• The Journal of Advanced Prosthodontics
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• v.11 no.2
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• pp.112-119
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• 2019

PURPOSE. Zirconia materials have been used for implant-retained restorations, but the stress distribution of zirconia is not entirely clear. The aim of this study is to evaluate the stress distribution and risky areas caused by the different design of zirconia restorations on the atrophic bone of the posterior maxilla. MATERIALS AND METHODS. An edentulous D4-type bone model was prepared from radiography of an atrophic posterior maxilla. Monolithic zirconia and zirconia-fused porcelain implant-retained restorations were designed as splinted or non-splinted. 300-N occlusal forces were applied obliquely. Stress analyses were performed using a 3D FEA program. RESULTS. According to stress analysis, the bone between the 1) molar implant and the 2) premolar in the non-splinted monolithic zirconia restoration model was stated as the riskiest area. Similarly, the maximum von Mises stress value was detected on the bone of the non-splinted monolithic zirconia models. CONCLUSION. Splinting of implant-retained restorations can be more critical for monolithic zirconia than zirconia fused to porcelain for the longevity of the bone.

• Journal of the Korean Ceramic Society
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• v.55 no.2
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• pp.116-125
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• 2018

Color shade variation was investigated in zirconia dental blocks, prepared using commercial powders. As a reference color-shade block we used the color indexes of A2, A3.5, A4 and B3, according to the VITA classical color scale. The zirconia powders for color shade blocks showed colors of white, yellow, pink and grey, respectively, after firing at $1530^{\circ}C$. The zirconia powders were mixed according to the recipe of color shade blocks and shaped at lower pressure using a uniaxial hydrostatic press. The shaped sample was inserted into a vinyl pack and sealed in a vacuum form machine. The shaped block samples were reshaped at 450 bar using an isostatic cold press and fired at $1530^{\circ}C$ for three hours. In order to investigate the atmospheric color variation with firing temperature, the A2, A3.5, A4 and B3 sintered blocks were fired between $700^{\circ}C$ and $1300^{\circ}C$ under controlled atmosphere of $pN_2$ and $pO_2$. The surface color picture was taken using a smart phone camera and compared with the results obtained using the VITA classical color scale. Quantitative color index value, CIELAB, was measured using a color-meter. Above $800^{\circ}C$, the color darkness greatly increased with the increase of the reduction temperature and keeping time.

• The Journal of Advanced Prosthodontics
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• v.11 no.2
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• pp.81-87
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• 2019

PURPOSE. The purpose of this study was to evaluate the effects of various protocols and systems for finishing and polishing monolithic zirconia on surface topography, phase transformation, and bacterial adhesion. MATERIALS AND METHODS. Three hundred monolithic zirconia specimens were fabricated and then treated with three finishing and polishing systems (Jota [JO], Meisinger [ME], and Edenta [ED]) using four surface treatment protocols: coarse finishing alone (C); coarse finishing and medium polishing (CM); coarse finishing and fine polishing (CF); and coarse finishing, medium polishing, and fine polishing (CMF). Surface roughness, crystal phase transformation, and bacterial adhesion were evaluated using atomic force microscopy, X-ray diffraction, and streptococcal biofilm formation assay, respectively. One-way and two-way analysis of variance with Tukey post hoc tests were used to analyze the results (${\alpha}=.05$). RESULTS. In this study, the surface treatment protocols and systems had significant effects on the resulting roughness. The CMF protocol produced the lowest roughness values, followed by CM and CF. Use of the JO system produced the lowest roughness values and the smallest biofilm mass, while the ME system produced the smallest partial transformation ratio. The ED group exhibited the highest roughness values, biofilm mass, and partial transformation ratio. CONCLUSION. Stepwise surface treatment of monolithic zirconia, combined with careful polishing system selection, is essential to obtaining optimal microstructural and biological surface results.

• Journal of the Korean Society for Heat Treatment
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• v.36 no.4
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• pp.215-222
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• 2023

3Y-TZP (3 mol% yttria-stabilized tetragonal zirconia polycrystals, 3Y-TZP) ceramics are emerging as dental implant materials due to their superior optical and mechanical properties as well as excellent biophysical properties, in spite of low bioactivity. In this study, we investigated to sintered properties and microstructural defects of dental zirconia implants fabricated by ceramic injection molding and post-HIP (Hot isostatic pressing) processing and analyzed the processing parameters related with the obtainment of its high sinterd density. Sintered and microstructural parameters, i.e, apparent density, grain size and phase composition of zirconia implants fabricated by injection molding were dependent on the fixtute size and implant type. Maximum sintered density of 99.2% and minimum grain size of 0.3-0.4 ㎛ were obtained from large-scaled 2-body sample. In 1-body ceramic implant, high sintered density of 99.5% was obtained, but it had a little monoclinic phase and wide grain size distribution.

• The Journal of Korean Academy of Prosthodontics
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• v.31 no.3
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• pp.317-349
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• 1993

This study investigated the effect of filler particle size and weight% on mechanical properties of dental core porcelain. In alumina, variation in particle size and weight% and in zirconia, variation in weight%, all specimens were tested three-point bending strength, transmittance, thermal expansion coefficient, porosity and shrinkage and observed with SEM and analysed with X-ray diffractometer. In order to develop shrink-free porcelain, after firing alumina only, glass wasinfiltrated. And aluminum was added to alumina with the expanding character of aluminum oxidize into alumina, and was followed by second firing of glass infiltration procedure. Then mechanical properties were observed. The results of this study were obtained as follows. 1. The bending strength of zirconia was higher than that of alumina, and $5{\mu}m$ alumina had highest strength in variation of particle size of alumina. Except for $5{\mu}m$ alumina, increased with weight%, bending strength increased up to 80% and decreased at 90%. In case of glass infiltration, bending strength was slight higher than 80% and 90% of $5{\mu}m$ alumina. 2. Transmittance increased with increase of shrinkage, decrease of porosity, and with increase of filler size and had no direct correlation with weight%. 3. Thermal expansion coefficient of alumina group was $7.42\sim8.64\times10^{-6}/^{\circ}C$ and that of zirconia group was $9.83\sim12.11\times10^{-6}/^{\circ}C$ and the latter was higher than the former. 4. In x-ray diffraction analysis, alumina group and zirconia group increased $Al_2O_3$ peak and $t-ZrO_2$ peak with increase of weight%. The second phase(cristobalite peak) was observed in zirconia 40% group. 5. Porosity of zirconia was lower than that of alumina and $5{\mu}m$ alumina group had many pores with SEM. In case of low filler content, fracture occurred in glass and high filler content, in glass and filler. In case of aluminum addition to alumina, small oxidised aluminum was observed. 6. Zirconia group had high shrinkage than alumina group, and mixed group of alumina group had high shrinkage. In case of glass infiltration, shrinkage decreased and aluminum addition to alumina group was almost shrink-free.

• The Journal of the Korean dental association
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• v.47 no.12
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• pp.804-809
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• 2009

• The Journal of Advanced Prosthodontics
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• v.6 no.5
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• pp.346-350
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• 2014

PURPOSE. Impact forces in implant supported FDP (fixed dental prosthesis) are higher than that of tooth supported FDPs and the compositions used in frameworks also has a paramount role for biomechanical reasons. The aim of this study was to evaluate the flexural strength of two different zirconia frameworks. MATERIALS AND METHODS. Two implant abutments with 3.8 mm and 4.5 mm platform were used as premolar and molar. They were mounted vertically in an acrylic resin block. A model with steel retainers and removable abutments was fabricated by milling machine; and 10 FDP frameworks were fabricated for each Biodenta and Cercon systems. All samples were thermo-cycled for 2000 times in $5-55^{\circ}C$ temperature and embedded in $37^{\circ}C$ artificial saliva for one week. The flexural test was done by a rod with 2 mm ending diameter which was applied to the multi-electromechanical machine. The force was inserted until observing fracture. The collected data were analyzed with SPSS software ver.15, using Weibull modulus and independent t-test with the level of significance at ${\alpha}=.05$. RESULTS. The mean load bearing capacity values were higher in Biodenta but with no significant differences (P>.05). The Biodenta frameworks showed higher load bearing capacity ($F_0=1700$) than Cercon frameworks ($F_0=1520$) but the reliability (m) was higher in Cercon (m=7.5). CONCLUSION. There was no significant difference between flexural strengths of both zirconia based framework systems; and both Biodenta and Cercon systems are capable to withstand biting force (even parafunctions) in posterior implant-supported bridges with no significant differences.

• Journal of Korean Dental Hygiene Science
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• v.5 no.1
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• pp.13-19
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• 2022

Background: In this study, zirconia copings were fabricated by setting clinically acceptable inner values for prostheses using computer-aided design/computer-aided manufacturing (CAD/CAM). The processed copings were evaluated for the marginal and internal fit of each abutment shape with a CAD program using the silicone replica technique. Methods A total of 20 copings was produced by selecting models commonly used in clinical practice. After injecting the sample, the minimum thickness, internal adhesion interval, and distance to the margin line were set to 0.5, 0.05, and 1.00 mm using a dental CAD program, respectively. It was measured using a 2D section function in a three-way program of the silicon replication technology. Although the positions and number of measurements of the anterior and posterior regions differed, nine parts of each pre-tube were designated and measured by referring to a previous study to compare the two samples. Results As a result, the average margin of the mesial, distal, and buccal (labial) surfaces was 59.90 ㎛ in the anterior region and 60.40 ㎛ in the posterior region. The mean axial wall margin was 67.25 ㎛ in the anterior region and 69.25 ㎛ in the posterior region. In occlusion, the anterior teeth (77.70 ㎛), posterior teeth (77.60 ㎛), and both anterior and posterior regions were within the clinically acceptable range. Conclusion The edge and inner fit of zirconia coping manufactured using the CAD/CAM system showed clinically applicable results. To reduce errors and increase accuracy, materials and machine errors that affect the manufacture of prosthetics should be investigated. Based on our results, the completeness of prosthetics could increase if the inner value and characteristics of the material are adjusted when applied in clinical practice.

• Journal of Korean Dental Science
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• v.5 no.2
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• pp.48-53
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• 2012

Various ceramic implant systems made of yttria-stabilized tetragonal zirconia polycystal (Y-TZP) have become commercially available in recent years. A search of the literature was performed to assess the clinical success of dental Y-TZP implants and whether the osseointegration of Y-TZP is comparable to that of titanium, the standard implant material. No controlled clinical studies in humans regarding clinical outcomes or osseointegration could be identified. Clinical data were restricted to case studies and case series. Only 7 animal studies were found. Osseointegration was evaluated at 4 weeks to 24 months after placement in different animal models, sites and under different loading conditions. The mean bone-implant contact percentage was above 60% in almost all experimental groups. In studies that used titanium implants as a control, Y-TZP implants were comparable to or even better than titanium implants. Surface modifications may further improve initial bone healing and resistance to removal torque. Y-TZP implants may have the potential to become an alternative to titanium implants but cannot currently be recommended for routine clinical use, as no long-term clinical data are available.

• The Journal of Advanced Prosthodontics
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• v.2 no.2
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• pp.33-38
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• 2010

PURPOSE. Marginal fit is a very important factor considering the restoration's long-term success. However, adding porcelain to copings can cause distortion and lead to an inadequate fit which exposes more luting material to the oral environment and causes secondary caries. The purpose of this study was to compare the marginal fit of 2 different all-ceramic crown systems before and after porcelain veneering. This study was also intended to verify the marginal fit of crowns originated from green machining of partially sintered blocks of zirconia (Lava CAD/CAM system) and that of crowns obtained through machining of fully sintered blocks of zirconia (Digident CAD/CAM system). MATERIALS AND METHODS. 20 crowns were made per each system and the marginal fit was evaluated through a light microscope with image processing (Accura 2000) at 50 points that were randomly selected. Each crown was measured twice: the first measurement was done after obtaining a 0.5 mm coping and the second measurement was done after porcelain veneering. The means and standard deviations were calculated and statistical inferences among the 2 groups were made using independent t-test and within the same group through paired t-test. RESULTS. The means and standard deviations of the marginal fit were $61.52{\pm}2.88{\mu}m$ for the Digident CAD/CAM zirconia ceramic crowns before porcelain veneering and $83.15{\pm}3.51{\mu}m$ after porcelain veneering. Lava CAD/CAM zirconia ceramic crowns showed means and standard deviations of $62.22{\pm}1.78{\mu}m$ before porcelain veneering and $82.03{\pm}1.85{\mu}m$ after porcelain veneering. Both groups showed significant differences when analyzing the marginal gaps before and after porcelain veneering within each group. However, no significant differences were found when comparing the marginal gaps of each group before porcelain veneering and after porcelain veneering as well. CONCLUSION. The 2 all-ceramic crown systems showed marginal gaps that were within a reported clinically acceptable range of marginal discrepancy.