• The Journal of Korean Academy of Prosthodontics
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• v.51 no.1
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• pp.47-51
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• 2013

With the introduction of dental implants, restoration of missing teeth with conventional fixed or removable partial dentures is being replaced with implants. Especially, with young patients, not only longevity but also esthetic factors need to be considered. Implant restorations provide long-term success functionally but, esthetic complications such as, marginal exposure due to gingival recession, loss of the papilla and dark color of metal abutments may occur. Recently, zirconia restorations with CAD/CAM technology provide functional, biocompatible and esthetic restorations possible. All-ceramic restorations using the pressed ceramic technique show better fracture toughness values than those of the conventional porcelain veneering technique. Pressed ceramic technique creates the veneer design in wax and the lost wax technique is used to create the restoration. The final contour of the restoration may be controlled during wax-up. A 22-year old female patient was restored with dental implants and zirconia restorations using the pressed ceramic technique presenting short-term but optimistic prognosis.

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.4
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• pp.409-419
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• 2008

Statement of problem: At all times people have tried to fabricate tooth restorations using tooth colored materials. Recently, demands for esthetics, even in restorations requiring strength, has brought a revolution to dentistry and increased use of zirconia. The basic color of zirconia is white to ivory. The color can be partially adapted by veneering it with ceramic materials. However, it would be better if the substructure could already be adapted to the basic color shade of neighboring teeth. By adaptation to the basic shade, it can help to reduce the necessary layer thickness of the veneer ceramic to achieve the desired color. Purpose: The purpose of this study was to spectrophotometrically evaluate the influence of shading of zirconia core on the final shade of all-ceramic restorations using the CIE $L^{*}a^{*}b^{*}$ system. Material and methods: Core specimens (n = 20 per group) of Lava Frame Zirconia, KaVo Everest Zirconia, Digident CAD/CAM Zirconia were fabricated at 20 mm in diameter and 0.5 mm in thickness. Halves of each groups were shaded in A3 color. These core specimens were veneered with A3 porcelain of the recommended manufacturer at thickness of 0.5 mm. CIE $L^{*}a^{*}b^{*}$ coordinates were recorded for each specimen with a spectrophotometer (Model CM-2600d, Minolta, Japan) at 0.5 mm, 0.4 mm, 0.3 mm in thickness. Color differences were calculated using the equation ${\Delta}E^{*}=[({\Delta}L^{*})2+({\Delta}a^{*})2+({\Delta}b^{*})2]1/2$. Results: 1. In the case where porcelain layer has a thickness of 0.5 mm, Lava Frame Zirconia and KaVo Everest group did not show clinically perceived color difference, however Digident CAD/CAM Zirconia group showed clinically perceived color difference according to shade allowed on core. 2. When the thickness of porcelain layer decreased from 0.5 mm to 0.4 mm, Lava Frame Zirconia and KaVo Everest group did not show clinically perceived color difference, on the other hand Digident CAD/CAM Zirconia group showed clinically perceived color difference according to shade allowed on core. 3. When the thickness of porcelain layer decreased from 0.5 mm to 0.3 mm, clinically perceived color differences were observed from all three groups. Conclusions: Ziroconia system, which is possible to allow shade on core, are thought to be much more favorable to reproduce natural shade compared to systems that is impossible to give shade. Therefore, clinicians ought to choose adequate system for certain clinical situation by considering above specific character.

• Journal of Technologic Dentistry
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• v.35 no.3
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• pp.185-192
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• 2013

Purpose: The aim of this study was to compare with color reproducibility of the coating method and dipping method using a colour liquid. Methods: Two groups of square-shaped specimens ($10mm{\times}10mm$ in diameter, 1.5mm thickness) were prepared for analysis(n=15/group). The CM(Coating Method) group was fabricated as full zirconia specimens with the coating coloring method and Group DM(Dipping Method) was prepared as specimens of 0.7 mm-thick zirconia plate using the dipping coloring method and veneered with 0.8mm-thick porcelain. Color parameters were measured with ShadeEye $NCC^{(R)}$ spectrophotometer and color differences were calculated using the equation ${\Delta}E^*= \{({\Delta}L^*)^2+({\Delta}a^*)^2+({\Delta}b^*)^2\}^{1/2}$. Non-parametric statistical methods, the Mann-Whitney test, and the Kruskal-Wallis test were used to analyze the data. Type one error rate was set at 0.05. Results: Color difference values larger than 7 were observed between specimens with the coating method and the dipping method, which were detectable difference in a clinical setting. Conclusion: Cautious application of the coating coloring method in a clinical setting and further researches to standardize the coating method are needed.

• Journal of Technologic Dentistry
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• v.36 no.2
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• pp.83-89
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• 2014

Purpose: This study is to evaluate the effect of modeling liquid on the shear-bond strength between zirconia core and veneering ceramic. Methods: Disk-shaped (diameter: 12.0mm; height: 3.0mm) zirconia were randomly divided into six groups according to the surface conditioning method and whether modeling liquid is used or not to be applied (N=60, n=10 per group): group 1-control group with distilled water(ZD); group 2-control group with modeling liquid(ZM); group 3-airborne particle abrasion with $110-{\mu}m$ $Al_2O_3$(AD) with distilled water; group 4-airborne particle abrasion with $110-{\mu}m$ $Al_2O_3$ with modeling liquid(AM); group 5-liner with distilled water(LD); group $6{\pounds}{\neq}liner$ with modeling liquid(LM). Contact angles were determined by the sessile drop method at room temperature using a contact angle measurement apparatus. The specimens were prepared using dentin veneering ceramics, veneered, 3mm high and 2.8mm in diameter, over the cores. The shear bond strength test was performed in a Shear bond test machine. Load was applied at a cross-head speed of 0.50mm/min until failure. The fractured zirconia surfaces were evaluated by using stereomicroscope (${\times}30$). Collected data were analyzed using SPSS(Statistical Package for Social Sciences) Win 12.0 statistics program. Results: ZD showed the highest contact angle($50.6{\pm}5.4^{\circ}$) and LD showed the lowest value($6.7{\pm}1.3^{\circ}$). Control groups and zirconia liner groups were significantly higher contact angle than liner groups(p<0.05). LD was the highest shear bond strength($43.9{\pm}3.8MPa$) and ZD was the lowest shear bond strength($24.8{\pm}4.9MPa$). Shear bond strengths of control groups and contact angle of liner groups were not significantly different((p>0.05). Liner groups presented adhesive failures. The others groups showed cohesive and adhesive failures. Conclusion: Modeling liquid groups showed lower contact angles and lower shear bond strength compared to those of distilled water groups.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.2
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• pp.114-119
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• 2011

The aim of this study was to investigate effect of specimen preparation method on the microtensile bond strength of veneering ceramic to zirconia core. Materials and methods: Cylindrical Lava zirconia block (3M ESPE, Seefeld, Germany) was cut into discs using a diamond disc. After sintering, the core specimens were placed in an adjustable mold and veneered with Lava ceram (3M ESPE, Seefeld, Germany). The disc shaped specimen of group 1 was cut into microbars ($1{\times}1{\times}7\;mm^3$) using a low speed diamond disc under water cooling (n = 15). The specimen of group 2 was cut into microbars ($1.2{\times}1.2{\times}7\;mm^3$) in the same way. Whereafter the microbars were trimmed ($1{\times}1{\times}7\;mm^3$) using a thick diamond disc under water cooling (n = 15). The microtensile bond strength was tested in a microtensile tester (Instron 8848, $Instron^{(R)}$ Co., Norwood, USA). Fractured microtensile specimens were analyzed under a stereomicroscope (MZ6, Leica Microsystems GmbH, Wetzlar, Germany) at magnification ${\times}30$. Results: The microtensile bond strength of group 1 ($28.8{\pm}7.0\;MPa$) was significantly higher than group 2 ($11.0{\pm}33\;MPa$) (P=.00). Conclusion: It appears advisable to avoid the trimming action, especially high strength ceramic specimens.