and a software package for it on a multi-axis NC milling machine. The integrated software consists of four parts : (1) surface fitting procedure for generating the characteristic polyhedron from 3 dimensional CMM data, (2) surface description for generating the mathematical representation of sculptured surfaces. (3) tool path generation for approximating the surface representation into a sequence of linear cutter paths, and (4) tool control for generating the corresponding joint variable values. This integrated approach is generally applicable to sculptured surface manufacturing where multi-axis milling machines are necessary to produce smooth three-dimensional surfaces.

• Proceedings of the Korean Society of Machine Tool Engineers Conference
• /
• 1996.10a
• /
• pp.15-21
• /
• 1996

This paper describes a development of conversational program for lathe. The proposed program is a NC programming system specialized for use in machine tool controls. Its easy to use graphic interface built-in database capabilities make it an ideal way to program part on the shop floor. In order to manage effectively machining process it proposed the algorithm of tree structures for design processing. Also using interative structure it proposed the methods of conversational programming to generate automatically NC program.

• Journal of dental hygiene science
• /
• v.12 no.4
• /
• pp.368-374
• /
• 2012

Dental CAD (computer-aided design)/CAM (computer-aided manufacturing) systems facilitate the use of zirconia core for all-ceramic crown. The purpose of this study was to evaluate the marginal and internal fit of zirconia core fabricated using a dental CAD/CAM system and to compare the fit of metal cores by a conventional method. Ten identical cases of single coping study models (abutment of teeth 11) were manufactured and scanned. Ten zirconia cores were fabricated using dental CAD/CAM system. An experienced dental technician fabricated 10 samples of metal cores for the control group using the lost wax technique. Marginal and internal fit was measured by the silicone replica technique. Fit was measured with magnification of 160 using a digital Microscope. Margin, rounded chamfer, axial wall and incisal fits were measured for comparison. T-test of independent sample for statistical analysis was executed with SPSS 12.0 for Windows (SPSS Inc., Chicago, IL, USA) (${\alpha}$=0.05). The mean (SD) for marginal, rounded chamfer, axial wall and incisal were: $97.0\;(25.3){\mu}m$, $104.0\;(22.0){\mu}m$, $59.6\;(21.4){\mu}m$ and $124.8\;(33.3){\mu}m$ for the zirconia core group, and $785.2\;(18.4){\mu}m$, $83.8\;(15.1){\mu}m$, $42.7\;(9.6){\mu}m$ and $83.4\;(14.4){\mu}m$ for the metal core group. T-test showed significant differences between groups for margin (p<.001), rounded chamfer (p<.001), axial wall (p<.001) and incisal (p<.001). But zirconia core group observed that the marginal and internal fit values in the present study were within clinically acceptable range.