• The Journal of Advanced Prosthodontics
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• 제10권4호
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• pp.321-327
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• 2018

PURPOSE. The purpose of this study was to compare the cutting method and the lamination method to investigate whether the CAD data of the proposed inlay shape are machined correctly. MATERIALS AND METHODS. The Mesial-Occlusal shape of the inlay was modeled by changing the stereolithography (STL). Each group used SLS (metal powder) or SLA (photocurable resin) in the additive method, and wax or zirconia in the subtractive method (n=10 per group, total n=40). Three-dimensional (3D) analysis program (Geomagic Control X inspection software; 3D systems) was used for the alignment and analysis. The root mean square (RMS) in the 2D plane state was measured within $50{\mu}m$ radius of eight comparison measuring points (CMP). Differences were analyzed using one-way analysis of variance and post-hoc Tukey's test were used (${\alpha}=.05$). RESULTS. There was a significant difference in RMS only in SLA and SLS of 2D section (P<.05). In CMP mean, CMP 4 ($-5.3{\pm}46.7{\mu}m$) had a value closest to 0, while CMP 6 ($20.1{\pm}42.4{\mu}m$) and CMP 1 ($-89.2{\pm}61.4{\mu}m$) had the greatest positive value and the greatest negative value, respectively. CONCLUSION. Since the errors obtained from the study do not exceed the clinically acceptable values, the lamination method and the cutting method can be used clinically.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.702-709
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• 1997

To compare the marginal leakage of CAD/CAM-fabricated ceramic inlay, gold inlay and amalgam, forty extracted caries-free premolars were prepared with Class II MO cavity design. The teeth were divided into four groups of ten samples each. Group 1 was restored with CAD/CAM-fabricated ceramic inlays cemented with Scotchbond Resin Cement / Scotchbond Multi-purpose plus. Group 2 was restored with gold inlays cemented with Scotchbond Resin Cement / Scotchbond Multi-purpose plus. Group 3 was restored with gold inlays cemented with zinc phosphate cement. And, Group 4 was restored with amalgam. All samples were thermocycled, and stored in 1 % methylene blue. Marginal leakage was examined at four margins, that is, occlusal distal, priximal gingival, occlusal facial and occlusal lingual margins from sectioned samples under stereomicroscope(x15). The results were as follows : 1. Group 1 and 2 showed no statistically significant difference among marginal leakage at all four examined margins(p>0.05). 2. Group 3 and 4 showed significant marginal leakage at proximal gingival margin compared with other margins(p<0.05). 3. Significantly increased marginal leakage at priximal gingival, occlusal facial and occlusal lingual margins in group 3 were observed compared with other groups (p<0.05).

• Restorative Dentistry and Endodontics
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• 제26권6호
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• pp.464-484
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• 2001

When restoring a tooth, the dentist tries to choose the ideal material for existing situation. One criterion that is considered is its suitability for restoring coronal strength. As more tooth structure is removed, the cusps are weakened and susceptible to fracture. Further, this increased deformation may cause the formation of intermittent gaps at the margin between the hard tissue and the restoration, facilitating marginal leakage. The improvements in ceramic materials now make it possible for alternatives to amalgams, composites, and cast metal to be of offered for posterior teeth. Of the materials used, ceramics most closely approximates the properties of enamel. The introduction of computer-aided design/computer-aided manufacture(CAD/CAM) systems to restorative dentistry represents a major technological breakthrough. It is possible to design and fabricate ceramic restorations at a single appointment. Additionally, CAD/CAM systems eliminate certain errors and inaccuracies that are inherent to the indirect method and provide an esthetic restoration. The aim of this investigation was to study the loading characteristics of CAD/CAM ceramic inlay and to compare the stress distribution and displacement associated with different designs of cavity(the isthmus width and cavity depth). A human maxillary left first premolar was prepared with standard mesio-occlusal cavity preparation, as recommended by the manufacturer Ceramic inlay was fabricated with CEREC 2 CAD/CIM equipment and cemented into the prepared cavity. Three dimensional model was made by the serial photographic method. The cavity width was varied $\frac{1}{3}$, $\frac{1}{2}$ and $\frac{2}{3}$ of intercuspal distance between buccal and lingual cusp tip. The cavity depth was varied 1.5mm and 2.3mm. So six models were constructed to simulate six conditions. A point load of 500N was applied vertically onto the first node of the lingual slope from the buccal cusp tip. The stress distribution and displacement were solved using ANSYS finite element program(Swanson Analysis System). (omitted)

• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.84-94
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• 1993

The purpose of this study was to evaluate flexure strength of composite resin inlay according to heat treatment and duration in comparasion with visible light-cured resin. In this study, materials were used 1 visible light-cured resin and 3 kinds of composite resin inlays. Control group was visible light cured resin (Photo Clearfil Posterior) and experimental groups were composite resin inlays (Brilliant Dentin, Brilliant Enamel and Clearfil CR Inlay). Experimental groups were divided 3 groups: First group was Brilliant Dentin and second group was Brilliant Enamel and -third group was Clearfil CR Inlay. Used experimental groups were calculated flexural strength according to heat treatment and duration. The following results were obtained: 1. Experimental groups were higher flexural strength than control group. 2. At $100^{\circ}C$ when heat treatment carried out 7 minutes flexural strength elevated third group, second group, first group in turn and when heat treatment carried out 15 minutes flexural strength elevated third group, second group, first group in turn but no difference was showed between first and second group. 3. At $125^{\circ}C$ when heat treatment was carried out 7 minutes flexural strength elevated third group, second group, first group in turn and when heat treatment was carried out 15 minutes flexural strength elevated third group, first group, second group in turn but no difference was showed between first and second group. 4. In spite of heat treatment and duration the third group was highest flexural strength in the others groups.

• Restorative Dentistry and Endodontics
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• 제19권1호
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• pp.64-72
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• 1994

Zinc Phosphate Cement hand been used for about more than 100 years in luting of cast gold inlay. But many scientists had been trying to develop the new form of luting agent because the ZPC hand shown the lack of adhesiveness on the tooth structure and the toxicity to the pulp tissue. Recently many researches about the surface treatment of the cast body are being done to increase the adhesion of cement to it. The conventional Class I gold inlays were fabricated in the 20 permanent molars. After the internal surface of the cast body was sandblasted with $Al_2O_3$ particles and was tin-plated, the inlays were cemented with adhesive cement [G I cement and resin cement(Super-Bond & $Panavia_{EX}$)] and the evaluation on the adhesion pattern, adhesive strength and the fracture pattern of the adhesive cast gold inlay was compared to that of the cast gold inlay cemented conventionally with ZPC. The results were as follows : 1. The surface roughness of the cast body was increased significantly after sandblasting with the $Al_2O_3$ particles and the tin oxide layer, which was consisted of round particles, came into being. 2. The bond strength was in the order of Super-Bond, ZPC, Fuji I, $Panavia_{EX}$ group. The group cemented with Super-Bond showed statistically greater strength than the other groups(p<0.05). 3. The group cemented with ZPC was fallen apart by principal adhesion failure and that with Fuji I was by complete adhesion failure. But the group with Super-Bond showed pricncipal cohesive failure pattern and in the group with $Panavia_{EX}$, complete cohesive fracture pattern was shown and small protion of tooth structure was fractured out with cast body and the fractured surface showed the figure just as the enamel prism. 4. Various gaps were shown at the pulpal side regardless of little gap at the side walls of the cavity in all groups. Only the Super-Bond was attached to the tooth structure and the other cements were detached from both the tooth and the cast body.

• The Journal of Advanced Prosthodontics
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• 제16권1호
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• pp.57-65
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• 2024

PURPOSE. The aim of this stuldy was to compare the clinical marginal fit of CAD-CAM inlays obtained from intraoral digital impression or addition silicone impression techniques. MATERIALS AND METHODS. The study included 31 inlays for prosthodontics purposes of 31 patients: 15 based on intraoral digital impressions (DI group); and 16 based on a conventional impression technique (CI group). Inlays included occlusal and a non-occlusal surface. Inlays were milled in ceramic. The inlay-teeth interface was replicated by placing each inlay in its corresponding uncemented clinical preparation and taking interface impressions with silicone material from occlusal and free surfaces. Interface analysis was made using white light confocal microscopy (WLCM) (scanning area: 694 × 510 ㎛²) from the impression samples. The gap size and the inlay overextension were measured from the microscopy topographies. For analytical purposes (i.e., 95-%-confidence intervals calculations and P-value calculations), the procedure REGRESS in SUDAAN was used to account for clustering (i.e., multiple measurements). For p-value calculation, the log transformation of the dependent variables was used to normalize the distributions. RESULTS. Marginal fit values for occlusal and free surfaces were affected by the type of impression. There were no differences between surfaces (occlusal vs. free). Gap obtained for DI group was 164 ± 84 ㎛ and that for CI group was 209 ± 104 ㎛, and there were statistical differences between them (p = .041). Mean overextension values were 60 ± 59 ㎛ for DI group and 67 ± 73 ㎛ for CI group, and there were no differences between then (p = .553). CONCLUSION. Digital impression achieved inlays with higher clinical marginal fit and performed better than the conventional silicone materials.

• Restorative Dentistry and Endodontics
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• 제25권3호
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• pp.399-406
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• 2000

광중합형 글래스아이오노머 베이스에 대한 레진 인레이의 접착성을 증가시킬 수 있는 방법을 모색하고자, 이차 중합된 레진 인레이의 내표면을 여러 가지 방법으로 처리한 후 레진 인레이를 광중합형 글래스아이오노머 베이스에 레진 시멘트 접착시 내표면 처리방법이 이들의 접착에 미치는 영향을 평가하고자 하였다. 글래스아이오노머 베이스 제작을 위해서 플라스틱 봉에 직경 7mm, 깊이 2mm의 1급 와동을 형성하고 Fuji II LC를 충전하였으며, 수복용 레진(Charisma$^{(R)}$)을 사용하여 레진 인레이를 제작하였다. 레진 인레이 내면은 $50{\mu}m$ aluminum oxide particles를 이용한 sandblasting 및 silane 처리군, silane 처리군, sandblasting 군, 그리고 무처리 대조군 등 4군으로 나누어 표면처리하였으며 각 군은 22개씩의 시편을 사용하였다. 인레이와 베이스의 표면에 상아질 접착제(One-Step$^{TM}$)를 도포한 후 Choice$^{TM}$를 사용하여 레진시멘트 접착하였다. 접착 양상 평가를 위해 만능시험기로 전단접착강도를 측정하고 파단면을 입체현미경으로 관찰하여 다음과 같은 결과를 얻었다. 1. Sandblasting 및 silane 처리군이 가장 높은 접착강도(10.56${\pm}$1.95MPa)를 나타내었으며, 이는 sandblasting군 및 무처리 대조군에 비해 유의하게 높았다(p<0.05). 2. Silane 처리군(9.77${\pm}$2.04MPa)은 sandblasting 및 silane 처리군과는 접착력에 있어서 통계적으로 유의한 차이를 나타내지 않았으나, sandblasting 군 및 무처리 대조군에 벼해서는 유의하게 높은 접착강도를 나타내었다(p<0.05). 3. Sandblasting만 시행 한 군은 무처리 대조군과 비교시 접착강도에 있어 유의한 차이를 나타내지 않았다(p>0.05). 4. 파단면 관찰 결과, 모든 군에서 일부 접착계면에서의 파절을 포함하는 글래스아이오노머 베이스의 응집 파괴(cohesive failure) 양상이 가장 많이 나타났으며, sandblasting 및 silane 처리군과 silane 처리군에서는 sandblasting 군 및 무처리 대조군에 비해 상대적으로 적은 접 착계면에서의 파절(adhesive failure) 양상을 나타내었다. 5. 전단접착강도와 파절양상의 관계에서, 접착강도가 클수록 응집 파괴(cohesive failure) 양상이 많이 나타나는 경향을 보였다.

• 대한관절경학회지
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• 제2권1호
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• pp.1-3
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• 1998

The PCL reconstruction in chronic isolate PCL reconstruction was still controversy. 1) In isolate PCL deficient knee, functionally not so bad as like ACL deficient knee. 2) The result of the PCL reconstruction was not as good as ACL reconstruction. Therefore, isolate PCL injuries has been treated as nonoperatively. Hey Grovere, who was the first to attempt an intra-articular reconstruction of the PCL, utilized the semi-tendinous tendon other static procedures have been described in only a few cases with very limited follow-up. Dynamic procedures utilizing the medial head of the gastrocnemius has been reported by Hugston and Degenhardt, Kennedy and Grainger, and Insall and Hood. These procedures did not improve static stability. Dr Clancy, who was introduce the use of BPTB for the PCL reconstruction transtibial and femoral tunnel. From 1995, untill early 1990 PCL reconstruction was done as tend as placement of the isometric point. Physiometic placement of Anatomical placement of the femoral tunnel in PCL reconstruction were introduced in 1995. Tibial Inlay Technique was reported by Dr Berg in 1995. The main advantage of the tibial Inlay Technique was to avoid fraying of the graft at the posterior tibial tunnel orifice. In complete PCL ruptured and severely posterior unstable knee, dual femoral tunnel technique will be to get better result than one bundle technique. To achieve restoration of normal posterior laxity, it is critical to address the posterior as well as the posterolateral structures. Futher research is necessary to evaluate new surgical approches such as double-bundle reconstructions and tibial inlay techniques as well as improved techniques for capsular and collateral ligament injuries.

• 한국안광학회지
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• 제10권2호
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• pp.127-132
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• 2005

칼라콘택트렌즈는 의료용으로 사용되기 시작하여 최근 들어 미용의 목적으로 그 수요가 급격히 증가하고 있는 추세이다. 칼라콘택트렌즈의 제조방법으로는 pigment application method, pigment inlay method, sandwich method, binding method 등이 있는데 현재 국내에서는 binding method가 주로 사용된다. 칼라 콘택트렌즈의 용도와 제조 방법 면에서 채색(tinted)과 착색(cosmetic)으로 크게 분류되는데 채색은 염색방식으로 널리 알려진 방법이며, 착색은 박막공법에 의해 제조된다. 이에 따라 본 해설의 목적은 칼라콘택트렌즈의 제조방법 및 방법에 따른 특성을 비교하고, 칼라콘택트렌즈의 특성을 이해하는데 도움을 주기 위함이다.

• 정보처리학회논문지A
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• 제12A권6호
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• pp.515-522
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• 2005

본 논문에서는 부분적으로 파손된 치아의 수복에 사용되는 인레이/온레이 인공치아를 효과적으로 모델링하는 기법을 제안한다. 인레이/온레이는 지대치에 부착되는 내면과 밖으로 들어나는 외면으로 구성된다. 내면은 지대치와의 밀착력을 확보하기 위하여 지대치의 삭제된 표면의 확장된 부분으로 Minkowski sum을 이용하여 모델링된다. 외면을 모델링하기 위해서는 표준치아 모델, 환자 치아 석고모형을 스캔한 메쉬 자료, 환자 치아교합을 측정한 FGP(functionally guided plane) 등 세 가지 정보와 DMFFD(direct manipulation free-form deformation)[19]과 MWD(multiple wires deformation)[17]의 3D 메쉬 변형 기술들을 이용한다. 표준치아 모델은 외면의 기본적인 형태를 결정하기 위하여 사용되는 반면 석고모형 데이터와 FGP는 환자 치아 인접면과 교합면마다 약간 다르지만 정확한 기능에 매우 중요한 고유 특성을 반영하기 위해 사용되는 정보이다. 이러한 정보들을 입력으로 DMFFD 기법과 MWD 기법을 각각 적용하여 인레이/온레이 인접면과 교합면을 메쉬 자료로 자동으로 생성해낸다. 연구된 기법은 치과의사에 의한 요구사항을 반영하여 생성된 메쉬 모델을 가시화하면서 보다 정확하게 인레이/온레이를 디자인할 수 있도록 구현되었다.