• 대한치과보철학회지
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• 제50권4호
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• pp.235-242
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• 2012

연구 목적: 본 연구는 지르코니아, 유리침투알루미나 및 금속도재소부용치관의 파절강도를 비교하고자 하였다. 연구 재료 및 방법: 지르코니아, 유리침투알루미나 및 금속도재소부용합금으로 각각 15개의 치관을 제작한 후, 제작된 치관을 장축에 $30^{\circ}$ 경사지게 제작된 지그에 장착하여 만능시험기로 파절강도를 측정하였으며, 전단결합강도 시험을 위하여 지르코니아, 유리침투알루미나 및 금속도재소부용합금을 $5.5({\phi}){\times}2.5mm$ 크기로 제작하고 포세린 분말을 $3.5({\phi}){\times}2.5mm$ 크기로 축성한 후 제조사의 설명서에 따라 전기로(Ceramco 7, Dentsply, USA)에서 소결하여 총10개의 시편을 제작하였다. 결과: 전부관 형태로 제작한 시편의 파절강도는 금속-도재 시스템이 $569.1{\pm}61.8N$, 알루미나-도재 시스템이 $551.0{\pm}76.5N$ 및 지르코니아-도재 시스템이 $588.3{\pm}49.6N$으로 측정되었으며, 각 실험군간 유의한 차이는 없었다(P>.05). 전단결합강도는 금속-도재 시스템이 $38.9{\pm}5.0MPa$, 알루미나-도재 시스템이 $39.4{\pm}5.1MPa$, 지르코니아-도재 시스템이 $25.5{\pm}5.6MPa$로 지르코니아-도재 시스템이 다른 두 시스템 보다 유의하게 낮은 값을 보였다(P<.05). 금속-도재 시스템, 알루미나-도재 시스템 및 지르코니아-도재 시스템의 각 결합계면을 SEM/EDS로 분석한 결과 각 시스템에서 상이한 결합 양상이 관찰되었다. 결론: 본 연구 결과 지르코니아-도재 시스템의 파절강도가 제일 높았으며, 금속-도재 시스템, 알루미나-도재 시스템 순서로 나타났으며, 전단결합강도는 알루미나-도재 시스템이 제일 높았고 금속-도재 시스템, 지르코니아-도재 시스템 순서으로 나타났다.

• 대한치과보철학회지
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• 제47권2호
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• pp.119-124
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• 2009

연구목적: 치과 영역에서 환자들의 심미적인 요구가 증가하면서 자연 치아의 색조를 재현할 수 있는 수복물의 개발이 이루어졌으며, 이러한 연구의 일환으로 도재와 복합레진의 특성을 겸비한 Ceromer(Ceramic Optimized Polymer)가 개발되었다. Ceromer는 기존의 복합레진에 무기질을 고밀도로 충전하여 물리적 성질을 향상시켰다. 연구 재료 및 방법:본 실험에서는 두 종류의 Ceromer[$Targis^{(R)}$(Ivoclar-vivadent AG., Schaan, Liechtenstein), $BelleGlass^{(R)}$(Kerr Co., Orange, CA, USA)]를 이용해 레진 전장관 형태의 시편을 제작하고 증류수에 침전한 후 발생하는 체적과 중량의 변화를 관찰하였다. 결과 및 결론:두 종류의 Ceromer 모두 수중 침적 시간이 증가할수록 높이와 폭이 증가되었으며, $Targis^{(R)}$보다 $BelleGlass^{(R)}$에서 더 큰 누적변화율을 보였다. 72시간까지 급격한 증가를 보이다 이후 누적변화율의 증가는 감소하였다. 통계적 분석결과 $Targis^{(R)}$의 높이와 무게의 누적 변화량이 24시간군과 나머지군 사이에 유의한 차이를 보였으며, $BelleGlass^{(R)}$에서는 폭과 무게에서 누적 변화량이 24시간군과 나머지군 사이에 유의한 차이를 보였다(<.05). $Targis^{(R)}$와 $BelleGlass^{(R)}$ 두 군간의 비교에서는 높이, 폭, 무게의 변화량은 통계적으로 유의한 차이를 보이지 않았으나 변화양상은 다르게 관찰되었다.

• 대한치과보철학회지
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• 제42권5호
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• pp.514-523
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• 2004

Statement of problem: All-ceramic restorations have been advocated for superior esthetics. Various post and core systems have been used to improve the strength of damaged teeth, but it is unclear whether they affect the final shade of finished all-ceramic restorations. Purpose: The influence of different types of post and core systems on light transmission through all-ceramic crowns was assessed by spectrophotometric analysis. Also the masking effect of different thickness of ceramic ingot was evaluated. Material and Methods : Forty-five sample disks (15mm in diameter) at several thickness(1.0, 1.5, 2.0mm) and value(shade 100, 200, 300) were made in heat pressed ceramic(IPS-Empress). Background specimens simulating gold-alloy cast posts(Type III casting gold alloy), metal posts(Ni-Cr casting alloy) and ceramic posts(CosmoPost) were fabrica-ted. Resin composite(Z250, A3 shade) was used as a tooth substrate reference. For each combination, the change in color was measured with a spectrophotometer. Readings were performed for 2 conditions (1) ability of ceramic to mask the core in relation to its thickness(1.0, 1.5, or 2.0mm) ; (2) influence of post and core types on the final color of the ceramic. Data were recorded according to the CIE $L^*a^*b^*$ systems and color difference($\Delta$E) was calculated. Results: 100 shade ingot: when ceramic thickness was 1.0mm, $\Delta$E value for ceramic post larger than 1 but $\Delta$E value for metal and gold post was larger than 2. For ceramic thickness of 1.5mm, only $\Delta$E value for metal was larger than 2, and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 2. 200 shade ingot: when ceramic thickness was 1.0mm, $\Delta$E value for ceramic post was smaller than 1 but $\Delta$E value for metal and gold post was larger than 2. For ceramic thickness of 1.5 mm, only the $\Delta$E value for metal was larger than 2, and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 1. 300 shade ingot: when ceramic thickness was 1.0mm, only $\Delta$E value for metal was larger than 2 and the other samples' $\Delta$E value was smaller than 2. For ceramic thickness of 1.5mm, $\Delta$E values for all specimens was smaller than 1. For ceramic thickness of 2.0mm, $\Delta$E values for all specimens was smaller than 1. Conclusion: The final esthetic result of the IPS-Empress glass-ceramic restoration was not affected by the presence of different core materials when the thickness was more than 2.0 mm. When ceramic thickness decreases to 1.5mm, it is advised to take the substrate aspects into consideration. If the ceramic thickness is less than 1.0mm, using the tooth color matched substrate is strongly recommended.

• The Journal of Advanced Prosthodontics
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• 제3권4호
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• pp.196-203
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• 2011

PURPOSE. This study evaluated marginal fit of glass infiltrated alumina cores fabricated using two techniques and their marginal stability after firing cycles of veneering porcelain. MATERIALS AND METHODS. Fifteen standardized all-ceramic crowns were fabricated on a metal die using each technique: slip cast technique of VITA In-Ceram sprint Alumina (Group A as control) and plastic foil matrix technique of Turkom-Cera fused alumina core system (Group B). Copings were compared between groups and within groups at coping stage and after firing each layer of veneering porcelain. A device was used to standardize seating of copings on the metal die and positioning of the specimens under the microscope after each stage of fabrication. The specimens were not cemented and marginal gap was measured using an image analyzing software (Imagepro Express) on the photographs captured under an optical microscope. Two tailed unpaired 't test' was used to compare marginal gaps in two groups and one way ANOVA was used to analyze marginal distortion within each group at 95% confidence interval. RESULTS. The marginal gap was smaller at the coping stage in group B ($60+30{\mu}M$) than group A ($81+21{\mu}M$) with statistical significance. After firing of veneering porcelain the difference was insignificant. At the final stage, both groups exhibited lower mean marginal gaps than at the initial coping stage with the difference of $11.75{\mu}M$ for group A and $11.94{\mu}M$ for group B, but it was statistically insignificant due to high value of standard deviation. CONCLUSION. Within the limitations of this study, it was concluded that both techniques produced copings with comparable and acceptable marginal fit and marginal stability on firing veneering porcelain.

• 구강회복응용과학지
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• 제25권1호
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• pp.1-12
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• 2009

이 논문의 목적은 시멘트 층 내의 응력분포에 대해 금관의 물성과 시멘트의 물성 및 교합력의 방향이 미치는 영향을 이차원 유한요소분석으로 조사하는 것이다. Chamfer 변연을 가지는 23개의 하악 제1대구치 모델을 상정하였다. 금관의 재질은 제 3형 금합금, Ni-Cr 합금, 세라믹, 복합레진 등 4가지이며, 시멘트의 재질은 인산 아연 시멘트와 글라스 아이오노머 시멘트 등 2가지이다. 치축과 평행하게 또는 경사지게 하여 1N 단위로 금관에 하중을 가했다. 시멘트층의 응력은 금관 변연이 다른 곳보다 더 높았다. 치축에 평행한 하중이 치축에 경사진 하중보다 더 높은 응력을 발생시켰다. 경도가 더 큰 금관은 시멘트 층 내에서 더 높은 응력을 나타냈으며, 더 높은 응력은 더 큰 Young's modulus을 나타냈다.

• 대한치과보철학회지
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• 제42권5호
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• pp.501-513
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• 2004

Purpose : The purpose of this study was to evaluate the effects of etching time on shear bond strength of four resin cements to IPS Empress 2 ceramic. Material and Methods: Forty rectangular shape ceramic specimens ($10{\times}15{\times}3.5mm$ size) were used for this study. The ceramic specimens divided into four groups and were etched with 10% hydrofluoric acid for 0, 10, 30, 60, 180, 300, 420, 600, and 900 seconds respectively. Etched surfaces of ceramic specimens were coated with ceramic adhesive system and bonded with four resin cement (Variolink II, Panavia F, Panavia 21, Super-Bond C&B) using acrylic glass tube. All cemented specimens were tested under shear loading untill fracture on universal testing machine at a crosshead speed 1mm/min: the maximum load at fracture (kg) was recored. Shear bond strengh data were analyzed with oneway analysis of variance and Tukey HSD tests (p<.05). Etched ceramic surfaces (0-, 60-, 300-, and 600-seconds etching period) and fracture surfaces after shear testing were examined mophologically using scanning electron microscopy. Results : Ceramic surface treatment with 10% hydrofluoric acid improved the bond strength of three resin cement except for Super-Bond C&B cement. Variolink II (41.0$\pm$2.4 MPa) resin cement at 300-seconds etching time showed statistically higher shear bond strength than the other resin cements (Panavia F: 28.3$\pm$2.3 MPa, Panavia 21: 21.5$\pm$2.2 MPa, Super-Bond C&B: 16.7$\pm$1.6 MPa). Ceramic surface etched with 10% hydrofluoric acid for 300 seconds showed more retentive surface texture. Conclusion: Within the limitation of this study, Variolink II resin cement are suitable for cementation of Empress 2 all-ceramic restorations and etching with 10% hydrofluoric acid for 180 to 300 seconds is required to enhance the bond strength.

• The Journal of Advanced Prosthodontics
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• 제10권5호
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• pp.374-380
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• 2018

PURPOSE. The effect of silica-based glass-ceramic liners on the tensile bond strength between zirconia and resin-based luting agent was evaluated and compared with the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primers. MATERIALS AND METHODS. Titanium abutments and zirconia crowns (n = 60) were fabricated, and the adhesive surfaces of the specimens were treated by airborne-particle abrasion. The specimens were divided into 5 groups based on surface treatment: a control group, 2 primer groups (MP: Monobond Plus; ZP: Z Prime Plus), and 2 liner groups (PL: P-containing Liner; PFL: P-free Liner). All specimens were cemented with self-adhesive resin-based luting agent. After 24-hour water storage and thermocycling (5,000 cycles, $5^{\circ}C/55^{\circ}C$), the tensile bond strength was measured using a universal testing machine. Failure mode analysis and elemental analysis on the bonding interface were performed. The data were analyzed using Kruskal-Wallis test, Dunn's post hoc test, and Fisher's exact test. RESULTS. The liner groups and primer groups showed significantly higher tensile bond strengths than that of the control group (P<.05). PFL showed a significantly higher tensile bond strength than the primer groups (P<.05). The percentage of mixed failure was higher in the primer groups than in the control group (P<.001), and all the specimens showed mixed failure in the liner groups (P<.001). A chemical reaction area was observed at the bonding interface between zirconia and liner. CONCLUSION. The application of liner significantly increased the tensile bond strength between zirconia and resin-based luting agent. PFL was more effective than MDP-containing primers in improving the tensile bond strength with the resin-based luting agent.

• 구강회복응용과학지
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• 제16권2호
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• pp.105-112
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• 2000

본 연구는 치아형성시 shoulder 폭경이 변연 적합도에 미치는 영향을 평가하기 위해 시행하였다. 지대치의 치경부쪽의 shoulder 폭경을 0.6 mm, 0.9 mm, 1.2 mm로 나누어 각각 9개씩, 총 27개의 모형을 제작하여 통법에 따라 In-Ceram 전부 도재관을 제작한 후 시멘트 접착하고 근심, 원심, 협, 설측 중앙 부위를 200배 확대하여 변연 적합도의 측정한 후 각 군과, 측정부위에 따른 변연 적합도 비교해 본 결과 다음과 같은 결론을 얻었다. 1. shoulder 폭경이 0.6 mm인 경우 $81.28{\mu}m$, 0.9 mm인 경우는 $70.78{\mu}m$, 1.2mm 인 경우는 $67.75{\mu}m$의 변연간극을 보였다. 2. shoulder 폭경이 0.6 mm인 경우가 0.9 mm, 1.2 mm인 경우보다 변연간극이 유의한 차이를 크게 나탔났으며(p<0.05), 0.9 mm인 경우와 1.2 mm인 경우는 유의한 차이가 없었다(p>0.05). 3. In-Ceram 시편의 변연부에서 근심측, 원심측, 순측, 설측의 측정위치에 따른 변연적합도의 비교시 유의한 차이가 없었다(p>0.05).