• The Journal of Korean Academy of Prosthodontics
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• v.55 no.2
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• pp.135-143
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• 2017

Purpose: This research was conducted to compare the marginal and internal fit of zirconia prostheses fabricated with the model scan method and the intraoral scan method. Materials and methods: In this study, 20 extracted human mandibular first molar was used in the preparation of abutment tooth for the fabrication of zirconia prostheses. In the first group, the model scan method was applied on 10 prepared teeth. In the other group, the intraoral scan method was used on other 10 prepared teeth. Datum of both groups were transmitted to the software system. Afterwards, 20 zirconia prostheses were fabricated using the Ceramill system. Weight technique was used to evaluate the internal gap of the zirconia prostheses. In the Replica technique, marginal gap of the zirconia prostheses were analyzed by optical microscopy. Statistical analysis was based on one-way ANOVA. Results: Model scan group showed lower average weight than intraoral scan group when weight technique was applied, which has significance (P < .05). Also, model scan group showed significantly lower figures in all 5 measurements of replica technique than intraoral scan group (P < .05). Conclusion: Zirconia prostheses of both groups demonstrated clinically acceptable margin and internal fit. However, model scanned zirconia prostheses showed higher marginal and internal fit than intraoral scanned crowns.

• Journal of the Korean Ceramic Society
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• v.41 no.7
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• pp.508-512
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• 2004

For abutment of dental implants, (Y, Nb)-TZP/Alumina composites were prepared by addition of 10-90 vol% alumina at an interval of 10 vol％ into tetragonal zirconia solid solution which consists of 90.24 mol% Zr $O_2$, 5.31 mol% Y$_2$ $O_3$, and 4.45 mol% Nb$_2$O$\_$5/. Biaxial flexure strength and fracture toughness of composite were optimized by adding 10 vol% alumina, which resulted in 900 MPa and 8.9 MPam$\^$1/2/, respectively. The composite did not undergo low temperature degradation even after autoclave treatment at 200$^{\circ}C$ for 10 h. 65 of (Y, Nb)-TZP/Alumina composite abutments were employed into 40 patients and any adverse reaction, screw loosing, or fracture of abutments was not observed for the span of 2 years, indicating that the ceramic abutments can be safely used for restorations.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.40
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• pp.26.1-26.10
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• 2018

Background: This study aimed to evaluate the mechanical, biological, and esthetic stability of a zirconium abutment according to evidence-based dentistry. Main text: An electronic search was performed. Domestic studies were found using the keywords "zirconia abutments" and "zirconium abutment" in KMbase, KoreaMed, and the National Assembly Library, and international studies were found using the same keywords in PubMed. All identified studies were divided by evidence level from the viewpoint of the research type utilizing the evidence-based review manual. A total of 102 domestic studies (with Korean language) were found, and 9 of these studies were selected. In these nine studies, 3 had evidence level 3 and 6 had evidence level 4. A total of 97 international studies (with English language) were found, and 19 were selected. Among these 19 studies, 5 had evidence level 2 and 7 had evidence level 3, whereas the remainder had evidence level 4. According to the studies, zirconium abutments are mechanically, biologically, and esthetically stable, but the evidence level of these studies is low, and the follow-up duration is no longer than 5 years. Conclusions: All examined studies verified the mechanical stability of zirconium abutments for a period no longer than 5 years. Therefore, a long-term clinical observation is needed. Zirconium abutments are thought to be biologically stable, but they are not superior to titanium abutments. As the esthetic stability of such abutments had a low evidence level in the studies that examined here, a much higher evidence level is needed.

• The Journal of Korean Academy of Prosthodontics
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• v.56 no.3
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• pp.206-211
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• 2018

Purpose: Recently, a method of forming a slot in the prosthesis lingual has been introduced to solve the occlusal and aesthetic disadvantages of screw-retained prosthesis in the manufacture of implant-fixed prosthesis and to ensure retrievability in cement retained prostheses. The purpose of this study is to investigate the effect of the internal gap on the removal of the prosthesis in the preparation of cement-retained implant prostheses with lingual slots. Materials and methods: Titanium abutment and internal gap of the zirconia prosthesis to be attached to the upper part were set to 30, 35, and $50{\mu}m$, respectively. Three for each type total 15 were produced for each type. The zirconia prosthesis formed a retrievable cement-type slot with a space of 1 mm at the location where the titanium abutment meets the shelf area. Autocatalytic resin cement was used for bonding of abutment and zirconia prosthesis, and the maximum removal stress value was measured in units of Ncm by using the customized equipment of the cemented specimen. The Kruskal-Wallis test was used to compare the three groups by statistical analysis (${\alpha}=.05$), modified by post hoc test the Mann-Whitney U-test and the Bonferroni correction method were used to compare the two methods (${\alpha}=.017$). Results: There was no statistically significant difference in removal stress between the $30{\mu}m$ group and the $35{\mu}m$ group in the internal gap (P = .032), and there was a significant difference between the $30{\mu}m$ group and the $50{\mu}m$ group, between the $35{\mu}m$ group and the $50{\mu}m$ group (P < .017). Conclusion: Thus, the internal gap of computer-aided design affected the retention between the zirconia prosthesis and the titanium abutment.

• The Journal of the Korea Contents Association
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• v.12 no.8
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• pp.240-247
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• 2012

Marginal and internal fit is an important part of the longevity of dental restorations. The purpose of this study was to analysis the marginal and internal fit of zirconia core by dental CAD/CAM system using innovative and non-destructive methods such as optical coherence tomography(OCT) and compare with conventional method such as silicone replica technique(SRT). Ten dental stone models of abutment of maxillary right central incisal were manufactured and scanned. Ten zirconia cores were fabricated with commercial CAD/CAM system. To measure the marginal and internal fit of each sample, five point of fitness were measured using 2 different methods(OCT and SRT). Statistical analysis was performed using independent sample t-test(${\alpha}$=0.05). OCT and SRT groups were not significantly different(P>0.05). By this results, analysis the fitness of dental restorations using OCT were acceptable measuring method.

• Journal of Periodontal and Implant Science
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• v.42 no.6
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• pp.217-223
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• 2012

Purpose: Several parameters have been described for determining the success or failure of dental implants. The surface properties of transgingival implant components have had a great impact on the long-term success of dental implants. The purpose of this study was to compare the tendency of two periodontal pathogens to adhere to and colonize zirconia abutments and titanium alloys both in hard surfaces and soft tissues. Methods: Twelve patients participated in this study. Three months after implant placement, the abutments were connected. Five weeks following the abutment connections, the abutments were removed, probing depth measurements were recorded, and gingival biopsies were performed. The abutments and gingival biopsies taken from the buccal gingiva were analyzed using real-time polymerase chain reaction to compare the DNA copy numbers of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and total bacteria. The surface free energy of the abutments was calculated using the sessile water drop method before replacement. Data analyses used the Mann Whitney U-test, and P-values below 0.05 find statistical significance. Results: The present study showed no statistically significant differences between the DNA copy numbers of A. actinomycetemcomitans, P. gingivalis, and total bacteria for both the titanium and zirconia abutments and the biopsies taken from their buccal gingiva. The differences between the free surface energy of the abutments had no influence on the microbiological findings. Conclusions: Zirconia surfaces have comparable properties to titanium alloy surfaces and may be suitable and safe materials for the long-term success of dental implants.

• Journal of Technologic Dentistry
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• v.42 no.2
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• pp.129-137
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• 2020

Purpose: The aim of this study is to observe the compressive fracture strength of the crown according to the direction of the occlusal force of the mandibular canine and carnassial of the small dog. Methods: The abutment models of mandibular canine and carnassial were prepared, specimens of zirconia, PMMA and Ni-Cr alloy were produced. The experimental jig was fabricated with Co-Cr alloy and buried in acrylic resin after make tilt to specified angle. The specimen was attached to a jig and loaded using a universal testing machine until the specimen fractured. Results: The compressive fracture strengths of CXZ and CXP specimens were found to be 999.21 ± 31.15 N on average and 731.42 ± 59.13 N on average. And CZZ and CZP specimens were 730.48 ± 70.14 N on average and 377.65 ± 11.87 N on average. CXN and CZN specimens were not fractured. In addition, MZZ and MZP specimens were 746.46 ± 50.75 N and 258.64 ± 31.86 N on average. The MZN specimens were not fractured. Conclusion: Zirconia has compressive fracture strength that can be applied to small dog's canine and Carnassial prosthetics, while PMMA has inadequate strength to small dog's carnassial prosthesis.

• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.3
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• pp.209-223
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• 2013

This study was to evaluate the stress distributions of prefabricated, customized abutments and fixtures according to their material and shape by three-dimensional finite element analysis. And to investigate the fatigue life and fracture characteristics. Mandibular models were fabricated by reconstruction of the CT scan of patients with normal occlusion. A total of six finite element models were designed, a load of 100 N was applied on the buccal cusps vertically, and 30 degree obliquely. 10 specimens each were fabricated for the more clinically widely used 4 type abutments and were loaded according to ISO 14801. Differences in stress distribution patterns were not found according to the materials of the abutments and fixtures. But a slight difference in the stress level was detected. Customized abutment groups showed lower crown stress levels. One-piece zirconia implant showed the lowest bone stress levels. In the fatigue test, highest values were measured in group 7. Prefabricated abutments showed less variation of fatigue life (P<0.05). Use of customized abutments can improve the fracture resistance of restorations. Especially, use of customized zirconia abutments reinforced by titanium screw connecting parts is recommended.

• Journal of dental hygiene science
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• v.12 no.4
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• pp.368-374
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• 2012

Dental CAD (computer-aided design)/CAM (computer-aided manufacturing) systems facilitate the use of zirconia core for all-ceramic crown. The purpose of this study was to evaluate the marginal and internal fit of zirconia core fabricated using a dental CAD/CAM system and to compare the fit of metal cores by a conventional method. Ten identical cases of single coping study models (abutment of teeth 11) were manufactured and scanned. Ten zirconia cores were fabricated using dental CAD/CAM system. An experienced dental technician fabricated 10 samples of metal cores for the control group using the lost wax technique. Marginal and internal fit was measured by the silicone replica technique. Fit was measured with magnification of 160 using a digital Microscope. Margin, rounded chamfer, axial wall and incisal fits were measured for comparison. T-test of independent sample for statistical analysis was executed with SPSS 12.0 for Windows (SPSS Inc., Chicago, IL, USA) (${\alpha}$=0.05). The mean (SD) for marginal, rounded chamfer, axial wall and incisal were: $97.0\;(25.3){\mu}m$, $104.0\;(22.0){\mu}m$, $59.6\;(21.4){\mu}m$ and $124.8\;(33.3){\mu}m$ for the zirconia core group, and $785.2\;(18.4){\mu}m$, $83.8\;(15.1){\mu}m$, $42.7\;(9.6){\mu}m$ and $83.4\;(14.4){\mu}m$ for the metal core group. T-test showed significant differences between groups for margin (p<.001), rounded chamfer (p<.001), axial wall (p<.001) and incisal (p<.001). But zirconia core group observed that the marginal and internal fit values in the present study were within clinically acceptable range.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.3
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• pp.210-217
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• 2016

Purpose: The aim of this study was to evaluate the marginal and internal adaptation of monolithic zirconia restoration made without physical model by digital intraoral scanner. Materials and methods: A prospective clinical trial was performed on 11 restorations as a pilot study. The monolithic zirconia restorations were fabricated after digital intraoral impression taking by intraoral scanner (TRIOS, 3shape, Copenhagen, Denmark), computer-aided designing, and milling manufacturing process. Completed zirconia crowns were tried in the patients' mouth and a replica technique was used to acquire the crown-abutment replica. The absolute marginal discrepancy, marginal gap, and internal gap of axial, line angle, and occlusal part were measured after sectioning the replica in the mesiodistal and buccolingual direction. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney U test (${\alpha}=.05$). Results: From the adaptation analysis by replica, the statistically significant difference was not found between mesiodistal and buccolingual sections (P>.05), but there was significant difference among the measurement location (P<.01). The amount of absolute marginal discrepancy was larger than those of marginal gap and internal gap (P<.01). Conclusion: Within the limitations of this study, the adaptation accuracy of model-free monolithic zirconia restoration fabricated by intraoral scanner exhibited clinically acceptable result. However, the margin of zirconia crown showed tendency of overcontour and cautious clinical application and follow up is necessary.