• 대한치과기공학회지
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• 제23권1호
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• pp.45-53
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• 2001

This study was performed to investigate the effect of vent on the marginal discrepancy of PFM base metal castings. Eighteen identical wax patterns of a maxillary 3 unit anterior bridge were fabricated. Nine cases out of them were vented with $\phi$2.5mm sprue wax, for direct comparison as to the marginal discrepancy of the castings with the other non vented 9 ones. The mean value of marginal discrepancies of the vented castings was $85.02{\pm}25.57{\mu}m$, and that of the non vented was $163.21{\pm}69.88{\mu}m$ respectively. Statistical analysis revealed that marginal discrepancy of the vented casting was significantly reduced(p<0.05).

• 대한치과보철학회지
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• 제24권1호
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• pp.151-164
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• 1986

The purpose of this study was to evaluate the marginal fit of metal ceramic crowns made by different techniques. The techniques were metal butt margin technique, platinum foil technique, shoulder powder techniques and wax technique. The latter three techniques were for the fabrication of collarless metal ceramic crowns. Ten crowns were made of each techniques, and marginal fit was evaluated using scanning electron microscope under X200 magnification. The results were as follows. 1. The marginal fit in the descending order were wax technique shoulder powder technique, platinum foil technique and metal butt margin, before cementation, and wax technique, shoulder powder technique, metal butt margin, and platinum foil technique, after cementation. 2. The fit of collarless metal ceramic crowns was comparable to metal ceramic crowns with metal butt margins. 3. There were no statistically significant differences between marginal fit of metal ceramic crowns made by different techniques.

• 대한치과보철학회지
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• 제47권1호
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• pp.46-52
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• 2009

연구목적: 최근 임플란트 상부보철물의 주재료로서 티타늄의 수요가 증가하고 있고, 급속도로 발전하고 있는 CAD/CAM (computer - aided design/computer-aided manufacturing) 기술이 접목되어 티타늄을 절삭하여 제작하는 방법이 주목을 받고 있으며 치과 임상에서 점점 그 영역이 넓어지고 있다. 다만, 하나의 티타늄괴를 절삭하여 만드는 방법의 특성상 기계적 유지력을 얻을 수 있는 비드 등을 형성할 수 없고, 통상적인 재료인 금 합금이나 도재용 합금 주조체에 비해 도재와의 결합력도 떨어지는 것이 보완해야 할 점으로 지적되고 있다. 이에 본 연구는 절삭형 티타늄을 이용한 보철물 제작에 많이 사용되고 있는 열중합 의치상 레진, 간접 복합 레진, 도재와 Grade II 순수 티타늄 사이의 결합 강도를 비교 평가해 보고자 하였다. 연구 재료 및 방법: 지름 9 mm, 높이 10 mm의 Grade II 순수 티타늄 원통형 시편 37개를 3군으로 나누어 각각 직경 7 mm, 높이 1 mm의 열중합 의치상 레진 (Lucitone 199, DENTSPLY Trubyte, York, USA), 간접 복합 레진 (Sinfony, 3M ESPE, Seefeld, Germany), 도재 (Triceram, Dentaurum, Ispringen, Germany)와 결합시켰다. 시편은 $5-55^{\circ}C$에서 1000회 열순환 처리 후, 범용 시험기 (Instron, Universal Testing Machine, Model 4465, USA)를 이용하여 1 mm/min의 속도로 하중을 가하여 전단결합강도를 측정하였다. 파절된 단면의 양상을 관찰하고 각 군별 파절양상을 조사하였다. 측정값은 one-way ANOVA와 Scheffe's multiple range test (${\alpha}=0.05$)로 분석하였다. 결과: 열중합 의치상 레진인 Lucitone 199 ($17.82{\pm}5.13\;MPa$)의 결합 강도가 가장 높았으며, 도재인 Triceram ($12.97{\pm}2.11\;MPa$), 복합레진인 Sinfony ($6.00{\pm}1.31\;MPa$) 순으로 감소하였다. Lucitone 199와 Sinfony 군의 파절 양상은 대부분이 부착성 파절인 데에 반해 Triceram 군에서는 복합성 파절이 많았다. 결론: CAD/CAM을 이용한 절삭형 티타늄 구조물 상방에 전장용 심미 재료로는 열중합형 의치상 레진이 가장 강한 결합 강도를 보인다. 기존의 주조체의 유지구 등에서 얻는 강도에 비해 약하고, 부착성 파절이 많은 점 등은 향후 이들 재료와 티타늄간의 결합력을 높이기 위한 보다 많은 연구가 이루어져야 할 것을 시사한다.

• 구강회복응용과학지
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• 제27권1호
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• pp.1-13
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• 2011

압축강화형 복합레진($TESCERA^{TM}$ ATL)을 지르코니아 framework에 효과적으로 전장하기 위하여, 표면처리 방법을 여러 가지로 달리한 지르코니아 표면에 압축강화형 복합레진을 전장하여 전단결합강도를 실험적으로 비교하였다. 지르코니아의 표면적 증가를 도모하기 위해 최종소결 전 지름 1.1mm round bur를 사용하여 지르코니아 표면에 pockmark (honey-comb concept)를 형성하였고, 화학적으로는 Primer (Zr-plus primer, Bisco, Inc., Shaumurg, USA)를 도포하여 결합강도 증가를 도모하였다. 지르코니아에 porcelain을 적층하여 대조군으로 삼고 각 군을 5도와 55도 사이에서 10,000회 thermocycling시켜 simulated aging 결과 또한 비교하였다. 전단결합강도를 측정하였고 주사전자현미경을 통해 파절단면을 관찰하였다. Pockmark를 형성한 실험군에 압축강화형 복합레진($TESCERA^{TM}$ ATL) 전장 시 도재 전장과 유사한 전단결합 강도를 발휘하였으며,(p>0.05) 동일 시편을 24시간 수중 보관했을 때에 비해 thermocycling 했을 때의 전단결합강도가 약간 감소하였으나 유의차는 보이지 않았다.(p>0.05) 지르코니아 표면에의 Primer의 도포가 압축강화형 복합레진 ($TESCERA^{TM}$ ATL)과의 결합강도를 증가시키지는 못하였다. 지르코니아 소결 전 표면에 pockmark를 주어 표면적을 증가시키고 요철의 효과를 주는 것은 $TESCERA^{TM}$ ATL과의 결합강도를 증가시켰으며, 이는 임상적으로 지르코니아-포세린의 결합강도에 필적하는 강하고 내구성 있는 결합강도를 가져온다고 판단되었다.

• 구강회복응용과학지
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• 제31권1호
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• pp.45-49
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• 2015

본 증례는 기존의 국소의치에서 파절된 metal-ceramic surveyed crown을 complete contour zirconia surveyed crown으로 전환하는 간단하고 편리한 CAD/CAM 기술을 보고하고 있다. 항암치료를 받고 있는 환자의 기존 metal-ceramic surveyed crown 외형, 형태학적 특성, 레스트 시트를 complete contour zirconia surveyed crown으로 제작하는 복제 기법에 대해 보고한다.

• 대한치과보철학회지
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• 제26권1호
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• pp.51-61
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• 1988

The recently introduced castable glass ceramics incorporate properties characteristic of natural teeth and they are regarded as an ideal material to restore lost tooth structure. The purpose of this study was to compare the marginal fit of castable ceramic crown with that of the metal-ceramic crown in the process of heat treatment. Two master dies for castable ceramic crowns and metal-ceramic crowns were fabricated from being cast with the base metal. Each master die was duplicated with addition silicone and hard stone. Ten castable ceramic crowns were made on each hard stone die and their marginal openings were measured three times first, after casting; second, after ceramming; third, after shading. The other ten metal-ceramic crowns were made on each hard stone die and their marginal openings were measured three times : first, after casting; second, after degassing; third, after porcelain veneering. Each crown was seated on its master die with the constant force delivered by loading jig. And then, marginal openings were measured on four locations by optical projector at X50 magnification. The results were as follows: 1. The mean marginal openings of castable ceramic crowns were $31.1{\pm}12.7{\mu}m$ after casting; $44.6{\pm}12.8{\mu}m$ after ceramming; $51.2{\pm}16.8{\mu}m$ after shading. 2. The mean marginal openings of the metal-ceramic crowns were $26.2{\pm}13.8{\mu}m$ after casting; $29.8{\pm}10.3{\mu}m$ after degassing; $38.0{\pm}14.5{\mu}m$ after porcelain veneering. 3. There was significant increase in the marginal opening of castable ceramic crowns after ceramming, while metal-ceramic crowns sho(wed significant increase after porcelain veneering (p<0.05). 4. Marginal fit of metal-ceramic crown was better than that of castable ceramic crown (p<0.01).

• 대한치과보철학회지
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• 제35권1호
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• pp.144-164
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• 1997

The purpose of this study were to investigate the chemical composition, mean particle size, linear thermal expansion coefficient and metal-bonding strength of the regular opaque powder and core powder. In this study, 4 types of ceramic powders, namely Duceram Jacket Opaque powder, Duceram Opaque powder, Vita Hi-Ceram powder, Vita VMK Paint On-88 powder were used. Chemical composition was evaluated by EDS(Energy Dispersive X-ray Spectrophotometer, Oxford QX-2000, England), particle size was measured by MALVERN Instruments(MALVERN Instruments SB. OC., U.S.A.. ad linear thermal expansion coefficient was measured by dilatometer(Motoyama, Japan). Bond strength was measured by the Universal tsting machine(Istron Co., Ltd., U.S.A.). The Results were as follows : 1. Through recognition of the relative difference in chemical composition between the core powder and the regular opaque powder, the difference in the proportion of $Al_2O_3$ in each type of material is demonstrated ; Duceram Jaket Opaque powder : 30.16%, Duceram Opaque powder : 16.60%, Vita Hi-Ceram : 63.64%, Vita VMK Paint-On 88 : 16.16%. 2. There was no significant difference in the proportion of metal-bonding materials between the core powder and the regular opaque powder. 3. In the regular opaque powder, alkaline materials were incoporated in order to increase the coefficient of thermal expansion. 4. In the particle size analysis, there was no significant difference in mean particle size or in the particle size distribution between the core powder and the regular opaque powder. 5. In the thermal expansion test for temperature range of $25-600^{\circ}C$, the regular opaque powder had higher coefficient of thermal expansion than that of core powder. 6. In the 4 point flexural bending test, there was no statistically significant difference in the mean bond strength between the core powder and the opaque powder among the Duceram products.

• 대한치과기공학회지
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• 제33권3호
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• pp.193-202
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• 2011

Purpose: The aim of this study was to evaluate the effect of pre-treatment of core and hydrothermal treatment on the bond strength and flexural strength of ceramic veneered zirconia. Methods: 3Y-TZP specimens(KaVo Zr, $25mm{\times}3mm{\times}1mm$)were prepared by five pre-treatment methods and divided into seven groups including control two groups, subsequently the specimens veneered with the E-MAX ceram according to manufacturer's information(total specimen thickness 1.5mm). Two groups from ceramic-zirconia specimens(n=105, n=15 per group)were assigned into two experimental fatigue conditions, namely storage in an autoclave at $134^{\circ}C$ for 5h, thermo-cycling(3,000cycles, between 5 and $55^{\circ}C$, dwell time 45s, transfer time 2s). A flexural strength test was performed in a universal testing machine(crosshead speed: 0.5mm/min). Data were statistically analyzed using one-way ANOVA and Tukey's test(${\alpha}$=0.05). Results: The ceramic-zirconia bond strength value for liner application group(LLW, $27.3{\pm}3.8$) were significantly lower than those of the pre-treatment groups($30.72{\pm}5.3$). The ceramic-zirconia bond strength and zirconia flexural strength was not affected by thermo-cycling(p>0.05), whereas it was affected by storage in an autoclave at $134^{\circ}C$ for 5h(p<0.05). Conclusion: The results indicated that the ceramic-zirconia bond strength and zirconia flexural strength was affected by low temperature degradation.

• 대한치과보철학회지
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• 제20권1호
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• pp.25-32
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• 1982

An in vitro study was conducted to compare the bond strength of cements between Verabond coping and various cores. Fifty-four idential cores simulating maxillary central incisor prepared for PFM crowns were made. Eighteen samples were made with 20K cast gold, eighteen with Verabond, and eighteen with Adaptic. Samples were randomly divided into three groups, each consisting of six 20K cast gold, six verabond, and six Adaptic samples. The first group was cemented with zinc phosphate cement, the second group with poly-carboxylate cement, and the third group with glass ionomer cement. Constant finger pressure was applied for cementation. The sample were then stored at $37^{\circ}C$ in distilled water bath for 24 hours. The tensile strength test was performed on an Instron Universal test machine with crosshead speed of 0.05cm/min and the results compared statistically. Results of the study showed that: 1. A significant difference of bond strength was observed with different types of dental cements and core materials. 2. With gold core, zinc phosphate cement was stronger than both the polycarboxylate cement and glass ionomer cement, which did not differ in bond strength. 3. With base-metal core, zinc phosphate cement showed the highest bond strength and was followed by polycarboxylate cement and glass ionomer cement. 4. With composite resin core, zinc phosphate cement showed the highest bond strength and was followed by glass ionomer cement and polycarboxylate cement. 5. The base-metal core (Verabond core) privided the highest retention of all core materials.

• 대한소아치과학회지
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• 제36권1호
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• pp.126-132
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• 2009

외상에 의한 영구치의 손상은 소아와 청소년기에 많이 발생하며, 특히 상악 중절치가 가장 많이 손상을 받는 것으로 알려져 있다. 그 중 치관 파절은 영구치열에서 25-76%의 빈도로 나타나며, 이러한 치관 파절시 심미적, 기능적으로 만족스러운 수복을 하기 위한 다양한 노력이 시도되어 왔다. 성인에서 영구 전치 치관 파절이 발생한 경우에는 도재 소부 전장관, 라미네이트 등의 보철적 치료로 심미적인 수복이 가능하지만, 미성숙 영구 전치의 파절이 발생한 경우에는 치근 성장이 완료되지 않아 보철적 치료가 힘들고, 근관 치료가 필요한 경우 근관 치료를 완료하는데도 오랜 시간이 소요된다. 따라서 이러한 경우 과거에는 교정용 밴드, 기성 금속관, 글래스 아이어노머 시멘트 등을 이용한 수복이 시행되었는데, 심미적으로는 만족스러운 결과를 얻지 못하였다. 그러나 근래에는 수복 치과재료의 발달로 파절편을 재부착하거나, 광중합 복합 레진 수복을 통해 심미적 수복이 가능하게 되었다. 본 증례들은 경북대학교 치과병원 소아치과에 외상에 의한 상악 중절치 파절을 주소로 내원한 환아들로, 적절한 치수 처치 후, 치아 파절편 부착과 복합 레진 수복을 통해 심미적으로 양호한 결과를 얻었기에 이를 보고하고자 한다.