• The Journal of Advanced Prosthodontics
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• v.5 no.2
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• pp.92-97
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• 2013

PURPOSE. All-ceramic crowns are subject to fracture during function. To minimize this common clinical complication, zirconium oxide has been used as the framework for all-ceramic crowns. The aim of this study was to compare the fracture strengths of two computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia crown systems: Lava and Digident. MATERIALS AND METHODS. Twenty Lava CAD/CAM zirconia crowns and twenty Digident CAD/CAM zirconia crowns were fabricated. A metal die was also duplicated from the original prepared tooth for fracture testing. A universal testing machine was used to determine the fracture strength of the crowns. RESULTS. The mean fracture strengths were as follows: $54.9{\pm}15.6$ N for the Lava CAD/CAM zirconia crowns and $87.0{\pm}16.0$ N for the Digident CAD/CAM zirconia crowns. The difference between the mean fracture strengths of the Lava and Digident crowns was statistically significant (P<.001). Lava CAD/CAM zirconia crowns showed a complete fracture of both the veneering porcelain and the core whereas the Digident CAD/CAM zirconia crowns showed fracture only of the veneering porcelain. CONCLUSION. The fracture strengths of CAD/CAM zirconia crowns differ depending on the compatibility of the core material and the veneering porcelain.

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.1
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• pp.22-30
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• 2008

Purpose: The purpose of this study is to compare three different CAD/CAM systems through the fracture strength of zirconia core and to evaluate the clinical availability of each system. Material and methods: The following three groups of 30 maxillary mesial incisor core for all-ceramics(each group 10) were fabricated as follows: group 1. $Adens^{(R)}$ CAD/CAM system, group 2. $Cerasys^{(R)}$ CAD/CAM system, group 3. 3M $Lava^{(R)}$ CAD/CAM system. All specimens were manufactured consistently thickness 0.5mm and relief $40{\mu}m$. Specimens were subjected to compressive loading on the lingual area by Z250/$SN5S^{(R)}$. Each group's mean and standard deviation were calculated and Kruskal Waillis test, Wilcoxon Rank Sum test were utilized to find out the relationship among the groups. Results: The results were as follows: 1. The mean fracture strength of $Adens^{(R)}$ system was $615.89{\pm}156.1N$, the $Cerasys^{(R)}$ system was $863.98{\pm}151.5N$, and the 3M $Lava^{(R)}$ system was $1143.1{\pm}286.6N$. 2. The fracture strength of the systems showed the significant statistical differences in order of 3M $Lava^{(R)}$ system, $Cerasys^{(R)}$ system, $Adens^{(R)}$ system. Conclusion: In this study, in spite of the differences among the groups, every group showed clinically useful results. It is necessary to study further clinical experiments on a long term basis.

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.1
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• pp.12-21
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• 2008

Statement of problem: There have been many studies about marginal adaptation of Zirconia core fabricated with various CAD/CAM systems. But, the comparative study has not been conducted much. Purpose: This study was to compare marginal adaptations of zirconia cores fabricated with 3 different CAD/CAM systems. Material and methods: The in vitro marginal adaptations of zirconia cores fabricated with 3 different CAD/CAM systems($Adens^{(R)}$ system, $Lava^{(R)}$ system, and $Cerasys^{(R)}$ system) were evaluated and compared. In this study 30 zirconia cores were fabricated(10 zirconia cores per each system). The measurements of the marginal adaptatioin were carried out using microscope $L-150A^{(R)}$(Nikon, Japan). Measurements were recorded at 50 points. The measurements were analyzed using Kruskal-Wallis test and Wilcoxon rank sum test. Results: Within the limits of this study, the results were as follows. 1. Mean marginal gap values obtained were $284.5{\pm}152.9{\mu}m$ in Adens system, $99.0{\pm}73.0{\mu}m$ in Lava system, and $153.5{\pm}85.7{\mu}m$ in Cerasys system. 2. Zirconia core made by Lava system showed the smallest marginal gap(P<0.05). Conclusion: In the limitation of this study, we concluded that $Lava^{(R)}$ System was superior than other systems($Adens^{(R)}$ system and $Cerasys^{(R)}$ system) in the marginal adaptation.

• The Journal of Advanced Prosthodontics
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• v.10 no.1
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• pp.50-57
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• 2018

PURPOSE. To investigate the effect of accelerated aging on surface properties of glazed CAD/CAM resin blocks using a 2D surface profilometer and a 3D non-contact optical profilometer. MATERIALS AND METHODS. Three types of CAD/CAM resin restorative materials, LAVA Ultimate (3M ESPE, St Paul, MN, USA), VITA Enamic (Vita Zahnfabrik H. Rauter, Bad $S\ddot{a}ckingen$, Germany), and Cerasmart (GC Corparation, Tokyo, Japan) were used for this study. CAD/CAM blocks were cut in 3-mm thickness slabs and divided into three groups; Group 1: control group (specimens polished with 600 grit SCI paper); Group 2: specimens sandblasted, silanized, and glazed with Optiglaze Color (GC); Group 3: glazed specimens subjected to 5000 thermocycles (n=15). The surface roughness ($R_a$ and $R_z$) was evaluated using a profilometer and a 3D scanning instrument. Data were analyzed using two-way ANOVA and Tukey's post- hoc test (P<.05). RESULTS. LAVA, VITA, and Cerasmart exhibited statistically similar $R_a$ and $R_z$ values for each group (P>.05). For VITA and Cerasmart, the specimens in Group 1 exhibited significantly higher $R_a$ values than Group 2 (P<.05). Group 1 ($0.502R_a$), Group 2 ($0.384R_a$), and Group 3 ($0.431R_a$) exhibited statistically similar $R_a$ values for LAVA (P=.062). After 5000 thermocycles, surface roughness values did not change significantly for glazed LAVA, VITA, and Cerasmart (P>.05). CONCLUSION. Glaze material Optiglaze Color makes CAD/CAM resin surfaces smooth and glazed CAD/CAM surfaces seem resistant to deterioration under 5000 thermocycles.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.2
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• pp.101-105
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• 2011

The purpose of this study was to assess the marginal fit of three-unit bridges produced using LAVA CAD/CAM (computer-aided design/computer-aided manufacturing) system and conventional PFG in vitro. Materials and methods: #11, 13 resin teeth were prepared on dentiform, then duplicated. Twenty resin models were fabricated, ten for PFG 3-unit bridges and ten for LAVA 3-unit bridges. Each bridge was cemented on the resin model. Marginal discrepancy was measured with stereoscopic microscope (Nikon DS-Fi 1, Nikon, Japan) at a magnification of ${\times}75$. Independent t-test was done for the statistical analysis. Results: The mean marginal discrepancy values and standard deviations of the PFG bridges was $97.1{\pm}18.7\;{\mu}m$ for incisors, $76.6{\pm}21.8\;{\mu}m$ for canines; that of the LAVA bridges was $90.4{\pm}26.7\;{\mu}m$ for incisor, $110.2{\pm}30.2\;{\mu}m$ for canines. The mean marginal discrepancy between PFG and LAVA for incisor did not show significant difference (P<.05). But for canine, the mean marginal discrepancy of PFG bridges was smaller than that of LAVA bridges (P<.05). Conclusion: The LAVA CAD/CAM 3-unit bridges and the PFG 3-unit bridges showed clinically acceptable marginal discrepancy.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.2
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• pp.135-142
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• 2010

Purpose: This study was aimed to compare the margin and internal fitness of single anterior all-ceramic crown zirconia core made by three deferent CAD/CAM systems. Material and methods: Five single zirconia cores were manufactured by three deferent CAD/CAM systems($Cerasys^{(R)}$system, KaVo $Everest^{(R)}$system, $LAVA^{TM}$system). The manufactured zirconia cores were duplicated through the use of replica technique, and a replicated sample was sectioned in the center of bucolingual and mesiodistal direction to measure the marginal and internal gap. Measurement was carried out by using measuring microscope ($AXIO^{(R)}$) and $I-Solution^{(R)}$ and analysed through the use of ANOVA. Results: As for the mean marginal fitness of the zirconia core, it was $84.74{\pm}27.57{\mu}m$, in $Cerasys^{(R)}$, $80.23{\pm}21.07{\mu}m$ in KaVo $Everest^{(R)}$ and $96.37 {\pm}11.45{\mu}m$ in $LAVA^{TM}$, and as for the mean internal gap, it was $94.11{\pm}30.07{\mu}m$ in $Cerasys^{(R)}$, $92.31{\pm}25.18{\mu}m$ in KaVo $Everest^{(R)}$, and $94.99{\pm}18.74 {\mu}m$ in $LAVA^{TM}$. There was no significant statistically deference among the total average gap of three systems. The internal gap in KaVo $Everest^{(R)}$ seemed to be smaller than $LAVA^{TM}$ (P < .05). The internal gap in the incisal area was larger in all of the three systems. Conclusion: There was no difference in marginal fitness in $Cerasys^{(R)}$, KaVo $Everest^{(R)}$ and $LAVA^{TM}$. As for the internal fitness, it was smaller in KaVo $Everest^{(R)}$ system than $LAVA^{TM}$ system. In all of the three systems, there was a larger gap in incisal area. The marginal and internal gap was within the clinically allowed range in all of the three systems.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.2
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• pp.148-155
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• 2009

Statement of problem: The interest in all-ceramic restorations has increased as more techniques have become available. With the introduction of machinable dental ceramics and CAD/CAM systems there is a need to evaluate the quality levels of these new fabrication techniques. Purpose: This study is to evaluate the crown fidelity(absolute marginal discrepancy and internal gap) of various zirconia-based all-ceramic crowns fabricated with different CAD/CAM(computer-assisted design/computer-assisted manufacturing) systems and conventional cast metal-ceramic crowns. Material and methods: A resin tooth of lower right second premolar was prepared. After an impression was taken, one metal master die was made. Then 40 impressions of metal master dies were taken for working dies. 10 crowns per each system were fabricated using 40 working dies. Metal-ceramic crowns were cast by using the conventional method, and Procera, Lava, and Cerec inLab crowns were fabricated with their own CAD/CAM manufactruing procedures. The vertical marginal discrepancies and internal gaps of each crown groups were measured on a metal master die without a luting agent. The results were statistically analyzed using the one-way ANOVA and Tukey's HSD test. Results: 1. Vertical marginal discrepancies were $50.6{\pm}13.9{\mu}m$ for metal-ceramic crowns, $62.3{\pm}15.7{\mu}m$ for Procera crowns, $45.3{\pm}7.9{\mu}m$ for Lava crowns, and $71.2{\pm}2.0{\mu}m$ for Cerec inLab crowns. 2. The Internal gaps were $52.6{\pm}10.1{\mu}m$ for metal-ceramic crowns, $161.7{\pm}18.5{\mu}m$ for Procera crowns, $63.0{\pm}10.2{\mu}m$ for Lava crowns, and $73.7{\pm}10.7{\mu}m$ for Cerec inLab crowns. Conclusion: 1. The vertical marginal discrepancies of, 4 crown groups were all within the clinically acceptable range($120{\mu}m$). 2. The internal gaps of LAVA, Cerec inlab, and metal-ceramic crowns were within clinically acceptable range except Procera crown($140{\mu}m$).

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.3
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• pp.269-279
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• 2008

STATEMENT OF PROBLEM: Recently, various all-ceramic crowns fabricated with CAD/CAM systems have come into wide use in dental clinic. However, there are only few domestic studies on CAD/CAM restorations. PURPOSE: Purpose of this study was to compare the fidelity (absolute marginal discrepancy and internal gap) between various cores fabricated with different CAD/CAM systems (Procera system, Lava system, Cerec inLab system) and conventional metal cast core. MATERIALS AND METHODS: 10 cores per each system were fabricated. The absolute marginal discrepancies were measured using measuring microscope and digital counter. The internal gaps were calculated using a silicone paste. The results were statistically analyzed using the one-way ANOVA test and Tukey's HSD test. RESULTS: Within the limits of this study the results were as follows. 1. The absolute marginal discrepancies were $32.5{\pm}3.7\;{\mu}m$ for metal cast core, $72.2{\pm}7.0\;{\mu}m$ for Procera core, $40.8{\pm}5.4\;{\mu}m$ for Lava core, and $55.3{\pm}8.7\;{\mu}m$ for Cerec inLab core. The internal gaps were $38.4{\pm}5.7\;{\mu}m$ for metal cast core, $71.4{\pm}5.3\;{\mu}m$ for Procera core, $45.9{\pm}7.3\;{\mu}m$ for Lava core, and $51.8{\pm}6.2\;{\mu}m$ for Cerec inLab core. 2. The fidelity of metal cast core showed the smallest gaps, followed by Lava core, Cerec inLab core, and Procera core. CONCLUSION: The fidelities of 4 core groups were all within the clinically acceptable range ($120\;{\mu}m$).

• The Journal of Advanced Prosthodontics
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• v.5 no.3
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• pp.219-225
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• 2013

PURPOSE. Few studies have investigated the marginal accuracy of 3-unit zirconia fixed partial dentures (FPDs) fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) system. The purpose of this study was to compare the marginal fit of zirconia FPDs made using two CAD/CAM systems with that of metal-ceramic FPDs. MATERIALS AND METHODS. Artificial resin maxillary central and lateral incisors were prepared for 3-unit FPDs and fixed in yellow stone. This model was duplicated to epoxy resin die. On the resin die, 15 three-unit FPDs were fabricated per group (45 in total): Group A, zirconia 3-unit FPDs made with the Everest system; Group B, zirconia 3-unit FPDs made with the Lava system; and Group C, metal-ceramic 3-unit FPDs. They were cemented to resin dies with resin cement. After removal of pontic, each retainer was separated and observed under a microscope (Presize 440C). Marginal gaps of experimental groups were analyzed using one-way ANOVA and Duncan test. RESULTS. Mean marginal gaps of 3-unit FPDs were $60.46{\mu}m$ for the Everest group, $78.71{\mu}m$ for the Lava group, and $81.32{\mu}m$ for the metal-ceramic group. The Everest group demonstrated significantly smaller marginal gap than the Lava and the metal-ceramic groups (P<.05). The marginal gap did not significantly differ between the Lava and the metal-ceramic groups (P>.05). CONCLUSION. The marginal gaps of anterior 3-unit zirconia FPD differed according to CAD/CAM systems, but still fell within clinically acceptable ranges compared with conventional metal-ceramic restoration.

• The Journal of Advanced Prosthodontics
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• v.2 no.2
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• pp.33-38
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• 2010

PURPOSE. Marginal fit is a very important factor considering the restoration's long-term success. However, adding porcelain to copings can cause distortion and lead to an inadequate fit which exposes more luting material to the oral environment and causes secondary caries. The purpose of this study was to compare the marginal fit of 2 different all-ceramic crown systems before and after porcelain veneering. This study was also intended to verify the marginal fit of crowns originated from green machining of partially sintered blocks of zirconia (Lava CAD/CAM system) and that of crowns obtained through machining of fully sintered blocks of zirconia (Digident CAD/CAM system). MATERIALS AND METHODS. 20 crowns were made per each system and the marginal fit was evaluated through a light microscope with image processing (Accura 2000) at 50 points that were randomly selected. Each crown was measured twice: the first measurement was done after obtaining a 0.5 mm coping and the second measurement was done after porcelain veneering. The means and standard deviations were calculated and statistical inferences among the 2 groups were made using independent t-test and within the same group through paired t-test. RESULTS. The means and standard deviations of the marginal fit were $61.52{\pm}2.88{\mu}m$ for the Digident CAD/CAM zirconia ceramic crowns before porcelain veneering and $83.15{\pm}3.51{\mu}m$ after porcelain veneering. Lava CAD/CAM zirconia ceramic crowns showed means and standard deviations of $62.22{\pm}1.78{\mu}m$ before porcelain veneering and $82.03{\pm}1.85{\mu}m$ after porcelain veneering. Both groups showed significant differences when analyzing the marginal gaps before and after porcelain veneering within each group. However, no significant differences were found when comparing the marginal gaps of each group before porcelain veneering and after porcelain veneering as well. CONCLUSION. The 2 all-ceramic crown systems showed marginal gaps that were within a reported clinically acceptable range of marginal discrepancy.