• The Journal of Korean Academy of Prosthodontics
• /
• v.46 no.5
• /
• pp.470-478
• /
• 2008

Statement of problem: Use of all-ceramic prostheses fabricated with CAD/CAM systems is increasing in the dentistry. Marginal fidelity in production of all-ceramic restoration has important clinical implications and is a key consideration issue in CAD/CAM production as well. Purpose: The objective of this study was to analyse marginal fidelities of $Procera^{(R)}$ Allceram Crown. Material and methods: On 56 patients treated with $Procera^{(R)}$ system Allceram Crown at Dankook Dental Hospital, marginal discrepancies of 101 abutments were measured by stereomicroscope at coping and final restoration stages. Paired t-test and one-way analysis of variance on marginal discrepancy data were conducted to determine the presence of significant differences between measurement and measuring point stages. Results: Marginal discrepancies of final restoration ($45.82{\pm}30.84\;{\mu}m$) were lower than alumina coping ($53.84{\pm}38.83\;{\mu}m$). Furthermore, the differences were found to be statistically significant at 95% confidence level. Anterior marginal discrepancies were lower than posterior marginal discrepancies, but they were not statistically significant. Lingual marginal discrepancies were higher than other measurement sites, and the differences were found to be statistically significant at 95% confidence level. Conclusion: Within the conditions of this study, marginal fidelities of $Procera^{(R)}$ Allceram Crown were acceptable, and after porcelain build-up, marginal fitness improved over alumina coping. More careful scanning is needed for better results.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.24 no.2
• /
• pp.183-192
• /
• 2008

Modern dental reconstructions do not only aim at restoring the patient's mastication, but rather at improving general well-being and quality of life, especially in terms of esthetics. The media, the internet, advertising, and many other facts of society contribute to an increased cosmetic awareness. A 35-year-old male patient presented with as follows: 1) the porcelain fracture of ceramo-metal restoration on #11 and #23, 2) the inclination of incisal plane to horizontal reference plane, 3) the dental midline deviation to facial midline, and 4) the lack of symmetry on upper anterior dentition. The patient requested an aesthetic improvement using fixed prosthodontics including implant-supported restorations. In the upper anterior region, one of the goals of the conventional as well as implant prosthesis is to achieve restorations with the dental attractiveness and beauty in the respect of dental, dentofacial, and facial compositions. This case report presents geometrically improvement of dental esthetics using conventional and implant prosthesis with soft and hard tissue augmentation.

• The korean journal of orthodontics
• /
• v.39 no.4
• /
• pp.225-233
• /
• 2009

Objective: The purpose of this study was to investigate the effect of thermocycling and type of porcelain restoration on shear bond strength (SBS) and mode of failure of monocrystalline ceramic brackets. Methods: A total of 60 porcelain discs were made and divided into three equal groups as follows: Ceramco 3, IPS Empress II, Zi-ceram/Vintage ZR. ceramic brackets were bonded to the prepared porcelain surfaces in the same manner. Each group was divided randomly into two subgroups: thermocycled group and non-thermocycled group (control). All samples were tested in shear mode on an universal testing machine. Results: SBS of the non-thermocycled group was clinically acceptable (Ceramco 3: $7.06\;{\pm}\;1.76\;MPa$, IPS Empress II: $7.55\;{\pm}\;2.38\;MPa$, Zi-ceram/Vintage ZR: $7.19\;{\pm}\;1.38\;MPa$). But, SBS of the thermocycled group was significantly reduced (Ceramco 3: $4.88\;{\pm}\;1.00\;MPa$, IPS Empress II: $5.46\;{\pm}\;1.35\;MPa$, Zi-ceram/Vintage ZR: $4.84\;{\pm}\;1.01\;MPa$, p < 0.05). There was no difference between the shear bond strength by type of porcelain restoration. All bonding failure occurred between bracket base and adhesive, except for 2 samples. Conclusions: The results of this study suggest that the type of porcelain restoration did not affect SBS, but thermocycling weakened SBS. Therefore, the effect of thermocycling should be considered when using ceramic brackets in practice.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.28 no.2
• /
• pp.191-200
• /
• 2012

The patients' demand for treatment of unesthetic anterior teeth is steadily growing. Accordingly, several treatment options such as porcelain laminate veneers(PLV) have been proposed to restore the esthetic appearance of the dentition. Porcelain laminate veneers are considered minimally invasive, but they also require removal of sound enamel. One critical step in the porcelain laminate veneer technique is the achievement of sufficient ceramic thickness, and several different strategies for tooth preparation can be found in the literature. This clinical report describes a step-by-step protocols for preparation of these restorations used with the silicone index from diagnostic wax-up and the acrylic resin mock-up. Conservative use of porcelain laminate veneers provided satisfactory esthetic outcomes and preserved sound tooth structure.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.31 no.2
• /
• pp.96-103
• /
• 2015

Purpose: The purpose of this study was to spectrophotometrically evaluate the influence of porcelain layer thickness and substructure. Materials and Methods: Four groups of porcelain specimens (metal and ceramic substructure) was prepared for analysis. Color parameters were measured with spectrophotometer and color difference (${\Delta}E*$) were calculated. T-test and one-way ANOVA test were used to find out significant difference and Tukey test was used to identify where the difference ware. Results: Increasing the thickness of porcelain decreased values (P < 0.05). Increasing the thickness of porcelain on ceramic substructure decreased the $a^*$ (P < 0.05) but, the $b^*$ were not statistically different. Total color difference (${\Delta}E*$) were below 1 when the difference of porcelain thickness were 0.5 mm. Conclusion: The thickness of porcelain are the factor effecting on color. This study will help the color are controlled by changing the thickness of porcelain clinically.

• The Journal of Korean Academy of Prosthodontics
• /
• v.54 no.2
• /
• pp.152-159
• /
• 2016

Implant fixed prosthesis for the complete edentulous maxilla provides significant benefits in the aspects of functions and esthetics compared with the conventional denture. Implant supported fixed prosthesis are totally supported by implant, and thus stabilizes the prosthesis to the maximum degree as possible. Also, the improved retention and stability of fixed prosthesis enhance patients' psychological and psychosocial health. This clinical presentation describes a maxillary full arch implant-supported fixed prosthesis in complete maxillary edentulous patient who showed vertical and horizontal alveolar bone resorption in the anterior ridge. To rehabilitate the esthetics and proper lip support, the zirconia framework was fabricated and the pink porcelain was veneered to reproduce the natural gingival tissue. After 9 months of follow up, the restorations were maintained without complications and the patient was satisfied with the restoration both functionally and esthetically.

• The Journal of Korean Academy of Prosthodontics
• /
• v.55 no.1
• /
• pp.26-31
• /
• 2017

Purpose: This study was to assess clinically the success rates and technical complications of cement-retained implant-supported single crowns and splinted crowns with zirconia frameworks. Materials and methods: 75 (single crowns: 51, splinted crowns: 24) cement-retained implant-supported single crowns and splinted crowns with zirconia frameworks which were restored in 67 patients were investigated for the evaluation of the success rates and technical complications. All restorations were cemented with temporary cement. Age, gender, restoration position, opposing teeth, restoration type were assessed as possible factors affecting technical complications. Results: During the mean observation period of 22.2 months, cumulative success rates of all restorations were 66.9 (73.2 - 60.6)%. Retention loss was found in 16 restorations (single crowns: 14, splinted crowns: 2), abutment screw loosening and veneer porcelain fracture were found in each 2 single crowns, respectively. According to a Kaplan-Meier survival analysis of single crowns and splinted crowns, the cumulative success rates were 58.9 (66.6 - 51.2)%, 87.5 (96.1 - 78.9)%, respectively. There was a statistically significant difference. The other possible factors did not have a significant effect on the technical complications. Conclusion: Retention loss was the most frequent technical complication. Abutment screw loosening and veneer porcelain fracture were found rarely in single crowns only. Age, gender, restoration position, and antagonist did not have significant effect on the technical complications. Splinted crowns had a higher success rate than single crowns.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.28 no.3
• /
• pp.253-268
• /
• 2012

Full-mouth reconstruction of a patient using dental implants is a challenge if there is vertical and horizontal bone resorption, since this includes the gingival area and restricts the position of the implants. however, hard- and soft-tissue grafting may allow the implants to be placed into the desired position. Although it is possible to regenerate lost tissues, an alternative is to use fixed detachable prostheses that restore the function and the esthetics of the gingiva and teeth. Various material combinations including metal/acrylic, metal/ceramic, and zirconia/ceramic have been used for constructing this type of restoration. Other problems include wear, separation or fracture of the resin teeth from the metal/acrylic prosthesis, chipping or fracture of porcelain from the metal/ceramic or zirconia/ceramic prosthesis, and fracture of the framework in some free-end prostheses. With virtually unbreakable, chip-proof, life-like nature, monolithic zirconia frameworks can prospectively replace other framework materials. This clinical report describes the restoration of a patient with complete fixed detachable maxillary and mandibular prostheses made of monolithic zirconia with dental implants. The occluding surfaces were made of monolithic zirconia, to decrease the risk of chipping or fracture. The prostheses were esthetically pleasing, and no clinical complications have been reported after two years.

• Journal of the Korean Academy of Esthetic Dentistry
• /
• v.22 no.1
• /
• pp.9-21
• /
• 2013

Aesthetics means differ from cultures and times and also differ from each person's own thinking. But as a restorative dentist who works for esthetic areas, we need to have certain principles and rationale. Some functions in CAD/CAM looks very useful to match harmonious shape to adjacent teeth and also very effective and efficient when compare to the traditional laboratory technics. Also we will discuss about link abutment (Titanium-Zirconia abutment) which we need for dental implant placed anterior area where the soft tissue is thin.

• The Journal of Korean Academy of Prosthodontics
• /
• v.51 no.1
• /
• pp.33-38
• /
• 2013

Occlusal plane is a sagittal expression of dental arch form, and it composes the shape of occlusion, which is one of the most important elements of Maxillo-oral system. In this case, vertical, horizontal coordinates of bionic-median-sagittal plane was produced in articulator, and to achieve relation of left and right position of upper, lower teeth and deficits in alveola, Shilla system was used to reconstruct occlusal plane. In this case, a 41 year-old male patient visited for fracture of 10 unit metal-ceramic fixed partial denture of upper anterior teeth and for overall treatment. Clinical, radiographical, model examination was held, full mouth rehabilitation was achieved by placing dental implant. Maxillo-oral relation was recorded using Gothic arch Tracer complex and were mounted. And for the next step, we estimated original occlusal plane using Shilla system. After analysis we produced diagnosis wax pattern. On the basis of this, radiography stent was manufactured and dental implant was placed, and temporary prosthesis was made by using diagnosis wax pattern. Cross mounting and anterior guiding table were performed in order to reproduce temporary restoration morphology and bite pattern, followed by final restoration made of all ceramic crown with zirconia coping. As stated above, appropriately esthetic and functional results can be seen in using Shilla system in diagnosis and treatment procedure of full mouth rehabilitation patient.