• The Journal of Korean Academy of Prosthodontics
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• v.44 no.4
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• pp.421-431
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• 2006

Statement of problem : Accurate impression is essential to success of implant prostheses. But there have been few studies about the accuracy of fixture-level impression technique in internal connection implant system. Purpose: This study evaluated the accuracy of splinted fixture-level impression technique using clinical methods and the effect of internal hex on fit of superstructure in internal connection implant system (Astra Tech). Material and method : Two metal master frameworks made from two abutments (Cast-to Abutment ST) each for parallel and divergent conditions and a corresponding. passively fitting, dental stone master cast with four future replicas (Fixture Replica ST) were fabricated. Ten dental stone casts were made with vinyl polysiloxane impressions from the master cast by acrylic resin splinted fixture-level impression technique. To evaluate the accuracy of impression technique, the fit of master frameworks for test models was evaluated using screw resistance test (SRT) and one-screw test. The results of SRT were recorded as SRT values from grade 1 to grade 5 by 1/4 turn. And to evaluate the effect of hex on fit of superstructure, the same tests were performed after removing hexes of master frameworks. Results: 1. There was only one case (2.5%) showing SRT value of test model below ade 2 in total before and after removing hexes of master frameworks. And, by removing hexes. SRT values decreased in only one test model (5%) and did not change in 17 test models (85%). 2. SRT values of the 1$^{st}$ screws were grade 2 in 80% of cases before, and grade 1 in 80% of cases after removing hexes. And, by removing hexes, SRT values decreased in 72.5% of cases. 3. SRT values of the 2$^{nd}$ screws were grade 3 in 85% of cases before, and grade 3 in 95% of cases after removing hexes. And, by removing hexes, SRT values did not change in 85% of cases. 4. There were only 2 cases regarded as acceptable fit by one-screw test, and SRT values of 2$^{nd}$ screws of both cases were grade 2. Conclusion. Within the limitations of this study, future-level impression of internal connection implant system is considered to obtain inaccurate working cast, even using acrylic resin splinted impression technique. And, it is considered to be unable improve the fit to remove the hexes of implant restoration.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.2
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• pp.140-155
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• 2002

Void-free impression taking is important for the fabrication of accurate dental restorations. One of the essential properties of an impression material used for indirect fabrication of precision castings is the reproduction of the fine detail. The objective in this study was to determine the influence of mixing methods on the number of voids and surface detail reproduction. The number of voids and surface detail reproduction were evaluated with the steteomicroscope $SZ-PT^{(R)}$ and photographed. The results were as follows ; 1. In comparison of the void formation according to mixing methods of all impression materials, mechanical mixing was better than hand mixing and there was significant difference(p<0.05) 2. In comparison of the void formation according to hand mixing of alginate impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;CAVEX\;IMPRESSIONAL^{(R)},\;AROMA \;FINE\;DF\;III^{(R)}$), there was no significant difference among alginate groups. But the number of void was increased in the order of $Panasil^{(R)}\;contact,\;TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}$ light bodied and there was significant difference (p<0.05). 3. In comparison of the void formation according to mechanical mixing of alginate impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;CAVEX\;IMPRESSIONAL^{(R)},\;AROMA FINE\;DF\;III^{(R)}$), there was no significant different among alginate groups. But the number of void was decreased in order of $TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}light\;bodied,\;Panasil^{(R)}$ contact and there was significant difference (p<0.05). 4. In comparison of the surface detail reproduction according to mixing methods of 3 types of impression materials($TOKUSO\;A-1{\alpha}^{(R)},\;Permlastic^{(R)}\;light\;bodied,\;Panasil^{(R)}\;contact$), there was no significant difference between hand mixing and mechanical mixing method 5. The surface detail reproduction was only influenced by impression materials, and produced better in order of $TOKUSO\;A-1{\alpha}^{(R)},\;Panasil^{(R)}\;contact,\;Permlastic^{(R)}$ light bodied. There was significat difference among 3 type of impression materials(p<0.05). From the above results, void formation is influenced by mixing methods and surface detail reproduction is influenced by impression materials than mixing methods. Therefore, to fabricate accurate restorations, proper impression material and mechanical mixing method are more effective and available clinically.

• The Journal of Advanced Prosthodontics
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• v.11 no.2
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• pp.138-146
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• 2019

PURPOSE. Comparing the accuracy of casts produced from digital workflow to that of casts produced from conventional techniques. MATERIALS AND METHODS. Whole arch alginate (ALG) and polyvinyl siloxane (PVS) impressions were taken with stock trays and custom trays, respectively. The ALG impressions were poured with type III dental stone, while the PVS impressions were poured with type IV dental stone. For the digital workflow, IOS impressions were taken and physical casts were produced by 3D printing. In addition, 3D printed casts were produced from images obtained from a laboratory scanner (LS). For each technique, a total of 10 casts were produced. The accuracies of the whole arch and separated teeth were virtually quantified. RESULTS. Whole arch cast accuracy was more superior for PVS followed by LS, ALG, and IOS. The PVS and ALG groups were inferior in the areas more susceptible to impression material distortion, such as fossae and undercut regions. The LS casts appeared to have generalized errors of minor magnitude influencing primarily the posterior teeth. The IOS casts were considerably more affected at the posterior region. On the contrary, the IOS and LS casts were more superior for single tooth accuracy followed by PVS and ALG. CONCLUSION. For whole arch accuracy, casts produced from IOS were inferior to those produced from PVS and ALG. The inferior outcome of IOS appears to be related to the span of scanning. For single tooth accuracy, IOS showed superior accuracy compared to conventional impressions.

• The Journal of Korean Academy of Prosthodontics
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• v.39 no.2
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• pp.146-156
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• 2001

The purpose of this study was twofold. One was to evaluate the wettability of 4 elastomeric impression materials on tooth and different kinds of filling materials. The other was to identify the effect of topical surfactants sprayed on the surface of each impression. The elastomeric impression mate rials used in this experimental study were one polyether(Impregum F) and three polyvinyl siloxanes(Provil novo, Zerosil, Imprint). The abutments were prepared for 3/4 crown or onlay on the extracted human first molar. The filling materials used in this study for the duplication of prepared abutment were composite resin, amalgam, and casting metal. Impression was taken by manufacturer's recommendations and the number of voids on the impression surface was counted. The topical surfactants were Spannex $II^{(R)}$ and $Cohere^{(R)}$. The wettability was evaluated by comparing the number of voids between non-treated group and treated groups. The results were as follows : 1. $Zerosil^{(R)}$ showed the least number of voids on the impression surface. The number of voids increased in order of Provil $novo^{(R)}$, Impregum $F^{(R)}$, and $Imprint^{(R)}$. 2. Impregum $F^{(R)}$ and $Zerosil^{(R)}$ showed the least number of voids on the surface of dental stone master cast. The number is inclosed in order of Provil $novo^{(R)}$ and Imprint 3. When abutment material is tooth, the number of voids on the surface of master cast was smallest compared with that of other abutment materials. The number of voids increased in order of casting metal, amalgam and composite resin 4. The number of voids on the surface of the dental stone master cast was smallest when Spannex $II^{(R)}$ was used, followed by $Cohere^{(R)}$ treated group and non-treated group. These results suggest that the difference in wettability caused by the types of rubber base impression materials as well as abutment materials can affect the number of voids. And the use of topical surfactant for rubber base impression materials can improve the wettability of the materials and enhance the accurate master cast which has fewer surface voids.

• The Journal of Advanced Prosthodontics
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• v.11 no.3
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• pp.155-161
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• 2019

PURPOSE. Although dental impression disinfection is determinant to reduce the cross-infection risk, some studies have shown that, in real practice, the disinfection procedures vary considerably. Thus, the aim of this study was to evaluate the antimicrobial effectiveness and the impact on the dimensional stability of addition silicone' impressions of water wash and the most clinically used disinfection solutions: 3% hydrogen peroxide, commercial disinfectant MD520 (Durr) and 1% and 5.25% sodium hypochlorite. MATERIALS AND METHODS. For this investigation, dental impressions were taken on 16 volunteer dental students. The antimicrobial effectiveness of each procedure was evaluated by pour plate method. The dimensional stability was evaluated using a standardized stainless-steel model, according to ANSI/ADA nº19 specification. RESULTS. The study results showed that water wash does not alter the dimensional stability of addition silicone impressions but doesn't reduce the microbial load of the material (P>.05). On the other hand, addition silicone disinfection by immersion with 3% hydrogen peroxide, MD520 (Durr), or sodium hypochlorite at 1% and 5.25% does not alter the dimensional stability significantly but reduces > 99.9% of the microbial load of the impressions (P<.001). CONCLUSION. Addition silicone impressions should always be disinfected after water wash in order to reduce effectively the cross-infection risk. All disinfectants tested showed high antimicrobial efficiency without significant changes in three-dimensional shape of impressions. Hydrogen peroxide and sodium hypochlorite are of particular importance because are easily accessible in dental setting. The less explored hydrogen peroxide could be a valuable alternative for silicone impressions disinfection.

• Journal of Technologic Dentistry
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• v.46 no.1
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• pp.15-19
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• 2024

An ideal post material should have physical properties similar to those of dentin. Post materials with high elastic moduli may cause root fractures. This clinical report describes the treatment of a severely damaged tooth using a recently introduced material. Polyetherketoneketone (PEKK) is a semicrystalline high-performance thermoplastic polymer. PEKK is a promising material for custom post-and-core fabrication because of its elasticity close to that of dentin, good shock absorbance, machinability, and low cost. A laboratory scanner was used to digitize the conventional impression of a severely damaged maxillary right first molar. A custom PEKK post-and-core was designed and milled using computer-aided design and computer-aided manufacturing technology. Using the proposed technique, a custom PEKK post-and-core was fabricated accurately and human error was reduced. Restoration was luted with resin cement. Custom PEKK post-and-core restorations are a viable alternative for treating severely damaged teeth.

• Journal of Oral Medicine and Pain
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• v.37 no.4
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• pp.221-225
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• 2012

Disc dislocation without reduction, as known as closed lock, is a clinical condition in which the disc is dislocated from the condyle and does not return to normal position during condylar movement When the condition of disc dislocation without reduction is acute, the initial therapy should include an attempt to reduce or recapture the disc by manual manipulation. When patients report a history of being locked for 1 week or less, manual manipulation is usually successful. In patients with a longer history, success rate tends to decrease rapidly. If the disc has been successfully recaptured, placing an anterior positioning appliance is recommended to prevent clenching on the posterior teeth, which would likely redislocated the disc. But it is hard to make an appliance immediately in the clinic because it takes too much time. And making an appliance using self-curing acrylic resin is not very popular because of its discomfort by odor and working time. Also, if the patient has resin allergy or is under orthodontic treatment, or if it is impossible to control behavior of the patient, it has been restricted to make an appliance immediately. Therefore, to supplement this disadvantages, we tried to confirm about successful short term use of temporary anterior positioning splint made by using putty impression material after manual manipulation in this study.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.8 no.1
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• pp.84-89
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• 1999

These days, Dental Technic has been contributed to make more delicating Dental Prosthesis Restoration for patient and dentist. Diagnostic wax-up and making Temporary Crown are emphasized as an important part of Dental Technic. Choosing suitable Material and working with various new Equipments like Microscope improve accuracy. Repeated practice by setting up an organized system gives better result. Also, Esthetic Prosthesis requires patient's appearance and personality as well as patient' age, sex, and shade so on. Moreover, the problem which occurs by the patient's oral condition ha to be discussed before taking final impression. At a time like this, Scientific-mind and Logical thought Ability should be considered the important issue for more progressive Dental Technic.

• The Journal of Korean Academy of Prosthodontics
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• v.9 no.1
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• pp.9-15
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• 1969

The purpose of this study was to examine arch form, occlusion in centric occlusion. Male 561 case, Female 305 case were impressioned with alginate impression material, and plaster models were made. Occlusion and maxillary dental arch were studied on plaster models in Korean adults aged from 18 to 60 Years. The results were as follows. 1. The upper dental arch was U-type(57.77%), O-type(23.52%), V-type(18.71%) in male, and U-type(60.66%), O-type(27.11%), V-type(12.13%) in female. 2. The commonest type of the anterior bite was 1-form($68.09{\pm}1.97%$) in male, ($72.46{\pm}2.56%$) in female, and posterior bite was 1-form($65.06{\pm}2.01%$) in male, ($69.51{\pm}2.64%$ in female. 3. In the maxillary dental arch U-type was frequented and the relationship of occlusion in upper and lower dental arch was mainly 1-form.

• Elastomers and Composites
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• v.44 no.2
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• pp.150-155
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• 2009

This study examined the effects of the concentration variation of the silyl hydride (Si-H) functional group in polymethylhydrogen siloxane cross-linker and the vinyl-functional group in silicone prepolymer on the physical properties of the dental polyvinylsiloxane impression materials (PVS). When the SiH/Vinyl ratio was 1.6 (Group $\underline{C6}$ containing ${\underline{C}}ross$-linker $\underline{6}$ parts), the setting rate was too slow even though their tensile strength was the highest within the tested groups. When the SiH/Vinyl ratio was 3.2 (Group C12), the setting rate was too fast to allow appropriate working time even though their mechanical properties were good. The C14 group showed rather lower tensile strength compared to the groups having lower cross-linker contents. Notably, too much incorporation of cross-linker, like C16 group, induced delay of the setting, by which the mechanical and manipulation properties were detrimentally affected.