• 대한치과기공학회지
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• 제33권1호
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• pp.7-14
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• 2011

Purpose: As the demand and importance of aesthetic aspects in dental treatment become higher, much attention is paid to materials used for dental prostheses. Thus, the marginal fidelity of most-commonly used alloy, IPS - Empress and ZrO2 ceramic is compared. Methods: The alloy core made by casting, IPS - Empress core made by pressing and ZrO2 ceramic core made by CAD/CAM are used to make 10 samples respectively. For each core, three points were measures and the optical microscope (Axio Imager.Alm,Zeiss co., Oberkochen, Germany) was used to observe the cores with a magnification of 100. Results: As for alloy, IPS - Empress and ZrO2 ceramic, the average and deviation of their marginal distance are $29.91\;{\pm}11.93{\mu}m$ for alloy, $33.45\;{\pm}8.61{\mu}m$ for IPS - Empress, and $31.55\;{\pm}9.85{\mu}m$ for ZrO2. The one-way ANOVA test was conducted to compare them. However, there was no statistically significant difference among them. Conclusion: The study on marginal fidelity of alloy, IPS - Empress, and ZrO2 ceramic shows they have no marginal fidelity problem clinically. Therefore, if a system is selected based on the patient's condition or treatment method, there will be no problem.

• 대한치과보철학회지
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• 제41권5호
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• pp.596-605
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• 2003

Statement of problem : IPS Empress2 system was developed and used in prosthodontic treatment, but the cost of ingot is expensive for wide application. Purpose : This study was to investigate the possibility on recycling of IPS Empress 2 ceramic for wide application of IPS Empress 2 ceramic in prosthodontic treatment. Material and Method : 1st, 2nd and 3rd pressed disc-shaped($10{\times}1.5mm$) IPS Empress 2 specimens were made with IPS Empress ingot(200, Ivoclar, Liechtenstein) and pressing furnace(IPS Empress EP 500, Ivoclar, Liechtenstein). Vicker's surface hardness and fracture toughness, acid resistance, and pressing accuracy of IPS Empress 2 ceramic were measured and analyzed. Surface hardness was measured by microhardness tester(MTX 70. Matsuzawa, Japan), before and after surface treatment with 0.5% hydrofluoric acid and carbonic acid(Coca cola) for evaluation of acid resistance. Results : The surface hardness of 1st pressed specimen was the higher(5.11 GPa) than those of 2nd pressed(4.89 GPa) and 3rd pressed specimen(4.86 GPa), and the fracture toughness of 1st pressed ($1.58MPam^{1/2}$) and 2nd pressed specimen($1.51MPam^{1/2}$) were higher than that of 3rd pressed specimen($1.39MPam^{1/2}$). The changes of surface hardness of 1st, 2nd, and 3rd pressed specimens after treatment with fluoric acid were 0.17, 0.06, 0.05 (GPa) respectively, and those of 1st, 2nd, and 3rd pressed specimens after treatment with carbonic acid were 0.07, 0.00, 0.05(MPa) respectively. The pressing accuracy of 1st,2nd and 3rd specimen were 77.22%, 85.681%, and 75.05%. The pressing accuracy of 2nd pressed specimen was higher than that of the 3rd specimen. Conclusion : The changes of physical properties according to recycling of IPS Empress 2 from this study were insignificant. Therefore the possibility of recycling of IPS Empress 2 can be suggested from the results.

• 대한치과보철학회지
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• 제40권6호
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• pp.572-576
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• 2002

This investigation was designed to estimate the biaxial flexure strength and fracture toughness of lithium disilicate glass-ceramics of IPS Empress 2 system pressed with as-received ingots and their sprue buttons. Two groups of the lithium disilicate glass-ceramics were prepared as follows: group 1 is ingot-pressed group; group 2 is sprue button-pressed group. A ball-on-three-ball test was used to determine biaxial flexure strength (BFS) of disks in wet environment. Scanning electron microscopy(SEM) analysis was conducted to observe the microstructure of the ceramics. Unpaired t-test showed that there were no differences in the mean biaxial Hem strength (BFS) and KIC values between group 1 and 2 (p > 0.05). Two groups showed similar values in the KIC and the strength at 5% failure probability. The SEM micrographs of the IPS Empress 2 glass-ceramic showed a closely packed, multi-directionally interlocking pattern of numerous lithium disilicate crystals protruding from the glass matrix. The lithium orthophosphate crystals could not be observed on the fracture surface etched. There was no a marked difference of the microstructure between group 1 and 2. Although there were no tests including color stability, casting accuracy, etc., the results of this study implied that we could reuse the sprue button of the pressed lithium disilicate glass-ceramic of IPS Empress 2 system.

• 대한치과보철학회지
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• 제39권6호
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• pp.641-658
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• 2001

All-ceramic restorations have become an attractive alternative to porcelain-fused-to-metal crowns. In-Ceram, and more recently IPS Empress 2 were introduced as a new all-ceramic system for single crowns and 3-unit fixed partial dentures. But their strength and marginal fit are still an important issue. This study evaluated the fracture resistance and marginal fit of three systems of 3 unit all-ceramic bridge fabricated on prepared maxillary anterior resin teeth in vitro. The 3 all-ceramic bridge systems were: (1) a glass-infiltrated, sintered alumina system (In-Ceram) fabricated conventionally, (2) the same system with copy-milled alumina cores (copy-milled In-Ceram), (3) a heat pressed, lithium disilicate reinforced glass-ceramic system (IPS Empress 2). Ten bridges of each system with standardized design of framework were fabricated. All specimens of each system were compressed at $55^{\circ}$ at the palatal surface of pontic until catastrophic fracture occurred. Another seven bridges of each system were fabricated with standard method. All of the bridge-die complexes were embedded in epoxy resin and sectioned buccolingually and mesiodistally. The absolute marginal discrepancy was measured with stereomicroscope at ${\times}50$ power. The following results were obtained: 1. There was no significant difference in the fracture strength among the 3 systems studied. 2. The Weibull modulus of copy-milled In-Ceram was higher than that of In-Ceram and IPS Empress 2 bridges. 3. Copy-milled In-Ceram($112{\mu}m$) exhibited significantly greater marginal discrepancy than In Ceram ($97{\mu}m$), and IPS Empress 2 ($94{\mu}m$) at P=0.05. 4. The lingual surfaces of the ceramic crowns showed smaller marginal discrepancies than mesial and distal points. There was no significant difference between teeth (incisor, canine) at P=0.05. 5. All-ceramic bridges of three systems appeared to exhibit sufficient initial strength and accept able marginal fit values to allow clinical application.

• 대한치과보철학회지
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• 제35권2호
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• pp.357-364
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• 1997

IPS-empress system is one of widely used all ceramic system. The purpose of this study was to determine the pressing accuracy of reused IPS%Empress ingot. 10 specimens were made using new ingot first, and using the rests of the specimen the another group of specimens were made next. finally, the third group of specimens were made with same procedure mentioned above. The results obtained in this study were as follows ; 1. The pressing accuracy of the first group of specimen was 96.1%, that of the second group was 95.4%, and that of the third group was 95.4%. There was no statistical significance among them, that is, the reuse of the IPS-Empress ingot did not influence on the pressing accuracy. 2. the common site of the defect in pressed ingot was central area at the margin opposite of sprue hole.

• 대한치과보철학회지
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• 제38권5호
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• pp.606-617
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• 2000

The purpose of this study was to measure the marginal fidelities and the fracture strength of IPS Empress $2^{(R)}\;and\;In-Ceram^{(R)}$ ceramic crowns. After constructed of 12 experimental dies for each group, ceramic crowns were fabricated on the metal master dies prepared on the maxillary right premolar Marginal gaps were measured on the specimen between the margin of each crown and finish-ing line of the metal master die by using stereo-microscope($SZ-ST^{(R)}$ Olympus, Japan) and all specimens were cemented on the metal master die with Bistite $II^{(R)}$ (Tokuyama soda Co, LTD., Japan) resin cement. Finally marginal gaps were measured again. To measure of the fracture strength, buccal incline on the functional cusp of specimens were loaded until the catastrophic failure occurred by using the AGS-1000 $D^{(R)}$(Shimadzu, Japan). The result of marginal fidelities and fracture strength were statistically analyzed with the SPSS version 8.0 programs. The results of this study were as follows : 1. No significant difference was found in the mean marginal fidelities and fracture strength between the IPS Empress $2^{(R)}\;and\;In-Ceram^{(R)}$. 2. In comparison of marginal fidelities between before and after cementation, there was significant difference(P<0.05). The IPS Empress 2 system was shown in this study that had good marginal fidelities and fracture strength compared to In-Ceram ceramics. Although this system was acceptable to clinical applications, the system still has to be considered long-term researches about marginal fidelities and fracture strength due to the lack of data about the clinical researches.

• 대한치과보철학회지
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• 제38권5호
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• pp.575-582
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• 2000

This investigation was designed to determine whether heat-pressing and/or simulated heat treatments affected the flexure strength and the microstructure of the lithium disilicate glass-ceramic in the IPS Empress 2 system. Four groups of the specimens were prepared as follows: group 1 - as-received material, group 2 - heat-pressed material; group 3 - heat-pressed and simulated initial heat-treated material; group 4 - heat-pressed and the simulated heat-treated material with full firings for a final restoration. The three-point bending test and the scanning elec-tron microscope (SEM) analysis was conducted for the purpose of this study. The flexure strength of group 2 was significantly higher than that of group 1. However, there were no significant differences in strength among group 2, 3, and 4, and between group 1 and 4. The SEM micrographs of the lithium disilicate glass-ceramic showed the closely packed, multi-directionally interlocking microstructure of numerous lithium disilicate crystals protruding from the glass matrix. The crystals of the heat-pressed materials (group 2, 3, and 4) were a little denser and about two times bigger than those of the as-received material (group 1). This change of microstructure is more obviously exhibited particularly between group 1 and 2. However, there was no a marked difference among group 2, 3, and 4 after the heat-pressing procedure. Although there were significant increase of the strength and some changes of the microstructure after the heat-pressing operation, the combination of the heat-pressing and the simulated subsequent heat treatments did not produce the increase of strength of IPS Empress 2 glass-ceramic.

• 대한치과보철학회지
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• 제49권4호
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• pp.308-315
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• 2011

연구 목적: IPS Empress Esthetic$^{(R)}$ system의 ingot은 다양한 반투명도를 가지고 있지만, 실제 다양한 색조의 자연치를 배경으로 각각의 ingot을 laminate veneer로 제작했을 때 어느 정도의 차폐능력을 나타내는지 알 수 없다. 본 연구의 목적은 반투명도가 서로 다른 ingot으로 제작한 IPS Empress Esthetic$^{(R)}$ laminate veneer 수복 시 다른 색상의 지대치상에서 최종 색조의 차이(color difference, ${\Delta}E$)를측정, 분석해서 그 차폐효과를 평가하고, 최종 색조에 미치는 영향을 알아보고자 하였다. 연구 재료 및 방법: Laminate veneer 수복을 위해 삭제된 6가지 다른 색조(A1, A3, A4, B2, B3, C3)의 자연치아 위에 반투명도가 서로 다른 6가지 IPS Empress Esthetic$^{(R)}$ ingot (E 01, E 03, E OC1, E TC1, E TC2, E TC3)으로 제작된 총 두께 0.6 mm의 도재 시편들을 translucent shade의 시적용 합착제로 시적한 뒤 각 시편 조합의 색조를 색채계(colorimeter)를 이용하여 측정하였다. 서로 다른 색조의 지대치아 위에서 측정된 도재시편들의 색차를 비교, 분석하였다. 결과: 지대치 색조 및 coping의 반투명도에 따라서 laminate veneer 수복물의 최종 색조가 다르게 나타났다(P<.05). 모든 도재 시편에서 A3, B3, 그리고 C3 shade를 가진 지대치들 사이의 평균 색차값(${\Delta}E$)이 2.7 이하로 나타났고, 지대치들 간의 색조가 A3 와 A4, B3 와 A4, 그리고 C3 와 A4 인 경우 평균 색차값은 몇 가지 도재 시편에서 2.7 이하를 나타내어 laminate veneer 수복물에 의한 지대치 색조의 차폐효과를 보여 주었다. 반면, A1 과 B2 shade의 지대치는 다른 지대치들과 비교하여 높은 색조 차이를 보였으며, 특히A4와 B2, A3 와 B2, 그리고 A1 과 A4 색조의 지대치들 사이에는 그 색조 차이가 컸다. 결론: IPS Empress Esthetic$^{(R)}$ coping으로 제작된 laminate veneer의 최종 색조는 지대치 색조 및 coping의 반투명도에 의해 영향을 받았다. 서로 다른 $a^*$와 $b^*$ 값을 나타내는 지대치들의 색상 차이는 어느 정도 차폐 되는 효과를 보여주고 있으나, 명도($L^*$)의 차이가 많이 나타나는 지대치 색조들을 차폐하는 것은 한계가 있었다.

• 대한치과보철학회지
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• 제40권6호
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• pp.545-559
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• 2002

There has been increasing use of IPS Empress $2^{(R)}$ owing to easy fabrication method, high esthetics similar to natural teeth, good marginal accuracy, and sufficient fracture strength. However, in clinical application, although a luting agent and the tooth cementation bonding procedure influence the marginal accuracy and fracture strength restoration, there has been a controversy in the selection of proper luting agent. This study was to measure the marginal fidelites and fracture strength of IPS Empress crowns according to three cement types, Protec $cem^{(R)}$, Variolink $II^{(R)}$ and Panavia $21^{(R)}$. After construction of 12 experimental dies for each group, IPS Empress $2^{(R)}$ crowns were fabricated and luted the metal master die prepartion of the maxillary right premolar. Marginal gaps before cementation and after cementation were measured. Buccal incline on the functional cusp of specimens were loaded until the catastrophic failure and fracture strength was measured. The results of this study were as follows: 1. The range of gap was $34.04{\pm}4.84{\mu}m$ before cementation and $37.88{\pm}5.00{\mu}m$ after cementation, which showed significant difference by paired t-test (p<0.05). The difference in the results from marginal accuracy according to measuring point proved to be not statistically significant by two-way ANOVA test (p>0.05). 2. The difference in the results from marginal accuracy according to three cement types Proved that The Variolink $II^{(R)}$ cement group had the least gap, $35.43{\pm}5.03{\mu}m$, and showed superior marginal accuracy while there existed statistic significance in Protec $cem^{(R)}$ cement group, $39.06{\pm}4.41{\mu}m$ or Panavia $21^{(R)}$ cement group, $39.16{\pm}4.39{\mu}m$ by two-way ANOVA test & multiple range test (p<0.05). 3. The difference in the results from fractures strength testing according to three cement type groups proved to be statistically significant (p<0.05). The Variolink $II^{(R)}$ cement group shows highest fracture strength of $1257.33{\pm}226.77N$, Panavia $21^{(R)}$ cement group has $1098.08{\pm}138.45N$, and Protec $cem^{(R)}$ cement group represents the lowest fracture strength of $926.75{\pm}115.75N$. 4. Three different cement groups of different components showed acceptable marginal fidelity and fracture strength. It is concluded that IPS Empress $2^{(R)}$ crowns luted using Variolink $II^{(R)}$ cement group had stronger fracture strength and smaller marginal gap than the other cement groups. Although Variolink $II^{(R)}$ resin cement seemed acceptable to clinical applications in IPS Empress $2^{(R)}$ system, the IPS Empress $2^{(R)}$ system still requires long-term research due to the lack of data in clinical applications.

• 구강회복응용과학지
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• 제24권3호
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• pp.231-242
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• 2008

본 연구의 목적은 전부 도재관 시스템에서 코어-비니어 결합계면에서의 결합 강도를 평가하는데 있다. 본 연구에서 사용되어진 전부 도재관 시스템은 IPS Empress2 with IPS Eris, IPS e.max Press with IPS e.max Ceram과 IPS e.max ZirCAD with IPS e.max Ceram이다. 제조사의 지시에 따라 코어(N=36, N=12/system, 직경: 10mm, 두께: 3mm)를 제작하였고 초음파 세척을 시행하였다. 특별히 제작된 스테인리스 스틸 몰드를 이용하여 코어 상부에 비니어(직경: 3mm, 두께: 2mm)를 축성한 후 소성하였다. 소성 후, 초음파 세척을 시행하고 아크릴릭 레진에 매몰하였다. 제작된 시편은 $37^{\circ}C$의 증류수에 1주일간 보관하였다. 만능시험기(Z020, Zwick, Germany)로 시편의 전단결합강도를 측정하였고, 하중이 코어-비니어 계면에 가능한 가깝게 가해지도록 시편을 위치시키고, 파절이 일어날 때까지 1.00mm/min의 crosshead speed로 하중을 가하였다. 측정된 각 군의 평균전단결합강도($MPa{\pm}SD$)에 대한 통계적 유의성을 검증하기 위해 일원 분산분석을 시행하였으며, 사후검정은 Tukey test를 이용하였다(p=0.05). 또한 파절된 시편을 주사전자현미경(JSM-6360,JEOL, Japan)으로 파절양상을 관찰하였다. 파절양상은 코어 내에서의 응집성 파절, 비니어 내에서의 응집성 파절, 혼합형 파절 혹은 접착성 파절로 분류하였다. 코어와 비니어 계면에서의 평균전단결합강도($MPa{\pm}SD$)는 IPS-e.max Press가 $32.85{\pm}6.75MPa$, IPS Empress 2가 $29.30{\pm}6.51MPa$, IPS e.max ZirCAD가 $28.10{\pm}4.28MPa$로 나타났다. 통계적 분석 결과 각 시스템 간에서 유의한 차이가 없었다(P>0.05). 어떠한 시스템에서도 접착성 파절은 관찰되지 않았다. IPS Empress 2와 IPS e.max Press에서는 코어와 비니어 내에서의 응집성 파절이 관찰되었으며, IPS e.max ZirCAD에서는 혼합형 파절과 비니어 내에서의 응집성 파절이 관찰되었다.