• 구강회복응용과학지
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• 제29권1호
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• pp.95-101
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• 2013

최근 단시간에 비침윤적 방법으로 심미적인 개선을 바라는 치과 치료에 대한 요구가 증가하고 있다. 환자는 심미성의 한계에도 불구하고 교정, 치주, 신경치료 없이 보철적 치료방법만으로 상악 전치부의 심미적 개선을 원하였다. 이 증례에서는 최근에 소개된 여러 종류의 완전도재수복방법 중에서 변색된 치아를 차단하기 위해 지르코니아를 이용한 수복방법을 선택하였으며, 만족된 결과를 얻었다.

• The Journal of Advanced Prosthodontics
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• 제5권2호
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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.

• 구강회복응용과학지
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• 제28권3호
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• pp.253-268
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• 2012

수직적, 수평적 골흡수가 심한 환자에서 임플란트를 이용한 전악수복의 경우 경조직과 연조직 이식을 통해서 임플란트를 원하는 위치에 식립할 수도 있지만, 치은과 치아의 기능과 심미를 회복할 수 있는 fixed detachable prostheses를 대체 술식으로 사용할 수도 있다. 이러한 증례에서 다양한 재료가 수복물의 제작에 사용 가능하지만, metal/acrylic 보철물에서는 레진치아의 파절 및 탈락이 일어날 수 있고, metal/ceramic 혹은 zirconia/ceramic 보철물에서는 도재의 chipping이나 파절과 같은 문제가 발생할 수 있다. 이에 최근에 심미적이면서도 기능적인 보철수복을 위해 zirconia에 도재를 축성하지 않고 임상적으로 적용가능한 monolithic zirconia framework이 출시되어 사용되고 있다. 본 임상 증례는 심미적인 요구도가 높은 완전 무치악 환자에서 임플란트를 식립하고 chipping이나 파절의 위험을 감소시키기 위해 monolithic zirconia framework을 이용해 만들어진 complete fixed detachable 보철물을 이용한 수복에 대해 보고하고자 한다. 이번 증례에서 보철물은 심미적, 기능적으로 만족스러웠으며, 2년 간의 정기검사에서 임상적인 합병증은 보고되지 않았다.

• 대한치과기공학회지
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• 제33권4호
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• pp.299-306
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• 2011

Purpose: This study aimed to investigate the shear bond strength by manufacturing the veneering porcelain on the IPS e.max $ZirCAD^{(R)}$ zirconia core, using the layering technique and heat-pressing technique, and to evaluate the clinical stability by comparing to the conventional metal ceramic system. Methods: The Schmitz-Schulmeyer test method was used to evaluate the core-veneer shear bond strength of zirconia core ceramic(IPS e.max $ZirCAD^{(R)}$) and their manufacture recommended two veneering ceramic systems(IPS e.max $ceram^{(R)}$, IPS e. max $ZirPress^{(R)}$). A metal ceramic system(Bellabond $plus^{(R)}$, VITA $VM13^{(R)}$) was used as a control group for the two all ceramic system test groups. The maximum loading and shear bond strength was measured. The average shear strength(MPa) was analyzed with the one-way ANOVA and the Tukey's test(${\alpha}$=.05). The fracture specimens were examined using Microscope to determine the failure pattern. Results: The mean shear bond strengths(SD) in MPa were MBSB control 43.62(2.13); ZBSB 18.65(1.76); ZPSB 18.89(1.54). The shear strengths of the zirconia cores were not significantly different(P>.05). Microscope examination showed that zirconia specimens presented mixed failure, and base metal alloy specimens showed adhesive failure. Conclusion: There was no siginificant different between the layering technique and the heat pressing technique in the veneering methods on the zirconia cores. None of the zirconia core and veneering ceramics could attain the high bond strength values of the metal ceramic combination.

• 대한치과기공학회지
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• 제33권1호
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• pp.37-45
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• 2011

Purpose: Heat pressed ceramics, used for all ceramic restorations, have the additional advantage of being technically less change through using of the lost-wax technique. Conceptually, combining the ceramic with the clinically proven reinforcing ability of a metal framework would be advantageous; however, cause of mismatching of fusion between ceramics and metal frameworks which from differences of casting temperature and coefficient of thermal expansion, pressed ceramics could not be used with a metal framework. The purpose of this study was to compare shear bond strength of press-to metal ceramic to porcelain fused non precious metal and feldspatic porcelain fused non precious metal. Methods: The 30 metal specimens were casted in a porcelain fused non precious metal nickel-chromium alloy. They were divided into 3 groups by surface treatment and applied ceramic: $125{\mu}m$ aluminium oxide sandblasting and veneered feldspatic porcelain (group FP), $125{\mu}m$ aluminium oxide sandblasting and had press-to-metal ceramic applied (group PC), porcelain bonder (gold bonder) fused on surface of metal specimens and had press-to-metal ceramic applied (group PCG). In each group 10 metal specimens were used. The press-to-metal ceramic applied 20 specimens had ash-free wax pattern applied, the metal-wax complexes invested, and were pressed with heat press ceramic. All specimens were subjected to shear bond strength test at a crosshead speed of 1.0 mm/min. Results: The results of measured in Mean SD and data were analyzed by one-way AVOVA (p= .05) and Tukey HSD test (p= .05).: group FP $16.090{\pm}1.841$ MPa, group PC $12.620{\pm}1.8256$ MPa, group PCG $10.920{\pm}0.9283$, significant differences between all groups (p < .05). Significant differences were found in each between group FP and group PC, group FP and group PCG (p < .05). Conclusion: The shear bond strength of press-to-metal ceramic to porcelain fused non precious metal was described higher in unused gold bonder group than used gold bonder groups.

• 대한치과기공학회지
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• 제25권1호
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• pp.9-20
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• 2003

Using a nickel-chrome casting alloy called 'Rexillium V' which is also available as base metal alloy for dental ceramic crown, 4 types of mixtures(A, B, C, D) with old and new metal were prepared for cyclic casting. The results of cyclic casting can be outlined as follows: 1. For Vickers hardness after casting, specimen A and D tended to have lower hardness in the course of cyclic casting, while specimen B and C tended to higher hardness. 2. The results of X-ray diffraction analysis showed that major crystal phase contained nickelchrome compounds and carbide. 3. The observation results of SEM photographs after cyclic casting show that there was a significant tendency to have similar structures among experimental groups. 4. The results of EDX analysis after cyclic casting showed that there were little differences in chemical composition between parent metal and base metal alloy. Although industrial nickel-chrome cast alloy did not show any significant change in material properties even through cyclic casting over several times, it is recommended that more there be more in-depth studies on how to detect any potential corrosion, discoloration and toxication of dental ceramic crown implanted in patient's oral cavity.

• 한국세라믹학회지
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• 제41권2호
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• pp.143-150
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• 2004

본 연구에서는 치아 수복에 사용되는 상용 글라스 세라믹들을 디스크 모양으로 열가압 성형하여 ball-on-3-bal에 의한 이축강도와 압입시험에 의한 파괴인성을 측정하였다. 시편들로부터 XRD, SEM, TEM을 이용하여 결정상과 미세구조를 분석하였다. 글라스 세라믹내의 결정들은 균열의 진행에 대하여 효과적인 저지를 하지 못하였으나 높은 결정화도가 기계적 성질의 향상에 기여하는 것으로 판단된다. Lithium disilicate결정의 글라스 세라믹은 상대적으로 결정함량이 낮은 leucite 세라믹에 비하여 유의하게 높은 이축강도와 파괴인성을 나타내어 치과용 글라스 세라믹으로서 높은 신뢰성이 기대된다.

• 대한치과의사협회지
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• 제58권7호
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• pp.448-459
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• 2020

In addition to extensive research on polymer and metal three-dimensional (3D) printing, ceramic 3D printing has recently been highlighted in various fields. The biggest advantage of 3D printing has the ability to easily create any complex shape. This review introduces the 3D printing technology of ceramics according to the type of material and deals with the latest related research in the industrial field including the biomedical engineering field. Finally, the future of ceramic 3D printing technology available in dentistry will be discussed.

• 한국세라믹학회지
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• 제37권3호
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• pp.288-293
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• 2000

Effects of contact damage and residual stress for two kinds of dental restorative layered ceramics, porcelain/alumina and porcelain/zirconia bilayers, were observed with Hertzian and Vickers indentation methods. Indentation stress-strain behavior of each material, strength degradation of the coating material, and crack propagation behavior in the coating layer after Vickers indentation were examined by an optical microscope. As a result, porcelain as coating materials showed the classical brittleness. It was inferred that damage and strength in two bilayer system were dependent on thermal expansion mismatch between the coating material and the substrate, which affected the strength degradation. Residual stress resulting from thermal expansion mismtch was formed in the coating layer, and specially in the case of porcelain/zirconia, residual stress was eliminated as coating thickness decreased.

• 대한치과의사협회지
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• 제36권4호통권347호
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• pp.300-306
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• 1998