• 대한치과보철학회지
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• 제40권4호
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• pp.365-373
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• 2002

The purpose of this study was to investigate the effects of desensitizer on shear bond strength of adhesive resin cements for all ceramic crown. For this study, Gluma $desensitizer^{(R)}$(Heraeus Kulzer, Germany) and MS $Coat^{(R)}$(Sun medical, Japan) were used as desensitizer, and Bistite $II^{(R)}$ resin cement(Tokuyama, Japan) and Variolink $II^{(R)}$ resin cement (Ivoclar, Liechtenstein) were used. IPS Empress ceramics were bonded to dentin surfaces after application of desensitizer and shear bond strength of specimens were measured using UTM(Zwick 1456 41. Zwick, Germany) at a crosshead speed of 1mm/min. The obtained results were as follows : 1. The shear bond strength of both resin cements were not affected by Gluma $desensitizer^{(R)}$ containing HEMA 2. The shear bond strength of Bistite $II^{(R)}$ resin cement was significantly decreased by MS $Coat^{(R)}$. 3. The failure mode in MS $Coat^{(R)}-Bistite \;II^{(R)}$ group was mainly adhesive type between dentin and resin cement. but that of Gluma $desensitizer^{(R)}$-Variolink $II^{(R)}$ group was mainly mixed type, combined adhesive failures between dentin and resin cement or porcelain and resin cement.

• 대한치과기공학회지
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• 제35권2호
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• pp.137-142
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• 2013

Purpose: This study was to observe the surface and interfacial characteristic of Zirconia by surface treatment. And it was observed the roughness and contact angle according to processing, and the interfacial properties by surface treatment on zirconia. Methods: The oxide formation and ion diffusion between core and veneer ceramic were determined by the X-ray Dot Mapping of EPMA(Electron probe micro analyzer). The roughness was measured by 3D Digital microscope and the contact angle according to processing of zirconia was observed using distilled water on the surface. Results: The surface roughness of the specimens Z04, Z12, Z15 was measured $0.67({\pm}0.03){\mu}m$, $0.50({\pm}0.12){\mu}m$, $0.35({\pm}0.09){\mu}m$, respectively. As results of contact angle test, Z04, Z12, Z15 of specimen group without binder treatment was measured $46.79({\pm}3.17)^{\circ}$, $57.47({\pm}4.83)^{\circ}$, $56.19({\pm}2.66)^{\circ}$, respectively. but, L04, L12, L15 of specimen group without binder treatment was measured $63.84({\pm}2.20)^{\circ}$, $66.08({\pm}0.16)^{\circ}$, $65.10({\pm}1.01)^{\circ}$, respectively. Average contact angle of L15 was measured $65.10({\pm}1.01)^{\circ}$. In X-ray Dot Mapping results, thickness of binder including Al element was measured that each of L04, L12, L15 were $20{\mu}m$, $15{\mu}m$, $10{\mu}m$. Conclusion: The more rough surface increases the wettability, but the sintered exclusive binder decreases the wettability.

• Restorative Dentistry and Endodontics
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• 제39권2호
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• pp.120-125
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• 2014

Use of an apical plug in management of cases with open apices has gained popularity in recent years. Biodentine, a new calcium silicate-based material has recently been introduced as a dentine substitute, whenever original dentine is damaged. This case report describes single visit apexification in a maxillary central incisor with necrotic pulp and open apex using Biodentine as an apical barrier, and a synthetic collagen material as an internal matrix. Following canal cleaning and shaping, calcium hydroxide was placed as an intracanal medicament for 1 mon. This was followed by placement of small piece of absorbable collagen membrane beyond the root apex to serve as matrix. An apical plug of Biodentine of 5 mm thickness was placed against the matrix using pre-fitted hand pluggers. The remainder of canal was back-filled with thermoplasticized gutta-percha and access cavity was restored with composite resin followed by all-ceramic crown. One year follow-up revealed restored aesthetics and function, absence of clinical signs and symptoms, resolution of periapical rarefaction, and a thin layer of calcific tissue formed apical to the Biodentine barrier. The positive clinical outcome in this case is encouraging for the use of Biodentine as an apical plug in single visit apexification procedures.

• 대한치과기공학회지
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• 제36권3호
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• pp.159-164
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• 2014

Purpose: The purpose of this study was analysis of quality of fixed prostheses fabricated by dental CAD/CAM system. Methods: The ten same cases of stone models were manufactured by dental scannable model, and stone models were scanned using the dental scanner for changing digital model. Ten digital models were completed. The design of zirconia core for zirconia based all-ceramic crown was conducted by the dental CAD program. The samples were fabricated using the pre-sintered zirconia block by dental milling machine. Marginal gaps were analyzed using by silicone replica technique at the eight parts for quality analysis of samples. One-way ANOVA was used for statistical analysis(${\alpha}=0.05$). Results: The mean for marginal gaps were $93.2{\sim}99.1{\mu}m$ at the eight parts. One-was ANOVA didn't show significant differences(p=0.089). Conclusion: The fixed dental prostheses fabricated by dental CAD/CAM were within clinically acceptable range.

• 대한치과보철학회지
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• 제35권3호
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• pp.544-556
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• 1997

All ceramic restorations except In-Ceram Alumina system gave a good esthetics and an exellent marginal fidelity. The flexural strength of them had about 150MPa, so the indication is only single crown. By using In-ceram Alumina System(450Mpa), it is thought to be possible to construct bridge for its high flexural strength. But the prognosis is unclear, The purposes of this study are to clear short term prognosis of In-Ceram bridge restorations, to elucidate its clinical significance. Among 22 In-Ceram Bridge restored in our department, 11 In-Ceram bridges with follow up were used. The period of placement is from 1 to 18 months. The results were as follows : 1. Among follow up 11 bridges, 2 bridges were fractured. One is 4 unit in maxillary lateral incisors, the other is 3 unit bridge in maxillary canine and premolar. Including 11 bridge without follow up, failure rate is very low(2/22). 2. The fracture sites are connector areas between abutment and pontic. To maintain In-Ceram bridge for long term period, it is needed to remove the nonphysiologic occlusal force and to have sufficient thickness of alumina core. For estabilishing clinical use of In-Ceram bridges, it is thought to need clinical research during long term period.

• 대한치과보철학회지
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• 제51권3호
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• pp.160-166
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• 2013

연구 목적: 본 연구의 목적은 전통적인 금속도재관과 완전 지르코니아 크라운의 교합면 두께에 따른 파절강도를 비교하는 것이다. 연구 재료 및 방법: 하악 제1대구치에 해당하는 레진치를 교합면 1.5 mm, 변연은 1.0 mm 폭의 rounded shoulder로 하고 축면 경사각이 $6^{\circ}$가 되도록 삭제하여 금속 다이 64개를 제작하였다. 완전 지르코니아 크라운은ZIRKONZAHN CAD/CAM을 이용하여 Prettau zirconia blanks를 절삭하여 48개의 크라운을 제작하고 교합면 교두정의 두께에 따라 6개 군으로 분류하였다(0.5 mm, 0.6 mm, 0.7 mm, 0.8 mm, 0.9 mm, 1.0 mm). 16개의 금속도재관을 제작하여 교합면 교두정 도재의 두께에 따라 2개 군으로 분류하였다(1.0 mm, 1.5 mm). 완성된 완전 지르코니아 크라운과 금속도재관은 만능시험기 상에서 치아 교합면에 수직으로 하중이 가하도록 하여 파절강도를 측정하였다. One-way ANOVA, Tukey multiple comparison test (${\alpha}=.05$)와 t-test (${\alpha}=.05$)로 검정하였다. 결과: 본 연구의 결과는 다음과 같다. 1. 실험 1군은 가장 낮은 값(646.48 N)을 나타내었고(P<.05), 실험 2, 3, 4, 5군은 교합면의 두께가 증가할수록 파절강도는 증가하였지만 (866.40 N, 978.82 N, 1196.82 N, 1222.41 N) 통계적으로 유의한 차이를 나타내지 않았다(P>.05). 실험 6군은 다른 군보다 통계적으로 유의하게 가장 높은 값(1781.24 N)을 나타내었다(P<.05). 2. 대조군의 파절강도는 도재의 두께가 1.0 mm와 1.5 mm일때각각2515.71 N, 3473.31 N이며 이는 통계적으로 유의한 차이를 나타내지 않았다(P>.05). 결론: 완전 지르코니아 크라운은 대구치부에서 최대교합력보다 높은 파절강도를 갖기 위해서는 1.0 mm이상의 두께가 필요하다.

• 대한치과보철학회지
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• 제35권1호
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• pp.221-243
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• 1997

The objective of this study was to characterize the mechanical properties of $Y_{2}O_{3}$-containing glass infiltrated ceramic core material, which was made by pressureless powder packing method. A pure alumina powder with a grain size of about $4{\mu}m$ was packed without pressure is silicon mold to form a bar shaped sample, and applied PVA solution as a binder. Samples were sinterd at $1350^{\circ}C$ for 1 hour. After cooling, $Y_{2}O_{3}$-containing glass($SiO_{2},\;Y_{2}O_{3},\;B_{2}O_{3},\;Al_{2}O_{3}$, ect) was infiltrated to the sinterd samples at $1300^{\circ}C$ for 2 hours and cooled. Six different proportions $Y_{2}O_{3}$ of were used to know the effect of the mismatch of the thermal expansion coefficient between alumina powder and glass. The samples were ground to $3{\times}3{\times}30$ mm size and polished with $1{\mu}m$ diamond paste. Flexural strength, fracture toughness, hardness and other physical properties were obtained, and the fractured surface was examined with SEM and EPMA. Ten samples of each group were tested and compared with In-Ceram(tm) core materials of same size made in dental laboratory. The results were as follows : 1. The flexural strengths of group 1 and 3 were significantly not different with that of In-Ceram, but other experimental groups were lower than In-Ceram. 2. The shrinkage rate of samples was 0.42% after first firing, and 0.45% after glass infiltration. Total shrinkage rate was 0.87%. 3. After first firing, porosity rate of experimental groups was 50%, compared with 22.25% of In-Ceram. After glass infiltration, porosity rate of experimental groups was 2%, and 1% in In-Ceram. 4. There was no statistical difference in hardness between two materials tested, but in fracture toughness, group 2 and 3 were higher than In-Ceram. 5. The thermal expansion coefficients of experimental groups were varied to $4.51-5.35{\times}10^{-6}/^{\circ}C$ according to glass composition, also the flexural strengths of samples were varied. 6. In a view of SEM, many microparticles about $0.5{\mu}m$ diameter and $4{\mu}m$ diameter were observed in In-Ceram. But in experimental group, the size of most particles was about $4{\mu}m$, and a little microparticles was observed. The results obtained in this study showed that the mismatch of the thermal expansion coefficients between alumina powder and infiltrated glass affect the flexural strength of alumin/glass composite. The $Y_{2}O_{3}$-containing glass infiltrated ceramic core made by powder packing method will takes less time and cost with sufficient flexural strength similar to all ceramic crown made with slip casting technique.

• 한국콘텐츠학회논문지
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• 제10권11호
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• pp.228-234
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• 2010

치과도재용 합금으로 사용되는 합금 중 베릴륨이 함유된 비귀금속 Ni-Cr합금과 베릴륨이 함유되지 않은 비귀금속 Ni-Cr합금 그리고 베릴륨이 함유되지 않은 비귀금속 Co-Cr 합금과 세라믹간의 결합강도와 파절양상 그리고 계면특성을 분석하고자 하였다. 결합강도는 만능시험기를 이용하여 전단력시험을 통하여 전단결합력을 측정하였으며, 전단시험에 의한 파단면을 이용하여 파절양상을 관찰하였다. 그리고 합금-도재간의 계면을 관찰하였다. 전단결합강도 측정 결과, 베릴륨이 포함된 T-3가 41.13(${\pm}5.11$)MPa로 가장 높게 나타났으며, 베릴륨이 포함된 VeraBond(40.72(${\pm}5.98$)MPa), Co-Cr 합금인 Wirobond(38.40(${\pm}9.66$)MPa), 베릴륨이 포함되지 않은 Verabond 2V(32.77(${\pm}4.31$)MPa), Bellabond N(28.63(${\pm}6.39$)MPa), Bellabond plus(24.97(${\pm}6.13$)MPa), Argeloy N.P. Star(22.69(${\pm}3.41$)MPa) 순으로 나타났다. 비귀금속 합금들과 세라믹간의 파절양상은 모든 시편에서 금속표면에 세라믹이 일부 부착된 복합파절(mixed failure) 양상을 보였다.

• 구강회복응용과학지
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• 제36권4호
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• pp.254-261
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• 2020

목적: 본 연구의 목적은 서로 다른 제작 방법인 절삭 가공과 적층 가공 기술로 제작된 임시 보철물의 변연 및 내면 적합도를 평가하는 것이다. 연구 재료 및 방법: 상악 우측 제1대구치를 도재 수복을 위한 지대치 모형으로 준비하였다. 석고를 이용하여 총 40개의 실험 모형으로 복제하였고, 각각의 실험 모형을 구강 스캐너를 사용하여 스캔 데이터를 획득하였다. 3종의 3D 프린터(Meg-printer 2; Megagen, Zenith U; Dentis 그리고 Zenith D; Dentis) 및 1종의 밀링 장비(imes-icore 450i; imes-icore GmbH)를 사용하여 각 그룹당 10개의 임시 보철물을 제작하였다. 임시 보철물의 내면에 실리콘을 채우고 모형에 적합하여 중합이 완료된 후, 실리콘으로 내면이 복제되어 있는 실험 모형을 구강 스캐너를 사용하여 스캔 데이터를 획득하였다. 3차원 검사 소프트웨어(Geomagic control X; 3D Systems)를 이용하여 변연 간격, 절대 변연 간격, 섐퍼, 축벽, 교두, 교합 영역의 적합도를 분석하였다. 통계 분석은 제작 방법의 차이를 비교하기 위해서 Kruskal-Wallis test를 사용하여 검증하였으며, 사후 검정을 위해서 Mann-Whitney U-test and Bonferroni correction method을 사용하였다(α = 0.05). 결과: 3종의 3D 프린터와 1종의 밀링 장비에서 제작된 임시 보철물의 절대 변연 간격은 유의한 차이를 보이지 않았다(P = 0.812). 축벽, 교합 간격에서 밀링 장비와 3D 프린터 사이에 유의한 차이를 보였다(P < 0.001). 결론: 3종의 3D 프린터로 제작된 임시 보철물의 변연 적합도는 모두 임상적 허용 범위(< 120 ㎛)에 있었으므로, 적합도 측면에서 본다면 임시 보철물 제작을 위해서 충분히 사용될 수 있다.

• 대한치과보철학회지
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• 제36권6호
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• pp.888-899
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• 1998

In-Ceram system is one of contemporary esthetic all ceramic restorations and has relatively high flexural strength. The purpose of this study was to evaluate the marginal fidelity according to type of resin cement and measuring position, and to evaluate fracture strength according to type of resin cement. In this study, twenty seven In-Ceram crowns were fabricated on the metal master die of prepared maxillary right central incisor and devided into three groups. All specimens were cemented with Panavia 21 (group PV), Super-bond (group SB) and Lute-it (group LI) on the metal master die. After cementation, specimens were measured marginal gap between the margin of the In-Ceram crown and the finishing line of metal master die by using a stereomicroscope (SZ-ST, Olympus, Japan). Marginal gaps were recorded at the labial, lingual, mesial and distal measuring points on the metal master die. For the mesurement of fracture strength, lingual surfaces of cemented specimens were loaded at a distance of 1mm from incisal edge by using the Autograph S-2000 (Shimadzu, Japan). The results of marginal fidelity and fracture strength were statistically analyzed with the SPSS version 8.0 programs. The results of this study were as follows: 1. In comparison of marginal fidelity according to the measuring points, there was no significant difference. 2. The marginal fidelity according to the type of resin cement was decreased in order of group $LI\;(63.75{\mu}m),\;SB\;(77.78{\mu}m),\;PV\;(86.53{\mu}m)$, and there was significant difference between group LI and PV (p<0.05). 3. The fracture strength according to the type of resin cement was showed descending order of group $LI\;(60.00kg/cm^2),\;SB\;(56.80kg/cm^2),\;PV\;(56.11kg/m^2)$, but there was no significant difference.