• Title/Summary/Keyword: ceramic restoration

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CEREC 3D System을 이용한 당일수복 (one-day treatment) 임상증례

  • Jeong, Hyo-Gyeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.17 no.1
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    • pp.23-30
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    • 2008
  • Application of CAD/CAM is changing the way partial or full veneer all ceramic restoration is made. CAD/CAM systems, which were used mainly in other industries, have been developed and introduced for the dental purposes recently. It produced a flood of information on the CAD/CAM systems. It also influenced the development of restorative materials and all ceramic is substituting the traditional restorative materials of gold, composite resin and metal. Price increase of gold and other raw materials made the all ceramic more appealing. The introduction of a CEREC 3D system was innovative in several ways. Image of the prepared tooth is captured by camera and impression taking is unnecessary. Restoration can be delivered to the patient on one appointment and it will satisfy the demand of busy patients. One-day treatment with direct CAD/CAM system saves time compared to indirect CAD/CAM system. More superior restoration can be produced if lab work such as the adaptability check and shade selection is cooperated with lab technician. Short working time and comparably superior shade compatibility of color block was close to ideal. In the future, restorations with better quality can be fabricated in less time to busy patients thanks to the development of CAD/CAM system and dental materials.

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Endocrown restorations for extensively damaged posterior teeth: clinical performance of three cases

  • Tzimas, Konstantinos;Tsiafitsa, Maria;Gerasimou, Paris;Tsitrou, Effrosyni
    • Restorative Dentistry and Endodontics
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    • v.43 no.4
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    • pp.38.1-38.9
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    • 2018
  • The restoration of endodontically treated teeth (ETT) with more than one cusp missing and thin remaining walls is challenging for the general practitioner. The use of posts combined with full coverage restorations is a well-established approach, yet not following the minimal invasive principles of adhesive dentistry. Endocrowns are indirect monoblock restorations that use the pulp chamber of the ETT for retention. In this study the fabrication of 4 endocrowns and their clinical performance will be discussed. Two clinical cases include computer-aided design/computer-aided manufacturing manufactured molar endocrowns (one feldspathic ceramic and one hybrid composite-ceramic restoration) and the other two are dental laboratory manufactured resin composite premolar endocrown restorations. The modified United States Public Health Service criteria were used to assess the clinical behavior of the restorations at different follow up periods. Endocrown restorations present a satisfactory clinical alternative, either by the use of resin composite or glass ceramic and hybrid materials. Specific guidelines with minimal alterations should be followed for an endocrown restoration to be successful. Due to limited evidence regarding the long term evaluation of this restorative technique, a careful selection of cases should be applied.

The Effect of Repeated Firing on the Color Difference of a Metal-Ceramic System with Different Porcelain Powder (다른 특성을 가지는 도재가 반복소성에 따라 색조변화에 미치는 영향)

  • Hwang, Jae-Sun
    • Journal of Technologic Dentistry
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    • v.31 no.1
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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.

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Esthetic Restoration Using Targis & Vectris System (TARGIS & VECTRIS SYSTEM을 이용한 심미적 수복)

  • Choi, H.S.;Hwang, J.W.;Shin, S.W.;Suh, K.W.
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.7 no.1
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    • pp.18-26
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    • 1998
  • The improvement of esthetic dentistry has been accelerated from the development of composite resin and dentin-enamel adhesive since 1980's. The indirect composite resin restorations have more accurate proximal contact point and occlusal form than direct restoration. And the side effect of resin shrinkage is minimal because the amount of composite used in oral cavity is limited in cement space. As a results, marginal leakage, hypersensitivity, secondary caries, and discoloration are significantly diminished. The first generation laboratory composite resin used in indirect resin restoration had been widespread in 1980's and the second generation laboratory composite resins were developed in 1990's. The second generation laboratory composite resins are called Ceramic Polymer. The physical properties of Ceramic Polymer are improved because of high content of inorganic filler, and the esthetics and biocompatibility are better than that of the first generation resin. So the application range using composite resin have been broadened. The purpose of this paper is to introduce Targis & Vectris system that is classified to second generation laboratory composite and to report several cases in which the system was utilized for restoration.

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Full-mouth rehabilitation with pressed ceramic technique using provisional restorations (Pressed ceramic technique을 이용하여 제작되는 완전 도재관 완전 구강 회복 증례)

  • Roh, Hyun-Sik;Woo, Yi-Hyung;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.1
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    • pp.47-51
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    • 2013
  • With the introduction of dental implants, restoration of missing teeth with conventional fixed or removable partial dentures is being replaced with implants. Especially, with young patients, not only longevity but also esthetic factors need to be considered. Implant restorations provide long-term success functionally but, esthetic complications such as, marginal exposure due to gingival recession, loss of the papilla and dark color of metal abutments may occur. Recently, zirconia restorations with CAD/CAM technology provide functional, biocompatible and esthetic restorations possible. All-ceramic restorations using the pressed ceramic technique show better fracture toughness values than those of the conventional porcelain veneering technique. Pressed ceramic technique creates the veneer design in wax and the lost wax technique is used to create the restoration. The final contour of the restoration may be controlled during wax-up. A 22-year old female patient was restored with dental implants and zirconia restorations using the pressed ceramic technique presenting short-term but optimistic prognosis.

Study on the Chemically Method of Epoxy Restoration Material in Antic Ceramics and Stabilization of Their Materials (토기.도자기 복원에 사용된 에폭시 복원재료의 화학적 제거방법과 그 안정성에 관한 연구)

  • Han, Won-Sik;Bae, Jin-Soo;Park, Gi-Jung;Hong, Tae-Kee;Wi, Koang-Chul
    • Journal of Conservation Science
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    • v.26 no.1
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    • pp.25-32
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    • 2010
  • The yellowing is always occurred phenomena in epoxy restoration material of antic-ceramics. For re-restoration of remains with epoxy restoration material, the epoxy elimination step is the first one in all course of restoration In this paper, the chemically elimination treatments methods of epoxy in various antic-ceramics were discussed. We fabricated the epoxy elimination material for antic-ceramics restoration which were made up Dichloromethane and Dichlormethane based Dimethylformamide solution. Dichloromethane and Dichloromethane + Dimethylformamide mixture were applied to epoxy in various antic-ceramic sample. Particularly, Dichloromethane + Dimethylformamide solution had the best result in variation of color change, gloss, vending strength, weight, exfoliation time test after deposition in this solution. Dichloromrthane had the volume increase characteristics for epoxy material and Dimethylformamide had the mollification ones. So, Dichloromathane increased exfoliation in approximal surface of the epoxy material and antic ceramic, and Dimethylformamide decreased the surface hardness of epoxy. In this result, epoxy material even inside of ceramic that have very weak inside bonding is adaptable and stable eliminated. And in order to show the perfect elimination of this material, we successfully dissolve the epoxy restoration material in one antic pottery that is in one university museum's possession using this mixture. So, there is guarantee in the eternity and stabilization of restoration for antic-ceramics.

Esthetic Full Zirconia Fixed Detachable Implant-Retained Restorations Manufactured from Monolithic Zirconia : Clinical Report (Monolithic zirconia framework으로 제작된 fixed detachable prostheses를 이용한 심미적인 임플란트 전악 수복 증례)

  • Hong, Jun-Tae;Choi, Yu-Sung;Han, Se-Jin;Cho, In-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.253-268
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    • 2012
  • Full-mouth reconstruction of a patient using dental implants is a challenge if there is vertical and horizontal bone resorption, since this includes the gingival area and restricts the position of the implants. however, hard- and soft-tissue grafting may allow the implants to be placed into the desired position. Although it is possible to regenerate lost tissues, an alternative is to use fixed detachable prostheses that restore the function and the esthetics of the gingiva and teeth. Various material combinations including metal/acrylic, metal/ceramic, and zirconia/ceramic have been used for constructing this type of restoration. Other problems include wear, separation or fracture of the resin teeth from the metal/acrylic prosthesis, chipping or fracture of porcelain from the metal/ceramic or zirconia/ceramic prosthesis, and fracture of the framework in some free-end prostheses. With virtually unbreakable, chip-proof, life-like nature, monolithic zirconia frameworks can prospectively replace other framework materials. This clinical report describes the restoration of a patient with complete fixed detachable maxillary and mandibular prostheses made of monolithic zirconia with dental implants. The occluding surfaces were made of monolithic zirconia, to decrease the risk of chipping or fracture. The prostheses were esthetically pleasing, and no clinical complications have been reported after two years.