• Journal of Technologic Dentistry
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• v.33 no.1
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• pp.7-14
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• 2011

Purpose: As the demand and importance of aesthetic aspects in dental treatment become higher, much attention is paid to materials used for dental prostheses. Thus, the marginal fidelity of most-commonly used alloy, IPS - Empress and ZrO2 ceramic is compared. Methods: The alloy core made by casting, IPS - Empress core made by pressing and ZrO2 ceramic core made by CAD/CAM are used to make 10 samples respectively. For each core, three points were measures and the optical microscope (Axio Imager.Alm,Zeiss co., Oberkochen, Germany) was used to observe the cores with a magnification of 100. Results: As for alloy, IPS - Empress and ZrO2 ceramic, the average and deviation of their marginal distance are $29.91\;{\pm}11.93{\mu}m$ for alloy, $33.45\;{\pm}8.61{\mu}m$ for IPS - Empress, and $31.55\;{\pm}9.85{\mu}m$ for ZrO2. The one-way ANOVA test was conducted to compare them. However, there was no statistically significant difference among them. Conclusion: The study on marginal fidelity of alloy, IPS - Empress, and ZrO2 ceramic shows they have no marginal fidelity problem clinically. Therefore, if a system is selected based on the patient's condition or treatment method, there will be no problem.

• Journal of Technologic Dentistry
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• v.23 no.2
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• pp.189-202
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• 2002

A study on reflective spectrum between In-Ceram alumina plate(IAP) and IPS empress 2 plate were carried out in order to determine the difference of reflective spectrum rates between materials and between thicknesses of materials(0.8mm, 1.0mm, 1.2mm) by visible wave. The rates are measured by spectrophotometer(Top scan model TC-1800). And an analysis of ANOVA and paired sample t-test were carried out. The results are summarized as follows. 1. The reflective rates of IAP and IPS increased slowly as visible wave spectrum increased. 2. The difference of reflective rates of IAP between 0.8mm and 1.0mm is significant but a little(less than 1%). The differences of reflective rates of IAP between 0.8mm and l.2mm and between 1.0mm and l.2mm are significant(8%, 10% ). 3. The differences of reflective rates of IPS between 0.8mm and 1.0mm and between 0.8mm and 1.2mm and between 1.0mm and 1.2mm are significant(0.06 %, 0.01 %, 2 %). 4. The differences of reflective rates of 0.8mm, 1.0mm between IAP and IPS are significant but a little(less than 0.9%, 0.5%). The difference of reflective rates of l.2mm between IAP and IPS is significant and larger than the other thicknesses relatively(7 %).

• Journal of Dental Rehabilitation and Applied Science
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• v.24 no.3
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• pp.231-242
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• 2008

Purpose: The purpose of this study was to investigate the bond strength of the core-veneer interface in all ceramic systems. Material and Methods: The all ceramic systems tested with their respective veneer were IPS Empress 2 with IPS Eris, IPS e.max Press with IPS e.max Ceram and IPS-e.max ZirCAD with IPS e.max Ceram. Cores (N=36, N=12/group, diameter: 10mm, thickness: 3mm) were fabricated according to the manufacturer's instruction and cleaned with ultrasonic cleaner. The veneer(diameter: 3mm, thickness: 2mm) were condensed in stainless steel mold and fired on to the core materials. After firing, they were again ultrasonically cleaned and embedded in acrylic resin. The specimens were stored in distilled water at $37^{\circ}C$ for 1 week. The specimens were placed in a mounting jig and subjected to shear force in a universal testing machine(Z020, Zwick, Germany). Load was applied at close to the core-veneer interface as possible with crosshead speed of 1.00mm/min until failure. Average shear bond strengths(MPa) were analyzed with a one-way analysis of variance and the Tukey test(${\alpha}=.05$). The failed specimens were examinated by scanning electron microscopy(JSM-6360, JEOL, Japan). The pattern of failure was classified as cohesive in core, cohesive in veneer, mixed or adhesive. Results: The mean shear bond strength($MPa{\pm}SD$) were IPS e.max Press $32.85{\pm}6.75MPa$, IPS Empress 2 $29.30{\pm}6.51MPa$, IPS e.max ZirCAD $28.10{\pm}4.28MPa$. IPS Empress 2, IPS e.max Press, IPS e.max ZirCAD were not significantly different from each others. Scanning electron microscopy examination revealed that adhesive failure did not occur in any all ceramic systems. IPS Empress 2 and IPS e.max Press exhibited cohesive failure in both the core and the veneer. IPS e.max ZirCAD exhibited cohesive failure in veneer and mixed failure.

• The Journal of Korean Academy of Prosthodontics
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• v.42 no.5
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• pp.489-500
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• 2004

Statement of problem: The use of zirconia prostheses fabricated with CAD/CAM system is on an increasing trend in dentistry. However, evaluation of the fit related to internal relief and marginal reproducibility of zirconia has not been reported. Purpose : This study was to evaluate the fit related to internal relief and marginal reproducibility of zirconia core fabricated with CAD/CAM system. Materials and methods: The evaluation was based on 30 zirconia cores and 5 IPS-Empress2 cores. Zirconia cores were fabricated in different conditions of internal relief(0, 10, 20, 30, 40 and $50{\mu}m$), and IPS-Empress2 cores were fabricated in accordance with the manufacturer's instructions. Before cementation, the marginal discrepancies or cores were measured on metal die. And then, each core was cemented to stone die, embedded in an acrylic resin and sectioned in two planes(mesiodistally and labiopalatally). The internal gaps were measured at the margin and axial surface. Measurements for the marginal discrepancies, the internal marginal gaps and the internal axial gaps were performed under a measuring microscope(Compact measuring microscope STM5; Olympus, Japan) at a magnification of ${\times}100$. In addition, the marginal conagurations of metal die, zirconia core and IPS-Empress2 core were examined with SEM(S-2700, Hitachi, Japan). Results : Within the limits of this study the results were as follows. 1. Compared with IPS-Empress2 cores, the marginal discrepancies of zirconia cores had no significant differences. the internal marginal gaps were statistically smaller and the internal axial gaps were statistically larger in each condition of internal relief. 2. The marginal discrepancies and the internal marginal gaps of zirconia cores had no significant differences related to the conditions of internal relief(P>0.05). 3. The internal axial gaps of zirconia cores with $0{\sim}20{\mu}$m for internal relief were significantly larger than that with $50{\mu}m$ (P<(0.0001). 4. SEM micrographs showed favorable marginal reproducibility of zirconia core and smooth texture on the milling surface. Conclusion: The marginal discrepancy and the internal gaps of zirconia core were clinically acceptable and the milling surface was showed smooth texture. For fabrication of the durable esthetic restoration, further investigations on complex design of core, milling accuracy, compatability of enamel porcelain and porcelain firing seems to be needed.

• The Journal of Korean Academy of Prosthodontics
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• v.39 no.5
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• pp.477-491
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• 2001

The purpose of this study is to compare and analyze the shade changes(${\Delta}E^*$) about $In-Ceram^{(R)}$, $IPS-Empress^{(R)}$, $OPC^{(R)}$ by using of the spectrophotometer arising from inital status and before and after cementation of the resin cement mounted on the metal core. We used a couple of statistics such as 'One- Way ANOVA' and 'Multiple Range Test.' We could be able to verify significantly what is being discussed here up to 95%. The results drawn from our research are as follows : 1. At the time of our experiments regarding the initial shapes of all-ceramic and mounting status of all-ceramic on the metal crown(${\Delta}E^*1$), and a comparison of mounting of all ceramic on the metal crown with all-ceramic cemented on the metal core(${\Delta}E^*2$), at the time of shade change of initial shapes and after we cemented on the metal core. (1) no significant difference among all-ceramics was found. (2) no particular difference was found regarding the $In-Ceram^{(R)}$. (3) a significant difference between the ${\Delta}E^*1$ and ${\Delta}E^*2$ regarding the $IPS-Empress^{(R)}$ was found(P<0.05). (4) a significant difference between the ${\Delta}E^*1$ and ${\Delta}E^*2$ regarding the $OPC^{(R)}$ was found(P<0.05). 2. When we compared the shade changes(${\Delta}E^*$) resulted from before and after the cementation on each of the parts involved of some all-ceramic, we could be able to find shade change increase form incisal third, middle third. and cervical third in that order in $In-Ceram^{(R)}$(spinell), IPS $Empress^{(R)}$, and $OPC^{(R)}$ all. In addition. we could be able to find a significant difference between cervical third and incisal third, middle third. (P<0.05) From what we have just seen, we might conclude that there is a significant shade change difference before and after the cementation with respect to $IPS-Empress^{(R)}$ and $OPC^{(R)}$. In addition, we could also be able to find more shade change difference at the cervical third rather than incisal third and middle third depending on the parts involved.

• The Journal of Korean Academy of Prosthodontics
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• v.42 no.5
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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 Korean Academy of Prosthodontics
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• v.45 no.4
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• pp.407-418
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• 2007

Purpose: The objective of this study was to evaluate the effects of hydrofluoric acid concentration & etching time on the shear bond strength between IPS Empress 2 ceramic and resin cement. Material and methods: Thirty three rectangular shape ceramic specimens($20{\times}12{\times}5mm$ size, IPS Empress 2 core materials) were used for this study. The ceramic specimens divided into ten experimental groups with three specimens in each group and were etched with hydrofluoric acid(4%, 9%) according to different etching times(30s, 60s, 90s, 120s, 180s). Etched surfaces of ceramic specimens were bonded with resin cement(Rely X Unicorn) using acrylic glass tube. All cemented specimens were tested under shear loading until fracture on universal testing machine at a crosshead speed of 0.5mm/min and the maximum load at fracture(kg) was recorded. Collected shear bond strength data were analyzed with one way ANOVA and Duncan tests. All etched ceramic surfaces were examined morphologically using SEM(scanning electron microscopy). Results: Shear bond strength of etching group$(35.89{\sim}68.01MPa)$ had four to seven times greater than no-etching group$(9.53{\pm}2.29MPa)$. The ceramic specimen etched with 4% hydrofluoric acid for 60s showed the maximum shear bond strength$(68.01{\pm}11.78MPa)$. Ceramic surface etched with 4% hydrofluoric acid for 60s showed most retentive surface texture. Conclusion: It is considered that 60s etching with 4% hydrofluoric acid is optimal etching methods for IPS Empress 2 ceramic bonding.

• Journal of Korean society of Dental Hygiene
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• v.18 no.6
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• pp.1037-1045
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• 2018

Objectives: The purpose of this study was to evaluation the effect of translucency on CAD/CAM ceramic according to different core/veneer thicknesses. Methods: A total of 42 samples from 2 groups of 7 ceramic cores, each with 3 thickness values (0.8, 1.0, 1.2 mm) were manufactured. The veneers were also manufactured in 3 thicknesses (0.3, 0.5, 0.7 mm). The group names were based on the name of the ceramic core (IPS e.Max CAD; LD, and IPS Empress CAD; LR). The associated number was determined by the combined thickness of the core and veneer: 1 = (0.8 + 0.7); 2 = (1.0 + 0.5); 3 = (1.2 + 0.3). The translucency was measured using a spectrophotometer and defined via the contrast ratio (CR) and translucency parameter (TP). Two-way ANOVA was performed to compare the 2 groups (material and thickness). Results: As the core thickness increased, the TP value also increased, and the CR value (for LR group) decreased. The results of 2-way ANOVA demonstrated that the thicknesses of different core/veneer combinations significantly affected the translucency (p<0.05). Conclusions: The different core and veneer thicknesses affected the translucency of CAD/CAM ceramic.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.5
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• pp.493-506
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• 2002

Recently as the esthetic concerns about dental prosthesis have been increased, the nonmetallic post and core systems have been introduced clinically to improve the color and the low optical transmittance of conventional casting metal post and core systems. The purpose of this study was to compare and analyze the optical transmittance and the shade changes of all-ceramic crowns with two nonmetallic post and core systems. The experimental groups were classified as follows : Total 27 specimens(9 samples in each group) were evaluated. Group I : Natural teeth as a control group Group II : CosmoPost and $Empress^{(R)}$ core (Ivoclar-Vivadent, Liechtenstein) Group III : $LIGHT-POST^{TM}$ and $LIGHT-CORE^{TM}$ (Bisco, U.S.A.) In all group, all-ceramic crowns were fabricated with the same shade of IPS $Empress^{(R)}$ II (Ivoclar-Vivadent, Liechtenstein) after abutment preparation, and then two kinds of spectrophotometers, UV 3101 PC (Shimadzu, Japan) and CM 503i (Minolta Co. Ltd. Japan), were used to measure the optical transmittance and the color value. The following results were obtained : 1. The optical transmittance of each group without all-ceramic crowns, was siginificantly decreased in order of Group III, I and II (p<0.05). 2. The optical transmittance of each group with all-ceramic crowns cemented, were siginificantly decreased in order of Group I, II and III (p<0.05). 3. In comparison with the shade of all-ceramic crowns, there were no significant differences between groups regardless of the cementation. 4. In comparison with the shade changes in each group after the cementation of all-ceramic crowns, there were no significant differences between groups. From the above results, it is thought that the selection among materials used in this study doesn't influence greatly the esthetic restoration, because the differences of optical transmittance were so small that those were clinically insignificant.

• The Journal of Korean Academy of Prosthodontics
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• v.43 no.2
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• pp.204-217
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• 2005

Purpose. The purpose of this study was to analyze stress distribution of all ceramic posterior fixed partial denture using a three dimensional finite element method. Material and method. A three dimensional finite element model was created to demonstrate all-ceramic posterior fixed partial denture and then this computer model measured the stress distribution of the all ceramic bridges which has a ceramic core materials such as Zirconia, IPS Empress. 2. In-Ceram zirconia, Metal-Ceramic. Also the stress distribution was examined according to loading sites when force was applied to sites such as the central area of second premolar the mesial connector of pontic, the central fossa of pontic, the distal connector of pontic, and the central fossa of second molar. Results. 1. In all the materials of the core in this study, von Mises stress indicated that the stress increased as force was applied to loaded sites, just at those points, on the connector, and the margin in the area adjacent to the connectors. 2. The maximum principal stress was much higher in the lower part of the connectors than in any other region. 3. As the load was applied to the different locations, the research showed a consistent increase of stress in the lower connectors. The maximum value of the von Mises stress was two or three times greater when the load was applied directly to the connectors rather than indirectly through another stressed region. 4. In the case of In-Ceram zirconia, the stress in lower connectors was the highest of all the reference points, the stress showed 75% of all the maximum stress. Ziconia showed 72%, Metal Ceramic 67% and IPS Empress 2 50%. 5. In the case of Ziconia, the stress was well dispersed in each reference point that the stress differences were smaller when compared to In-Cream ziconia.