• Restorative Dentistry and Endodontics
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• 제27권3호
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• pp.284-289
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• 2002

Background : The purpose of the present study was to evaluate the direct and indirect composite restorations which had been placed for 1 year Methods : The composite restorations which had been placed between 1999. Mar and 1999, Dec was evaluated after 1 year For direct restorations. Spectrum (Dentsply, USA) and Z100 (3M, USA) were used in the anterior teeth and Surefil (Dentsply, USA) were used. For class V restorations of anterior and posterior teeth. Spectrum was used. For indirect restorations, Targis/Vectris system (Vivadent/Ivoclar, Liechtenstein) was used 2 examiners evaluated marginal quality, proximal contact. discoloration, presence of 2$^{nd}$ caries, loss of filling and hypersensitivity of restorations. The restorations was clinically evaluated by modified methods based on USPHS. Results : 60 teeth were evaluated. 59 were clinically acceptable and 1 restoration which was placed in class v cavity in the posterior tooth was fallen out. In most cases, the restorations were clinically accept-able. For restorations which had been directly placed in the class II cavities, loose proximal contact was indicated as the main complaints. Conclusions : Most of Anterior and posterior restorations which bad been directly or indirectly placed for 1 year were clinically acceptable. For posterior teeth, loose proximal contact was indicated as the main problem in the directly placed Class II restorations. Long term clinical study is needed.

• Restorative Dentistry and Endodontics
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• 제44권3호
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• pp.27.1-27.12
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• 2019

This case report describes a technique in which endodontic treatment and permanent indirect restoration were completed in the same clinical appointment with the aid of a computer-aided design/computer-aided manufacturing (CAD/CAM) system. Two patients were diagnosed with irreversible pulpitis of the mandibular first molar. After access preparation, root canals were located, irrigation was performed until bleeding ceased, and the coronal tooth structure was prepared for indirect restoration. Then, utilizing an interim 3-mm build-up of the endodontic access cavity, a hemi-arch digital scan was performed with an intraoral scanner. Subsequent to digital scanning, restoration design was performed simultaneously with the endodontic procedure. The root canals were shaped using the Race system under irrigation with 2.5% sodium hypochlorite followed by root canal filling. The pulp chamber was subsequently filled with a 3-mm-thick composite resin restoration mimicking the interim build-up previously utilized to facilitate block milling in the CAD/CAM system. Clinical try-in of the permanent onlay restoration was followed by acid etching, application of a 5th generation adhesive, and cementation of the indirect restoration. Once the restoration was cemented, rubber dam isolation was removed, followed by occlusal adjustment and polishing. After 2 years of follow-up, the restorations were esthetically and functionally satisfactory, without complications.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2007년도 Autumn Scientific Meeting(the 128th) of Korean Academy of Comservative Dentistry
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• pp.635-635
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• 2007

• Restorative Dentistry and Endodontics
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• 제22권1호
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• pp.334-346
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• 1997

Incidence of using esthetic composite resin in the posterior area is increasing but there were lots of inconsistent reports about their microleakage and marginal adaptation. The purpose of this study was to evaluate the differences of microleakage and marginal adaptation according to restorative techniques. 30 cavities with enamel gingival margin were prepared and restored with 3 types of composite resin [Z-100($Scotchbond^{TM}$ MP), AELITEFIL ($Onestep^{TM}$), Her culite XRV(Fuji BOND LC)] in direct technique and another 30 cavities were restored with preformed CR inlays and 3 different modern resin and resin-modified GI cements (Superbond C&B, Choice, Fuji Duet). Samples were chemically stressed in 75% ethanol for 24 hours and were thermocycled (5-$55^{\circ}C$(500 times. The degree of microleakage through proximal and gingival margins was examined by 1 % MB dye and the degree of marginal adaptation by examining the margins via SEM. The following results were obtained ; 1. In direct groups, Herculite XRV [Fuji BOND LC, 35.13 (15.50) %] group showed statistically different, less microleakage than Z-100 [$Scotchbond^{TM}$ MP, 72.91 (16.91 %] group and AELITEFIL [One-step, 93.73 (13.66) %] group (p<0.05). 2. In indirect groups, the degree of microleakage in Mean(S.D.) were: Super bond C & B [39.00 (24.35) %], Choice [57.19 (33.80) %], Fuji Duet [58.22 (40.36) %]. But there was no significant difference. 3. There was no significant difference between resin cement and resin-modified GI cement. 4. There were gaps at the interface with the tooth structure, but no gap was seen at the interface with restoration in all specimens. 5. In direct groups, Herculite XRV(Fuji BOND LC) group made little gap compared with other groups, but 40-$50{\mu}m$ thickness of bonding agent, Fuji BOND LC, looked like a cement used in indirect technique. 6. All indirect groups showed a variety of cement thickness, from less than $20{\mu}m$ to over $100{\mu}m$ and that dimension of buccal/lingual margin was less than that of gingival margin.

• 대한치과보철학회지
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• 제38권3호
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• pp.366-374
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• 2000

FRC/ceromer system provides the clinician with a durable, flexible, and esthetic alternative to conventional porcelain fused to metal crowns. FRC is the matrix which is silica-coated and embedded in a resin matrix. The ceromer material which is a second generation indirect composite resin contains silanized, microhybrid inorganic fillers embedded in a light-curing organic matrix. FRC/ceromer restoration has a several advantages: better shock absorption, less wear of occluding teeth, translucency, color stability, bonding ability to dental hard tissues, and resiliency. It has versatility of use including inlay, onlay, single crown, and esthetic veneers. With adhesive technique, it can be used for single tooth replacement in forms of inlay adhesion bridge. In single tooth missing case, conventional PFM bridge has been used for esthetic restoration. However, this restoration has several disadvantages such as high cost, potential framework distortion during fabrication, and difficulty in repairing fractures. Inlay adhesion bridge with FRC/ceromer would be a good alternative treatment plan. This article describes a cases restored with Targis/Vectris inlay adhesion bridge. Tooth preparation guide, fabrication procedure, and cementation procedure of this system will be dealt. The strength/weakness of this restoration will be mentioned, also. If it has been used appropriately in carefully selected case, it can satisfy not only dentist's demand of sparing dental hard tissue but also patient's desire of seeking a esthetic restorations with a natural appearance.

• Restorative Dentistry and Endodontics
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• 제35권2호
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• pp.69-79
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• 2010

본 연구는 여러 레진 시멘트의 film thickness에 따른 상아질과 간접 레진 수복물 간의 미세인장 결합 강도를 측정하고, 각 레진 시멘트의 중합 수축 및 굴곡 강도, 탄성 계수를 비교 분석하며, 접착 계면 및 파단면의 주사전자 현미경 관찰을 통하여 레진 시멘트의 film thickness가 레진 간접 수복물의 접착 효율에 미치는 영향을 평가하고자 시행하였다. 복합 레진형 레진 시멘트인 Variolink II와 Duo-Link, 접착형 레진 시멘트인 Panavia F와 Rely X Unicem의 4가지 레진 시멘트를 사용하였고, 각각의 시멘트를 film thickness에 따라 < $50\;{\mu}m$ (control)의 대조군과 $50\;{\mu}m$ (T50), $100\;{\mu}m$ (T100), $150\;{\mu}m$ (T150)의 실험군으로 나누어 총 16개의 군으로 분류하였다. 데이터는 ANOVA와 Duncan's multiple comparison test (p < 0.05)를 이용하여 통계 분석하였으며 다음과 같은 결론을 얻었다; 1. Variolink Ⅱ는 모든 film thickness에서 접착형 레진 시멘트보다 높은 결합 강도를 나타냈지만(p < 0.05), Duo-Link는 대조군을 제외하고는 통계학적 유의차가 없었다(p > 0.05). 2. Film thickness가 증가할수록 복합 레진형 레진 시멘트의 결합 강도는 유의성 있게 감소(p < 0.05)하는 경향을 보인 반면, 접착형 레진 시멘트는 통계학적 유의차가 없었다(p > 0.05). 3. Panavia F는 통계학적으로 유의성 있게 낮은 중합 수축량을 나타냈다(p <0.05). 4. 굴곡 강도와 탄성 계수는 복합 레진형 레진 시멘트가 접착형 레진 시멘트보다 유의성 있게 높게 나타났다(p < 0.05). 5. FE-SEM 관찰 결과 결합 강도가 높은 복합 레진형 레진 시멘트는 균일한 접착층과 잘 발달된 resin tag 소견을 보였으나, 접착형 레진 시멘트는 불분명한 접착층과 resin tag 소견을 나타냈다. 파단면 관찰에서 복합 레진형 레진 시멘트는 혼합형 파괴 양상을 나타냈으나 접착형 레진 시멘트는 접착성 파괴 양상을 나타냈다.

• The Journal of Advanced Prosthodontics
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• 제2권2호
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• pp.39-45
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• 2010

PURPOSE. The aim of this study was to determine differences in shear bond strength to human dentin using immediate dentin sealing (IDS) technique compared to delayed dentin sealing (DDS). MATERIALS AND METHODS. Forty extracted human molars were divided into 4 groups with 10 teeth each. The control group was light-cured after application of dentin bonding agent ($Excite^{(R)}$ DSC) and cemented with $Variolink^{(R)}$. II resin cement. IDS/SE (immediate dentin sealing, $Clearfil^{TM}$ SE Bond) and IDS/SB (immediate dentin sealing, $Adapter^{TM}$ Single Bond 2) were light-cured after application of dentin bonding agent ($Clearfil^{TM}$ SE Bond and $Adapter^{TM}$ Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. Specimens were cemented with $Variolink^{(R)}$. II resin cement. Dentin bonding agent ($Excite^{(R)}$. DSC) was left unpolymerized until the application of porcelain restoration. Shear strength was measured using a universal testing machine at a speed of 5 mm/min and evaluated of fracture using an optical microscope. RESULTS. The mean shear bond strengths of control group and IDS/SE group were not statistically different from another at 14.86 and 11.18 MPa. Bond strength of IDS/SE group had a significantly higher mean than DDS group (3.14 MPa) (P < .05). There were no significance in the mean shear bond strength between IDS/SB (4.11 MPa) and DDS group. Evaluation of failure patterns indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS were interfacial. CONCLUSION. When preparing teeth for indirect ceramic restoration, IDS with $Clearfil^{TM}$ SE Bond results in improved shear bond strength compared with DDS.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 춘계학술대회
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• pp.235-237
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• 2001

;Dentistry has benefited from tremendous advances in technology with the introduction of new techniques and materials, and patients are aware that esthetic approaches in dentistry can change one's appearance. Increasingly. tooth-colored restorative materials have been used for restoration of posterior teeth. Tooth-colored restoration for posterior teeth can be divided into three categories: 1) the direct techniques that can be made in a single appointment and are an intraoral procedure utilizing composites: 2) the semidirect techniques that require both an intraoral and an extraoral procedure and are luted chairside utilizing composites: and 3) the indirect techniques that require several appointments and the expertise of a dental technician working with either composites or ceramics. But, resin restoration has inherent drawbacks of microleakage. polymerization shrinkage, thermal cycling problems. and wear in stress-bearing areas. On the other hand, Ceramic restorations have many advantages over resin restorations. Ceramic inlays are reported to have less leakage than resin restoration and to fit better. although marginal fidelity depends on technique and is laboratory dependent. Adhesion of luting resin is more reliable and durable to etched ceramic material than to treated resin composite. In view of color matching, periodontal health. resistance to abrasion, ceramic restoration is superior to resin restorationl. Materials which have been used for the fabrication of ceramic restorations are various. Conventional powder slurry ceramics are also available. Castable ceramics are produced by centrifugal casting of heat-treated glass ceramics. and machinable ceramics are feldspathic porcelains or cast glass ceramics which are milled using a CAD/CAM apparatus to produce inlays (for example, Cered. They may also be copy milled using the Celay apparatus. Pressable ceramics are produced from feldspathic porcelain which is supplied in ingot form and heated and moulded under pressure to produce a restoration. Infiltrated ceramics are another class of material which are available for use as ceramic inlays. An example is $In-Ceram^{\circledR}$(Vident. California, USA) which consists of a porous aluminum oxide or spinell core infiltrated with glass and subsequently veneered with feldspathic porcelain. In the 1980s. the development of compatible refractory materials made fabrication easier. and the development of adhesive resin cements greatly improved clinical success rates. This case report presents esthetic ceramic inlays for posterior teeth.teeth.

• Restorative Dentistry and Endodontics
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• 제33권5호
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• pp.419-427
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• 2008

본 연구는 레진시멘트의 레진인레이에 대한 접착 시 접착제 혹은 primer의 사용이 결합력에 영향을 미치는지 평가하기 위해 시행하였다. 직경 5mm,높이 4.5mm의 원기둥 형태로 제작한 레진인레이 (Tescera, Bisco, USA)의 표면을 1000번, 1500번 그리고 2000번 사포로 주수 하에서 연마하여 평편한 면을 형성한 후 레진인레이의 표면에 sandblasting을 시행한 후 표면에 1분 동안 silane을 도포하였다. 2군으로 나누어 한 군은 대조군으로, 다른 한 군은 표면에 동일한 제조사의 접착제나 프라이머를 도포한 후 중합하였다. 레진인레이 상에 3mm 직경의 구멍이 형성된 아크릴판을 고정하고, 구멍에 레진 시멘트를 주입하여 경화시켰다. 레진 시멘트는 Panavia-F (Kurary), Varolink-II(Ivoclar-Vivadent), RelyX Unicem(3M ESPE), Duolink(Bisco)와 자가중합형인 Multilink (Ivoclar-Vivadent)를 사용하였다. 제작된 시편을 만능물성시험기에 위치시고 전단결합강도를 측정하였다. 측정 결과 접착제나 프라이머를 도포한 군은 대조군에 비해 전단결합강도가 증가하였다 (p<0.05). 하지만 Variolink-II와 Panavia-F는 전단결합강도의 차이를 보이지 않았다. 대조군에서는 각 레진 시멘트간에 전단결합강도의 유의한 차이를 보였으며 (p<0.01) Variolink-II가 가장 높은 결합강도를 보인 반면, 자가중합형인 Multilink가 가장 낮은 결합강도를 보였다. 하지만, 접착제나 프라이머를 도포한 군에서는 각 제품간에 전단결합강토의 차이를 보이지 않았다. 이상의 결과 이원중합형이나 자가중합형 레진시멘을 이용하여 레진인레이 부착 시 silane 처리 후 접착제나 프라이머의 도포가 결합 강도의 증가를 위해 필요하리라 사료된다.

• Restorative Dentistry and Endodontics
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• 제43권4호
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• pp.38.1-38.9
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• 2018

The restoration of endodontically treated teeth (ETT) with more than one cusp missing and thin remaining walls is challenging for the general practitioner. The use of posts combined with full coverage restorations is a well-established approach, yet not following the minimal invasive principles of adhesive dentistry. Endocrowns are indirect monoblock restorations that use the pulp chamber of the ETT for retention. In this study the fabrication of 4 endocrowns and their clinical performance will be discussed. Two clinical cases include computer-aided design/computer-aided manufacturing manufactured molar endocrowns (one feldspathic ceramic and one hybrid composite-ceramic restoration) and the other two are dental laboratory manufactured resin composite premolar endocrown restorations. The modified United States Public Health Service criteria were used to assess the clinical behavior of the restorations at different follow up periods. Endocrown restorations present a satisfactory clinical alternative, either by the use of resin composite or glass ceramic and hybrid materials. Specific guidelines with minimal alterations should be followed for an endocrown restoration to be successful. Due to limited evidence regarding the long term evaluation of this restorative technique, a careful selection of cases should be applied.