• The Journal of Korean Academy of Prosthodontics
• /
• v.50 no.4
• /
• pp.324-329
• /
• 2012

Excessive tooth wear causes loss of tooth structure, disharmony of occlusal plane, functional and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by growth of alveolar bone, if the length of tooth is not enough for the retention of restoration, minimum increase of occlusal vertical dimension is required without discomfort of the patient. In this case, 33-year-old woman drinks more than 1 liter of soft drinks a day and has bruxism in night time, visited in Seoul National University Dental Hospital with chief complaint of generalized tooth wear and related esthetic and functional problems. It was considered as a loss of occlusal vertical dimension based on the accelerated tooth wear caused by erosion and bruxism and facial appearance, phonetic, esthetic, functional evaluations. It was planned to raise occlusal vertical dimension by provisional restoration two times for patient's adaptation, 3 mm and 2 mm each, total 5 mm. Confirming no discomfort and clinical symptom during total 16 weeks after restoration with provisional fixed restoration, it was restored with porcelain fused to gold crown and bridge. Because the patient was young woman, anterior teeth were restored with collarless porcelain fused to gold crown. This case presents that satisfactory esthetic and functional result by full mouth rehabilitation with increase of occlusal vertical dimension.

• The Journal of Korean Academy of Prosthodontics
• /
• v.52 no.2
• /
• pp.90-96
• /
• 2014

Purpose: The purpose of this study is to see what impact the heat and press-on-metal technique has on the marginal fit of metal ceramic crown. Materials and methods: Prior to the experiment, 4 metal master models were prepared. Each model has margin of chamfer, margin of heavy chamfer, margin of shoulder with bevel and margin of shoulder (collarless). Additionally, 10 crowns were made for each margin, total of 40 crowns. Marginal discrepancy between the master model and crown was observed at ${\times}100$ microscopic magnification in two states; in coping state and upon completion of making metal ceramic crown. Data analysis was performed using paired t-test along with one-way ANOVA and Duncan multiple comparison test. Results: After analyzing mean and standard deviation of marginal discrepancy, it was confirmed that marginal discrepancies were within the clinical permitted range for all states; in coping state and upon completion of making metal ceramic crown. For the chamfer group, a significant increase in marginal discrepancy upon completion of making metal ceramic crown was observed compared to the heavy chamfer group. Also, a marginal discrepancy of porcelain margin in shoulder group was significantly less than the marginal discrepancy of metal margin in chamfer and shoulder group. Conclusion: From the test result, one can conclude that marginal fit of metal ceramic crown built with heat and press-on-metal technique is not significantly different from marginal fit of metal ceramic crown built with traditional technique. And along with efficiency of this system, heat and press-on-metal technique is considered in clinic.

• The Journal of Korean Academy of Prosthodontics
• /
• v.30 no.1
• /
• pp.103-124
• /
• 1992

The purpose of this study was to investigate the effect on the fracture strength and color of ceramic by the design of the metal coping in ceramo metal crown. In this study, four types of ceramic crowns were made for fracture strength : standard ceramo metal crown, collariess ceramo metal crown, modified ceramo metal crown, and ceramic jacket crown. And three types of disk formed-specimens were made to compare the dentin shade owing to aluminous opaque powder and palladium alloy. Fracture strength was measured by universal testing machine(Instron Co. Ltd., U.S.A) and color was measured by color and color difference meter(Yasuda Seiki Seisakusho, Ltd., Japan). The results were as follows : 1. The fracture strength of ceramic was affected significantly by the design of metal coping in ceramo metal crown. The mean fracture strength(192.0 Kg) of standard ceramo metal crown was about 1.7 times higher than that(111.5 Kg) of collarless ceramo metal crown, and about 2.8 times higher than that(67.8 Kg) of ceramic jacket crown. 2. Modified ceramo metal crown that has metal band in the labio cervical had the lowest fracture strength. 3. Lightness, yellowness and redness of the dentin fired were decreased by the metal coping.