• The Journal of Korean Academy of Prosthodontics
• /
• v.48 no.4
• /
• pp.273-279
• /
• 2010

Purpose: The purpose of this in vitro study was to compare the marginal adaptation of a ceramic-pressed-to-metal restoration with traditional metal-ceramic restoration. Materials and methods: Duplicating the prepared resin tooth, 20 metal dies were fabricated. Twenty metal copings of 2 groups which were metal ceramic restoration and pressed to metal restoration were fabricated. The marginal opening of each coping was measured with Microscope (BX 60M-36E $41D^{(R)}$: Olympus, Japan). After porcelain build-up, the marginal opening of metal ceramic restoration and pressed to metal restoration ($PoM^{(R)}$: Ivoclar vivadent., Liechtenstein) were also evaluated in the same method. The measurements were analyzed using Wilcoxon Signed Ranks test and Mann-Whitney U test. Results: Within the limits of this study, the results were as follows. 1. Metal-ceramic restorations in coping state ($64.93{\pm}12.48\;{\mu}m$) in compared with Metal ceramic restorations after porcelain build-up ($63.43{\pm}12.86\;{\mu}m$) had no significant difference in marginal adaptation. 2. Pressed-metal-ceramic restorations in coping state ($50.00{\pm}12.28\;{\mu}m$) in compared with Pressed metal ceramic restorations after porcelain build-up ($56.72{\pm}13.80\;{\mu}m$) had no significant difference in marginal adaptation. 3. Metal-ceramic restorations in compared Pressed-metal-ceramic restorations had no significant difference in marginal adaptation. Conclusion: Pressed-metal-ceramic restorations have the advantage of being technically less change through using of the lost-wax technique and this allows for the convenience of a full-contour ceramic wax-up as opposed to the more technique-sensitive layering method. Pressed-metal-ceramic restorations may be considered in clinic on the basis of the result of this study and the advantage of this system.

• The Journal of Korean Academy of Prosthodontics
• /
• v.29 no.2
• /
• pp.195-209
• /
• 1991

When the porcelain fused to metal restorations were fractured at the metal interface, various techniques and materials for intraoral porcelain repair have been suggested. The purpose of this study was to investigate the effect of metal surface treatment method and water storage on the shear bond strength of four porcelain repair systems. : Clearfil(Kuraray), All-bond(Bisco), Superbond C & B(Sun Medical), Panavia OP(Kuraray). After the metal surfaces of the specimens were sandblasted by aluminum oxide or roughened by diamond point, they were stored in double deionized water(24 Hr., $37^{\circ}C$) and thermocycling was performed(24 Hr., 1024 cycles), and again half of specimes were stored in water bath(2 Months, $37^{\circ}C$). Mean shear bond strength and mode of failure were recorded. The results of this study were obtained as follows : 1. Differences were observed between the sandblasted and diamond - treated specimens in Clearfil, All-bond, and Superbond. No statistically significant differences were observed in Panavia. 2. The 2-month storage time significantly affected the bond strength of All-bond and Superbond. No statistically significant differences were observed in Clearfil and Panavia. 3. The failures were observed at the interface between opaque resin and the metal in Clearfil and All-bond. 4. The failures were observed at the interface between opaque resin and veneered resin in Panavia. The failures were observed at the interface between opaque resin and veneered resin in Superbond, but 40% of them were fractured at the interface between the metal and opaque resin after 2-month storage time.

• The Journal of Advanced Prosthodontics
• /
• v.6 no.2
• /
• pp.138-145
• /
• 2014

Cobalt-Chromium (Co-Cr) alloys are classified as predominantly base-metal alloys and are widely known for their biomedical applications in the orthopedic and dental fields. In dentistry, Co-Cr alloys are commonly used for the fabrication of metallic frameworks of removable partial dentures and recently have been used as metallic substructures for the fabrication of porcelain-fused-to-metal restorations and implant frameworks. The increased worldwide interest in utilizing Co-Cr alloys for dental applications is related to their low cost and adequate physico-mechanical properties. Additionally, among base-metal alloys, Co-Cr alloys are used more frequently in many countries to replace Nickel-Chromium (Ni-Cr) alloys. This is mainly due to the increased concern regarding the toxic effects of Ni on the human body when alloys containing Ni are exposed to the oral cavity. This review article describes dental applications, metallurgical characterization, and physico-mechanical properties of Co-Cr alloys and also addresses their clinical and laboratory behavior in relation to those properties.

• The Journal of Korean Academy of Prosthodontics
• /
• v.45 no.6
• /
• pp.805-814
• /
• 2007

Statement of problem. Composite resin-veneered metal restorations can be used as an alternative to porcelain-fused-metal restorations. But, because of the relatively low bond strength of veneering composite to metal framework, various surface treatment methods have been introduced to improve the bond strength. Purpose. The object of this study was to compare the shear bond strength of different combinations of each of the two bonding systems and each of the two composite veneering resins to cp-Ti/Co-Cr alloy. Material and methods. Two resin bonding systems (metal conditioner containing MEPS monomer, tribochemical silicoating system) and two composite resins (Gradia, Sinfony) were tested on cp-Ti and Co-Cr alloy. Then, according to manufacturers' instructions, resin bonding systems and composite resins were applied. All test specimens were divided into four groups for each alloy; I) sandblast + Metal Primer II + Gradia (MG), II) sandblast + Metal Primer II + Sinfony (MS), III) Rocatec + Gradia (RG), IV) Rocatec + Sinfony (RS). The shear bond strength was determined using a universal testing machine and all data were statistically analyzed with Mann-Whitney test and Kruskal-Wallis test at the significance level of 0.05. Results. The mean (standard deviations) of shear bond strength according to the combinations of two bonding systems and two composite resins to cp-Ti arranged from 16.44 MPa to 17.07 MPa and the shear bond strength to Co-Cr alloy ranged from 16.26 MPa to 17.70 MPa. The result shows that the difference were not statistically significant. Conclusion. The shear bond strengths of composite resins to both cast cp-Ti and Co-Cr alloy were not significantly different between the metal conditioner and the tribochemical silicoating system. And no differences in bond strength were found between cp-Ti and Co-Cr alloy.

• Journal of dental hygiene science
• /
• v.9 no.4
• /
• pp.405-412
• /
• 2009

The purpose of this study investigated the effect of Au coating on adhesion between porcelain matrix and metal substructure interface. Titanium, Ni-Cr alloy and Co-Cr alloy are well known as proper metal for the dental restorations. The success of a porcelain fused to metal (PFM) restoration depends upon the quality of the porcelain-metal bond. However, adhesion between dental alloys and porcelain is related to diffusion of oxygen during ceramic firing. The excessive oxidized layers make hard adhesion between dental alloy and ceramic. Ni-Cr and Co-Cr specimens were divided into test and a control group and Titanium specimens were divided into three test groups and a control group. Each group had 20 specimens. The adhesion characteristics of porcelain and metal with Au coating layer and without Au coating layer were observed with scanning electron microscopy(SEM). The adhesion was evaluated by a biaxial flexure test and volume fraction of adherent porcelain was determined by SEM/EDS analysis. Result of this study suggest that Au coating layer is effective barrier to diffuse oxide layer completely protect non-precious alloys from oxidation during the porcelain firing. The SEM photomicrographs of cross-section specimens showed a smooth interface between Au coating layer and metals and porcelain which suggested proper chemical bonding, and no gap, porosity were observed. The mode of failure was mainly adhesive for Ti tested specimens, but mixed failures with adhesive and cohesive were observed in Ni-Cr and Co-Cr specimens. The adhesion between non-precious metals and porcelain would not be improved by Au coating agent. However, It is suggested that the continuous study is required further investigation and development.

• The Journal of Korean Academy of Prosthodontics
• /
• v.45 no.2
• /
• pp.169-181
• /
• 2007

Statement of problem: Titanium is well known as a proper metal for the dental restorations, because it has an excellent biocompatibility, resistance to corrosion, and mechanical property. However, adhesion between titanium and dental porcelains is related to the diffusion of oxygen to the reaction layers formed on cast-titanium surfaces during porcelain firing and those oxidized layers make the adhesion difficult to be formed. Many studies using mechanical, chemical and physical methods to enhance the titanium-ceramic adhesion have been actively performed. Purpose: This study meant to comparatively analyse the adhesion characteristics depending on different titanium surface coatings after coating the casts and wrought titanium surfaces with Au and TiN. Material and method: In this study, the titanium specimens (CP-Ti, Grade 2, Kobe still Co. Japan) were categorized into cast and wrought titanium. The wrought titanium was cast by using the MgO-based investment(Selevest CB, Selec). The cast and wrought titanium were treated with Au coating($ParaOne^{(R)}$., Gold Ion Sputter, Model PS-1200) and TiN coating(ATEC system, Korea) and the ultra low fusing dental porcelain was fused and fired onto the samples. Biaxial flection test was done on the fired samples and the porcelain was separated. The adhesion characteristics of porcelain and titanium after firing and the specimen surfaces before and after the porcelain fracture test were observed with SEM. The atomic percent of Si on all sample surfaces was comparatively analysed by EDS. In addition, the constituents of specimen surface layers after the porcelain fracture and the formed compound were evaluated by X-ray diffraction diagnosis. Result: The results of this study were obtained as follows : 1. The surface characteristics of cast and wrought titanium after surface treatment(Au, TiN, $Al_2O_3$ sandblasting) were similar and each cast and wrought titanium showed similar bonding characteristics. 2. Before and after the biaxial flection test, the highest atomic weight change of Si component was found in $Al_2O_3$ sandblasted wrought titanium(28.6at.% $\rightarrow$ 8.3at.%). On the other hand, the least change was seen in Au-Pd-In alloy(24.5at.% $\rightarrow$ 9.1at.%). 3. Much amount of Si components was uniformly distributed in Au and TiN coated titanium, but less amount of Si's was unevenly dispersed on Al2O3 sandblasting surfaces. 4. In X-ray diffraction diagnosis after porcelain debonding, we could see $Au_2Ti$ compound and TiN coating layers on Au and TiN coated surfaces and $TiO_2$, typical oxide of titanium, on all titanium surfaces. 5. Debonding of porcelain on cast and wrought titanium surface after the biaxial flection is considered as a result of adhesion deterioration between coating layers and titanium surfaces. We found that there are both adhesive failure and cohesive failure at the same time. Conclusion: These results showed that the titanium-ceramic adhesion could be improved by coating cast and wrought titanium surfaces with Au and TiN when making porcelain fused to metal crowns. In order to use porcelain fused to titanium clinically, it is considered that coating technique to enhance the bonding strength between coating kKlayers and titanium surfaces should be developed first.

• Journal of Oral Medicine and Pain
• /
• v.20 no.2
• /
• pp.317-325
• /
• 1995

This study was performed to investigate the mean life expectancy of dental prosthetic restorations. The author has examined 352 dental prosthesis clinically and radiologically, and decided the success(survival) and failure(mortality) of the dental prosthesis. The dental prosthesis which had been treated in the Seoul National University Dental Hospital, two private clinics in Seoul, one university dental hospital, and two private clinics in local province were included in this study. The survival analysis using product limit estimator was used and the mean life expectancy of each type of dental prosthesis was calculated. The results were as follows : 1. The life expectancies were 10.5 years in gold crown and bridge, 8.5 years in porcelain fused to metal crown and bridge, 8.3 years in nonprecious metal crown and bridge, 8.1 years in removal partial denture, and 7.7 years in full denture. 2. The causes of mortality were in the order of dental caries(24.6%), fracture of dental prosthesis(19.2%), periodontal problems(18.6%), chronic chewing difficulty and dysfunction due to dental prosthesis(15.0%), excessive exposure of abutments due to the marginal defect of dental prosthesis(14.4%), abnormal occlusion due to severe attrition of artificial teeth in dentures(3.0%), periapical problems(2.4%), perforation of dental prosthesis(1.8%), and loose contacts with neighboring tooth(1.2%). 3. Among survival cases, 66.5% showed normal chewing ability and 31.9% showed partial chewing ability. However, 1.6% of them complained loss of chewing ability. 4. Among failure cases, 6.6% showed normal chewing ability and 38.9% showed partial chewing ability. However, 54.5% of them complained loss of chewing ability.

• Journal of Technologic Dentistry
• /
• v.2 no.1
• /
• pp.55-59
• /
• 1980

이와 같은 세 기술은 많은 도재용착주조관의 수리에 이용된다고 할 수 있고 이런 기술은 완전한 보철물을 다시 만들지 않고 연장된 도재용착주조관의 수리에 적용할 수 있는 것이다. 금속덮개(over casting)와 핀에서 유지를 얻는 금속 전장판에 의한 수리의 성공은 다시 제작한 도재용착주조관의 그것과 비교할 만하다. 그러나 도재에 합성수지(composite resin)를 결합시켜 수리하는 방법은 합성수지(composite resin)가 도재보다 잘 닳을 뿐만 아니라 색깔의 안정성도 좋지 않으며 도재가 금속판에 용착될 때 창조되는 결합력보다 silance bonding agent를 사용하여 창조되는 결합력 즉 화학적 결합(chemical bond)이 약하기 때문에 좋다고 할 수는 없다. 그러므로 silance bond repair에 관한 연구는 앞으로도 여러분들과 함께 더욱 더 연구할 과제가 아닌가 생각되는 바입니다.

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

• Journal of Dental Rehabilitation and Applied Science
• /
• v.18 no.2
• /
• pp.113-118
• /
• 2002

Conventional radiograph, computed tomograph (CT), magnetic resonance image (MRI) are commonly used methods for diagnosis of oro-maxillofacial cancer. MRI is an effective tool to verify soft tissue lesion however, metal produces black artifacts in the image. Therefore, metal structure should be removed before taking MRI to diagnose head and neck cancer patients. A 52-year-old female patient with adenocarcinoma in the posterior right soft palate was referred to take a MRI before surgery. She has 7-unit porcelain fused to metal bridge in the maxilla. Eight-unit Tagis-Vectris fixed partial denture was fabricated to replace her existing PFM bridge to take a MRI without any artifact before and after surgery. The patient satisfied with her restorations in terms of esthetics, function after 11 months. Even though minor staining was detected, Tagis-Vectris restoration fixed partial denture was intact during observation period.