• 구강회복응용과학지
• /
• 제27권2호
• /
• pp.125-140
• /
• 2011

보철물을 기능적으로 평가하기 위해 임시 시멘트로 임시 합착을 한 경우 보철물 내면의 잔여 임시 시멘트는 레진 시멘트를 이용한 최종 합착에 있어서 부정적인 영향을 미칠 수 있다. 이에 본 연구는 다양한 임시 시멘트 제거 방법과 임시 시멘트의 잔여 성분이 임플란트 전용 레진 시멘트와 보철물의 유지력에 어떠한 영향을 미치는지를 알아보고자 하였다. 임플란트 지대주는 일반적인 시멘트 유지형 보철물 제작에 사용되는 높이 5.5 mm, 직경 4.5mm, 6도의 축면 경사도와 chamfer 변연을 갖는 기성품(Solid abutment, GSRAS4621, Osstem Implant Co., Busan, Korea)을 사용하였다. 40개의 주조시편을 제작하여 합착 전 70 psi하에 공기입자 분사법을 시행하였고, 10개의 시편을 임시 시멘트의 합착과정 없이 바로 최종 시멘트로 합착하여 대조군으로 설정하였으며 나머지 시편을 각 10개씩 임시 시멘트 제거를 위하여 오렌지 솔벤트를 이용한 군, 초음파 세척을 이용한 군, 공기입자 분사법을 이용한 군으로 나누었다. 임시 시멘트의 합착과 분리 후 제거과정을 거쳐 최종 시멘트로 임플란트 전용 시멘트($Premier^{(R)}$ Implant $Cement^{TM}$, Premier Co., PA, U.S.A.)를 사용하여 최종 합착을 실시하였다. 각 시편은 10분간 5 kg의 하중 하에 합착하였으며 열순환을 거쳐 만능시험기에서 분당 0.5 mm의 속도로 인장접착강도를 측정하였다. 측정이 끝난 뒤 모든 시편을 초음파 세척과 공기입자 분사법, 증기 세척의 과정을 통해 내면의 잔여 성분을 제거하였다. 완전 건조 후 비유지놀계 임시 시멘트를 사용하여 다시 임시 합착, 분리를 거친 후 동일한 실험 과정을 반복하였고 인장접착강도를 측정하여 다음의 결과를 얻었다. 오렌지 솔벤트를 사용한 군이 가장 작은 유지력을 나타냈으며 초음파 세척법을 사용한 군과 공기 입자 분사법을 사용한 군과 비교시 통계적으로 유의한 차이가 있었다(p<0.05). 초음파 세척법을 사용한 군과 공기 입자 분사법을 사용한 군 간의 비교시 통계적으로 유의한 차이가 없었다. 오렌지 솔벤트를 사용한 군은 대조군과 비교시 통계적으로 유의한 차이가 있었으며(p<0.05), 초음파 세척법을 사용한 군과 공기 입자 분사법을 사용한 군은 대조군과 비교시 통계적으로 유의한 차이가 없었다. 임시 시멘트의 유지놀 성분의 유무에 따른 비교시 통계적으로 유의한 차이가 없었다. 이상의 결과로부터 임시 시멘트 제거를 위해 오렌지 솔벤트만을 사용하는 것은 임플란트 전용 시멘트를 사용한 최종 합착시 유지력 감소의 원인이 될 수 있음을 알 수 있었으며, 임플란트 보철물 내면의 임시 시멘트를 효과적으로 제거하기 위한 방법으로 초음파 세척법, 공기 입자 분사법, 또는 이들의 복합적인 사용이 필요함을 알 수 있었다.

• 대한치과의사협회지
• /
• 제22권9호통권184호
• /
• pp.803-811
• /
• 1984

The purpose of this study was to research how temporary cementation effected on the bond strength of permanent cementation. Zinc phosphate, polycarboxylate and EBA ZOE cements were used as permanent cements, and as temporary cements Nogenol, Tempak and Dycal were used. The ninety six (96) specimens were prepared to measure the bond strength of permanent cements after treated with temporary cements for one week. The tensile stregths were measured with an Instron Universal Test Machine. The results of this study were obtained as follows: 1. With zinc phosphate cement, there was a tendency that the bond strengths of the group of temporarily cemented with Nogenol were increased, meanwhile they were decreased a little in the groups of Dycal and Tempak than those of the control group. 2. With polycarboxylate cement, there was a tendency that the bond strengths of the Control group were higher than those of experimental groups and they were decreased in order of Tempak, Noginol, and Dycal. 3. With EBA ZOE cement, there was a tendency that the bond strengths of the group of temporarily cemented with Tempak were increased a little, meanwhile they were decreased a little in the groups of Nogenol and Dycal than those of the Control group. 4. Among the permanent cements, the bond strengths of polycarbosylate cement were the highest and were followed in order of zinc phosphate cement and EBA ZOE cement.

• 대한치과보철학회지
• /
• 제46권3호
• /
• pp.280-289
• /
• 2008

STATEMENT OF THE PROBLEM: Recent data regarding the effects the cement type and abutment heights on the retentive force of a prosthetic crown are inconsistent and unable to suggest clinical guidelines. PURPOSE OF THE STUDY: This study evaluated the effects of different types of temporary cements and abutment heights on the retentive strength of cement-retained implant-supported prostheses. MATERIALS AND METHODS: Prefabricated implant abutments, 4 mm in diameter, $8^{\circ}$taper per side, and light chamfer margins, were used. The abutment heights of the implants were 4 mm, 5.5 mm and 7 mm. Seven specimens of a single crown similar to a first premolar were fabricated. Six commercially available temporary cements, TempBond, TempBond NE, Cavitec, Procem, Dycal, and IRM, were used in this study. Twenty-four hours after cementation, the retentive strengths were measured using a universal testing machine with a crosshead speed of 0.5 mm/min. The cementation procedures were repeated 3 times. The data was analyzed using two-way analysis of variance and a Tukey test (${\alpha}$=0.05). RESULTS: The tensile bond strength ranged from 1.76 kg to 19.98 kg. The lowest tensile strengths were similar in the TempBond and Cavitec agents. Dycal showed the highest tensile bond strength (P<0.01). More force was required to remove the crowns cemented to the long abutments (P<0.05). CONCLUSION: TempBond and Cavitec agents showed the lowest mean tensile bond strength. The Dycal agent showed more than double the tensile bond strength of the TempBond agent.

• 대한치과보철학회지
• /
• 제40권4호
• /
• pp.335-343
• /
• 2002

This study investigated the effect of temporary cement and desensitizer on the bond strength of luting cements. Total 96 dentin specimens were divided into two groups with and without temporary cementation. For temporary cement-tread group, specimens were cemented with $Temp-bond^{(R)}$ and all specimens were stored in distilled water at $37^{\circ}C$ for 7 days. Each cup was further divided into 3 subgroups with $Gluma^{(R)},\;One-step^{(R)}$ application and without desensitizer After desensitizer application, Ni-Cr specimens were luted to dentin surface with $Panavia-F^{(R)}$ and $Vitremer^{(R)}$ Specimens were placed in distilled water at $37^{\circ}C$ for 24 hours and shear bond strength between metal and dentin was measured by a universal testing machine. The results were as follows : 1. In $Panavia-F^{(R)}$ cemented groups, the combination of $One-step^{(R)}$ without temporary cement showed the greatest strength. Among the desensitizer types, $One-step^{(R)}$ showed the highest bond strength, followed by No-desensitizer, $Gluma^{(R)}$. 2. In $Vitremer^{(R)}$ cemented groups, the combination of no temporary cement and without desensitizer showed the greatest bond strength. Among the desensitizer types, No-desensitizer group showed the highest bond strength. 3. The use of $Gluma^{(R)}$ significantly reduced the shear bond strength in $Panavia-F^{(R)}$ and $Vitremer^{(R)}$ groups. 4. All temporary cement-treated groups showed a significant lower shear bond strength than without temporary cement groups. 5. Desensitizer application significantly influenced the bond strength of the resin cement and resin modified glass ionomer cement.

• The Journal of Advanced Prosthodontics
• /
• 제6권3호
• /
• pp.233-240
• /
• 2014

PURPOSE. To evaluate the effects of different abutment geometries in combination with varying luting agents and the effectiveness of different cleaning methods (prior to re-cementation) regarding the retentiveness of zirconia copings on implants. MATERIALS AND METHODS. Implants were embedded in resin blocks. Three groups of titanium abutments (pre-fabricated, height: 7.5 mm, taper: $5.7^{\circ}$; customized-long, height: 6.79 mm, taper: $4.8^{\circ}$; customized-short, height: 4.31 mm, taper: $4.8^{\circ}$) were used for luting of CAD/CAM-fabricated zirconia copings with a semi-permanent (Telio CS) and a provisional cement (TempBond NE). Retention forces were evaluated using a universal testing machine. Furthermore, the influence of cleaning methods (manually, manually in combination with ultrasonic bath or sandblasting) prior to re-cementation with a provisional cement (TempBond NE) was investigated with the pre-fabricated titanium abutments (height: 7.5 mm, taper: $5.7^{\circ}$) and SEM-analysis of inner surfaces of the copings was performed. Significant differences were determined via two-way ANOVA. RESULTS. Significant interactions between abutment geometry and luting agent were observed. TempBond NE showed the highest level of retentiveness on customized-long abutments, but was negatively affected by other abutment geometries. In contrast, luting with Telio CS demonstrated consistent results irrespective of the varying abutment geometries. Manual cleaning in combination with an ultrasonic bath was the only cleaning method tested prior to re-cementation that revealed retentiveness levels not inferior to primary cementation. CONCLUSION. No superiority for one of the two cements could be demonstrated because their influences on retentive strength are also depending on abutment geometry. Only manual cleaning in combination with an ultrasonic bath offers retentiveness levels after re-cementation comparable to those of primary luting.

• 대한치과보철학회지
• /
• 제41권5호
• /
• pp.656-673
• /
• 2003

Statement of problem : Long-term exposure of dental porcelain to saliva during temporary cementation of a porcelain-fused to metal (PFM) restoration could affect mechanical strength of dental porcelain if the restoration is refired. Purpose : This work was performed to verify the effect of water on the mechanical strength in aged dental porcelain. Material and method : 63 specimens(Vintage Metalbond opaque and opal powder) were distributed to three experimental groups ; non-water immersed control, immersed and pedried, and immersed and non-predired groups. The changes in flexural strength and fracture toughness after specimen refiring related to Fourier Transform Infrared (FT-IR) spectroscopy. Results : 1. The FT-IR reflectances assigned to molecular bonds of $H_2O$ were noted as significantly different between the first-fired group and three refired groups and between two water-immersed groups and control group after refiring(p<0.05). They were also significantly different between predried group and non-predried group after refiring(p<0.05) 2. For opal specimens, FT-IR absorbances for hydrogen bond of $H_2O$ and silanols were significantly higher in non-predried group than in predreid group(p<0.05). 3 Predried opal group showed the highest mean flexural strength(p<0.05). Non-predried group indicated higher mean flexural strength than control group(p<0.05). 4. The mean fracture toughness for predired group was higher than non-predried group(p<0.05). 5. The difference of leucite crystal size is noted between control group and water-immersed, predried group in scanning electron microscopic study(${\times}10000$).

• 구강회복응용과학지
• /
• 제23권3호
• /
• pp.259-268
• /
• 2007

purpose: This study was to evaluate the shear bond strength of Lithium Disilicate Glass-Ceramic by removable method of temporary cement on the abutment tooth. Material and Method: Sixty molar teeth of human with the occlusal surface up were mounted in acrylic resin blocks. The 45 specimens were prepared to exposure dentin by diamond bur and the eugenol-containing temporary cement($Cavitec^{TM}$ ($KERR^{(R)}$, U.S.A)was applied to the dentin surfaces. After initial removal of the cement with a dental explorer, the specimens were divided into 4 groups of 15 specimens each. The dentin surfaces of the specimens were treated by rotary instrument with as follow pastes: $Zircate^{(R)}$ prophy paste(Dentsply, U.S.A), Radent Prophy Paste(Pascal company,inc. U.S.A), and Dental pumice(Wip mix corporation,U.S.A). An adhesive resin luting agent(Variolink $II^{(R)}$, Ivoclar Vivadent, Leichtenstein) including Monobond-S and $Excite^{(R)}$ was applied to all specimens. The ceramic specimens were made with an A1 ingot of IPS Empress $II^{(R)}$ (Ivoclar Vivadent, Leichtenstein). After the specimens were stored in distilled water for 48hr, the shear bond strength(MPa) was measured by a Universal testing machine(Zwick 145641, Zwick, Germany) at a 1mm/min cross-head speed. The data were statistically analyzed by one-way ANOVA and Duncan's multiple range test. Results: In all group, there were no significant differences in comparison with the control group(p>0.05). The pattern of most failure showed the mixed type of cohesive and adhesive failure. Conclusion: Resin bond strength of IPS Empress $II^{(R)}$ was not affected by removal method of the temporary cement.

• The Journal of Advanced Prosthodontics
• /
• 제10권5호
• /
• pp.340-346
• /
• 2018

PURPOSE. In this study, the shear bond strengths (SBS) of luting cements to fixed superstructure metal surfaces under various seating forces were investigated. MATERIALS AND METHODS. Seven different cements [Polycarboxylate (PCC), Glass-Ionomer (GIC), Zinc phospahate (ZPC), Self-adhesive resin (RXU), Resin (C&B), and Temporary cements ((RXT) and (TCS))] were bonded to a total number of 224 square blocks ($5{\times}5{\times}3mm$) made of one pure metal [Titanium (CP Ti) and two metal alloys [Gold-Platinum (Au-Pt) and Cobalt-Chrome (Co-Cr)] under 10 N and 50 N seating forces. SBS values were determined and data were analyzed with 3-way ANOVA. Pairwise comparisons and interactions among groups were analyzed with Tukey's simultaneous confidence intervals. RESULTS. Overall mean scores indicated that Co-Cr showed the highest SBS values ($1.96{\pm}0.4$) (P<.00), while Au-Pt showed the lowest among all metals tested ($1.57{\pm}0.4$) (P<.00). Except for PCC/CP Ti, RXU/CP Ti, and GIC/Au-Pt factor level combinations (P<.00), the cements tested under 10 N seating force showed no significantly higher SBS values when compared to the values of those tested under 50 N seating force (P>.05). The PCC cement showed the highest mean SBS score ($3.59{\pm}0.07$) among all cements tested (P<.00), while the resin-based temporary luting cement RXT showed the lowest ($0.39{\pm}0.07$) (P<.00). CONCLUSION. Polycarboxylate cement provides reliable bonding performance to metal surfaces. Resin-based temporary luting cements can be used when retrievability is needed. GIC is not suitable for permanent cementation of fixed dental prostheses consisting of CP Ti or Au-Pt substructures.

• Imaging Science in Dentistry
• /
• 제46권3호
• /
• pp.173-178
• /
• 2016

Purpose: Optical coherence tomography (OCT) has been investigated as a novel diagnostic imaging tool. The utilisation of this equipment has been evaluated through several studies in the field of dentistry. The aim of this preliminary study was to determine through basic experiments the effectiveness of OCT in implant dentistry. Materials and Methods: To assess detection ability, we captured OCT images of implants in each of the following situations: (1) implants covered with mucosae of various thicknesses that were harvested from the mandibles of pigs; (2) implants installed in the mandibles of pigs; and (3) implants with abutments and crowns fixed with temporary cement. The OCT images were captured before cementation, after cementation, and after removing the excess submucosal cement. Results: If the thickness of the mucosa covering the implant body was less than 1 mm, the images of the implants were clearly detected by OCT. In the implants were installed in pigs' mandibles, it was difficult to capture clear images of the implant and alveolar bone in most of the samples. Remnants of excess cement around the implants were visible in most samples that had a mucosa thickness of less than 3 mm. Conclusion: Currently, OCT imaging of implants is limited. Cement remnants at the submucosal area can be detected in some cases, which can be helpful in preventing peri-implant diseases. Still, though there are some restrictions to its application, OCT could have potential as an effective diagnostic instrument in the field of implant dentistry as well.

• 대한심미치과학회지
• /
• 제26권1호
• /
• pp.24-38
• /
• 2017

치과 임상에서 보철 과정은 1) 치아 삭제 2) 임시 수복물 제작 3) 포스트와 코어 4) 인상채득 5) 최종 보철물 합착의 순서로 진행된다. 보철 과정의 마지막이 정확한 적합과 교합 관계를 갖는 최종 보철물을 환자의 지대치의 적합시키는 과정이다. 그런데, 이 최종 보철물은 진료실에서 만들어지는 것이 아니라, 치과 기공실에서 만들어져서 약간의 시간차를 두고 진료실로 오게 된다. 진료실에서 환자의 구강 내 정보를 기공실로 전달하는 유일한 매체는 인상체이다. 그런데 이 과정에서 수 많은 오차가 발생된다. 치과 의사와 치과 기공사는 이 오차를 줄이기 위해 원인을 파악하고 정확한 보철물 제작을 위해 노력해야 한다.