• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.3
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• pp.196-207
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• 2018

An accurate implant placement with ideal location is significant for long-term success of the implant. An exact evaluation of nearby anatomic structures such as quality of residual bone, an inferior alveolar bone and a maxillary sinus is required. For a prosthetic-driven treatment, planned surgery, precise prosthesis and communication with the patient are significant requisites especially for full-mouth rehabilitation. In this case, the patient with severe alveolar bone resorption had a CT guided surgery supported by CT data and the data from scanning diagnostic wax-up. Afterward, edentulous area was restored by full mouth implant-supported prosthesis by using monolithic zirconia and CAD/CAM technique. This paper reports the outcome of the procedure which was remarkable both esthetically and functionally.

• The Journal of Korean Academy of Prosthodontics
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• v.52 no.2
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• pp.121-127
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• 2014

Comprehensive prosthetic treatment requires considerations from various points of view. The anterior guidance is important factor in prosthodontic treatment of anterior teeth. Lingual surface contour of anterior restoration is so critical that a small mistake of laboratory or clinical process can cause discomfort of patient and disharmony of entire dentition. There are no guidelines for lingual surface contour that fit all patients. Therefore the lingual surface of provisional restoration is most accurately described as a customized one. The dentist transfers the exact information of anterior guidance that has made through long term provisional restoration to the technician. This case introduce that the duplication technique of CAD/CAM system to reproduce the anterior guidance of provisional restoration. This method can improve satisfaction of both patient and dentist.

• The Journal of Advanced Prosthodontics
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• v.12 no.4
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• pp.218-224
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• 2020

PURPOSE. The objectives of this study were to evaluate the fracture strength and fracture patterns of provisional crowns fabricated from different materials and techniques after receiving stress from a simulated oral condition. MATERIALS AND METHODS. A monomethacrylate-based resin (Unifast Trad) and a bis-acryl-based (Protemp 4) resin were used to fabricate provisional crowns using conventional direct technique. A milled monomethacrylate resin (Brylic Solid) and a 3D-printed bis-acrylate resin (Freeprint Temp) were chosen to fabricate provisional crowns using the CAD/CAM process. All cemented provisional crowns (n=10/group) were subjected to thermal cycling (5,000 cycles at 5°-55℃) and cyclic occlusal load (100 N at 4 Hz for 100,000 cycles). Maximum force at fracture was tested using a universal testing machine. RESULTS. Maximum force at fracture (mean ± SD, N) of each group was 657.87 ± 82.84 for Unifast Trad, 1125.94 ± 168.07 for Protemp4, 953.60 ± 58.88 for Brylic Solid, and 1004.19 ± 122.18 for Freeprint Temp. One-way ANOVA with Tamhane post hoc test showed that the fracture strength of Unifast Trad was statistically significantly lower than others (P<.01). No statistically significant difference was noted among other groups. For failure pattern analysis, Unifast Trad and Brylic Solid showed less damage than Protemp 4 and Freeprint Temp groups. CONCLUSION. Provisional crowns fabricated using the CAD/CAM process and the conventionally fabricated bis-acryl resins exhibited significant higher fracture strength compared to conventionally fabricated monomethacrylate resins after the aging regimen. Therefore, CAD/CAM milling and 3D printing of provisional restorations may be good alternatives for long term provisionalization.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.3
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• pp.217-220
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• 2020

Conventionally, when a zirconia fixed dental restoration is planned, the interim restoration is made manually and the final restoration is fabricated by the silicone impression taking at the prosthodontic stage. This conventional workflow does not provide direct relation between interim and final restorations. Moreover, the predictability of the final restoration could be low. Nowadays, the CAD/CAM based restoration fabrication and related digital techniques are developed and being applied in dentistry in multiple ways. This case report introduces a digital workflow for fabricating an optimal gingival adaptation and predictability of monolithic zirconia restoration by using CAD/CAM interim restoration, intra oral scan, and image superimposition technique in a case that required tooth extraction.

• The Journal of Advanced Prosthodontics
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• v.12 no.3
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• pp.124-130
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• 2020

PURPOSE. The aim of this in vitro study was to evaluate the effect of sintering procedures on marginal discrepancies of fixed partial metal frameworks fabricated using different sintering-based computer-aided design and computer/aided manufacturing (CAD/CAM) techniques. MATERIALS AND METHODS. Forty resin die models of prepared premolar and molar abutment teeth were fabricated using a three-dimensional (3D) printer and divided into four groups (n = 10) according to the fabrication method of metal frameworks used: HM (via hard milling), SM (via soft metal milling), L25 (via direct metal laser melting [DMLM] with a 25 ㎛ layer thickness), and L50 (via direct DMLM with a 50 ㎛ layer thickness). After the metal frameworks were fabricated and cemented, five vertical marginal discrepancy measurements were recorded in each site (i.e., buccal, facing the pontic, lingual, and facing away from the pontic) of both abutment teeth under a stereomicroscope (×40). Data were statistically analyzed at a significance level of 0.05. RESULTS. No statistically significant differences (P>.05) were found among the four axial sites of metal frameworks fabricated by sintering-based CAD/CAM techniques. The HM and L25 groups showed significantly (P<.001) lower marginal discrepancy values than the SM and L50 groups. CONCLUSION. Marginal discrepancy in the sites facing the pontic was not influenced by the type of sintering procedure. All fabrication methods exhibited clinically acceptable results in terms of marginal discrepancies.

• Restorative Dentistry and Endodontics
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• v.44 no.3
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• pp.27.1-27.12
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• 2019

This case report describes a technique in which endodontic treatment and permanent indirect restoration were completed in the same clinical appointment with the aid of a computer-aided design/computer-aided manufacturing (CAD/CAM) system. Two patients were diagnosed with irreversible pulpitis of the mandibular first molar. After access preparation, root canals were located, irrigation was performed until bleeding ceased, and the coronal tooth structure was prepared for indirect restoration. Then, utilizing an interim 3-mm build-up of the endodontic access cavity, a hemi-arch digital scan was performed with an intraoral scanner. Subsequent to digital scanning, restoration design was performed simultaneously with the endodontic procedure. The root canals were shaped using the Race system under irrigation with 2.5% sodium hypochlorite followed by root canal filling. The pulp chamber was subsequently filled with a 3-mm-thick composite resin restoration mimicking the interim build-up previously utilized to facilitate block milling in the CAD/CAM system. Clinical try-in of the permanent onlay restoration was followed by acid etching, application of a 5th generation adhesive, and cementation of the indirect restoration. Once the restoration was cemented, rubber dam isolation was removed, followed by occlusal adjustment and polishing. After 2 years of follow-up, the restorations were esthetically and functionally satisfactory, without complications.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.33.1-33.10
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• 2017

Dental implants are a common treatment for the loss of teeth. This paper summarizes current knowledge on implant surfaces, immediate loading versus conventional loading, short implants, sinus lifting, and custom implants using three-dimensional printing. Most of the implant surface modifications showed good osseointegration results. Regarding biomolecular coatings, which have been recently developed and studied, good results were observed in animal experiments. Immediate loading had similar clinical outcomes compared to conventional loading and can be used as a successful treatment because it has the advantage of reducing treatment times and providing early function and aesthetics. Short implants showed similar clinical outcomes compared to standard implants. A variety of sinus augmentation techniques, grafting materials, and alternative techniques, such as tilted implants, zygomatic implants, and short implants, can be used. With the development of new technologies in three-dimension and computer-aided design/computer-aided manufacturing (CAD/CAM) customized implants can be used as an alternative to conventional implant designs. However, there are limitations due to the lack of long-term studies or clinical studies. A long-term clinical trial and a more predictive study are needed.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.38
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• pp.4.1-4.6
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• 2016

Background: Most cases of facial asymmetry involve yaw deformity, and determination of the yaw correction level is very difficult. Methods: We use three-dimensional soft tissue simulation to determine the yaw correction level. This three-dimensional simulation is based on the addition of cephalometric prediction to gradual yaw correction. Optimal yaw correction is determined visually, and an intermediate splint is fabricated with computer-aided design and computer-aided manufacturing. Application of positioning devices and the performance of horseshoe osteotomy are advisable. Results: With this procedure, accurate repositioning of jaws was confirmed and patients obtained fairly good facial contour. Conclusions: This procedure is a promising method for a widespread, predictable treatment of facial asymmetry.

• The Journal of Advanced Prosthodontics
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• v.7 no.1
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• pp.32-38
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• 2015

PURPOSE. The aim of this study was to compare the durability and retention of 4 types of attachments placed over computer aided design/computer aided manufacturing (CAD/CAM) titanium bars when subjected to different pH conditions. MATERIALS AND METHODS. Four commercially available attachments were investigated: Hader Yellow, Hader Red, Ackerman Gold and Ackerman Stainless Steel. These attachments and Ackerman CAD/CAM titanium bars were placed in 2 vessels containing different artificial saliva solutions (pH 7/pH 4) at $37^{\circ}C$ for one month to simulate corrosion conditions, and they were then subjected to mechanical testing (5400 cycles of insertion and removal). RESULTS. The results revealed that there were significant differences in the average values of insertion/removal force due to the pH (F (1, 24)=9.207, P<.05) and the type of attachment (F (3, 24)=11.742, P<.05). CONCLUSION. More acidic pH values were found to have a negative influence on the retention capacity of the attachments.

• 월간 기계설비
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• no.11 s.184
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• pp.57-71
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• 2005

SHOP DWG의 현주소 어디까지 왔는가? 설계에서 제조에 이르는 전 과정을 컴퓨터로 제어하고 관리하는 기술. 캐드(CAD)와 캠(CAM)은 각각 computer-aided design,computer-aided manufacturing의 약칭으로 컴퓨터보조설계와 컴퓨터보조생산을 뜻한다. CAD는 설계도면을 한 장씩 수작업으로 제도하지 않고 설계 데이터베이스의 정보를 CRT(cathode ray tube)에서 화상을 보고 합성하면서 설계하므로 작업을 최적화 할 수 있다. CAD로 설계된 설계도의 내용은 CAM을 통해 NC(수치제어)공작기계에 정확한 작업동작을 지시하게 되며, 작업관리∙가공∙조립∙검사 등의 제조과정을 컴퓨터로 관리하여 작업속도와 제품의 정밀성을 높이게 된다. 최근에는 건축현장의 2D system이 보편화되어 있지만 건축현장의 핵심이라고 할 수 있는 기계설비의 기계실, 또는 조립화 공법 등에는 3차원 CAD∙CAM시스템이 개발되어 입체형상을 화면에 3차원으로 재현할 수 있고, 대상물의 표면적∙부피∙무게∙강도 등의 물리적 성질도 자동 계산하여 최적상태에서 현장의 시공에 적용할 수 있게 되었다. 1960년대 초 미국에서 자동차 모델∙엔진, 항공기 부품 등 의 설계에 수작업의 한계를 느껴 개발되었으며, 한국에서는 70년대 중반에 도입되어 운용되고 있다. 이에 따라 프로그램 회사들은 다양한 방법 등을 SHOP DWG에 적용하여 판매경쟁이 치열하다. (주)우진아이엔에스는 급속한 산업경제의 변화와 무한경쟁시대에 보다 나은 기술개발 투자에도 노력을 기울여, 2000년 11월 용인공장, 생산라인을 천안으로 이전, 확장 하여 배관 및 닥트의 CAD-CAM SYSTEM, P.F.P공법, 기계실3D, 블럭화배관, 닥트자동화 시스템, 설계, 용접공정을 공장화시켰으며, 신 개발품인 S.C.D(SEMI-CON DUCT)를 신설하여 모든 건축물에 맞는 필수적인 제품을 생산함으로써 선택의 폭을 넓히고, 현장 시공능력 효율을 높이고 있다. 이번 호에서는 (주)우진아이엔에스가 95년 설계팀을 발족하여 제로시스템의 3D공법을 공장 및 현장의 SHOP DWG에 적용해왔고 최근에는“서초 프로젝트A”현장에 SHOP DWG의 최대 결집체인 3D활용의 조립화 공법을 적용하여 초고층 오피스텔현장을 시공한 사례를 게재한다. 우진아이엔에스는 30여년의 기술 축척을 바탕으로 최고의 기술력과 풍부한 경험을 통해 아셈무역센타, 타워팰리스1차, 3차 및 목동트라팰리스, 분당트리폴리스, 수원삼성전자 R4, 등 국내굴지의 초고층빌딩 시공을 근거로 초고층의 기본설계를 이해하고 SHOP DWG을 통해서 기계설비공사의 향후 나아갈 지표를 제시하고 있다.