• 치위생과학회지
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• 제15권1호
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• pp.12-17
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• 2015

본 연구에서는 치과 CAD/CAM 시스템을 이용하여 SM 가공 방식으로 코핑을 제작 후 주조한 금속 코핑과, AM 가공 방식으로 코핑을 제작 후 주조한 금속 코핑과의 변연 및 내면 적합도를 비교 평가하여 다음과 같은 결과를 얻었다. SM 가공 방식과 AM 가공 방식의 변연 적합도 부분에서는 $120{\mu}m$ 임상적 허용 범위에 존재하였다. SM 가공 방식과 AM 가공 방식의 변연 적합도 및 내면 적합도는 통계적으로 유의한 차이가 있는 것으로 나타났다(p<0.05). SM 가공 방식과 AM 가공 방식으로 제작된 두 그룹의 전체 적합도와 4부분 부위별 적합도 측정은 SM 가공 방식보다 AM 가공 방식이 우수하였다. 결론적으로 금속 코핑의 변연 및 내면 적합도는 SM 가공 방식보다 AM 가공 방식이 우수하였고, 그 결과 값들은 임상적 허용범위 안에 존재하였다. 앞으로 치과분야에서 AM 가공 방식에 관한 연구는 계속되어야 하며, 보다 완성도 높은 금속 코핑 제작이 가능하다고 생각된다.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.179-186
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• 2013

PURPOSE. One of the most important factors in evaluating the quality of fixed dental prostheses (FDPs) is their gap. The purpose of this study was to compare the marginal and internal gap of two different metal-ceramic crowns, casting and selective laser sintering (SLS), before and after porcelain firing. Furthermore, this study evaluated whether metal-ceramic crowns made using the SLS have the same clinical acceptability as crowns made by the traditional casting. MATERIALS AND METHODS. The 10 study models were produced using stone. The 20 specimens were produced using the casting and the SLS methods; 10 samples were made in each group. After the core gap measurements, 10 metal-ceramic crowns in each group were finished using the conventional technique of firing porcelain. The gap of the metal-ceramic crowns was measured. The marginal and internal gaps were measured by two-dimensional and three-dimensional replica techniques, respectively. The Wilcoxon signed-rank test, the Wilcoxon rank-sum test and nonparametric ANCOVA were used for statistical analysis (${\alpha}$=.05). RESULTS. In both groups, the gap increased after completion of the metal-ceramic crown compared to the core. In all measured areas, the gap of the metal cores and metal-ceramic crowns produced by the SLS was greater than that of the metal cores and metal-ceramic crowns produced using the casting. Statistically significant differences were found between cast and SLS (metal cores and metal-ceramic crown). CONCLUSION. Although the gap of the FDPs produced by the SLS was greater than that of the FDPs produced by the conventional casting in all measured areas, none exceeded the clinically acceptable range.

• 대한치과보철학회지
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• 제38권6호
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• pp.791-799
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• 2000

Statement of problem. Targis/Vectris restorations provide excellent esthetics. Marginal accuracy is significantly influenced by the preparation design. There were no studies to examine the effect of preparation design on the marginal discrepancy and fracture strength of Targis / Vectris crowns. Purpose. This study evaluated the marginal accuracy before and after cementation, and the fracture strength of FRC/Ceromer(Targis / Vectris) crowns according to different preparation design. Material and method. Three metal dies with different convergence angles($6^{\circ},\;10^{\circ},\;15^{\circ}$) were prepared. Total 30 (10 for each angle) Targis/Vectris crowns were made. The restorations were evaluated for adaptation of the margin before and after cementation, then were compressively loaded to failure. Fracture surfaces of the crowns were examined using a SEM. Results. The mean marginal gap was $49{\yen}m\;for6^{\circ},\;55{\S}>for\;10^{\circ}\;and\;70{\S}>for\;15^{\circ}$ and in clinically acceptable level. The mean marginal gap increased significantly after cementation. The increasing amount during cementation was the largest in the $6^{\circ}$ group. The crowns on 60 convergence angle had a significantly higher fracture strength than the crowns on $15^{\circ}$ angle. Mean fracture strength of total crowns regardless of convergence angle was 1390 N, which was higher than all-ceramic crowns. SEM observation showed two-mode fracture pattern. Conclusion. From the results of this study, all of the FRC/Ceromer crowns had clinically acceptable marginal accuracy and could withstand the bite force. Moreover, less convergent angle than all-ceramic crown might be recommended for preparation procedure.

• The Journal of Advanced Prosthodontics
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• 제7권4호
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• pp.271-277
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• 2015

PURPOSE. This study was to evaluate the marginal fit of two CAD-CAM anatomic contour zirconia crown systems compared to lithium disilicate glass-ceramic crowns. MATERIALS AND METHODS. Shoulder and deep chamfer margin were formed on each acrylic resin tooth model of a maxillary first premolar. Two CAD-CAM systems (Prettau$^{(R)}$Zirconia and ZENOSTAR$^{(R)}$ZR translucent) and lithium disilicate glass ceramic (IPS e.max$^{(R)}$press) crowns were made (n=16). Each crown was bonded to stone dies with resin cement (Rely X Unicem). Marginal gap and absolute marginal discrepancy of crowns were measured using a light microscope equipped with a digital camera (Leica DFC295) magnified by a factor of 100. Two-way analysis of variance (ANOVA) and post-hoc Tukey's HSD test were conducted to analyze the significance of crown marginal fit regarding the finish line configuration and the fabrication system. RESULTS. The mean marginal gap of lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) was significantly lower than that of the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) (P<.05). Both fabrication systems and finish line configurations significantly influenced the absolute marginal discrepancy (P<.05). CONCLUSION. The lithium disilicate glass ceramic crown (IPS e.max$^{(R)}$press) had significantly smaller marginal gap than the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia). In terms of absolute marginal discrepancy, the CAD-CAM anatomic contour zirconia crown system (ZENOSTAR$^{(R)}$ZR translucent) had under-extended margin, whereas the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) and lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) had overextended margins.

• The Journal of Advanced Prosthodontics
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• 제6권4호
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• pp.253-258
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• 2014

PURPOSE. To compare marginal and internal gaps of zirconia substructure of single crowns with those of three-unit fixed dental prostheses. MATERIALS AND METHODS. Standardized Co-Cr alloy simulated second premolar and second molar abutments were fabricated and subsequently duplicated into type-III dental stone for working casts. After that, all zirconia substructures were made using $Lava^{TM}$ system. Marginal and internal gaps were measured in 2 planes (mesial-distal plane and buccal-palatal plane) at 5 locations: marginal opening (MO), chamfer area (CA), axial wall (AW), cusp tip (CT) and mid-occlusal (OA) using Replica technique. RESULTS. There were significant differences between gaps at all locations. The $mean{\pm}SD$ of marginal gap in premolar was $43.6{\pm}0.4{\mu}m$ and $46.5{\pm}0.5{\mu}m$ for single crown and 3-unit bridge substructure respectively. For molar substructure the $mean{\pm}SD$ of marginal gap was $48.5{\pm}0.4{\mu}m$ and $52.6{\pm}0.4{\mu}m$ for single crown and 3-unit bridge respectively. The largest gaps were found at the occlusal area, which was $150.5{\pm}0.5{\mu}m$ and $154.5{\pm}0.4{\mu}m$ for single and 3-unit bridge premolar substructures respectively and $146.5{\pm}0.4{\mu}m$ and $211.5{\pm}0.4{\mu}m$ for single and 3-unit bridge molar substructure respectively. CONCLUSION. Independent-samples t-test showed significant differences of gap in zirconia substructure between single crowns and three-unit bridge (P<.001). Therefore, the span length has the effect on the fit of zirconia substructure that is fabricated using CAD/CAM technique especially at the occlusal area.

• The Journal of Advanced Prosthodontics
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• 제12권4호
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• pp.225-232
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• 2020

PURPOSE. This study aimed to fabricate provisional crowns at varying build directions using the digital light processing (DLP)-based 3D printing and evaluate the marginal and internal fit of the provisional crowns using the silicone replica technique (SRT). MATERIALS AND METHODS. The prepared resin tooth was scanned and a single crown was designed using computer-aided design (CAD) software. Provisional crowns were printed using a DLP-based 3D printer at 6 directions (120°, 135°, 150°, 180°, 210°, 225°) with 10 crowns in each direction. In total, sixty crowns were printed. To measure the marginal and internal fit, a silicone replica was fabricated and the thickness of the silicone impression material was measured using a digital microscope. Sixteen reference points were set and divided into the following 4 groups: marginal gap (MG), cervical gap (CG), axial gap (AG), and occlusal gap (OG). The measurements were statistically analyzed using one-way ANOVA and Dunnett T3. RESULTS. MG, CG, and OG were significantly different by build angle groups (P<.05). The MG and CG were significantly larger in the 120° group than in other groups. OG was the smallest in the 150° and 180° and the largest in the 120° and 135° groups. CONCLUSION. The marginal and internal fit of the 3D-printed provisional crowns can vary depending on the build angle and the best fit was achieved with build angles of 150° and 180°.

• 치위생과학회지
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• 제15권2호
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• pp.196-201
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• 2015

본 연구에서는 최근 창조경제의 일환으로서 3차원 프린팅 기술의 개발이 눈에 띄게 발전함에 따라 치의학계 보철물 제작 기술에도 영향을 주고 있는 이 기술에 의해 제작된 3본 고정성 보철물의 임상적 허용 가능성을 변연 간격을 기준으로 가늠하여보고자 하였다. 3차원 프린팅 기술에 의해 제작된 보철물 평가와 관련한 연구가 부족함에 따라 본 연구 결과를 통해 해당 종사자들(치과의사, 치과위생과, 치과기공사)에게 참고자료를 제시하고자 하였다. 연구 결과들을 종합하여 보면 3차원 프린팅 기술에 의해 제작된 3본 고정성 보철물은 같은 증례를 대상으로 전통적인 제작방식에 의해 제작된 것보다 변연 간격이 우수하지 못하였다. 비록 몇몇 임상가들이 제시한 임상적 허용 수치 내에는 존재하였으나 기존의 제작 기술을 대신하기 위해서는 앞으로 많은 연구들을 통하여 기술의 발전이 이루어져야 할 것으로 생각된다.

• The Journal of Advanced Prosthodontics
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• 제7권2호
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• pp.122-128
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• 2015

PURPOSE. To assess the marginal and internal gaps of the copings fabricated by computer-aided milling and direct metal laser sintering (DMLS) systems in comparison to casting method. MATERIALS AND METHODS. Ten metal copings were fabricated by casting, computer-aided milling, and DMLS. Seven mesiodistal and labiolingual positions were then measured, and each of these were divided into the categories; marginal gap (MG), cervical gap (CG), axial wall at internal gap (AG), and incisal edge at internal gap (IG). Evaluation was performed by a silicone replica technique. A digital microscope was used for measurement of silicone layer. Statistical analyses included one-way and repeated measure ANOVA to test the difference between the fabrication methods and categories of measured points (${\alpha}$=.05), respectively. RESULTS. The mean gap differed significantly with fabrication methods (P<.001). Casting produced the narrowest gap in each of the four measured positions, whereas CG, AG, and IG proved narrower in computer-aided milling than in DMLS. Thus, with the exception of MG, all positions exhibited a significant difference between computer-aided milling and DMLS (P<.05). CONCLUSION. Although the gap was found to vary with fabrication methods, the marginal and internal gaps of the copings fabricated by computer-aided milling and DMLS fell within the range of clinical acceptance (< $120{\mu}m$). However, the statistically significant difference to conventional casting indicates that the gaps in computer-aided milling and DMLS fabricated restorations still need to be further reduced.

• 구강회복응용과학지
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• 제29권4호
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• pp.366-376
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• 2013

구강내 스캔(Group 1), 모델 광학 스캔(Group 2)과 모델 접촉식 스캔(Group 3)방식으로 각각 zirconia 코핑을 제작하여 광학 현미경으로 적합성을 관찰하였다. 측정항목은 변연오차(absolute marginal discrepancy;AMD), 변연간극(marginal gap; MG), 측방간격(gap of axial wall; GA), 선각간격(gap of line angle; GL)와 교합간격(gap of occusal surface; GO)이었으며, 결과는 아래와 같았다. 1. Group 1, Group 2, Group 3의 평균 AMD는 각 각 $141.21{\pm}42.94{\mu}m$, $140.63{\pm}31.64{\mu}m$, $109.37{\pm}28.42{\mu}m$이고, Group1, Group 2, Group 3의 MG는 각 각 $82.52{\pm}43.99{\mu}m$, $90.28{\pm}27.93{\mu}m$, $66.55{\pm}28.77{\mu}m$였다. AMD와 MG는 각 그룹에서 통계학적으로 유의한 차이를 보여주지 않았다(Anova test, P>0.05). 2. Group 2의 GA가 Group 1과 Group 3에 비해 통계학적으로 유의하게 적은 수치를 나타내었다(Anova test, P<0.05). 3. Group 1의 GL과 GO가 다른 그룹에 비해 통계학적으로 높은 수치를 나타내었다(Mann-whitney test(P<0.05). 세 가지 스캔 방식으로 제작된 zirconia 코핑은 세라믹 보철의 가장 중요한 평가 요소인 AMD와 MG에서 서로 통계학적 차이를 보이지 않았다.

• The Journal of Advanced Prosthodontics
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• 제12권5호
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• pp.283-290
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• 2020

PURPOSE. The present study aimed to evaluate the clinical applicability of monolithic zirconia (MZ) crowns of different thickness via determination of fracture resistance and marginal fit. MATERIALS AND METHODS. MZ crowns with 0.5, 0.8, 1.0, and 1.5 mm thickness and porcelain fused to metal (PFM) crowns were prepared, ten crowns in each group. Marginal gaps of the crowns were measured. All crowns were aged with thermal cycling (5 - 55℃/10000 cycle) and chewing simulator (50 N/1 Hz/lateral movement: 2 mm, mouth opening: 2 mm/240000 cycles). After aging, fracture resistance of crowns was determined. Statistical analysis was performed with one-way ANOVA and Tukey's HDS post hoc test. RESULTS. Fracture loads were higher in the PFM and 1 mm MZ crowns compared to 0.5 mm and 0.8 mm crowns. 1.5 mm MZ crowns were not broken even with the highest force applied (10 kN). All marginal gap values were below 86 ㎛ even in the PFM crowns, and PFM crowns had a higher marginal gap than the MZ crowns. CONCLUSION. The monolithic zirconia exhibited high fracture resistance and good marginal fit even with the 0.5 mm thickness, which might be used with reduced occlusal thickness and be beneficial in challengingly narrow interocclusal space.