• Journal of the korean academy of Pediatric Dentistry
• /
• v.44 no.1
• /
• pp.108-115
• /
• 2017

Numerous therapeutic approaches are available for impacted teeth, including orthodontic retraction, implantation, and autogenous tooth transplantation. Autotransplantation is a promising method, especially for juvenile patients, as it enables preservation of the function of the periodontal tissues, as well as continued alveolar bone growth. This report describes autotransplantation in two cases in which the tooth was fully-ectopically impacted. With case 1, an ectopically impacted premolar was extracted and transplanted in an upright position, and regenerative endodontic treatment was performed using a platelet-rich fibrin clot and mineral trioxide aggregate (MTA). With case 2, a calcifying odontogenic cyst with an impacted left mandibular second molar was treated by enucleation. The tooth was transplanted into the proper position 3 months after enucleation, and endodontic treatment was performed using MTA. In both cases, autotransplantation appeared to provide a simple and rapid treatment option for patients with ectopically impacted teeth. These cases demonstrate that autotransplantation of ectopically impacted teeth is a viable treatment option rather than implant placement or prosthesis, especially in juvenile patients.

• The Journal of Korean Academy of Prosthodontics
• /
• v.41 no.4
• /
• pp.466-475
• /
• 2003

Statement of problem : In cemented implant-supported porstheses, it is still controversy what kind of cement to use. However, the effect of thermocycling on retentive strength of cemented implant-supported prostheses has not been well investigated. Purpose : This study was tested to evaluate the effects of various cements and thermocycling on retentive strengths of cemented implant-supported prostheses. Material and methods : Prefabricated implant abutments, height 5mm, diameter 6mm, 3-degree taper per side, with light chamfer margins were used. Ten specimens of two-unit fred partial denture were fabricated. The luting agents used for this study were three provisional luting agents which were Temp bond, Temp bond NE, IRM and four permanent luting agents which were Panavia F, Fuji-cem, Hy-bond Zinc cement, Hy-bond Polycarboxylate cement. 24 hours after cementation. the retentive strengths were measured by the universal testing machine with a cross-head speed of 0.5mm/min. Then cementation procedures were repeated and specimens were thermocycled 1000 times at temperature of $5^{\circ}C$ and $55^{\circ}C$. After thermocycling, the retentive strengths were measured. Results : Before thermocycling, the retentive strengths were decreased with the sequence of Panavia F. Fuji-cem. Hy-bond Zinc cement. Hy-bond Polycarboxylate cement, IRM, Temp bond NE and Temp bond, and there were significant differences among each groups(p<0.05). After thermocycling, the retentive strengths were decreased with the sequence of Panavia F. Fuji-cem, Hybond Zinc cement, Hy-bond Polycarboxylate cement, IRM, Temp bond NE and Temp bond, and there were no significant differences among Panavia F, Fuji-cem and Temp bond NE, Temp bond(p>0.05). The retentive strengths before and after thermocycling showed significant differences in Hy-bond Zinc cement. IRM, Temp bond NE and Temp bond(p<0.05). Conclusion : Within the limitation of this study, thermocycling do not affect the retentive strengths of permanent luting agents but the retentive strengths of temporary cements were reduced significantly after thermocyling.

• The Journal of Korean Academy of Prosthodontics
• /
• v.31 no.1
• /
• pp.87-99
• /
• 1993

Many studies have been reported on the successful replacement of missing teeth with osseointegrated dental Implants. However, little research has been carried out on the bio-mechanical aspect of the stress on the surrounding bone of the free-standing type of dental implant prostheses. This experimental study was aimed to analyze the stress distribution pattern on the supporting tissues depending upon the position of osseointegrated implants supporting fixed bridges. In the cases of unilateral partially edentulous mandible (the 2nd premolar and the 1st and 2nd molars missing), two osseointegrated implants were placed at the 2nd premolar and 2nd molar sites (Model A) , the 1st and 2nd molar sites (Model B, Anterior cantilevered type), the 2nd premolar and 1st molar sites (Model C, Posterior cantilevered type). Chewing forces of dentate patients and denture wearer were applied vertically on the 2nd premolar, the 1st molar, and the 2nd molar of each model. A 3-Unit fixed partial denture was constructed at each model and cantilevered extension parts were involved in Model B and Model C. Two dimensional finite element analysis was undertaken. The commercial software (Super SAP) for IBM 16 bit personal computer was utilized. The results were as follows : 1. The magnitude of applied load influenced on the total value of stresses, but did not in-fluence on the pattern of stress distribution. 2. The magnitude of stress developed from the supporting tissues were in order of Model C,Model A,Model B. 3. High stresses were concentrated on the cervical and apical portion of the implant/bone interface. 4. A difference of the stress magnitude on the implant/bone interface between mesial and distal implant was most prominant in Model C and in order of Model A and Model B. 5. The stresses developed in Model A were evenly distributed throughout both implants. 6. The stresses concentrated on the cervical portion of cantilevered side were higher in the posterior cantilevered type than in the anterior cantilevered type.

• The Journal of Korean Academy of Prosthodontics
• /
• v.52 no.3
• /
• pp.177-185
• /
• 2014

Purpose: This study is designed to investigate the various impacts of different types of scaler tips such as cooper alloy base tip and the others on the surface roughness of teeth and implant by the method which is currently in clinical use. Materials and methods: Four different types of disc shaped porcelain, titanium, zirconia, and Type III gold alloy dental materials sized 15 mm diameter, 1.5 mm thickness were used for the experiment. Plastic hand curette (Group PS), cooper alloy new tip (Group IS), and stainless steel tip (Group SS) were used as testing appliances. A total of 64 specimens were used for this study; Four specimens for each material and appliance group. Surface roughness was formed with 15 degree angle in ultrasonic scaler tip and with 45 degree angle in hand curette of instrument tip and the specimen surface with 5 mm long, one horizontal-reciprocating motion per second for 30 seconds by 40 g force. To survey the surface roughness of each specimen, a field emission scanning electron microscope, an atomic force microscope, and a surface profiler were used. (Ra, ${\mu}m$). Results: According to SEM, most increased surface roughness was observed in SS group while IS groups had minimal roughness change. Measurement by atomic force microscope presented that the surface roughness of SS group was significantly greater than those of PS, IS and control groups in the type III gold alloy group (P<.05). IS group showed lesser surface roughness changes compared to SS group in porcelain and gold alloy group (P<.05). According to surface profiler, surface roughness of SS group showed greater than those of PS, IS and control groups and IS group showed lesser than those of SS group in all specimen groups. Type III gold alloy group had large changes on surface roughness than those of porcelain, titanium, zirconia (P<.05). Conclusion: The result of this study showed that newly developed copper alloy scaler tip can cause minimal roughness impacts on the surface of implant and dental materials; therefore this may be a useful alternative for prophylaxis of implant and restored teeth.

• The Journal of Korean Academy of Prosthodontics
• /
• v.47 no.1
• /
• pp.46-52
• /
• 2009

Statement of problem: Recently, titanium has become popular as superstructure material in implant dentistry because titanium superstructure can be easily milled by means of computer-aided design and manufacture (CAD/CAM) technique. But retention form such as nail head or bead cannot be cut as a result of technical limitation of CAD/CAM milling and bond strength between titanium and porcelain is not as strong as that of conventional gold or metal alloy. Purpose: The objective of this study was to evaluate the shear bond strength of three different materials: heat curing resin, composite resin, porcelain which were bonded to grade II commercially pure Titanium (CP-Ti). Material and methods: Thirty seven CP-Ti discs with 9 mm diameter, 10 mm height were divided into three groups and were bonded with heat curing resin (Lucitone 199), indirect composite resin (Sinfony), and porcelain (Triceram) which were mounted in a former with 7 mm diameter and 1 mm height. Samples were thermocycled for 1000 cycles at between $5-55^{\circ}C$. Shear bond strength (MPa) was measured with Instron Universal Testing Machine with cross head speed of 1 mm/min. The failure pattern was observed at the fractured surface and divided into adhesive, cohesive, and combination failure. The data were analyzed by one-way ANOVA and Scheffe's multiple range test (${\alpha}=0.05$). Results: Lucitone 199 ($17.82{\pm}5.13\;MPa$) showed the highest shear bond strength, followed by Triceram ($12.97{\pm}2.11\;MPa$), and Sinfony ($6.00{\pm}1.31\;MPa$). Most of the failure patterns in Lucitone 199 and Sinfony group were adhesive failure, whereas those in Triceram group were combination failure. Conclusion: Heat curing resin formed the strongest bond to titanium which is used as a CAD/CAM milling block. But the bond strength is still low compared with the bond utilizing mechanical interlocking and there are many adhesive failures which suggest that more studies to enhance bond strength are needed.

• The Journal of Korean Academy of Prosthodontics
• /
• v.41 no.4
• /
• pp.421-439
• /
• 2003

Statement of problem : It is difficult to obtain a good titanium casting body using the traditional sprue design because of high melting point of Ti, and the low fluidity and high reactivity of molten Ti. Purpose : A new sprue design for titanium casting bodies needs more trial and error. In order to decrease the number of trial and error, computer simulation(MAGMASOFT, Magmasoft Giessereitechnologie GmbH, Achen, Germany) was used to optimize sprue design in U-shaped implant superstructures. Material and method : Five kinds of sprue were examined for the design of the sprue former for titanium casting: Sprue design A(sprue length 4 mm, rectangular shape, 4 sprues), Sprue design B(sprue length 4 mm. round shape. radius 2 mm, 7 sprues), Sprue design C (sprue length 2 mm, round shape, radius 2 mm, 7 sprues). Sprue design D (sprue length 2 mm, cone shape, large radius 3mm. small radius 2mm, 7 sprues), and Sprue design E( sprue length 2 mm. one unit channel shape). Sprue design F(sprue length 2mm, one unit channel shape) was also examined for the design of the customized sprue former in the Biotan system(Schutz Dental Gmbh, Germany). The casting bodies were taken in Sprue design A, Sprue design D, Sprue design E, and Sprue design F in the Biotan casting system. The numerically predicted defects were compared with the experimental dental castings by the radiographic and sectional view observations. Results : 1. According to the result of computer simulation, turbulence during mold filling was decreased in the sequence of Sprue design F, Sprue design E, Sprue design D, Sprue design C, Sprue design B, and Sprue design A. 2. The calculated solidification time contours indicate that hot spot was moved from the casting body to the sprue button in the sequence of Sprue design A, Sprue design B, Sprue design C, Sprue design D, and Sprue design E. The filling pattern of Sprue design F was similar to that of Sprue design E. 3 The predicted filling pattern shows that less turbulence was found in the customized sprue former than in the standard sprue former. 4. According to the results of the radiographic and cross sectional observations, casting defects less than 1mm were found at the center of a casting body with Sprue design E and Sprue design F. However, larger casting defects of 4mm were found in a casting with Sprue design A. 5. The predicted casting porosity was similar to that of the real casting. Conclusion : One unit channel-type and customized sprue former can be recommended. Further research and developement of various sprue designs using computer simulation in necessary to optimize casting design, in order to reduce the formation of casting defects in implant titanuim super-structures.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.25 no.4
• /
• pp.403-415
• /
• 2009

The purpose of the study is to establish the effect of different abutment shapes and types of cements on the retention of the full veneer casted gold crowns. Metal dies that has the similar shape with the implant abutment were manufactured using a short(5mm) and long(10mm) dies with different convergence angles. Metal dies and gold crowns, which were made from the metal dies, were cemented with Temp-bond, Temp-bond mixed with petroleum jelly, ZPC and Premier implant cement. After that, these were tested for tensile force at the point of separation. The effect of convergence angle changes of different cement types on the retention was studied as well as the effects of the cement type changes with different convergence angles on the retention. In addition, study about the marginal gap of Premier implant cement used for this experiment was conducted. The results are as followed under the in-vitro experimental limits; 1. The retention of the Temp-bond mixed with petroleum jelly decreased as the convergence angle increased, and the retention was weakest among the cements. 2. The retention of ZPC decreased as convergence angle increased. When convergence angle was 5 degrees, ZPC showed stronger retention than Premier implant cement. 3. Premier implant cement had the weakest retention when the convergence angle was 5 degrees but when the convergence angle was 10 degrees, it had the strongest retention. As the angle increased more than 10 degrees, the retention decreased. 4. Premier implant cement showed bigger marginal gap when the convergence angle was 5 degrees than 10 degrees under the experimental condition.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.12
• /
• pp.434-439
• /
• 2020

Selective laser melting (SLM) manufactures an alloy using laser as a heat source, and has recently been introduced in the dental industry. However, there is a lack of analytical research on metal-ceramic restorations achieved by SLM. This study evaluates and compares the metal-ceramic bond strength of Co-Cr alloys produced by selective laser melting and casting methods. Co-Cr samples required for this study were produced through the sintering process of ceramics, by applying the SLM and CAST methods. The metal-ceramic bond strength was measured by applying the shear bond strength test. In order to determine the area fraction of adherent ceramic, Si content of the specimen was measured using scanning electron microscopy SEM/ EDS. Results of the metal-ceramic bond strength and AFAC were analyzed by t-test (α = 0.05). No significant difference was observed comparing the bond strength of SLM and CAST Co-Cr alloys (P> 0.05). However, the SLM group had much better ceramic adherence than the CAST group (P < 0.001). Moreover, oxidation characteristics were similar for both SLM and CAST Co-Cr alloys, but metal structures were different. These results imply that although the bond of ceramic and Co-Cr alloy is not related to the manufacturing method, SLM alloys impart better ceramic adherence. This indicates that alloys made with SLM can be used to fabricate upper implant prostheses in the future. In particular, it is expected to overcome the shortcomings of the CAST method, and save time and cost.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.43 no.1
• /
• pp.93-108
• /
• 2016

One of the fields to which the 3D printing technology can be applied is the field of medicine. Recently, the application of 3D printing technology to the bio-medical field has been gradually increasing with the commercializing of the bio-compatible or bio-degradable materials. The technology is currently contributing to the biomedical field by reducing times required for operations or minimizing adverse effects through preoperative identification of post-surgical consequences or model surgery with artificial bones and organs. This technology also enables the production of customized biomedical auxiliary products like hearing aids or artificial legs etc. For the field of dentistry, the 3D printing technology is also expected to elevate the level of dental treatment by making the customized orthodontic models, crown, bridge, inlay, and surgical guides for implant and surgery. However, issues remaining unidentified or incomplete in printing materials, modeling technology, software technology associated with CAD, verification of bio-stability and bio-effectiveness of materials or in compatibility and standardization of the technology are yet to be solved or be clarified for the full-scale application of the 3D printing technology, thus, it seems such issues should be resolved through further studies.

• Journal of Technologic Dentistry
• /
• v.41 no.2
• /
• pp.63-69
• /
• 2019

Purpose: The purpose of this study is to evaluate the effect of CAD/CAM system milling tool wear on the marginal and internal fit of PMMA implant interim prosthesis three-dimensional manner. Methods: A total of 20 crowns were fabricated with CAD/CAM method. Their designs were unified to first molar of the left maxilla. The Customized abutments were prepared and scanned with on optical model scanner. Five crowns were milled by the newly replaced tool (1st milling), and 15 crowns were milled by 2nd, 3rd, 4th milling tool. The marginal and internal fit of 20 interim crowns were measured using the triple-scan protocol. Results: Statistically significant difference was found between the $1^{st}$ milling group ($51.8{\pm}14.6{\mu}m$) and the $3^{rd}$, $4^{th}$ milling group ($128.6{\pm}43.8{\mu}m$, $146.2{\pm}38.1{\mu}m$, respectively) at the distal margins. In the mesial margins, There was a statistically significant difference between the $1^{st}$ milling group ($63.6{\pm}25.9{\mu}m$) and the $3^{rd}$, $4^{th}$ milling group ($137.2{\pm}25.9{\mu}m$, $186.8{\pm}70.6{\mu}m$, respectively). In the distal line angle, significant difference was found between the $1^{st}$, $2^{nd}$, $3^{rd}$ milling groups and the $4^{th}$ milling group. In the mesial axial wall, significant difference was found between the $1^{st}$ milling group ($52.2{\pm}20.3{\mu}m$) and the $3^{rd}$, $4^{th}$ milling groups ($22.8{\pm}8.8{\mu}m$, $7.8{\pm}5.7{\mu}m$). Conclusion: As a result of the experiment, decrease of the marginal and internal fit was statistically significant as the number of machining cycles increased. In order to produce clinically excellent restorations, it is recommandable to consider the condition of the milling tool wear, when designing the restoration with CAD program.