• Journal of Dental Rehabilitation and Applied Science
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• v.17 no.3
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• pp.199-204
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• 2001

This study was to investigate the reused possibility of zirconia reinforced glass-ceramic(IPS Empress Cosmo ceramic) with sprue button in the flexure strength and fracture toughness. 40 disk-shaped ceramic specimens (20 specimens: as-pressed material; 20 specimens: reused material) with approximately 1.7 mm thickness and 15 mm diameter were prepared by "lost wax" technique. The remnants(sprue buttons) were used for repressing. The surface treatments for the discs were gradually abraded with 320, 800, 1200, and 2000 grit SiC sandpaper. The specimens were evaluated their flexure strength with the biaxial flexure jig(ball-on-three balls) and their fracture toughness with Vickers Indentation-microfracture test. The Weibull moduli were calculated for biaxial flexural strength. The mean flexure strength and fracture toughness of each group were $122.2{\pm}18.3MPa$, $1.00{\pm}0.09MPa{\cdot}m^{0.5}$ (as-pressed ceramics), and $122.2{\pm}20.3MPa$, $1.01{\pm}0.10MPa{\cdot}m^{0.5}$ (reused ceramics). There were no significant differences in the strength and the fracture toughness between the as-pressed and the reused IPS Empress Cosmo ceramic (P>0.05). This implied zirconia reinforced glass-ceramic(IPS Empress Cosmo ceramic) could be used one more time by reusing of sprue button in the flexure strength and fracture toughness.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.3
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• pp.217-220
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• 2020

Conventionally, when a zirconia fixed dental restoration is planned, the interim restoration is made manually and the final restoration is fabricated by the silicone impression taking at the prosthodontic stage. This conventional workflow does not provide direct relation between interim and final restorations. Moreover, the predictability of the final restoration could be low. Nowadays, the CAD/CAM based restoration fabrication and related digital techniques are developed and being applied in dentistry in multiple ways. This case report introduces a digital workflow for fabricating an optimal gingival adaptation and predictability of monolithic zirconia restoration by using CAD/CAM interim restoration, intra oral scan, and image superimposition technique in a case that required tooth extraction.

• The Journal of Advanced Prosthodontics
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• v.11 no.1
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• pp.23-31
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• 2019

PURPOSE. To investigate and compare the surface roughness (SR), weight and height of monolithic zirconia (MZ), ceramometal (CM), lithium disilicate glass ceramic (LD), composite resin (CR), and their antagonistic human teeth enamel. MATERIALS AND METHODS. 32 disc shaped specimens for the four test materials (n=8) and 32 premolars were prepared and randomly divided. SR, weight and height of the materials and the antagonist enamel were recorded before and after subjecting the specimens to 240,000 wear-cycles ($49N/0.8Hz/5^{\circ}C/50^{\circ}C$). SR, height, weight, and digital microscopic qualitative evaluation were measured. RESULTS. CM ($0.23+0.08{\mu}m$) and LD ($0.68+0.16{\mu}m$) exhibited the least and highest mean difference in the SR, respectively. ANOVA revealed significance (P=.001) between the materials for the SR. Paired T-Test showed significance (P<.05) for the pre- and post- SR for all the materials. For the antagonistic enamel, no significance (P=.987) was found between the groups. However, the pre- and post- SR values of all the enamel groups were significant (P<.05). Wear cycles had significant effect on enamel weight loss against all the materials (P<.05). CR and MZ showed the lowest and highest height loss of 0.14 mm and 0.46 mm, respectively. CONCLUSION. MZ and CM are more resistant to SR against the enamel than LD and CR. Enamel worn against test materials showed similar SR. Significant variations in SR values for the tested materials (MZ, LD, CM, and CR) against the enamel were found. Wear simulation significantly affected the enamel weight loss against all the materials, and enamel antagonist against MZ and CM showed more height loss.

• The Journal of Advanced Prosthodontics
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• v.6 no.5
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• pp.406-414
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• 2014

PURPOSE. The objective of this study was to investigate the biologic effects of enamel matrix derivative (EMD) with different concentrations on cell viability and the genetic expression of human gingival fibroblasts (HGF) to zirconia surfaces. MATERIALS AND METHODS. Immortalized human gingival fibroblasts (HGF) were cultured (1) without EMD, (2) with EMD $25{\mu}g/mL$, and (3) with EMD $100{\mu}g/mL$ on zirconia discs. MTT assay was performed to evaluate the cell proliferation activity and SEM was carried out to examine the cellular morphology and attachment. The mRNA expression of collagen type I, osteopontin, fibronectin, and TGF-${\beta}1$ was evaluated with the real-time polymerase chain reaction (RT-PCR). RESULTS. From MTT assay, HGF showed more proliferation in EMD $25{\mu}g/mL$ group than control and EMD $100{\mu}g/mL$ group (P<.05). HGFs showed more flattened cellular morphology on the experimental groups than on the control group after 4h culture and more cellular attachments were observed on EMD $25{\mu}g/mL$ group and EMD $100{\mu}g/mL$ group after 24h culture. After 48h of culture, cellular attachment was similar in all groups. The mRNA expression of type I collagen increased in a concentration dependent manner. The genetic expression of osteopontin, fibronectin, and TGF-${\beta}1$ was increased at EMD $100{\mu}g/mL$. However, the mRNA expression of proteins associated with cellular attachment was decreased at EMD $25{\mu}g/mL$. CONCLUSION. Through this short term culture of HGF on zirconium discs, we conclude that EMD affects the proliferation, attachment, and cell morphology of HGF cells. Also, EMD stimulates production of extracellular matrix collagen, osteopontin, and TGF-${\beta}1$ in high concentration levels. CLINICAL RELEVANCE. With the use of EMD, protective barrier between attached gingiva and transmucosal zirconia abutment may be enhanced leading to final esthetic results with implants.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.4
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• pp.321-327
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• 2019

Purpose: To evaluate an effect of additional firing process after sintering of monolithic zirconia crown on marginal and internal fit through three-dimensional analysis. Materials and methods: Ten monolithic zirconia crowns were fabricated using titanium abutment model. Monolithic zirconia crowns were designed, milled, and sintered as a control group, and additional firing with coloring was performed as a test group. Three dimensional analysis were performed by using triple-scan protocol, and cross-section analysis on mesio-distal and disto-lingual section was evaluated to measure marginal and internal fitness. Then, three-dimensional surface difference on between two groups was evaluated (${\alpha}=.05$). Results: There was statistically significant difference between the control group ($32.0{\pm}24.3{\mu}m$) and the test group ($17.0{\pm}10.8{\mu}m$) in the mesial axial wall (P < .02) and the control group ($60.2{\pm}24.3{\mu}m$) and the test group ($71.8{\pm}21.5{\mu}m$) in the distal axial wall (P < .01). There was no statistically significant difference at the remaining point. Conclusion: There was no statistical significance on the deviation of inner surface of crown according to firing number, and the results of both group were considered clinically acceptable.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.3
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• pp.263-270
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• 2019

Current trends in restorative dentistry focus on improving the esthetics and keeping the sound dental tissues as long as possible. The aims of this case report were to describe the successful outcome of cubic-phase zirconia laminate veneers for a patient with isolated microdontia by using a digital workflow, and to describe their clinical implications. A 15-year-old female who had isolated microdontia in combination with spacing visited Ajou University Dental Hospital for esthetic treatment. In this case, 6 maxillary anterior teeth were restored with cubic-phase zirconia laminate veneers without tooth structure removal by using a digital impression, computer-aided design (CAD) software, and computer-aided manufacturing (CAM) procedures. At 6-month follow-up, no distinct mechanical and biological complications were detected and the prostheses exhibited satisfactory esthetics and functions. Due to its favorable tissue responses and enhanced translucency, cubic-phase zirconia can be a suitable strategy for a noninvasive esthetic approach.

• Journal of the Korean Ceramic Society
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• v.56 no.1
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• pp.37-48
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• 2019

The objective of this research is to analyze the fracture toughness of pure and silica co-doped yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP) bioceramics containing 0.1 and 0.2 wt.% of alumina, and sintered at a temperature of $1500^{\circ}C$. Because of the relatively easy preparation of the test specimens and the high speed of testing, the Vickers indentation fracture (VIF) technique is more frequently used to evaluate the fracture toughness of biomaterials and hard biological tissues. The Young's modulus and hardness values were obtained by means of nanoindentation and indentation methods. The fracture toughness values of 3Y-TZP bioceramics were calculated and analyzed using 15 equations related to the VIF technique, and loadings of 49.03 and 196.13 N with a Vickers diamond. For validation, the results were compared with fracture toughness values obtained by the single-edge laser-notch beam (SELNB) method with an almost atomically sharp laser-machined initial notch.

• Journal of Technologic Dentistry
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• v.32 no.4
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• pp.351-356
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• 2010

Purpose: The purpose of this study was to evaluate the fracture strength between the core and veneering ceramic according to 2 core materials, In-Ceram Alumina and In-Ceram Zirconia, fabricated by electro ceramic layering technique. 2 different fixed partial denture cores of three units were veneered by veneering ceramic(Ceranion, Noritake) (n=10). Methods: The fracture strengths between the core and veneering ceramic were measured through the 3 point bending test. The interfaces between the core and veneering ceramic were observed with the X-ray dot mapping of EPMA. Results: The result of fracture strength was observed that IZP group, In-Ceram Zirconia core, had higher fracture strength. IPA group, In-Ceram Alumina core, had fracture strength of 359.9(${\pm}$86.2) N. IZP group, In-Ceram Zirconia core, had fracture strength of 823.2(${\pm}$243.0) N. X-ray dot mapping observation showed that a major element in the core and veneering ceramic of IPA group was alumina and silica, respectively. No binder was observed in interfaces between the core and veneering ceramic, and no ion diffusion or transition was observed between the core and veneering ceramic. However, apparent ion diffusion or transition was observed between the core and veneering ceramic of IZP group.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.24 no.1
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• pp.25-38
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• 2015

Since its introduction to the dentistry, the CAD/CAM technology has been used over fifteen years. The application of CAD/CAM started from coping fabrication, expanded to the posterior full crown, and anterior restoration manufacture has also become widespread recently. While the development of machine was rapid, the advance of zirconia block was the fastest. Although some differences exist among individuals, the various natural tooth color can be expressed through the zirconia coloring itself without porcelain build up. And the texture characteristics can be reproduced just by CAD design. In this article, the development history of digital dentistry was summarized.

• The Journal of Advanced Prosthodontics
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• v.7 no.4
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• pp.329-337
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• 2015

PURPOSE. This retrospective study aims at the evaluation of implant-supported overdentures (IODs) supported by ceramo-galvanic double crowns (CGDCs: zirconia primary crowns + galvano-formed secondary crown). MATERIALS AND METHODS. In a private practice, 14 patients were restored with 18 IODs (mandible: 11, maxilla: 7) retained by CGDCs on 4 - 8 implants and annually evaluated for technical and/or biological failures/complications. RESULTS. One of the 86 inserted implants failed during the healing period (cumulative survival rate (CSR) implants: 98.8%). During the prosthetic functional period (mean: $5.9{\pm}2.2years$), 1 implant demonstrated an abutment fracture (CSR-abutments: 98.2%), and one case of peri-implantitis was detected. All IODs remained in function (CSR-denture: 100%). A total of 15 technical complications required interventions to maintain function (technical complication rate: 0.178 treatments/patients/year). CONCLUSION. Considering the small sample size, the use of CGDCs for the attachment of IODs is possible without an increased risk of technical complications. However, for a final evaluation, results from a larger cohort are required.