• 대한소아치과학회지
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• 제23권2호
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• pp.549-558
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• 1996

Light-cured orthodontic composite resin has been widely advertised recently for use in bonding brackets. However, the curability of light-cured resin when light waves are diffused through metal brackets in questionable. The purposes of this study were to evaluate shear bond strength and failure patterns of visible light-cured resin(Lightbond) and chemically cured-resin(Mono-Lok 2), and to determine the relative value of light-cured resin as an alternative to conventional chemically cured resin. Each of the two resins was tested on twenty extracted human first premolars. Standard edgewise metal brackets were bonded to the teeth in accordance with the manufacturers' recommendation. After bonding, the teeth were stored for 24 hours at $37^{\circ}C$, 100% humidity. The shear bond strength was tested with a universal testing machine(Instron 4302), at 0.5mm/min crosshead speed. After debonding, brackets and enamel surfaces were examined with a scanning electron microscope and a stereoscopic microscope. The results were as follows : 1. Metal brackets bonded with Lightbond showed statistically higher shear bond strength than metal brackets bonded with Mono-Lok2. 2. The predominant failure site in Lightbond was the enamel-resin interface, and in Mono-Lok 2 it was the resin itself. 3. Enamel cracks were not found in any specimen. The above results suggest that direct bonding of metal brackets to enamel with light-cured resin bonding agent can be used effectively in clinics.

• 대한치과보철학회지
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• 제30권4호
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• pp.582-610
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• 1992

The long-term success of any dental implant is dependent upon the optimization of stresses which occur during oral function and parafunction. Especially, it has been suggested that there is an unique set of problems associated with joining an osseointegrated implant and a natural tooth with a fixed partial denture. For this particular case, although many literatures suggest different ways to avoid high stress concentrations on the bone surrounding the implant under static and dynamic loading conditions, but few studies on the biomechanical efficacy of each assertion have been reported. The purpose of this investigation was to evaluate the efficacies of clinically suggested methods on stress distribution under static load and shock absorption under dynamic load, using two dimensional finite element method. In FEM models of osseointegrated implant-natural tooth supported fixed partial dentures, calculations were made on the stresses in surrounding bone and on the deflections of abutments and superstructure, first, to compare the difference in stress distribution effects under static load by the flexure of fastening screw or prosthesis, or intramobile connector, and second, to compare the difference in the shock absorption effects under dynamic load by intramobile connector or occlusal veneering with composite resin. The results of this analysis suggest that : 1. Under static load condition, using an implant design with fastenign screw connecting implant abutment and prosthesis or increasing the flexibility of fastening screw, or increasing the flexibility of prosthesis led to the .increase in height of peak stresses in cortical bone surrounding the implant, and has little effect on stress change in bone around the natural tooth. 2. Under static load condition, intramobile connector caused the substantial decrease in stress concentration in cortical bone surrounding the implant and the slight increase in stress in bone around the natural tooth. 3. Under dynamic load condition, both intramobile connector and composite resin veneering showed shock absorption effect on bone surrounding the implant and composite resin veneering had a greater shock absorption effect than intramobile connector.

• Restorative Dentistry and Endodontics
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• 제40권3호
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• pp.229-235
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• 2015

Objectives: To determine and compare the fracture resistance of endodontically treated maxillary central incisors restored with different posts and cores. Materials and Methods: Forty-eight upper central incisors were randomly divided into four groups: cast post and core (group 1), fiber-reinforced composite (FRC) post and composite core (group 2), composite post and core (group 3), and controls (group 4). Mesio-distal and bucco-lingual dimensions at 7 and 14 mm from the apex were compared to ensure standardization among the groups. Twelve teeth were prepared for crown restoration (group 4). Teeth in other groups were endodontically treated, decoronated at 14 mm from the apex, and prepared for posts and cores. Resin-based materials were used for cementation in groups 1 and 2. In group 3, composite was used directly to fill the post space and for core build-up. All samples were restored by standard metal crowns using glass ionomer cement, mounted at $135^{\circ}$ vertical angle, subjected to thermo-mechanical aging, and then fractured using a universal testing machine. Kruskal-Wallis and Mann-Whitney U tests were used to analyze the data. Results: Fracture resistance of the groups was as follows: Control (group 4) > cast post and core (group 1) > fiber post and composite core (group 2) > composite post and core (group 3). All samples in groups 2 and 3 fractured in restorable patterns, whereas most (58%) in group 1 were non-restorable. Conclusions: Within the limitations of this study, FRC posts showed acceptable fracture resistance with favorable fracture patterns for reconstruction of upper central incisors.

• 대한치과의사협회지
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• 제54권1호
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• pp.21-26
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• 2016

The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction" and "the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. I would like to share my clinical experience about "silica based ceramic and non silica based ceramic restoration.

• 대한심미치과학회지
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• 제26권1호
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• pp.39-51
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• 2017

임기존 hader bar의 재위치 문제를 해결하고 무치악 환자에서 부적합한 악간관계 채득으로 인한 비심미적인 안모와 부적절한 교합문제를 해결하기 위해서 치아 상실 전의 자연치의 위치와 비슷한 위치로 교합고경 설정과 치아 배열을 수행했다. 부적합한 환자의 안모를 회복하여 심미적인 개선을 이루었고, 더불어 의치의 이차적인 심미에 대한 만족감을 최대한으로 높이기 위하여 컴포지트 레진을 사용하여 마무리하였다.

• 대한치과의사협회지
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• 제57권10호
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• pp.588-594
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• 2019

The fusion is an anomalous union of two or more tooth germ at some stage in the development process resulting in a decreased number of teeth in the dental arch. Fusion is common odontogenic anomaly but triplication of primary teeth is a rare phenomenon. We report a case of a 3 - year - old girl who visited our clinic for the pain on maxillary anterior tooth. The patient was diagnosed by the fusion of a the maxillary primary right central and lateral incisor with a supernumerary tooth and caries of dentine. And then, Endodontic treatment and composite resin restoration were performed on the triple teeth. After follow-up of 6 months period, there was no marked complications.

• 대한치과보철학회지
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• 제47권1호
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• pp.46-52
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• 2009

연구목적: 최근 임플란트 상부보철물의 주재료로서 티타늄의 수요가 증가하고 있고, 급속도로 발전하고 있는 CAD/CAM (computer - aided design/computer-aided manufacturing) 기술이 접목되어 티타늄을 절삭하여 제작하는 방법이 주목을 받고 있으며 치과 임상에서 점점 그 영역이 넓어지고 있다. 다만, 하나의 티타늄괴를 절삭하여 만드는 방법의 특성상 기계적 유지력을 얻을 수 있는 비드 등을 형성할 수 없고, 통상적인 재료인 금 합금이나 도재용 합금 주조체에 비해 도재와의 결합력도 떨어지는 것이 보완해야 할 점으로 지적되고 있다. 이에 본 연구는 절삭형 티타늄을 이용한 보철물 제작에 많이 사용되고 있는 열중합 의치상 레진, 간접 복합 레진, 도재와 Grade II 순수 티타늄 사이의 결합 강도를 비교 평가해 보고자 하였다. 연구 재료 및 방법: 지름 9 mm, 높이 10 mm의 Grade II 순수 티타늄 원통형 시편 37개를 3군으로 나누어 각각 직경 7 mm, 높이 1 mm의 열중합 의치상 레진 (Lucitone 199, DENTSPLY Trubyte, York, USA), 간접 복합 레진 (Sinfony, 3M ESPE, Seefeld, Germany), 도재 (Triceram, Dentaurum, Ispringen, Germany)와 결합시켰다. 시편은 $5-55^{\circ}C$에서 1000회 열순환 처리 후, 범용 시험기 (Instron, Universal Testing Machine, Model 4465, USA)를 이용하여 1 mm/min의 속도로 하중을 가하여 전단결합강도를 측정하였다. 파절된 단면의 양상을 관찰하고 각 군별 파절양상을 조사하였다. 측정값은 one-way ANOVA와 Scheffe's multiple range test (${\alpha}=0.05$)로 분석하였다. 결과: 열중합 의치상 레진인 Lucitone 199 ($17.82{\pm}5.13\;MPa$)의 결합 강도가 가장 높았으며, 도재인 Triceram ($12.97{\pm}2.11\;MPa$), 복합레진인 Sinfony ($6.00{\pm}1.31\;MPa$) 순으로 감소하였다. Lucitone 199와 Sinfony 군의 파절 양상은 대부분이 부착성 파절인 데에 반해 Triceram 군에서는 복합성 파절이 많았다. 결론: CAD/CAM을 이용한 절삭형 티타늄 구조물 상방에 전장용 심미 재료로는 열중합형 의치상 레진이 가장 강한 결합 강도를 보인다. 기존의 주조체의 유지구 등에서 얻는 강도에 비해 약하고, 부착성 파절이 많은 점 등은 향후 이들 재료와 티타늄간의 결합력을 높이기 위한 보다 많은 연구가 이루어져야 할 것을 시사한다.

• 대한치과교정학회지
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• 제43권4호
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• pp.186-192
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• 2013

Objective: To analyze the fatigue resistance, debonding force, and failure type of fiber-reinforced composite, polyethylene ribbon-reinforced, and braided stainless steel wire lingual retainers in vitro. Methods: Roots of human mandibular central incisors were covered with silicone, mimicking the periodontal ligament, and embedded in polymethylmethacrylate. The specimens (N = 50), with two teeth each, were randomly divided into five groups (n = 10/group) according to the retainer materials: (1) Interlig (E-glass), (2) everStick Ortho (E-glass), (3) DentaPreg Splint (S2-glass), (4) Ribbond (polyethylene), and (5) Quad Cat wire (stainless steel). After the recommended adhesive procedures, the retainers were bonded to the teeth by using flowable composite resin (Tetric Flow). The teeth were subjected to 10,00,000 cyclic loads (8 Hz, 3 - 100 N, $45^{\circ}$ angle, under $37{\pm}3^{\circ}C$ water) at their incisoproximal contact, and debonding forces were measured with a universal testing machine (1 mm/min crosshead speed). Failure sites were examined under a stereomicroscope (${\times}40$ magnification). Data were analyzed by one-way analysis of variance. Results: All the specimens survived the cyclic loading. Their mean debonding forces were not significantly different (p > 0.05). The DentaPreg Splint group (80%) showed the highest incidence of complete adhesive debonding, followed by the Interlig group (60%). The everStick Ortho group (80%) presented predominantly partial adhesive debonding. The Quad Cat wire group (50%) presented overlying composite detachment. Conclusions: Cyclic loading did not cause debonding. The retainers presented similar debonding forces but different failure types. Braided stainless steel wire retainers presented the most repairable failure type.

• Restorative Dentistry and Endodontics
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• 제9권1호
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• pp.69-79
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• 1983

This study was undertaken to evaluate the effects of varnish application and thermocycling on the marginal leakage. 240 cavities of Class V were prepared on the 120 extracted premolars, and the cavities were filled with amalgam, Heliosit$^{(R)}$, and Hipol$^{(R)}$ after application of Copalite$^{(R)}$ or Duraphat$^{(R)}$. All specimens were immersed in methylene blue solution for 24 hours after thermocycling at $4^{\circ}C$ and $60^{\circ}C$, embedded in acrylic resin, and sectioned with low speed saw into two parts. The sectioned specimens observed with the metallurgical microscope. The following results were obtained: 1. The marginal seal was more effective in the amalgam-filled cavities after application of Copalite$^{(R)}$ threetimes or an application of Duraphat$^{(R)}$ varnish than in those without varnish applications. 2. Of the composite resin-filled cavities, the leakage of the varnish applied cases showed much more than without application. 3. There was no significant difference in the effect of marginal sealing between Copalite$^{(R)}$ and Duraphat$^{(R)}$ applications. 4. There was a significant difference in the degree of the marginal leakage of amalgam-filled cavities between the groups of thermocycling times, but no significant difference in the resin-filled cavities. 5. There was no significant difference in the degree of the marginal leakage between the Heliosit$^{(R)}$ and the Hipol$^{(R)}$ resin-filled cavities.

• The Journal of Advanced Prosthodontics
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• 제9권1호
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• pp.57-66
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• 2017

PURPOSE. Cementation failures of restorations are frequently observed in clinical practice. The purpose of this study is to compare the effect of initial and repeated bonding on the bond strengths of different resin cements to enamel and dentin. MATERIALS AND METHODS. Ninety human maxillary central incisors were bisected longitudinally. The 180 tooth halves were divided into 2 groups (n = 90) for enamel and dentin bonding. The enamel and dentin groups were further divided into 3 groups (n = 30) for different resin cement types. Composite resin (Filtek Ultimate) cylinders ($3{\times}3\;mm$) were prepared and luted to enamel and dentin using Variolink II (Group V), RelyX ARC (Group R), or Panavia F 2.0 (Group P) resin cement. After 24 hours, initial shear bond strengths of the resin cements to enamel and dentin were measured. Using new cylinders, the specimens were de-bonded and re-bonded twice to measure the first and the second bond strengths to enamel and dentin. Failure modes and bonding interfaces were examined. Data were statistically analyzed. RESULTS. Initial and repeated bond strengths to enamel were similar for all the groups. The first ($15.3{\pm}2.2\;MPa$) and second ($10.4{\pm}2.2\;MPa$) bond strengths to dentin were significantly higher in Group V (P<.0001). Second bond strengths of dentin groups were significantly lower than initial and first bond strengths to dentin (P<.0001). CONCLUSION. All resin cements have similar initial and repeated bond strengths to enamel. Variolink II has the highest first and second bond strength to dentin. Bond strength to dentin decreases after the first re-bonding for all resin cements.