• 치위생과학회지
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• 제19권4호
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• pp.238-244
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• 2019

Background: Recently, three-dimensional (3D) printing has been hailed as a disruptive technology in dentistry. Among 3D printers, a digital light processing (DLP) 3D printer has certain advantages, such as high precision and relatively low cost. Therefore, the latest trend in resin crown manufacturing is the use of DLP 3D printers. However, studies on the internal fitness of such resin crowns are insufficient. The recently introduced 3D evaluation method makes it possible to visually evaluate the error of the desired area. The purpose of this study is to evaluate the internal fitness of resin crowns fabricated a by DLP 3D printer using the 3D evaluation method. Methods: The working model was chosen as the maxillary molar implant model. A total of 20 resin crowns were manufactured by dividing these into two groups. One group was manufactured by subtractive manufacturing system (PMMA), while the other group was manufactured by additive manufacturing system, which uses a DLP 3D printer. Resin crowns data were measured using a 3D evaluation program. Internal fitness was calculated by root mean square (RMS). The RMS was calculated using the Geomagic Verify software, and the mean and standard deviation (SD) were measured. For statistical analysis, IBM SPSS Statistics for Windows ver. 22.0 (IBM Corp., USA) was used. Then, independent t-test was performed between the two groups. Results: The mean±SD of the RMS were 41.51±1.51 and 43.09±2.32 for PMMA and DLP, respectively. There was no statistically significant difference between PMMA and DLP. Conclusion: Evaluation of internal fitness of the resin crown made using a DLP 3D printer and subtractive manufacturing system showed no statistically significant differences, and clinically acceptable results were obtained.

• 대한치과기공학회지
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• 제40권3호
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• pp.115-123
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• 2018

Purpose: The purpose of this study was establishing process of manufacturing dental prosthesis by using eZIS system(DDS Inc.,Korea). Methods: To evaluate accuracy verification, the test was practiced two ways. First, Comparison of 3D printing models and stone models was practiced by using 3D superimposing software. #36 prepared master model was scanned by eZIS system and three 'Veltz3D' 3D printing models and three 'Bio3D' 3D printing models were manufactured. three stone models were manufactured by conventional impression technique. Second, Fitness test was practiced. the 3D printing models and the stone models was compared by manufacturing same resin crown. #36 prepared master model was scanned 9 times and manufactured (milled) 9 resin crowns by eZIS system. These crowns were cemented three 'Veltz3D' 3D printing models, three 'Bio3D' 3D printing models and three stone models. These crowns were sliced mesiodistal axis and gaps were measured by digital microscope. Results: The average accuracy of Bio3D models were 65.75%. Veltz3D(Hebsiba) models were 60.11% Stone models were 41.00%. Conclusion : This study results showed 3D printing model is similar with stone model. So it was under clinical allow, didn't affect final dental prothesis. There were no significant differences in the appearance of the three types of milling crowns.

• The Journal of Advanced Prosthodontics
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• 제12권5호
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• pp.283-290
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• 2020

PURPOSE. The present study aimed to evaluate the clinical applicability of monolithic zirconia (MZ) crowns of different thickness via determination of fracture resistance and marginal fit. MATERIALS AND METHODS. MZ crowns with 0.5, 0.8, 1.0, and 1.5 mm thickness and porcelain fused to metal (PFM) crowns were prepared, ten crowns in each group. Marginal gaps of the crowns were measured. All crowns were aged with thermal cycling (5 - 55℃/10000 cycle) and chewing simulator (50 N/1 Hz/lateral movement: 2 mm, mouth opening: 2 mm/240000 cycles). After aging, fracture resistance of crowns was determined. Statistical analysis was performed with one-way ANOVA and Tukey's HDS post hoc test. RESULTS. Fracture loads were higher in the PFM and 1 mm MZ crowns compared to 0.5 mm and 0.8 mm crowns. 1.5 mm MZ crowns were not broken even with the highest force applied (10 kN). All marginal gap values were below 86 ㎛ even in the PFM crowns, and PFM crowns had a higher marginal gap than the MZ crowns. CONCLUSION. The monolithic zirconia exhibited high fracture resistance and good marginal fit even with the 0.5 mm thickness, which might be used with reduced occlusal thickness and be beneficial in challengingly narrow interocclusal space.

• 대한치과의사협회지
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• 제21권5호통권168호
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• pp.415-423
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• 1983

A total of 202 full coverage crowns from 31 patients was investigated to find out the relationships between crown contour and gingival response. Every experimental crown has its contralateral natural tooth for its control group. Gingival Index and buccolingual width of the crowns were measured on both experimental and control group. Following conclusions were obtained from the study. 1. Most of the crown restorations were overcontoured and the increments were servere at cervical and height of contour area. 2. Height of contour and contact point of the restored crown were located near cervical area. Besides, most crowns had narrow embrasure with wide contact area. 3. Gingival Index around crown restorations was significantly larger than that of control group. 4. the interrelationship between Gingival Index and restored material or restored period was not verified at 5% significant level. 5. When grouping the artificial crowns into overcontoured, normal contoured, and undercontoured group by their width increment, the gingival inflammation was the severest in the overcontoured group and the mildest in the undercontoured group.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.187-197
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• 2013

PURPOSE. The purpose of this study was to evaluate various core designs on stress distribution within zirconia crowns. MATERIALS AND METHODS. Three-dimensional finite element models, representing mandibular molars, comprising a prepared tooth, cement layer, zirconia core, and veneer porcelain were designed by computer software. The shoulder (1 mm in width) variations in core were incremental increases of 1 mm, 2 mm and 3 mm in proximal and lingual height, and buccal height respectively. To simulate masticatory force, loads of 280 N were applied from three directions (vertical, at a $45^{\circ}$ angle, and horizontal). To simulate maximum bite force, a load of 700 N was applied vertically to the crowns. Maximum principal stress (MPS) was determined for each model, loading condition, and position. RESULTS. In the maximum bite force simulation test, the MPSs on all crowns observed around the shoulder region and loading points. The compressive stresses were located in the shoulder region of the veneer-zirconia interface and at the occlusal region. In the test simulating masticatory force, the MPS was concentrated around the loading points, and the compressive stresses were located at the 3 mm height lingual shoulder region, when the load was applied horizontally. MPS increased in the shoulder region as the shoulder height increased. CONCLUSION. This study suggested that reinforced shoulder play an essential role in the success of the zirconia restoration, and veneer fracture due to occlusal loading can be prevented by proper core design, such as shoulder.

• The Journal of Advanced Prosthodontics
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• 제13권1호
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• pp.24-35
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• 2021

PURPOSE. This study was to evaluate the effect of rinsing time on the accuracy of interim crowns fabricated by digital light processing. MATERIALS AND METHODS. The maxillary right first molar master die was duplicated using a silicone material, while a study die was produced using epoxy resin. Scans of the epoxy resin die were used in combination with CAD software to design a maxillary right first molar interim crown. Based on this design, 24 interim crowns were fabricated with digital light processing. This study examined the trueness and precision of products that were processed with one of the three different postprocessing rinsing times (1 min, 5 min, and 10 min). Trueness was measured by superimposing reference data with scanned data from external, intaglio, and marginal surfaces. Precision was measured by superimposing the scan data within the group. The trueness and precision data were analyzed using Kruskal-Wallis, nonparametric, and post-hoc tests, and were compared using a Mann-Whitney U test with Bonferroni correction (α=.05). RESULTS. The trueness of the external and intaglio surfaces of crowns varied significantly among the different rinsing times (P=.004, P=.003), but there was no statistically significant difference in terms of trueness measurements of the marginal surfaces (P=.605). In terms of precision, statistically significant differences were found among the external, intaglio, and marginal surfaces (P=.001). CONCLUSION. Interim crowns rinsed for 10 minutes showed high accuracy.

• The Journal of Advanced Prosthodontics
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• 제14권3호
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• pp.173-181
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• 2022

PURPOSE. This analysis aimed to evaluate the intaglio surface trueness, antagonist's wear volume loss, and fracture resistance of full-contour crowns of (Y, Nb)-stabilized fully-sintered zirconia (FSZ), 4 mol% or 5 mol% yttria-stabilized partially sintered zirconia (4YZ or 5YZ) with high-speed sintering. MATERIALS AND METHODS. A total of 42 zirconia crowns were separated into three groups: FSZ, 4YZ, and 5YZ (n = 14). The intaglio surface trueness of the crowns was evaluated at the inner surface, occlusal, margin, and axial areas and reported as root-mean-square, positive and negative average deviation. Half of the specimens were aged for 120,000 cycles in the chewing simulator, and the wear volume loss of antagonist was measured. Before and after chewing, the fracture load was measured for each group. The trueness values were analyzed with Welch's ANOVA, and the wear volume loss with the Kruskal-Wallis tests. Effect of the zirconia type and aging on fracture resistance of crowns was tested using two-way ANOVA. RESULTS. The intaglio surface trueness measured at four different areas of the crown was less than 50 ㎛, regardless of the type of zirconia. No significant P in wear volume loss of antagonists were detected among the groups (P > .05). Both the type of zirconia and aging showed statistically significant effects on fracture resistance (P < .05). CONCLUSION. The full-contour crowns of FSZ as well as 4YZ or 5YZ with high-speed sintering were clinically acceptable, in terms of intaglio surface trueness, antagonist's wear volume loss, and fracture resistance after simulated mastication.

• The Journal of Advanced Prosthodontics
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• 제14권4호
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• pp.223-235
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• 2022

PURPOSE. To compare the clinical outcomes of two types of implant restoration for posterior edentulous area, 3-unit bridge supported by 2 implants and 3 implant-supported splinted crowns. MATERIALS AND METHODS. The data included 127 implant-supported fixed restorations in 85 patients: 37 restorations of 3-unit bridge supported by 2 implants (2-IB), 37 restorations of 3 implant-supported splinted crowns (3-IC), and 53 single restorations (S) as controls. Peri-implantitis and mechanical complications that occurred for 14 years were analyzed by multivariable Cox regression model. Kaplan-Meier curves and the multivariable Cox regression model were used to analyze the success and survival of implants. RESULTS. Peri-implantitis occurred in 28.4% of 2-IB group, 37.8% of 3-IC group, and 28.3% of S control group with no significant difference. According to the implant position, middle implants (P2) of the 3-IC group had the highest risk of peri-implantitis. The 3-IC group showed a lower mechanical complication rate (7.2%) than the 2-IB (16.2%) and S control group (20.8%). The cumulative success rate was 52.8% in S (control) group, 62.2% in 2-IB group, and 60.4% in 3-IC group. The cumulative survival rate was 98.1% in S (control) group, 98.6% in 2-IB group, and 95.5% in 3-IC group. There was no significant difference in the success and survival rate according to the restoration type. CONCLUSION. The restoration type was not associated with the success and survival of implants. The risk of mechanical complications was reduced in 3 implant-supported splinted crowns. However, the middle implants of the 3 implant-supported splinted crowns had a higher risk of peri-implantitis.

• 대한치과기공학회지
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• 제38권3호
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• pp.119-125
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• 2016

Purpose: The purpose of this study is to evaluate the marginal gap of all-ceramic crowns fabricated by CEREC$^{(R)}$ in-office CAD/CAM system. Methods: The mandibular first molar was selected as the abutment for the experiments. Thirty working models were prepared. VITA Mark II(VM) and VITA Enamic(VE), LAVA Ultimate(LU) blocks were milled using CEREC MCXL with CEREC 3D system to construct 10 crowns for each groups. To measure marginal gap, milled restorations were examined under digital microscope with scale under 160x magnifications. The results were statistically analyzed using the one-way ANOVA and Tukey's HSD test(${\alpha}=0.05$). Results: There was no significant difference in the marginal gap regarding to ceramic materials(p>0.05). Conclusion: Single crowns fabricated using CEREC in-office CAD/CAM system provided clinically acceptable marginal gap. This confirmed that the type of ceramic material used does not determine the precision of fit of a prosthesis.

• The Journal of Advanced Prosthodontics
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• 제12권4호
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• pp.225-232
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• 2020

PURPOSE. This study aimed to fabricate provisional crowns at varying build directions using the digital light processing (DLP)-based 3D printing and evaluate the marginal and internal fit of the provisional crowns using the silicone replica technique (SRT). MATERIALS AND METHODS. The prepared resin tooth was scanned and a single crown was designed using computer-aided design (CAD) software. Provisional crowns were printed using a DLP-based 3D printer at 6 directions (120°, 135°, 150°, 180°, 210°, 225°) with 10 crowns in each direction. In total, sixty crowns were printed. To measure the marginal and internal fit, a silicone replica was fabricated and the thickness of the silicone impression material was measured using a digital microscope. Sixteen reference points were set and divided into the following 4 groups: marginal gap (MG), cervical gap (CG), axial gap (AG), and occlusal gap (OG). The measurements were statistically analyzed using one-way ANOVA and Dunnett T3. RESULTS. MG, CG, and OG were significantly different by build angle groups (P<.05). The MG and CG were significantly larger in the 120° group than in other groups. OG was the smallest in the 150° and 180° and the largest in the 120° and 135° groups. CONCLUSION. The marginal and internal fit of the 3D-printed provisional crowns can vary depending on the build angle and the best fit was achieved with build angles of 150° and 180°.