• 구강회복응용과학지
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• 제18권4호
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• pp.313-320
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• 2002

The purpose of the present study was to evaluate the marginal discrepancy and topography of artificial crown on teeth extracted due to severe periodontal disease. Twenty specimens were invested into metamethylacrylate resin and cutted into vertical slices along with the long axis of tooth. The selected marginal discrepancy between the outer edge of the crown and the finishing line of abutment was examined by stereo- microscope(Olympus, PM-VSP-3, Japan) at magnification of up to 10, and the topography of finishing margin on crown was observed by stereomicroscopeat magnification of up to $70{\times}$. The results were as follows. (1) The mean marginal discrepancy between extracted tooth and artificial crown were $50.82{\mu}m$. (2) There was a considerable difference in the microstructure of finishing margins among specimens. Microscopic Structure on finishing margin showed indefinite line, poor fit (open, underextended and overextended), distorted margin, and surface roughness. This study suggested that there could be necessary to consider the response of periodontium to the emergence profile of natural tooth and precision of marginal geometry while establishing treatment planning for the reconsruction of the artificial crown.

• The Journal of Advanced Prosthodontics
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• 제10권3호
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• pp.236-244
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• 2018

PURPOSE. To determine the discrepancy in monolithic zirconium dioxide crowns made with computer-aided design and computer-aided manufacturing (CAD/CAM) systems by comparing scans of silicone impressions and of master casts. MATERIALS AND METHODS. From a Cr-Co master die of a first upper left molar, 30 silicone impressions were taken. The 30 silicone impressions were scanned with the laboratory scanner, thus obtaining 30 milled monolithic yttrium stabilized zirconium dioxide (YSZD) crowns (the silicone group). They were poured and the working models were scanned, obtaining 30 milled monolithic yttrium stabilized zirconium dioxide (YSZD) crowns (the plaster group). Three predetermined points were analyzed in each side of the crown (Mesial, Distal, Vestibular and Palatal), and the marginal fit was evaluated with SEM (${\times}600$). The response variable is the discrepancy from the master model. A repeated measures ANOVA with two within subject factors was performed to study significance of main factors and interaction. RESULTS. Mean marginal discrepancy was $22.42{\pm}35.65{\mu}m$ in the silicone group and $8.94{\pm}14.69{\mu}m$ in the plaster group. The statistical analysis showed significant differences between the two groups and also among the four aspects. Interaction was also significant (P=.02). CONCLUSION. The mean marginal fit values of the two groups were within the clinically acceptable values. Significant differences were found between the groups according to the aspects studied. Various factors influenced the accuracy of digitizing, such as the design, the geometry, and the preparation guidance, as well as the texture, roughness and the color of the scanned material.

• The Journal of Advanced Prosthodontics
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• 제10권5호
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• pp.347-353
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• 2018

PURPOSE. The purpose of this study was to evaluate the marginal discrepancy of heat-pressed ceramic veneers manufactured using a CAD/CAM system. MATERIALS AND METHODS. The ceramic veneers for the abutment of a maxillary left central incisor were designed using a CAD/CAM software program. Ten veneers using a microstereolithography apparatus (AM group), ten veneers using a five-axis milling machine (SM group), and ten veneers using a traditional free-hand wax technique (TW group) were prepared according to the respective manufacturing method. The ceramic veneers were also fabricated using a heat-press technique, and a silicone replica was used to measure their marginal discrepancy. The marginal discrepancies were measured using a digital microscope (${\times}160$ magnification). The data were analyzed using a nonparametric Kruskal-Wallis H test. Finally, post-hoc comparisons were conducted using Bonferroni-corrected Mann-Whitney U tests (${\alpha}=.05$). RESULTS. The $mean{\pm}SD$ of the total marginal discrepancy was $99.68{\pm}28.01{\mu}m$ for the AM group, $76.60{\pm}28.76{\mu}m$ for the SM group, and $83.08{\pm}39.74{\mu}m$ for the TW group. There were significant differences in the total marginal discrepancies of the ceramic veneers (P<.05). CONCLUSION. The SM group showed a better fit than the AM and TW groups. However, all values were within the clinical tolerance. Therefore, CAD/CAM manufacturing methods can replace the traditional free-hand wax technique.

• The Journal of Advanced Prosthodontics
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• 제7권4호
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• pp.271-277
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• 2015

PURPOSE. This study was to evaluate the marginal fit of two CAD-CAM anatomic contour zirconia crown systems compared to lithium disilicate glass-ceramic crowns. MATERIALS AND METHODS. Shoulder and deep chamfer margin were formed on each acrylic resin tooth model of a maxillary first premolar. Two CAD-CAM systems (Prettau$^{(R)}$Zirconia and ZENOSTAR$^{(R)}$ZR translucent) and lithium disilicate glass ceramic (IPS e.max$^{(R)}$press) crowns were made (n=16). Each crown was bonded to stone dies with resin cement (Rely X Unicem). Marginal gap and absolute marginal discrepancy of crowns were measured using a light microscope equipped with a digital camera (Leica DFC295) magnified by a factor of 100. Two-way analysis of variance (ANOVA) and post-hoc Tukey's HSD test were conducted to analyze the significance of crown marginal fit regarding the finish line configuration and the fabrication system. RESULTS. The mean marginal gap of lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) was significantly lower than that of the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) (P<.05). Both fabrication systems and finish line configurations significantly influenced the absolute marginal discrepancy (P<.05). CONCLUSION. The lithium disilicate glass ceramic crown (IPS e.max$^{(R)}$press) had significantly smaller marginal gap than the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia). In terms of absolute marginal discrepancy, the CAD-CAM anatomic contour zirconia crown system (ZENOSTAR$^{(R)}$ZR translucent) had under-extended margin, whereas the CAD-CAM anatomic contour zirconia crown system (Prettau$^{(R)}$Zirconia) and lithium disilicate glass ceramic crowns (IPS e.max$^{(R)}$press) had overextended margins.

• 대한치과보철학회지
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• 제49권2호
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• pp.101-105
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• 2011

연구 목적: 본 연구에서는CAD/CAM (computer-aided design / computer-aided manufacturing) 시스템으로 제작된LAVA (3M ESPE, Seefeld, Germany) 3-unit bridge와 통상적인 방법으로 제작된 PFG 3-unit bridge의 변연 적합도를 비교 분석해 보고자 한다. 연구 재료 및 방법: 레진치를 전부 도재관을 위한 삭제를 시행하고 인상 채득하여 레진 모형 (Exakto-form model resin, Bredent, Senden, Germany)을군당10개씩 제작하였다. 레진 모형의 인상을 채득하여 석고 모형을 제작하고 PFG, LAVA 3-unit bridge를 10개씩 제작하였다. 제작된 bridge를 레진 모형에 접착하고 실체 현미경(Stereoscopic microscope, Nikon DS-Fi 1, Nikon, Japan)을 사용하여 각 치아당 4점에서 변연 적합도를 측정하였다 (${\times}75$). 측정된 결과는 independent t-test로 통계 분석하였다 (${\alpha}$ = 0.05). 결과: 각 군에서 변연 적합도의 평균과 표준편차는 PFG bridge 중절치에서는 $97.1{\pm}18.7\;{\mu}m$, 견치에서는 $76.6{\pm}21.8\;{\mu}m$, LAVA bridge 중절치에서는 $90.4{\pm}26.7\;{\mu}m$, 견치에서는$110.2{\pm}30.2\;{\mu}m$ 이었다. PFG 3-unit bridge와LAVA 3-unit bridge에서 중절치에서는 통계적 유의성이 없었고, 견치에서는LAVA의 변연 간격이 큰 것으로 나타났다 (P<.05). 결론: PFG 3-unit bridge와 LAVA 3-unit bridge 두 군 모두 임상적으로 받아들여질 만한 변연 적합도를 보였다.

• The Journal of Advanced Prosthodontics
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• 제8권6호
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• pp.439-448
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• 2016

PURPOSE. The purposes of this study are to evaluate the internal and marginal adaptation of two widely used CAD/CAM systems and to study the effect of porcelain press veneering process on the prosthesis adaptation. MATERIALS AND METHODS. Molar of a lower jaw typodont resin model was prepared by adjusting a 1.0 mm circumferential chamfer, an occlusal reduction of 2.0 mm, and a $5^{\circ}$ convergence angle and was duplicated as an abrasion-resistant master die. The monolithic crowns and copings were fabricated with two different CAD/CAM system-Ceramil and Zirkonzahn systems. Two kinds of non-destructive analysis methods are used in this study. First, weight technique was used to determine the overall fitting accuracy. And, to evaluate internal and marginal fit of specific part, replica technique procedures were performed. RESULTS. The silicone weight for the cement space of monolithic crowns and copings manufactured with Ceramil system was significantly higher than that from Zirkonzahn system. This gap might cause the differences in the silicone weight because the prostheses were manufactured according to the recommendation of each system. Marginal discrepancies of copings made with Ceramil system were between 106 and $117{\mu}m$ and those from Zirkonzahn system were between 111 and $115{\mu}m$. Marginal discrepancies of copings made with Ceramil system were between 101 and $131{\mu}m$ and those from Zirkonzahn system were between 116 and $131{\mu}m$. CONCLUSION. Marginal discrepancy was relatively lower in Ceramil system and internal gap was smaller in Zirkonzahn system. There were significant differences in the internal gap of monolithic crown and coping among the 2 CAD/CAM systems. Marginal discrepancy produced from the 2 CAD/CAM systems were within a reported clinically acceptable range of marginal discrepancy.

• 대한치과의사협회지
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• 제54권5호
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• pp.328-341
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• 2016

An overall reduction in the horizontal and vertical dimensions occurs following tooth extraction and the resorption of the buccal part of the ridge is more pronounced than the lingual part. Thus, the resulting morphology of the healed alveolar ridge is often presenting with a discrepancy in bone height between the buccal and lingual aspects of the ridge. The implant with a sloped marginal configuration that is designed to match the sloped contour of the alveolar ridge provides the opportunity to maintain the buccal-lingual bone discrepancy and soft tissue around the implant. This paper introduces the OsseoSpeed TX Profile implants with sloped marginal configuration and explains the characteristics and clinical meanings of those implants.

• 대한치과보철학회지
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• 제43권3호
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• pp.306-313
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• 2005

Statement of problem. There have been many studies about marginal discrepancy of single restorations made by various systems and materials. But most of statistical inferences are not definite because of sample size, measurement number, measuring , instruments, etc. And there have been few studies about the marginal fit of Computer-aided Cercon crowns. Purpose. The purpose of this study was to compare the marginal fit of the anterior single restorations made using computer-aided milled Cercon crowns with metal-ceramic restorations and to obtain more accurate information by using a large enough sample size and by making sufficient measurements per specimen. Material and methods. The in vitro marginal discrepancies of computer-aided milled Cercon crowns and control groups (metal ceramic crowns) were evaluated and compared. The crowns were made from one extracted maxillary central incisor prepared by milling machine. 30 crowns per each system were fabricated. Measurements of a crown were recorded at 50 points that were randomly selected for marginal gap evaluation. Parametric statistical analysis was performed for the results. Results. The means and standard deviations of the marginal fit were 85$\pm$22$\mu$m for the control group and 91$\pm$15$\mu$m for the Cercon crowns. The t-test of the marginal discrepancies between Cercon crowns and metal-ceramic crowns were performed. Significant differences were not found between groups (P=0.230>.05). Based on the criterion of 120$\mu$m as the limit of clinical acceptability, the mean marginal fits of Cercon crowns and metal-ceramic crowns were acceptable. Conclusion. Within the limitations of this in vitro study, the following conclusions were drawn: 1. Mean gap dimensions and standard deviations at the marginal opening for maxillary incisal crowns were 85$\pm$22$\mu$m for the control (metal-ceramic crowns), 91$\pm$15$\mu$m for Cercon crowns. 2. The Cercon crowns showed slightly larger marginal gap discrepancy than the control but marginal gap between Computer-aided milled Cercon crowns and metal ceramic crowns did not showed significant difference (P>.05). 3. The Cercon crowns and metal ceramic crowns showed clinically acceptable marginal discrepancy.

• 대한치과보철학회지
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• 제36권6호
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• pp.832-845
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• 1998

The purpose of this study was to compare the marginal fit of all ceramic crowns prepared from alumina slip casting, which is consistent with the conventional In-ceram system, and those fabricated from alumina tapes which is currently under development in an effort to alleviate complexities involved in the forming procedure of the In-ceram crown core. All ceramic crowns, made of In-ceram(slip casting) and alumina tapes(Doctor blade casting), were prepared with $90^{\circ}\;and\;135^{\circ}$ shoulder margins. The crowns were cemented with a glass ionomer cement and embeded in epoxy resin. The embedded crowns were sectioned faciolingually and mesiodistally and marginal discrepancies and marginal gaps were measured under the Measurescope MM II. The measurements were analyzed using Wilcoxon rank sum test and Kruskal-Wallis test and the results were as follows: 1. In the case of $90^{\circ}$ shoulder margin, the combined marginal discrepancies and marginal gaps were $78.3{\mu}m\;and\;44.4{\mu}m$ respectively, for the all ceramic crowns fabricated using the alumina tapes. In comparison, the values were $65{\mu}m\;and\;25.5{\mu}m$ for the In-ceram crowns. For the marginal gaps a statistical difference existed (p<0.05) but no significant difference was observed for the marginal discrepancy (p>0.05). 2. In the case of $135^{\circ}$ shoulder margin, the combined marginal discrepancy and marginal gaps were $82.1{\mu}m\;and\;40.2{\mu}m$ respectively, for the all ceramic crowns formed with the tapes. As compared with the marginal discrepancy and gaps of the $90^{\circ}$ shoulder margin in the fabricated from the alumina tapes, no significant statistical differencies were discerned in both cases (p>0.05). 3. There was no statistically significant difference in the fits among four locations around the margins of the all ceramic crowns fabricated using the alumina tapes. The results obtained in this study showed that the marginal fits of the glass infiltrated alumina cores fabricated from the alumina tapes are slightly higher value than those prepared using the In-ceram but the difference is within a clinically acceptable range.

• 대한치과보철학회지
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• 제44권3호
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• pp.275-283
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• 2006

Statement of problem. There have been many studies about marginal discrepancy of single restorations made by various systems and materials. However most of the statistical inferences are not definite because of sample size, measurement number, measuring instruments, etc, and there have been few studies about the marginal fit of the Digident CAD/ CAM zirconia ceramic crowns. Purpose. The purpose of this study was to compare the marginal fit of the anterior single restorations made by using the Digident CAD / CAM zirconia ceramic crowns with metal-ceramic restorations and to obtain more accurate information by using a large enough sample size and by making sufficient measurements per specimen. Material and Methods. The crowns were made from one extracted maxillary central incisor pre-pared with a 1mm shoulder margin and $6^{\circ}$ taper walls by milling machine. The in vitro marginal discrepancies of the digident CAD / CAM zirconia ceramic crowns and control groups(metal ceramic crowns) were evaluated and compared. Twenty crowns per each system were fabricated. Measurements of a crown were recorded at 50 points that were randomly selected for marginal gap evaluation. Parametric statistical analysis was performed for the results. Conclusion. Within the limitations of this in vitro study, the following conclusions were drawn: 1. Mean gap dimensions and standard deviations at the marginal opening for maxillary incisal crowns were $88{\pm}10{\mu}m$ for the control (metal-ceramic crowns), $92{\pm}4{\mu}m$ for Digident CAD / CAM zirconia ceramic crowns. 2. Marginal gap between Digident CAD / CAM zirconia ceramic crowns and metal ceramic crowns did not show significant difference (P>.05). 3. The Digident CAD/ CAM zirconia ceramic crowns and metal ceramic crowns showed clinically acceptable marginal discrepancy.