• Restorative Dentistry and Endodontics
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• 제43권3호
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• pp.27.1-27.9
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• 2018

Objectives: The aim of this in vitro study was to evaluate the effects of the thickness and shade of 3 types of computer-aided design/computer-aided manufacturing (CAD/CAM) materials. Materials and Methods: A total of 120 specimens of 2 shades (A1 and A3) and 2 thicknesses (1 and 2 mm) were fabricated using VITA Mark II (VM; VITA Zahnfabrik), IPS e.max CAD (IE; IvoclarVivadent), and VITA Suprinity (VS; VITA Zahnfabrik) (n = 10 per subgroup). The amount of light transmission through the ceramic specimens was measured by a radiometer (Optilux, Kerr). Light-cured resin cement samples (Choice 2, Bisco) were fabricated in a Teflon mold and activated through the various ceramics with different shades and thicknesses using an LED unit (Bluephase, IvoclarVivadent). In the control group, the resin cement sample was directly light-cured without any ceramic. Vickers microhardness indentations were made on the resin surfaces (KoopaPazhoohesh) after 24 hours of dark storage in a $37^{\circ}C$ incubator. Data were analyzed using analysis of variance followed by the Tukey post hoc test (${\alpha}=0.05$). Results: Ceramic thickness and shade had significant effects on light transmission and the microhardness of all specimens (p < 0.05). The mean values of light transmittance and microhardness of the resin cement in the VM group were significantly higher than those observed in the IE and VS groups. The lowest microhardness was observed in the VS group, due to the lowest level of light transmission (p < 0.05). Conclusion: Greater thickness and darker shades of the 3 types of CAD/CAM ceramics significantly decreased the microhardness of the underlying resin cement.

• 대한치과기공학회지
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• 제35권1호
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• pp.19-27
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• 2013

Purpose: The aim of this research was to evaluate the shear bond strength of different zirconia veneering ceramics with and without liner glass materials to yttria partially-stabilized tetragonal zirconia polycrystalline(Y-TZP). Methods: Five co mmercial zirconia veneering ceramics were used in this study, E-Max(EM), Creation ZI(CR), Cercon ceram kiss(CE), Triceram(TR) and Zirkonzahn ICE(ZI). All samples were prepared according to manufacturer's instructions. Experimental industrially manufactured Y-TZP ceramic blocks(diameter: 2.7 mm; height: 13.5 mm) were used in this study. Shear bond strength between zirconia ceramic coping and zirconia veneering ceramics were evaluated by the push-shear bond test. The fracture load data were analyzed using ANOVA and Scheffe's test(${\alpha}$=0.05). The fractured surfaces of zirconia core ceraimc and zirconia veneering ceramics were observed using a scanning electron microscope(SEM). Results: The mean shear bond strengths ranged from 20 MPa ($20.12{\pm}6.34$ MPa) to 66.6 MPa ($66.62{\pm}10.01$ MPa). The Triceram(TRG) showed the highest value and Creation ZI(CR) showed the lowest value. In all groups, Zirconia liner and glass material groups was significantly higher shear bond strength than without liner(P<0.05), with the exception of Cercon ceram kiss(CE)groups. Conclusion: Zirconia bonding materials may have the advantage of improved bond strength between zirconia ceramic core and veneering ceramics.

• 대한치과보철학회지
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• 제52권2호
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• pp.136-142
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• 2014

최근 많이 이용되고 있는 지르코니아-도재 수복물은 그 적용범위가 점차로 증가하고 있다. 임상연구결과에서 지르코니아 코어는 매우 높은 성공율을 보이고 있으나 코어 위에 축성되는 전장도재는 기존에 이용되어온 금속-도재 수복물에 비해 높은 파절빈도를 나타내고 있다. 이러한 파절의 원인으로 여러가지 요소가 거론되고 있으나 아직 명확하게 설명하고 있지는 못하다. 최근 전장도재 축성 후 냉각과정에서 잔존하는 잔류응력이 전장도재의 파절에 영향을 미칠 수 있다는 연구결과가 속속 발표되고 있다. 본 고찰에서는 잔류응력이 무엇이며 도재 축성 후 냉각과정에서 어떤 기전을 통해 전장도재 내에 잔류응력이 발생하는지, 또한 기존의 금속-도재 수복물에서 발생하는 잔류응력과는 어떤 차이가 있는지 문헌고찰을 통해 살펴보고자 한다.

• The Journal of Advanced Prosthodontics
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• 제8권1호
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• pp.37-42
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• 2016

PURPOSE. This study investigated the effect of amount of thickness reduction on color and translucency of dental monolithic zirconia ceramics. MATERIALS AND METHODS. One-hundred sixty-five monolithic zirconia specimens ($16.3mm{\times}16.3mm{\times}2.0mm$) were divided into 5 groups (Group I to V) according to the number of A2-coloring liquid applications. Each group was then divided into 11 subgroups by reducing the thickness up to 1.0 mm in 0.1-mm increments (Subgroup 0 to 10, n=3). Colors and spectral distributions were measured according to CIELAB on a reflection spectrophotometer. All measurements were performed on five different areas of each specimen. Color difference (${\Delta}E^*{^_{ab}}$) and translucency parameter (TP) were calculated. Data were analyzed using one-way ANOVA and multiple comparison $Scheff{\acute{e}}$ test (${\alpha}=.05$). RESULTS. There were significant differences in CIE $L^*$ between Subgroup 0 and other subgroups in all groups. CIE $a^*$ increased (0.52<$R^2$<0.73), while CIE $b^*$ decreased (0.00<$R^2$<0.74) in all groups with increasing thickness reduction. Perceptible color differences (${\Delta}E^*{^_{ab}}$>3.7) were obtained between Subgroup 0 and other subgroups. TP values generally increased as the thickness reduction increased in all groups ($R^2$>0.89, P<.001). CONCLUSION. Increasing thickness reduction reduces lightness and increases a reddish, bluish appearance, and translucency of monolithic zirconia ceramics.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4819-4825
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• 2010

치과 진료에 사용되는 세라믹 재료들은 고유존재비에 따라 자연방사성 핵종을 포함하고 있다. 이 방사성 핵종들은 치과 진료를 통하여 세라믹 재료들이 인체에 시술됨에 따라 구강 내에서 내부 방사선 피폭을 일으키게 된다. 본 연구에서는 치과재료 속에 포함된 방사성 핵종에 의해 인체에 영향을 미칠 수 있는 영향을 평가하기 위하여 치과 재료용으로 흔히 사용되는 22종류의 세라믹 재료와 1종류의 temporary resin 및 2종류의 glass ionomer cement에 대하여 전$\beta$ 방사능을 측정하였다. 측정 결과 치과 세라믹 재료의 전$\beta$ 방사능은 1.317 ~ 2.935 Bq/g 이었으며, 세라믹 재료 평균 전$\beta$ 방사능 농도는 2.379 Bq/g이었다. 세라믹 재료 중 전$\beta$ 방사능이 가장 높은 것은 opacious dentine의 code OD-A4로 2.935 Bq/g이었다. Dentine, opacious dentine, translucent 및 enamel의 평균 전$\beta$ 방사능은 각각 2.479 Bq/g, 2.491 Bq/g, 2.470 Bq/g 및 2.069 Bq/g 이었다. Temporary resin과 glass ionomer cement의 전$\beta$ 방사능 농도는 세라믹 재료에 비하여 측정오차범위 내의 무시할 만한 값이었으며, 전$\beta$ 방사능의 준위에 가장 많은 영향을 미치는 방사선동위원소는 40K으로 판단된다. 치과 재료의 방사선 준위에 추가적인 조사와 치과용 재료 내의 방사능 준위를 줄이기 위하여 이에 대한 기준이나 개선방안이 필요할 것으로 사료된다.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.362-371
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• 2016

Purpose: The increasing demand for esthetically pleasing results has contributed to the use of ceramics for dental implant abutments. The aim of this study was to compare the biological response of epithelial tissue cultivated on lithium disilicate ($LS_2$) and zirconium oxide ($ZrO_2$) ceramics. Understanding the relevant physicochemical and mechanical properties of these ceramics will help identify the optimal material for facilitating gingival wound closure. Methods: Both biomaterials were prepared with 2 different surface treatments: raw and polished. Their physicochemical characteristics were analyzed by contact angle measurements, scanning white-light interferometry, and scanning electron microscopy. An organotypic culture was then performed using a chicken epithelium model to simulate peri-implant soft tissue. We measured the contact angle, hydrophobicity, and roughness of the materials as well as the tissue behavior at their surfaces (cell migration and cell adhesion). Results: The best cell migration was observed on $ZrO_2$ ceramic. Cell adhesion was also drastically lower on the polished $ZrO_2$ ceramic than on both the raw and polished $LS_2$. Evaluating various surface topographies of $LS_2$ showed that increasing surface roughness improved cell adhesion, leading to an increase of up to 13%. Conclusions: Our results demonstrate that a biomaterial, here $LS_2$, can be modified using simple surface changes in order to finely modulate soft tissue adhesion. Strong adhesion at the abutment associated with weak migration assists in gingival wound healing. On the same material, polishing can reduce cell adhesion without drastically modifying cell migration. A comparison of $LS_2$ and $ZrO_2$ ceramic showed that $LS_2$ was more conducive to creating varying tissue reactions. Our results can help dental surgeons to choose, especially for esthetic implant abutments, the most appropriate biomaterial as well as the most appropriate surface treatment to use in accordance with specific clinical dental applications.

• 치위생과학회지
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• 제18권1호
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• pp.42-49
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• 2018

The computer-aided design/computer-aided manufacturing (CAD/CAM) system was introduced to shorten the production time of all-ceramic restorations and the number of patient visits. Among these types of ceramic for dental CAD/CAM, they have been processed into inlay, onlay, and crown shapes using leucite-reinforced glass-ceramics to improve strength. The purpose of this study was to observe the mechanical properties and microstructure of leucite-reinforced glass-ceramics for dental CAD/CAM. Two types of leucite-reinforced glass-ceramic blocks (IPS Empress CAD, Rosetta BM) were prepared with diameter of 13 mm and thickness of 1 mm. Biaxial flexural testing was conducted using a piston-on-three-ball method at a crosshead speed of 0.5 mm/min. Weibull statistics were used for the analysis of biaxial flexural strength. Fracture toughness was obtained using an indentation fracture method. Specimens were observed by field emission scanning electron microscopy to examine the microstructure of the leucite crystalline phase after acid etching with 0.5% hydrofluoric acid aqueous solution for 1 minute. The results of strength testing showed that IPS Empress CAD had a mean value of $158.1{\pm}8.6MPa$ and Rosetta BM of $172.3{\pm}8.3MPa$. The fracture toughness results showed that IPS Empress CAD had a mean value of $1.28{\pm}0.19MPa{\cdot}m^{1/2}$ and Rosetta BM of $1.38{\pm}0.12MPa{\cdot}m^{1/2}$. The Rosetta BM sample exhibited higher strength and fracture toughness. Moreover, the crystalline phase size and ratio were increased in the Rosetta BM sample. The above results are expected to elucidate the basic mechanical properties and crystal structure characteristics of IPS Empress CAD and Rosetta BM. Additionally, they will help develop leucite-reinforced glass-ceramic materials for CAD/CAM.

• 한국산학기술학회논문지
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• 제15권7호
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• pp.4329-4335
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• 2014

본 연구의 목적은 금속 도재관과 지르코니아 도재관 보철물의 하부 구조물인 금속과 상부 도재의 결합강도 (금속군), 하부 구조물인 지르코니아와 상부 도재의 전단결합강도 (지르코니아군)를 결정함에 있어서 각각 하부 구조물인 금속과 지르코니아의 표면 처리를 다르게 하였을 때, 전단결합강도에 미치는 영향을 평가하고자 한다. 금속군에서는 금속 표면에 각각 아무 처리를 하지 않은 집단(NM), 모래분사를 실시한 집단(SM), 불투명 도재를 도포한 집단(OM), 모래분사와 함께 불투명 도재를 도포한 집단(SOM) 총 4집단으로 나누어 실시하였고, 지르코니아군에서는 아무 처리를 하지 않은 집단(NZ), 표면에 모래 분사를 실시한 집단(SZ), 지르코니아 표면에 이장재(지르라이너)를 처리한 집단(LZ), 모래분사와 이장재 처리를 함께한 집단(SLZ) 총 4집단으로 시편을 제작하였다. 금속군과 지르코니아군 각각의 4집단의 표면 처리에 따른 전단결합강도에 영향이 있는지 알아보기 위하여 SPSS를 사용하여 일원배치 분산분석을 시행하였다. 금속 도재관의 경우 하부 구조물인 금속 표면에 모래분사를 한 후 불투명 도재를 도포하는 것이 가장 권장되며, 지르코니아 도재관의 경우 하부 구조물인 지르코니아 표면에 모래분사를 한 후 지르라이너를 도포하는 것이 권장된다.

• 대한치과기공학회지
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• 제41권4호
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• pp.279-285
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• 2019

Purpose: The dental CAD / CAM system has been popular with the development of the digital dental industry. Zirconia is a typical material in dental CAD / CAM systems. Zirconia crowns are classified into single layer and double layer. This study is about the double layer crown of zirconia. The surface roughness, bond strength and fracture patterns of the zirconia surface were observed. Methods: Zirconia blocks were cut using a low speed cutter. Sintered to form a plate shape (6mm × 6mm × 3mm). The prepared specimens were surface treated in four ways. Surface roughness and bond strength were measured. And the fracture pattern was observed. Results: Result of surface treatment of zirconia. The surface roughness test results were as ET 2.87 ㎛, ST 2.67 ㎛, LT 2.44 ㎛, AT 2.41 ㎛, CN 2.08 ㎛ order. Bond Strength results were as LT 25.09 MPa, AT 23.27 MPa, ST 21.27 MPa, ET 21.09 MPa, CN 16.12 MPa order. Fracture patterns showed cohesive failure of 25-50% of the bond area. Conclusion: Surface roughness, bond strength and fracture pattern of the zirconia surface were observed. Etching the surface treatment of zirconia materials has been shown to affect the surface roughness. Zirconia special binder treatment has been shown to affect the bond strength improvement.

• 대한치과기공학회지
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• 제26권1호
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• pp.115-128
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• 2004

In this study, optical and mechanical properties were investigated with 4 kinds of commercial dental enamels. As a result of EDS analysis $SiO_2,\;Na_{2}O,\;Al_{2}O_3\;and\;K_{2}O$ were the main components of commercial dental enamels. In case of H specimen, content of $SiO_2\;and\;K_2O$ were more than that of another specimens. Starting powder and fired specimens were glass ceramics which were consist of amorphous phase and leucite (crystalline) phase. Crystallization did not occurred during firing process, since the XRD peak intensity was similar between starting powder and fired specimens. As a result of differential thermal analysis, $T_g$ and crystalline temperature was varied with composition in the range of $548\sim576^{\circ}C$ and $735\sim780^{\circ}C$ respectively. 0.5mm thickness dental enamel specimens showed sufficient translucent properties. However, transmittance and reflectance were lower than 5% result from scattering due to the refractive index difference between glass and crystalline phase. 3 point bending strength was in the range of 73.9$\sim$101.8MPa which was similar or slightly higher than enamel of natural teeth and Vickers hardness was higher than enamel of natural teeth more than 100.