• The Journal of Korean Academy of Prosthodontics
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• v.44 no.2
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• pp.157-164
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• 2006

Purpose: The purpose of this study was to compare the fracture strength of the zirconia monolithic all-ceramic crowns according to the thickness(0.5 mm, 0.8 mm, 1.1 mm) and IPS Empress II ceramic crown of 1.5 mm thickness. Material and method: Eight crowns for each of 3 zirconia crown groups were fabricated using CAD/CAM system(Kavo, Germany) and eight Empress II crowns were made from silicone mold and wax pattern. Each crown group was finished in accordance with the specific manufacturer s instruction. All crowns were luted to the metal dies using resin cement and mounted on the testing jig in a universal testing machine. The load was directed at the center of crown with perpendicular to the long axis of each specimen until catastrophic failure occurred. Analysis of variance and Tukey multiple comparison test(p<.05) were applied to the data. Results and Conclusion: 1. The fracture strength of the zirconia monolithic all-ceramic crown was higher thickness increased(p<.05). 2 The fracture strength of 1.1 mm thickness zirconia monolithic all-ceramic crown was higher than the fracture strength of 1.5 mm thickness IPS Empress II crown(p<.05). 3. The fracture strength of 0.5 mm thickness zirconia monolithic all-ceramic crown exceeded maximum occlusal forces.

• Journal of Technologic Dentistry
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• v.29 no.2
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• pp.79-85
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• 2007

In this study, We tried to find out the fracture strength of zirconia coping all ceramic crown and collarless porcelain fused gold alloy crown as the compared group. Each of the collarless porcelain fused gold crown and zirconia all ceramic crown has been produced specimen 10 each. And after pasting them on the steel jig, it had load given at porcelain incisal edge by 130$^{\circ}$ and measured fracture strength by Universal Testing Machine and then We have results from that. 1. The average value of fracture strength suggested 950.49 N at collarless porcelain fused gold alloy crown, 656.81 N at zirconia coping all ceramic crown. 2. Fractured pattern showed that the whole of labial part was exposed in collarless porcelain fused gold crown, but porcelain of margin part did not show fracture in advance. In the practice, the concern that collarless might cause fracture strength to be weaken does not matter, we concluded zirconia all ceramic crown made fracture that only a part of labial porcelain was fractured. The combination of zirconia all ceramic crown and turned out to be excellent.

• The Journal of Korean Academy of Prosthodontics
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• v.45 no.1
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• pp.12-20
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• 2007

Purpose: The purpose of this study was to compare the fracture strength of the zirconia monolithic all-ceramic crowns according to the thickness (0.5mm, 0.8mm, 1.1mm) and metal-ceramic crowns (1.0mm, 1.5mm) Material and method: Twelve crowns for each of 3 zirconia crown groups were fabricated using CAD/CAM system (Kavo, Germany) and twelve crowns for each of 2 metal-ceramic crown groups were made by the conventional method. All crowns were luted to the metal dies using resin cement. Half of the specimens were exposed to thermocycling ($5-55^{\circ}C$, 1 Hz) and cyclic loading (300,000 cycles, 50N). Subsequently, all crowns were mounted on the testing jig in a universal testing machine. The load was directed at the center of crown with perpendicular to the long axis of each specimen until catastrophic failure occurred. Analysis of variance and Tukey multiple comparison test (P<.05) were used for statistical analysis of all groups, and paired t-test (P<.05) was followed for statistical comparison between each groups' fracture load before and after cyclic loading. Results: 1. The fracture strength of the zirconia monolithic crowns and the metal-ceramic crown increased as thickness increased (P<.05). 2. The cyclic loading and thermocycling significantly decreased the fracture strength of the zirconia monolithic crowns (P<.05). 3. The standard deviation of fracture strength of the zirconia monolithic crowns was very low. Conclusion: The fracture strength of the zirconia monolithic crowns for the posterior area tends to be higher with thickness increased and 0.8mm or over in thickness is recommended to have similar or over the fracture strength of metal-ceramic crowns.

• Journal of Technologic Dentistry
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• v.33 no.3
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• pp.219-224
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• 2011

Purpose: The current study focused on investigating color change of dental zirconia block with respect to the block coloring time. Methods: Three types of dental zirconia blocks(Zirtooth, Pearl-HT, D-Max) were tinted with coloring agent under four different time condition (0 minutes, 1 minutes, 10 minutes, 30 minutes). The quantitative evaluation of the tinted dental zirconia blocks was conducted with spectrophotometer. Results: The Zirtooth and D-Max blocks showed lower H value. The Pearl-HT blocks showed poor reflectivity(L value). Conclusion: The study of color change of zirconia block, which consists the substructure of all ceramic Crown, is applicable for deciding appropriate coloring condition when fabricating one layer ceramic Crown or double layer ceramic Crown.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.94-100
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• 2010

Purpose: The purpose of this study was to compare the fracture strength of the zirconia ceramic crowns according to tooth position. Material and methods: After 10 metal dies were made for each group, the zirconia ceramic crowns were fabricated using CAD/CAM system ($Lava^{TM}$ All-Ceramic System) and each crown was cemented on each metal die with resin cement (Rely $X^{TM}$ Unicem). The cemented zirconia ceramic crowns mounted on the testing jig were inclined with 30 degrees to the long axis of the tooth and the universal testing machine was used to measure the fracture strength. Results: 1. The fracture strength of the zirconia ceramic crown in the lower 1st molar (2963 N) had the highest and that in the lower central incisor (1035 N) had the lowest. 2. The fracture strength of zirconia ceramic crown was higher than that of the IPS Empress crowns in all tooth position. 3. The fracture mode of the crowns was similar. Most of fracture lines began at the loading area and extended through proximal surface perpendicular to the long axis of the crowns. 4. There were no significant differences on the fracture strength of the zirconia ceramic crowns according to tooth position except in premolar group. Conclusion: Within the limitations of this study, the results suggested that strength of zirconia ceramic crown is satisfactory for clinical use.

• The Journal of Advanced Prosthodontics
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• v.5 no.3
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• pp.319-325
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• 2013

PURPOSE. The objective of this study was to determine the effect of the color of a background substructure on the overall color of a zirconia-based all-ceramic crown. MATERIALS AND METHODS. Twenty one posterior zirconia crowns were made for twenty subjects. Seven premolar crowns and six molar crowns were cemented onto abutments with metal post and core in the first and second group. In the third group, eight molar crowns were cemented onto abutments with a prefabricated post and composite core build-up. The color measurements of all-ceramic crowns were made before try-in, before and after cementation. A repeated measure ANOVA was used for a statistical analysis of a color change of all-ceramic crowns at ${\alpha}$=.05. Twenty four zirconia specimens, with different core thicknesses (0.4-1 mm) were also prepared to obtain the contrast ratio of zirconia materials after veneering. RESULTS. $L^*$, $a^*$, and $b^*$ values of all-ceramic crowns cemented either on a metal cast post and core or on a prefabricated post did not show significant changes (P>.05). However, the slight color changes of zirconia crowns were detected and represented by ${\Delta}E{^*}_{ab}$ values, ranging from 1.2 to 3.1. The contrast ratios of zirconia specimens were 0.92-0.95 after veneering. CONCLUSION. No significant differences were observed between the $L^*$, $a^*$, and $b^*$ values of zirconia crowns cemented either on a metal cast post and core or a prefabricated post and composite core. However, the color of a background substructure could affect the overall color of posterior zirconia restorations with clinically recommended core thickness according to ${\Delta}E{^*}_{ab}$ values.

• The Journal of Advanced Prosthodontics
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• v.7 no.2
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• pp.146-150
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• 2015

PURPOSE. This in vitro study aimed to compare the failure load and failure characteristics of two different zirconia framework designs of premolar crowns when subjected to static loading. MATERIALS AND METHODS. Two types of zirconia frameworks, conventional 0.5 mm even thickness framework design (EV) and 0.8 mm cutback of full contour crown anatomy design (CB), were made for 10 samples each. The veneer porcelain was added on under polycarbonate shell crown made by vacuum of full contour crown to obtain the same total thickness of the experiment crowns. The crowns were cemented onto the Cobalt-Chromium die. The dies were tilted 45 degrees from the vertical plane to obtain the shear force to the cusp when loading. All crowns were loaded at the lingual incline of the buccal cusp until fracture using a universal testing machine with cross-head speed 0.5 mm/min. The load to fracture values (N) was recorded and statistically analyzed by independent sample t-test. RESULTS. The mean and standard deviations of the failure load were $1,170.1{\pm}90.9$ N for EV design and $1,450.4{\pm}175.7$ N for CB design. A significant difference in the compressive failure load was found (P<.05). For the failure characteristic, the EV design was found only cohesive failures within veneering porcelain, while the CB design found more failures through the zirconia framework (8 from 10 samples). CONCLUSION. There was a significant difference in the failure load between two designs, and the design of the framework influences failure characteristic of zirconia crown.

• The Journal of Advanced Prosthodontics
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• v.5 no.2
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• pp.92-97
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• 2013

PURPOSE. All-ceramic crowns are subject to fracture during function. To minimize this common clinical complication, zirconium oxide has been used as the framework for all-ceramic crowns. The aim of this study was to compare the fracture strengths of two computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia crown systems: Lava and Digident. MATERIALS AND METHODS. Twenty Lava CAD/CAM zirconia crowns and twenty Digident CAD/CAM zirconia crowns were fabricated. A metal die was also duplicated from the original prepared tooth for fracture testing. A universal testing machine was used to determine the fracture strength of the crowns. RESULTS. The mean fracture strengths were as follows: $54.9{\pm}15.6$ N for the Lava CAD/CAM zirconia crowns and $87.0{\pm}16.0$ N for the Digident CAD/CAM zirconia crowns. The difference between the mean fracture strengths of the Lava and Digident crowns was statistically significant (P<.001). Lava CAD/CAM zirconia crowns showed a complete fracture of both the veneering porcelain and the core whereas the Digident CAD/CAM zirconia crowns showed fracture only of the veneering porcelain. CONCLUSION. The fracture strengths of CAD/CAM zirconia crowns differ depending on the compatibility of the core material and the veneering porcelain.

• Journal of Technologic Dentistry
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• v.38 no.3
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• pp.111-117
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• 2016

Purpose: The present study was performed to investigate the effect of abutment inclined angle on the marginal fit of zirconia all-ceramic crown. Methods: The Ti abutments with 3 different inclined angle($2^{\circ}$, $4^{\circ}$ and $6^{\circ}$) were fabricated. The zirconia copings were fabricated for each abutment by using dental CAD/CAM system. The manufactured zirconia copings were duplicated through silicone replica technique, and a replicated specimen was sectioned in the center of bucco-lingual and mesio-distal axial to measure the marginal fit by using a stereo microscope. The results were analyzed using a one-way ANOVA with SPSS 22.0 for Windows(${\alpha}=0.05$). Results: On the bucco-lingual axial, marginal fit was the RL3($41.5{\pm}3.4{\mu}m$), RL2($44.3{\pm}4.3{\mu}m$) and RL1($47.5{\pm}5.7{\mu}m$), respectively. On the mesio-distal axial, marginal fit was the RL3($41.1{\pm}3.7{\mu}m$), RL2($45.7{\pm}5.3{\mu}m$) and RL1($46.2{\pm}4.5{\mu}m$), respectively. One-way ANOVA showed statistically significant difference between groups for marginal fit(p<0.05). Conclusion: For marginal fit of the abutments inclined angle, RL3 specimen was superior. The abutment inclined angle had influence on marginal fit of the zirconia copings. The marginal fit of each group were within clinically acceptable range.

• The Journal of Advanced Prosthodontics
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• v.2 no.2
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• pp.33-38
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• 2010

PURPOSE. Marginal fit is a very important factor considering the restoration's long-term success. However, adding porcelain to copings can cause distortion and lead to an inadequate fit which exposes more luting material to the oral environment and causes secondary caries. The purpose of this study was to compare the marginal fit of 2 different all-ceramic crown systems before and after porcelain veneering. This study was also intended to verify the marginal fit of crowns originated from green machining of partially sintered blocks of zirconia (Lava CAD/CAM system) and that of crowns obtained through machining of fully sintered blocks of zirconia (Digident CAD/CAM system). MATERIALS AND METHODS. 20 crowns were made per each system and the marginal fit was evaluated through a light microscope with image processing (Accura 2000) at 50 points that were randomly selected. Each crown was measured twice: the first measurement was done after obtaining a 0.5 mm coping and the second measurement was done after porcelain veneering. The means and standard deviations were calculated and statistical inferences among the 2 groups were made using independent t-test and within the same group through paired t-test. RESULTS. The means and standard deviations of the marginal fit were $61.52{\pm}2.88{\mu}m$ for the Digident CAD/CAM zirconia ceramic crowns before porcelain veneering and $83.15{\pm}3.51{\mu}m$ after porcelain veneering. Lava CAD/CAM zirconia ceramic crowns showed means and standard deviations of $62.22{\pm}1.78{\mu}m$ before porcelain veneering and $82.03{\pm}1.85{\mu}m$ after porcelain veneering. Both groups showed significant differences when analyzing the marginal gaps before and after porcelain veneering within each group. However, no significant differences were found when comparing the marginal gaps of each group before porcelain veneering and after porcelain veneering as well. CONCLUSION. The 2 all-ceramic crown systems showed marginal gaps that were within a reported clinically acceptable range of marginal discrepancy.