• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.3
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• pp.158-168
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• 2016

This article is to review various methods used to investigate internal and marginal adaptation of fixed dental prostheses, and to summarize a merit, worth, and limitation of each method, using some results of previous studies. The methods of measuring internal and marginal gap are divided into two categories in this study; in vivo and in vitro. In vivo methods are clinical evaluations, including exploration, radiography, and impression technique. In vitro methods are laboratory evaluations such as direct view, cross-sectioning, and silicone replica technique using microscope. Measuring by micro computed tomography (CT) or profilometer is also in vitro methods. In recent years, the development of scanning systems is able to analyze 3-dimensional internal and marginal space in detail. As measuring and analyzing technology become more advanced, the ability to thoroughly examine crown adaptation is becoming both simpler and more efficient.

• Journal of Technologic Dentistry
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• v.41 no.3
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• pp.233-244
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• 2019

Purpose: The purpose of the study is to learn the importance of self-directed learning about career-preparation behavior of department of dental technology students. Methods: Using the questionnaire, the department of dental technology in Gyeongnam Province conducted a survey of students of department of dental technology at A and B college for one month from May 15, 2019 through June 15, 2019, and finally 204 students were surveyed for Self-esteem, Self-determination, Self-efficacy, Internal control, College life adaptation, Self-directed learning, and Career-preparation behavior. Results: Self-esteem among students has been shown to improve self-directed learning by increasing the stress of college life, and self-efficacy has only a direct effect on self-directed learning. In addition, self-determination and internal control of department of dental technology students were found to be variables that have a common positive effect on college life adaptation and self-directed learning. In addition, college life adaptation gives direct positive effect to self-directed learning, but indirect effect through self-directed learning was found to be stronger than direct effect on career-preparation behavior, and the career-preparation behavior of students was further strengthened through self-directed learning. Conclusion: The changes in college restructuring and various policies also suggest that students should actively seek ways to instill certainty about their major's vision and career path within the college rather than deciding their future through extreme measures such as academic secession at a time when anxiety and uncertainty about their career is strong.

• Journal of Technologic Dentistry
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• v.42 no.4
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• pp.334-340
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• 2020

Purpose: This study aimed to compare three-dimensional adaptation with the rinsing time of the temporary crown produced using the digital light processing method. Methods: The maxillary right first molar abutment was scanned with a dental scanner. A temporary crown was designed with the scanned abutment. The designed crown was made of 10 temporary crowns using a digital light processing printer. The crowns were divided into the 5-minute and 10-minute rinsing groups; 5 temporary crown washes were performed for each group. In order to obtain the internal data, each group was scanned for a temporary crown. The three-dimensional fit was measured by superimposing the scanned internal surface data and the abutment data. The average comparison of three-dimensional adaptation was analyzed using the Mann-Whitney U test. Results: The 5-minute rinsing group showed a significantly higher adaptation of 71.42±3.08 ㎛ as compared to the 10-minute rinsing group (67.52±0.92 ㎛) (p<0.05). Conclusion: When making a temporary crown with a digital light processing method, a rinsing time of 10 minutes is appropriate.

• Journal of Technologic Dentistry
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• v.38 no.2
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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.

• Journal of Technologic Dentistry
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• v.39 no.1
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• pp.35-42
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• 2017

Purpose: The purpose of this paper was to evaluate the occurrence of errors regarding adaptation by conducting a three-dimensional assessment comparing the bridge type dental restoration after the cutting process, which has multiple abutments, with a single type dental restoration. Methods: By using ten identical files obtained by scanning the master model, thirty designs were created consisting of ten maxillary right first premolars and ten maxillary right first molars with single crown abutments, along with ten bridge designs with the identical abutment. A 5-axis milling machine was used to produce the design file. The produced denture prostheses were scanned using a silicone replica for a STL file. An evaluation was conducted using 3D analysis software on the master model and each of the thirty data files. Results: The RMS value of the pre-molar (14) was $38.4{\pm}4{\mu}m$ for single and $54.7{\pm}6{\mu}m$ for bridge abutment; therefore, a statistically significant difference was observed for single and bridge designs although both shared the same abutment form (P<.05). Also, the RMS value of the molar (16) was $47.6{\pm}2{\mu}m$ and $56.6{\pm}5{\mu}m$ for the single and bridge designs, respectively, thereby presenting a statistically significant difference (P<.05). Conclusion: As a result, dental prosthesis fabricated using the single method presented better internal adaptation outcomes.

• Journal of Technologic Dentistry
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• v.42 no.2
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• pp.121-128
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• 2020

Purpose: This study aimed to investigate the effects of the sintering conditions of zirconia core on the adaptability. Methods: Ten specimens of each of commercial brand of zirconia(Razor 1100, U&C international, Seoul, Korea) were made and sintered under three different conditions. Specimens were divided into three subgroup(n=10) and sintered with various total time(1hr, 3hr, 9hr) at the maximum temperature(1500℃). The digitized data was superimposed with 3D inspection software to quantitatively obtain the adaptation of a zirconia core, and visual differences were confirmed with a color map. The root mean square(RMS) values of group were statistically analyzed with one-way ANOVA(α=0.05). Results: The overall adaptation of the zirconia cores were as follows; ss-1hr: 36.18±5.2㎛, ss-3hr: 39.55±3.9㎛, cs-9hr: 46.62±4.3㎛. They were statistically significant differences between groups for adaptation(p<0.05). Conclusion: Based on the results of this study, it could be considered that sintering condition of 1500℃ and 1~3 hour is recommended for the better marginal and internal fit. Speed sintering can be widely utilized to fabricate zirconia prothesis as the properties of those almost are to dentistry uses.

• The Journal of Advanced Prosthodontics
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• v.12 no.6
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• pp.344-350
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• 2020

PURPOSE. Recently introduced hybrid and reinforced glass ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials have been used for full-coverage restorations. However; the effect of adjustment and type of materials on internal and marginal adaptation are unknown. This study aimed to evaluate and compare the marginal and internal adaptations of crowns made of three different CAD/CAM materials before and after adjustment. MATERIALS AND METHODS. One acrylic resin maxillary first molar was prepared and served as the master die. Thirty-six restorations were fabricated using CAD/CAM system (CEREC Omnicam, MCXL) with three materials including lithium disilicate (IPS e.max CAD), zirconia-reinforced lithium silicate (Suprinity), and hybrid ceramic (Enamic). Internal and marginal adaptations were evaluated with the reference point matching technique before and after adjustment. The data were analyzed using mixed ANOVA considering α=.05 as the significance level. RESULTS. The effect of adjustment and its interaction with the restoration material were significant for marginal, absolute marginal, and occlusal discrepancies (P<.05). Before adjustment, Suprinity had lower marginal discrepancies than IPS e.max CAD (P=.18) and Enamic (P=.021); though no significant differences existed after adjustment. CONCLUSION. Within the limitations of this study, crowns fabricated from IPS e.max CAD and Suprinity resulted in slightly better adaptation compared with Enamic crowns before adjustment. However, marginal, axial, and occlusal discrepancies were similar among all materials after the adjustment.

• The Journal of Advanced Prosthodontics
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• v.13 no.6
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• pp.373-384
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• 2021

PURPOSE. This study aimed to compare the marginal and internal fit of 3-unit monolithic zirconia restorations that were designed by using the data obtained with the aid of intraoral and laboratory scanners. MATERIALS AND METHODS. For the fabrication of 3-unit monolithic zirconia restorations using impressions taken from the maxillary master cast, plaster cast was created and scanned in laboratory scanners (InEos X5 and D900L). The main cast was also scanned with different intraoral scanners (Omnicam [OMNI], Primescan [PS], Trios 3 [T3], Trios 4 [T4]) (n = 12 per group). Zirconia fixed partial dentures were virtually designed, produced from presintered block, and subsequently sintered. Marginal and internal discrepancy values (in ㎛) were measured by using silicone replica method under stereomicroscope. Data were statistically analyzed by using 1-way ANOVA and Kruskal Wallis tests (P<.05). RESULTS. In terms of marginal adaptation, the measurements on the canine tooth indicated better performance with intraoral scanners than those in laboratory scanners, but there was no difference among intraoral scanners (P<.05). In the premolar tooth, PS had the lowest marginal (86.9 ± 19.2 ㎛) and axial (92.4 ± 14.8 ㎛), and T4 had the lowest axio-occlusal (89.4 ± 15.6 ㎛) and occlusal (89.1 ± 13.9 ㎛) discrepancy value. In both canine and premolar teeth, the D900L was found to be the most marginally and internally inconsistent scanner. CONCLUSION. Within the limits of the study, marginal and internal discrepancy values were generally lower in intraoral scanners than in laboratory scanners. Marginal discrepancy values of scanners were clinically acceptable (< 120 ㎛), except D900L.

• Restorative Dentistry and Endodontics
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• v.37 no.1
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• pp.41-49
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• 2012

Objectives: The internal adaptation of composite restorations with or without resin modified glass ionomer cement (RMGIC) was analyzed non-destructively using Microcomputed tomography (micro-CT). Materials and Methods: Thirty intact human teeth were used. The specimens were divided into 3 groups. In the control group, the cavities were etched with 10% phosphoric acid for 15 sec. Composite resin was filled into the cavity without adhesive. In group 1, light cured glass ionomer cement (GIC, Fuji II LC, GC) was applied as a base. The cavities were then etched, bonded, light cured and filled with composites. In group 2, the cavities were then etched, bonded, light cured and filled with composites without base application. They were immersed in a 25% silver nitrate solution. Micro-CT was performed before and after mechanical loading. One-way ANOVA with Duncan analysis was used to compare the internal adaptation between the groups before or after loading. A paired t-test was used to compare internal adaptation before and after mechanical loading. All statistical inferences were made within the 95% confidence interval. Results: The silver nitrate solution successfully penetrated into the dentinal tubules from the pulp spaces, and infiltrated into the gap between restoration and pulpal floor. Group 2 showed a lower adaptation than the control group and group 1 (p < 0.05). There was no significant difference between the control group and group 1. For all groups, there was a significant difference between before and after mechanical loading (p < 0.05). Conclusions: The internal adaptation before and after loading was better when composites were bonded to tooth using adhesive than composites based with RMGIC.

• Journal of Technologic Dentistry
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• v.41 no.2
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• pp.81-86
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• 2019

Purpose: The purpose of the present study was to compare the internal fit of two different temporary restorations fabricated by dental CAD/CAM system and to evaluate clinical effectiveness. Methods: Composite resin tooth of the maxillary first molar was prepared as occlusal reduction(2.0mm), axial reduction(1mm offset), vertical angle(6 degree) and chamfer margin for a temporary crown and duplicated epoxy die was fabricated. The epoxy dies were used to fabricate provisional restorations by CAD/CAM milling technique or 3D-printing technique. The inner data from all crowns were superimposed on the master die file in the 'best-fit alignment' method using 3D analysis software. Statistical analysis was performed using a Wilcoxon's rank sum test for differences between groups. Results: It showed that the internal RMS(Root Mean Square) values of the additive group were significantly larger than those of other group. No significant differences in internal discrepancies were observed in the temporary crowns among the 2 groups with different manufacturing method. Conclusion: All the groups had the internal fit within the clinical acceptable range (< $50{\mu}m$). The continuous research in the future to be applied clinically for the adaptation of additive manufacturing technique are needed.