• Journal of Korean Dental Science
• /
• 제8권1호
• /
• pp.28-35
• /
• 2015

Purpose: To investigate the influence of crown margin design on the stress distribution and to localize critical sites in maxillary canine under functional loading by using three dimensional finite element analysis. Materials and Methods: The bite force of 100 N, 150 N, and 200 N was applied with an angulation of $45^{\circ}$ to the longitudinal axis of tooth. Six models were restored with IPS e.max (Ivoclar Vivadent, Schaan, Liechtenstein) with a different margin design. With lingual ledge and various thicknesses, three different core ceramics were designed in each model. Result: In the core ceramic, the maximum tensile stresses were found at the labiocervical region. In the veneering ceramic the maximum tensile stresses were found at the area where the force was applied in all models. Conclusion: Shoulder and chamfer margin types are acceptable for all-ceramic rehabilitations. A ledge on the core ceramic at cervical region may affect the strength of all-ceramic crowns.

• 대한치과기공학회지
• /
• 제22권1호
• /
• pp.79-88
• /
• 2000

The objective of this finite element method study was to analyze the stress distribution induced in a maxillary central incisor Ni-Cr base metal coping ceramic crowns with various margin design. Margin designs of crown in this experiment were knife-edge metal margin on chamfer finishing line of tooth preparation(M1), butt metal margin on shoulder finishing line(M2), reinforced butt metal margin on shoulder finishing line(M3), beveled metal margin on bevelde shoulder finishing line(M4). Two- dimensional finite element models of crown designs were subjected to a simulated biting force of 100N which was forced over porcelain near the lingual incisal edge. Base on plane stress analysis, the maxium von Miss stresses(Mpa) in porcelain venner was 0.432, in metal coping was 0.579, in dentin abutment was 0.324 for M1 model, and M2 model revealed in porcelain was 0.556, in metal coping was 0.511, in dentin was 0.339, and M3 model revealed in porcelain was 0.556, in metal coping was 0.794, in dentin was 0.383 for M4 model. All values of each material in metal-ceramic crown were much below the critical failure values.

• 대한심미치과학회지
• /
• 제23권2호
• /
• pp.70-76
• /
• 2014

After extraction of tooth, alveolar ridge resorption is inevitable in most cases. Clinicians confront with horizontal and vertical resorption of alveolar bone. Without massive amount of bone and soft tissue graft, dental implant will be placed apically to gain stability. In those cases, not only white esthetic part, but also pink esthetic part should be restored with pink porcelain. The margin of prosthesis should be located apically to reproduce natural look with adjacent teeth. However, when the margin is located apically, it is always hard to remove remaining cement, thus complications may arise. In this report, a novel design of implant prosthesis is introduced to solve those issues. The novel design is consisted of zirconia framework with pink porcelain and separate crowns on top of the framework. It eliminates the possibility of cement remnants by bringing the crown margin coronally. Pink esthetic part is incorporated in abutment part instead of crown part and the screw hole is covered with separate crowns.

• 대한치과보철학회지
• /
• 제49권2호
• /
• pp.152-160
• /
• 2011

연구 목적: 상악 중절치에 여러 가지 수복물 설계와 변연부 위치를 설정하여 치아 삭제를 하였을 때 나타나는 치아 삭제량의 변화를 평가하기 위함이다. 연구 재료 및 방법: 36개의 상악 중절치 레진 인공치가 실험에 사용되었다. 수복물의 디자인에 따라 이들은 4개의 군으로 나뉘었다. 그리고 각각의 군은 다시 변연부의 위치에 따라 3개의 세부 군으로 나뉘었다. 삭제되지 않은 치아의 부피가 미세단층촬영을 이용해 측정되었고 같은 방법으로 삭제 후의 치아의 부피가 측정되었다. 이 측정된 영상들을 서로 겹쳐서 비교함으로 삭제 전과 후의 부피 변화를 알아보았다. 결과: 수복물 설계에 따른 삭제 전과 후의 부피 변화량은 다음과 같은 순서로 변화량의 차이를 보였다: traditional laminate veneer < full laminate veneer < all ceramic crown < metal ceramic crown. One-Way ANOVA와 다중비교 Tukey로 유의수준5%에서 통계 분석한 결과 각각의 군에서는 다음과 같은 순서로 변화량의 차이를 보였다: CEJ 1 mm 상방 < CEJ < CEJ 1 mm 하방 (P<.05). 부피 변화를 백분율로 나타낸 수치를 보면 all ceramic crown과 metal ceramic crown 에서는 31 - 48% 로 나타났고 laminate veneer에서는 14 - 30%로나타났다. Laminate veneer에서 나타난 부피 변화량은 metal ceramic crown의 1/3로 나타났다. The full laminate (CEJ 1 mm 하방)와 all ceramic crown (CEJ 1 mm 상방)는 유사한 부피 변화를 보였다. Metal ceramic crown은 all ceramic crown과 비교하였을 때 13.7% 더 많은 부피 변화를 보였다. 결론: 수복물의 설계와 변연부 위치의 변화에 따라 부피 변화의 차이가 존재한다.

• 대한치과보철학회지
• /
• 제30권1호
• /
• pp.125-132
• /
• 1992

The purpose of this study was to evaluate the effect of the metal coping design on the fracture resistance of ceramometal crown. The Ni-Cr alloy(Supranium, Krupp Co., German) and Vaccm-fired porcelain powder(Vita VMK 689, Vita Co., Germany) were used in this study. The measurement of fracture resisitance of ceramometal crown was done with Instron Universial Testing Machine(Instro Co., Model no.4201). The obained results were as fellows : 1. The fracture resistance measured at the buccal cusp tip was the highest value in the group that those position of ceramometal junction was 2mm superior to the lingual finshing margin(100.25Kg) and the fracture resistance revealed on order of the group that those position was 2mm buccal to the central groove(51.64Kg). 2. The fracture resistance measured at the central groove was higher value in the group that those position was 2mm lingual to the central groove than in the group that those position was 2mm lingual to the central groove than in the group that those position was 2mm superior to lingual finishing margin(132.48Kg). 3. In all cases, the fracture resistance at the central groove was higher than that at the buccal cusp tip.

• 구강회복응용과학지
• /
• 제22권2호
• /
• pp.111-123
• /
• 2006

A Study on the Fracture Strength of All-Ceramic Crown according to the Zirconia Coping Design using CAD/CAM System L. Bulgan, In-Ho Cho, Soo-Yeon Shin Department of Prosthodontics, Graduate School, Dankook University The fracture strength of prosthesis is important, because it affects the function, and long term success of prosthesis and teeth. The purpose of this study was to compare the fracture strength of zirconia coping designs. Experimental test group were classified into three designs according to coping design, Modified design: Zirconia coping margin was located at 1mm above the axiogingival line angle. Collarless design: The coping margin terminated at the axiogingival line angle Butt design: The coping margin was extended to the finishing line of prepared margin. A $Cercon^{(R)}$(Degussa, Germany) CAD/CAM system was used to make the zirconia coping. Fracture strength was measured using loading machine at a cross head speed of 1mm/min. The results were statistically analyzed using the one-way ANOVA and multiple comparison test. Statistical significance was set in advance at the probability level of less than 0.05. The result : I. Collarless($738N{\pm}155N$) and Modified($755N{\pm}185N$) groups showed significantly a lower fracture strength than Butt($1057N{\pm}262N$) group(p<0.05). II. There were no statistical differences of the fracture strength between Modified($755N{\pm}185N$) and Collarless($738N{\pm}155N$) groups. III. When comparing the fractured surface, all the group showed porcelain fracture, which were fractured at the labial surface of baked porcelain The butt design of the zirconia coping has higher fracture strength than modified and collarless design.

• 대한치과보철학회지
• /
• 제35권4호
• /
• pp.742-766
• /
• 1997

The purpose of this study was to determine the effect of finish line design, amount of incisal reduction, and loading condition on the stress distribution in anterior all-ceramic crowns. Three-dimensional finite element models of an incisor all-ceramic crown with 3 different finish line designs : 1) shoulder with sharp line angle 2) shoulder with rounded line angle 3) chamfer : and 2 different incisal reductions : 2mm and 4mm were developed. 300 N force with the direction of 45 degree to the long axis of the tooth was applied at 3 different positions : A) incisal 1/3, B) incisal edge, C) cervical 1/5. Stresses developed in ceramic and cement were analyzed using three-dimensional finite element method. The results were as follows : 1. Stresses were concentrated in the margin region, which were primarily compressive in the labial and tensile in the lingual. 2. Stresses were larger in the area near line angle than on the crown surface of the margin region. In case of shoulder with sharp line angle, stresses were highly concentrated in the porcelain near line angle. 3. At the interface between porcelain and cement and at the porcelain above the margin on crown surface, stresses were the highest in chamfer, and decreased in shoulder with sharp line angle and shoulder with rounded line angle, respectively. 4. At the interface between cement and abutment on crown surface, stresses were the highest in shoulder with sharp line angle, and decreased in shoulder with rounded line angle and chamfer, respectively. 5. The amount of incisal reduction had little influence on the stress distribution in all-ceramic crowns. 6. When load was applied at the incisal edge, higher stresses were developed in the margin region and the incisal edge than under the other loading conditions. 7. When load was applied at the cervical 1/5, stresses were very low as a whole.

• 대한치과기공학회지
• /
• 제42권1호
• /
• pp.45-53
• /
• 2020

Purpose: The purpose of this study was to investigate the current status and satisfaction of dental CAD/CAM system. Methods: A survey of dental technicians was conducted and a total of 353 responses were used for analysis. The satisfaction difference according to career was analyzed by ANOVA and tukey HSD (α = .05). Results: Satisfaction with the design program was 3.64 ± .86, the highest among all items. On the other hand, the satisfaction with price was 2.75 ± 1.02, which was the lowest. The difference according to career was statistically significant in the following items. Frequent breakdown, single crown margin, bridge crown margin, retentivity, price, A/S, equipment training (p<.05). Conclusion: As the materials applied to dental CAD/CAM are expanding and the types of prostheses are diversified, the use rate of CAD/CAM is continuously increasing. The dental CAD/CAM system will need to be improved in a way that will satisfy all patients, dentists and dental technicians.

• 대한치과보철학회지
• /
• 제37권4호
• /
• pp.454-464
• /
• 1999

The metal ceramic crown is currently the most popular complete veneer restoration in dentistry, but in many cases, the metal cervical collar at the facial margin is unesthetic and unacceptable. Facial porcelain margin has been used in place of it. But this dose not solve the problems, such as dark gingival discoloration and cervical opaque reflection of porcelain veneer. Recently, metal copings which were designed to terminate its labio-cervical end on the axial walls coronal to the shoulder have been clinically used to solve the esthetic problem of metal ceramic crown. But in this design, porcelain veneer of labio-cervical area which is not supported by metal may not be able to resist the stress during cementation and mastication. The purpose of this study was to evaluate fracture strength and fractured appearance of crowns according to different coping designs. A resin maxillary left central incisor analogue was prepared for a metal ceramic crown, and metal dies were made with duplication mold. Metal copings were made and assigned to one of four groups based on facial framework designs: group 1, coping with 0.5mm metal collar; group 2, metal extended to the shoulder; group 3, metal extended to 1mm coronal tn the shoulder: group 4, metal extended to 2mm coronal to the shoulder. Copings and crowns were adjusted to be same size and thickness, and cemented to metal dies with zinc phosphate cement by finger pressure. Fracture strength was measured with Instron Universal Testing Machine. Metal dies were anchored in Three-way-vice at 3mm below finish line and at $130^{\circ}$ inclined to the long axis of the crown. Load was directed lingually at 2mm below midincisal edge. Load value at initial crack and at catastrophic fracture was recorded. The results obtained were as follows : 1. Fracture strength values at initial crack were higher in groups 1, 2 than in groups 3, 4 but this difference was not statistically significant(P<0.05). 2. Conventional metal collared crown had greater catastrophic fracture strength than any other collarless crowns. 3. The greater the labial metal coping reduction, the lower the catastrophic fracture strength of crowns but when more than 1mm of labial metal reduction was done, the difference in strengths was not statistically significant(p<0.05). 4. The strongest collarless coping design was group 2.

• 구강회복응용과학지
• /
• 제18권3호
• /
• pp.225-233
• /
• 2002

This study was aimed to evaluate the effects of ultrasonic vibration on margin types and cements by comparing bond strength of cemented crown. In this study, margins of each metal die, which were chamfer, shoulder and shoulder with bevel, were prepared using computer milling machine. Specimens were cemented with zinc phosphate cement or resin cement. The specimens were divided by the finish line and cement used, ultrasonic vibration. I made total 84 specimens. All specimens were divided into two groups. One group was not vibrated, the other group was subjected to ultrasonic vibration for 12 minutes. Tensile bond strength was measured using Universial testing machine. The changes of bond strength in groups were statistically analyzed by t-test or One-way ANOVA. The results were as follows : 1. Ultrasonic instrumentation diminished the bond strength of crown cemented with zinc phosphate cement and resin cement after 12 minutes application. 2. In case of zinc phosphate cement, the bond strength of a vibrated group was showed significantly decreased(p<0.05). In vibrated groups with zinc phosphate cement, shoulder with bevel exhibit a significant difference to chamfer and shoulder(p<0.05) 3. Resin cement was more resistant to ultrasonic vibration than zinc phosphate cement and showed no significant differences according to ultrasonic vibration and margin type. In conclusion, These results revealed that zinc phosphate cement was most affected and resin cement was the least affected by ultrasonic vibration. Especially shoulder with bevel design was most affected in zinc phosphate cement groups. we should consider these results and be taken in the application of ultrasonic vibration to any teeth restored with crowns.