• The Journal of the Korean dental association
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• v.48 no.11
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• pp.813-818
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• 2010

Since MTA has many beneficial properties such as biocompatibility, great sealing capacity, antibacterial effects, low cytotoxicity, and stimulation of formation of mineralized tissue, it has been widely used as the material of choice in root-end filling, apexification, pulpotomy, perforation repair and so on. However, despite its favorable characteristics, MTA presents working properties which are less than ideal. The resulting cement from the mixing of powder and water is difficult to manipulate, and its setting time has been reported to be 2 h 45 min whereas the working time is <4 minutes. Additional moisture is also required to activate the setting of the cement. Moreover, according to recent studies, the physical properties of MT A may be hampered by acidic environment or blood contamination. Therefore, practitioners may have surprisingly worse results than they expected when they are not fully acquainted with the characteristics and manipulation method of MTA.

• The Journal of the Korean dental association
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• v.25 no.11 s.222
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• pp.1019-1028
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• 1987

결손된 치질과 변색된 법랑질을 수복하기 위해 많은 재료와 술식이 개발되어왔다. 즉 silicate cement, PMMA resin, BISGMA composite resin, glass ionomer cement, porcelain등이 이용되어 왔으나 이것들은 biocompatible하지 않아 이상적인 재료는 아니다. 따라서 인간의 결손된 enamel을 수복할 수 있는 새로운 생역학적인 재료가 필요하게 되었다. 필자는 최근 관심의 대상이 되고 있는 porcelain laminate veneer system(층상 도재 전장관)에 관하여 문헌을 중심으로 고찰해 보고자 한다(국내에서는 장완식 교수께서 1987년 6월10일 보철학교실 세미나에서 video tape를 통해 소개한바 있음). 여기서는 Hobo, Iwata(1985)등이 소개한 castable apatite ceramic material을 이용한 laminate veneer술식에 관해 기술하고 내화성 모형(refractory cast)을 이용한 laminate술식과 비교 기술하고자 한다.

• The Journal of the Korean dental association
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• v.48 no.1
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• pp.56-62
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• 2010

In recent years, a number of special treatment procedures have been introduced to reestablish new tooth supporting tissues with varying degrees of success including guided tissue regeneration(GTR), bone grafting(BG) and the use of enamel matrix derivative(EMD). EMD is an extract of enamel matrix and contains amelogenins of various molecular weights. Emdogain(EMD) might have some advantages over other methods of regenerating the tissue supporting teeth lost by gum disease, such as less postoperative complications. Emdogain contains proteins(derived from developing pig teeth) believed to regenerate tooth attachment. The decrease in probing depth after EMD treatment is achieved primarily by clinical attachment gain and bone regeneration and only to a minor extent by gingival recession. In conclsion, EMD seems to be safe, was able to regenerate lost periodontal tissues in previously diseased sites based on clinical parameters.

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.567.1-567
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• 2001

A self-setting calcium phosphate cement (CPC), consisting of tetracalcium phosphate (TTCP) and dicalcium phosphate anhydrous (DCP A), reacts with water and hardens fast (30 min) to form hydroxyapatite (HA) under physiological conditions as the final product. Although this CPC is finding increasing use as a biomaterial, it is presently limited to low stress bearing applications because of its relatively low strength and highly brittle nature. Recently the mechanical properties of CPC reinforced with chopped carbon fiber have been reported.

• Journal of Periodontal and Implant Science
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• v.48 no.2
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• pp.103-113
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• 2018

Purpose: The purpose of this retrospective study with 4-12 years of follow-up was to compare the marginal bone loss (MBL) between external-connection (EC) and internal-connection (IC) dental implants in posterior areas without periodontal or peri-implant disease on the adjacent teeth or implants. Additional factors influencing MBL were also evaluated. Methods: This retrospective study was performed using dental records and radiographic data obtained from patients who had undergone dental implant treatment in the posterior area from March 2006 to March 2007. All the implants that were included had follow-up periods of more than 4 years after loading and satisfied the implant success criteria, without any peri-implant or periodontal disease on the adjacent implants or teeth. They were divided into 2 groups: EC and IC. Subgroup comparisons were conducted according to splinting and the use of cement in the restorations. A statistical analysis was performed using the Mann-Whitney U test for comparisons between 2 groups and the Kruskal-Wallis test for comparisons among more than 2 groups. Results: A total of 355 implants in 170 patients (206 EC and 149 IC) fulfilled the inclusion criteria and were analyzed in this study. The mean MBL was 0.47 mm and 0.15 mm in the EC and IC implants, respectively, which was a statistically significant difference (P<0.001). Comparisons according to splinting (MBL of single implants: 0.34 mm, MBL of splinted implants: 0.31 mm, P=0.676) and cement use (MBL of cemented implants: 0.27 mm, MBL of non-cemented implants: 0.35 mm, P=0.178) showed no statistically significant differences in MBL, regardless of the implant connection type. Conclusions: IC implants showed a more favorable bone response regarding MBL in posterior areas without peri-implantitis or periodontal disease.

• The Journal of Advanced Prosthodontics
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• v.15 no.4
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• pp.202-213
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• 2023

PURPOSE. This prospective clinical study was conducted to evaluate the clinical usefulness of the freely detachable zirconia ball- and spring-retained implant prosthesis (BSRP) through a comparative analysis of screw- and cement-retained implant prosthesis (SCRP). MATERIALS AND METHODS. A multi-center, randomized, prospective clinical study evaluating the clinical usefulness of the detachable zirconia ball- and spring-retained implant prostheses was conducted. Sixty-four implant prostheses in 64 patients were examined. Periodic observational studies were conducted at 0, 3, 6, and 12 months after delivery of the implant prosthesis. Factors such as implant success rate, marginal bone resorption, periodontal pocket depth, plaque and bleeding index, and prosthetic complications were evaluated, respectively. RESULTS. During the 1-year observation period, all implants survived without functional problems and clinical mobility, showing a 100% implant success rate. Marginal bone resorption was significantly higher in the SCRP group than in the BSRP group only at the time of implant prosthesis delivery (P = .043). In all observation periods, periodontal pocket depth was slightly higher in the BSRP group than in the SCRP group, but there was no significant difference (P > .05). The modified plaque index (mPI) scores of both groups were moderate. Higher ratio of a score 2 in modified sulcus bleeding index (mBI) was observed in the BSRP group in the 6- and 12-months observation. CONCLUSION. Within the limitations of this study, the newly developed zirconia ball- and spring-retained implant prosthesis could be considered as an applicable and predictable treatment method along with the existing screw- and cement-retained prosthesis.

• The Journal of the Korean dental association
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• v.49 no.5
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• pp.265-278
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• 2011

The introduction of zirconia-based materials to the dental field broadened the design and application limits of, all-ceramic restorations. Most ceramic restorations are adhesively luted to the prepared tooth, however, resin bonding to zirconia components is less reliable than those to other dental ceramic systems. It is important for high retention, prevention of microleakage, and increased fracture resistance, that bonding techniques be improved for zirconia systems. Strong resin bonding relies on micromechanical interlocking and adhesive chemical bonding to the ceramic surface, requiring surface roughening for mechanical bonding and surface activation for chemical adhesion. In many cases, high strength ceramic restorations do not require adhesive bonding to tooth structure and can be placed using conventional cements which rely only on micromechanical retention. However, resin bonding is desirable in some clinical situations. In addition, it is likely that strong chemical adhesion would lead to enhanced long-term fracture and fatigue resistance in the oral environment.

• Restorative Dentistry and Endodontics
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• v.19 no.2
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• pp.633-640
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• 1994

The tensile bond strength to dentin was measured for three glass-ionomer cement and composite resin combinations: two light-curing glass-ionomer cements(Vitrebond and XR - Ionomer) and one traditional glass - ionomer cement(Ketac - Bond), two adhesive systems(Scotchbond, and XR - Bonding System), and a corresponding composite resin. The bond strength of this "sandwich" was also compared with that of the same cements used in bulk. Vitredbond showed a significantly higher bond strength in bulk than did the other two cements. Of the sandwiches, the XR - Iomomer and XR - Bond combination showed a bond strength significantly higher than that of the Vitrebond and Scotchbond or Ketac- bond and Scotchbond combination. The fracture of the bond was mainly adhesive for Vitrebond, cohesive for XR - Ionomer when used in bulk and adhesive - cohesive when used in a sandwich, and cohesive for Ketac-Bond.

• Journal of Dental Rehabilitation and Applied Science
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• v.18 no.3
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• pp.225-233
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• 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.

• The Journal of Korean Academy of Prosthodontics
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• v.20 no.1
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• pp.25-32
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• 1982

An in vitro study was conducted to compare the bond strength of cements between Verabond coping and various cores. Fifty-four idential cores simulating maxillary central incisor prepared for PFM crowns were made. Eighteen samples were made with 20K cast gold, eighteen with Verabond, and eighteen with Adaptic. Samples were randomly divided into three groups, each consisting of six 20K cast gold, six verabond, and six Adaptic samples. The first group was cemented with zinc phosphate cement, the second group with poly-carboxylate cement, and the third group with glass ionomer cement. Constant finger pressure was applied for cementation. The sample were then stored at $37^{\circ}C$ in distilled water bath for 24 hours. The tensile strength test was performed on an Instron Universal test machine with crosshead speed of 0.05cm/min and the results compared statistically. Results of the study showed that: 1. A significant difference of bond strength was observed with different types of dental cements and core materials. 2. With gold core, zinc phosphate cement was stronger than both the polycarboxylate cement and glass ionomer cement, which did not differ in bond strength. 3. With base-metal core, zinc phosphate cement showed the highest bond strength and was followed by polycarboxylate cement and glass ionomer cement. 4. With composite resin core, zinc phosphate cement showed the highest bond strength and was followed by glass ionomer cement and polycarboxylate cement. 5. The base-metal core (Verabond core) privided the highest retention of all core materials.