• 치위생과학회지
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• 제12권2호
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• pp.123-129
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• 2012

이 연구에서는 지르코니아 코어의 두께를 달리 제작하여 동일한 색조의 상부도재를 축성함에 있어 제작방법을 다르게 하여 두 상반된 시편을 각각 분광측색장치를 이용하여 CIE $L^*,a^*,b^*$ 색체계로 산출하여 객관적으로 색차를 비교, 분석하여 다음과 같은 결론을 얻었다. 1. 지르코니아 코어의 두께가 두꺼워 지고 상부도재의 두께가 얇아지면서 $L^*$ 값의 수치는 높아지며 $a^*,b^*$ 값은 낮아지는 경향을 띠었다. 상부도재 축성방법을 다르게 제작한 시편에서도 같은 결과를 보였다. 동일한 색조 시편에서 HP군은 PST군에 비해 $L^*$ 값의 수치는 낮게 측색되어 어두운 경향을 보였으며 $a^*,b^*$ 값도 낮은 수치를 보여 황색의 경향을 띠었다. 2. HP군, PST군 모두 동일한 색조에서 지르코니아 코어 두께와 상부도재 제작방법 간에 교호작용은 없었다(P=.083). 지르코니아 코어의 두께에 따라서는 통계적으로 유의한 차이는 존재하였으며(P=.001), 두께가 0.3 mm의 시편 A1, A2 색조에서 색차 값($E^*$)은 3.7 이상으로 나타났고, 그 이외 시편에서는 3.7 이하로 분석되어 임상가능 허용치로 나타났다. 이상의 결과로 볼 때 지르코니아를 이용한 전부 도재관 제작 시 같은 색조의 재료 일지라도 제작방식과 상부도재의 재료에 따라 색차 값이 존재하므로 이를 감안하여 보철물 제작에 사용해야 할 것으로 사료되며, 특히 코어의 두께가 얇은 보철물에서는 임상 허용치 이상의 색차 값을 보이므로 코어의 두께를 좀 더 추가하여 설계한 보철물이 바람직하다고 생각된다.

• 대한치과보철학회지
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• 제44권5호
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• pp.514-525
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• 2006

Statement of problem: The color change of final restoration resulting from resin cement is variable since the amount of the tooth is prepared is minimum. Purpose: The purpose of this study was to compare the color accuracy of try-in paste and their corresponding resin cements and the color stability of restoration intermediated resin cement according to two shades of three products(Rely-X. Variolink II. Choice). Material and method: Color was measured for porcelain disk sample without try-in paste, and porcelain disk sample intermediated by try-in paste and resin cement, then color differences were calculated. Results : 1. Color difference(${\Delta}E^*$) between try-in paste and resin cement showed the lowest value at Variolink II and increased in the order Choice and Rely-X statistically significant, and $?E^*$ of three resin cements was greater in A3 then A1. 2. The values of ${\Delta}L^*$ and ${\Delta}a^*$ between try-in paste and resin cement was in the increasing order of Variolink II, Choice and Rely-X. The ${\Delta}b^*$ value was increased in this order Choice, Rely-X and Variolink II in A1 on the other hand Variolink II, Rely-X and Choice in A3. 3. Color difference(${\Delta}E^*$) before and after resin cement showed the lowest value at Variolink II and increased in the order Rely-X and Choice. Conclusion : Above result revealed that the colors of try-in paste and resin cement were more or less accurate in the range of 0.35-1.95 of color difference which was unnoticeable with human eye, and Variolink II was superior to the other resin cements in color accuracy.

• 대한치과기공학회지
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• 제10권1호
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• pp.177-183
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• 1988

This paper aims to examine ceramic shade prescriptions for work authorizations in all its aspectclincal information, recording information, technical considerations, extended application, practical applications. The results are as follows : 1. The basic application provides essential data for ceramic veneer fabrication. 2.Three-dimensional information divides the space for body and enamel components. 3. The second body shade selection improves shade matching in the middle one-third of the tooth and enhences the appearance of the enamel component. 4. Ceramists are encouraged to recognize the influence each component has upon the total shade composition. 5. A format is established for recording clinical information. 6. The use of available ceramic systems is seemingly unlimited. The method presented provides flexisility for recording the most detailed shade information in simple graphic and verbal terms. 7. Technical simplification is a by-product of complete, precise work information.

• 대한심미치과학회지
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• 제12권2호
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• pp.31-38
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• 2003

Amelogenesis imperfecta patients suffered common clinical problems of poor esthetics, teeth sensitivity, and loss of occlusal vertical dimension. Amelogenesis imperfecta is a group of inherited disorders primarily affecting dental enamel. Variants of amelogenesis imperfecta generally classified hypoplastic, hypocalcified, or hypomaturation types based on the primary enamel defects. The mildest problems were found in the pitted hypoplastic type whereas the most severe problems were encountered in the hypocalcified type amelogenesis imperfecta. Management stragies include composite resin veneer and jacket crowns for anterior teeth as well as steel crowns for posterior teeth. Knowledge of the clinical features and dental complications of each variants if amelogenesis impecta helps in the diagnosis of the condition and allows institution of early preventive measures. The objective of this paper is to provide a review of the current concepts of the wide spectrum of etiological factors involved in the pathogenesis of this significance clinical entity in the primary dentition.

• 대한치과의사협회지
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• 제49권2호
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• pp.85-94
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• 2011

In the filed of Dentistry, minimally invasive treatment modalities are new trend for conservation of natural teeth. Of them, laminate veneer and resin bonded fixed partial denture belong to restoration procedures. In this review, survival rates of each modalities and cause of unserviceability are analyzed, and criteria for success are presented. To get successful results of minimally invasive restoration, plenty of enamel layer, thin and strong materials, and high bonding strength are essential under cyclically loaded wet oral condition. Newly tried design of minimally invasive technique nowadays have to be evaluated only on the basis of requirement for long-term success.

• 대한치과보철학회지
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• 제44권6호
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• pp.683-689
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• 2006

Statement of problem. Interfacial toughness is important in the mechanical property of layered dental ceramics such as core-veneered all-ceramic dental materials. The interfaces between adjacent layers must be strongly bonded to prevent delamination, however the weak interface makes delamination by the growth of lateral cracks along the interface. Purpose. The purpose of this study was to determine the effect of the reaction layer on the interfacial fracture toughness of the core/veneer structure according to the five different divesting. Materials and methods. Thirty five heat-pressed Lithia-based ceramic core bars (IPS Empress 2), $20mm{\times}3mm{\times}2mm$ were made following the five different surface divesting conditions. G1 was no dissolution or sandblasting of the interaction layer. G2 and G3 were dissolved layer with 0.2% HF in an ultrasonic unit for 15min and 30 min. G4 and G5 were dissolved layer for 15min and 30min and then same sandblasting for 60s each. We veneered bilayered ceramic bars, $20mm{\times}2.8mm{\times}3.8mm$(2mm core and 1.8mm veneer), according to the manufacturer's instruction. After polishing the specimens through $1{\mu}m$ alumina, we induced five cracks for each of five groups within the veneer close to interface under an applied indenter load of 19.6N with a Vickers microhardness indenter. Results. The results from Vickers hardness were the percentage of delamination G1:55%, G2:50%, G3:35%, G4:0% and G5:0%. SEM examination showed that the mean thickness of the reaction layer were G1 $93.5{\pm}20.6{\mu}m$, G2 $69.9{\pm}14.3{\mu}m$, G3 $59.2{\pm}20.2{\mu}m$, G4 $0.61{\pm}1.44{\mu}m$ G5 $0{\pm}0{\mu}m$. The mean interfacial delamination crack lengths were G1 $131{\pm}54.5{\mu}m$, G2 $85.2{\pm}51.3{\mu}m$, and G3 $94.9{\pm}81.8{\mu}m$. One-way ANOVA showed that there was no statistically significant difference in interfacial crack length among G1, G2 and G3(p> 0.05). Conclusion. The investment reaction layer played important role at the interfacial toughness of body ceramic bonded to Lithia-based ceramic.

• The Journal of Advanced Prosthodontics
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• 제15권5호
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• pp.238-247
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• 2023

PURPOSE. The purpose of this study was to assess the effect of resin cement shade on the color of different novel ultratranslucent monolithic zirconia and lithium disilicate veneer materials. MATERIALS AND METHODS. For a total of 40 specimens, flat cylindrical discs with a 9-mm diameter and 0.5-mm thickness were created using CAD/CAM technology. The specimens were divided into five groups according to their material (n = 8) (e.max, Prettau, Aidite, Shofu and Dima) using A1 shade. Resin discs with the same diameter and shade as the specimens served as tooth-colored substructures. Three shades (neutral, light and warm) of resin cement try-in pastes (Variolink Esthetic LC) were used as the luting cement material. The color of each material group was measured before and after cementation using the three cement shades, and the CIE L^*a^*b^* coordinates were obtained with a spectrophotometer. Values for the translucency parameter (TP) and color change delta E (E) before (baseline) and after cementation of each specimen were determined. To compare differences among the material groups within each shade of cement and among various shades of cement within each material, the data were analyzed using one-way ANOVA and post hoc testing. RESULTS. Color coordinates L^*, a^* and b^* significantly changed after the application of try-in pastes relative to baseline values, with a noticeable decrease in lightness (L^*) (P < .05). A significant color change (ΔE) was observed in all tested materials after cementation, with ΔE values exceeding 3.3 (P < .05). Although TP changed after cementation for most materials tested, these changes were not statistically significant (P > .05). Shofu and Dima ceramics showed the lowest TP values, while Aidite and Prettau showed the highest TP values. For e.max, translucency decreased after cementation with neutral and warm shades, and it significantly increased after cementation with a light shade. CONCLUSION. The shade of cement significantly altered the final color of the ceramic veneer material to a level above the threshold at which the clinical perception of color change occurred (> 3.3). The TP was not influenced by the cement shade. The translucency levels of the novel ultratranslucent multilayer monolithic zirconia ceramics Aidite and Prettau were higher than that of the lithium disilicate e.max material.

• Restorative Dentistry and Endodontics
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• 제45권3호
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• pp.41.1-41.7
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• 2020

Objectives: This study aimed to evaluate the ability of lithium disilicate ceramics to reproduce the A2 shade and to mask A4 substrates. Materials and Methods: Twenty-four discs (8 mm in diameter, shade A2) of high translucency (groups 1-3) and low translucency (groups 4-6) of IPS e.max ceramic with different thicknesses (0.5, 0.75, and 1 mm) were fabricated as monolithic structures. In addition, discs of medium opacity (group 7-8) with different core/veneer combinations (0.3 mm/0.7 mm and 0.5 mm/0.5 mm) were fabricated as bilayer structures. Specimens were superimposed on an A4 substrate (complex). The color changes of the complex were measured using a spectrophotometer on a black background, and the ΔE values of the complex were compared with either the A4 substrate or the A2 shade tab. One-way analysis of variance, the Tukey honest significant difference test, and the Fisher test were used to analyze the data (p < 0.05). Results: Significant between-group differences were found for comparisons to both the A4 substrate and the A2 shade (p < 0.05). When compared with the A4 substrate, the ΔE values in all groups were in the non-acceptable range. When compared with the A2 shade, the ΔE values in all groups, except groups 2 and 3, were in the clinically acceptable range. Conclusions: All translucencies and thicknesses masked the underlying dark substrate. However, the low-translucency IPS e.max Press better reproduced the A2 shade.

• The Journal of Advanced Prosthodontics
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• 제14권6호
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• pp.335-345
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• 2022

PURPOSE. This in vitro study aimed to evaluate the surface characteristics of a full veneer crown fabricated chairside (CS) from a (Y, Nb)-TZP zirconia block in response to conventional zirconia grinding and polishing. MATERIALS AND METHODS. Zirconia crowns (n = 40) were first prepared and divided into two groups of materials: Labside (LS) and CS, after which each specimen went through a five-step grinding and polishing procedure. Following each surface treatment, surface characteristics were analyzed using confocal laser microscopy (CLSM), average surface roughness (Ra) values were processed from the profile data through Gaussian filtering, and X-ray diffraction pattern analysis was performed to evaluate the monoclinic (M) phase content. Then, a representative specimen was selected for field-emission scanning electron microscopy (FE-SEM), followed by a final analysis of the roughness and X-ray diffraction of the specimens using the independent t-test and repeated measures analysis of variance (RM-ANOVA). RESULTS. In every group, polishing significantly reduced the Ra values (P < .001). There was no significant difference in Ra between the polished state CS and LS. Furthermore, CLSM and FE-SEM investigations revealed that even though grain exposure was visible in CS specimens throughout the as-delivered and ground states, the exposure was reduced after polishing. Moreover, while no phase transformation was visible in the LS, phase transformation was visible in CS after every surface treatment, with the M phase content of the CS group showing a significant reduction after polishing (P < .001). CONCLUSION. Within the limits of this study, clinically acceptable level of surface finishing of (Y, Nb)-TZP can be achieved after conventional zirconia polishing sequence.

• 대한치과기공학회지
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• 제33권4호
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• pp.313-321
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• 2011

Purpose: The purpose of this study was to compare color parameters of different fabrication method of Lava ceram powder, Lava DVS blocks, IPS e.max ceram and IPS e.max zirpress. Methods: The three available shades(A1, A2, A3.5) of Lava & Kavo zirconia blocks were examined. For each of three colors, three different thickness were tested, 5 times of measurement frequency. The measurements were made using a spectrophotometer equipped with an integrating sphere using the CIE $L^*$, $a^*$, $b^*$ colorimetric system. Results: Lava build-up group and Lava DVS group showed clinically perceived color difference, on the other hand IPS e.max build-up group and IPS e.max zirpress group did not show clinically perceived color difference to shade allowed on core. When the thickness of porcelain veneer increased from Lava and IPS e.max groups, color differences(${\Delta}E$) were decreased. Conclusion: All-ceramic system has color characteristics that clinicians have to consider when selecting materials. Also, manufacturers of different porcelain systems must make every effort to achieve color reproducibility.