• 대한치과보철학회지
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• 제35권2호
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• pp.417-430
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• 1997

The purpose of this study was to compare the fracture resistance of copy-milled and conventional In-Ceram crown. Four groups of ten uniform sized all-ceramic crowns were fabricated. In-Ceram Spinell and In-Ceram Alumina crowns were fabricated as control group, Celay In-Ceram Spinell and Celay In-Ceram Alumina crowns were fabricated as test group. All specimen were cemented on stainless steel master die with resin cement, and stored in $37^{\circ}C$ water for 1 day prior to loading in Instron testing machine. Using a steel ball at a crosshead surfed of 0.5mm/min, the crowns were loaded at $30^{\circ}C$ angle until catastrophic failure occurred. The results obtained were as follows : 1. With the value of $984.8N{\pm}103.67N$, the strength of Celay In-Ceram Alumina crowns had a significantly higher fracture strength than conventional In-Ceram Alumina crowns ($876.2N{\pm}92.20N$) (P<0.05) 2. The fracture strength of Celay In-Ceram Spinell crowns($706.3{\pm}70.59N$) was greater than that of conventional In-Ceram Spinell crowns($687.4{\pm}90.26N$), but there was no significant difference(P>0.05). 3. The In-Ceram Alumina crowns had a significantly higher fracture strength than In-Ceram Spinell crowns in both methods(P<0.05). 4. Ther order of fracture strength was as followed : Celay In-Ceram Alumina, In-Ceram Alumina, Celay In-Ceram Spinell and In-Ceram Spinell crowns

• 대한치과보철학회지
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• 제41권5호
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• pp.582-595
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• 2003

Statement of problem : Most posts are metallic, but in response to the need for a post that possesses optical properties compatible with an all-ceramic crown. an esthetic post has been developed. Although there have been many studies about the esthetic post materials, 3-dimensional finite element studies about the stress distribution of them are in rare. Purpose : The purpose of this study is to investigate comparatively the distribution of stresses of the restored, endodontically treated maxillary incisors with the esthetic post materials and the displacement on the cement layer on simulated occlusal loading by using a 3-dimensional finite element analysis model. Material and method : Four 3-dimensional finite element models were constructed in a view of a maxillary central incisor, a post, a core, and the supporting tissues to investigate the stresses in various esthetic posts and cores and the displacement on the cement layer (Model 1 ; Cast gold post and core, Model 2 ; Glass fiber post with composite core, Model 3 ; Zirconia post with composite core. Model 4 ; Zirconia post with ceramic core). Force of 300N was applied to the incisal edge and the cingulum (centric stop point) with the angle of 135-degree to the long axis of the tooth. Results : 1. The stresses and displacement on the incisal edge were higher than on the cingulum 2. The stresses in dentin were the highest in Model 2 (Glass fiber post with composite core), and the second was Model 3, the third Model 1, and the lowest Model 4. 3. The stresses in post and core were the highest in Model 4 (Zirconia post with ceramic core), and the second was Model 1, the third Model 3, and the lowest Model 2. 4. The displacement on the cement layer was the highest in Model 2 (Glass fiber post with composite core), and the second was Model 3, the third Model 1, and the lowest Model 4. Conclusion : When a functional maximum bite force was applied, the distribution of stresses or the esthetic post and core materials and the displacement on the cement layer were a little different. It seems that restoring extensively damaged incisors with esthetic post and core materials would be decided according to the remaining tooth structure.

• 대한치과보철학회지
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• 제38권2호
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• pp.129-146
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• 2000

An increasing demand for esthetic restorations has led to the development of new ceramic systems. In-Ceram, a glass-infiltrated alumina ceramic has three to few times greater flexural strength than other ceramic glass material. Because of its high strength, In-Ceram has been suggested as inlay, crown, laminate veneer and core material for resin bonded fixed partial dentures. This clinical application requires a stable resin bond to In-Ceram core. The purpose of this study was to evaluate the shear bond strength between In-Ceram core and resin cements according to various surface treatments and storage conditions. The surface of each In-Ceram core sample was subjected to one of the following treatments and then bonded to Panavia 21 or Variolink II resin cement. ; (1) sandblasting with $110{\mu}m$ aluminum oxide powder, (2) sandblasting and silanization, (3) sandblasting and Siloc treatment, (4) sandblasting and Targis link application. Each of eight bonding groups was tested in shear bond strengths after the following storage times and thermocycling. ; A) 24 hours storage in distilled water at $37^{\circ}C$, B) 5 weeks storage in distilled water at $37^{\circ}C$ C) 5 weeks storage in distilled water at $37^{\circ}C$ and thermocycled 2,000 thormocycling for every 10 days(totally 10,000 thermocycting) in $5^{\circ}C-55^{\circ}C$ bath. The bond failure modes were observed with scanning electron microscope(SEM). The results were as fellows : 1 The shear bond strengths of sandblasting group were significantly lesser than the other groups after 24 hours water storage. No significant difference of bonding strengths was found between storage time conditions(24 hours and 5 weeks). The shear bond strengths showed a tendency to decrease in Variolink II bonding groups and to increase in Panavia 21 bonding groups. 3. After thermocycling, the shear bond strengths of all groups were significantly decreased(p<0.01) and Targis link group exhibited significantly greater strengths than the other groups(p<0.05). 4. Panavia 21 bonding groups exhibited significantly greater bonding strengths in sandblasting group(p<0.01) and silane group(p<0.05) than Variolink II bonding groups. 5. In observation of bond failure modes, Targis link group showed cohesive failure in resin part and silane group and Siloc group showed complex failure and sandblasting group showed adhesive failure between In-Ceram and resin.

• 대한치과기공학회지
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• 제35권3호
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• pp.185-192
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• 2013

Purpose: The aim of this study was to compare with color reproducibility of the coating method and dipping method using a colour liquid. Methods: Two groups of square-shaped specimens ($10mm{\times}10mm$ in diameter, 1.5mm thickness) were prepared for analysis(n=15/group). The CM(Coating Method) group was fabricated as full zirconia specimens with the coating coloring method and Group DM(Dipping Method) was prepared as specimens of 0.7 mm-thick zirconia plate using the dipping coloring method and veneered with 0.8mm-thick porcelain. Color parameters were measured with ShadeEye $NCC^{(R)}$ spectrophotometer and color differences were calculated using the equation ${\Delta}E^*= \{({\Delta}L^*)^2+({\Delta}a^*)^2+({\Delta}b^*)^2\}^{1/2}$. Non-parametric statistical methods, the Mann-Whitney test, and the Kruskal-Wallis test were used to analyze the data. Type one error rate was set at 0.05. Results: Color difference values larger than 7 were observed between specimens with the coating method and the dipping method, which were detectable difference in a clinical setting. Conclusion: Cautious application of the coating coloring method in a clinical setting and further researches to standardize the coating method are needed.

• 한국결정성장학회지
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• 제12권5호
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• pp.234-239
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• 2002

하소온도를 $1000^{\circ}C$ ~ $1300^{\circ}C$ 로 변화시킨 스피넬 분말을 용융침투법으로 스피넬-유리 치관용 복합체를 제조하여 하소온도가 복합체에 기계적 특성에 미치는 영향을 조사하였다. 하소온도가 상관없이 분말의 평균 입도는 2.8 ~3.0 $\mu$m로 유지하다가 $1300^{\circ}C$ 에서 4.66 $\mu$m로 증가하였다. 하소온도가 증가하메 따라 전성형체의 수축률과 기공크기는 각각 감소하고 증가하였다. 따라서, 하소온도에 의한 분말의 입도 및 입도 분포가 치밀화에 지대한 영향을 미치는 것으로 추정된다. 최적의 기계적 특성을 가진 스피넬-유리 복합체의 하소온도는 $1200^{\cire}C$이었으며, 강도와 인성 값은 각각 284$\pm$40 MPa, 2.5$\pm$0.1 MPa $m^{1/2}$이었다. 투광성 실험결과, 상용 알루미나-유리 복합체보다 가시광선 영역에서 투과율이 두배이상 우수한 심미성이 관찰되었다.

• 대한치과보철학회지
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• 제46권1호
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• pp.22-30
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• 2008

최근 CAD/CAM 시스템을 이용하여 제작된 지르코니아 코어의 사용이 증가하고 있다. 하지만 국내 기술력을 이용한 제품에 대한 연구는 아직 미흡한 단계이다. 본 연구의 목적은 3종의 CAD/CAM 시스템에서 단일 전부 도재관을 위한 지르코니아 코어의 파절 강도를 비교하는 것이다. 본 연구를 위해 상악 중절치 부위의 전부도재관을 위한 30개의 지르코니아 코어를 제작하였다. 각 군은 다음과 같다. 1. $Adens^{(R)}$ CAD/CAM 시스템 군, 2. $Cerasys^{(R)}$ CAD/CAM 시스템 군, 3. $Lava^{(R)}$ CAD/CAM 시스템 군. 모든 시편은 두께 0.5mm, relief $40{\mu}m$로 일관성 있게 제작하였다. 시편은 Z250/SN5S을 이용하여 파절 강도를 측정하였다. 각 군의 평균과 표준편차를 구하고, 각 군간의 유의성을 알아보기 위해 Kruskal waillis test와 Wilcoxon Rank Sum test를 시행하였다. 본 연구 결과, 각 군의 파절 강도는 $Adens^{(R)}$ 시스템은 $615.89{\pm}156.1N$, $Cerasys^{(R)}$ 시스템은 $863.98{\pm}151.5N$, 3M $Lava^{(R)}$ 시스템은 $1143.1{\pm}286.6N$ 이었다. 각 군의 파절 강도는 3M $Lava^{(R)}$ 시스템, $Cerasys^{(R)}$ 시스템, $Adens^{(R)}$ 시스템 순으로 통계학적으로 유의한 수준의 차이를 보였으나, 세 그룹 모두 임상적으로 사용 가능한 결과를 나타냈다. 실제 임상에서 장기간의 사용에 대한 연구가 필요할 것이다.

• 치위생과학회지
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• 제12권4호
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• pp.368-374
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• 2012

제한된 조건 하에서 수행된 본 연구에서 다음과 같은 결론을 얻었다. 1. 치과용 캐드캠을 이용하여 제작된 지르코니아 코어의 변연 및 내면 적합도보다 전통적인 방식을 이용하여 제작한 금속 코어가 모든 부위에서 우수하였다(p<.001). 2. 두 그룹 모두에서 적합도가 가장 미흡한 부분은 절단부였고, 축벽부가 가장 우수한 것으로 확인되었다. 본 연구 결과를 볼 때 아직까지는 치과용 캐드캠을 이용하여 보철물을 제작하는 것이 기존의 기공 방식을 이용하여 제작된 보철물의 적합도만큼 만족스럽지는 못하였으나 임상적 허용 범위 안에 존재하였다는 점에서 치과용 캐드캠은 임상적으로 사용이 가능한 것으로 판단된다. 앞으로 기계가 개선되고 가공 방식이 지금보다 발전한다면 기존의 기공 방식을 이용하여 제작되는 보철물의 완성도를 능가할 것으로 생각된다.

• 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.

• 대한치과보철학회지
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• 제49권3호
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• pp.191-196
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• 2011

연구 목적: 본 연구는 여러 가지 금속-도재 합금의 도재결합강도를 측정하여 임상에 적용하는 것이 적절한지 평가하고자 하였다. 연구 재료 및 방법: 금속도재소부 전장관으로 가장 많이 사용되는 Ni-Cr 합금(Group 1)과 75% 금합금(Group 2) 및 최근 도재금 합금으로 판매되고 있는 52.5% (Group 3), 51.5% (Group 4), 32% (Group 5), 10% 금합금(Group 6)이 시편으로 제작되었다. 시편은 각각 5개씩 제작되었으며, 제작된 시편에 전용 도재를 소성하고 3점 굴곡 시험을 통하여 도재와 각 금속간의 결합강도를 측정하였다. 결과: Group 1의 도재 결합강도가 $40.62{\pm}3.32$ MPa로 다른 실험군의 도재결합 강도에 비해 통계학적으로 유의성 있게 가장 높은 결합강도를 보였고(P<.05), 다음으로 Group 2가 $37.47{\pm}1.57$ MPa, Group 3이 $35.85{\pm}1.48$ MPa, Group 4가 $35.04{\pm}1.34$ MPa, Group 5가 $33.17{\pm}1.62$ MPa, Group 6가 $30.75{\pm}1.21$ MPa 순으로 결합강도가 감소하였다. Group 2, 3, 4 의 도재결합 강도는 Group 6와 통계학적으로 유의성을 보여주고 있으나(Duncan's test, P<.05), Group 3과 4는 Group 5와 서로 유의한 차이를 보이지 않았다(Duncan's test, P>.05). 도재 결합 강도 차이는 금 함량이 높을수록 강도가 높았고, 모든 실험군에서 ISO 9693에서 제시하는 기준치(25 MPa)보다 높은 수치를 나타내었다. 결론: 실험에 포함된 모든 합금들이 임상적으로 사용 가능할 것으로 추정된다.

• 대한치과보철학회지
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• 제48권2호
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• pp.135-142
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• 2010

연구목적: 최근CAD/CAM으로 제작한 지르코니아 코어의 변연적합도에 관한 연구가 많이 진행되었지만, 여러 종의CAD/CAM 시스템의 변연 뿐만 아니라 내면적합도까지 상호 비교한 연구는 아직 미흡한 실정이다. 따라서 본 연구에서는 3종의CAD/CAM 시스템으로 제작한 전치부 단일 치아 지르코니아 코어의 변연 및 내면적합도를 Replica technique을 이용해 평가하고자 하였다. 연구 재료 및 방법:3종의CAD/CAM 시스템 (Cerasys $system^{(R)}$, KaVo $Everest^{(R)}$, $LAVA^{TM}$)을 이용하여, 시스템 별로 5개씩의 단일치아 지르코니아 코어를 제작하였다. 제작된 지르코니아 코어를 레플리카 테크닉 (Replica Technique)을 이용해 복제하고 복제된 시편을 협설, 근원심으로 정중앙을 절단하여 변연 및 내면의 간격을 측정하였다. Measuring microscope ($AXIO^{(R)}$)를 이용하여 50배 확대하여 촬영하고 $I-Solution^{(R)}$을 이용하여 측정하였고, ANOVA를 이용하여 통계적으로 분석하였다. 결과:지르코니아코어의 평균 변연간격은 $Cerasys^{(R)}$가 $84.74{\pm}27.57{\mu}m$, KaVo $Everest^{(R)}$가 $80.23{\pm}21.07{\mu}m$, $Lava^{TM}$가 $96.37{\pm}11.45{\mu}m$이었고 평균내면간격은각각 $Cerasys^{(R)}$는 $94.99{\pm}18.74{\mu}m$, KaVo $Everest^{(R)}$는 $92.31{\pm}25.18{\mu}m$, $LAVA^{TM}$는 $94.99{\pm}18.74{\mu}m$이었으며, 세 시스템간의 변연 및 내면간격의 평균적인 적합도에서 통계적 유의차는 없었다. 변연 및 내면간격의 비교에서는 KaVo $Everest^{(R)}$가 $LAVA^{TM}$보다 전반적으로 내면간격이 작은 것으로 보였다 (P< .05). 내면간격 중 절단부위의 간격은 세 시스템에서 공통적으로 다른 부위보다 크게 나타났다. 결론:본 연구에서 $Cerasys^{(R)}$, KaVo $Everest^{(R)}$, $LAVA^{TM}$시스템의 변연적합도는 차이가 없었고, 내면적합도는 KaVo $Everest^{(R)}$가 $LAVA^{TM}$ 보다 적었으나 세 시스템에서 공통적으로 절단부위 간격이 크게 나타났다. 세 시스템 모두 변연적합도 및 내면적합도가 임상적으로 허용범위 내에 있었다.