• Restorative Dentistry and Endodontics
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• 제42권1호
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• pp.1-8
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• 2017

Objectives: The purpose of this study was to evaluate the effect of adhesive luting on the fracture resistance of zirconia compared to that of a composite resin and a lithium disilicate glass ceramic. Materials and Methods: The specimens (dimension: $2mm{\times}2mm{\times}25mm$) of the composite resin, lithium disilicate glass ceramic, and yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) were prepared. These were then divided into nine groups: three non-luting groups, three non-adhesive luting groups, and three adhesive luting groups, for each restorative material. In the non-luting groups, specimens were placed on the bovine tooth without any luting agents. In the non-adhesive luting groups, only zinc phosphate cement was used for luting the specimen to the bovine tooth. In the adhesive luting groups, specimens were pretreated, and the adhesive luting procedure was performed using a self-adhesive resin cement. For all the groups, a flexural test was performed using universal testing machine, in which the fracture resistance was measured by recording the force at which the specimen was fractured. Results: The fracture resistance after adhesive luting increased by approximately 29% in the case of the composite resin, 26% in the case of the lithium disilicate glass ceramic, and only 2% in the case of Y-TZP as compared to non-adhesive luting. Conclusions: The fracture resistance of Y-TZP did not increased significantly after adhesive luting as compared to that of the composite resin and the lithium disilicate glass ceramic.

• 치위생과학회지
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• 제13권3호
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• pp.290-295
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• 2013

본 연구는 심미 치과보철물에 사용되는 지르코니아, lithium disilicate 코어와 전장도재 사이의 전단결합강도를 측정하고, 금속도재관을 대조군으로 설정하여 비교하였다. 직사각기둥 모양의 시편을 각각 10개씩 제작하여 코어와 전장도재 사이의 전단결합강도를 측정한 후 파절면의 양상을 실체현미경을 통해 관찰하였다. 제한된 조건하에 시행된 실험을 통하여 심미보철 분야에 널리 적용되고 있는 치과용세라믹 코어의 전단결합강도를 확인하였으며, 측정 후 비교분석된 결과는 다음과 같다. 2종의 치과용 세라믹 코어와 전장도재 간에 전단결합강도는 금속도재관의 전단결합강도와 유의한 차이가 있었다 (p<0.05). 본 실험 결과를 토대로 ZB군은 임상적으로 받아들여지는 전단결합강도 범위 내 분포를 보이지만, LB군은 임상허용 범위에 못 미치는 결과값을 보였다. 금속도재관과 달리 지르코니아, lithium disilicate 전부도재관은 모두 혼합형 파절양상을 보였다. 결론적으로 전단결합강도 실험에 사용된 시편이 임상적인 치과보철물의 형태와는 달리 실험을 위한 시편의 형태로 제작되어 임상적 결과를 반영하지 못했으며 구강 내의 상황과도 다르다는 한계점을 가지고 있다. 추후에는 이를 보완하여 치과보철물과 유사한 형태의 시편을 이용한 전단결합 강도의 측정과 구강 내 조건을 고려한 추가 실험이 필요하다고 생각된다.

• The Journal of Advanced Prosthodontics
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• 제6권6호
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• pp.456-461
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• 2014

PURPOSE. Translucency and colour stability are two most important aspects for an aesthetic dental restoration. Glass ceramic restorations are popular amongst clinicians because of their superior aesthetic properties. In the last decade, zirconia has generated tremendous interest due to its favorable mechanical and biological properties. However, zirconia lacks the translucency that lithium disilicate materials possess and therefore has limitations in its use, especially in esthetically demanding situations. There has been a great thrust in research towards developing translucent zirconia materials for dental restorations. The objective of the study was to evaluate and compare the transmittance of a translucent variant of zirconia to lithium disilicate. MATERIALS AND METHODS. Two commercially available zirconia materials (conventional and high translucency) and 2 lithium disilicate materials (conventional and high translucency) with standardized dimensions were fabricated. Transmittance values were measured for all samples followed by a microstructural analysis using a finite element scanning electron microscope. One way analysis of variance combined with a Tukey-post hoc test was used to analyze the data obtained (P=.05). RESULTS. High translucency lithium disilicate showed highest transmittance of all materials studied, followed by conventional lithium disilicate, high translucency zirconia and conventional zirconia. The difference between all groups of materials was statistically significant. The transmittance of the different materials correlated to their microstructure analysis. CONCLUSION. Despite manufacturers' efforts to make zirconia significantly more translucent, the transmittance values of these materials still do not match conventional lithium disilicate. More research is required on zirconia towards making the material more translucent for its potential use as esthetic monolithic restoration.

• 대한치과기공학회지
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• 제42권1호
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• pp.9-16
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• 2020

Purpose: The purpose of this study was to compare the marginal and internal fit of lithium disilicate ceramic inlay produced by heat pressing that inlay pattern made by subtractive manufacturing and additive manufacturing method. Methods: A mandibular lower first molar that mesial occlusal cavity (MO cavity) die was prepared. After fabricating an epoxy resin model using a silicone impression material, epoxy resin die was scanned with a dental model scanner to design an MO cavity inlay. The designed STL pile was used to fabricate wax patterns and resin patterns, and then lithium disilicate ceramic inlays were fabricated using hot-press method. For the measurement of the marginal and internal gap of the lithium disilicate, silicone replica method was applied, and gap was measured through an optical microscope (x 80). Data were tested for significant differences using the Mann-Whitney Utest. Results: The marginal fit was 103.56±9.92㎛ in the MIL-IN group and 81.57±9.33㎛ in the SLA-IN group, with a significant difference found between the two groups (p<0.05). The internal fit was 120.99±17.52㎛ in the MIL-IN group and 99.18±6.65㎛ in the SLA-IN group, with a significant difference found between the two groups (p<0.05). Conclusion: It is clinically more appropriate to apply the additive manufacturing than subtractive manufacturing method in producing lithium disilicate inlay using CAD/CAM system.

• 대한치과기공학회지
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• 제36권2호
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• pp.75-81
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• 2014

Purpose: This study was to compare adaptations of lithium disilicate CAD/CAM crowns fabricated with different scanning systems. Methods: This study selected the mandibular right first molar as an abutment for experiments and produced 10 working models. Lithium disilicate crowns appropriate for each abutment were produced by using a CEREC$^{(R)}$ CAD/CAM system. The independent t-test was then used to compare and analyze the data obtained from the two groups(${\alpha}$=0.05). Results: Mean(SD) adaptation were $86.93(22.82){\mu}m$ for the InS group, $88.42(26.77){\mu}m$ for the ExS group. They were no statistically significant differences between groups for adaptation(p>0.05). Conclusion: Within the limitations of this study, the results suggest that the accuracy of all investigated optical scanner were satisfactory for clinical use. Further assessment and improvement of the lithium disilicate ceramic for the fabrication of FPDs is evidently still required.

• The Journal of Advanced Prosthodontics
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• 제6권5호
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• pp.415-422
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• 2014

PURPOSE. The purpose of this study was to evaluate and compare the translucency of shaded zirconia allceramic systems. MATERIALS AND METHODS. Translucency of 3 different zirconia all-ceramic systems colored by different techniques was compared with a lithium disilicate glass-ceramic (IPS e.max Press). Square-shaped specimens with 0.5 mm thickness were fabricated from In-Ceram YZ, ICE Zirkon and Katana systems in A1, A2 and A3.5 shades according to Vitapan Classical shade tab (n=11). Specimens were then veneered and glazed with corresponding veneer ceramic recommended by each zirconia system manufacturer and the total thickness was set to 1.5 mm. Translucency measurements were performed with VITA Easyshade Compact spectrophotometer after each stage and translucency parameter was calculated. Data were statistically analyzed with repeated measures ANOVA and Tukey multiple comparison test. RESULTS. The control group was significantly more translucent than the zirconia systems (P<.05). ICE Zirkon cores showed the least translucency; neither In-Ceram YZ nor Katana systems were superior to each other in terms of translucency. Translucency of all specimens was decreased after veneering, and the translucency rankings were changed. CONCLUSION. Coloring technique did not have a significant effect on translucency of zirconia cores. Although zirconia systems were less translucent than lithium disilicate glass ceramic, they had partial translucency and there were translucency differences among the zirconia systems. Chroma affected the translucency of precolored zirconia cores.

• 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.

• The Journal of Advanced Prosthodontics
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• 제8권5호
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• pp.339-344
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• 2016

PURPOSE. Pre-surface treatments of coping materials have been recommended to enhance the bonding to the veneering ceramic. Little is known on the effect on shear bond strength, particularly with new coping material. The aim of this study was to investigate the shear bond strength of veneering ceramic to three coping materials: i) metal alloy (MA), ii) zirconia oxide (ZO), and iii) lithium disilicate (LD) after various pre-surface treatments. MATERIALS AND METHODS. Thirty-two (n = 32) discs were prepared for each coping material. Four pre-surface treatments were prepared for each sub-group (n = 8); a) no treatment or control (C), b) sandblast (SB), c) acid etch (AE), and d) sandblast and acid etch (SBAE). Veneering ceramics were applied to all discs. Shear bond strength was measured with a universal testing machine. Data were analyzed with two-way ANOVA and Tukey's multiple comparisons tests. RESULTS. Mean shear bond strengths were obtained for MA ($19.00{\pm}6.39MPa$), ZO ($24.45{\pm}5.14MPa$) and LD ($13.62{\pm}5.12MPa$). There were statistically significant differences in types of coping material and various pre-surface treatments (P<.05). There was a significant correlation between coping materials and pre-surface treatment to the shear bond strength (P<.05). CONCLUSION. Shear bond strength of veneering ceramic to zirconia oxide was higher than metal alloy and lithium disilicate. The highest shear bond strengths were obtained in sandblast and acid etch treatment for zirconia oxide and lithium disilicate groups, and in acid etch treatment for metal alloy group.

• 대한치과기공학회지
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• 제41권4호
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• pp.271-278
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• 2019

Purpose: To quantify the effect of the crystallization process on lithium disilicate ceramic crowns that are fabricated using a computer-aided design/computer-aided manufacturing(CAD/CAM) system, and to determine whether they are clinically acceptable by comparing values before and after the crystallization process. Methods: The maxillary first molar was selected as the abutment for the experiments. Ten working models were prepared. Marginal and internal gap of 4 groups of lithium disilicate crowns(n=10) fabricated with conventional method. Comparison was performed using the silicone replica technique and 3D superimposition analysis. The marginal and internal gaps of the restoration were measured before and after the crystallization process of this prosthesis. The average value of each part(the average of values measured before and after the crystallization) was statistically analyzed using paired t-test(α=0.05). Results: The results from the second phase of this research, which compared the average value of the gap between the marginal and internal fits of the lithium disilicate single crown before and after the crystallization process, indicated that the marginal gap was larger and the internal gap was smaller after the crystallization process, and this difference was statistically significant (P<0.05) in all the parts evaluated. Conclusion: While the shrinkage that occurs during crystallization does affect the marginal and internal fit of the prosthesis, it cannot be concluded to be a major effect because the resultant distortion was within the clinically acceptable range.

• 대한치과기공학회지
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• 제43권4호
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• pp.175-180
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• 2021

Purpose: This study investigates the effect of repeated use of lithium disilicate glass-ceramics on color stability. Methods: In this study, 2 types of lithium disilicate glass-ceramics were used and they were divided into 4 groups after 1st, 2nd, 3rd, and 4th heat pressing. The L^*, a^*, and b^* values of all specimens were measured using the VITA Easyshade Advance 4.0. These values was used to determine the ∆E value and transparency. IBM SPSS Statistics ver. 24.0, a statistical significance level of 0.05 and one-way ANOVA were used for all data. Results: In all groups, the L^* and b^* values were the lowest in the specimens subjected to the 4th heat pressing and the corresponding a^* value was the highest. All specimens showed ∆E values of ≤3.3, indicating color changes that were not visible with the naked eye, and the color difference increased with the number of repeated heat pressing. The transparency of all specimens decreased as the number of repeated uses increased. Conclusion: According to the number of repeated heat pressing, the color difference of Rosetta SP (HASSBIO) was larger than that of IPS e.max Press (Ivoclar Vivadent), but it was clinically acceptable in all groups. Moreover, transparency decreased as the number of heat presses increased in all groups. According to the above findings, the lithium disilicate glass-ceramic has high color stability due to repeated heat pressing, implying that it can be used in clinical settings regularly.