• 한국전문물리치료학회지
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• 제22권3호
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• pp.1-11
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• 2015

The purpose of this study was to investigate the effect of lumbar stabilization training and additional thoracic mobilization on pain, proprioception and static balance in patients with chronic low back pain. The subjects of this study were 48 chronic low back pain patients who were randomly allocated to an experimental group 1 ($n_1=16$, lumbar stabilization and thoracic mobilization, thoracic hypomobility), experimental group 2 ($n_2=16$, lumbar stabilization and thoracic mobilization, thoracic normal mobility), and a control group ($n_3=16$, lumbar stabilization, thoracic hypomobility) after a thoracic mobility test. Both experimental groups underwent lumbar stabilization training and additional thoracic mobilization. The control group underwent only lumbar stabilization training. The intervention was performed 3 times per week, 30 minutes each time, for a total of 6 weeks. Thoraco-lumbar joint reposition error was measured using an electrogoniometer and static balance ability was measured using the Tetrax posture analysis system. Subjects' pain level was measured using a 100 mm visual analogue scale. Statistical analyses were performed using a one-way analysis of variance and a paired t-test. Post-hoc testing was carried out with a Bonferroni test. The pain level was significantly lower in both experimental groups compared to the control group. Both experimental groups showed significant reductions in joint reposition error angle (flexion, extension, and side bending) compared to the control group. The static balance level was significantly lower in both experimental groups than in the control group. In summary, lumbar stabilization exercises and additional thoracic mobilization significantly improved the pain level, proprioception, and static balance in patients with chronic low back pain.

• 대한치과기공학회지
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• 제39권2호
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• pp.101-107
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• 2017

Purpose: The purpose of this study was to compare the shear bond strength of the metal-heat pressed glass ceramic bilayer structure. Methods: Metal framework specimens were prepared and surface is spreaded opaque(IPS InLine system opaque, IvoclarVivadent, Liechtenstein). There were 10 specimens for each bilayer dental ceramic group. The first group was porcelain fused metal, Press on metal IPS Inline press group, and press on metal HASS prototype group. Specimens measured for the shear bond strength on Schwickerath test by Instron universal testing machine(Instron3345, Instron Corp., USA). Mean average bond strength values of each specimen group were analyzed using a one-way ANOVA analysis of variance Saphiro-wilk's test. Statistical analysis were performed using IBM SPSS 23.0(IBM Co., Armonk, USA) Results: $RMS{\pm}SD$ The highest mean average HASS POM showed a bond strength value ($47.55{\pm}12.80Mpa$). The lowest mean average values Porcelain fused metal ($33.30{\pm}2.00Mpa$). Independent t-test was conduct to analysis the significant difference (p<0.05) (Table 3). Conclusion: Three kinds of Metal/ glass bilayer dental ceramics bond strength were clinical acceptability. Especially, as lithium disilicate containing represents higher bond strength.

• 대한치과기공학회지
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• 제31권4호
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• pp.37-43
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• 2009

This study evaluated the effect of concentration of glass fiber reinforcement on the flexural properties of auto and heat polymerized denture base resin. The test specimens($64{\times}10{\times}3.3mm$) were made of auto and heat polymerized resin(Vertex, Dentimax, Netherlands). Glass fiber(ER 270FW, Hankuk Fiber Glass, Korea) were used to reinforce the denture base resin. The 2.6%, 5.3% and 7.9% volume pre-impregnated fiber were located at the bottom of specimen. The test specimens(n=7) of each group were stored in distilled water at $37^{\circ}C$ for 50 hours before test. The flexural strength and modulus were measured by an universal testing machine(Z020, Zwick, Germany) at a crosshead speed of 5 mm/min in a three-point bending mode. The data was analyzed by one-way ANOVA and the Duncan's multiple range test(${\alpha}$=0.05). The difference of auto polymerized resin groups and heat polymerized resin groups were statistically analyzed by t-test(${\alpha}$=0.05). Glass fiber showed significant reinforcing effects on auto and heat polymerized resin. For flexural strength and modulus, auto polymerized resin was the highest in 7.9% volume, while heat polymerized resin was the highest in 5.3% volume. In this study, glass fiber at 7.9% volume ratio showed most effective reinforcing effect on auto polymerized resin and glass fiber at 5.3% volume ratio showed most effective reinforcing effect on heat polymerized resin in terms of flexural strength and flexural modulus.

• The Journal of Advanced Prosthodontics
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• 제7권4호
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• pp.317-322
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• 2015

PURPOSE. The aim was to evaluate the effect of curing mode and different dentin surface pretreatment on microtensile bond strength (${\mu}TBS$) of self-adhesive resin cements. MATERIALS AND METHODS. Thirty-six extracted human permanent molars were sectioned horizontally exposing flat dentin surface. The teeth were divided into 12 groups (3 teeth/group) according to the dentin surface pretreatment methods (control, 18% EDTA, 10% Polyacrylic acid) and curing mode (self-curing vs. light-curing) of cement. After pretreatment, composite resin blocks were cemented with the following: (a) G-CEM LinkAce; (b) RelyX U200, followed by either self-curing or light-curing. After storage, the teeth were sectioned and ${\mu}TBS$ test was performed using a microtensile testing machine. The data was statistically analyzed using one-way ANOVA, Student T-test and Scheffe's post-hoc test at P<.05 level. RESULTS. For G-CEM LinkAce cement groups, polyacrylic acid pretreatment showed the highest ${\mu}TBS$ in the self-cured group. In the light-cured group, no significant improvements were observed according to the dentin surface pretreatment. There were no significant differences between curing modes. Both dentin surface pretreatment methods helped to increase the ${\mu}TBS$ of RelyX U200 resin cement significantly and degree of pretreatment effect was similar. No significant differences were found regarding curing modes except control groups. In the comparisons of two self-adhesive resin cements, all groups within the same pretreatment and curing mode were significantly different excluding self-cured control groups. CONCLUSION. Selecting RelyX U200 used in this study and application of dentin surface pretreatment with EDTA and polyacrylic acid might be recommended to enhance the bond strength of cement to dentin.

• 대한치과보철학회지
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• 제37권4호
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• pp.465-473
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• 1999

Bond strength of luting cements to dentin is a critical consideration for success of complete cast crowns. This study was performed to evaluate the relationship between surface characteristics of teeth prepared for complete cast crowns and retention of cemented restorations. Eighty artificial crowns were cast for standardized complete crown tooth preparations accomplished with the use of a special device on recently extracted human teeth. Coarse diamond(#102R, Shofu) and superfine finishing diamond(#SF102R, Shofu) burs of similar shape were used. Crowns in each group were randomly subdivided into few subgroups of 10 for luting cements selected for this study: zinc phosphate cement (FLECK' S), polycarboxylate cement (Poly-F), rein-forced glass ionomer cement (Fuji PLUS). and adhesive resin cement (Panavia 21). Retention was evaluated by measuring the tensile load required to dislodge the artificial crown from tooth preparations with an Instron testing machine, and analysed by one-way ANOVA and Student's t-test. The obtained results were as follows ; 1. When tooth preparation was done with coarse diamond bur, retentive force was diminished in order of Panavia 21 Fuji PLUS, FLECK'S, and Poly-F. Retentive forces showed the significant difference between Fuji PLUS group and FLECK'S group(p<0.001). 2. When tooth preparation was done with superfine diamond bur, retentive force was diminished in order of Fuji PLUS, Panavia 21, FLECK'S, and Poly-F. Retentive forces showed the significant difference between Panavia 21 group and FLECK'S group(p<0.001). 3. Retentive force in coarse tooth surfaces was significantly higher than that in superfine tooth surface with all luting cements(p<0.001), and cement residues were almost retained with-in the cast crown in all groups.

• The Journal of Advanced Prosthodontics
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• 제8권4호
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• pp.285-289
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• 2016

PURPOSE. This study evaluated the effect of chemical surface treatment using methyl formate-methyl acetate (MF-MA) solution on the tensile bond strength between acrylic denture teeth and auto-polymerized acrylic resin. MATERIALS AND METHODS. Seventy maxillary central incisor acrylic denture teeth for each of three different brands (Yamahachi New Ace; Major Dent; Cosmo HXL) were embedded with incisal edge downwards in auto-polymerized resin in polyethylene pipes and ground with silicone carbide paper on their ridge lap surfaces. The teeth of each brand were divided into seven groups (n=10): no surface treatment (control group), MF-MA solution at a ratio of 25:75 (v/v) for 15 seconds, 30 seconds, 60 seconds, 120 seconds, 180 seconds, and MMA for 180 seconds. Auto-polymerized acrylic resin (Unifast Trad) was applied to the ground surface and polymerized in a pressure cooker. A tensile strength test was performed with a universal testing machine. Statistical analysis of the results was performed using two-way analysis of variance (ANOVA) and post-hoc Dunnett T3 test (${\alpha}$=.05). RESULTS. The surface treatment groups had significantly higher mean tensile bond strengths compared with the control group (P<.05) when compared within the same brand. Among the surface treatment groups of each brand, there were no significantly different tensile bond strengths between the MF-MA groups and the MMA 180 second group (P>.05), except for the Yamahachi New Ace MF-MA 180-second group (P<.05). CONCLUSION. 15-second MF-MA solution can be an alternative chemical surface treatment for repairing a denture base and rebonding acrylic denture teeth with auto-polymerized acrylic resin, for both conventional and cross-linked teeth.

• The Journal of Advanced Prosthodontics
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• 제4권1호
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• pp.30-36
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• 2012

PURPOSE. The aim of this in-vitro investigation was to describe the effect of reinforcement with different fibers on impact strength of heat polymerized poly-methyl methacrylate (PMMA) denture base resin and to analyze the effect of surface treatment of the fibers on the impact strength. MATERIALS AND METHODS. The specimens were fabricated from the dies formed as per standard ASTM D4812. 2% by weight of glass, polyethylene and polypropylene fibers were incorporated in the PMMA resin. The Izod impact testing was performed on the unnotched specimens and the values obtained were analyzed using appropriate one way ANOVA, followed by unpaired t-test. Fractured ends of the samples were subjected to the SEM analysis. RESULTS. The polypropylene fibers with plasma treatment showed the highest impact strength ($9.229{\times}10^2$ J/m) followed by the plasma treated polyethylene fibers ($9.096{\times}10^2$ J/m), untreated polypropylene fibers ($8.697{\times}10^2$ J/m), untreated polyethylene fibers ($7.580{\times}10^2$ J/m), silane treated glass fibers ($6.448{\times}10^2$ J/m) and untreated glass fibers ($5.764{\times}10^2$ J/m). Also the surface treatment of all the fibers has shown the significant improvement in impact strength. Findings of the SEM analysis justified the improvement in impact strength after surface treatment. CONCLUSION. Reinforcement with the fiber is an effective method to increase the impact strength of PMMA denture base resin. The surface treatment of fibers further increases the impact strength significantly.

• 구강회복응용과학지
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• 제23권4호
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• pp.269-281
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• 2007

Fluoric acid etching is an essential procedure in cementation of reinforced ceramics to tooth surface. But there have been few studies about the changes of surface structure and flexural strength of IPS $Empress^{(R)}$ 2 ceramic according to the etching time. The objectives of this study were to examine the surface structure changes and the difference in biaxial flexural strength of IPS $Empress^{(R)}$ 2 ceramic according to various etching times. Sixty one disk-shaped specimens of IPS $Empress^{(R)}$ 2 ceramic($14mm{\times}1.2mm$) were fabricated for the biaxial flexural strength test and SEM analysis according to the manufacturer's recommendations. Sixty specimens were divided into 6 groups(n=10) according to the time of HF acid etching(0, 20, 180 and 300s)and silane/resin cement application. Each disk was loaded using a piston-on-3 ball biaxial configuration in a universal testing machine. The failure loads(N) were recorded, and the biaxial flexural strength for each disk was calculated. A one-way analysis of variance and independent t-test on transformed fracture strength data were used to determine significant differences between groups. The groups of no cementation showed a trend toward progressive weakening with increasing the etching time. However, this was not statistically significant at p=0.05 level. The groups of resin cementation exhibited no apparent trend in their mean strength values. SEM photomicrographs showed very different results of etching. Within the conditions of this study, alteration of surface topography by acid etching does not have a deleterious effect on the biaxial flexural strength of IPS $Empress^{(R)}$ 2 ceramic.

• The Journal of Advanced Prosthodontics
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• 제2권1호
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• pp.14-17
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• 2010

PURPOSE. The purpose of this study was to investigate the diametral tensile strength of polymer-based temporary crown and fixed partial denture (FPD) materials, and the change of the diametral tensile strength with time. MATERIAL AND METHODS. One monomethacrylate-based temporary crown and FPD material (Trim) and three dimethacrylate-based ones (Protemp 3 Garant, Temphase, Luxtemp) were investigated. 20 specimens (${\phi}\;4\;mm\;{\times}\;6\;mm$) were fabricated and randomly divided into two groups (Group I: Immediately, Group II: 1 hour) according to the measurement time after completion of mixing. Universal Testing Machine was used to load the specimens at a cross-head speed of 0.5 mm/min. The data were analyzed using one-way ANOVA, the multiple comparison Scheff$\acute{e}$ test and independent sample t test ($\alpha\;=\;0.05$). RESULTS. Trim showed severe permanent deformation without an obvious fracture during loading at both times. There were statistically significant differences among the dimethacrylate-based materials. The dimethacrylate-based materials presented an increase in strength from 5 minutes to 1 hour and were as follows: Protemp 3 Garant (23.16 - 37.6 MPa), Temphase (22.27 - 28.08 MPa), Luxatemp (14.46 - 20.59 MPa). Protemp 3 Garant showed the highest value. CONCLUSION. The dimethacrylate-based temporary materials tested were stronger in diametral tensile strength than the monomethacrylate-based one. The diametral tensile strength of the materials investigated increased with time.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.90-96
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• 2007

The purpose of this study was to compare the joint position sense at the knee joint at 3 different surface conditions by using the active knee joint angle reproduction test in the standing position. Twenty healthy volunteers (10 males and 10 females) age 20~29 years were recruited for this study. The knee joint position senses were assessed at three different surface conditions: on the floor (stable condition), TOGU (soft condition), and seat fit (unstable condition) in a closed kinetic chain. Testing orders were selected randomly. The absolute angle error was defined as the absolute difference between target angles ($30^{\circ}{\sim}45^{\circ}$ knee flexion) and subject perceived angle of the knee flexion. One way ANOVA was used to compare the absolute angle of error among 3 different conditions. The Independent t-test was used to compare the absolute angle of error between male and female. The error angles were significantly different among surface conditions ($1.3^{\circ}{\pm}1.2^{\circ}$ for the floor, $2.1^{\circ}{\pm}0.9^{\circ}$ for the TOGU, and $4.4^{\circ}{\pm}1.8^{\circ}$ for the seat fit, p<.05). There was no significant difference in error angle between male and female. In conclusion, the joint position sense of the knee joint in the closed kinetic chain decreased at unstable surface conditions. The result of this study indicates that surface conditions should be considered when assessing and training the joint position sense of the knee joint in clinical setting.