• 구강회복응용과학지
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• 제39권3호
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• pp.158-167
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• 2023

최근 치의학 분야에서 디지털 기술이 발달함에 따라 computer-aided design-computer-aided manufacturing (CAD/CAM)을 이용한 의치 제작 진료 단계의 변화를 가져왔다. CAD/CAM 기술을 이용한 의치 제작 방식은 제작기간과 내원 간격의 단축으로 임상적인 효율성과 편리함을 제공함과 동시에 기공을 단순화하여 오류 발생을 감소시켰다. 본 증례는 복잡한 병력과 신체적 장애를 가진 환자에게 기존의 임시의치를 디지털 방식으로 복제 및 출력하여 개인 트레이로 활용하였고, 부가중합형 실리콘 인상재로 채득한 최종 인상체에는 수직고경과 중심위, 상악 전치부의 각도 및 길이에 대한 정보가 포함되어 있으며 이를 통해 제작 기간과 내원 간격을 단축하여 환자의 만족도를 높일 수 있었다. 최종 의치는 밀링 방식 및 monolithic disc를 이용하여 제작하였고, 적절한 안정과 유지, 지지를 보여 기능적, 심미적으로 만족스러운 결과를 얻을 수 있었다.

• 대한치과기공학회지
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• 제37권1호
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• pp.1-7
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• 2015

Purpose: The aim of this study was to evaluate the marginal and internal gap of wax copings fabricated from extraoral scanning with intraoral scanning. Methods: Fifteen study models(abutment of teeth 16) were made by PMMA. STL files of thirty abutment were prepared by intraoral scanning with extraoral scanning. Wax copings of thirty fabricated using CAD/CAM system. Marginal and internal gap of wax copings of thirty were measured by silicone replica technique and digital microscope(${\times}140$). Date were analyzed by using independent samples t-test. Results: Mean (SD) of two group were measured $55.61(27.42){\mu}m$ for totally gap of ES group and $60.67(33.14){\mu}m$ for totally gap of IS group. But marginal and internal gap of two group were not differences statistically significant(p>0.05). Conclusion: Evaluation of marginal and internal gap of two group showed that no differences statistically significant and clinically acceptable results.

• 구강회복응용과학지
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• 제36권2호
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• pp.128-137
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• 2020

지난 30년동안, CAD/CAM 시스템을 이용한 수복 시스템은 눈부시게 발전하였다. 구치부 수복에서 널리 쓰이던 것과는 달리, 환자와 임상가의 심미적인 요구를 충족해야 하는 전치부 수복 증례에서는 CAD/CAM 시스템을 이용하는데 다소 한계가 있었다. 단일 색조를 가지는 CAD/CAM 수복물에 다양한 색조를 부여하기 위해, A2 lithium disilicate (LS2) 블록에 staining kit를 이용하여 색조 개별화를 시행하여 다양한 색조를 표현하는 예비실험을 시행하였다. 색조 개별화를 진행한 시편을 spectrophotometer를 이용하여 CIE L^*a^*b^* 값을 측정한 후, 임상에서 널리 사용되고 있는 shade guide와 비교하였다. 예비 실험 결과를 바탕으로 2명의 환자의 전치부 수복시, 치아의 부위별 색조 재현과 표면 특성의 개별화를 진행한 증례를 소개한다. 수복물의 해부학적 형태는 CAD/CAM 시스템에서 '복사 및 붙여넣기 기능'과 '거울상 획득 기능'을 이용하여 디자인하였으며, 이 연구에서 소개하는 모든 임상 및 수복물의 기공과정은 진료실 내에서만 이루어졌다.

• 대한치과의사협회지
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• 제49권5호
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• pp.260-264
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• 2011

Zirconia ($ZrO_2$) is a crystalline dioxide of zirconium. Dental zirconia blocks for CAD/CAM are usually fabricated with powders of tetragonal zirconia polycrystals (TZP) stabilized with 3mol% yttria. Because of its mechanical properties similar to those of metals and color similar to tooth, it is evaluated to attain the two purposes at a time, strength and aesthetic in prosthetic dentistry. The ability of transformation of Y-TZP from tetragonal to monoclinic helps to prevent crack propagation and contributes the increase of strength and fracture toughness. Two different types of blocks, soft and hard, are used to prepare the zirconia frameworks. The fuzzy-sintered block is difficult in machining, so pre-sintered soft 3Y-TZP block is usually used to mill by computer aided machining.

• 대한치과의사협회지
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• 제54권2호
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• pp.123-133
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• 2016

Currently increasing use of implants, especially in anterior implant esthetics has become a major concern for both the patient and dentist. In the case of thin biotype if the thickness of the gingival soft tissue is less than 2mm, human eye can detect differences of colors depends on underlying materials. The zirconia abutment can be use not only for better esthetics but also for the hygienic because it is less attractive for the plaque deposition when it compare to the metals. Zirconia itself has many advantages as a biomaterial but also has frequent mechanical problems when it use for abutment of internal connection implant. For prevention or reduction of mechanical failures, use of titanium-link with zirconia super-structure which part that connects directly into the implant can be a good alternative. In this literature, I would like to review the clinical considerations of use of titanium link - CAD/CAM zirconia abutment for dental implant in esthetically important areas.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.219-225
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• 2013

PURPOSE. Few studies have investigated the marginal accuracy of 3-unit zirconia fixed partial dentures (FPDs) fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) system. The purpose of this study was to compare the marginal fit of zirconia FPDs made using two CAD/CAM systems with that of metal-ceramic FPDs. MATERIALS AND METHODS. Artificial resin maxillary central and lateral incisors were prepared for 3-unit FPDs and fixed in yellow stone. This model was duplicated to epoxy resin die. On the resin die, 15 three-unit FPDs were fabricated per group (45 in total): Group A, zirconia 3-unit FPDs made with the Everest system; Group B, zirconia 3-unit FPDs made with the Lava system; and Group C, metal-ceramic 3-unit FPDs. They were cemented to resin dies with resin cement. After removal of pontic, each retainer was separated and observed under a microscope (Presize 440C). Marginal gaps of experimental groups were analyzed using one-way ANOVA and Duncan test. RESULTS. Mean marginal gaps of 3-unit FPDs were $60.46{\mu}m$ for the Everest group, $78.71{\mu}m$ for the Lava group, and $81.32{\mu}m$ for the metal-ceramic group. The Everest group demonstrated significantly smaller marginal gap than the Lava and the metal-ceramic groups (P<.05). The marginal gap did not significantly differ between the Lava and the metal-ceramic groups (P>.05). CONCLUSION. The marginal gaps of anterior 3-unit zirconia FPD differed according to CAD/CAM systems, but still fell within clinically acceptable ranges compared with conventional metal-ceramic restoration.

• 대한치과기공학회지
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• 제40권3호
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• pp.125-131
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• 2018

Purpose: Automatic dental prosthesis manufacturing process was accelerated by the spread of dental CAD / CAM system. The CAD / CAM system with milling alloys were needed supplement. So, sintered alloy blocks were introduced. In this study, we want to study sintered alloy block. And to evaluate the alloy block manufacture and alloy properties. Methods: The alloy powders were prepared by high pressure water dispersion method. The sintered alloy blocks were prepared by low temperature pressing method. Their components observation were EDX, and the alloy structure was observed by XRD. Results: Co-Cr alloy powders were observed to have a circle shape with an average diameter of about $100{\mu}m$ and a Ni-Cr alloy powder had a circle shape with an average diameter of about $50{\mu}m$. The Co-Cr alloy block is composed of Co (34.62 wt%), Cr (17.33 wt%), Mo (2.98 wt%), Si (0.36 wt%) and C (44.17 wt%). The Ni-Cr alloy powder was composed of Ni (40.29 wt%), Cr (19.37 wt%), Mo (3.53 wt%), Si (0.52 wt%) and C (33.18 wt%). The peak of the Co and CoCr peaks were observed in the CoCr alloy body by the means of XRD study. Cr2Ni3 of the peak was observed in the Ni-Cr alloy material. Conclusion : As a result, the following conclusions were obtained. 1. Prepared by high-pressure water-law Co-Cr alloy powder has an average diameter $100{\mu}m$, Ni-Cr alloy powder was found to have the form of sphere having an average diameter $50{\mu}m$. 2. Co-Cr alloy and Ni-Cr alloy block produced by low-temperature processing showed a certain ratio. 3. In the XRD study, Co phase appeared in Co-Cr alloy block after sintering. and Cr2Ni3 phase appeared in Ni-Cr alloy block after sintering.

• 대한치과교정학회지
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• 제49권6호
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• pp.404-412
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• 2019

Objective: To assess shear bond strength and failure mode (Adhesive Remnant Index, ARI) of orthodontic brackets bonded to polymethylmethacrylate (PMMA) blocks for computer-aided design/manufacture (CAD/CAM) fabrication of temporary restorations, following substrate chemical or mechanical treatment. Methods: Two types of PMMA blocks were tested: $CAD-Temp^{(R)}$ (VITA) and $Telio^{(R)}$ CAD (Ivoclar-Vivadent). The substrate was roughened with 320-grit sandpaper, simulating a fine-grit diamond bur. Two universal adhesives, Scotchbond Universal Adhesive (SU) and Assure Plus (AP), and a conventional adhesive, Transbond XT Primer (XTP; control), were used in combination with Transbond XT Paste to bond the brackets. Six experimental groups were formed: (1) $CAD-Temp^{(R)}/SU$; (2) $CAD-Temp^{(R)}/AP$; (3) $CAD-Temp^{(R)}/XTP$; (4) $Telio^{(R)}$ CAD/SU; (5) $Telio^{(R)}$ CAD/AP; (6) $Telio^{(R)}$ CAD/XTP. Shear bond strength and ARI were assessed. On 1 extra block for each PMMA-based material surfaces were roughened with 180-grit sandpaper, simulating a normal/medium-grit ($100{\mu}m$) diamond bur, and brackets were bonded. Shear bond strengths and ARI scores were compared with those of groups 3, 6. Results: On $CAD-Temp^{(R)}$ significantly higher bracket bond strengths than on $Telio^{(R)}$ CAD were recorded. With XTP significantly lower levels of adhesion were reached than using SU or AP. Roughening with a coarser bur resulted in a significant increase in adhesion. Conclusions: Bracket bonding to CAD/CAM PMMA can be promoted by grinding the substrate with a normal/medium-grit bur or by coating the intact surface with universal adhesives. With appropriate pretreatments, bracket adhesion to CAD/CAM PMMA temporary restorations can be enhanced to clinically satisfactory levels.

• 구강회복응용과학지
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• 제27권4호
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• pp.405-413
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• 2011

CAD-CAM기법과 CT의 도움으로 무판막임플란트 치료술식이 가능하게 되었다. 본 연구의 목적은 1년간 전향적 연구를 통해 이러한 술식의 신뢰성을 검토하고자 하였다. 하악무치악상태의 연속적인 환자 12명이 포함되었다. 71개의 임플란트가 이공사이에 $NobelGuide^{TM}$법을 이용하여 식립되었고 환자는 정해진 주기에 따라 검사되었다. 한 개의 임플란트가 조기실패하였으며 나머지는 만족할 만한 기능을 보였다. 연구기간 중 평균적인 변연골흡수량은 중앙부($0.3{\pm}0.1$ mm), 견치부($0.5{\pm}0.1$ mm), 원심부($0.7{\pm}0.2$ mm)였으며 임플란트 안정성 수치의 변화량은 중앙부($-1.05{\pm}2.76$ mm), 견치부($-0.85{\pm}2.59$ mm), 원심부($-1.27{\pm}2.18$ mm)를 나타내었고 위치간 통계학적인 차이는 없었다(P>.05). 본 전향적인 기초조사연구에서 CAD-CAM기반의 무판막임플란트 치료술식은 하악무치악환자에게 신뢰성 있는 술식이 될 수 있을 것으로 사료되었다.

• Restorative Dentistry and Endodontics
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• 제42권1호
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• pp.9-18
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• 2017

Objectives: This study evaluated color differences (${\Delta}Es$) and translucency parameter changes (${\Delta}TPs$) of various computer-aided design/computer-aided manufacturing (CAD/CAM) blocks after immersion in coffee. Materials and Methods: Eight CAD/CAM blocks and four restorative composite resins were evaluated. The CIE $L^{\ast}a^{\ast}b^{\ast}$ values of 2.0 mm thick disk-shaped specimens were measured using the spectrophotometer on white and black backgrounds (n = 6). The ${\Delta}Es$ and ${\Delta}TPs$ of one day, one week, and one month immersion in coffee or water were calculated. The values of each material were analyzed by two-way ANOVA and Tukey's multiple comparisons (${\alpha}=0.05$). The ${\Delta}Es$ after prophylaxis paste polishing of 1 month coffee immersion specimens, water sorption and solubility were also evaluated. Results: After one month in coffee, ${\Delta}Es$ of CAD/CAM composite resin blocks and restorative composites ranged from 1.6 to 3.7 and from 2.1 to 7.9, respectively, and ${\Delta}TPs$ decreased. The ANOVA of ${\Delta}Es$ and ${\Delta}TPs$ revealed significant differences in two main factors, immersion periods and media, and their interaction except for ${\Delta}Es$ of TEL (Telio CAD, Ivoclar Vivadent). The ${\Delta}Es$ significantly decreased after prophylaxis polishing except GRA (Gradia Block, GC). There was no significant correlation between ${\Delta}Es$ and water sorption or solubility in water. Conclusions: The ${\Delta}Es$ of CAD/CAM blocks after immersion in coffee varied among products and were comparable to those of restorative composite resins. The discoloration of CAD/CAM composite resin blocks could be effectively removed with prophylaxis paste polishing, while that of some restorative composites could not be removed.