• Journal of Dental Rehabilitation and Applied Science
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• v.21 no.1
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• pp.83-93
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• 2005

This study was designed to investigate the fitness of adjustable dental impression trays. The size and shape of these trays were designed from the results of the dental arch size of Korean adults. Tray samples were made by CAD-CAM working. A hundred dental students(male:50, female:50) were selected for taking irreversible hydrocolloid impression using these trays. The author measured the width and length of impression material on the several measuring points. The results obtained were as follows : 1. Uniform impression material thickness was achieved by controlling the width of the tray using stops and beveled guides. 2. In the upper tray, the impression material thickness was measured to be rather great showing thickness of the labial vestibule 8.3 mm and the midpalatal part 8.6 mm. 3. In the lower tray, length of the impression material of the labial vestibule of first, second premolar contact point was 7.8 mm, and thickness of the lingual part of premolars(1.8 mm) and molars(1.9 mm) showed small values. 4. In the lower tray, the impression material thickness of the buccal shelf area(0.2 mm) and the retromolar pad area(0.6 mm) was measured to be too small.

• The Journal of Korean Academy of Prosthodontics
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• v.53 no.3
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• pp.256-261
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• 2015

Accuracy is the most important thing in implant prosthesis, for this reason it is essential procedure to check the accuracy of impression taking. However, impression material has its own error and the error occurs in model-making procedure. As an alternative way to this, using intraoral scanner can be suggested and many studies were issued reporting that there's no statistically significant difference in accuracy between intraoral scanner and conventional impression. Therefore, the purpose of this study is to report the process of making of implant prosthesis using intraoral scanner, which is more convenient, fast, accurate compared with conventional method.

• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.3
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• pp.202-208
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• 2016

The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony and functional disorders. In this case, a patient with severely worn dentition was treated. Diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated with zirconia crown and routine clinical assessments were made. Esthetically and functionally satisfactory results were obtained.

• The Journal of Korean Academy of Prosthodontics
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• v.53 no.4
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• pp.337-344
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• 2015

Purpose: The purpose of present study is to examine the correlation between the accuracy of abutment preparation and the marginal adaptation of metal coping. With this view, this study compared the correlations regard to the three different manufacturing methods of selective laser sintering technique, milling and casting. Materials and methods: Two master models were made in a different way. First model with deep chamfer margin was prepared directly by a general clinician and the second model was designed by 3-D designing software program with the same abutment preparation principle and produced by computer aided manufacturing. 12 Co-Cr alloy copings were produced respectively with three different method; SLS system, CAD/CAM milling and conventional lost wax technique from each master model. The total 72 copings fully sit on the master model were stereoscopically evaluated at 40 points along the entire circumferential margin. Results: Significant differences in the absolute marginal discrepancies of Co- Cr copings from SLS system (P=.0231) and casting method (P<.0001) were shown between hand preparation model and computer designed model. However, no significant difference was found between the two model groups from milling method (P=.9962). Conclusion: Within the limitation of this study, the effect of the accuracy of abutment preparation on the marginal adaptation of Co-Cr coping is statistically significant in SLS system and casting group. The copings produced by SLS system exhibited the lowest marginal discrepancies among all groups, and the marginal gap of this method group was influenced by the accuracy of the abutment preparation.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.4
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• pp.406-415
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• 2009

Purpose: The purpose of this study was to compare the marginal fitness and fracture load of the zirconia copings according to the design with different thickness and coloration. Material and methods: The evaluation was based on 80 zirconia copings. Zirconia copings were fabricated in design with different thicknesses using CAD/CAM system (Everset, KAVO dental GmbH, Biberach, Germany). The designs of copings were divided into four groups. The first group consisted of copings with uniform thickness of 0.3 mm. The thickness in the second group was 0.3 mm on the buccal surface and 0.6 mm on the lingual surface. The third group consisted of coping with uniform thickness of 0.6 mm. The thickness in the fourth group was 0.6 mm on the buccal surface and 1mm on the lingual surface. Each group consisted of 10 colored and 10 uncolored copings. Half of the copings (40) processed with a milling system according to the specific design were sent to be given a color (A3) through saturation in special dye by a manufacturing company. Just after sintering, the marginal discrepancies of copings were measured on the buccal, lingual, mesial and distal surfaces of metal die, under a Video Microscope System (sv-35, Sometech, Seoul, Korea) at a magnification of $\times$ 100. It was remeasured after the adjusting of the inner surface. Next, all copings were luted to the metal dies using reinforced cement {GC FujiCEM (GC Corp. Tokyo, Japan)} and mounted on the testing jig in a Universal Testing Machine (Instron 4467, Norwood, MA, USA). The results were analyzed statistically using the one-way ANOVA test. Results: The obtained results were as follow: 1. The measured value of marginal discrepancy right after sintering was the greatest in the contraction of the buccal area in all groups, except for group I2. 2. There was no significant difference of marginal fitness among the groups in the colored zirconia group (P<.05). 3. When the marginal fitness among the groups in the uncolored zirconia group was considered, group II2 had the smallest marginal discrepancy. 4. When the colored and uncolored groups with the same design were compared, there was a significant difference between I1 and II1 groups. In group 2, 3, and 4, the uncolored zirconia had the greatest marginal fitness (P<.05). 5. After adjustment of inner surface, there was no significant difference in the marginal fitness in all groups when color and design of the zirconia coping were compared. 6. The fracture load of CAD/CAM zirconia copings showed significant difference in group 1, 2, 3, and 4. I4 and II4 had the strongest fracture load. 7. When groups with different color and same design were compared, all colored groups showed greater fracture load (P>.05), with no significance. Conclusion: There was difference in the marginal fitness according to the design and coloration of zirconia copings right after sintering, but it was decided that the copings may well be used clinically if the inner surface are adjusted. The copings should be thick enough for the reinforcement of fracture strength. But considering the esthetics of the visible surfaces (labial and buccal surface), the thickness of copings may be a little thin, without giving any significant effect on the fracture strength. This type of design may be considered when giving priority to preservation of tooth or esthetics.

• The Journal of Korean Academy of Prosthodontics
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• v.50 no.1
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• pp.67-73
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• 2012

Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. For the scope of implant prosthesis, however, digital intra-oral scan hasn't been actively utilized for the fabrication of superstructures. In this case report, 6 cases of titanium-milled custom abutment based on the iTero intra-oral scan data were introduced, five of them were restored with screw-type prosthesis after cementation (SCRP) and the clinical results were satisfactory on restoring the function and esthetics.

• Journal of Technologic Dentistry
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• v.34 no.2
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• pp.75-81
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• 2012

Purpose: All ceramic crown, made from zirconia instead of metal for core material, is recognized the best esthetical prosthesis. Recently, high-priced zirconia blocks and expensive CAD/CAM machines come into use for making zirconia core. In this study, slip casting process is adapted to evaluate the possibility of the recycling the remained parts of zirconia block after machining. Methods: Remained zirconia blocks were reduced to powders with zirconia mortar, and screened with 180 mesh sieve. Passed powders were ball milled under various conditions to obtain the optimum zirconia slip for casting. Solid casting method was used for casting the specimens with plaster mold. Formed specimens were dried and biscuit fired at $1,000^{\circ}C$ for 1 hour. Biscuit fired specimens were finished with exact shape of square pillar. Finished specimens were fired from $1,200^{\circ}C$ to $1,550^{\circ}C$ at $50^{\circ}C$ intervals for 1 hour. Linear shrinkage, apparent porosity, water absorption, bulk density, and flexural strength were tested. Microstructures were observed by SEM. Results: Above examinations indicated that the optimum firing temperture was $1,500^{\circ}C$, and when fired at this temperature for 1 hour, apparent porosity was 0% and flexural strength was 680MPa. SEM photomicrographs showed uniform 200~300nm grain size, which is equal with microcture of sintered commercial zirconia block. when compare 24% linear shrinkage of cast specimen with 20% linear shrinkage of CAD/CAM machined block, it was estimated that the size controlling of cast core was not so difficult. Conclusion: According to the all of this experimental results, the cast zirconia core produced from the remained parts of zirconia block was possible to use for all ceramic denture.

• Journal of Technologic Dentistry
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• v.42 no.2
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• pp.65-71
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• 2020

Purpose: To know the transmittance of light when wearing shading goggles and to protect eyes from blue light emitted from dental scanner when using CAD/CAM works or inducing polymerization reactions of dental resin with curing unit and infrared light occurred when melting Dental precious metal and non-precious metal alloys. Methods: By measuring and comparing the average transmittances of blue light, visible light and infrared ight by using UV-Vis Spectrophotometer analysis measuring instrument, I compared 3 GREEN Color Goggles worn when casting Dental precious metal and non-precious metal alloys, and compared each of YELLOW, ORANGE Color Goggles worn when using Dental CAD/CAM scanners and Light Curing(LED) the Dental resin. Results: In blue light range, YELLOW Color Goggles are more effective than ORANGE Color Goggles. In infrared light range, No.12 Goggles are more effective than No.10 and No.11 Goggles. Conclusion: When wearing blue light shading goggles to avoid harmful blue light occurred in using dental scanner and curing light, and when wearing infrared light shading goggles to avoid harmful infrared light during casting, to avoid the Side Effects like transmittance rate of blue light and infrared light goggles becomes too high to block appropriate amount of harmful light or too low that causing lower image clarity.

• Journal of Technologic Dentistry
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• v.38 no.4
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• pp.299-304
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• 2016

Purpose: This research is conducted for better clinical test of Zirconia as we find out the fracture strength difference of Zirconia on cement gaps of full Crown that made use of Zirconia which is somewhat being used in recent dental technology. Methods: We produced each nine of Zirconia Crown of Zirconia fracture cement gaps A group(0.03 mm), B group(0.05 mm), C group(0.08 mm) on cement gaps by use of CAD/CAM, and compared the results. We could end up getting conclusions as following. Results: There was fracture strength difference per cement gaps but no impact(P<0.05). There was difference between $1.962{\pm}0.259$ from group A and $2.005{\pm}0.367$ from group B, but no impact(P<0.05). There was difference between $1.962{\pm}0.259$ from group A and $2.478{\pm}0.331$ from group C, but it's hard to be considered as an impact(P<0.05). Conclusion: Because of the hight pressure 0.08 mm is fractured and Margin has a lot of empty space due to gap for 0.08 mm. To identify the difference between 0.08 mm and 0.05 mm, 0.08 mm is selected as a gap. Therefore when it comes to using 0.05 mm authentically 0.05 mm is quite practical to use as a gap.

• The Journal of Advanced Prosthodontics
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• v.14 no.2
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• pp.96-107
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• 2022

PURPOSE. Microstructural and physico-mechanical characterization of highly translucent zirconia, prepared by milling technology (CAD-CAM) and repeated firing cycles, was the main aim of this in vitro study. MATERIALS AND METHODS. Two groups of samples of two commercial highly-translucent yttria-stabilized dental zirconia, VITA YZ-HT^White (Group A) and Zolid HT + White (Group B), with dimensions according to the ISO 6872 "Dentistry - Ceramic materials", were prepared. The specimens of each group were divided into two subgroups. The specimens of the first subgroups (Group A₁ and Group B₁) were merely the sintered specimens. The specimens of the second subgroups (Group A₂ and Group B₂) were subjected to 4 heat treatment cycles. The microstructural features (microstructure, density, grain size, crystalline phases, and crystallite size) and four mechanical properties (flexural strength, modulus of elasticity, Vickers hardness, and fracture toughness) of the subgroups (i.e. before and after heat treatment) were compared. The statistical significance between the subgroups (A₁/A₂, and B₁/B₂) was evaluated by the t-test. In all tests, P values smaller than 5% were considered statistically significant. RESULTS. A homogenous microstructure, with no residual porosity and grains sized between 500 and 450 nm for group A and B, respectively, was observed. Crystalline yttria-stabilized tetragonal zirconia was exclusively registered in the X-ray diffractograms. The mechanical properties decreased after the heat treatment procedure, but the differences were not statistically significant. CONCLUSION. The produced zirconia ceramic materials can be safely (i.e., according to the ISO 6872) used in extensive fixed prosthetic restorations, such as substructure ceramics for three-unit prostheses involving the molar restoration and substructure ceramics for prostheses involving four or more units. Consequently, milling technology is an effective manufacturing technology for producing zirconia substructures for dental fixed all-ceramic prosthetic restorations.