• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.3
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• pp.243-250
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• 2006

Due to high esthetic demands from patients, we are driven to fabricate natural-looking(form and color) restorations. In the past decade, the glass-ceramic in dentistry has been used as a material with variable crystals that affects the appearance, characteristics, and mechanical properties of metal-free fixed restoration. The conventional IPS Empress glass-ceramic is a heat-pressed, leucite reinforced material using the "lost wax" principle. This glass-ceramic has been successfully used for esthetic restorations such as all-ceramic crowns, inlays/onlays, and veneers for about 15 years. This article presents that the form and surface texture of clinical crown are duplicated by IPS-Empress system using "lost-wax technique".

• The Journal of the Korean dental association
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• v.58 no.7
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• pp.435-442
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• 2020

Porcelain is the first ceramic material to be introduced into dentistry. Porcelain jacket crown was introduced by Dr. Charles H Land in 1886, which was an excellent aesthetic dental restoration but has not been widely used due to high firing shrinkage and low tensile strength. Then metal-ceramic system, which combines the esthetic properties of ceramics and the mechanical properties of metals, was introduced and nowadays it is still used in dental clinical field. However, the metal-ceramic system has shown some problems, such as increased lightness by reflection of light at opaque layer, shadow beneath the gingival line due to the block-out of light by metal coping, exposure of metal in margin part, bond failure between metal and porcelain, oxidation of metal coping during firing the porcelain, etc. Recently, along with the advance of fabrication methods of dental ceramics, the all-ceramic restorations with high esthetic and mechanical properties has increased and gradually replaced metal-ceramic restorations. Especially, CAD/CAM technology has opened a new era in fabricating the dental ceramic restorations. This overview will take a look at the past, present and future possibility of the dental ceramic materials.

• The Journal of Advanced Prosthodontics
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• v.6 no.4
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• pp.266-271
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• 2014

PURPOSE. The purpose of this study was to compare the fracture strength of the metal and the bond strength in metal-ceramic restorations produced by selective laser sintering (SLS) and by conventional casting (CAST). MATERIALS AND METHODS. Non-precious alloy (StarLoy C, DeguDent, Hanau, Germany) was used in CAST group and metal powder (SP2, EOS GmbH, Munich, Germany) in SLS group. Metal specimens in the form of sheets ($25.0{\times}3.0{\times}0.5mm$) were produced in accordance with ISO 9693:1999 standards (n=30). To measure the bond strength, ceramic was fired on a metal specimen and then three-point bending test was performed. In addition, the metal fracture strength was measured by continuing the application of the load. The values were statistically analyzed by performing independent t-tests (${\alpha}=.05$). RESULTS. The mean bond strength of the SLS group (50.60 MPa) was higher than that of the CAST group (46.29 MPa), but there was no statistically significant difference. The metal fracture strength of the SLS group (1087.2 MPa) was lower than that of the CAST group (2399.1 MPa), and this difference was statistically significant. CONCLUSION. In conclusion the balling phenomenon and the gap formation of the SLS process may increase the metal-ceramic bond strength.

• The Journal of Korean Academy of Prosthodontics
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• v.43 no.3
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• pp.306-313
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• 2005

Statement of problem. There have been many studies about marginal discrepancy of single restorations made by various systems and materials. But most of statistical inferences are not definite because of sample size, measurement number, measuring , instruments, etc. And there have been few studies about the marginal fit of Computer-aided Cercon crowns. Purpose. The purpose of this study was to compare the marginal fit of the anterior single restorations made using computer-aided milled Cercon crowns with metal-ceramic restorations and to obtain more accurate information by using a large enough sample size and by making sufficient measurements per specimen. Material and methods. The in vitro marginal discrepancies of computer-aided milled Cercon crowns and control groups (metal ceramic crowns) were evaluated and compared. The crowns were made from one extracted maxillary central incisor prepared by milling machine. 30 crowns per each system were fabricated. Measurements of a crown were recorded at 50 points that were randomly selected for marginal gap evaluation. Parametric statistical analysis was performed for the results. Results. The means and standard deviations of the marginal fit were 85$\pm$22$\mu$m for the control group and 91$\pm$15$\mu$m for the Cercon crowns. The t-test of the marginal discrepancies between Cercon crowns and metal-ceramic crowns were performed. Significant differences were not found between groups (P=0.230>.05). Based on the criterion of 120$\mu$m as the limit of clinical acceptability, the mean marginal fits of Cercon crowns and metal-ceramic crowns were acceptable. Conclusion. Within the limitations of this in vitro study, the following conclusions were drawn: 1. Mean gap dimensions and standard deviations at the marginal opening for maxillary incisal crowns were 85$\pm$22$\mu$m for the control (metal-ceramic crowns), 91$\pm$15$\mu$m for Cercon crowns. 2. The Cercon crowns showed slightly larger marginal gap discrepancy than the control but marginal gap between Computer-aided milled Cercon crowns and metal ceramic crowns did not showed significant difference (P>.05). 3. The Cercon crowns and metal ceramic crowns showed clinically acceptable marginal discrepancy.

• Journal of Technologic Dentistry
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• v.34 no.2
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• pp.135-143
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• 2012

Purpose: The purpose of this in vitro study was to compare the marginal fit of POM restorations with 3 different thickness of metal coping. Methods: 2.0mm Occlusal reduction, 1.0mm preparation of axial wall with 6degree taper, and chamfer margin was prepared a maxillary first premolar on dentiform. Duplicate prepared die and, make 30 individual dies with Ni-Cr metal. Make 3 groups of 30 press ceramic on Metal crown with different thickness of metal coping; 10 of 0.1mm, 10 of 0.3mm, 10 of 0.5mm thickness metal coping. The marginal fit of the crowns was evaluated 50 points per 1 crown, around the crown margin circumference under a optical microscope at original magnification ${\times}100$. A 1-way analysis of variance (ANOVA) was used to compare data. Results: The mean marginal discrepancy for POM with 0.1mm metal copings was $72.56{\mu}m$, $67.83{\mu}m$ for 0.3mm metal coping POMs, and $72.56{\mu}m$ for 0.5mm metal coping POM. The 1-way ANOVA showed significant difference among 3 groups. Conclusion: The marginal fit of pressed-on-metal (POMs) was best with 0.3mm thickness of metal coping, fallowing by 0.1mm, and 0.5mm in the order.

• The Journal of Korean Academy of Prosthodontics
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• v.23 no.1
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• pp.113-123
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• 1985

The purpose of this study was to evaluate the marginal fitness of collarless metal-ceramic crown formed with direct lift technique using wax compared with metal-ceramic crown with metal butt margin. Twenty crowns, ten were collarless metal-ceramic crowns and ten were metal-ceramic crowns with metal butt margins, were made and cemented on epoxy resin dies, and their marginal openings were measured on scanning electron microphotographic prints at x200 magnification. The results were as follows; 1. In the case of collarless metal-ceramic crowns, the mean marginal opeining was $43.78{\pm}17.67{\mu}m$, the mean maximum marginal opening was $52.81{\pm}19.81{\mu}m$, and the mean minimum marginal opening was $34.99{\pm}16.58{\mu}m$. 2. In the case of metal-ceramic crowns with metal butt margins, the mean marginal opening was $47.62{\pm}25.55{\mu}m$, the mean maximum marginal opening was $61.90{\pm}24.39{\mu}m$, and the mean minimum marginal opening was $34.86{\pm}24.92{\mu}m$. 3. There was no significant difference between two types of crowns at the 99% confidence level. 4. The marginal fitness of collarless metal-ceramic crown formed with direct lift technique using wax was clinically acceptable.

• The Journal of Korean Academy of Prosthodontics
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• v.38 no.6
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• pp.821-828
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• 2000

Metal - ceramic restorations have been the standard of fixed oral rehabilitation for over 30 years, and while many advances have been made in materials and research, the esthetic challenges of the light reflective metal substructure will always put clinician in an esthetic dilemma, for only a very talented ceramist / dentist team can create esthetics that rival nature on a repeatable basis. All ceramic restorations have also been a choice in our restorative armamentarium, but in the past, the materials have also had their own limitation, number on being question-able strength to withstand occlusal forces generated during mastication. IPS Empress 2 offers dentistry a metal free alternative to traditional restorative techniques. This clinical report describes the treatment of patients with esthetic problem of anterior dentition using Empress 2 system.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.4
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• pp.371-377
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• 2015

Oral lichen planus (OLP) is a common mucocutaneous disease, which presents as bilateral or multiple lesions. The several factors are implicated in etiology of OLP such as dental restorations, systemic disease, drugs and stress. Especially the influence of dental restorations and plaque control for OLP has been the interest in dentistry. This case is about OLP patient having poor contoured and ill-fitting metal ceramic restorations. The patient in this study has suffered from OLP for a long time, particularly after restoration of metal ceramic restorations on both posterior teeth of maxilla and mandible. This study reported that OLP lesion recovered effectively by improving the contour and fitness of restorations with plaque control.

• The Journal of Advanced Prosthodontics
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• v.11 no.1
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• pp.48-54
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• 2019

PURPOSE. The aim of the present randomized controlled study was to compare prefabricated all-ceramic, anatomically shaped healing abutments followed by all-ceramic abutments and all-ceramic crowns and prefabricated standard-shaped (round-diameter) titanium healing abutments followed by final titanium abutments restored with porcelain-fused-to-metal (PFM) implant crowns in the premolar and molar regions. MATERIALS AND METHODS. Forty-two patients received single implants restored either by all-ceramic restorations (test group, healing abutment, final abutment, and crown all made of zirconia) or conventional titanium-based restorations. Immediately after prosthetic incorporation and after 12 months of loading, implant survival, technical complications, bone loss, sulcus fluid flow rate (SFFR) as well as plaque index (PI) and implant stability (Periotest) were analyzed clinically and radiologically. RESULTS. After 12 months of loading, an implant and prosthetic survival rate of 100% was observed. Minor prosthetic complications such as chipping of ceramic veneering occurred in both groups. No statistical significant differences were observed between both groups with only a minimum of bone loss, SFFR, and PI. CONCLUSION. All-ceramic implant prostheses including a prefabricated anatomically shaped healing abutment achieved comparable results to titanium-based restorations in the posterior region. However, observational results indicate a benefit as shaping the peri-implant soft-tissue with successive provisional devices and subsequent compression of the soft tissue can be avoided.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.1
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• pp.47-51
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• 2013

With the introduction of dental implants, restoration of missing teeth with conventional fixed or removable partial dentures is being replaced with implants. Especially, with young patients, not only longevity but also esthetic factors need to be considered. Implant restorations provide long-term success functionally but, esthetic complications such as, marginal exposure due to gingival recession, loss of the papilla and dark color of metal abutments may occur. Recently, zirconia restorations with CAD/CAM technology provide functional, biocompatible and esthetic restorations possible. All-ceramic restorations using the pressed ceramic technique show better fracture toughness values than those of the conventional porcelain veneering technique. Pressed ceramic technique creates the veneer design in wax and the lost wax technique is used to create the restoration. The final contour of the restoration may be controlled during wax-up. A 22-year old female patient was restored with dental implants and zirconia restorations using the pressed ceramic technique presenting short-term but optimistic prognosis.