• 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.

• 구강회복응용과학지
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• 제31권2호
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• pp.75-85
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• 2015

목적: 이번 연구의 목적은 FRC-포스트와 코어가 색상차이에 따라 구별되는 정도를 비교하는 것이다. 연구 재료 및 방법: 실험을 위해 유사한 크기(${\pm}0.5 mm$)와 길이(${\pm}0.5 mm$)의 발치 한 하악 소구치 9개를 근관 형성하고 충전하였다. 3개의 치근을 체온을 재현하기 위해 $37^{\circ}C$ 물이 흐르는 가는 실리콘 튜브로 감은 후 cold mounting resin에 매몰하여 각 3개의 치근이 매몰된 총 3개의 시편을 제작하였다. 개개의 시편 치근에는 3종류의 $Snowpost^{(R)}$, MACRO-$LOCK^{TM}$ POST $ILLUSION^{TM}$ $XRO^{(R)}$, FRC $Postec^{(R)}$ Plus post를 이용하여 각각의 포스트에 맞게 공간을 형성하고 포스트를 접착하였다. 3개의 시편 별로 $Luxacore^{(R)}$ Dual Blue, $Luxacore^{(R)}$ Dual A3 및 $Filtek^{TM}$ Z350 XT A1E로 코어를 축조, 시편 별로 다른 코어를 사용하였다. 각 시편에 대해 온도를 낮추기 위한 압축공기를 불 때와 안 불 때로 나누어 디지털 이미지를 촬영하였다. 치과의사 50명과 치과대학 대학생 50명 총 100명에게 어떤 포스트가 코어와 가장 구별이 잘되는 지를 설문조사 하였다. 결과: $Luxacore^{(R)}$ Dual Blue에서는 $Snowpost^{(R)}$가, $Luxacore^{(R)}$ Dual A3에서는 $Snowpost^{(R)}$가, $Filtek^{TM}$ Z350 A1E에서는 MACRO-$LOCK^{TM}$ POST $ILLUSION^{TM}$ $XRO^{(R)}$가 구별이 가장 잘되었다. 압축공기를 불어 온도를 내리면 나타나는 MACRO-$LOCK^{TM}$ $ILLUSION^{TM}$ $XRO^{(R)}$의 색은 포스트와 코어의 구별을 더 용이하게 하였다. 결론: FRC-포스트와 복합레진 코어가 구별되는 정도는 색상차이에 따라 다름을 알 수 있었다.

• 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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• 제40권5호
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• pp.493-506
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• 2002

Recently as the esthetic concerns about dental prosthesis have been increased, the nonmetallic post and core systems have been introduced clinically to improve the color and the low optical transmittance of conventional casting metal post and core systems. The purpose of this study was to compare and analyze the optical transmittance and the shade changes of all-ceramic crowns with two nonmetallic post and core systems. The experimental groups were classified as follows : Total 27 specimens(9 samples in each group) were evaluated. Group I : Natural teeth as a control group Group II : CosmoPost and $Empress^{(R)}$ core (Ivoclar-Vivadent, Liechtenstein) Group III : $LIGHT-POST^{TM}$ and $LIGHT-CORE^{TM}$ (Bisco, U.S.A.) In all group, all-ceramic crowns were fabricated with the same shade of IPS $Empress^{(R)}$ II (Ivoclar-Vivadent, Liechtenstein) after abutment preparation, and then two kinds of spectrophotometers, UV 3101 PC (Shimadzu, Japan) and CM 503i (Minolta Co. Ltd. Japan), were used to measure the optical transmittance and the color value. The following results were obtained : 1. The optical transmittance of each group without all-ceramic crowns, was siginificantly decreased in order of Group III, I and II (p<0.05). 2. The optical transmittance of each group with all-ceramic crowns cemented, were siginificantly decreased in order of Group I, II and III (p<0.05). 3. In comparison with the shade of all-ceramic crowns, there were no significant differences between groups regardless of the cementation. 4. In comparison with the shade changes in each group after the cementation of all-ceramic crowns, there were no significant differences between groups. From the above results, it is thought that the selection among materials used in this study doesn't influence greatly the esthetic restoration, because the differences of optical transmittance were so small that those were clinically insignificant.

• The Journal of Advanced Prosthodontics
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• 제9권3호
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• pp.170-175
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• 2017

PURPOSE. The aim of the present study was to evaluate the fracture resistances of zirconia, cast nickel-chromium alloy (Ni-Cr), and fiber-composite post systems under all-ceramic crowns in endodontically treated mandibular first premolars. MATERIALS AND METHODS. A total of 36 extracted human mandibular premolars were selected, subjected to standard endodontic treatment, and divided into three groups (n=12) as follows: cast Ni-Cr post-and-core, one-piece custom-milled zirconia post-and-core, and prefabricated fiber-glass post with composite resin core. Each specimen had an all-ceramic crown with zirconia coping and was then loaded to failure using a universal testing machine at a cross-head speed of 0.5 mm/min, at an angle of 45 degrees to the long axis of the roots. Fracture resistance and modes of failure were analyzed. The significance of the results was assessed using analysis of variance (ANOVA) and Tukey honest significance difference (HSD) tests (${\alpha}=.05$). RESULTS. Fiber-glass posts with composite cores showed the highest fracture resistance values ($915.70{\pm}323N$), and the zirconia post system showed the lowest resistance ($435.34{\pm}220N$). The corresponding mean value for the Ni-Cr casting post and cores was reported as $780.59{\pm}270N$. The differences among the groups were statistically significant (P<.05) for the zirconia group, as tested by ANOVA and Tukey HSD tests. CONCLUSION. The fracture resistance of zirconia post-and-core systems was found to be significantly lower than those of fiber-glass and cast Ni-Cr post systems. Moreover, catastrophic and non-restorable fractures were more prevalent in teeth restored by zirconia posts.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.319-325
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• 2013

PURPOSE. The objective of this study was to determine the effect of the color of a background substructure on the overall color of a zirconia-based all-ceramic crown. MATERIALS AND METHODS. Twenty one posterior zirconia crowns were made for twenty subjects. Seven premolar crowns and six molar crowns were cemented onto abutments with metal post and core in the first and second group. In the third group, eight molar crowns were cemented onto abutments with a prefabricated post and composite core build-up. The color measurements of all-ceramic crowns were made before try-in, before and after cementation. A repeated measure ANOVA was used for a statistical analysis of a color change of all-ceramic crowns at ${\alpha}$=.05. Twenty four zirconia specimens, with different core thicknesses (0.4-1 mm) were also prepared to obtain the contrast ratio of zirconia materials after veneering. RESULTS. $L^*$, $a^*$, and $b^*$ values of all-ceramic crowns cemented either on a metal cast post and core or on a prefabricated post did not show significant changes (P>.05). However, the slight color changes of zirconia crowns were detected and represented by ${\Delta}E{^*}_{ab}$ values, ranging from 1.2 to 3.1. The contrast ratios of zirconia specimens were 0.92-0.95 after veneering. CONCLUSION. No significant differences were observed between the $L^*$, $a^*$, and $b^*$ values of zirconia crowns cemented either on a metal cast post and core or a prefabricated post and composite core. However, the color of a background substructure could affect the overall color of posterior zirconia restorations with clinically recommended core thickness according to ${\Delta}E{^*}_{ab}$ values.

• The Journal of Advanced Prosthodontics
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• 제4권2호
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• pp.103-108
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• 2012

PURPOSE. Debonding of a composite resin core of the fiber post often occurs at the interface between these two materials. The aim of this study was to evaluate the effects of different surface treatment methods on bond strength between fiber posts and composite core. MATERIALS AND METHODS. Sixty-four fiber posts were picked in two groups (Hetco and Exacto). Each group was further divided into four subgroups using different surface treatments: 1) silanization; 2) sandblasting; 3) Treatment with 24% $H_2O_2$, and 4) no treatment (control group). A cylindrical plexiglass matrix was placed around the post and filled with the core resin composite. Specimens were stored in 5000 thermal cycles between $5^{\circ}C$ and $55^{\circ}C$. Tensile bond strength (TBS) test and evaluation using stereomicroscope were performed on the specimen and the data were analyzed using two-way ANOVA, Post Hoc Scheffe tests and Fisher's Exact Test (${\alpha}$=.05). RESULTS. There was a significant difference between the effect of different surface treatments on TBS ($P$ <.001) but different brands of post ($P$=.743) and interaction between the brand of post and surface treatment ($P$=.922) had no significant effect on TBS. Both silanization and sandblasting improved the bonding strength of fiber posts to composite resin core, but there were not any significant differences between these groups and control group. CONCLUSION. There was not any significant difference between two brands of fiber posts that had been used in this study. Although silanization and sandblasting can improve the TBS, there was not any significant differences between surface treatments used.

• 대한치과보철학회지
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• 제43권4호
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• pp.415-425
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• 2005

Statement of problem : Fracture of composite resin core will be occulted by progress of crack. Bonding interface of different materials has large possibility of starting point of crack line. Therefore, the bond strength of glass fiber post to composite resin core is important for prevention of fracture. Purpose: This in vitro study tried to find out how to get the higher strength of glass fiber post to composite resin core through surveying the maximum load that fractures the post and cote complex. Materials and methods: 40 specimens made with glass fiber Posts(Style $post^{(R)}$, Metalor, Swiss) and composite resin core ($Z-100^{(R)}$, 3M, USA) were prepared and loaded to failure with push-out type shear-bond strength test in a universal test machine. The maximum fracture load and fracture mode were investigated in the specimens that were restored with four different surface treatments. With the data. ANOVA test was used to validate the significance between the test groups, and Bonferroni method was used to check if there is any significant statistical difference between each test group. Evely analysis was approved with 95% reliance. Results: On measuring the maximum fracture load of specimens, both the treatments of sandblasted and acid-etched one statistically showed the strength increase rather than the control group (p<0.005). The scanning electric microscope revealed that sand blasting made more micro-retention form not only on the resin matrix but on the glass fiber, and acid-etching contributed to increase in surface retention form, eliminated the inorganic particles in resin matrix. Specimen fracture modes investigation represented that sand blasted groups showed lower bonding failure than no-sand blasted groups. Conclusion: Referring to the values of maximum fracture load of specimens, the bonding strength was increased by sand blasting and acid-etching.

• 대한치과의사협회지
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• 제51권11호
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• pp.595-603
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• 2013

The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

• 대한치과보철학회지
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• 제24권1호
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• pp.55-65
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• 1986

An in vitro study was performed to evaluate adaptation of custom direct, custom indirect, and prefabricated post system on 15 extracted upper central incisors. 15 specimens were prepared and equally devided into 3 groups under random sampling. Each group of 5 cast posts was made with custom direct, custom indirect, and prefabricated post core method. Gap between inner wall of the dentin and outer wall of the cast post was measured on electron microphotographic prints at x500 magnification. The result were as follows ; 1. No significant difference of adaptation at cervical portion was found between each method. 2. Prefabricated post core method had poor adaptation compared with other methods. 3. Even distribution of adaptation was found in custom direct method between each portion. 4. Prefabricated post core method showed remarkable difference in adaptation between each portion.