• 대한치과보철학회:학술대회논문집
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• 1999.04a
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• pp.85.1-85.1
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• 1999

• The Journal of the Korean dental association
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• v.36 no.8 s.351
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• pp.529-531
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• 1998

• 대한치과보철학회:학술대회논문집
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• 1997.11a
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• pp.49-49
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• 1997

• The Journal of Korean Academy of Prosthodontics
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• v.39 no.3
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• pp.243-249
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• 2001

Statement of the problem. The interest in all-ceramic restorations has increased as more techniques have become available. With the introduction of machinable dental ceramics and CAD/CAM systems or Copy-milling systems there is a need for evaluating the quality levels of these new fabrication techniques. Purpose. This study was to evaluate the fitting accuracy of machined all-ceramic crowns made out of an industrially prefabricated feldspathic porcelain. Material and Methods. Three master models with different cutting depth (0.8mm/1.0mm/1.2mm)were produced using a palladium-silver alloy. A total of 36 working dies, 12 of each form, was used for the modellation of prototype resin copings and 36 additional crowns, 12 of each cutting depth, were produced by using the $CEREC^{(R)}2$ system for all crowns. The maginal fit of all 72 crowns was then evaluated on their respective master die at 54 circularly staggered points of measurement per crown under a fixation pressure of 30 N by using a computerized video image system. Results. The medians of the copy-milled $CELAY^{(R)}$ crowns ranged from 29 to $36{\mu}m$. The highest value for the marginal gap was found in group B (cutting depth 1.0mm) at $107{\mu}m$. The median for the $CEREC^{(R)}2$ crowns was found between 43.5 and $70{\mu}m$. The maximum values for all three groups ranged from $181{\mu}m$ to $286{\mu}m$. With $286{\mu}m$ the highest value for marginal gap was found in group C. the Kruskal-Wallis test and multiple comparisons analysis procedure revealed a significant influence of the production technique on the marginal fit in all three groups (p<0,02). Conclusion. 1. The $CELAY^{(R)}$ system is capable to produce all-ceramic crowns with a significantly better marginal fit than the $CEREC^{(R)}2$ system. 2. As far as premolar crowns produced with the $CEREC^{(R)}2$ system are concerned, the cutting depth has a significant influence on fitting accuracy. 3. The production of crowns with an acceptable marginal fit is possible with both systems. However, adhesive luting is recommended for milled feldspathic porcelain crowns.

• Proceedings of the KACD Conference
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• 2006.05a
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• pp.243-243
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• 2006

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.593-593
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• 2001

Esthetic restoration techniques can be categorized into "Direct techniques" consist only of intraoral procedures and "Indirect techniques" include intraoral as well as extraoral laboratory steps. Those made extraorally exhibit generally enhanced esthetic potential and anatomy and better hardness and wear resistance, indirect esthetic restorations numerously applied in contemporary dentistry. Indirect restorative materials can be divided into two categories; composite resin-based materials and ceramic-based materials. These materials shows various were resistance, modulus of elasticity, repair postenital, chemical stability, and different laboratory procedures. In this session, benefit of indirect techinques, case selection of this kind of restorations, and material characteristics and fabrication produre of those materials will ber reviewed; Targis, Sculpture, Belleglass, and Post-curing of restorative composite resins in resin-based materials; Dicor, Empress, Cerec, Celay, and conventional firing porcelain in ceramic based materials.

• The Journal of Korean Academy of Prosthodontics
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• v.38 no.6
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• pp.757-764
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• 2000

Statement of the problem. All-ceramic post-and-core restorations offer a number of advantages compared with systems that use metal build-ups. In certain clinical cases, however, fractures at the joint between the post and core build-up have been reported. Purpose. The objective, therefore, is to improve the joint between the post and the core build-up. Material and methods. Three different methods were used to prepare all-ceramic post-and-core restorations; pressing IPS Empress core build-ups to CosmoPost zirconia posts, cement-ing IPS Empress core build-ups to CosmoPost zirconia posts and Celay-milling of zirconia blanks. A series of ten restorations was prepared for each of the three methods. The post-and-core complexes were tested to failure with the load applied perpendicular to the post axis. The load and deflection at fracture were recorded. Results. The highest breaking load and highest deflection were recorded for the cementing technique with values of 25.3 N and $394{\mu}m$, respectively, The corresponding values for the pressed core build-ups and the milled zirconia core build-ups were 22 N and $301{\mu}m$, and 13 N and $160{\mu}m$, respectively. All the differences are statistically significant (p=0.05). Regarding the load-dependence of the deflection, the cemented core build-ups again demonstrated the highest value with $15.5{\mu}m/N$. The difference in the values of $13.6{\mu}m/N\;and\;13{\mu}m/N$ recorded for the pressed-on and milled core build-ups, respectively, were statistically insignificant. Conclusion. In regard to the high fracture resistance of zirconia post, adhesive cementing the core build-up to the post offers a viable alternative to the conventional pressing technique. The elastic bond between the rigid high-strength zirconia post and the core build-up presents an additional advantage.

• Restorative Dentistry and Endodontics
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• v.22 no.1
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• pp.144-155
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• 1997

This study evaluated shear bond strength between porcelain and resin cement according to various surface treatments of porcelain, and surface condition of debonded porcelain. 50 porcelain specimens(Celay block A2M7) and composite resin specimens(Clearfil Photo-Bright) were prepared, and divided into 5 experimental groups according to the treatment method of porcelain surface. 5 experimental groups by surface treatments were as follows; CONTROL Group : No surface treatment was done on the surface of porcelains. SAND Group : The surface of porcelains were sandblasted with $50{\mu}m$ aluminum oxide for 5 seconds. HF Group: The surface of porcelains were etched with 8% Hydrofluoric acid for 4 minutes. SIL Group: The surface of porcelains were coated with silane coupling agent and heated at $100^{\circ}C$ for 5 minutes. SAND+HF+SIL Group : The surface of porcelains were sandblasted with $50{\mu}m$ aluminum oxide for 5 seconds and etched with 8% Hydrofluoric acid for 4 minutes, and coated with silane coupling agent and heated at $100^{\circ}C$ for 5 minutes. After surface treatments on the prepared porcelain surface two pastes of Panavia 21$^{(R)}$ were mixed, they were applied between composite resin block and porcelain surface, and then excessive resin cements were removed, and its margin was surrounded with Oxyguard II. All specimens were stored for 24 hours in water at $37^{\circ}C$ and tested with Instron testing machine between porcelains and resin cements, and debonded porcelain surfaces were observed under Scanning Electon Microscope(Hitachi S-2300) at 20kvp. The values from each group were compared statistically by Student's t-test. The obtained results were as follows; 1. The shear bond strength without surface treatment of porcelain was the lowest among all experimental groups(p<0.05). 2. The detached porcelain surface with sandblasting alone had more remarkable cracks than with only Hydrofluoric Acid or Silane coupling 2gent, but showed the lowest value of shear bond strength among surface treated groups(p<0.05), 3. When porcelain surface was treated by hydrofluoric acid, it affected shear bond strength more than silane coupling agent, but there were no significant statistical differences(p>0.05). 4. When three methods were combined to increase shear bond strength between porcelains and resin cements, its value was the highest than the others(p<0.05). 5. In Scannig Electron Micrograph of detached porcelain surface with no treatment, the sample revealed adhesive failure between the porcelain and resin cement whereas detached porcelain surface with combination of three method cohesive failure on the porcelain.

• Proceedings of the KACD Conference
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• 2001.05a
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• pp.235-237
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• 2001

;Dentistry has benefited from tremendous advances in technology with the introduction of new techniques and materials, and patients are aware that esthetic approaches in dentistry can change one's appearance. Increasingly. tooth-colored restorative materials have been used for restoration of posterior teeth. Tooth-colored restoration for posterior teeth can be divided into three categories: 1) the direct techniques that can be made in a single appointment and are an intraoral procedure utilizing composites: 2) the semidirect techniques that require both an intraoral and an extraoral procedure and are luted chairside utilizing composites: and 3) the indirect techniques that require several appointments and the expertise of a dental technician working with either composites or ceramics. But, resin restoration has inherent drawbacks of microleakage. polymerization shrinkage, thermal cycling problems. and wear in stress-bearing areas. On the other hand, Ceramic restorations have many advantages over resin restorations. Ceramic inlays are reported to have less leakage than resin restoration and to fit better. although marginal fidelity depends on technique and is laboratory dependent. Adhesion of luting resin is more reliable and durable to etched ceramic material than to treated resin composite. In view of color matching, periodontal health. resistance to abrasion, ceramic restoration is superior to resin restorationl. Materials which have been used for the fabrication of ceramic restorations are various. Conventional powder slurry ceramics are also available. Castable ceramics are produced by centrifugal casting of heat-treated glass ceramics. and machinable ceramics are feldspathic porcelains or cast glass ceramics which are milled using a CAD/CAM apparatus to produce inlays (for example, Cered. They may also be copy milled using the Celay apparatus. Pressable ceramics are produced from feldspathic porcelain which is supplied in ingot form and heated and moulded under pressure to produce a restoration. Infiltrated ceramics are another class of material which are available for use as ceramic inlays. An example is $In-Ceram^{\circledR}$(Vident. California, USA) which consists of a porous aluminum oxide or spinell core infiltrated with glass and subsequently veneered with feldspathic porcelain. In the 1980s. the development of compatible refractory materials made fabrication easier. and the development of adhesive resin cements greatly improved clinical success rates. This case report presents esthetic ceramic inlays for posterior teeth.teeth.