• Journal of Dental Rehabilitation and Applied Science
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• v.25 no.1
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• pp.1-12
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• 2009

The objective of this study was to test the effects of crown material, cement type, the direction in which stress is applied and distribution of luting cement that might lead to cement microfracture using 2D Finite Element Method. Twenty three finite element models with a chamfer margin configuration were generated for a mandibular first molar. Crown models exhibited four crown materials: type 3 gold alloy, Ni-Cr alloy, ceramic and composite resin, and two luting cements: zinc phosphate and glass ionomer cements with a thicknesses of $70{\mu}m$. Modeled crowns were loaded axially or obliquely at unit load of 1 N. Areas and levels of stress concentrations within the cement were determined. Stress in the cement layer at the margins of crowns were higher than those in the area away from the margin. Stress under oblique loads were much higher than under axial load. The stiffer crown material produced higher stress and similarly, higher stress were found in cements with the greater Young's modulus.

• The korean journal of orthodontics
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• v.30 no.1 s.78
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• pp.83-89
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• 2000

The purposes of this study were to evaluate clinical applicability of resin modified glass ionomer cements and to determine the effect of salivary contamination on the tensile bond strength. Fourty extracted human permanent premolars were prepared lot bonding and standard edgewise brackets were bonded with Ortho-One, Fuji Ortho LC, Vitremer and Advance. Fourty extracted human permanent premolars were contaminated with saliva, dried and bonded with same materials above. The tensile bond strength was tested by Instron testing device aster storage in normal saline at ,$37^{\circ}C$ for 24 hours from bonding. The results were as follows : 1. The tensile bond strength of Ortho-One group was $7.68\pm1.76$, Advance group was $7.87\pm2.80$, Fuji Ortho LC group was $4.99\pm2.53$, Vitremer group was $2.80\pm0.88$ MPa. The tensile bond strength in contaminated condition of Ortho-One group was $4.12\pm1.67$, Advance group was $5.37\pm0.68$, Fuji Ortho LC group was $4.41\pm1.61$, Vitremer group was $2.60\pm1.10$ Mpa. 2. Salivary contamination did not affect the tensile bond strength when compared with the uncontaminated enamel group in Fuji Ortho LC and Vitremer (p>0.05) and there was great significant difference in the tensile bond strength of Ortho-One and Advance. 3. Advance, Ortho-One and Fuji Ortho LC seemed to have clinically a proper bond strength.

• Restorative Dentistry and Endodontics
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• v.38 no.4
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• pp.258-262
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• 2013

The restorative management of deep carious lesions and the preservation of pulp vitality of immature teeth present real challenges for dental practitioners. New tricalcium silicate cements are of interest in the treatment of such cases. This case describes the immediate management and the follow-up of an extensive carious lesion on an immature second right mandibular premolar. Following anesthesia and rubber dam isolation, the carious lesion was removed and a partial pulpotomy was performed. After obtaining hemostasis, the exposed pulp was covered with a tricalcium silicate cement (Biodentine, Septodont) and a glass ionomer cement (Fuji IX extra, GC Corp.) restoration was placed over the tricalcium silicate cement. A review appointment was arranged after seven days, where the tooth was asymptomatic with the patient reporting no pain during the intervening period. At both 3 and 6 mon follow up, it was noted that the tooth was vital, with normal responses to thermal tests. Radiographic examination of the tooth indicated dentin-bridge formation in the pulp chamber and the continuous root formation. This case report demonstrates a fast tissue response both at the pulpal and root dentin level. The use of tricalcium silicate cement should be considered as a conservative intervention in the treatment of symptomatic immature teeth.

• Restorative Dentistry and Endodontics
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• v.37 no.4
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• pp.228-231
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• 2012

Invasive cervical resorption is a relatively uncommon form of external root resorption. It is characterized by invasion of cervical region of the root by fibrovascular tissue derived from the periodontal ligament. This case presents an invasive cervical resorption occurring in maxillary lateral incisor, following damage in cervical cementum from avulsion and intracoronal bleaching procedure. Flap reflection, debridement and restoration with glass ionomer cement were performed in an attempt to repair the defect. But after 2 mon, more resorption extended apically. Considering root stability and recurrence potential, we decided to extract the tooth. Invasive cervical resorption in advanced stages may present great challenges for clinicians. Therefore, prevention and early detection must be stressed when dealing with patients presenting history of potential predisposing factors.

• Restorative Dentistry and Endodontics
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• v.41 no.3
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• pp.167-175
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• 2016

Objectives: Endodontically treated teeth with insufficient tooth structure are often restored with esthetic restorations. This study evaluated the cytotoxicity and biological effects of yttria partially stabilized zirconia (Y-TZP) blocks in combination with several dental cements. Materials and Methods: Pairs of zirconia cylinders with medium alone or cemented with three types of dental cement including RelyX U200 (3M ESPE), FujiCEM 2 (GC), and Panavia F 2.0 (Kuraray) were incubated in medium for 14 days. The cytotoxicity of each supernatant was determined using 3-(4,5-dimethylthiazole- 2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays on L929 fibroblasts and MC3T3-E1 osteoblasts. The levels of interleukin-6 (IL-6) mRNA were evaluated by reverse transcription polymerase chain reaction (RT-PCR), and IL-6 protein was evaluated by enzyme-linked immunosorbent assays (ELISA). The data were analyzed using one-way ANOVA and Tukey post-hoc tests. A p < 0.05 was considered statistically significant. Results: The MTT assays showed that MC3T3-E1 osteoblasts were more susceptible to dental cements than L929 fibroblasts. The resin based dental cements increased IL-6 expression in L929 cells, but reduced IL-6 expression in MC3T3-E1 cells. Conclusions: Zirconia alone or blocks cemented with dental cement showed acceptable biocompatibilities. The results showed resin-modified glass-ionomer based cement less produced inflammatory cytokines than other self-adhesive resin-based cements. Furthermore, osteoblasts were more susceptible than fibroblasts to the biological effects of dental cement.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.2
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• pp.99-106
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• 2013

Purpose: The aim of this research was to establish the effect and variation in differing convergence angle and length of abutment on the retention of full veneer casted gold crown. Materials and methods: Two different length,5 mm and 10 mm in height with convergence angles of 5, 10, 15 and 25 degrees crowns were fabricated. Cementation was done using cements; zinc phosphate cement (Fleck's zinc phosphate cement), resin-modified glass ionomer cement (Vitremer) and resin cement (Panavia 21). These were tested for tensile force at the point of separation by using Instron Universal Testing Machine. Statistical analysis was done by SAS 6.04 package. Results: In all cements the mean retention decreased with significant difference on increase of convergence angle (P<.05). Increase in every 5 degree-convergence angel the retention rate decreased with resin-modified glass ionomer cement of 15.9% and resin cement of 14.8%. With zinc phosphate cement, there was largest decreasing rate of mean retention of 25.5% between convergence angles from 5 degree to 10 degree. When the crown length increased from 5 mm to 10 mm, the retention increased with the significant difference in the same convergence angle and in all types of cement used (P<.05). Conclusion: The retention was strongly dependent on geometric factors of abutment. Much care is required in choosing cements for an optimal retention in abutments with different convergence angles and crown lengths.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.3
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• pp.554-563
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• 1999

For the purpose of elucidating the polymerization modes of dual-cure restorative materials and comparing them with single-cure restorative materials, a study was performed on the light-cured composite resin, dual-cure composite resin, dual-cure glass ionomer cement and chemical-cure glass ionomer cement. By measuring the microhardness of each material at 0mm, 1mm and 3mm depth during initial 24 hours with predetermined interval, the state of polymerization and degree of conversion was indirectly evaluated for each material, and obtained results are as follows : 1. All of four materials tested showed significant increase in microhardness after 24hrs compared with just after curing starts. 2. In all materials except Ketac-fil, there showed a significant difference in microhardness between each depth at each time interval. 3. In the test of lap time till final curing for each material, the polymerization process was revealed to last longer in the dual-cure type materials than in single-cure type materials at 3mm depth. Based on the results above, it was demonstrated with materials of dual-cure mode that the degree of conversion increases by successive curing reactions even in the deeper layers where sufficient curing light is impermeable.

• Journal of Korean society of Dental Hygiene
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• v.4 no.2
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• pp.277-291
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• 2004

The purpose of this study is to analyze the dental hygienists' overall performance in operative restoration and the clinical performance in operative restoration according to dental hygienists' career and to provide basic data for establishing the appropriate range of dental hygienists' work. Subjects of this study are 339 dental hygienists working at dental clinic and hospital nationwide, selected by their working place, career, type of clinic, and location of clinical institution. The distribution of people who responded to the survey shows that 81 belong to beginner level(less than 2 years since entering clinic), 115 intermediate level(2 to 3 years since entering clinic), 81 higher level(4 to 5 years since entering clinic) and 62 advanced level(more than 6 years since their entering clinic). In terms of the types of clinical institution, 178 belong to dental clinics and 161 belong to dental hospitals. The survey used in this study are focused on perception about clinical performance in operative dentistry and adequacy of the work. Operative dentistry consists of operative restoration and endodontic therapy. The operative restoration consists of 15 categories such as patient welcoming, examination and diagnosis, planning of treatment, anesthesia, control of moisture, cavity preparation, pulp protection, matrix band application, amalgam filling, resin filling, glass ionomer cement filling, abrasive strip removal, rubber dam removal, bite check and polishing, patient education, and arrangement. The reliability was Cronbach's Alpha .9453. SPSS 10.0 for Windows was used to analyze the responses. One way ANOVA was utilized to verify the differences in the dental hygienists' job performance in operative restoration and their job performance according to career. When significant difference was found. Duncan multi comparison post hoc was done. To sum up the results of this study, patient welcoming look the first place in the operative restoration. It was followed by patient education, examination and diagnosis, introducing treatment plan, resin filling, glass ionomer cement filling, amalgam filling, bite check and polishing, anesthesia, pulp protection, control of moisture, abrasive strip removal, cavity preparation, matrix band application, rubber dam removal, and anesthesia. In terms of the clinical performance by career, there were significant differences in 19 activities such as medical eraluation, oral examination, patient charting, intra oral readio graphs, firm developing fixing mounting, curing light gun, education of attention content after operation. Based on the results of this study, the specific range of operative restoration for dental hygienists should be focused on providing basic data for dentists' diagnosis, alleviation of fear and aching accompanied by injection and anesthesia, data providing for dentists' decision of anesthesia degree, and maximization of control of moisture.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.12
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• pp.4819-4825
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• 2010

In all of dental ceramics, these materials contained the radio-isotopes with natural abundance ratio. After dental treatment, remained dental ceramics in the oral cavity is caused for human internal dose. In this study, the gross beta activity levels were measured in dental materials including 22 dental ceramics, 1 resin, and 2 cements for estimation of human internal dose. In dental ceramic samples, the obtained results showed that the gross beta activity level varied between 1.317 ~ 2.935 Bq/g and the gross beta activity level was 2.379 Bq/g. And the same level for dentine, opacious dentine, translucent and enamel were 2.479 Bq/g, 2.491 Bq/g, 2.470 Bq/g and 2.069 Bq/g, respectively. The gross beta activity level of temporary resin and cements were negligible, compare to the same level of dental ceramics. The high gross beta activity level observed in opacious dentine code OD-A4 is 2.935 Bq/g thus mainly ascribable to 40K. The reduction of the radiation level of natural radio-isotopes and the improvement of the dental ceramic materials should be required for internal dose reduction.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.2
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• pp.255-261
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• 2002

The purpose of this study was to compare the microleakage pattern of flowable composite resin to sealant, composite resin used in preventive resin restoration and glass ionomer cement used as liner. 120 extracted sound human molars were divided into 6 groups : group 1 and 2:sealant ; group 3 and 4:preventive resin restoration ; group 5 and 6:sandwich technique restoration. For the experimental groups(group 2, 4 and 6), flowable composite resin(Tetric flow) was used. For the control group, Concise was used as sealant material(group 1), Z-100 with Concise were used as preventive resin restoration(group 3), and Vitrebond was used as cavity liner(group 5). All the restorations were thermocycled and the degree of dye penetration was evaluated with stereomicroscope. The microleakage of each group was measured and statistically analyzed. The results of the present study were as follows : 1. In group 1 and 2, there was no statistically significant difference in microleakage between Concise and Tetric flow(p>0.05). 2. In groups of preventive resin restorations, there was no statistically significant difference in microleakage between Z-100 with Concise and Tetric flow(p>0.05). 3. The microleakage of Vitrebond and Tetric flow used as liner showed no statistically significant difference(p>0.05).