• Journal of the Korean Academy of Esthetic Dentistry
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• v.24 no.2
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• pp.122-133
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• 2015

The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction" and "the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this review article.

• Proceedings of the Korean Vacuum Society Conference
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• 2016.02a
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• pp.360.1-360.1
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• 2016

Hydroxyapatite (Ca10(PO4)6(OH)2, HAP) particles have attracted a great deal of attention in biomedical fields due to their good biocompatibility, bioactivity and fairly broad applications as drug delivery, dental implant, bone cement, and etc. Thus, many researchers have made an effort to add new functionalities such as luminescence, drug delivery, and bone regeneration properties up to HAP powders by controlling their nanostructure as well as composition. In this research, the mesoporous strontium substituted HAP (Sr-HAP) microspheres were synthesized using a hydrothermal method. In this synthesis, aspartic acid monomers were utilized to form microsphere by controlling surface energy of HAP particles and Sr ions were substituted into Ca ion sites, which induced luminescence property in HAP powders. Moreover, the change in the amount of Sr substitution was found to influence the particle size, morphology, and concurrently surface area, which led to changing drug loading as well as drug release property. The amount of Sr influences the morphology, luminescent properties, particle size, surface area cell viability and drug loading property, which are investigated by SEM, TEM, XRD, FTIR, BET, XPS and in vitro test such as MTT assay and drug release test. In particular, the multifunctional Sr-HAP with molar ratios of 0.25 (Sr/(Ca+Sr)) possessed the strongest luminescent property as well as the superior drug loading and sustained release properties that were correspondent with large surface area and pore size. Our study indicates that the fabricated multifunctional Sr-HAP microspheres are quite useful for bone regeneration and drug delivery.

• The Journal of Korean Academy of Prosthodontics
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• v.43 no.3
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• pp.379-392
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• 2005

Statement of problem. One of the common problems of dental implant prosthesis is the loosening of the screw that connects each component, and this problem is more common in single implant-supported prostheses with external connection, and in molars. Purpose. The purposes of this study were: (1) to compare the initial abutment screw detorque values of the six different implant-abutment interface designs, (2) to compare the detorque values of the six different implant-abutment interface designs after cyclic loading, (3) to compare the detorque values of regular and wide diameter implants and (4) to compare the initial detorque values with the detorque values after cyclic loading. Material and methods. Six different implant-abutment connection systems were used. The cement retained abutment and titanium screw of each system were assembled and tightened to 32Ncm with digital torque gauge. After 10 minutes, initial detorque values were measured. The custom titanium crown were cemented temporarily and a cyclic sine curve load(20 to 320N, 14Hz) was applied. The detorque values were measured after cyclic loading of one million times by loading machine. One-way ANOVA test, scheffe’s test and Mann-Whitney U test were used. Results. The results were as follows : 1. The initial detorque values of six different implant-abutment connections were not significantly different(p>0.05). 2. The detorque values after one million dynamic cyclic loading were significantly different (p<0.05). 3. The SS-II regular and wide implant both recorded the higher detorque values than other groups after cyclic loading(p<0.05). 4. Of the wide implants, the initial detorque values of Avana Self Tapping Implant, MIS and Tapered Screw Vent, and the detorque values of MIS implant after cyclic loading were higher than their regular counterparts(p<0.05). 5. After cyclic loading, SS-II regular and wide implants showed higher detorque values than before(p<0.05).

• The Journal of Korean Academy of Prosthodontics
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• v.31 no.4
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• pp.482-505
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• 1993

The purpose of this study was to evaluate the fracture characteristics and the effect of resin bonding of laminate porcelain. In order to characterize the indentation-induced crack, Young's moduli and characteristic indentation dimensions were measured. The fatigue life under three point flexure test was measured using the electro-dynamic type fatigue machine, and the crack propagation with thermocycling was investigated on the condition of 15 second dwell time each in $5^{\circ}C\;and\;55^{\circ}C$ bath. The Vickers indentation pattern and the fracture surface were examined by an optical microscope and a scanning electron microscope (SEM). The results obtained were summarized as follows ; 1. Young's moduli(E) of the laminate porcelain and the resin cement used in this experiment were $62.56{\pm}3.79GPa$ and $15.01{\pm}0.12GPa$, respectively. 2. The initial crack size of the laminate porcelain was $69.19{\pm}5.94{\mu}m$ when an indentation load of 9.8N was applied, and the fracture toughness was $1.065{\pm}0.156MPa\;m^{1/2}$. 3. The fatigue life of laminate porcelain showed the constant fracture range at the stress level 27.46-35.30MPa. 4. When a cyclic flexure load was applied, the fatigue life of resin-bonded laminate porcelain was more decreased than that of laminate porcelain. 5. When a thermocycling was conducted, the crack growth rate of resin-bonded laminate porcelain was more increased than that of laminate porcelain. 6. Fracture surface showed the radial crack, the lateral crack, and the macroscopic crack branching region beneath the plastic deformation region when an indentation load of 9.8N was applied.

• The Journal of Advanced Prosthodontics
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• v.8 no.2
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• pp.131-136
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• 2016

PURPOSE. The aim of this study was to observe stress concentration in the implant, the surrounding bone, and other components under the pull-out force during the crown removal. MATERIALS AND METHODS. Two 3-dimensional models of implant-supported conventional metal ceramic crowns were digitally constructed. One model was designed as a vertically placed implant ($3.7mm{\times}10mm$) with a straight abutment, and the other model was designed as a 30-degree inclined implant ($3.7mm{\times}10mm$) with an angled abutment. A pull-out force of 40 N was applied to the crown. The stress values were calculated within the dental implant, the abutment, the abutment screw, and the surrounding bone. RESULTS. The highest stress concentration was observed at the coronal portion of the straight implant (9.29 MPa). The stress concentrations at the cortical bone were lower than at the implants, and maximum stress concentration in bone structure was 1.73 MPa. At the abutment screws, the stress concentration levels were similiar (3.09 MPa and 3.44 MPa), but the localizations were different. The stress at the angled abutment was higher than the stress at the straight abutment. CONCLUSION. The pull-out force, applied during a crown removal, did not show an evident effect in bone structure. The higher stress concentrations were mostly observed at the implant and the abutment collar. In addition, the abutment screw, which is the weakest part of an implant system, also showed stress concentrations. Implant angulation affected the stress concentration levels and localizations. CLINICAL IMPLICATIONS. These results will help clinicians understand the mechanical behavior of cement-retained implant-supported crowns during crown retrieval.

• Journal of Dental Rehabilitation and Applied Science
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• v.20 no.1
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• pp.19-29
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• 2004

The purpose of this study was to compare the fracture strength of the IPS Empress ceramic crown according to the incisal reduction(2.0mm, 2.5mm, 3.0mm) and axial inclination ($4^{\circ}$, $8^{\circ}$, $12^{\circ}$) of the lower canine. After 10 metal dies were made for each group, the IPS Empress ceramic crowns were fabricated and each crown was cemented on each metal die with resin cement. The cemented crowns mounted on the testing jig were inclined 30 degrees and a universal testing machine was used to measure the fracture strength. The results of this study were as follows : 1. The fracture strength of the ceramic crown with 3.0mm depth and $12^{\circ}$ inclination was the highest(1377N). Crowns of 2.0mm depth and $4^{\circ}$ inclination had the lowest strength (731 N). 2. There were no significant differences of the fracture strength by axial inclination in same incisal reduction group. 3. The fracture mode of the crowns was similar. Most of fracture lines began at the loading area and extended through proximal surface perpendicular to the margin irrespective of incisal reduction.

• Journal of Periodontal and Implant Science
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• v.44 no.5
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• pp.222-226
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• 2014

Purpose: This study aimed to assess the interdental bone level in premolar bitewing radiographs while retracting the cheeks. Methods: Seventy-two horizontal bone defects were created on dried mandibles and maxillae. The distance from the bone level to the cement-enamel junction of premolars was detected by a modified digital caliper (considered the gold standard). The reliability of all radiographs was assessed by intraclass correlation coefficient (ICC), and the validity was compared to the gold standard using the analysis of variance test. P-values less than 0.05 were considered statistically significant. Results: This study showed that the reliability of radiographs without a cheek simulator and with 0.16 second exposure time was significantly higher than that of the two other groups (ICC=0.96 compared to 0.93 and 0.88, respectively). The results from the radiographs without a cheek simulator and with 0.16 second exposure time were more similar to the gold standard measures than those of the two other groups, although the difference was not statistically significant. Conclusions: Retracting the buccal soft tissue plays an important role in increasing the accuracy of radiographs in detecting the interdental alveolar bone level and produces more accurate results than increasing the exposure time, although it does not have a significant role in reliability of results.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.1
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• pp.110-115
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• 2003

Dens evaginatus is an anomalous tooth development arising during morphodifferentiation. It is most often reported in premolar, and familial occurrence has been reported. The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. Pathosis of the pulp can occur before complete root formation with cessation of root development. A rational and conservative approach to the management of dens evaginatus in vital teeth includes early diagnosis and treatment to prevent fracture or attrition of the tubercle. This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. When presented with a case of dens evaginatus in a nonvital tooth with incomplete root development, the treatment of choice has been extraction, apexification. We report two cases of dens evaginatus that appear in two sisters. In the elder, a periapical lesion on radiographs is shown, and it is treated by calcium hydroxide apexification. The other sister is early recognized of dens evaginatus, it is treated using glass ionomer cement reinforcing with sequential grinding.

• Journal of Technologic Dentistry
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• v.32 no.4
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• pp.327-335
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• 2010

Purpose: The purpose of this study was to investigate the correlation between zirconia core thickness and color tone blocking of discolored tooth and metal post. Methods: For this study, we made 20-porcelain sample and 4-metal sample( liechtenstein IPS e.max) bonded to zirconia core of different thickness with cement(Relyx ARC-3M USA)for produce discolored. We measured the color-spectral characteristics, using Shadepilot equipment(Degudent USA).We measured it with Shadepilot equipment set by automated average mode in 3 times And applied the average value obtained from 2 times of measurement in the middle of each sample. Results: As a result of analysing color-spectral characteristics on zirconia core sample, Depending on the thickness of zirconia core, the value of brightness(${\Delta}L*$:color-spectral characteristic) was increased within limited range, value of ${\Delta}a*$, ${\Delta}b*$ was decrease. Conclusion: Consequently, we obtained the following results: Changes of sample color were observed depending on the thickness of zirconia, but the range of change did not exceed the scope range of shade guide. The case of metal posts, shade guide color D2 were observed in 0.5mm of zirconia core thickness. As a result, in case of porcelain, increasing the zirconia thickness of 0.3mm or more is unnecessary for color blocking effect, in case of metal post, considering the discolored tooth, thickness of zirconia with at least 0.5mm or more is recommended.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.2
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• pp.146-151
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• 2016

In patients with fully edentulous maxilla, fabrication of implant-supported overdenture can be a viable treatment option, when a minimum of six implants were strategically placed. Among several attachment systems used for implant-supported overdentures, milled-bars prevent rotational movement of denture, thus showing great stability, and have the advantage of splinting multiple implants with each other. In this case report, a milled-bar supported overdenture was fabricated for a patient suffering from condition of fully edentulous maxilla with severe ridge resorption in the anterior residual ridge. Seven implants composed of three different systems were effectively utilized by CAD/CAM customized abutment and cement-retained milled bar.