• 대한치과보철학회지
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• 제39권2호
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• pp.197-207
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• 2001

Development of new ceramics and esthetic needs of patients increase the use of all ceramic restorations. Fractured teeth often need metal post and core as foundation for final restoration. When all ceramic restorations are planned, metal post and core may lead to compromised esthetics because of opacity and gray color of metal post and core. Many techniques have been proposed to solve this problem such as application of an opaque porcelain to the metal core or all ceramic post and core. This study was performed to evaluate effect on color of Empress 2 crown according to various post systems. Color was evaluated by the CIE $L^*a^*b^*$ systems and measured by spectrophotometer (Model CM-3500, Minolta, Japan). Specimens were divided into 4 groups as follows Group 1 : gold cast post specimen + Empress 2 crown specimen Group 2 : application of an opaque porcelain to gold cast post specimen + Empress 2 crown specimen Group 3 : cosmopost specimen + Empress 2 crown specimen Group 4 : In-ceram post specimen + Empress 2 crown specimen. The results obtained as follows, 1. $L^*$ Values showed that group 2, 3, 4 were higher than group 1 with significant difference and group 2, 3, 4 were not significantly different. 2. $a^*$ Values and $b^*$ values also showed that group 2. 3, 4 were higher than group 1 with significant difference and group 2, 3, 4 were not significantly different. 3. ${\Delta}E^* ab$ Values showed that ${\Delta}E^* ab$ 3 was the highest value and ${\Delta}E^* ab$ 5 was the lowest value.

• Restorative Dentistry and Endodontics
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• 제34권4호
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• pp.324-332
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• 2009

근관 치료된 치아의 수복에 있어서 파절은 가장 중요하게 고려되는 점이다. 포스트를 사용해서 수복한다는 것은 치수와 다른 단단한 물질을 근관 내에 삽입한다는 것으로 자연스럽지 못한 구조를 만들어서 고유의 응력분산을 변화시킨다. 오랫동안 수많이 in vitro 연구들이 post-and-core로 수복된 치아의 파절 저항에 대해서 이루어졌지만 어떤 것이 최상의 선택인지에 대해서는 많은 상충되는 관점들이 존재한다. 본 연구의 목적은 유한요소분석법을 사용하여 post-and-core system의 물리적인 성질이 치질의 응력분산에 미치는 영향을 분석하고 어떤 조합이 파절 저항에 도움이 되는지를 알아보는 것이다. 근관 치료된 상악 중절치를 삼차원 유한 요소법으로 Modeling하였다. 1.5 mm의 ferrule 높이를 부여하고 외관은 zirconia ceramic crown으로 지정하였다. 세가지 평행한 형태의 포스트 (zirconia ceramic, glass fiber, and stainless steel)와 두 가지 코어 (Paracore and Tetric ceram) 물질을 6개의 모델로 조합하였다. 각각의 모델은 해면골, 피질골, 치주인대, 그리고 4 mm 근관 충전을 가지도록 설계하였다. 50 N의 정적인 교합력이 치아 장축에서 60도 각도로 치관의 설면에 적용시켰다. 모델들의 응력전달 특징의 차이를 분석하였고, 결과를 나타내는 데는 Maximum von Mises stress 값을 사용하였고 최대 변위량과 정수압도 계산하였다. Glass fiber post로 수복된 경우 높은 탄성계수를 가진 레진 코어 모델 (29.14 MPa)에서 낮은 탄성계수의 코어 모델 (29.21 MPa)보다 더 낮은 응력이 발생하였다. Glass fiber post로 수복된 모델 (0.03497-0.03499 mm)은 다른 포스트로 수복된 모델들 (0.03245-0.03452 mm)보다 더 많은 최대 변위량을 보였다. 이는 glass fiber post로 수복된 치아의 경우가 상대적으로 치아에 가해지는 힘에 의해 더 많이 움직였다는 것을 보여준다. Zirconia ceramic 이나 stainless steel 과 같이 탄성계수가 큰 포스트는 응력을 증가시키지만 포스트가 스트레스를 대부분 흡수하여 치질에는 스트레스가 낮게 나타났다. Glass fiber post로 수복된 모델에서는 코어와 크라운이 만나는 순면 치경부에서 가장 높은 응력이 발생하였다.

• 대한치과보철학회지
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• 제43권2호
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• pp.204-217
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• 2005

Purpose. The purpose of this study was to analyze stress distribution of all ceramic posterior fixed partial denture using a three dimensional finite element method. Material and method. A three dimensional finite element model was created to demonstrate all-ceramic posterior fixed partial denture and then this computer model measured the stress distribution of the all ceramic bridges which has a ceramic core materials such as Zirconia, IPS Empress. 2. In-Ceram zirconia, Metal-Ceramic. Also the stress distribution was examined according to loading sites when force was applied to sites such as the central area of second premolar the mesial connector of pontic, the central fossa of pontic, the distal connector of pontic, and the central fossa of second molar. Results. 1. In all the materials of the core in this study, von Mises stress indicated that the stress increased as force was applied to loaded sites, just at those points, on the connector, and the margin in the area adjacent to the connectors. 2. The maximum principal stress was much higher in the lower part of the connectors than in any other region. 3. As the load was applied to the different locations, the research showed a consistent increase of stress in the lower connectors. The maximum value of the von Mises stress was two or three times greater when the load was applied directly to the connectors rather than indirectly through another stressed region. 4. In the case of In-Ceram zirconia, the stress in lower connectors was the highest of all the reference points, the stress showed 75% of all the maximum stress. Ziconia showed 72%, Metal Ceramic 67% and IPS Empress 2 50%. 5. In the case of Ziconia, the stress was well dispersed in each reference point that the stress differences were smaller when compared to In-Cream ziconia.

• 대한치과기공학회지
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• 제32권4호
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• pp.341-350
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• 2010

Purpose: This study focused on achieving desired shades by combining zirconia core with different thickness porcelain in order to make dental prostheses effectively. Methods: White and colored $LAVA^{TM}$ All Ceramic (3M-ESPE, Seefeld, Germany), and Zirkonzahn (Bruneck, Italy) Trans and prettau were used to have Zirconia. LAVATM Ceram (3M-ESPE, Germany) and ICE (Zirkonzahn, Italy) powder were used to have the porcelain. We made quadrilateral specimen of thickness 0.3mm, 0.5mm, 0.7mm and diameter 10 to use zirconia ceramics system of 2 kinds that color tone reappearance way is different and produced total 120 specimens to 4 experimental groups. We used Spectrophotometer to analyze color tone. Data's value getting by dispersal colorimetry period found L*, a*, b* value using Excel program. We used one-way ANOVA to use SPSS WIN 12.0 program. Results: All L*, a*, b* indexes of zirconia core and porcelain veneer in LAVA group and Zirkonzahn group were different. When you combine the white zirconia core of LAVA group with a porcelain veneer, the thickness of the porcelain must be more than 0.5mm to meet the standard target. When all the colored zirconia cores of LAVA group were combined with porcelain veneers, there was no significant difference from the standard target. When the zirconia cores of Zirkonzahn group are combined with porcelain veneers, the thinner thicknesses were closer to the standard tab than thicker thicknesses; however, there was a significant difference in all combinations, with Delta E* value indicating more than 3. Conclusion: When it comes to colored zirconia, which is the most popular, the thicknesses of both a core and a dentin veneer must be more than 0.3mm to get an appropriate shade. There is more possibility to get desirable shades when the thicknesses of a white core are thinner; however, they would be vulnerable to the environment and lose their color. When combine a zirconia core with a dentin veneer, using Zirkonzahn group needs more considerations in order to meet the standard target.

• 대한치과기공학회지
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• 제33권4호
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• pp.299-306
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• 2011

Purpose: This study aimed to investigate the shear bond strength by manufacturing the veneering porcelain on the IPS e.max $ZirCAD^{(R)}$ zirconia core, using the layering technique and heat-pressing technique, and to evaluate the clinical stability by comparing to the conventional metal ceramic system. Methods: The Schmitz-Schulmeyer test method was used to evaluate the core-veneer shear bond strength of zirconia core ceramic(IPS e.max $ZirCAD^{(R)}$) and their manufacture recommended two veneering ceramic systems(IPS e.max $ceram^{(R)}$, IPS e. max $ZirPress^{(R)}$). A metal ceramic system(Bellabond $plus^{(R)}$, VITA $VM13^{(R)}$) was used as a control group for the two all ceramic system test groups. The maximum loading and shear bond strength was measured. The average shear strength(MPa) was analyzed with the one-way ANOVA and the Tukey's test(${\alpha}$=.05). The fracture specimens were examined using Microscope to determine the failure pattern. Results: The mean shear bond strengths(SD) in MPa were MBSB control 43.62(2.13); ZBSB 18.65(1.76); ZPSB 18.89(1.54). The shear strengths of the zirconia cores were not significantly different(P>.05). Microscope examination showed that zirconia specimens presented mixed failure, and base metal alloy specimens showed adhesive failure. Conclusion: There was no siginificant different between the layering technique and the heat pressing technique in the veneering methods on the zirconia cores. None of the zirconia core and veneering ceramics could attain the high bond strength values of the metal ceramic combination.

• The Journal of Advanced Prosthodontics
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• 제3권4호
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• pp.221-228
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• 2011

PURPOSE. Veneering porcelain might be delaminated from underlying zirconia-based ceramics. The aim of this study was the evaluation of the effect of different surface treatments and type of zirconia (white or colored) on shear bond strength (SBS) of zirconia core and its veneering porcelain. MATERIALS AND METHODS. Eighty zirconia disks (40 white and 40 colored; 10 mm in diameter and 4 mm thick) were treated with three different mechanical surface conditioning methods (Sandblasting with $110{\mu}m$ $Al_2O_3$ particle, grinding, sandblasting and liner application). One group had received no treatment. These disks were veneered with 3 mm thick and 5 mm diameter Cercon Ceram Kiss porcelain and SBS test was conducted (cross-head speed = 1 mm/min). Two and one way ANOVA, Tukey's HSD Past hoc, and T- test were selected to analyzed the data (${\alpha}=0.05$). RESULTS. In this study, the factor of different types of zirconia ceramics (P=.462) had no significant effect on SBS, but the factors of different surface modification techniques (P=.005) and interaction effect (P=.018) had a significant effect on SBS. Within colored zirconia group, there were no significant differences in mean SBS among the four surface treatment subgroups (P=0.183). Within white zirconia group, "Ground group" exhibited a significantly lower SBS value than "as milled" or control (P=0.001) and liner (P=.05) groups. CONCLUSION. Type of zirconia did not have any effect on bond strength between zirconia core and veneer ceramic. Surface treatment had different effects on the SBS of the different zirconia types and grinding dramatically decreased the SBS of white zirconia- porcelain.

• 대한치과보철학회지
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• 제47권2호
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• pp.199-205
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• 2009

연구목적: 지르코니아 코어의 표면처리가 비니어링 세라믹과 전단결합강도에 미치는 영향을 알아보고자 한다. 연구 재료 및 방법: 지르코니아 블록(IPS e. max ZirCAD; Ivoclar vivadent, N=40, n=10, $10mm{\times}10mm{\times}3mm$)를 제조사의 지시에 따라 소성한 후 세척하였다. 대조군, 샌드블라스팅(4기압하 $50{\mu}m$ 알루미늄옥사이드) 처리군, 라이너(Zirliner; Ivoclar vivadent) 처리군, 샌드블라스팅과 라이너 처리군 네 개의 군으로 나누어 각 각 표면처리한 후 3 mm 두께로 세라믹(IPS e. max Ceram; Ivoclar vivadent)을 축조한다. 인스트론 만능시험기로 전단결합강도를 측정한 후, 일원변량 분산분석(One way ANOVA)과 $Scheff{\acute{e}}$검정법(P<.05)를 시행하였다. 결과: 지르코니아 코어와 세라믹 간 평균 전단결합강도는 샌드블라스팅과 라이너 동시 처리군에서 가장 높게 나타났으며, 지르코니아 코어에 샌드블라스팅과 라이너 단독 표면처리는 결합력에 통계적으로 유의한 차이를 보이지 않았으나(P>.05), 샌드블라스팅과 라이너 동시 표면처리는 두 재료 간 결합력에 통계적으로 유의한 차이를 보였다(P<.05). 결론: 지르코니아 코어에 샌드블라스팅과 라이너 동시 처리시 전단결합강도의 증가를 보였다.

• 대한치과보철학회지
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• 제49권2호
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• pp.114-119
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• 2011

연구 목적: 미세 인장결합강도 측정을 위한 시편 제작 시 발생하는 스트레스가 결합강도에 어떠한 영향을 미치는 지를 알아보고자 하였다. 연구 재료 및 방법: 원통 모양의 지르코니아 블럭을 다이아몬드 디스크를 이용해 디스크 형태로 자른 후 소결하였다. 소결된 지르코니아 디스크에 소성시 수축을 고려한 적당한 크기의 틀을 제작하여 LAVA ceram (3M ESPE, Seefeld, Germany) 도재를 축성한 후 소성하였다. 먼저 그룹 1은 디스크 모양의 시편을 충분히 물을 뿌려가며 다이아몬드 디스크를 이용하여 $1{\times}1{\times}7\;mm^3$의 막대기 모양으로 저속에서 절단하였다 (n = 15). 그룹 2는 같은 방법으로 $1.2{\times}1.2{\times}7\;mm^3$로 자른 후 두꺼운 다이아몬드 디스크를 이용해 $1{\times}1{\times}7\;mm^3$로 트리밍하였다 (n = 15). 그 후 특별히 제작된 지그에 각각의 시편을 core-veneer의 접착면이 오염되지 않도록 조심히 접착한 후 미세 인장결합강도 측정기 (Instron 8848, $Instron^{(R)}$ Co., Norwood, USA)를 이용하여 미세 인장결합강도를 측정하였다. 측정이 끝난 시편은 파절면을 stereomicroscope (MZ6, Leica Microsystems GmbH, Wetzlar, Germany) 로 30배 확대 관찰하여 파절의 종류를 구분하였다. 결과: 지르코니아 코어와 비니어링 세라믹 간의 평균 미세 인장결합강도는 절단만 시행한 그룹은 $28.8{\pm}7.0\;MPa$, 절단 후 트리밍을 한 그룹은 $11.0{\pm}33\;MPa$로 절단후 트리밍을 한 시편이 유의성 있게 결합강도가 낮아진 것으로 나타났다 (P=.00). 결론: 미세 인장결합강도 측정을 위한 시편 제작 시 가능한 한 스트레스를 가하지 않고 미세 시편을 제작하는 것이 중요하다고 사료된다.

• The Journal of Advanced Prosthodontics
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• 제3권4호
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• pp.196-203
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• 2011

PURPOSE. This study evaluated marginal fit of glass infiltrated alumina cores fabricated using two techniques and their marginal stability after firing cycles of veneering porcelain. MATERIALS AND METHODS. Fifteen standardized all-ceramic crowns were fabricated on a metal die using each technique: slip cast technique of VITA In-Ceram sprint Alumina (Group A as control) and plastic foil matrix technique of Turkom-Cera fused alumina core system (Group B). Copings were compared between groups and within groups at coping stage and after firing each layer of veneering porcelain. A device was used to standardize seating of copings on the metal die and positioning of the specimens under the microscope after each stage of fabrication. The specimens were not cemented and marginal gap was measured using an image analyzing software (Imagepro Express) on the photographs captured under an optical microscope. Two tailed unpaired 't test' was used to compare marginal gaps in two groups and one way ANOVA was used to analyze marginal distortion within each group at 95% confidence interval. RESULTS. The marginal gap was smaller at the coping stage in group B ($60+30{\mu}M$) than group A ($81+21{\mu}M$) with statistical significance. After firing of veneering porcelain the difference was insignificant. At the final stage, both groups exhibited lower mean marginal gaps than at the initial coping stage with the difference of $11.75{\mu}M$ for group A and $11.94{\mu}M$ for group B, but it was statistically insignificant due to high value of standard deviation. CONCLUSION. Within the limitations of this study, it was concluded that both techniques produced copings with comparable and acceptable marginal fit and marginal stability on firing veneering porcelain.

• 대한치과기공학회지
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• 제33권3호
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• pp.193-202
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• 2011

Purpose: The aim of this study was to evaluate the effect of pre-treatment of core and hydrothermal treatment on the bond strength and flexural strength of ceramic veneered zirconia. Methods: 3Y-TZP specimens(KaVo Zr, $25mm{\times}3mm{\times}1mm$)were prepared by five pre-treatment methods and divided into seven groups including control two groups, subsequently the specimens veneered with the E-MAX ceram according to manufacturer's information(total specimen thickness 1.5mm). Two groups from ceramic-zirconia specimens(n=105, n=15 per group)were assigned into two experimental fatigue conditions, namely storage in an autoclave at $134^{\circ}C$ for 5h, thermo-cycling(3,000cycles, between 5 and $55^{\circ}C$, dwell time 45s, transfer time 2s). A flexural strength test was performed in a universal testing machine(crosshead speed: 0.5mm/min). Data were statistically analyzed using one-way ANOVA and Tukey's test(${\alpha}$=0.05). Results: The ceramic-zirconia bond strength value for liner application group(LLW, $27.3{\pm}3.8$) were significantly lower than those of the pre-treatment groups($30.72{\pm}5.3$). The ceramic-zirconia bond strength and zirconia flexural strength was not affected by thermo-cycling(p>0.05), whereas it was affected by storage in an autoclave at $134^{\circ}C$ for 5h(p<0.05). Conclusion: The results indicated that the ceramic-zirconia bond strength and zirconia flexural strength was affected by low temperature degradation.