• The Journal of the Korean dental association
• /
• v.50 no.7
• /
• pp.368-376
• /
• 2012

The demand for tooth-colored restorations has grown considerably during the last decade. Posterior composite restorations have risen in popularity as a result of the development of improved resin composites, bonding systems and operating techniques. A major limitation of direct composite restoration is the difficulty of controlling the polymerization shrinkage. To overcome this limitation, the indirect fabrication of a composite restoration and cementation with resin cement has been advocated. Unfortunately, the current available resin cements with indirect restorations do not always bond to dentin as strongly as dentin adhesive systems bond with direct resin composite restorations. Several procedural strategies have been proposed for indirect composite restoration. In this regard, the rationale for the indication, characteristics and clinical application is described in this paper. As a result, we will try to suggest the evidence-based guidelines for indirect composite restorations by reviewing each available indirect composite products, technical procedure and pronosis.

• Proceedings of the KACD Conference
• /
• 2001.11a
• /
• pp.595-595
• /
• 2001

As the interest for esthetic restoration is increasing, the usage of composite resin is increasing. The usage of composite resin is not limited to anterior teeth but is spreading to posterior area using direct ＆ indirect methods. Generally, dual or chemical cure resin cement has been used for setting composite or porcelain inlay restoration. However, chemical cure resin cement has limited working time and it's difficult to remove excess cement from the tooth and the restoration. The dual cured composite is also difficult to remove from the tooth surface.(omitted)

• Journal of the korean academy of Pediatric Dentistry
• /
• v.25 no.3
• /
• pp.627-634
• /
• 1998

Children who have severely destructive anterior primary dentition, as in nursing-bottle caries, in trauma, in rampant caries and in developmental defects, present the dentist with one of the most perplexing situations in dentistry. Especially, children with managed behavor difficultly is very severly situations. This paper reported a new technique for the utilization of resin post and strip crown to indirect methods on severely destructive primary anterior teeth. We name it "indirect short resin post crown" in this paper. Indirect technique be considered to be a simple, a retentive, intensive, color-stable and esthetic restoration.

• Journal of the Korean Academy of Esthetic Dentistry
• /
• v.7 no.1
• /
• pp.18-26
• /
• 1998

The improvement of esthetic dentistry has been accelerated from the development of composite resin and dentin-enamel adhesive since 1980's. The indirect composite resin restorations have more accurate proximal contact point and occlusal form than direct restoration. And the side effect of resin shrinkage is minimal because the amount of composite used in oral cavity is limited in cement space. As a results, marginal leakage, hypersensitivity, secondary caries, and discoloration are significantly diminished. The first generation laboratory composite resin used in indirect resin restoration had been widespread in 1980's and the second generation laboratory composite resins were developed in 1990's. The second generation laboratory composite resins are called Ceramic Polymer. The physical properties of Ceramic Polymer are improved because of high content of inorganic filler, and the esthetics and biocompatibility are better than that of the first generation resin. So the application range using composite resin have been broadened. The purpose of this paper is to introduce Targis & Vectris system that is classified to second generation laboratory composite and to report several cases in which the system was utilized for restoration.

• Journal of Korean Academy of Dental Administration
• /
• v.9 no.1
• /
• pp.7-13
• /
• 2021

The present randomized controlled trial aimed to evaluate changes in occlusion of indirect restorations before and after attachment using resin cement according to universal adhesives. This study included patients who underwent indirect restoration treatment at the Yonsei University Dental Hospital between April and October 2016. Universal adhesives requiring light curing and those not requiring light curing were used in this study. Changes in occlusion before and after adhesion of the indirect restoration were evaluated using articulating paper and shimstock as well as through the discomfort felt by the patients. To analyze the differences between the universal adhesive, Fisher's exact tests were performed using SPSS ver. 22.0 software. Of the 39 cases of indirect restoration, 29 were included in the study. A change in occlusion after adhesion of the indirect restoration was observed in only one case of universal adhesive that required light curing. The patient felt that the occlusion increased after the attachment of the restoration, and it was observed that the occlusion point was different from that before attachment. However, the results of the analysis were not statistically significant. Based on the findings, the universal adhesives did not affect the occlusion before and after indirect adhesion restoration using RelyX Ultimate.

• The Journal of the Korean dental association
• /
• v.50 no.7
• /
• pp.377-383
• /
• 2012

Recently, ceramic materials have become a popular choice for dentists performing esthetic indirect restorations. The longevity and success of ceramic dental restorations depends on the adhesive procedures of resin cements. However, dental ceramics can be classified in various ways, depending on the compositions. Also, the applications for resin cement require multiple clinical steps. Therefore, understanding the different ceramic substrates involved in each procedure, as well as the proper adhesive steps for the resin cements is important to us for long-term clinical success.

• The Journal of Korean Academy of Prosthodontics
• /
• v.51 no.1
• /
• pp.27-32
• /
• 2013

Purpose: The aims of this study were to evaluate the effect of a resin coating on the shear bond strength of indirect composite restoration bonded to dentin with a self adhesive resin cement and to compare the shear bond strength with that of a conventional resin cement. Materials and methods: The occlusal enamels of thirty six extracted noncarious human molars were removed until the dentin flat surfaces of the teeth were exposed. Then, they were divided into 3 groups. The dentin surfaces of group 1 and 3 were left without any conditioning, while the dentin surfaces of group 2 were resin-coated with Clearfil SE bond and a flowable resin composite, Metafil Flo. After all specimens were temporized for 24 hours, indirect composite resin blocks fabricated by Tescera were bonded to dentins by Unicem for group 1 and 2, and by Panavia F for group 3. After 48 hours of water storage, shear bond strengths were measured. The data was analyzed with one-way analysis of variance and multiple comparison test (Tukey method). Results: The shear bond strengths of Unicem applied to resin coated dentin surfaces were significantly higher than those of Unicem and Panavia F used to uncoated dentin surfaces (P<.0001). Conclusion: Application of a resin coating to the dentin surface significantly improved the shear bonding strength of a self adhesive resin cement in indirect restoration.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.50 no.1
• /
• pp.104-112
• /
• 2023

A 3D-printed resin crown is a novel option for esthetic crown restoration for primary teeth, which are typically bonded with resin cement. The purpose of this study was to evaluate the bonding ability of a 3D printing resin and compare it with other indirect resin materials for crown fabrication. The shear bond strengths of two 3D printing resin materials, Graphy (GP) and NextDent (NXT), and two indirect resin materials, VIPI Block (VIPI) and MAZIC Duro (MZ), were compared in the study. For all materials, the shear bond strength at the interface between the surface of the resin material and resin cement was measured. The mean shear bond strength values of GP, NXT, MZ, and VIPI were 23.29 ± 3.88, 26.14 ± 4.67, 25.41 ± 4.03, and 18.79 ± 4.26 MPa, respectively. There was no significant difference among the SBSs of GP, NXT and MZ except for VIPI. The result of this study indicates that the 3D printing resin meets the essential requirement for clinical use by showing clinically adequate bond strength.

• Proceedings of the KACD Conference
• /
• 2001.11a
• /
• pp.593-593
• /
• 2001

Esthetic restoration techniques can be categorized into "Direct techniques" consist only of intraoral procedures and "Indirect techniques" include intraoral as well as extraoral laboratory steps. Those made extraorally exhibit generally enhanced esthetic potential and anatomy and better hardness and wear resistance, indirect esthetic restorations numerously applied in contemporary dentistry. Indirect restorative materials can be divided into two categories; composite resin-based materials and ceramic-based materials. These materials shows various were resistance, modulus of elasticity, repair postenital, chemical stability, and different laboratory procedures. In this session, benefit of indirect techinques, case selection of this kind of restorations, and material characteristics and fabrication produre of those materials will ber reviewed; Targis, Sculpture, Belleglass, and Post-curing of restorative composite resins in resin-based materials; Dicor, Empress, Cerec, Celay, and conventional firing porcelain in ceramic based materials.

• Restorative Dentistry and Endodontics
• /
• v.36 no.6
• /
• pp.490-497
• /
• 2011

Objectives: This study examined the effect of the uncured dentin adhesives on the bond interface between the resin inlay and dentin. Materials and Methods: Dentin surface was exposed in 24 extracted human molars and the teeth were assigned to indirect and direct resin restoration group. For indirect resin groups, exposed dentin surfaces were temporized with provisional resin. The provisional restoration was removed after 1 wk and the teeth were divided further into 4 groups which used dentin adhesives (OptiBond FL, Kerr; One-Step, Bisco) with or without light-curing, respectively (Group OB-C, OB-NC, OS-C and OS-NC). Pre-fabricated resin blocks were cemented on the entire surfaces with resin cement. For the direct resin restoration groups, the dentin surfaces were treated with dentin adhesives (Group OB-D and OS-D), followed by restoring composite resin. After 24 hr, the teeth were assigned to microtensile bond strength (${\mu}TBS$) and confocal laser scanning microscopy (CLSM), respectively. Results: The indirect resin restoration groups showed a lower ${\mu}TBS$ than the direct resin restoration groups. The ${\mu}TBS$ values of the light cured dentin adhesive groups were higher than those of the uncured dentin adhesive groups (p < 0.05). CLSM analysis of the light cured dentin adhesive groups revealed definite and homogenous hybrid layers. However, the uncured dentin adhesive groups showed uncertain or even no hybrid layer. Conclusions: Light-curing of the dentin adhesive prior to the application of the cementing material in luting a resin inlay to dentin resulted in definite, homogenous hybrid layer formation, which may improve the bond strength.