• 대한치과기공학회지
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• 제42권1호
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• pp.45-53
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• 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.

• 대한치과기공학회지
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• 제33권3호
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• pp.247-256
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• 2011

Purpose: The purpose of this survey research was to investigate the Perception level of CAD/CAM of dental techique. Methods: This survey was carried out in the metropolitan areas of the cities of Daegu and Gyeong-buk. Surveys were filled out by consenting dental technicians. Statistical analysis was done using the Statistical Package for Social Sciences (SPSS) version 17.0 for Windows. As for the analysis methods, the study used the frequency analysis, Ttest, F-test. Results: Perception of CAD/CAM showed differences in General characteristics associated with education level, monthly salary. Perception of CAD/CAM showed differences in professional characteristics associated with working area, working part. Perception of CAD/CAM showed differences in understanding of CAD/CAM associated with CAD/CAM operating experience, CAD/CAM educational experience. Conclusion: In order to improve the Perception level of CAD/CAM of dental technician, A variety education and follow-up research is need.

• 대한치과기공학회지
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• 제38권4호
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• pp.365-380
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• 2016

Purpose: The purpose of this study was to ascertain the need to reform curriculums for digital experts in a way that include the practical and educational aspects of dental labs by determining why educational reforms are needed to comply with changes in dental technology business that are brought by the applications of digital scanning and what changes are being actually brought by the use of CAD/CAM. Methods: This study analyzed the need of education and practice in relation to CAD/CAM by using the independent sample t-test and One-way ANOVA. in accordance with the participants demographic characteristics and job-related variables and factors related to CAD/CAM, and provided only some of the analysis results that were found statistically significant. Concerning the need of education and practice in relation to CAD/CAM, the study also used the independent sample t-test to measure difference in the perception of that need within each of the three groups, or those of job performance, job efficiency and knowledge gain at the signficance level of ${\alpha}=.05$. Results: Dental technologists surveyed here were perceiving that the use of CAD/CAM would bring changes in their job performance, job efficiency and knowledge gain. They were expecting that the biggest changes would be made in work climate and product quality as sub-areas of job performance. However, they said that in terms of job efficiency, the use of CAD/CAM would change job contribution, job satisfaction and job efficiency, but not lead to staffing. These results suggest that more special programs for CAD/CAM education are needed to bring up CAD/CAM experts who are more specialized. Conclusion: Among 13 skills related to CAD/CAM, what is most needed to be educated to dental technologists was "molding the occlusal surface" (M=4.19), followed by "designing the 3-D work" (M=4.17), "final shape modification" (M=4.16), "molding the border" (M=4.15) and "checking the fit of prothesis" (M=4.14) in order.

• 대한치과보철학회지
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• 제56권3호
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• pp.188-198
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• 2018

목적: 최근 디지털 기술의 발달과 더불어 치과영역에서도 다양한 보철물 제작을 위해 Computer aided design/computer aided manufacture (CAD/CAM) 시스템의 사용이 확대되고 있다. CAD/CAM 시스템은 전통적인 방식의 보철물 제작의 단점을 극복하여, 치과의사와 치기공사가 보철물을 제작할 때, 환자에게 한 두 번의 병원 방문으로도 정확하고 정밀도 높은 보철물의 제공이 가능하게 할 수 있다. 본 논문은 현재 국내의 CAD/CAM 시스템 현황 및 인식을 파악함으로써 새로 장비를 도입할 때 고려해야 할 항목에 대한 조언을 제공하고자 한다. 대상 및 방법: 본 설문 조사는 서울대학교 치과 병원을 포함한 전국 298 명의 치과의사, 치과위생사 및 치과기공사를 대상으로 2016년 11월부터 12월까지 2 개월간 우편을 통해 실시하였다. 결과: 치과용 CAD/CAM 밀링기 구매 시 가장 고려하는 요인은 밀링기의 성능(64.43%)이었으며 용도는 치과보철물 제작과 임플란트용 맞춤형 지대주 제작이 49.33%로 가장 높았다. 또한, 응답자의 약 60% 이상이 CAD/CAM 밀링기가 만족할 만한 성능으로 개선된다면 새로운 장비의 구매에 대해 긍정적인 답변을 보였다. 결론: 설문조사 분석결과, 성능이 개선된 CAD/CAM 밀링기 디지털화 및 4차 산업혁명을 대비하는 치과산업에서 중요한 역할을 할 것으로 여겨진다.

• 대한치과보철학회지
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• 제55권4호
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• pp.436-443
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• 2017

과거의 computer-aided design/computer-aided manufacturing (CAD/CAM) 기술 형태는 사용자가 한 제조사의 구성요소만 사용해야 하는 폐쇄적인 시스템이었다면, 현재는 여러 제조사의 구성요소 중 사용자가 필요에 맞는 구성요소를 선택해서 사용할 수 있는 유연성을 가진 개방적인 시스템 형태로 변화하였다. 치과재료와 보철물 제작 기술의 발전에도 불구하고 의치 제작은 지난 100년 가까이 전통적인 제작방식을 따랐다. 하지만 최근 들어 기존 의치 제작의 단점을 보완하고자 CAD/CAM 제작 의치에 관한 연구가 활발히 이루어지고 있으며, 밀링이나 3D 프린팅을 이용해 상용화된 형태의 CAD/CAM 제작 의치가 이미 임상에서 쓰이고 있다. 본 증례는 3D face scan을 활용한 CAD/CAM 의치 제작의 가능성을 확인하고, CAD/CAM과 전통적인 방법으로 제작한 의치를 비교한 결과에 대해 보고하고자 한다.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.92-97
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• 2013

PURPOSE. All-ceramic crowns are subject to fracture during function. To minimize this common clinical complication, zirconium oxide has been used as the framework for all-ceramic crowns. The aim of this study was to compare the fracture strengths of two computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia crown systems: Lava and Digident. MATERIALS AND METHODS. Twenty Lava CAD/CAM zirconia crowns and twenty Digident CAD/CAM zirconia crowns were fabricated. A metal die was also duplicated from the original prepared tooth for fracture testing. A universal testing machine was used to determine the fracture strength of the crowns. RESULTS. The mean fracture strengths were as follows: $54.9{\pm}15.6$ N for the Lava CAD/CAM zirconia crowns and $87.0{\pm}16.0$ N for the Digident CAD/CAM zirconia crowns. The difference between the mean fracture strengths of the Lava and Digident crowns was statistically significant (P<.001). Lava CAD/CAM zirconia crowns showed a complete fracture of both the veneering porcelain and the core whereas the Digident CAD/CAM zirconia crowns showed fracture only of the veneering porcelain. CONCLUSION. The fracture strengths of CAD/CAM zirconia crowns differ depending on the compatibility of the core material and the veneering porcelain.

• 대한치과의사협회지
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• 제57권3호
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• pp.169-174
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• 2019

The rapid evolution of CAD/CAM (Computer Aided Design / Computer Aided Manufacture) led to a dramatic impact on all disciplines of dentistry especially in the fields of prosthodontics and restorative dentistry. This article is to examine the history, advantages & disadvantages and some clinical considerations of CAD/CAM restoration.

• 대한치과의사협회지
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• 제52권6호
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• pp.332-345
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• 2014

In recent years, precision machining of the dental prosthesis by computer assisted system is becoming pervasive in clinical dentistry. Prosthesis fabricating system that is designed by computer software and made by computer devices is called as a CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) system. By the use of dental CAD/CAM system, the improvement of marginal compatibility and mechanical properties in prosthesis can be obtained more effectively, an aesthetic quality by using new materials such as zirconia can be increased. Also, the restoration process can be simple and efficient, the production time can be shortened, the process of manufacture can be standardized, and the mass production is possible. What is clear is that these benefits are theoretically possible, but the dentist or dental technician must understand the CAD/CAM basic principles and limitations for obtaining the maximum advantages of CAD/CAM system. For this reason, this article will be presented about the basic principles of CAD/CAM system and the factors of error that might occur in the CAD/CAM process based on my empirical study.

• 대한치과기공학회지
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• 제37권4호
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• pp.271-284
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• 2015

Purpose: The purpose of this study was to examine the usage of CAD/CAM, which is one of dental technologist duties, in an effort to look for any possible changes in the usage of CAD/CAM. It's specifically meant to compare the results of this study with those of Lee Jong-do, Park Kwang-Sig(2011)'s study in March, 2011, to determine if there were any changes over the past four years. The selected variables that were investigated were the ownership of CAD/CAM, awareness of it, the route of acquiring the first information on it, the merits and demerits of its usage, usage experience and educational experience about it. Methods: An online survey was conducted on the dental technologists who worked in urban communities including metropolitan cities to find out the usage of CAD/CAM in 2015 from July 15 to 31, 2015, after existing questionnaire items were modified. The collected data were analyzed by IBM SPSS statistics 22.0, and statistical data on frequency, percentage, mean and standard deviation for each item were obtained. To figure out the characteristics of the subjects and the relationship between their occupational characteristics and the usage of CAD/CAM, crosstabs, independent-samples t-test and one-way ANOVA were utilized. As for the usage of CAD/CAM in 2011, the results of Lee Jong-do, Park Kwang-Sig(2011)'s study were selected, and then a comparative analysis was made. The level of significance was all set at .05. Total 250 questionnaires were distributed to them, and 190(76.0%) were returned. After excluding 23 whose answers were uncertain or seemed to lack reliability, total 167(66.8%) were used in final analysis. Results: As a result of analyzing the usage of CAD/CAM that was one of dental technologist duties, there was a great increase in the ownership of CAD/CAM in their workplaces from 2.4 percent in 2011 to 71.7 percent in 2015, and there was an improvement in awareness about it and the necessity of its usage as well. In 2011, the Internet and mass media were the most common route that they got to know about it. They had a strong tendency to acquire related knowledge through education in 2015, and there were some changes in the products that they used or preferred. In both years, the great merit of CAD/CAM was the simplified manufacturing process of restoration, and it had another great advantages in 2015 such as the improved quality of restoration or improved environments for dental technology. Concerning disadvantages, high price was a big problem in 2011. In 2015, not only price but the burden of material costs, frequent breakdown, poor demand among dental clinics and a lack of CAD/CAM professionals were pointed out a lot. In the future, this researcher intends to make research to seek ways of improving CAD/CAM professionals. Conclusion: There was more awareness of CAD/CAM in 2015 than in 2011 when the changes in awareness of it were analyzed, and the finding suggest the necessity of sustained education and concern.

• 대한치과기공학회지
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• 제37권1호
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• pp.9-15
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• 2015

Purpose: The purpose of this study was to compare the accuracy of the maxillary three-unit fixed dental prosthesis (FDPs) made using two CAD/CAM milling machines : DCM Group(Dentaim CAD/CAM milling machine), WCM Group(Wieland CAD/CAM milling machine). Methods: Each of 10 duplicate models was scanned by blue light scanner(Identica, Medit, Korea), and the three-unit FDPs (STL file) was designed using DelcamCAD. A total of 20 three-unit FDPs was fabricated, comprising 2 groups of 10 specimens each (shrinkage ratio is 1:1). The first three-unit FDPs STL file was used as a CAD reference model (CRM). Obtained STL files by scanning the inner surface of three-unit FDPs were convened into the point clouds-ASC II files. Discrepancies between the point clouds and CRM were measured by superimposition software. Statistical methods to analyze the data were used non-parametric method. The mean (SD) values were compared by a Mann-Whitney U-test. Type one error rate was set at 0.05. Results: WCM group had small discrepancies with $2.17{\mu}m$ of mean value compared to $4.44{\mu}m$ in DCM group. The accuracy values between the two groups showed a sratistically significant difference (Table 2, p<.05). Conclusion: The accuracy of the three-unit fixed dental prosthesis(FDPs) made of two CAD/CAM milling machines were statistically different. Accuracy with which the prosthesis made of WCM group was superior.