• The Journal of Advanced Prosthodontics
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• v.7 no.6
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• pp.475-483
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• 2015

PURPOSE. The objective of this study was to evaluate the influence of various cement types on the stress distribution in monolithic zirconia crowns under maximum bite force using the finite element analysis. MATERIALS AND METHODS. The models of the prepared #46 crown (deep chamfer margin) were scanned and solid models composed of the monolithic zirconia crown, cement layer, and prepared tooth were produced using the computer-aided design technology and were subsequently translated into 3-dimensional finite element models. Four models were prepared according to different cement types (zinc phosphate, polycarboxylate, glass ionomer, and resin). A load of 700 N was applied vertically on the crowns (8 loading points). Maximum principal stress was determined. RESULTS. Zinc phosphate cement had a greater stress concentration in the cement layer, while polycarboxylate cement had a greater stress concentration on the distal surface of the monolithic zirconia crown and abutment tooth. Resin cement and glass ionomer cement showed similar patterns, but resin cement showed a lower stress distribution on the lingual and mesial surface of the cement layer. CONCLUSION. The test results indicate that the use of different luting agents that have various elastic moduli has an impact on the stress distribution of the monolithic zirconia crowns, cement layers, and abutment tooth. Resin cement is recommended for the luting agent of the monolithic zirconia crowns.

• The Journal of Korean Academy of Prosthodontics
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• v.38 no.4
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• pp.544-551
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• 2000

A fabrication method of inner and outer crown using CAD/CAM is presented. The information of abutment teeth is transferred to a computer through a 3-dimensional scanner. A Konus inner and outer crown is designed on a computer and a real crown is machined based on this design using CAM. This method can save laboratory time and reduce inaccuracies compare to conventional casting procedure. A stone model with six prepared abutment teeth from a patient was used in this study. Three dimensional information from the model was transferred to a computer using a contact type 3-dimensional scanner with a $25{\mu}m$ accuracy. All margins were identified on a computer image where there is a change in surface taper of a model. To provide a cement space, the image of a inner sur face of a Konus inner crown was duplicated $25{\mu}m$ apart from the surface of a prepared abutment teeth image. The cement space was $20{\mu}m$ at the cervical margin. All Konus crowns were machined with a $10{\mu}m$ accuracy. It was concluded that this method can reduce working-time for the laboratory process and increase accuracy. A further research is required to make a simplified process for a more complex prosthesis.

• The Journal of the Korean dental association
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• v.54 no.6
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• pp.414-428
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• 2016

Objectives: The aim of this study was to assess the morphologic characteristics of two types of stainless steel crowns (SSCs) for the first primary molar using a 3D scanner. Study design: Two types of SSCs, KIDS CROWN (KC) and 3M ESPE ND-96 (ND), for the first primary molars were scanned using a 3D scanner. The mesiodistal and buccolingual diameters at the height of the contour and the cervical margin, occlusocervical diameters on the mesial, distal, buccal, and lingual aspects were measured, and the crown shape ratio, the smooth surface crown height ratio, and the cervical convergence were calculated. Results: In the crown shape ratio of the mandibular SSC, KC was larger buccolingually compared with ND. In the smooth surface crown height ratio, ND was larger than KC in all of the maxilla and mesial, distal, and lingual aspects of the mandible. ND was more convergent to the cervical mesiodistally and buccolingually compared with KC. Conclusion: In the superimposed images of the maxillary SSC, the mesiolingual and distolingual line angles of KC were more prominent compared with ND. In the mandible, ND demonstrated higher cusps and more obvious buccal developmental lobes than KC. ND showed a larger cervical undercut than KC.

• The Journal of the Korean dental association
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• v.50 no.7
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• pp.384-393
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• 2012

Successful treatment of a badly broken down tooth with pulpal disease depends not only on good endodontic therapy, but also on good prosthetic reconstruction of the tooth after endodontic therapy is completed. The ideal treatment of endodontically treated teeth has been widely and controversially discussed. Endocrown is a restorative option for endodontically treated teeth. Endocrown design incorporates the core and short post into the crown as a single restoration. The preparation of endocrown consists of a circular equigingival butt-joint margin and central retention cavity of the entire pulp chamber instead of employing intraradicular posts. This design significantly increases the surface area of the preparation available for cementation. It is particularly useful in young patient teeth for long-term provisional restoration and in teeth with short clinical crowns. This technique represents a promising and conservative method for the treatment of endodontically treated teeth that require long-term protection and stability. Endocrown can be considered as a feasible alternative to full crowns or composite overlays for the restoration of non vital teeth.

• The Journal of Korean Academy of Prosthodontics
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• v.29 no.2
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• pp.129-145
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• 1991

The purpose of this study was to analyze the stresses and displacements of various esthetic restorations and abutment teeth. The finite element models of central incisor were divided into four groups according to the types of restoration. Three load cases were applied; 1) 45 degrees on the incisal edge, 2) horizontal force on the labial surface, and 3) 26 degrees diagonally on the lingual surface. Material property, geometry, and load conditions of each model were inputed to the two dimensional finite element program and stresses and displacements were analyzed. Results were as follows; 1. In the cases of porcelain fused gold ann and porcelain laminate venner, stresses were equally distributed in supporting abutment tooth. 2. The metal coping of porcelain fused gold u and collarless porcelain fused gold crown functioned as a good stress distributor. 3. When the horizontal load applied, the highest tensile and compressive stresses were seen in the cervical margin of restoration and the dentin of the abutment tooth. 4. The highest displacement of restoration was seen when load was applied at an mee of 26 degrees diagonally in lingual surface of tooth in centric occlusion. 5. The influence of loading direction on the stresses and displacements in the restoration was greater than that of various design. 6. The possibility of fracture was highest in porcelain jacket crown.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.3
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• pp.262-268
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• 2002

Statement of problem. In-Ceram system is one of the all-ceramic crowns that can be used in anterior 3 unit fixed partial dentures and posterior single crowns. The alumina core used in In-Ceram system is manufactured using slip-casting technique. The slip-casting technique is difficult and technique sensitive. To improve this problem, tape-casting method was introduced into dentistry. There were no studies to examine the effect of margin design on the margin fitness of all-ceramic crowns fabricated from alumina tape. Purpose. The purpose of this study was to compare the marginal fitness of glass infiltrated alumina core fabricated from aqueous-based alumina tape according to different margin types ($90^{\circ},\;110^{\circ},\;135^{\circ}$ shoulder margin). Material and method. Three upper central resin incisors were prepared with $90^{\circ},\;110^{\circ}$, and $135^{\circ}$ shoulder margins for all-ceramic crowns, respectively. The resin teeth were duplicated and master die and special plaster die were made as usual. After alumina cores were fabricated from aqueous-based alumina tape, cores were cemented to each 15 epoxy dies replicated from three resin teeth with resin cement. These cemented cores were embedded in epoxy resin. Specimens were cut mesiodistally and buccolingually. Marginal gap and discrepancy were measured under microscope. Results. The marginal gap and discrepancy of $90^{\circ}$ marginal angle was $75.1{\mu}m,\;86.6{\mu}m,\;110^{\circ}$ marginal angle was $41.5{\mu}m,\;50.7{\mu}m$ and $135^{\circ}$ marginal angle was $51.7{\mu}m,\;54.2{\mu}m$, respectively. The smallest value was seen in 110 (angle, which was statistically significant compared to that of $90^{\circ}$ angle (p<0.05). Conclusion. Marginal fitness of alumina cores made of alumina tape with $110^{\circ}$ shoulder margin was best and others were clinically acceptable.

• The Journal of Korean Academy of Prosthodontics
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• v.39 no.3
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• pp.260-272
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• 2001

All-ceramic restorations have had a more limited life expectancy than metal ceramic restorations because of their low strength. Their relatively lower strength and resistance to fracture have restricted the use of all-ceramic crowns to anterior applications where occlusal loads are lower. But there has been increasing interest in all-ceramic restorations because patients are primarily concerned with improved esthetics. Many efforts have been made to in prove the mechanical properties of dental ceramics. This study was designed to elucidate the influence of the luting agent on the strength of the Empress 2 crown (staining technique) cemented on human teeth. Seventy extracted human permanent molar teeth were chosen. Teeth were prepared for Empress 2 crowns with milling machine on a surveyor. A dental bur was placed in the mandrel that was positioned so that the long axis of the bur was perpendicular to the surveyor base. Dimensions of the Empress 2 crown preparation were $6^{\circ}$ taper on each side, $1.5{\pm}0.1mm$ shoulder margin, and 4mm crown height. The luting cements used in this study were as follow: 1. Uncemented 2. Zinc phosphate cements (Confi-Dental) 3. Conventional glass ionomer cement : Fuji 1 (GC) 4. Resin-modified glass ionomer cements : Fuji plus (GC) 5. Adhesive cements : Panavia F (Kuralay), Variolink II (Vivadent), Choice (Bisco). Fracture test using Instron. The crowns were loaded in compressive force to evaluate the effect of these cements on the breaking strength of these all-ceramic crowns. A steel ball with a diameter of 4mm was placed on the occlusal surface and load was applied to the steel ball by a cylindrical bolt with a crosshead speed of 0.5mm per minute until fracture occurred. The fractured surface was examined using Scanning Electron Microscopic Image (SEM) to discover the correlation between fracture strength and bonding capacity. Within the limitation of this in vitro study design, the results were as follows : 1. fomentations significantly increased the fracture resistance of Empress ceramic crowns compared to control. Uncemented (206.9 N): ZPC (812.9 N): Fuji 1 (879.5 N): Fuji Plus (937.7 N): Choice (1105.4 N): Variolink II (1221.1 N): Panavia F (1445.2 N). 2. Resin luting agent, treated by a silane bond enhancing agents, yielded a significant increase in fracture resistance. In some of the Panavia F group, a fracture extended into dentin. 3. According to SEM images of fractured Empress crowns, the stronger the bond at both interfaces(crown and die), the more fracture strength was acquired.

• The Journal of Korean Academy of Prosthodontics
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• v.41 no.3
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• pp.342-350
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• 2003

Statement of problem. Titanium-Nickel alloy might be used in various prosthetic restorations since it has a unique property such as super-elasticity and high fatigue resistance. However, little is known about the casting ability of this alloy. Purpose. This in vitro study compared the casting accuracy and the porosity made with different investments and various sprue designs to ascertain what casting condition would be better for the fabrication of Ti-Ni cast restorations. Material and methods. A total of 70 Ti-Ni alloy crowns were made and divided into 7 groups of 10 copings on a metal master die. For measuring the effect of the sprue numbers, two groups with one and two 8-gauge sprues were compared. Moreover, the results of the conventional sprue and the double thickness sprues were compared. Three investments were used; carbon free phosphate bonded investment, titanium investment and gypsum bonded investment. The cast restorations were evaluated at 48 points on the entire circumferential margin with a stereomicroscope measuring in micrometers. Each crown was radiographically examined for casting defects and porosity. Data on casting accuracy were analyzed using two-way and Post hoc Scheffe's comparison to determine whether significant differences existed at the 95% confidence level. Student-Newman-Keuls test were performed to identify significant differences in the number of voids. Results. The double sprueing group and double thickness group had significantly less marginal discrepancy than the single sprueing group (P<.05 and P<.01, respectively). The castings with phosphate bonded investment showed the least marginal discrepancy and the smoothest surface. The castings invested in the gypsum bonded investment had the greatest gaps in margin and the largest failure rate. The double sprueing group and phosphate bonded investment group had significantly smaller void numbers and smaller void size than the other groups. Conclusion. Within the limitations of this in vitro study, the casting accuracy of the groups using thicker, double sprue design and the phosphate bonded investment was significantly superior. Moreover, void number and size were less than other groups.

• The Journal of Korean Academy of Prosthodontics
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• v.31 no.4
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• pp.468-481
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• 1993

The Purpose of this study was to analyze the stresses and displacements of various post and core. The Finite element models of central incisors were divided into seven types according to the various amount of remaining tooth structures. $10kgf/mm^2$ force was applied respectively as follows : 1) Horizontal on the labial surface 2) $26^{\circ}$ diagonal direction on the lingual surface. Material property, geometry, and load condition of each model were inputted to the two dimensional ANSYS 4.4A finite element program : stresses and displacements were analyzed. Results were follows : 1. In the case of $130^{\circ}$ shoulder post and core, Maximum tensile and shear stresses were observed in the crown margin. 2. Maximum shear stress was about 29% reduced by contrabevel. 3. In the case of 1mm axial tooth structure, Maximum tensile stress observed in the dentin. 4. In the case of but joint of cervix, Maximum stress concentration was observed in the dentin by the inclined and horizontal force. 5. Horizontal force produced the extraordinary high stresses in dentin and supporting structures. 6. The amount of remaining tooth structure affected the level of stress significantly and it determined the location of stress concentration.

• Journal of dental hygiene science
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• v.13 no.2
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• pp.135-141
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• 2013

One factor for successful prognosis of finished dental prosthesis is good marginal fit. The purpose of this study in vitro investigation was to compare the marginal fit of all-ceramic crown before and after porcelain veneering, to evaluate the influence of high temperature of the porcelain firing on the fit. For this experiment, model of abutment tooth of maxillary right central incisor was prepared. Ten working models were produced. Ten zirconia cores were made by dental computer aided design/computer aided manufacturing system. The marginal fit of specimens were examined using silicone replica technique. Silicone replicas were sectioned four times and were measured through a digital microscope (${\times}160$). Marginal fit is a distance connected between edge end part of specimen and abutment margin. Each specimens was measured twice, the first measurement was done prior to veneering porcelain firing, while the second measurement was done after the porcelain firing to evaluate this process. Statistical analyses were performed with paired t-test. $Mean{\pm}SD$ marginal fit was $60.8{\pm}14.2{\mu}m$ for zirconia core and $86.1{\pm}13.3{\mu}m$ for all-ceramic crown. They were statistically significant differences (p<0.001). But all specimens showed a marginal fit where the gap widths ranged within the clinical recommendation ($120{\mu}m$), all-ceramic crown production using the zirconia core was adequate.