• 대한치과보철학회지
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• 제49권1호
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• pp.8-15
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• 2011

연구 목적: 본 연구의 목적은 금속 의치상 재료에 직접법으로 이장을 시행했을 때 표면처리와 시간에 따른 결합강도의 변화를 비교하는 것이다. 연구 재료 및 방법: Co-Cr 시편을 최대직경 9 mm의 육각기둥 형태로 절삭하여 제작하였으며, $110\;{\mu}m$의 $Al_2O_3$로 1분간 sandblasting 하였다. 시편을 18개씩 3군으로 나누어 A군은 화학적 처리 없이, B, C군은 금속표면처리제 (MR $bond^{(R)}$, Alloy $primer^{(R)}$)를 도포한 후 7 mm직경의 자가 중합형 이장용 레진 (Vertex $SC^{(R)}$) 기둥을 부착하였다. 각각의 그룹을 다시3군으로 나누어 수분 하에서 다른 기간 (0주, 1주, 2주)동안 저장한 다음 만능역학 실험기계 (Instron)를 이용하여 시편을 분리하였고, 분리되는 시점의 전단결합강도를 측정하였다. 통계처리는 two-way ANOVA와 Tukey 방법을 이용하여 5% 유의수준에서 분석하였다. 결과: 시편을 sandblasting한 실험에서는, 1분 동안 sandblasting 한 시편의 표면 거칠기가 가장 크게 나타났다. 전단결합강도 실험에서 결합강도는 B, C, A군의 순서로 낮아졌으며, 이 세 군 사이에 유의성 있는 차이를 보였다. 기간별로 봤을 때 결합강도는 수분에 저장하지 않은 군에서 가장 높았으며 2주 동안 수분에 저장한 군에서 가장 낮았으나 기간별로 유의성 있는 차이는 보이지 않았다. 기간과 군을 함께 고려했을 때 모든 군에서 침수 시간이 길어짐에 따라 결합강도가 낮아졌으나B군과C군에서 임상적인 유의성은 보이지 않았고, A군에서만 유의성 있게 결합강도가 낮아졌다. 결론:Co-Cr 금속 의치상에 진료실에서 직접법으로 이장을 할 경우 적절한 기계적 처리 (Sandblasting) 후 금속 표면 처리제를 도포하는 것이 유리할 것으로 사료된다.

• 구강회복응용과학지
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• 제38권1호
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• pp.34-41
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• 2022

최근 디지털 기술과 Computer-aided design/Computer-aided manufacturing (CAD/CAM) 작업 환경은 의치 제작에 있어 임상의의 진료 과정의 변화를 가져왔다. CAD/CAM 기술을 이용한 의치 제작 방식은 진료 및 기공 과정을 단순화하여 오류의 발생을 감소시키며, 임상적인 효율성과 편리함을 제공한다. 본 증례는 하악 편위를 가진 상·하악 완전 무치악 환자에서 광경화 SLA 기반의 3D 프린팅을 이용한 디지털 제작 방식의 양악 총의치 수복 증례이다. 구강 스캐너로 채득한 디지털 모형에서 기록상을 제작하였고 교합제에 악간관계를 기록한 후 부가 중합형 실리콘 인상재로 폐구 정밀 인상을 채득하였다. 또한 교합제를 장착하고 촬영한 안면 스캔 데이터를 추가로 획득하여 기공 작업 시 교합 평면 결정이나 인공치 배열에 참고할 수 있도록 하였다. 인상체를 3차원 스캔 후 CAD 프로그램을 통해 인공치를 배열하였고, 연마면을 형성하여 의치 디자인을 완성하였다. 시적 의치 및 최종 의치는 미국식품의약국(Food and Drug Administraion, FDA) 승인을 받은 액체 광경화성 레진을 이용하여 stereolithography (SLA) 기반 3D 프린터로 출력하였고, 최종 의치는 적절한 안정과 유지, 지지를 보였으며 기능적, 심미적으로 만족스러운 결과를 얻을 수 있었다.

• 대한치과기공학회지
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• 제42권4호
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• pp.355-361
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• 2020

Purpose: In this study, we added two kinds of photoinitiators (CQ and TPO) to prepare two kinds of denture base resins (Bis-GMA series and UDMA series) for three-dimensional (3D) printing to compare and analyze their mechanical and biological properties and to find the optimal composition. Methods: Control specimens were made using the mold made of polyvinyl siloxane of the same size. Light curing was performed twice for 20 seconds on both the upper and lower surfaces with LED (light emitting diode) light-curing unit (n=10). Experimental 3D printing dental resins were prepared, to which two photoinitiators were added. Digital light processing type 3D printer (EMBER, Autodesk, CA, USA) was used for 3D printing. The specimen size was 64 mm×10 mm×3.3 mm according to ISO 20795-1. The final specimens were tested for flexural strength and flexural modulus, and MTT test was performed. Furthermore, one-way analysis of variance was performed, and the post-test was analyzed by Duncan's test at α=0.05. Results: The flexural strength of both Bis-GMA+CQ (97.12±6.47 MPa) and UDMA+TPO (97.40±3.75 MPa) was significantly higher (p<0.05) in the experimental group. The flexural modulus in the experimental group of UDMA+TPO (2.56±0.06 GPa) was the highest (p<0.05). MTT test revealed that all the experimental groups showed more than 70% cell activity. Conclusion: The composition of UDMA+TPO showed excellent results in flexural strength, flexural modulus, and biocompatibility.

• 대한치과보철학회지
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• 제38권1호
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• pp.1-11
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• 2000

Relining and rebasing are essential for long-term success and oral health in removable prosthodontics. Major features of failures between metal base and relining resins are adhesive failure due to lack of chemical bonding. The purpose of this study was to find a better metal primer and metal surface treatment method that enhance the bonding strength with relining resin materials. The surfaces of ticonium alloys were treated with $25{\mu}m$ sandblasting (Group A), stone wheel(Group B), stone wheel and EZ oxisor(Group C), $75{\mu}m$ sandblasting(Group D) and EZ oxisor application after $75{\mu}m$ sandblasting(Group E). They were subdivided into no primer application (Group I), MR bond application(Group II) and Metafast bonding liner (Group III). Then specimens were completed though being bonded with relining resins. The specimens were stored in $38^{\circ}C$ water for 48 hours and tensile strength was measured using the universal testing machine. The results were as follows, 1. Primer application groups showed higher bond strength than no primer application group(p<0.05). 2. In comparison with primer application groups, MR bond group showed higher bond strength than Meta fast bonding liner application group(p<0.05). 3. In comparison with surface treatment methods, Bond strengths of group A and B were significantly different with group C, D, and E, and group C were significantly different with group D, and E in no primer application group()(0.05). In primer application groups, group A, B, C were significantly different with group D and E(p<0.05). According to results of this study, Metal primer application and metal surface roughening were considered to be advantageous for relining of metal base dentures.

• The Journal of Advanced Prosthodontics
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• 제8권4호
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• pp.290-295
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• 2016

PURPOSE. The aim of this study was to evaluate the effect of paracetic acid (PAA) and ozone disinfection on the tensile bond strength (TBS) of silicone-based resilient liners to acrylic resins. MATERIALS AND METHODS. One hundred and twenty dumbbell shaped heat-polymerized acrylic resins were prepared. From the mid segment of the specimens, 3 mm of acrylic were grinded off and separated parts were reattached by resilient liners. The specimens were divided into 2 control (control1, control7) and 4 test groups of PAA and ozone disinfection (PAA1, PAA7, ozone1 and ozone7; n=10). While control groups were immersed in distilled water for 10 min (control1) and 7 days (control7), test groups were subjected to PAA (16 g/L) or ozone rich water (4 mg/L) for 1 cycle (10 min for PAA and 60 min for ozone) per day for 7 days prior to tensile tests. Measurements of the TBS were analyzed using 3-way ANOVA and Tukey's HSD test. RESULTS. Adhesive strength of Mollosil decreased significantly by application of ozone disinfection. PAA disinfection had no negative effect on the TBS values of Mollosil and Molloplast B to acrylic resin. Single application of ozone disinfection did not have any negative effect on TBS values of Molloplast B, but prolonged exposure to ozone decreased its adhesive strength. CONCLUSION. The adhesion of resilient liners to acrylic was not adversely affected by PAA disinfection. Immersion in ozonated water significantly decreased TBS of Mollosil. Prolonged exposure to ozone negatively affects adhesion of Molloplast B to denture base materials.

• 구강회복응용과학지
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• 제21권2호
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• pp.95-103
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• 2005

Purpose: Recently, various metal primers have been developed, and these are known to increase the bond strength between metal and relining resin. In this study, the change in bond strength according to amount of thermocycling was evaluated. Materials and Methods: In this study, 216 specimens were fabricated. Tokuyama Rebase $II^{(R)}$(Tokuyama Corp., Japan) and $Kooliner^{(R)}$(GC America Inc., Japan) as relining material, and MR. $Bond^{(R)}$(Tokuyama Corp., Japan) and Alloy $Primer^{(R)}$(Kuraray Medical Inc., Japan) as a metal primers were used. Using Ni-Cr and various metal surface treatment methods, resin was bonded and the change in bond strength during thermocycling was measured. The data was analyzed by one-way ANOVA, t-test(p<.05 level of significance). Results: When comparing the groups with only sandblasting, rapid decrease in shear bond strength could be seen. In the groups using Tokuyama Rebase $II^{(R)}$, with the exception of the 1000 and 2000 cycle groups, each group showed statistically significant decrease in shear bond strength(p<0.05). In comparison according to relining materials, $Kooliner^{(R)}$ showed higher shear bond strength than Tokuyama Rebase $II^{(R)}$ in all groups. In groups using MR $bond^{(R)}$, $Kooliner^{(R)}$ had higher shear bond strength than Tokuyama Rebase $II^{(R)}$ but, there was no statistical significance(p<0.05). In the other groups, $Kooliner^{(R)}$ showed significantly higher shear bond strength(p<0.05). There was significant difference between groups with sandblasting and metal primer treatments(p<0.05). In comparison according to metal primer materials, Alloy $Primer^{(R)}$ showed the highest shear bond strength but there was no statistical significance(p>0.05). According to the number of thermocycling cycles, when using Tokuyama Rebase $II^{(R)}$, there were no significant differences between the 0, 1000 and 2000 cycle groups regardless of the type of metal primer. There were no differences between the 2000 and 3000 cycle groups. When using $Kooliner^{(R)}$, regardless of the type of metal primer, there were no significant differences between the 0, 1000, 2000 and 3000 cycle groups(p>0.05). Conclusion: The use of metal primers showed increase in bond strength, and the stability after to thermocycling has been authenticated. Thus, the use of metal primers in relining and rebasing of metal frameworks is essential. But when selecting the material various physical properties should be considered.

• 대한치과보철학회지
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• 제36권6호
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• pp.858-866
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• 1998

Soldering is the usual method used to correct an unstable fixed partial denture framework at patient's try-in; However, presoldering base metal alloys is technique-sensitve and results are unstable because it is difficult to maintain uniform heat distribution and to prevent oxidation of an alloy. A cast-joining technique has been developed by Weiss and Munyon for repair, correction and addition to base metal framework. This joining technique eliminates the problem with presoldering of non-precious frameworks. The object of this study was to 1) compare the relative flexure strength and the joining effectiveness of Ni-Cr-Be cast in two pieces and 'pre-soldered' versus in two pieces and 'cast-joined'. 2) determine the effect of increasing the number of retentive grooves on the face of the cast and 3) determine the effect of the relative matched position of groove patterns on flexure strength. The joining effectiveness can be expressed by the ratio of the mean flexure stress of soldered or cast-joined specimens to that of one-piece cast. Resin rods 3mm in diameter were used as pattern of specimens for one-piece casted, presoldered, and cast-joined groups. Cast-joined specimens had two different patterns of retentive grooves on the joined faces. Type A had cross-shaped grooves 1mm in depth. 0.6mm in width. Type B was the same except for the addition of one more retentive groove. In the experiment connecting cast-joined specimens, half of specimens with type A pattern had their patterns on the faces of paired casts matched with each other as mirror image. With the rest pairs, it was proceeded that one of paired casts turned 45 degrees so that the patterns crossed. Half of specimens with type B pattern also had the patterns matched as mirror image; However, here, one of paired casts turned 90 degrees with the other pairs. Retentive groove in this study lacked the intentional undercuts, in contrast with the suggestion of Weiss and Munyon. The specimens were subjected to four-point flexural loading in an Instron testing machine. The midspan flexural stress was calculated at the point of initial plastic strain as determined from a strip-chart recorder or at the point of failure if this occured at a lower stress level. Within the scope of this study, the following results were obtained. 1. The presoldered group showed flexural strength at least 2 times higher than the cast-joined groups. Its joining effectiveness was 82%. 2. In cast-joined groups, the flexural strength of joints with type B patterns exhibited 1.5 times that of joints with type A patterns. Joining effectivenesses were 38% for type B patterns, 25-26% for type A patterns. 3. The relative matched position of groove patterns did not have any significant effect on flexural strength of the cast-joined specimens with either type A patterns or type B patterns(p>.05).

• 대한치과보철학회지
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• 제58권3호
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• pp.207-216
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• 2020

목적: 최근 치과에 도입된 polyetherketoneketone (PEKK)의 연마 특성이 Candida albicans의 부착에 미치는 영향을 기존 의치상재료인 polymethylmethacrylate (PMMA)와 비교하고자 하였다. 재료 및 방법: PEKK(그룹 E)와 PMMA(그룹 M)를 사용하여 직경 8 mm, 두께 2 mm인 원판 형태 시편을 제작한 후 연마 정도에 따라 각각 2개 그룹으로 세분하였다(ER, MR: rough; EP, MP: polished, 각 그룹당 시편 12개). 연마는 SiC 연마지로 시행하였으며, ER과 MR 그룹에서는 600 grit SiC 연마지만으로, EP와 MP 그룹에서는 600, 800, 1,000, 1,200 grit SiC 연마지로 단계적으로 연마하였다. 표면의 평균 거칠기는 원자력간 현미경(AFM)을 사용하여 Sa값을 측정하였고 주사전자 현미경으로 1,000배와 20,000배 확대하여 표면을 관찰하였다. 24-well 세포배양 용기에 연마된 시편 및 C. albicans 현탁액을 넣고 37℃에서 2시간 동안 배양하여 C. albicans의 부착을 유도하였으며, 부착된 진균을 피펫팅을 통해 분리하고 현탁액을 10 배씩 단계적으로 10³ 배까지 희석한 후, Sabouraud dextrose 고체배지에 스프레더를 이용하여 접종하였다. 48시간 후 각 고체배지에 형성된 집락의 개수(CFU/plate)를 세어 기록하였다. 측정된 값들의 통계적 차이를 확인하기 위해 one-way ANOVA와 Tukey HSD test를 수행하고 유의수준을 0.05로 정하였다. 결과: 평균 Sa 값은 MR 그룹이 다른 그룹에 비해 유의하게 더 높게 나타나 단계적 연마지 연마법은 PMMA 시편에서만 유의한 효과가 있었음을 확인할 수 있었다 (P < .05). MP 그룹과 EP 그룹간에 Sa 값은 유의한 차이가 없었다. 주사전자현미경 관찰결과 PEKK 시편들의 표면에서 다수의 보풀 같은 돌기가 형성되어 있는 것을 볼 수 있었고 EP 그룹에서 더 심해진 것을 관찰할 수 있었다. CFU/plate의 평균값은 EP 그룹에서 가장 높게 나왔으며 가장 낮은 MP 그룹과 유의한 차이를 보였다 (P < .05). 결론: PMMA와 비교하여 PEKK에서는 단계적 연마지를 이용한 연마를 시행 시 C. albicans의 부착 증가로 이어질 수 있으며, 임상에서도 이러한 점에 대한 신중한 고려가 필요할 것으로 사료된다.