• 제목/요약/키워드: CAD/CAM dentistry

검색결과 458건 처리시간 0.022초

전부도재관의 변연 적합도 비교평가 (Comparative study in marginal accuracy of several all ceramic crowns)

  • 김정미;정수하
    • 대한치과기공학회지
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    • 제30권2호
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    • pp.87-92
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    • 2008
  • Purpose: In this study, we tried to compare marginal accuracy when produce ceramic crown using all ceramic materials and existent metal-ceramic system. Material and methods: All-ceramic systems were E-max (Ivoclar/Vivadent, Lichtenstein), Lava(3M, U.S.A.) and Wol-ceram(Teamziereis, Germany). Metal-ceramic system(PFG) was composed of Au-Pt alloy (Metalor, Switzerlandand) and overlying ceramic(D-sign, Ivoclar/Vivadent, Lichtenstein). We fabricated metal master die with upper diameter of 7.95mm, bottom diameter of 9.00mm, height of 5.00mm, and taper of $6^{\circ}$. All ceramic system used 0.5mm thickness ceramic coping, while metalceramic system used 0.3 thickness metal coping. By adding dentin and enamel ceramics on each coping, a crown with a proximal thickness of 1.0 mm and occlusal thickness of 2.0mm was fabricated. Pressure of 2kg was applied for 10 seconds on each crown with static load compressor. Before and after cementation, we measured the marginal gap at 4 points of each crown using optical microscope. The data was analyzed using a Student's t test and repeated-measures of analyses of variance(ANOVA) followed by a Bonferroni test. A p value<0.05 was considered significant. Results: As experiment results, marginal accuracy of wol-ceram and Lava is no good when compared with marginal accuracy of PFG. But marginal accuracy of E.max is good when compared with PFG. This result showed not significant. The marginal accuracy of E.max is good when compared with marginal accuracy of wol-ceram and Lava. Conclusion: The marginal accuracy of E.max is very good when compared with marginal accuracy of another group.

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지르코니아 표면 에칭처리 효과에 따른 레진 및 도재의 결합강도 (Bonding strength of resin and porcelain depending on the effects of zirconia surface etching)

  • 박영대;한석윤
    • 대한치과기공학회지
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    • 제39권4호
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    • pp.243-251
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of etching by monitoring the etched surfaces and the shear bonding strength of resin and porcelain with etched zirconia. Methods: The CAD/CAM was used to produce 24 zirconia blocks in groups of six. The zirconia specimen surfaces were sandblasted, and they were then divided into 12 specimens with surface etching and 12 specimens without etching for the control group. 12 specimens of composite resin were bonded using a curing light, and 12 specimens of porcelain underwent vita porcelain build-up sintering and the shear bonding strength was measured using a universal testing system. The SEM photographs were taken in order to observe any differences in the surfaces before and after etching, and they were magnified by a factor of 8 in order to observe fractured surface types. Results: The results of the shear bonding strength measurements are as follows: For the composite resin tests, between zirconia and resin, the shear bonding strength of the control group (NZR) without surface etching was 4.68 Mpa and the experimental group (EZC) with surface etching was 9.65 Mpa, which is significantly higher. The crystal structure of the zirconia was confirmed to be different in observations of the surfaces before and after etching. Conclusion : In comparing the shear bonding strength of zirconia and composite resin, the effects of etching were found to be significant. The effects of surface etching were also observed in fractured surfaces between zirconia and porcelain. This is expected to be applicable to various prosthetics as surface etching on zirconia is used in clinics.

지대주 경사각이 지르코니아 전부도재관의 변연적합도에 미치는 영향 (The Effect of Abutment Inclined Angle on the Marginal Fit of Zirconia All-ceramic Crown)

  • 이서연;정인성;전병욱
    • 대한치과기공학회지
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    • 제38권3호
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    • pp.111-117
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    • 2016
  • Purpose: The present study was performed to investigate the effect of abutment inclined angle on the marginal fit of zirconia all-ceramic crown. Methods: The Ti abutments with 3 different inclined angle($2^{\circ}$, $4^{\circ}$ and $6^{\circ}$) were fabricated. The zirconia copings were fabricated for each abutment by using dental CAD/CAM system. The manufactured zirconia copings were duplicated through silicone replica technique, and a replicated specimen was sectioned in the center of bucco-lingual and mesio-distal axial to measure the marginal fit by using a stereo microscope. The results were analyzed using a one-way ANOVA with SPSS 22.0 for Windows(${\alpha}=0.05$). Results: On the bucco-lingual axial, marginal fit was the RL3($41.5{\pm}3.4{\mu}m$), RL2($44.3{\pm}4.3{\mu}m$) and RL1($47.5{\pm}5.7{\mu}m$), respectively. On the mesio-distal axial, marginal fit was the RL3($41.1{\pm}3.7{\mu}m$), RL2($45.7{\pm}5.3{\mu}m$) and RL1($46.2{\pm}4.5{\mu}m$), respectively. One-way ANOVA showed statistically significant difference between groups for marginal fit(p<0.05). Conclusion: For marginal fit of the abutments inclined angle, RL3 specimen was superior. The abutment inclined angle had influence on marginal fit of the zirconia copings. The marginal fit of each group were within clinically acceptable range.

치과용 임플란트 적용 비귀금속 코어와 관련된 전조골세포의 변화 (Changes in pre-osteoblast cells associated with non-precious metal cores with dental implants: Pilot test)

  • 박정현;강신영;김종우;김장주;김웅철;김지환
    • 대한치과기공학회지
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    • 제40권2호
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    • pp.63-69
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    • 2018
  • Purpose: The purpose of this study is to investigate the non-precious metal core materials used in the dental laboratory to fabricate the implant superstructure by CAD / CAM method. And to observe and compare the morphology and distribution of the osteoblasts in relation to implant osseointegration. Methods: In this study, the mandibular right first molar tooth model was selected as an international standard to produce a single core. Using this model, the impression was made with the silicone rubber, the tooth model was scanned, and a single core was designed and 5-axis milling was performed. The materials used were Cobalt-Chromium and Nickel-Chromium, and the cores for dental implant top structures were fabricated according to the procedures of the dental labs. After the fabrication, the marginal area of the core was separated and cell culture experiment was performed. The osteoblast cells used MC3T3-E1, which is currently widely used. For morphological analysis of osteoblasts, cells were posttreated and observed using CLSM (Confocal Laser Scanning Microscope) and compared. Results: The cell adhesion behavior of the specimen surface measured by CLSM was uniformly distributed in specimen A (Cobalt-Chromium) than in specimen B (Nickel-Chromium). The distribution and changes of the cells were different in the two specimens. Conclusion : It is possible to confirm that specimen A (Cobalt-Chromium) is suitable for the living body through adhesion and proliferation of osteoblasts related to implant osseointegration in the non-precious metal superstructure used after implantation. It is considered that it is preferable to use Co-Cr when fabricating the superstructure.

5축 밀링으로 가공한 PMMA 3본 브릿지의 내면 적합도 평가 (Evaluation of internal adaptation of PMMA 3-unit bridge manufactured by 5-axis milling machine)

  • 김총명;김재홍;김지환;김웅철
    • 대한치과기공학회지
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    • 제38권2호
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    • pp.63-68
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    • 2016
  • Purpose: The purpose of this study was to assess the internal fitness of the PMMA 3-unit bridge that was fabricated with 5-axis milling machine and to verify the clinically allowable values. Methods: For fabrication of the crown bridge in this study, 25-27 abutment teeth were used. The prepare abutment teeth were scanned with a scanner and 3-unit bridge was designed by using design software. Upon the completion of the design, the 3-unit bridge was fabricated by using a PMMA block with 5-axis milling machine. The internal surface of the fabricated 3-unit bridge was scanned by using a scanner and the difference between the 3-unit bridge and the abutment teeth was assessed by merging them together. Results: $RMS{\pm}SD$ values for PRE group, MOL group, and BRI group were $51.2{\pm}18.2$, $44.8{\pm}10.0$, and $52.1{\pm}8.3{\mu}m$, respectively. The mean of the PRE group was bigger than that of the MOL and BRI group; however, statistically significant difference was not found (p>0.05). Conclusion: The PMMA 3-unit bridge that was fabricated with 5-axis milling machine presented stable internal values for each crown and overall internal values were within the range of clinically allowable values.

석고 모형재와 고무인상재의 젖음성이 지르코니아 코핑의 변연적합도에 미치는 영향 (Effect of wettability of gypsum materials and rubber impression material on the marginal fitness of zirconia copings)

  • 김원영;정인성;전병욱
    • 대한치과기공학회지
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    • 제38권4호
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    • pp.255-262
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    • 2016
  • Purpose: This study examined the effect of wettability of gypsum materials and rubber impression material on the marginal fitness of zirconia copings. Methods: Three commercially available gypsum materials(Fugirock EP, Snow Rock, Tuff Rock) and three zirconia blocks(iJAM Emerald, LUXEN Smile block, ICE Zirkon transluzent) were studied. The zirconia copings were fabricated by using dental CAD/CAM system. Contact angles on the impression materials were measured with contact angle measuring device. Silicone replica method was used to measure the marginal fitness and cutting was performed on the bucco-lingual and mesio-distal sides. It were observed with a stereomicroscope at °ø40 magnification. The data were statistically analyzed with One-way ANOVA. Results: Mean values of contact angles were $58.3{\pm}0.7^{\circ}$ for Tuff Rock, $77.5{\pm}0.5^{\circ}$ for Fugirock EP and $87.8{\pm}0.5^{\circ}$ for Snow Rock and the difference between them was statistically significant(p<0.05). The smallest values of marginal fitness for the JF groups were $30.7{\pm}3.0{\mu}m$ for bucco-lingual direction, $29.3{\pm}3.0{\mu}m$ for mesio-distal direction. One-way ANOVA showed statistically significant difference between groups for marginal fitness(p<0.05). Conclusion: Tuff rock gypsum material had superior wettability to others. The mean marginal fitness of the Tuff rock gypsum material group were significantly better than other groups. Thus they can be also expected to show clinically satisfactory marginal fitness.

열 가압 방식을 사용하여 제작된 인레이 세라믹 수복물의 적합도 평가 (Assessment of inlay ceramic restorations manufactured using the hot-pressing method)

  • 이범일;유승규;유승민;박동인;김지환
    • 대한치과기공학회지
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    • 제42권1호
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    • pp.9-16
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    • 2020
  • Purpose: The purpose of this study was to compare the marginal and internal fit of lithium disilicate ceramic inlay produced by heat pressing that inlay pattern made by subtractive manufacturing and additive manufacturing method. Methods: A mandibular lower first molar that mesial occlusal cavity (MO cavity) die was prepared. After fabricating an epoxy resin model using a silicone impression material, epoxy resin die was scanned with a dental model scanner to design an MO cavity inlay. The designed STL pile was used to fabricate wax patterns and resin patterns, and then lithium disilicate ceramic inlays were fabricated using hot-press method. For the measurement of the marginal and internal gap of the lithium disilicate, silicone replica method was applied, and gap was measured through an optical microscope (x 80). Data were tested for significant differences using the Mann-Whitney Utest. Results: The marginal fit was 103.56±9.92㎛ in the MIL-IN group and 81.57±9.33㎛ in the SLA-IN group, with a significant difference found between the two groups (p<0.05). The internal fit was 120.99±17.52㎛ in the MIL-IN group and 99.18±6.65㎛ in the SLA-IN group, with a significant difference found between the two groups (p<0.05). Conclusion: It is clinically more appropriate to apply the additive manufacturing than subtractive manufacturing method in producing lithium disilicate inlay using CAD/CAM system.

Blue LED 방식의 스캐너로 제작된 치과용 3차원 디지털 모형의 정확도 평가 (Evaluation of validity of three dimensional dental digital model made from blue LED dental scanner)

  • 김재홍;정재관;김기백
    • 한국산학기술학회논문지
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    • 제15권5호
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    • pp.3007-3013
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    • 2014
  • 본 연구의 목적은 블루 LED 기반의 치과용 스캐너를 이용하여 제작된 3차원 디지털 모형의 정확도를 평가하는 것이다. 본 연구를 위하여 20개의 동일한 석고 모형 제작 후 블루 LED기반의 치과용 스캐너를 이용하여 석고 모형과 동일한 20개의 3차원 디지털 모형을 제작하였다. 정확도를 평가하기 위해 두 집단의 모형을 대상으로 6개의 계측 거리를 지정한 후 측정하였다. 통계분석은 비모수 검정법인 윌콕슨 순위 합 검정법을 이용하여 비교 분석하였다(제1종 오류수준=0.05). 비록 모든 부위에서 디지털 모형이 석고 모형보다 작은 것으로 분석되었으나(p<0.05), 임상적 허용 수치를 벗어나지 않았다.

Monolithic zirconia crowns: effect of thickness reduction on fatigue behavior and failure load

  • Prott, Lea Sophia;Spitznagel, Frank Akito;Bonfante, Estevam Augusto;Malassa, Meike Anne;Gierthmuehlen, Petra Christine
    • The Journal of Advanced Prosthodontics
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    • 제13권5호
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    • pp.269-280
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    • 2021
  • PURPOSE. The objective of this study was to evaluate the effect of thickness reduction and fatigue on the failure load of monolithic zirconia crowns. MATERIALS AND METHODS. 140 CAD-CAM fabricated crowns (3Y-TZP, inCorisTZI, Dentsply-Sirona) with different ceramic thicknesses (2.0, 1.5, 1.0, 0.8, 0.5 mm, respectively, named G2, G1.5, G1, G0.8, and G0.5) were investigated. Dies of a mandibular first molar were made of composite resin. The zirconia crowns were luted with a resin composite cement (RelyX Unicem 2 Automix, 3M ESPE). Half of the specimens (n = 14 per group) were mouth-motion-fatigued (1.2 million cycles, 1.6 Hz, 200 N/ 5 - 55℃, groups named G2-F, G1.5-F, G1-F, G0.8-F, and G0.5-F). Single-load to failure was performed using a universal testing-machine. Fracture modes were analyzed. Data were statistically analyzed using a Weibull 2-parameter distribution (90% CI) to determine the characteristic strength and Weibull modulus differences among the groups. RESULTS. Three crowns (21%) of G0.8 and five crowns (36%) of G0.5 showed cracks after fatigue. Characteristic strength was the highest for G2, followed by G1.5. Intermediate values were observed for G1 and G1-F, followed by significantly lower values for G0.8, G0.8-F, and G0.5, and the lowest for G0.5-F. Weibull modulus was the lowest for G0.8, intermediate for G0.8-F and G0.5, and significantly higher for the remaining groups. Fatigue only affected G0.5-F. CONCLUSION. Reduced crown thickness lead to reduced characteristic strength, even under failure loads that exceed physiological chewing forces. Fatigue significantly reduced the failure load of 0.5 mm monolithic 3Y-TZP crowns.

Extraoral scanner와 intraoral scanner를 이용하여 제작된 zirconia crown의 2차원 변연 및 내면 적합도 비교: in vitro (Comparison of 2-dimensional marginal and internal fitness for the monolithic zirconia prosthesis using intraoral scanner and extraoral scanner: in vitro)

  • 이태희;이하빈;김지환
    • 대한치과기공학회지
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    • 제41권3호
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    • pp.187-193
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    • 2019
  • Purpose: The purpose of this study was to compare two-dimensional fitness of the monolithic zirconia prosthesis by using different type of scanner. Methods: No. 26 abutment tooth of FDI system was selected for the study. Using the extraoral scanner and intraoral scanner, the abutment tooth was scanned 10 times and the scanned files were saved as STL files. CAD/CAM system was used to produce the monolithic zirconia prosthesis. marginal and internal gap of the monolithic zirconia prosthesis were measured by digital microscope(x160) and applied silicone replica technique was applied. t-test, a statistical software, was used to perform data analysis. Results: Marginal gap $mean{\pm}SD$ of the monolithic zirconia prosthesis was $33{\pm}7.5{\mu}m$ with extra oral scanner and $34.7{\pm}11.1{\mu}m$ with intraoral scanner. axial gap mean was $40.5{\pm}3.5{\mu}m$ with extra oral scanner and $44.6{\pm}11.6{\mu}m$ with intraoral scanner. occlusal gap mean was $110.1{\pm}25.4{\mu}m$ with extra oral scanner and $64{\pm}9.7{\mu}m$ with intraoral scanner. Conclusion: In this study, fabricating zirconia prosthesis with different type of scanner was clinically applicable.