• Journal of Technologic Dentistry
• /
• v.38 no.4
• /
• pp.305-311
• /
• 2016

Purpose: The purpose of this study were to analysis of marginal adaptation of metal cores fabricated by selective laser sintering. Methods: Main model was prepared and ten stone models were fabricated. Ten single metal cores were fabricated by selective laser sintering(SLS group) and another ten single metal cores using lost wax technique and casting method were manufactured(CAST group). The marginal adaptation of metal cores were analysis using by the silicone replica technique. Silicone replicas were sectioned two times. The marginal adaptations were measured using by digital microscope. Statistical analyses was performed with independent t-test(${\bullet}{\cdot}=0.05$). Results: Means of marginal adaptations were 90.3 ${\ss}{\uparrow}$ for SLS group and 65.1 ${\ss}{\uparrow}$ for CAST group. Two groups were statistically significant differences (p < 0.05). Conclusion: Marginal adaptation of metal cores fabricated by selective laser sintering were ranged within the clinical recommendation.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.31 no.4
• /
• pp.371-377
• /
• 2015

Oral lichen planus (OLP) is a common mucocutaneous disease, which presents as bilateral or multiple lesions. The several factors are implicated in etiology of OLP such as dental restorations, systemic disease, drugs and stress. Especially the influence of dental restorations and plaque control for OLP has been the interest in dentistry. This case is about OLP patient having poor contoured and ill-fitting metal ceramic restorations. The patient in this study has suffered from OLP for a long time, particularly after restoration of metal ceramic restorations on both posterior teeth of maxilla and mandible. This study reported that OLP lesion recovered effectively by improving the contour and fitness of restorations with plaque control.

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

• Journal of the Korean Arthroscopy Society
• /
• v.17 no.1
• /
• pp.38-43
• /
• 2013

Purpose: To evaluate the efficiency of arthroscopic treatment for infected total knee arthroplasty (TKA), and to investigate the factors affecting the outcomes. Materials and Methods: We analyzed 17 cases which underwent arthroscopic treatment to treat infection after TKA. After confirming infection by hematologic examination and analysis of joint fluid, we performed arthroscopic debridement, synovectomy and irrigation with normal saline mixed with antibiotics. Through routine examination after operation, we checked failure of treatment or recurrence of infection. If there is no recurrence until 2 years after the operation, we considered it as a success of treatment. Results: Of the 17 cases taken arthroscopic treatment, 13 cases were treated successfully with primary arthroscopic treatment only, but 4 cases had to undergo re-operation because of persistence or recurrence of infection. Analyzing the factors affecting the results, we found that symptom duration of the re-operation group is longer than the treated group after arthroscopy (p<0.05). Conclusion: Arthroscopic treatment can be effective when we performed appropriate selection of patients, careful and extensive arthroscopic irrigation and debridement, and suitable use of antibiotics. However, we have to do early arthroscopic surgery as soon as possible when infection after TKA is suspected.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.44 no.4
• /
• pp.446-454
• /
• 2017

Recently, there have been many studies on bulk-fill resin composites. However, studies on the proper materials for pediatric patients are rare. The aim of this study was to compare the cavity wall adaptation of bulk-fill resin composites with conventional resin composite in class II cavities of primary molars using microcomputed tomography (micro-CT). Standardized class II slot cavities were prepared in 80 exfoliated primary molars and randomly divided into 4 groups. The control group was restored with conventional resin composite, Filtek Z-350 XT (FZ), and the three groups were restored with bulk-fill resin composites, Filtek bulk-fill posterior (FB), Tetric N-Ceram Bulk Fill (TNC), Filtek bulk-fill flowable (FBF). All specimens were thermocycled and then immersed in 50% silver nitrate ($AgNO_3$) solution. Micro-CT was used to measure the penetration volume of the total silver nitrate and the degree of cervical marginal leakage and the number, size, and position of the voids were evaluated. The results revealed that the volume of silver nitrate were significantly different between FB and FZ (p < 0.05). The results also revealed that the penetration length of silver nitrate FBF showed statistically lower than the FZ and FB (p < 0.05). There was no significant difference between the groups in number and size of voids. In conventional resin composite, most of the voids were present inside the restoration (83.3%), but the voids in the bulk-fill resin composites incidence were higher in the gingivoaxial angle. The cavity wall adaptation demonstrated in class II restorations of primary molar by new bulk fill resin composites was similar to conventional incremental technique. Bulk-fill resin composites might be an clinical option for a faster restoration in deciduous teeth.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.30 no.3
• /
• pp.453-458
• /
• 2003

Usually Mylar strip and wedge or celluloid strip crown were used in conventional method of restoring proximal carious lesions of primary anterior teeth. But, these methods have some difficulties to place the matrix and wedge due to short crown lenth and interdental spacing of primary teeth. And it is difficult to form proper cavosurface margin due to the rigidity of matrix and inconvenience to support matrix by practitioner's hand in narrow oral cavity of child. This article describes an alternative technique for restoring carious lesions of primary anterior teeth using available straw. This method is very convenient and reduce chair time and it also allows good marginal adaptation.

• The Journal of Korean Academy of Prosthodontics
• /
• v.33 no.2
• /
• pp.198-209
• /
• 1995

In order to evaluate the fitness and the degree of rounding of porcelain margins in collarless metal cermic restorations, collarless metal ceramic restorations were fabricated with shoulder margins of 90 and 120 degress, each consisting of ten specimens, on master dies through the direct lift technique. And ten metal ceramic restorations with a shoulder 90 degrees were fabricated. All specimens were embedded in resin and sectioned longitudinally. The sections were observed under a stereomicroscope and photographed(${\times}$200). The labial marginal gap between the die and the porcelain margin were measured with a scale. The space between the porcelain margin and the die, that is formed from marginal rounding and cementation were calculated with a computer coordinating area curvimeter. The following results were obtained. 1. There was no statistical difference between the fitness of porcelain margin of collarless metal ceramic restorations and marginal fitness of metal ceramic restoration. 2. There was no statistical difference between a shoulder of 90 and 120 degrees in the fitness of porcelain margin of collarless metal ceramic resorations. 3. Collarless metal ceramic restorations with a shoulder of 90 degrees and 120 degrees showed significantly more labial marginal rounding than metal ceramic restorations. 4. There was no statistical difference between a shoulder of 90 and 120 degrees in rounding of porcelain margin of collarless metal ceramic restorations. According to the results, rounding of porcelain margins can be observed in collarless metal ceramic restorations. Thus, there is a need for improvement in dental materials and techniques to minimize this problem, Furthermore, care should be exercised during the clinical procedure.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.36 no.2
• /
• pp.310-317
• /
• 2009

Dens evaginatus is a dental anomaly involving an extra cusp or tubercle that protrudes from the occlusal surface of the affected tooth. The prevalence of dens evaginatus is 1 to 4 percent, and dens evaginatus is observed most commonly in premolars. It can be worn or fractured easily, resulting in pulpal exposure, pulpal infection, loss of vitality, facial infection and osteomyelitis. Since the tooth frequently has the immature apex when the tubercle is fractured, there is difficulty in treatment. Although calcium hydroxide is widely used for pulp treatment of an immature permanent tooth, several alternatives have been suggested to reduce patient's appointments. Mineral trioxide aggregate is considered biocom-patible and has excellent marginal sealing ability. In addition, it can minimize patient's visits. In this case report, apexification with MTA was attempted on the immature premolars in patients with cellulitis patient, caused by pulp necrosis due to dens evaginatus. Favorable clinical and radiologic results were achieved. In one case, continued root formation was observed.

• Journal of Technologic Dentistry
• /
• v.23 no.2
• /
• pp.179-188
• /
• 2002

With regard to the manufacture of dental prosthesis, all the dental mechanism is of vital significance at the aspect of activating its function by fixing the prosthesis to Patient's oral cavity. However, if there we will take our immediate action without the discretion about its process none the less for the importance of dental mechanism, then we might have a serious problem. Accordingly, there need to pay attention to the dilatability makes up for the shrinkage state occurring by the feature of metal materials and manufacturing process which appeared in the process of dental mechanism, which eventually is expected to playa very important role in casting a dental prosthesis appropriate to one's oral tissue. This study was designed to take into account of the effects on margin consistency of prosthesis according to the continued time of casting-ring in the course of the casting of dental alloy. For this, the researcher made an experiment on the casting of dental alloy, its dilatability, and the change of phase. The results of this study were as follows: First, the researcher could see that the sample which was cast under the condition of $650^{\circ}C/20$ Minutes(the continued time) was far superior to others at the aspect of margin consistency. Second, according to the measurement of expansion coefficient by Dilatometer, the researcher perceived the fact that the expansion-coefficient showed a maximum of $37.1{\mu}m$ considering the sample's length which was cast with ordinary temperature under the condition of $650^{\circ}C/20$ Minutes. Third, from the result of X-ray diffraction under the condition of $650^{\circ}C/20$ Minutes(the continued time), the researcher could find that there's no difference between the change of phase and its intensity. As mentioned above, the researcher could ascertain the fact that its contraction don't give rise to the change of phase.

• The Journal of Korean Academy of Prosthodontics
• /
• v.36 no.6
• /
• pp.846-857
• /
• 1998

The purpose of this study was to compare the fitness of the IPS Empress ceramic crowns according to margin type such as bevel, shoulder, rounded shoulder, shoulder with bevel, rounded shoulder with bevel and grooved bevel. After 10 experimental dies were constructed for each group, the IPS Empress ceramic crowns were fabricated on the dies, cemented with resin cement(Bistite resin cement, Tokuyama Soda Co. Ltd., Japan) and embeded in clear epoxy resin. Each specimen was sectioned with a low speed diamond saw in both the faciopalatal and the mesiodistal direction. The cement film thickness was measured with a measuring microscope. The obtained results were as follows : 1. The fitness at the external margin was good in the following order: rounded shoulder(28.99), shoulder with bevel(31.33), grooved bevel(31.79), rounded shoulder with bevel(34.65), bevel(35.02) and shoulder(35.08). However there is no significant statistical difference. 2. The fitness at the internal margin of bevel(25.75), rounded shoulder(31.24), shoulder with bevel(32.07) and rounded shoulder with bevel(34.45) was better than that of shoulder(47.98). 3. The fitness at the axial surface of bevel(26.58) was better than that of shoulder(49.59). 4. The fitness at the central fossa was good in the following order: shoulder with bevel(38.88), grooved bevel(40.46) rounded shoulder with shoulder(46.29), shoulder(48.91), bevel(49.47) and rounded bevel(52.07). However there is no significant statistical difference. 5. Overall fitness of bevel(29.71), rounded shoulder(32.49) and shoulder with bevel(34.47) was better than that of shoulder(44.73).