• 치위생과학회지
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• 제13권2호
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• pp.135-141
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• 2013

본 연구는 치과에서 사용되는 심미 보철물 중에 하나인 지르코니아 기반의 전부도재관 제작 시 지르코니아 코어 위에 상부 도재를 축성하고 소성하는 과정에서 발생되는 고온이 완성된 전부도재관의 변연적합도에 미치는 영향을 분석함으로써 임상적 허용이 가능한지 알아볼 뿐 아니라, 치과보철치료를 위한 치과의사, 치과위생사, 치과기공사의 보철물 선택 시 임상적 참고자료로 제공할 목적으로 수행되었다. 심미에 가장 많은 영향을 미치는 상악 중절치를 지대치로 선정하여 동일한 모형 10개 제작 후 각각의 지대치에 적합한 지르코니아 코어를 제작하였다. 제작된 코어의 변연적합도 측정 후 코어 위에 상부 도재를 축성하여 전부도재관을 완성한 뒤 2차 측정을 실시하였으며, 측정 후 비교 분석 된 결과는 다음과 같다. 변연적합도는 지르코니아 코어 제작한 후 전부도재관으로 제작되는 과정에 따라 더 커졌으며, 통계적으로도 유의한 차이를 보였다(p<0.001). 그러나 전부도재관에서 총 80회 측정된 변연적합도의 값에서 임상적 허용 수치인 $120{\mu}m$을 넘지 않는 결과를 보였으며, 이와 같은 결과를 토대로 지르코니아 코어 위에 상부 도재 소성 시 변연적합도가 커지긴하나 임상적으로 허용이 가능하다는 결론을 도출하였다.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.335-341
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• 2020

본 연구의 목적은 shear bond strength을 이용하여 pressed lithium disilicate 전장도재와 zirconia core의 접착을 비교 분석하는 것이다. Zirconia blank(Zirtooth, HASS, Gangneung, Korea)에 각 pressed ceramic(IPS e.max Zirpress, Vita PM9, GC Initial IQ, HASS Rosetta UP)이 적용된 시편을 제작하였다(N=40). 전단결합강도를 비교 평가하기 위해 The Schmitz-Schulmeyer test method을 이용하였고 산출된 파괴하중의 값을 분석했다. 산출된 네 가지 전단결합강도 값들 간의 평균 비교는 일원분산분석(one-way ANOVA)을 통해 이루어졌고, Tukey의 사후검정을 실시하여 서로 간의 평균 차이가 통계적으로 유의함을 검증하였다. 또 파절면의 3D 분석을 통하여 파괴 표면을 관찰하여, 그 파괴 양상도 분류하였다. 실험군별 전단결합강도는 IPS e.max Zirpress 16.69±3.11MPa, VITA PM9 14.21±3.63MPa, GC Initial IQ 11.17±2.92MPa, HASS Rosetta SM 27.90±5.71MPa이었으며, Lithium disilicate ceramic veneer(HASS Rosetta SM)의 결합 강도는 다른 제품들보다 통계적으로 유의하게 높았다(p<0.05). 또, 파괴면의 유형 분류 결과, 모든 시편에서 cohesive 파괴는 관찰되지 않았고 주로 adhesive와 cohesive가 같이 조합된 파괴 유형이 관찰되었다. 본 연구 결과에 의해서 pressed lithium disilicate 전장도재가 기존의 pressed to zirconia system보다 나은 접착력을 보여주었다.

• 대한소아치과학회지
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• 제24권4호
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• pp.805-812
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• 1997

Despite dentistry's attempts to improve the dental health of the public and to minimize the effects of caries, many children still present with extensive destruction of primary anterior teeth. One of dentistry's most challenging tasks is to repair these teeth with restoration which are durable, retentive, and esthetic. Esthetic restoration can often be achieved with polycarbonate crowns, strip crowns, conventional S-S crowns, open-faced S-S crowns, commercially veneered S-S crowns. But, all of these have limitation. Advances in restorative materials and metal-bonding procedures have made possible new restorative techniques that combine the advantages of S-S crowns with the cosmetics of composite restoration methods. The described technique of bonding composite to trimmed and fitted S-S crowns offers many advantages over other techniques currently used to restore primary anterior teeth. 1. If S-S crowns are accurate trimmed and contoured, good retention of crowns is achieved. 2. The patient time required is similar to that of conventional S-S crowns. 3. Good esthetics and high bond strengths are achieved. 4. It is possible to use this veneering technique intraorally on crowns that have fractured veneers.

• The Journal of Advanced Prosthodontics
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• 제12권2호
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• pp.100-106
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• 2020

PURPOSE. The purpose of this in vitro study was to evaluate the fitting accuracy of single crowns made from a novel presintered Co-Cr alloy prepared with a computer-aided design and computer-aided manufacturing (CAD/CAM) technique, as compared with crowns manufactured by other digital and the conventional casting technique. Additionally, the influence of oxide layer on the fitting accuracy of specimens was tested. MATERIALS AND METHODS. A total of 40 test specimens made from Co-Cr alloy were investigated according to the fitting accuracy using a replica technique. Four different methods processing different materials were used for the manufacture of the crown copings (milling of presintered (Ceramill Sintron-group_cer_sin) or rigid alloy (Tizian NEM-group_ti_nem), selective laser melting (Ceramill NPL-group_cer_npl), and casting (Girobond NB-group_gir_nb)). The specimens were adapted to a resin model and the outer surfaces were airborne-particle abraded with aluminum oxide. After the veneering process, the fitting accuracy (absolute marginal discrepancy and internal gap) was evaluated by the replica technique in 2 steps, before removing the oxide layer from the intaglio surface of the crowns, and after removing the layer with aluminum oxide airborne-particle abrasion. Statistical analysis was performed by multifactorial analysis of variance (ANOVA) (α=.05). RESULTS. Mean absolute marginal discrepancy ranged between 20 ㎛ (group_cer_npl for specimens of Ceramill NPL) and 43 ㎛ (group_cer_sin for crowns of Ceramill Sintron) with the oxide layer and between 19 ㎛ and 28 ㎛ without the oxide layer. The internal gap varied between 33 ㎛ (group_ti_nem for test samples of Tizian NEM) and 75 ㎛ (group_gir_nb for the base material Girobond NB) with the oxide layer and between 30 ㎛ and 76 ㎛ without the oxide layer. The absolute marginal discrepancy and the internal gap were significantly influenced by the fabrication method used (P<.05). CONCLUSION. Different manufacturing techniques had a significant influence on the fitting accuracy of single crowns made from Co-Cr alloys. However, all tested crowns showed a clinically acceptable absolute marginal discrepancy and internal gap with and without oxide layer and could be recommended under clinical considerations. Especially, the new system Ceramill Sintron showed acceptable values of fitting accuracy so it can be suggested in routine clinical work.

• 대한치과기공학회지
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• 제31권1호
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• pp.23-36
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• 2009

The goal of esthetic restoration is to achieve morphologic, optical, and biologic acceptance. Creation of a natural looking ceramic restoration, which blends harmoniously with surrounding dentition, is not always achieved. A successful color match is an important aspect of any esthetic dental restoration. Since natural enamel has inherent translucency, it is important that ceramic restorations reproduce the translucency and color of the natural teeth. However, the final color match of porcelain crowns to adjacent natural dentition remains some problem. Difficulties related to color matching arise from the structural differences that exist between metal ceramic crowns and natural teeth, the limited range of available ceramic shades, inadequate shade guides, different types of metal alloys, repeated firing, the condensation technique, and varying compositions of ceramic materials. Many factors contribute to the esthetic success of dental restoration: optical properties such as color and its elements of hue, value, and chroma; translucency and opacity; light transmission and scattering; and metamerism and fluorescence. The purpose of this study was to determine the color changes of metal-ceramic system with different veneering porcelain powder after repeated firing. The objectives of this in vitro study were to measure the lightness($L^*$), chromaticity($a^*$), chromaticity($b^*$), chroma($C^*$), hue(h), reflectance(%), color difference(${\Delta}E$). The following conclusions were obtained: 1. An increase in the number of firings resulted in decrease in lightness($L^*$) but increase in chromacticity($a^*$) with all porcelain. After the second sintering resulted in decrease in chromacticity($b^*$) with opaque-dentin porcelain and dentin porcelain but in increase with enamel porcelain and translucency porcelain. And after the second sintering resulted in decrease in chroma($C^*$) with opaque-dentin porcelain and dentin porcelain, but on the whole side in decrease with enamel porcelain and translucency porcelain. 2. After the second firing, a increase in the number of firings resulted in decrease reflectance(%) in all wavelength. 3. There were noticeable color differences(${\Delta}E$) between first sintering and multiple firings(dentin porcelain: 5.29~8.15, opaque-dentin porcelain: 4.83~8.2, enamel porcelain: 8.93~13.15, translucency porcelain: 9.37~12.91), but the color difference(${\Delta}E$) after second sintering were down to 4.87 in all porcelain. 4. Given the NBS Criteria, a 'trace' was not found this study but a 'slight' was found 2-3, 3-5 in dentin porcelain, 2-3 in opaque-dentin porcelain, 3-5, 5-10 in enamel porcelain and translucency porcelain, a 'noticeable' was 2-5, 3-10, 5-10 in dentin porcelain and opaque-dentin porcelain, 2-3, 2-5, 3-10 in enamel porcelain 2-3, 3-10 in translucency porcelain, an 'appreciable' was 1-2, 1-3, 2-10 in dentin porcelain 1-2, 1-3, 2-10, 3-10 in opaque-dentin porcelain, 2-10 in enamel porcelain, 2-5, 2-10 in translucency porcelain, a 'much' was 1-5, 1-10 in dentin porcelain and opaque-dentin porcelain, 1-2, 1-3, 1-5 in enamel porcelain 1-2, 1-3, 1-5, 1-10 in translucency porcelain, a 'very much' was 1-10 in enamel porcelain.

• 대한치과보철학회지
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• 제43권5호
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• pp.599-610
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• 2005

Purpose: The success of the bonding between electroformed gold and ceramic is dependent on the surface treatment of the pure gold coping. The purpose of this study was to evaluate the bonding strength between the electroformed gold and ceramic with varying surface treatment. Materials and methods: A total of 32 disks,8 were using conventional ceramometal alloy, 24 were using electroforming technique as recommended by manufacturer, were prepared. 24 electroformed disks were divided 3 groups according to surface treatment, i.e. 50 microns aluminium oxide sandblasting(GES-Sand), gold bonder treatment(GES-Bond) and $Rocatec^{TM}$ system(GES-Rocatec). For control group of conventional alloy 50 microns aluminium oxide treatment was done(V-Supragold). Energy dispersive x-ray analysis and scanning electron microscope image were observed. Using universal testing machine, shear bond strength and bonding failure mode at metal-porcelain interface were measured. Results and Conclusion: The following conclusions were drawn: 1. In the energy dispersive x-ray analysis, the Au was main component in electroformed gold(99.9wt%). After surface treatment, a little amount of $Al_2O_3(2.4wt%)$ were found in GES-Sand, and $SiO_2(4wt%)$ in GES-Bond. In GES-Rocatec, however, a large amount of $SiO_2(17.4wt%)$ were found. 2. In the scanning electron microscopy, similar pattern of surface irregu larities were observed in V-Supragold and GES-Sand. In GES-Bond, surface irregularities were increased and globular ceramic particles were observed. In GES-Rocatec, a large amount of silica particles attached to metal surface with increased surface irregularities were observed. 3. The mean shear bond strength values(MPa) in order were $22.9{\pm}3.7(V-Supragold),\;22.1{\pm}3.8(GES-Bond),\;20.1{\pm}2.8(GES-Rocatec)\;and\;13.0{\pm}1.4(GES-Sand)$. There was no significant difference between V-Supragold, GES-Bond, and GES-Rocatec. (P>0.05) 4. Most bonding failures modes were adhesive type in GES-Sand. However, in V-Supragold, GES-Bond and GES-Rocatec, cohesive and combination failures were commonly observed. From the result, with proper surface treatment method electroformed gold may have enough strength compare to conventional ceramometal alloy.