• 대한치과기공학회지
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• 제46권1호
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• pp.15-19
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• 2024

An ideal post material should have physical properties similar to those of dentin. Post materials with high elastic moduli may cause root fractures. This clinical report describes the treatment of a severely damaged tooth using a recently introduced material. Polyetherketoneketone (PEKK) is a semicrystalline high-performance thermoplastic polymer. PEKK is a promising material for custom post-and-core fabrication because of its elasticity close to that of dentin, good shock absorbance, machinability, and low cost. A laboratory scanner was used to digitize the conventional impression of a severely damaged maxillary right first molar. A custom PEKK post-and-core was designed and milled using computer-aided design and computer-aided manufacturing technology. Using the proposed technique, a custom PEKK post-and-core was fabricated accurately and human error was reduced. Restoration was luted with resin cement. Custom PEKK post-and-core restorations are a viable alternative for treating severely damaged teeth.

• Restorative Dentistry and Endodontics
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• 제18권2호
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• pp.447-462
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• 1993

To evaluate the marginal leakage in Class V cavity this study has been undertaken to compare the sandwich technique with the conventional method, and find out the effect of lining material, lining method, and polishing time on sandwich technique. Ninty extracted teeth were divided into eight test groups and a control group, and were prepared with a buccal Class V cavity. Four test groups were lined with Dentin Cement whereas the other four test groups were lined with Vitrabond. Half of the either group were lined 0.5mm short of the carvosurface margin and the rest were lined completely to the carvosurface margin. The four subgroups were further divided into specimens which were polished immediately and 24 hours after resin filling. The polished specimens were immersed in $37^{\circ}C$, 0.5% methylene blue solution for 24 hous after thermocycling at $5^{\circ}C$ and $55^{\circ}C$, 200 times and buccolingually sectioned. The sectioned specimens were examined dye penetration under the light microscope. The following results were obtained, 1. At the enamel margin, the conventional method showed a lower microleakage than the sandwich technique. The difference between the control and Vitrabond group was statistically significant(P<0.05), but no difference between the control and Dentin Cement group, and between the lining materials was observed. 2. At the dentinal margin, the sandwich technique showed a significant lower amount of microleakage (P<0.05), but there was no significant difference between the lining materials. 3. Regardless of the lining material, lining method, and polishing time used, values of microleakage were significantly higher at the dentinal margin compared to the enamel margin(P<0.05). 4. In specimens till the cavosurface margin, microleakage at the dentinal margin was less with the light-cured base than with the chemically-cured base, but there was no siginificantly difference between the lining materials regarding the lining method and polishing time. 5. The lining material, lining method, and polishing time did not affect the amount of micro leakage in the sandwich technique(P<0.05).

• 대한치과의사협회지
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• 제51권11호
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• pp.595-603
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• 2013

The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

• 대한치과보철학회지
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• 제17권1호
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• pp.23-34
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• 1979

In this study, the adhesive strength of three commercial polycarboxylate cements to ten types of dental casting alloys, such as gold, palladium, silver, indium, copper, nickel, chromium, and human enamel and dentine were measured and compared with that of a conventional zinc phosphate cement. The $8.0mm{\times}3.0mm$ cylindrical alloy specimens were made by casting. The enamel specimens were prepared from the labial surface of human upper incisor, and the dentine specimens were prepared from the occulusal surface of the human molar respectively. Sound extracted human teeth, which had been kept in a fresh condition since, extraction, were mounted in a wax box with a cold-curing acrylic resin to expose the flattened area. The mounted teeth were then placed in a Specimen Cutter (Technicut) and were cut down under a water spray, and then the flat area on the all specimens were ground by hand with 400 and 600 grit wet silicone carbide paper. Two such specimens were then cemented together face-to-face with freshly mixed cement, and moderate finger pressure was applied to squeeze the cement to a thin and uniform film. All cemented specimens were then kept in a thermostatic humidor cabinet regulated at $23{\pm}2^{\circ}C.$ and more than 95 per cent relative humidity and tested after 24 hours and 1 week. Link chain was attached to each alloy specimen to reduce the rigidity of the jig assembly, and then all the specimens were mounted in the grips of the Instron Universal Testing Machine, and a tensile load was delivered to the adhering surface at a cross head speed of 0.20 mm/min. The loads to which the specimens were subjected were recorded on a chart moving at 0.50 mm/min. The adhesive strength was determined by measuring the load when the specimen separated from the cement block and by dividing the load by the area. The test was performed in a room at $23{\pm}2^{\circ}C.$ and $50{\pm}10$ per cent relative humidity. A minimum of five specimens were tested each material and those which deviated more than 15 per cent from the mean were discarded and new specimens prepared. From the experiments, the following results were obtained. 1) It was found that the adhesive strength of the polycarboxylate cement to all alloys tested was considerably greater than that of the zinc phosphate cement. 2) The adhesive strength of the polycarboxylate cements was superior to the non precious alloys, such as the copper, indium, nickel and chromium alloys, but it was inferior to the precious gold, silver and palladium alloys. 3) Surface treatment of the alloy was found to be an important factor in achieving adhesion. It appears that a polycarboxylate cement will adhere better to a smooth surface than to a rough one. This contrasts with zinc phosphate cements, where a rough helps mechanical interlocking. 4) The adhesion of the polycarboxylate cement with enamel was found superior to its adhesion with dentine.

• Restorative Dentistry and Endodontics
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• 제16권2호
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• pp.43-61
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• 1991

Present - day inlay casting procedures have been developed for more than 100 years and experimentation has focused on the perfect adaptation to the cavity preparation. Marginal adaptation is considered to be an important indicator of the acceptability of the cast restotration, especially on the gingival margin. The purpose of this study was to evaluate the effects of a dissecting microscope and burnishing on vertical discrepancies, horizontal discrepancies, and cement thicknesson master die. Extracted premolars were prepared for class II gold inlays and master dies were made with conventional techniques. The experiments consisted of 4 groups. Group 1 : unaided eye, no burnishing on master die. Group 2 : unaided eye, burnishing on master die. Group 3 : microscope, no burnishing on master die. Group 4 : microscope, burnishing on master die. Cemented inlays were embedded in the hard resin and sectioned with microcutter through the gingival margins. The sectioned surfaces were polished with emery paper and finally with aluminum oxide powders. The results of the experiments were measured for vertical discrepancies, horizontal discrepancied and cement thickness under the scanning electron microscpe at the beveled gingival margin. The results of the study were summarized as follows. 1. Group 1 showed the vertical discrepancies of $81.6{\mu}m({\pm}48.6{\mu}m)$, horizontal discrepancies of $60.1{\mu}m({\pm}41.1{\mu}m)$, and cement thickness of $59.6{\mu}m({\pm}24.6{\mu}m)$. 2. Group 2 showed the vertical discrepancies of $78.6{\mu}m({\pm}30.9{\mu}m)$, horizontal discrepancies of $36.9{\mu}m({\pm}20.7{\mu}m)$, and cement thickness of $54.0{\mu}m({\pm}21.6{\mu}m)$. 3. Group 3 showed the vertical discrepancies of $57.5{\mu}m({\pm}26.4{\mu}m)$, horizontal discrepancies of $28.4{\mu}m({\pm}17.5{\mu}m)$, and cement thickness of $37.2{\mu}m({\pm}17.4{\mu}m)$. 4. Group 4 showed the vertical discrepancies of $56.7{\mu}m({\pm}35.0{\mu}m)$, horizontal discrepancies of $31.8{\mu}m({\pm}24.2{\mu}m)$, and cement thickness of $45.6{\mu}m({\pm}19.8{\mu}m)$. 5. Vertical discrepancies were not significantly different at any groups(p>.050). 6. Microscope groups(Group 3, 4) showed significantly improved horizontal marginal adaptation (p<.050). 7. Although cement thickness showed the subset of Group 3. 4, 2 and Group 4, 2, 1. Group 3 showed significantly smaller thickness than Group l(p<.050). 8. Finishing and polishing by means of a microscope produced significantly smaller discrepancies than doing so with the unaided eye(p<.050).

• 대한소아치과학회지
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• 제27권2호
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• pp.237-245
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• 2000

최근의 심미적 수복재료는 단순히 글래스아이오노머나 레진으로 구분되지 않는다. 대신에, 이들은 두 가지 전통적 재료 사이의 광범위한 한 범주 내에 위치한다. 유치 수복 재료를 선택함에 있어 임상가는 각각의 상황에 적합한 몇 가지 항목들을 고려해야 한다. 이들 중 한가지가 결합력이다. 이 연구는 특별히 상아질과 법랑질과의 상대적 인장강도를 재료별로 비교해보고자 하였다. 실험재료로는 resin-modified glass ionomer로 Fuji II LC-I와 Vitremer를, compomer로는 Dyract AP, Compoglass F 2000등이 사용되었다. 140개의 발거된 유치를 실험대상으로 각 재료의 시편을 평활하게 연마된 법랑질과 상아질 표면에 제조회사의 지시대로 부착한 후 상아질과 법랑질에 대한 상대적 전단결합강도를 측정하였다. 파절편은 실패유형 평가를 위해 주의깊게 검사되었다. 실험결과는 one-way ANOVA& Sheffe's test와 student t-test(p=0.05)로 검증하였다. 본 연구의 결과는 다음과 같았다. 1. 유치 법랑질과 상아질에 대한 전단결합강도를 측정한 결과, 법랑질에 대해서는 Z100과 Fuji II LC-I에서, 상아질에 대해서는 Z100과 Dyract AP에서 가장 높은 결합력이 나타났으며 다른 재료간에는 유의한 차이를 관찰할 수 없었다(P>0.05). 2. 각 재료내의 법랑질과 상아질에 대한 상대적 결합력을 비교평가한 결과, Dyract AP와 Vitremer를 제외한 모든 재료에서 법랑질에서 보다 높은 결합력이 관찰되었으며, Dyract AP에서는 상아질에 대한 결합력이 법랑질에 대해서보다 높게 관찰되었다(P<0.05). 3. 각 재료들의 결합실패가 일어난 파절단면을 조직학적으로 관찰한 결과, 대부분 cohesive failure를 보였고, 파절면은 치면과 매우 근접해 있었다. 일부 화학중합형 glass ionomer cement와 Vitremer에서 adhesive failure가 관찰되었다.

• 대한치과보철학회지
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• 제35권2호
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• pp.417-430
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• 1997

The purpose of this study was to compare the fracture resistance of copy-milled and conventional In-Ceram crown. Four groups of ten uniform sized all-ceramic crowns were fabricated. In-Ceram Spinell and In-Ceram Alumina crowns were fabricated as control group, Celay In-Ceram Spinell and Celay In-Ceram Alumina crowns were fabricated as test group. All specimen were cemented on stainless steel master die with resin cement, and stored in $37^{\circ}C$ water for 1 day prior to loading in Instron testing machine. Using a steel ball at a crosshead surfed of 0.5mm/min, the crowns were loaded at $30^{\circ}C$ angle until catastrophic failure occurred. The results obtained were as follows : 1. With the value of $984.8N{\pm}103.67N$, the strength of Celay In-Ceram Alumina crowns had a significantly higher fracture strength than conventional In-Ceram Alumina crowns ($876.2N{\pm}92.20N$) (P<0.05) 2. The fracture strength of Celay In-Ceram Spinell crowns($706.3{\pm}70.59N$) was greater than that of conventional In-Ceram Spinell crowns($687.4{\pm}90.26N$), but there was no significant difference(P>0.05). 3. The In-Ceram Alumina crowns had a significantly higher fracture strength than In-Ceram Spinell crowns in both methods(P<0.05). 4. Ther order of fracture strength was as followed : Celay In-Ceram Alumina, In-Ceram Alumina, Celay In-Ceram Spinell and In-Ceram Spinell crowns

• 대한치과보철학회지
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• 제36권2호
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• pp.273-292
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• 1998

The purpose of this study was to evaluate marginal fit of four all-ceramic crown systems 1) conventional In-Ceram, 2) copy-milled In-Ceram using Celay system, 3) IPS Empress, 4) OPC(Optimal Pressable Ceramic). All ceramic crowns were made on epoxy dies. The fabricated crowns were sandblasted, cleaned with ultrasonic cleansing, silanated, and cemented with Bistite composite resin cement. the selected marginal areas of the crowns were the labial, lingual, mesial, and distal surface. Each selected area of surface was $0.6{\times}1.6mm$ in dimension. The image of each marginal area was captured to computer files using DT-55 Frame Grabber and light microscope connected CCD camera. The marginal gaps were measured every $70{\mu}m$ using computer image analysis program. The results obtained were summarized as follows : 1. The marginal fit of four all-ceramic crowns were significantly different from each other(p<0.01), and mean marginal fit values obtained were $31.42{\pm}16.52{\mu}m$ in conventional In-Ceram, $55.45{\pm}27.90{\mu}m$ in copy-milled In-Ceram using Celay system, $44.36{\pm}24.59{\mu}m$ in IPS Empress, $47.21{\pm}20.42{\mu}m$ in OPC. 2. In the marginal fit of conventional In-Ceraw and copy-milled In-Ceram crowns using Celay system there was no significant difference between mesiodistal and buccolingual surface, but in the marginal fit of IPS Empress and OPC crowns, there was significant difference between mesiodistal and buccolingual surface(p<0.01). 3. The marginal fit of four kinds of all-ceramic crowns was clinically acceptable.

• Restorative Dentistry and Endodontics
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• 제43권3호
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• pp.32.1-32.11
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• 2018

Objectives: This study evaluated the effects of a bleaching agent on the composition, mechanical properties, and surface topography of 6 conventional glass-ionomer cements (GICs) and one resin-modified GIC. Materials and Methods: For 3 days, the specimens were subjected to three 20-minute applications of a 37% $H_2O_2$-based bleaching agent and evaluated for water uptake (WTK), weight loss (WL), compressive strength (CS), and Knoop hardness number (KHN). Changes in surface topography and chemical element distribution were also analyzed by energy-dispersive X-ray spectroscopy and scanning electron microscopy. For statistical evaluation, the Kruskal-Wallis and Wilcoxon paired tests (${\alpha}=0.05$) were used to evaluate WTK and WL. CS specimens were subjected to 2-way analysis of variance (ANOVA) and the Tukey post hoc test (${\alpha}=0.05$), and KH was evaluated by one-way ANOVA, the Holm-Sidak post hoc test (${\alpha}=0.05$), and the t-test for independent samples (${\alpha}=0.05$). Results: The bleaching agent increased the WTK of Maxxion R, but did not affect the WL of any GICs. It had various effects on the CS, KHN, surface topography, and the chemical element distribution of the GICs. Conclusions: The bleaching agent with 37% $H_2O_2$ affected the mechanical and surface properties of GICs. The extent of the changes seemed to be dependent on exposure time and cement composition.

• 대한토목학회논문집
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• 제13권3호
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• pp.35-44
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• 1993

저렴한 가격이면서 새로운 PVDC Latex의 제조, 이것을 활용한 다양한 색채의 고강도 폴리머콘크리트의 생산, 그리고 이것의 전단거동에 관한 이론을 정립하여 건설공사에 활용토록 하는 것을 목적으로 한다. 본 연구의 내용으로서는 이것을 사용한 신폴리머 콘크리트의 설계에 있어서 혼합특성, 물리적 특성을 연구한다. 이 중에서 가장 중요한 것은 압축강도, 휨강도, 정적극한강도, 피로강도 등이다. 이것을 이용한 보에 있어서는 중앙처짐, 반복횟수와 변형률관계, 파괴양식 등을 연구하여 본 목적의 활용성을 검증토록 한다. 그래서 콘크리트의 단점인 취성파괴를 보완하고 화학적인 성질로 일어날 수 있는 콘크리트의 부식이나 파손을 방지하도록 한다. 연구결과 피로실험에서 이형철근이나 스터럽의 파단은 순간적으로 일어나며 파단된 단면은 매끄러웠다. 또한 이러한 부분의 재질분석을 통하여 피로하중이 작용할 때 미세균열이 일어나고 있었다는 사실을 확인 할 수 있었다.