• Journal of Dental Rehabilitation and Applied Science
• /
• v.26 no.2
• /
• pp.111-120
• /
• 2010

Purpose: This investigation was designed to evaluate the condyle position and the symmetry of the both condyle heads at the maximum intercuspal position on the sagittal CT image of the temporomandibular joint. Materials and Methods: Cone-beam CT was used to assess 400 joints in 100 symptom and 100 symtom-free subject(100 male, 100 female). Three independent observers(dentists) determined the positions classified with Anterior Position(AP), Middle Position(MP), and Posterior Position(PP), and the symmetry of the both condyle. Results: According to gender, the mean percentages of AP, MP, and PP were 48.5, 28.5, and 23 in male group, and 34, 38, and 28 in female group. The symmetry of condylar heads was more common than asymmetry in the both of groups. In the respect of symptom or symptom-free, the mean percentages of AP, MP, and PP were 44.5, 34, and 21.5 in the symptom-free group, and 37, 33.5, and 29.5 in the symptom group. The symmetry of condylar heads was more common in the symptom-free group, but the asymmetry of condylar heads was more common in the symptom group. Conclusions: These data might serve as useful criteria for the clinical assessment of condyle position at the maximum intercuspal position optained by Cone-beam CT.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.26 no.2
• /
• pp.169-178
• /
• 2010

Objective. This study was conducted to observe the effect on appendage muscle strength according to increase in occlusal vertical dimension. Materials and methods. Ten males with a mean age of 21 were selected. The tested occlusal splints were made at the position of increased occlusal vertical dimension of 2mm,3.5mm and 5mm from the intercuspal position. Before and after wearing occlusal splints, the appendage muscle strength were tested by Cybex II dynamometer (Lumex Inc., Ronkonkoma, NY, USA). Results. Statistical analysis using the paired t-test revealed significant differences for flexion and extension of the hip, pronation of the forearm, internal rotation of the shoulder, external and internal rotation of the knee, and dorsiflexion and plantarflexion of the ankle (p<0.05). Conclusions. As the result of this study, we conclude that when occlusal vertical dimension was increased, most of mean muscular strength values were increased. Especially at the position of 3.5mm increased vertical dimension displayed the highest mean muscular strength value than other positions.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.26 no.2
• /
• pp.205-220
• /
• 2010

Purpose : To analyze the effect of implant designs on insertion torque and stress by performing a comparative study on von Mises stress, torque and normal force through a three-dimensional finite element analysis. Materials and methods : Models of the screw type implant were used to model the implant as a form placed in the mandibular premolar region applying a three-dimensional finite element method. Screw type implant designs were classified into 4 types of parallel ones and 7 types of tapered ones. Other factors were simulated to represent clinical environment. Results : In parallel implant designs, higher and wider threads resulted in higher insertion torques and higher stress distributions. In tapered implant designs, changes in the taper led to remarkable differences in the insertion torques. It was difficult to determine a certain tendency of stress distribution around the implants since the stress level was too high around them. In tapered implant designs, smaller implants demonstrated lower insertion torques than the original type and were relatively less dependent on the degree of taper. Tapered implants showed higher insertion torques and higher stress distributions than parallel implants. Conclusion : According to this study, although the tapered implant demonstrated a higher insertion torque than the parallel implant, stress tended to be concentrated in the entire fixture of the tapered implant due to the inefficient stress distribution.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.2
• /
• pp.102-111
• /
• 2014

Purpose: Surface damage and bonding strength difference after micromechanical treatment of zirconia surface are to be studied yet. The aim of this study was to evaluate the difference of fracture resistance and bonding strength between more surface-damaged group from higher air-blasting particle size and pressure, and less damaged group. Materials and Methods: Disk shape zirconia ($LAVA^{TM}$) was sintered and air-blasted with $30{\mu}m$ particle size (Cojet), under 2.8 bar for 15 seconds, $110{\mu}m$ particle size (Rocatec), under 2.8 bar for 15 seconds, and $110{\mu}m$ particle size (Rocatec), under 3.8 bar for 30 seconds respectively. Biaxial flexure test and bonding failure load test were performed serially (n = 10 per group). For bonding test, specimens were bonded on the base material having similar modulus of elasticity of dentin with $200{\mu}m$-thick resin cement for tension of surface damage. Failure load of bonding was detected with acoustic emission (AE) sensor. Results: There were no significant differences both in the biaxial flexure test and bonding failure load test between groups (P > 0.05). Sub-surface cracks were all radial cracks except for two specimens. Conclusion: Within the limitations of no aging under monotonic load test, surface damage from higher air-blasting particle size and pressure was not significant. Evaluations of failure load with bonded zirconia disks was clinically relevant modality for surface damage and bonding strength, simultaneously.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.2
• /
• pp.138-144
• /
• 2014

Purpose: This study examined the water sorption of commonly used dual-cure resin cements and compared the change in the micro-hardness among the cements. Materials and Methods: Five types of dual-cure resin cements (Maxcem, Duo-link, Panavia F, Variolink II, Rely X Unicem) were selected. Fifty specimens were classified into five groups containing ten specimens in each group. The water sorption of the five specimens in each group was evaluated after being immersed in distilled water (DDW) for seven days. The following results were obtained by comparing the specimens immersed in DDW with those not immersed in DDW. Results: 1. The water sorption of Maxcem showed the highest score, followed by Panavia F. These two cements were followed by Duo-link and Rely X Unicem. The water sorption of Variolink II showed the lowest score among the cements used in this study. 2. Among the specimens not immersed in DDW, the micro-hardness of Rely X Unicem showed the highest score followed by Panavia F and Variolink II. These cements were followed in order by Duo-link and Maxcem. 3. Among the specimens immersed in DDW, the microhardness of Rely X Unicem showed the highest score followed by Maxcem, Panavia F and Variolink II. Duo-link shoed the lowest score among the cements used in this study. 4. Maxcem, Duo-link, Panavia F and Rely X Unicem showed significant differences in micro-hardness due to water resorption but Variolink II was unaffected by immersion in water. Conclusion: Using the resin cement which has lower water sorption and higher micro-hardness is recommended.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.2
• /
• pp.131-137
• /
• 2014

Purpose: This study examined the efficiency and wear of periodontal instrument sharpening using aluminum oxide stones with different levels of roughness. Materials and Methods: Thirty new No. 9-10 Gracey curets were used in this study. All curets had become dull after scaling and root planing. After similar blunting, the instruments were divided randomly into three groups (240, 600, 800 grit) containing 10 curets each. The stones were applied correctly to the lateral surface of each curet to maintain the $70-80^{\circ}$ angle. After resharpening, sharpness of the curets was examined by an optical microscope. After 20, 40, 60, and 80 strokes, the wear was measured at 1 mm and 2 mm from the tip of the cutting edge using a digital caliper. The data was analyzed statistically using analysis of variance (ANOVA) with repeated measures, 2-way ANOVA, and a Fisher's exact test. Results: The degree of sharpness increased significantly (P < 0.001) as the number of sharpening strokes grew for all stones. A comparison of the degree of sharpness on the same number of strokes showed that the 240 grit group significantly excelled the other groups on 5 and 10 strokes, respectively (P < 0.001). The mean wear showed no statistically significant difference among the groups (P > 0.05). Conclusion: The efficiency of Gracey curet resharpening was enhanced with more coarse stones, though we should consider the wear of the instrument during resharpening.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.2
• /
• pp.112-120
• /
• 2014

Purpose: This study compared the shear bond strength of heat pressed and feldspathic porcelain to metal. Through thermocycling, the clinical aspect of heat pressed porcelain fused metal was estimated. Materials and Methods: 90 non-precious metal specimens were made ($4{\times}4{\times}8 mm$) and divided to three groups. All spicimens were treated and built-up with the porcelain ($4{\times}4{\times}3 mm$) by 2 different methods according to group: Group I: $Inspiration^{(R)}$, Group II: Ivoclar, IPS $Inline^{(R)}PoM$, Group III: GC Initial IQ-One $Body^{(R)}PoM$. The half of each group's specimens were thermocycled. All specimens' shear bond strength were measured by Instron universal testing machine. Exact measuring point was far 1 mm from porcelain/metal interface to the porcelain side. For the statistical analysis, 2-way ANOVA was used. Results: In no-thermocycling specimens, the shear bond strength showed no statistical significance between each group (P > 0.05). In comparison between nothermocycling and thermocycling specimens in each group, the shear bond strength was decreased according to thermocycling, but there was no statistical significance (P > 0.05). In thermocycling specimens, there was no statistical significance between each group (P > 0.05). Conclusion: In feldspathic porcelain and other two types heat pressed porcelain, there was no statistical difference in the shear bond strength of porcelain to metal. The heat pressed porcelain seems to be clinically useful for the aspect of the shear bond strength.

• Restorative Dentistry and Endodontics
• /
• v.24 no.3
• /
• pp.465-472
• /
• 1999

The aim of this study was to determine the shear bond properties of four dentin bonding systems to internal cervical dentin, and to investigate the effect of the pretreatment for removing smear layer and position of dentin on shear bond strength of dentin bonding agents. The materials tested in this study were consisted of four commercially available dentin bonding systems[Allbond 2(AB), Clearfil Linerbond 2(CL), Optibond FL(OP), Scotchbond Multi-purpose(SB)], a restorative light-cured composite resin[Z100]J and a chelating agent[RC-prep(RC)]. Fifty-six freshly extracted human molars were used in this study. Dentin specimens were prepared by first cutting the root of the tooth 1mm below the cementoenamel junction with a diamond bur in a high speed handpiece under air-water coolant, and then removing occlusal part at pulp horn level by means of a second parallel section, The root canal areas were exposed by means of cutting the dent in specimens perpendicular to the root axis. Dentin specimens were randomly assigned to two groups(pretreated group, not-pretreated group) based on the pretreatment method of dentin surface. In pretreated group, RC was applied to dentin surface for 1minute and then rinsed with NaOCl. In not-pretreated group, dentin surface was rinsed with saline Each groups were subdevided into four groups according to dentin bonding systems. Four dentin bonding systems and a restorative resin were applied according to the directions of manufacturer. The dentin-resin specimens were embedded in a cold cure acrylic resin, and were cut with a low speed diamond saw to the dimension of $1{\times}1mm$. The cut specimens were divided into three groups according to the position of internal cervical dentin. The shear bond properties of dentin-resin specimens were measured with Universal testing machine (Zwick, 020, Germany) with the cross head speed of 0.5mm/min. From this experiment. the following results were obtained : 1. In case of shear bond strength, there was no significant difference among dentin bonding systems in not-pretreated groups, whereas in pretreated groups, the shear bond strengths of AB and of SB were statistically significantly higher than those of CL and of OP. 2. The shear bond strengths of AB and of SB in pretreated groups were significantly higher than those in not-pretreated groups. 3. The shear bond strengths of radicular layer of OP were higher than those of occlusal layer of OP in not-pretreated groups, and of AB in pretreated groups. The shear bond strengths of radicular layer of AB and of CL in not-pretreated groups were higher than those in pretreated group.

• Journal of Technologic Dentistry
• /
• v.37 no.3
• /
• pp.121-127
• /
• 2015

Purpose: This study was intended to investigate the effect of applying liner for chemical bonding and physical surface roughness created on zirconia by using a sandpaper before sintering on the bond strength between the two materials. Methods: Zirconia blocks were cut using a low-speed cutter. Plate-shaped specimen($6mm{\times}6mm{\times}3mm$) was fabricated by sintering after giving surface roughness according to four kinds of sandpapers. Depending on whether or not to use liner, 60 specimens were divided into two groups ZN(non-liner), ZL(liner), and the two groups were subdivided into four groups respectively in accordance with sandpaper used, totaling eight groups (n=10). The surface roughness (Ra) values and shapes before sintering were observed, and shear bond strength after pressing ceramic plasticity was measured with a universal testing machine. For a test of the significance, a one-way ANOVA was performed, and Tukey's multiple comparison test was conducted. Results: The observation of the surface roughness was SB04($2.22{\pm}1.16{\mu}m$), SB08($2.98{\pm}0.33{\mu}m$), SB12($2.44{\pm}1.32{\mu}m$), SB20($2.34{\pm}0.59{\mu}m$) and SA04($2.34{\pm}0.67{\mu}m$), SA08($1.28{\pm}0.90{\mu}m$), SA12($2.03{\pm}1.60{\mu}m$), SA20($2.19{\pm}1.73{\mu}m$). In the case of ZN Group, the shear bond strength was ZN04($23.26{\pm}3.83MPa$), ZN08($21.76{\pm}2.33MPa$), ZN12($20.49{\pm}3.01MPa$), ZN20($24.98{\pm}4.22MPa$)(p<0.05). As for ZL Group, the shear bond strength was ZL04($25.09{\pm}5.67MPa$), ZL08($22.98{\pm}2.26MPa$), ZL12($21.54{\pm}5.70MPa$), ZL20($23.98{\pm}3.23MPa$)(p<0.05). Conclusion: The research results showed that the bond strength of Zirconia core and Pressing ceramic was further improved by physical surface treatment before sintering, rather than by chemical bonding through liner surface treatment.

• Imaging Science in Dentistry
• /
• v.35 no.2
• /
• pp.91-96
• /
• 2005

Purpose : To investigate the change of bone healing process after endodontic treatment of the tooth with an apical lesion by fractal analysis. Materials and Methods Radiographic images of 35 teeth from 33 patients taken on first diagnosis, 6 months, and 1 year after endodontic treatment were selected. Radiographic images were taken by JUPITER Computerized Dental X-ray $System^{(R)}$. Fractal dimensions were calculated three times at each area by Scion Image $PC^{(R)}$ program. Rectangular region of interest $(30\times30)$ were selected at apical lesion and normal apex of each image. Results : The fractal dimension at apical lesion of first diagnosis $(L_0)$ is $0.940{\pm}0.361$ and that of normal area $(N_0)$ is $1.186{\pm}0.727(p<0.05)$. Fractal dimension at apical lesion of 6 months after endodontic treatment $(L_1)$ is $1.076{\pm}0.069$ and that of normal area $ (N_1)$ is $1.192{\pm}0.055(p<0.05)$. Fractal dimension at apical lesion of 1 year after endodontic treatment $(L_2)$ is $1.163{\pm}0.074$ and that of normal area $(N_2)$ is $1.225{\pm}0.079(p<0.05)$. After endodontic treatment, the fractal dimensions at each apical lesions depending on time showed statistically significant difference. And there are statistically significant different between normal area and apical lesion on first diagnosis, 6 months after, 1 year after. But the differences were grow smaller as time flows. Conclusion : The evaluation of the prognosis after the endodontic treatment of the apical lesion was estimated by bone regeneration in apical region. Fractal analysis was attempted to overcome the limit of subjective reading, and as a result the change of the bone during the healing process was able to be detected objectively and quantitatively.