• Journal of Dental Rehabilitation and Applied Science
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• v.23 no.3
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• pp.249-257
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• 2007

State of problem : The use of zirconium oxide all-ceramic material provides several advantages, including a high flexural strength(>1000MPa) and desirable optical properties, such as shading adaptation to the basic shades and a reduction in the layer thickness. Along with the strength of the materials, the cementation technique is also important to the clinical success of a restoration. Nevertheless, little information is available on the effect of different surface treatments on the bonding of zirconium high-crystalline ceramics and resin luting agents. Purpose : The aim of this study was to test the effects of surface treatments of zirconium on shear bond strengths between bovine teeth and a zirconia ceramic and evaluate differences among cements Material and methods : 54 sound bovine teeth extracted within a 1 months, were used. They were frozen in distilled water. These were rinsed by tap water to confirm that no granulation tissues have left. These were kept refrigerated at $4^{\circ}C$ until tested. Each tooth was placed horizontally at a plastic cylinder (diameter 20mm), and embedded in epoxy resin. Teeth were sectioned with diamond burs to expose dentin and grinded with #600 silicon carbide paper. To make sure there was no enamel left, each was observed under an optical microscope. 54 prefabricated zirconium oxide ceramic copings(Lava, 3M ESPE, USA) were assigned into 3 groups ; control, airborne-abraded with $110{\mu}m$ $Al_2O_3$ and scratched with diamond burs at 4 directions. They were cemented with a seating force of 10 ㎏ per tooth, using resin luting cement(Panavia $F^{(R)}$), resin cement(Superbond $C&B^{(R)}$), and resin modified GI cement(Rely X $Luting^{(R)}$). Those were thermocycled at $5^{\circ}C$ and $55^{\circ}C$ for 5000 cycles with a 30 second dwell time, and then shear bond strength was determined in a universal test machine(Model 4200, Instron Co., Canton, USA). The crosshead speed was 1 mm/min. The result was analyzed with one-way analysis of variance(ANOVA) and the Tukey test at a significance level of P<0.05. Results : Superbond $C&B^{(R)}$ at scratching with diamond burs showed the highest shear bond strength than others (p<.05). For Panavia $F^{(R)}$, groups of scratching and sandblasting showed significantly higher shear bond strength than control group(p<.05). For Rely X $Luting^{(R)}$, only between scratching & control group, significantly different shear bond strength was observed(p<.05). Conclusion : Within the limitation of this study, Superbond $C&B^{(R)}$ showed clinically acceptable shear bond between bovine teeth & zirconia ceramics regardless of surface treatments. For the surface treatment, scratching increased shear bond strength. Increase of shear bond strength by sandblasting with $110{\mu}m$ $Al_2O_3$ was not statistically different.

• The Journal of Korean Academy of Prosthodontics
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• v.35 no.4
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• pp.647-661
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• 1997

The resin modified glass ionomer cements(RMGICs) have been used for years since 1989. Recently it has been developed for luting of fixed restorations. To evaluate the bond strength and marginal leakage of RMGICs for luting usage, the 80 extracted human molars which had uniform area of exposed dentin were cemented with 3 types of RMGICs(Fuji Duet, Advance, Vitremer), a conventional Glass Ionomer Cement(GIC-Fuji I), and a resin cement (Panavia 21) to base metal alloy(Ni-Cr-Be). After thermocycling the specimens were immersed in basic fuschin dye for measuring marginal leakage. The shear bond strength was measured with Instron and the maximum dye penetration was measured to 0.1mm. The types of fractured patterns were determined with stereoscope(${\times}7.5$). The results are as follows. 1. The difference between 3 RMGICs and a conventional GIC in shear bond strength was not statistically significant. It seemed that RMGICs had lower shear bond strength than resin cement. (p<0.01) 2. The mean scores of marginal leakage had no significant difference between the resin cement and 3 RMGICs but it was much higher in conventional GIC than the RMGICs (p<0.05) 3. It was determined that the manufacturer and the methods of dentin pretreatment determined the pattern of fracture surfaces and the frequency of adhesive failure between teeth and 3 RMGICs standed as in following order - Vitremer, Advance, Fuji Duet. (p<0. 01) When the fracture pattern was analyzed, it could be said that the materials and the method of dentin pretreatment have much effect on bonding states. This means that the dentin bonding agents should be improved. But the limited products in this experiment can not evaluate the physical properties of the entire RMGICs. Therefore a further study which can evaluate various RMGICs should be in progress to develope better cements.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.24 no.2
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• pp.101-121
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• 2015

Zirconia polycrystalline (Y-TZP) showed better mechanical properties and superior resistance to fracture than other conventional dental ceramics. Zirconia-based ceramics have been successfully introduced into the clinic to fabricate fixed dental prostheses (FDPs), along with a dental computer-aided/computer-aided manufacturing (CAD/CAM) system. It has been clinically available as an alternative to the metal framework for fixed dental prostheses (FDPs). The most frequent clinical complication with zirconia-based FDPs was chipping of the veneering porcelain that was affected by many factors. Another option was full-contour zirconia FDPs using high translucent zirconia. Full-contour zirconia FDPs has many clinical advantages but it caused concern about the wear of antagonist enamel, because the hardness of Y-TZP was over double that of porcelain. However, many articles demonstrates that highly polished zirconia yielded lower antagonist wear compared with porcelains. In this article (1) advantages of full zirconia restorations, (2) clinical applications of zirconia restorations, (3) abutment preparation, (4) surface finish of zirconia restoration and antagonist enamel wear, (5) bond of zirconia with resin-based luting agents, (6) communication in clinical & lab.procedures for full zirconia restorations are reviewed.

• The Journal of Advanced Prosthodontics
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• v.8 no.2
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• pp.144-149
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• 2016

PURPOSE. The use of temporary or permanent cements in fixed implant-supported prostheses is under discussion. The objective was to compare the retentiveness of one temporary and two permanent cements after cyclic compressive loading. MATERIALS AND METHODS. The working model was five solid abutments screwed to five implant analogs. Thirty Cr-Ni alloy copings were randomized and cemented to the abutments with one temporary (resin urethane-based) or two permanent (resin-modified glass ionomer, resin-composite) cements. The retention strength was measured twice: once after the copings were cemented and again after a compressive cyclic loading of 100 N at 0.72 Hz (100,000 cycles). RESULTS. Before loading, the retention strength of resin composite was 75% higher than the resin-modified glass ionomer and 2.5 times higher than resin urethane-based cement. After loading, the retentiveness of the three cements decreased in a non-uniform manner. The greatest percentage of retention loss was shown by the temporary cement and the lowest by the permanent resin composite. However, the two permanent cements consistently show high retention values. CONCLUSION. The higher the initial retention of each cement, the lower the percentage of retention loss after compressive cyclic loading. After loading, the resin urethane-based cement was the most favourable cement for retrieving the crowns and resin composite was the most favourable cement to keep them in place.

• The Journal of Advanced Prosthodontics
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• v.8 no.6
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• pp.449-456
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• 2016

PURPOSE. This in vitro study evaluated the effects of four different cements on the color attributes of a zirconia ceramic. MATERIALS AND METHODS. 40 zirconia ceramic disk specimens (0.5 mm thickness, 10 mm diameter, 0.1 mm cement space) were fabricated by a computer-aided design and computer-aided manufacturing system. The specimens were divided into 4 groups of 10 specimens and cemented to composite substrates using four different cements including: Glass Ionomer, Panavia F2.0, Zinc Phosphate, and TempBond. The $L^*$, $a^*$, and $b^*$ color attributes of the specimens were measured before and after cementation by a spectrophotometer. Additionally, ${\Delta}E$ values were measured to determine color changes for the groups and then compared with the perceptional threshold of ${\Delta}E=3.3$. Repeated Measures ANOVA, Tukey Post Hoc, Bonferroni, One-way ANOVA, and One-sample t-test tests were used to analyze the data. All tests were carried out at the 0.05 level of significance. RESULTS. Statistically significant differences were detected in the ${\Delta}E$ values for Zinc Phosphate (P<.0001) and TempBond (P<.0001) groups. However, there were no statistically significant differences in this respect for Glass Ionomer (P=.99) and Panavia F2.0 (P=1) groups. The means and standard deviations of the ${\Delta}E$ values for Glass Ionomer, Panavia F2.0, Zinc Phosphate, and Tempbond groups were $2.11{\pm}0.66$, $0.94{\pm}0.39$, $5.77{\pm}0.83$, and $7.50{\pm}1.16$ Unit, respectively. CONCLUSION. Within the limitations of this study, it was concluded that Zinc Phosphate and Tempbond cements affected the color attributes of the tested zirconia ceramic beyond the perceptional threshold. However, Glass Ionomer and Panavia F2.0 cements created acceptable color changes.

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.1
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• pp.1-11
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• 2008

Statement of problem: Over the past decade, increased demand for esthetically pleasing restorations has led to the development of all-ceramic systems. Recent reports suggest that the all-ceramic crowns have excellent physical properties, wear resistance, and color stability. In addition, numerous ceramics have excellent biocompatibility, a natural appearance, and improved physical bonding with resin composite luting agents. However, the brittle nature of ceramics has been a major factor in their restriction for universal usage. Functional occlusal loading can generate stress in the luting agent, and the stress distribution may be affected by the marginal geometry at the finish line. Tooth preparation for fixed prosthodontics requires a decision regarding the marginal configuration. The design dictates the shape and bulk of the all ceramic crowns and influences the fit at the margin. Purpose: The purpose of this study was to evaluate the stress distribution within marginal configurations of all- ceramic crowns (90-degree shoulder, 110-degree shoulder, 135-degree shoulder). Material and methods: The force is applied from a direction of 45 degrees to the vertical tooth axis. Three-dimensional finite element analysis was selected to determine stress levels and distributions. Results and conclusion: The result of stress level for the shoulder marginal configuration was more effective on stress distribution at 135-degree shoulder margin. But the stresses concentrated around at 135-degree shoulder margin. The stress decreased apically at the surface between cements and alumina core, and increased apically at the surface between alumina core and veneering porcelain.

• The Journal of Korean Academy of Prosthodontics
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• v.43 no.4
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• pp.426-437
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• 2005

Statement of problem : Although zirconium oxide ceramics are more and more commonly used in restorative dentistry, for many clinical applications only limited data can be found in the literature. However it is quite clear that hydrofluoric acid etching is impossible with zirconia ceramics. Therefore, other bonding techniques are required in order to lute these materials adhesively. Purpose : The purpose or this study was to evaluate the effects of surface treatments on shear bond strengths between two resin cements and a zirconia ceramic. Materials and methods : Experimental industrially manufactured yttrium-oxide-partially-stabilized zirconia ceramic discs (Adens, Korea) were used for this study. The ceramic specimens divided into five experimental groups and a control group (as received). Five surface treatments were studied 1) sandblasting with 110$\mu$m $Al_2O_3$ at 3 bars pressure 13 seconds at a distance of 10 mm, 2) flame-treated with the Silano-Pen for 5 $s/cm^3$, 3) grinding with a diamond bur. 4) sandblasting + Silano-Pen treatment, 5) diamond bur preparation + Silano-Pen treatment. Acrylic plastic tube (5 mm in height and 3 mm in diameter) were filled with composite to fabricate composite cylinders The composite cylinders were bonded to the ceramic specimens with either Superbond C&B or Panavia F resin luting agents. All cemented specimens were tested under shear loading until fracture on universal testing machine at a crosshead speed 1mm/min; the maximum load at fracture was recorded. Sheat bond strength data were analyzed with oneway analysis of variance and Tukey HSD tests (P<.05). Treated ceramic surfaces and fracture surfaces after shear testing were examined morphologically using scanning electron microscope. Results: Ceramic surface treatment with Silano-Pen after sandblasting improved the bond strength of Superbond C&B resin cement. Supevbond C& B resin cement at Silano-Pen aiker sandblasting($27.4{\pm}3.8MPa$) showed statistically higher shear bond strength than the others. Conclusion: Within the limitation of this study, Superbond C& &B resin cement are suitable for cementation of zirconia ceramics and flame-treated with the Silano-Pen after sandblasting is required to enhance the bond strength.

• Journal of Dental Rehabilitation and Applied Science
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• v.18 no.3
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• pp.157-170
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• 2002

The purpose of this study is to analyze the shear bond strength according to kinds of surface treatment agents and resin cements after acid etching of IPS Empress 2. For this purpose, test groups were classified into silane-treated bonding groups, silica-coated group and Targis link applied group. Then, nine bonding groups in total, each three groups per kind, were prepared by using three kinds of resin cements-Panavia F, Variolink II and Rely-X ARC, and thirty test specimens per group were prepared. To examine any changes in the oral environment, the shear bond strength of each test specimen was measured after dipping test for 24 hours and for five weeks, respectively, in distilled water at $37^{\circ}C$ and performing heat cycle 10,000 times in total, each 2,000 times per week, during a five weeks of dipping, under the condition similar to the oral environment. The bond failure modes were also observed by means of a scanning electron microscope. The results are summarized as follows 1. Statically significant differences between the surface conditioning materials were observed. The shear strength of the silane treatment was the highest of all three types of surface treatments(p<0.001). 2. Shear strengths varied significantly for different types of resin luting agents. But bond strength of Targis link surface treatments were not significantly different(p<0.05). 3. No significant difference of bonding strengths was found between storage time conditions(24 hours and 5 weeks). Only group II, IV, VII, IX were significantly different(p<0.05). 4. After thermocycling, the shear bond strengths of all groups were significantly decreased (p<0.05). Group III, V, VI were no significantly different. 5. On the SEM observation of fractured surfaces, all groups were shown complex failure.