• 한국산학기술학회논문지
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• 제21권12호
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• pp.434-439
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• 2020

최근, 치과 산업에서 레이저를 열원으로 합금을 제조하는 선택적 레이저 용융법(Selective laser melting, SLM)이 소개되고 있다. 하지만 SLM으로 제작된 금속-세라믹 수복물에 대한 연구가 부족한 실정이다. 따라서 본 연구의 목적은 SLM 그리고 CAST(casting)에 의해 제조된 Co-Cr 합금의 금속-세라믹(metal-ceramic) 결합 강도(bond strength)를 평가하는 것이다. SLM 그리고 CAST 방법을 사용하여 Co-Cr 시편을 제조하고 세라믹을 소결하여 시료를 제작하였다. 연구의 실험은 표본 준비 및 분석을 통해 2020년 1월부터 6월까지 수행되었다. 금속-세라믹 결합 강도는 만능 시험기에 의해 측정되었다. 부착 세라믹의 면적분(The area fraction of adherence ceramic, AFAC)은 SEM/EDS로 시편의 Si 함량을 측정하였다. 금속-세라믹 결합 강도 및 AFAC 결과는 t-test를 사용하여 분석하였다(α = .05). SLM 그리고 CAST Co-Cr 합금 사이의 결합 강도에 대해서는 유의한 차이가 발견되지 않았다(P>.05). SLM은 CAST 그룹보다 많은 세라믹 부착성(ceramic adherence)을 나타냈다(P<.001). 세라믹과 합금의 결합 강도는 제조 방법엥 영향을 받지 않았다. 그러나 SLM은 더 우수한 세라믹 부착성을 보였다. 이는 향후 임플란트 상부 보철물 제작에도 SLM으로 제작한 합금이 사용 가능한 것을 시사한다. CAST 방식의 단점을 극복하고 시간과 비용을 절약할 수 있을 것으로 기대된다.

• 대한치과기공학회지
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• 제33권4호
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• pp.349-357
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• 2011

Purpose: In this study, for the reasons of observing the changes when using bonding agent with Ni-Cr alloy and Co-Cr alloy and using VM13 and Vintage MP ceramic which have the disparity in coefficient of thermal expansion, it is carried out to evaluate the characteristics of the bonding agent through the analysis of the interface between metal and ceramic and the analysis of bond strength by variable. Methods: The surface treatment was performed on the two kinds of alloy(Ni-Cr alloy and Co-Cr alloy) specimens, which were sandblasted and were treated with bonder application. The metal-ceramic interfaces were analyzed with EPMA in order to ionic diffusion, and the shear test was performed. Results: As a result of observation of metal-ceramic interfacial properties, it was observed that Cr atoms were spread from the alloy body to the ceramic floor in the specimen of Group B. It was also seen that Cr, W atoms were spread from the alloy body to the ceramic floor in the specimen of Group S. In consequence of observing Shear bond strength, it was calculated that the specimen of BSV was 27.75(${\pm}11.21$)MPa, BSM was 27.02(${\pm}5.23$)MPa, BCV was 30.20(${\pm}5.99$)MPa, BCM was 27.94(${\pm}10.76$)MPa, SSV was 20.83(${\pm}2.58$)MPa, SSM was 23.98(${\pm}3.94$)MPa, SCV was 32.32(${\pm}4.68$)MPa, and SCM was 34.54(${\pm}10.63$)MPa. Conclusion: In the metal-ceramic interface of Bellabond plus sample group, diffusion of Cr atoms was incurred and diffusion of C Cr atoms and W atoms in the sample group of $Starloy{(R)}\;C$ was observed. Using bonding agent showed the higher bond strength than using the sand blasting treatment. In the Bellabond plus alloys, the specimen group with the use of binding materials showed higher shear bond strength, but didn't show statistically significant differences (p>0.05). In the $Starloy{(R)}\;C$ alloys, the specimen group with the use of binding materials showed higher shear bond strength and statistically significant differences(p<0.05). In terms of VM13 ceramic, it was in the Bellabond plus alloys that the high shear bond strength was showed, but there's no statistically significant differences(p>0.05). In terms of Vintage MP ceramic, it was in the $Starloy{(R)}\;C$ alloys that the high shear bond strength was showed and statistically significant differences(p<0.05). Metal-ceramic to fracture of the shear strength measurements and an analysis of all aspects of military usage fracture of the composite, respectively.

• 대한치과기공학회지
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• 제37권4호
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• pp.243-250
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• 2015

Purpose: The aim of this study was to investigate the shear bond strength between various commercial zirconia coping and veneering ceramic, and to observe the failure mode. Methods: For each zirconia block (iJAM Emerald, LUXEN Smile block, ICE Zirkon transluzent), 10 rectangular specimens were layered with Cercon ceram kiss, IPS e.max ceram, ICE Zirkon ceramic according to recommended by the manufacturer. The shear bond strength tests of the veneering porcelain to zirconia were carried out until fracture by a universal testing machine. After the shear bond tests, failure modes were characterized visually, under a stereomicroscope, such as adhesive, cohesive, or mixed. Data were analyzed with One-way ANOVA followed by Scheffe's tests. Results: The shear bond strength ($mean{\pm}SD$) of zirconia-veneer ceramic were JC group $13.9{\pm}3.6MPa$; JE group $17.7{\pm}2.4MPa$; JI group $15.1{\pm}2.5MPa$; LC group $9.5{\pm}1.5MPa$; LE group $16.2{\pm}2.3MPa$; LI group $12.6{\pm}0.8MPa$; ZC group $16.0{\pm}2.3MPa$; ZE group $18.5{\pm}3.4MPa$; and ZI group $15.3{\pm}3.2MPa$. The One-way ANOVA showed a significant difference between groups (p<0.05). The failure mode in most experimental groups was mixed failure, except for the LC group, which showed adhesive failure, and JE group, LE group and ZE group showed cohesive failure. Conclusion: For IPS e.max ceram, the shear bond strength value was highest for all kinds of zirconia blocks. For ICE Zirkon transluzent, the shear bond strength value was highest for all kinds of veneering ceramics. Most of experimental group interfaces revealed mixed failure mode.

• The Journal of Advanced Prosthodontics
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• 제11권1호
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• pp.16-22
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• 2019

PURPOSE. The purpose of this study was to compare the translucency and color changes of ceramic laminate veneers of different composition following glazing process. MATERIALS AND METHODS. $10mm{\times}10mm$ square specimens of 0.6 mm and 1.0 mm thicknesses were fabricated with IPS e.max Press (EM) and IPS e.max ZirPress (ZP) (n=10 per group). The color coordinates (CIE $L^*$ $a^*$ $b^*$) of the specimens were recorded with a colorimeter before and after glazing. The color changes and translucency parameter (TP) were calculated. For the comparisons with the composition and thicknesses between the 'not glazed' and 'glazed' groups, statistical analyses were done through paired T-test, independent two-sample T-test, and multiple regression analysis using SPSS 18.0 (P<.05). RESULTS. The TP of 0.6 mm EM was higher than that of 0.6 mm ZP. Total color difference (${\Delta}E^*$) between bare and glazed specimens of 1.0 mm EM was greater than that of 1.0 mm ZP with statistical significance. Following glazing, specimens from all groups showed statistically significant amount of decrease in $L^*$ and $a^*$, and statistically significant increase in $b^*$. The result of multiple regression analysis of EM and ZP showed that ${\Delta}L^*$ improved ${\Delta}E^*$. CONCLUSION. Within the limitations of present study, we conclude that translucency and color of ceramic laminate veneers change significantly after glazing process, and the nature and amount of changes vary with different compositions.

• 대한치과보철학회지
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• 제51권1호
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• pp.47-51
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• 2013

골유착성 임플란트의 등장으로 결손치의 수복이 가능하게 되어 전통적인 고정성 또는 가철성 국소의치가 임플란트로 대체되어가고 있는 추세이다. 특히 젊은 환자의 경우 보철물의 수명과 함께 심미적인 결과를 고려해야 한다. 임플란트는 장기간의 성공적인 치료 결과와 함께 기능적인 회복을 이룰 수 있으나, 치은 퇴축으로 인한 변연부 노출, 치간 유두 상실로 인한 비심미적인 연조직, 금속 지대주, 상부 도재관의 투명도 감소 등은 임플란트 수복 시 정상적인 저작 기능 회복은 이룰 수 있으나 심미적으로는 불리한 결과를 보일 수 있다. 최근 CAD/CAM technology를 이용한 지르코니아는 충분한 강도와 파절 저항성을 가져 정상적인 저작 기능이 가능하고, 뛰어난 굴곡강도로 고정성 보철물, 가철성 의치 보철물에 다양하게 응용되며, 생체 적합성이 뛰어나고, 색조 재현성에서도 금속에 비해 심미적인 결과를 보이며 전치부와 구치부의 보철 치료에 이용되고 있다. 그리고 pressed ceramic technique을 이용한 전부 도재 보철 수복은 기존의 전통적인 도재 축성 과정보다 우수한 파절 저항성을 보인다. Pressed ceramic technique 은 상부의 도재 축성 과정이 왁스업을 통해 용융, 주조 되어 최종 보철물의 형태를 왁스업 단계에서 조절할 수 있는 장점이 있다. 임플란트를 포함한 본 증례의 보철 수복은 임시 보철물의 치경부 형태를 조절하여 심미적인 연조직을 재현하고자 하였고, 임시 보철물의 형태를 왁스업으로 복제하여 원하는 형태의 최종 보철물을 제작하였다. 본 증례에서는 임플란트 치료에 있어서 지르코니아와 pressed ceramic technique을 적용하여 기능적이고 심미적으로 양호한 결과를 얻었다.

• 대한심미치과학회지
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• 제8권1호
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• pp.90-95
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• 1999

Although various kinds of porcelain restorations, including full porcelain jacked crowns and laminate crowns, are used for Esthetic Dentistry nowadays, the most widely used one so far is porcelain metal restoration. It goes without saying that shade matching in porcelain-metal restoration is much more difficult than in full ceramic veneer restoration because of the metal substructure limitation of the porcelain to metal restoration and then let it go even when shade matching is a little bit unsatisfactory. I think a more satisfactory shade matching can be achieved by developing more elaborate techniques, by selecting proper metal and porcelain and by enabling more detailed communication between the dentists and the dental technicians. Some considerations will be made in an attempt to achieve more successful outputs.

• Restorative Dentistry and Endodontics
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• 제39권3호
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• pp.226-229
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• 2014

Orthodontic extrusion is usually performed by means of a fixed orthodontic appliance that utilizes arch wire attached to adjacent teeth and transfers the desired force by elastic from the wire to the root. However, clinicians often encounter cases where the bonding required for tooth traction is not possible because the adjacent teeth have been restored with ceramic or veneer. The purpose of this case report is to describe a modified orthodontic extrusion appliance that is useful when conventional orthodontic treatment is not possible. The modified appliance was fabricated using an artificial tooth, clear plastic sheeting, and a braided fiber-reinforced composite strip that covered adjacent teeth without bonding. It satisfied the esthetic and functional needs of the patient and established the optimal biologic width.

• Journal of Periodontal and Implant Science
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• 제38권sup2호
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• pp.405-412
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• 2008

Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health.

• The Journal of Advanced Prosthodontics
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• 제15권5호
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• pp.238-247
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• 2023

PURPOSE. The purpose of this study was to assess the effect of resin cement shade on the color of different novel ultratranslucent monolithic zirconia and lithium disilicate veneer materials. MATERIALS AND METHODS. For a total of 40 specimens, flat cylindrical discs with a 9-mm diameter and 0.5-mm thickness were created using CAD/CAM technology. The specimens were divided into five groups according to their material (n = 8) (e.max, Prettau, Aidite, Shofu and Dima) using A1 shade. Resin discs with the same diameter and shade as the specimens served as tooth-colored substructures. Three shades (neutral, light and warm) of resin cement try-in pastes (Variolink Esthetic LC) were used as the luting cement material. The color of each material group was measured before and after cementation using the three cement shades, and the CIE L^*a^*b^* coordinates were obtained with a spectrophotometer. Values for the translucency parameter (TP) and color change delta E (E) before (baseline) and after cementation of each specimen were determined. To compare differences among the material groups within each shade of cement and among various shades of cement within each material, the data were analyzed using one-way ANOVA and post hoc testing. RESULTS. Color coordinates L^*, a^* and b^* significantly changed after the application of try-in pastes relative to baseline values, with a noticeable decrease in lightness (L^*) (P < .05). A significant color change (ΔE) was observed in all tested materials after cementation, with ΔE values exceeding 3.3 (P < .05). Although TP changed after cementation for most materials tested, these changes were not statistically significant (P > .05). Shofu and Dima ceramics showed the lowest TP values, while Aidite and Prettau showed the highest TP values. For e.max, translucency decreased after cementation with neutral and warm shades, and it significantly increased after cementation with a light shade. CONCLUSION. The shade of cement significantly altered the final color of the ceramic veneer material to a level above the threshold at which the clinical perception of color change occurred (> 3.3). The TP was not influenced by the cement shade. The translucency levels of the novel ultratranslucent multilayer monolithic zirconia ceramics Aidite and Prettau were higher than that of the lithium disilicate e.max material.

• 대한치과기공학회지
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• 제41권3호
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• pp.177-185
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• 2019

Purpose: This study was to investigate the effect of three different surface treatments on the shear bond strength of lithium disilicate ceramics to enamel. Methods: Totally 60 lithium disilicate ceramic disc specimens were fabricated with IPS e.max press (Ivoclar Vivadent, Schaan, Liechtenstein) and Mazic Claro (Vericom, Korea). 30 specimens in each lithium disilicate ceramic were assigned to 3 groups of the each following surface treatment: 1) $50{\mu}m$ airborne particle abrasion+silane, 2) 9.5% hydroflouric acid etching (HF)+silane, 3) $50{\mu}m$ airborne particle abrasion+9.5% HF+silane. Lithium disilicate ceramic surfaces after surface treatments were AFM examined. The shear bond strength was measured in a universal testing machine at 0.5mm/min crosshead speed. All data were analyzed using a two-way ANOVA and Tukey's test(${\alpha}=0.05$). Results: The mean surface roughness of lithium disilicate ceramics ranged from $0.178{\mu}m$ to $0.441{\mu}m$. The mean shear bond strengths ranged from $23.81{\pm}2.78MPa$ to $33.99{\pm}4.85MPa$. Conclusion: 1. Mazic Claro showed higher shear bond strength than IPS e.max press at 3 different surface treatments, and no statistically significant was observed. 2. The shear bond strength of IPS e.max press was strongly enhanced as surface treated with $50{\mu}m$ airborne particle abrasion and 9.5% hydroflouric acid etching. And there was no statistical significance at the shear bond strength of Mazic Claro with surface treatments.