• 대한심미치과학회지
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• 제9권1호
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• pp.62-67
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• 2000

• 구강회복응용과학지
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• 제28권2호
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• pp.191-200
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• 2012

도재 라미네이트 비니어(Porcelain laminate veneer, PLV)는 아주 얇은 도재를 치면에 직접 적용시키는 술식으로 전치부 심미 개선을 목적으로 전부피개관 대신에 보존적으로 사용될 수 있다. 그러나 PLV의 성공을 높이기 위해 치질 삭제량을 적절히 조절하는 것은 어려울 뿐만 아니라, 각 치아마다 법랑질 두께가 다양하고 증령에 따라 치관구조 역시 변화하기 때문에 치아 삭제시 주의가 필요하다. 즉 치아 순면을 따라 일관되게 삭제하는 기존의 방법을 이용할 경우 법랑질이 얇아진 부위에서는 상아질이 노출될 위험이 있다. 이를 방지하기 위해 다양한 치아 삭제 방법들이 소개되고 있는데 진단 납형제작을 통한 실리콘 인덱스와 아크릴릭 레진 mock-up을 이용한 방법은 최종적인 수복물의 형태에 기초하여 치아를 삭제할 수 있어 불필요한 법랑질 삭제를 줄이고 상아질 노출을 최소화할 수 있다. 또한 비정상적으로 배열된 치아 삭제시에도 적절한 삭제량 결정이 어려워 삭제량이 과도해지거나 부족해지기 쉬운데, 최종 보철물의 형태를 기준으로 실리콘 인덱스를 제작하면 이를 방지할 수 있다.

• 구강회복응용과학지
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• 제19권1호
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• pp.35-41
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• 2003

With the understanding of tooth crown biomechanics and the progress of dentin adhesives, bonded porcelain restorations including a porcelain laminate veneer present an extended spectrum of indications for anterior teeth. Porcelain laminate veneer as a restoration offers the conservative solution that balances the functional and esthetic needs of the anterior dentition. Porcelain's stiffness, its surface characteristics, and the biomechanical strength achieved through bonding to tooth surface enable the restoration of the tooth as a whole supporting occlusal force and masticatory function. Namely, the optical effects inherent in the tooth and the lifelike features of the porcelain make that this restoration approaches the ultimate in esthetic satisfaction for both the dentist and the patient. A 49-year-old female patient with the incisal discoloration of upper central incisors and black triangle between the central incisors was referred to correct her esthetic problems with prosthodontic approach. The patient was satisfied with two porcelain laminate veneers that were made according to prof. Magne and Belser's recommendation.

• 대한치과보철학회지
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• 제31권1호
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• pp.1-10
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• 1993

The purpose of this study was to evlauate the microleakage of 3 dentin bonding agents using different dentin pretreatment method under simulated physilogic pressure in cementing the porcelain laminate veneer. Noncarious 60 human maxillary molars were selected and randomly assigned to 4 groups of 15 each. The group with the margin placed on the enamel was classified as the control and the groups with the margin placed on root surface were subdivided into 3 groups according to the dentin bonding agents used. The group using All Bond 2 was classified as experimental group 1, the group using Scotchbond MP was classified as experimental group 2, and the group using Gluma was classified as experimental group 3. Roots were removed at 3mm below the cementoenamel junction, and reductions of the teeth for the porcelain laminate veneer were done on the mesial 1/2 of the buccal surface of each teeth. The pulp was extirpated and the pulp chamber was cleaned with 37% phosphoric acid for the patency of dentinal tubule. Under simulated physiologic pressure, porcelain laminate veneers were cemented to the teeth using each dentin bonding agent and luting cement. After cementation, all samples were stored at 36t in water for 24 hours and thermocycled for 1500 cycles, then immersed in 0.5% basic fuchsin solution and the teeth were sectioned longitudinally by using diamond saw and the extent of microleakage was measured. The following results were obtained, 1. Microleakage was observed in a few samples of control group but all the samples of experimental groups. 2. The control group showed the less extent of microleakage than the experimental groups. In experimental groups the experimental group 1 & the experimental group 2 showed similiar extent of microleakage and the experimental group 3 showed the greater extent of microleakage than other groups. Conclusively, practicing the porcelain laminate veneers in the clinic, although the margin of the porcelain laminate veneer should be placed on enamel, in the case that it is inevitable to place the margin of the porcelain laminate veneer on the root surface, it is recommened to use dentin bonding agents which use no dentin pretreatment or a dentin pretreatment which can leave the smear plugs.

• 대한치과보철학회지
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• 제37권2호
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• pp.143-166
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• 1999

The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.

• 대한심미치과학회지
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• 제10권2호
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• pp.15-20
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• 2001

The spaced dentition is a common clinical finding. The careful analysis of clinically spaced dentition is a necessity for effective treatment planning. Spaced dentition often exists in the presence of intact teeth. Therefore, special care should be taken in order to obtain the most successful esthetic effect and to prevent overtreatment as well. The aesthetic restorative dental treatment using the porcelain laminate veneers is getting more popular than the complex orthodontic treatment, and prosthetic solutions that require sacrifice of sound tooth structure. The physical strength of porcelain laminate veneers is not as good as porcelain fused metal crowns, and more researches are needed in the field of bonding between composite cement and porcelain laminate veneer. However, the esthetic results from this unprepared porcelain laminate veneers were satisfactory with Authentic (Ceramay, Germany) pressable ceramic technique and resin cement (Rely X Veneer, 3M). This article deals with 2 cases of unprepared porcelain laminate veneers on anterior teeth.

• 대한치과보철학회지
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• 제34권2호
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• pp.246-265
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• 1996

After adjusting glazed surface of laminate veneer porcelain by reduction in the clinical procedure, an additional polishing procedure is required to smoothen the roughened surface by reduction, as it is difficult to glaze it again in the furnace. In this study, four kinds of laminate veneer porcelain were ground with diamond points as done in the clinical procedure. The adjusted porcelain surface was polished with Durawhite stone, Ceramiste points, Exa cerapol, Porcelain polishing wheel, Diamond polishing paste. The degree of surface roughness was evaluated with SEM and profilometer at each step, The self glazed surface and the glazed surface with glazing powder were compared with the polished surface and surface roughness of four kinds of laminate veneer porcelain according to the polishing method and step were obserbed. The following results were obtained : 1. There was no difference in the average surface roughness Ra value and the surface roughness obserbed under SEM according to the polishing methods and steps used, among the four kinds of laminate veneer porcelain including Colorlogic, Exelco, Vintage, and Vitadur alpha product. 2. Due to porosities, the surface in the course of polishing by polishing instruments was rougher than the glazed surface, evaluated with a SEM. 3. Insta-Glaze diamond polishing paste has no statistical difference with self glazed group 1, although it has a lower value in average surface roughness Ra value. 4. Group 2 which was glazed with galzing powder was lowest in view of SEM, but it revealed higher surface roughness Ra value than group 1, the glazed surface and group 8, polished by diamond polishing paste, due to surface waveness. 5. Proper surface smoothness could not be in the surface roughness analysis of SEM and profilometer by Shofu laminate polishing kit composed of Diamond point, Durawhite stone and Ceramiste points. Based on the results of this study, the following conclusions can be drawn. We obtain low surface roughness than glazed surface by polishing instruments, but not perfect results clinically. In order to obtain a perfect clinical result or a surface smoothness comparable to glazed porcelain there is a need for further improvement of porcelain materials, condensa-tion techniques, polishing instruments and polishing methods. Furthermore card should be taken not to breakdown the glazed surface during the clinical and laboratory procedure.

• 대한심미치과학회지
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• 제29권1호
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• pp.4-12
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• 2020

Laminate veneer는 전부도재 크라운 보다 전.구치 포함 적용범위는 매우 넓다. 또한 치관 형성시 요구되는 시간이 단축되며 침습 또한 적은 장점이 있다. 그러므로 치은에도 우수한 심미성과 기능개선을 가능하게한다. 환자의 고통과 치질손실의 부담도 훨씬 줄일 수 있으므로 앞으로도 잔존 자연치아의 심미성과 기능개선의 중요한 역할을 담당할 것이라 생각한다.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1992년도 춘계학술대회
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• pp.23-24
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• 1992

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1998년도 추계학술대회
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• pp.89-89
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• 1998