• 대한소아치과학회지
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• 제44권4호
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• pp.446-454
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• 2017

최근 개발된 bulk-fill 복합레진에 대한 연구가 많이 이루어지고 있지만 소아환자 치료에 사용할 수 있는 적절한 재료인지에 대한 연구는 부족한 실정이다. 따라서 본 연구의 목적은 유구치의 2급 와동에서 bulk-fill 복합레진과 전통적 복합레진의 와동 적합성을 비교 평가하는 것이다. 발치 된 80개의 유구치의 근심 또는 원심에 2급 와동을 형성한 후 4개의 군으로 무작위로 나누었다. 대조군은 전통적 복합레진인 Filtek$^{TM}$ Z-350 XT(FZ)으로 수복하고 나머지 3개의 군은 bulk-fill 복합레진인 Filtek$^{TM}$ Bulk Fill Posterior Restorative(FB), Tetric N-Ceram$^{(R)}$ BulkFill(TNC)과 Filtek$^{TM}$ Bulk Fill Flowable Restorative(FBF)으로 수복하였다. 모든 시편을 열순환 시행한 후 50% 질산은($AgNO_3$)용액에 침적시켰다. Micro-CT를 이용하여 전체 질산은의 침투 부피와 치경부의 변연누출 정도를 측정하였고 기포의 개수, 크기, 위치를 평가하였다. 질산은의 침투 부피에서 FB가 FZ보다 유의하게 낮은 값을 보였고(p < 0.05), TNC와 FBF는 FZ와 비슷한 값을 보였다. 치경부 부분의 변연누출 정도는 FBF가 FZ와 FB보다 유의하게 낮은 값을 보였다(p < 0.05). 기포의 개수와 크기는 4개 군 모두 유의한 차이가 없었으나 기포의 위치는 전통적 복합레진에서는 전체 기포의 83.3%가 수복물 내부에 분포하였고, bulk-fill 복합레진에서는 치은축면 선각에 많이 분포하였다. 유구치 2급 와동에서 bulk-fill 복합레진과 전통적 복합레진의 와동에 대한 적합성은 유사한 결과를 보여주었다. 따라서 소아의 치아우식증 수복치료 시 bulk-fill 복합레진이 유용하게 사용될 수 있을 것으로 보인다.

• 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.

• The Journal of Advanced Prosthodontics
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• 제3권4호
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• pp.221-228
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• 2011

PURPOSE. Veneering porcelain might be delaminated from underlying zirconia-based ceramics. The aim of this study was the evaluation of the effect of different surface treatments and type of zirconia (white or colored) on shear bond strength (SBS) of zirconia core and its veneering porcelain. MATERIALS AND METHODS. Eighty zirconia disks (40 white and 40 colored; 10 mm in diameter and 4 mm thick) were treated with three different mechanical surface conditioning methods (Sandblasting with $110{\mu}m$ $Al_2O_3$ particle, grinding, sandblasting and liner application). One group had received no treatment. These disks were veneered with 3 mm thick and 5 mm diameter Cercon Ceram Kiss porcelain and SBS test was conducted (cross-head speed = 1 mm/min). Two and one way ANOVA, Tukey's HSD Past hoc, and T- test were selected to analyzed the data (${\alpha}=0.05$). RESULTS. In this study, the factor of different types of zirconia ceramics (P=.462) had no significant effect on SBS, but the factors of different surface modification techniques (P=.005) and interaction effect (P=.018) had a significant effect on SBS. Within colored zirconia group, there were no significant differences in mean SBS among the four surface treatment subgroups (P=0.183). Within white zirconia group, "Ground group" exhibited a significantly lower SBS value than "as milled" or control (P=0.001) and liner (P=.05) groups. CONCLUSION. Type of zirconia did not have any effect on bond strength between zirconia core and veneer ceramic. Surface treatment had different effects on the SBS of the different zirconia types and grinding dramatically decreased the SBS of white zirconia- porcelain.

• 구강회복응용과학지
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• 제21권1호
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• pp.25-32
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• 2005

The purpose of this study was to examine an effect of fluoride recharging on fluoride release and surface change of fluoride-releasing restorative materials. Six commercially available fluoride releasing restorative materials (Fuji II LC Improved: FL, Compoglass F: CF, Dyract AP: DA, F2000: FT, Gradia Direct: GD, and Tetric Ceram: TC) were selected as experimental materials. Disk specimens were fabricated with split teflon mold to the final dimensions of 15 mm in diameter and 1 mm in thickness. Ten samples of each material were fabricated and stored in deionized water at $37^{\circ}C{\pm}1^{\circ}C$ for 3 months. Before fluoride recharging, all specimens were polished sequentially from #800 to #2000 emery papers. Fluoride recharging was done at 5-day interval using 2.0% NaF gel. The release of fluoride into the storage water was monitored using a fluoride ion electrode. Data were analyzed by one-way ANOVA and Tukey's multiple range test. The results obtained were summarized as follows; 1. Fluoride recharge capability were FL > CF > DA and TC group after 12 times exposure to 2.0% NaF gel (P<0.05). 2. All the experimental materials, except for FT group, showed the increase of fluoride release and surface roughness. 3. Fluoride-releasing rates returned to base line within 3 days.

• The Journal of Advanced Prosthodontics
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• 제7권5호
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• pp.368-374
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• 2015

PURPOSE. The aim of the study was to evaluate the effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations. MATERIALS AND METHODS. Three different types of disk-shaped zirconia coping specimens (Lava, Cercon, Zirkonzahn: ${\phi}10mm{\times}0.4mm$) were fabricated and veneered with IPS e.max Press Ceram (shade A2), for total thicknesses of 1 and 1.5 mm. A total of sixty zirconia restoration specimens were divided into six groups based on their coping types and thicknesses. The abutment specimens (${\phi}10mm{\times}7mm$) were prepared with gold alloy, base metal (nickel-chromium) alloy, and four different shades (A1, A2, A3, A4) of composite resins. The average $L^*$, $a^*$, $b^*$ values of the zirconia specimens on the six abutment specimens were measured with a dental colorimeter, and the statistical significance in the effects of three variables was analyzed by using repeated measures analysis of variance (${\alpha}$=.05).The average shade difference (${\Delta}E$) values of the zirconia specimens between the A2 composite resin abutment and other abutments were also evaluated. RESULTS. The effects of zirconia specimen thickness (P<.001), abutment shade (P<.001), and type of zirconia copings (P<.003) on the final shade of the zirconia restorations were significant. The average ${\Delta}E$ value of Lava specimens (1 mm) between the A2 composite resin and gold alloy abutments was higher (close to the acceptability threshold of 5.5 ${\Delta}E$) than th ose between the A2 composite resin and other abutments. CONCLUSION. This in-vitro study demonstrated that abutment shade, ceramic thickness, and coping type affected the resulting shade of zirconia restorations.

• 대한치과기공학회지
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• 제33권3호
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• pp.193-202
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• 2011

Purpose: The aim of this study was to evaluate the effect of pre-treatment of core and hydrothermal treatment on the bond strength and flexural strength of ceramic veneered zirconia. Methods: 3Y-TZP specimens(KaVo Zr, $25mm{\times}3mm{\times}1mm$)were prepared by five pre-treatment methods and divided into seven groups including control two groups, subsequently the specimens veneered with the E-MAX ceram according to manufacturer's information(total specimen thickness 1.5mm). Two groups from ceramic-zirconia specimens(n=105, n=15 per group)were assigned into two experimental fatigue conditions, namely storage in an autoclave at $134^{\circ}C$ for 5h, thermo-cycling(3,000cycles, between 5 and $55^{\circ}C$, dwell time 45s, transfer time 2s). A flexural strength test was performed in a universal testing machine(crosshead speed: 0.5mm/min). Data were statistically analyzed using one-way ANOVA and Tukey's test(${\alpha}$=0.05). Results: The ceramic-zirconia bond strength value for liner application group(LLW, $27.3{\pm}3.8$) were significantly lower than those of the pre-treatment groups($30.72{\pm}5.3$). The ceramic-zirconia bond strength and zirconia flexural strength was not affected by thermo-cycling(p>0.05), whereas it was affected by storage in an autoclave at $134^{\circ}C$ for 5h(p<0.05). Conclusion: The results indicated that the ceramic-zirconia bond strength and zirconia flexural strength was affected by low temperature degradation.

• 한국세라믹학회지
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• 제32권12호
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• pp.1392-1400
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• 1995

WC-10wt%Co-Al2O3 ceramic composites, using both the SHS (Self-propagating High Temperature Synthesis) synthesized WC powder method and commercial WC powder, were prepared by varing WC-Co/Al2O3 vol% ratio and sintering temperature (1350℃∼1650℃) for 1 hr in Ar atmosphere. Mechanical characterization has been investigated by Instron meterial testing system and Vicker's hardness test. Compositional and structural chracterizations were carried out by energy-dispersive analysis of X-ray (EDAX) data and scanning electron microscope (SEM). Electrical characterization was carried out by the electrical resistivity measurement using 4-point probe method. As sintering period increased and Al2O3 contents decreased in WC-10wt%Co-Al2O3 ceramic composite, shrinkage and relative density increased, resulting in maximum values at 1600℃. Also the major matrix phase changed with increasing Al2O3 content from 0 to 100 vol%. It was also identified by SEM, EDAX, and electrical resistivity measurement. Based on the results of analysis of flexural strength, toughness and hardness, the mechanical properties of WC-10wt%Co-Al2O3 ceramic composites using the SHS synthesized WC powder were better than those WC-10wt%Co-Al2O3 ceramic composites using commercial WC powder because WC-10wt%Co-Al2O3 ceramic composites using the SHS synthesized WC powder were sintered very well due to small initial particle size. By the addition of 40 vol% Al2O3 [60(WC=10wt%Co)-40Al2O3], it was possible to obtain a proper candidate as a superalloy.

• 대한소아치과학회지
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• 제43권4호
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• pp.365-373
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• 2016

치아우식증을 치료할 때 가장 많이 사용되는 수복재료 중 하나는 레진이다. 하지만 레진은 중합수축, 긴 작업시간, 수분 및 오염에 민감하다는 단점들이 존재하고 어린이를 치료할 때 더 두드러진다. 이러한 단점들을 해결하기 위해 bulk filling이 나타나게 되었고, 이를 가능하게 하는 bulk-fill 복합레진이 개발되었다. 본 연구의 목적은 전통적 복합레진과 bulk-fill 복합레진의 물성을 다양한 방법으로 평가 및 비교하기 위함이다. 전통적 복합레진 3 종류(Filtek Z-350 (Z-350), Unifil Flow (UF), Unifil Loflo Plus (UL)), bulk-fill 복합레진 2종류 (SureFil SDR flow (SDR), Tetric N-Ceram bulk fill (TBF))를 사용하였다. 광중합기는 light-emitting diodes를 사용하였고, 한번 중합할 때 20초간 시행하였다. 재료들의 미세경도는 비커스경도기로 측정하였고, 중합도 측정은 Fourier transform infrared spectroscopy을 사용하였다. 중합수축량은 컴퓨터로 제어되는 linometer를 이용하였다. 굴곡강도 및 굴곡계수는 3점 굽힘 시험법으로 측정하였고, 압축강도 및 압축계수와 함께 Universal testing machine을 이용하여 측정하였다. 통계분석은 ANOVA를 사용하였고, Scheffe의 사후검정을 하였다. 미세경도는 상면에서 Z-350이 가장 높은 값을 나타냈고, 하면은 TBF가 높은 값을 나타냈으나 UL은 상하면 모두에서 가장 낮은 값을 보였다. 상면과 하면의 미세경도 값의 비는 SDR, TBF가 높았다. 중합도는 bulk-fill 복합레진과 유동성 복합레진 상하면 모두에서 높게 나타나고, Z-350는 상하면 모두에서 55% 이하로 나타났다. 압축강도는 Z-350이 가장 높았으며 SDR이 낮게 나타났으나 UL과는 통계학적으로 유의하게 차이는 보이지 않았다. 압축계수는 Z-350이 높게 나타났고, UL이 가장 낮았다. 굴곡강도 및 굴곡계수는 Z-350이 가장 높았다. UL은 굴곡강도 및 굴곡계수 모두 가장 낮게 나타났다. UL이 가장 높은 중합수축을 보였고, Z-350이 가장 낮은 중합수축 값을 나타냈다. 유동성 복합레진이 비유동성 복합레진보다 중합 수축 양이 많았다. 결론적으로 bulk-fill 복합레진의 물성은 전통적 복합레진보다 떨어지지만 bulk filling할 때 중요한 상하면의 미세경도비 및 중합도는 높게 나타나 어린이의 치아우식증 수복치료 시 도움이 될 수 있을 것으로 사료된다.

• 구강회복응용과학지
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• 제35권1호
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• pp.1-10
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• 2019

목적: 복합레진의 색조안정성에 있어서 연마가 영향을 주는지 알아보았다. 연구 재료 및 방법: 2 개의 벌크필 레진과 4개의 복합레진을 6 mm 너비, 4 mm 높이로 제작하여 광중합한 후 $34^{\circ}C$ 멸균 증류수에 24 시간 보관하고 분광광도계를 이용하여 CIE $L^*a^*b^*$ 값을 측정하였다. 시편을 연마 방법에 따라 대조군(Mylar strip 그룹), PoGo로 연마한 그룹, Sof-Lex Spiral wheels로 연마한 그룹으로 나누었다(n = 5). 색측정은 4 주 동안 매주 시행하였고 실험 기간 동안 시편은 $34^{\circ}C$ 멸균증류수에 보관하였다. 실험결과는 일반최소자승법으로 통계분석하였다(P < 0.05). 결과: 일반최소자승법 분석에 따르면 Sof-Lex Spiral wheels로 연마한 그룹의 ${\Delta}E$ 값이 PoGo로 연마한 그룹과 대조군의 ${\Delta}E$ 값보다 낮게 나타났다(P < 0.05). 복합레진을 연마한 그룹의 ${\Delta}E$ 값은 연마하지 않은 대조군의 ${\Delta}E$ 값보다 낮게 나타났다(P < 0.05). 복합레진 비교시 Filtek Z250과 Filtek Z350 XT Universal restorative는 모든 기간에서 통계적 차이가 나타나지 않았으며 Tetric N-Ceram Bulk Fill은 1, 2, 3주에서 통계적으로 낮은 ${\Delta}E$ 값을 나타냈다(P < 0.05). 결론: 이번 연구의 한계점을 감안하면 연마 방법은 복합레진의 색조안정성에 영향을 미친다. Sof-Lex Spiral wheels로 연마한 그룹이 PoGo로 연마한 그룹보다 변색에 더 큰 저항을 보여주었다.

• The Journal of Advanced Prosthodontics
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• 제11권4호
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• pp.215-222
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• 2019

PURPOSE. To evaluate the polishing effect on roughness and color change of pressed and layering ceramics after immersion in coffee solution. MATERIALS AND METHODS. 88 ceramic discs ($1.0mm{\times}10.0mm$) were manufactured - 44 nano-fluorapatite layering ceramics (IPS e.max Ceram. Group C) and 44 pressed lithium disilicate ceramic discs (IPS e. max Press - Group P). Each group was divided into 4 subgroups according to surface treatments: (G) Glaze, (S) Shofu polishing system (Shofu Inc.), (E) Edenta AG polishing System, (KG) $30-{\mu}m$ diamond granulation tip. Surface roughness (Ra) and color change (${\Delta}E$) measurings after the surface treatments were performed, before and 12 days after the immersion in coffee solution. A samples' qualitative analysis was conducted with a scanning electron microscopy (SEM). Data were statistically-treated with one-way-ANOVA and Duncan's tests, apart from paired t-test and Pearson's correlation test (${\alpha}=5%$). RESULTS. The decrescent order, both for surface roughness (Ra) and ${\Delta}E$ for both ceramics were: KG > E > S > G (P<.05). With exception for PG and CG subgroups, which did not present statistical difference between them, all other pressed ceramics subgroups presented smaller Ra values and greater ${\Delta}E$ values than the layering ceramics subgroups (P<.05). CONCLUSION. Although mechanical polishing systems presented intermediate Ra values, their colors were considered clinically acceptable. There is a strong correlation between the surface roughness and the color change of tested ceramics.