• 대한치과보철학회지
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• 제60권3호
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• pp.293-300
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• 2022

최근 현대인들의 심미적인 치과 치료에 대한 관심이 증가하고 있고, 이와 관련된 다양한 재료와 수복물이 소개되고 있다. 특히 지르코니아는 우수한 강도와 내마모성을 지니며 생체친화성이 있다. 이러한 장점에도 불구하고, 지르코니아의 불투명한 백색으로 인해 전치부 수복치료시 심미적인 한계점이 있다. 최근 색조를 부여한 지르코니아 블록과 투명성이 높은 지르코니아 블록 및 다층 지르코니아 블록 등 다양한 지르코니아 블록이 개발되면서 단일 구조 지르코니아의 활용 범위가 확대되고 있다. 본 증례는 상악 전치부 보철물을 제작을 위해 단색의 Monolithic Zirconia를 이용하여 소결 전에 착색 용액을 도포하여 최종 수복물의 색조를 자연스럽게 재현하였다. 심미 보철 수복 치료시 착색용액을 이용한 지르코니아 사용을 통해 환자와 술자 모두 만족하는 심미적 보철물을 제작하였기에 이를 보고하는 바이다.

• Restorative Dentistry and Endodontics
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• 제27권6호
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• pp.622-631
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• 2002

To understand the recent characteristics of the papers published in the Journal of Korean Academy of Conservative Dentistry(JKACD), All the papers in the JKACD of 1992 to 2001 were analyzed. A total of 513 papers were classified according to its type, fold and subject of the study, school and the number of authors, references, and written language. The results were as follows ; 1 According to the type of the paper, 506(98.6%) were original articles, 3(0.6%) were review articles, and 4(0.8%) were case reports. 2. Anual proportion of papers in the fold of operative dentistry was similar to that of endodontics 3. In the field of operative dentistry, esthetic restorative materials and bonding to tooth constituted major subjects of the studies. In the field of endodotics, pulp biology was prominent and canal shaping, endodontic microbiology and canal obturation were steadily reported. 4. According to author's school, similar number of papers were published in the field of operative den tistry and endodontics in general. However, some schools showed preponderances. 5. Most studies were done by two or more authors. Studies published by two authors were most 6. Fifty(9.7%) papers were done in collaboration with workers of the other field. 7. Average number of references cited in the papers was 41.2, including domestic references of 1.8. 40.7% of the papers was shown to cite no domestic papers at all. 8. Twenty-eight(5.5%) papers were written in English, with increasing ratio.

• 대한치과보철학회지
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• 제42권5호
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• pp.535-543
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• 2004

Purpose: The purpose of this study is to compare the effect of two fiber post systems and one metal cast post system on the fracture strength and fracture pattern of crowned, endodontically treated teeth with 2 mm-height of the reamining tooth structure. Materials and methods: A total of 36 recently extracted sound human mandibular premolars were selected Each tooth structure of the crown portion except 2mm-height of the one above the cementoenamel junction was removed. After being endodontically treated, they were randomly distributed into 3 groups: group 1, restored with quarts fiber post(D.T. Light-Post), group 2, with glass fiber post(FRC Postec), and group 3, metal cast post and core. All teeth were fully covered with nonprecious metal crowns. Each specimen was embedded in an acrylic resin block and then secured in a universal load-testing machine. A compressive load was applied at a 130 degree angle to the long axis of the tooth until fractured, at a crosshead speed 20mm/min. The highest fracture loads were measured and recorded as the fracture strength of each specimen. Fracture areas were measured on the mid-buccal and mid-lingual point from the crown margins. One-way analysis of variance and Turkey test were used to determine the statistic significance of the different fracture loads and areas among the groups (p<0.05). Results: The mean fracture loads were $1391{\pm}$425N(group 1), $1458{\pm}476N$(group 2) and $1301{\pm}319N$(group 3). The fracture loads among the three groups had no statistically signifiant difference (p>.05). The mean fracture area of the fiber post was closer to the crown margin than that of the metal cast post and core(p<.05). The metal cast post showed unrestorable and catastrophic fracture patterns. Conclusion: Within the limitations of this study, fracture loads with any statistically significant difference were not recorded for endodontically treated teeth restored with two fiber posts and the metal cast post. But teeth restored with the fiber posts typically showed the fracture pattern close to the crown margin, which was almost restorable.

• 구강회복응용과학지
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• 제18권4호
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• pp.289-299
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• 2002

The bond strength is one of the most important factor in establishing long-term success of esthetic restorative dentistry. So, various restorative materials have been introduced to improve the esthetic and physical properties. Ormocer (organically modified ceramic) was developed as a result of such efforts. This study was performed to compare the shear bond strength of ormocer based adhesive with that of existing dentin adhesive. In this study $Admira^{(R)}$ and $Admira^{(R)}$ bond of the ormocer system are grouped together for ADM, Single $Bond^{(R)}$ which is an one-bottle adhesive and Z-250TM which is hybrid composite resin of BIS-GMA system for SIN, and $Definite^{(R)}$ of ormocer and Etch & $Prime^{(R)}$ 3.0 which is a self etching priming/ bonding agent for ETC. The results of this study were as follows. : (1) In the comparison of shear bond strength according to different adhesive system, shear bond strength was increased in the order of ETC group, SIN group, ADM group. There was no significant difference between ADM group and SIN group. However, there was a significant level of difference between ADM and ETC groups as well as SIN and ETC groups( p<0.05). (2) Examination by a scanning electron microscope showed a well established hybrid layer and resin tag in both ADM group and SIN group, while ETC group showed a minimal formation of the hybrid layer when compared with ADM and SIN groups. From the above results, it may be reasonable to start the clinical application of ormocer system, and it is recommended that ormocer system should be used along with an ormocer based adhesive because ormocer system showed the lower shear bond strength when it used with other existing self etching priming/bonding agent. The self etching priming/bonding agent showed relatively low shear bond strength, and it is considered that the further study should be needed.

• 대한치과보철학회지
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• 제19권1호
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• pp.47-54
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• 1981

Dental porcelains are widely used for restorative material because of its excellent esthetic property. But according to contact with natural teeth or metal in oral cavity, the porcelain may be worn and may effect on masticatory physiology and prosthetic function. The purpose of this experiment was to study on wear of porcelain surface which treated in different method. Using the abrasion device which was designed and constructed by myself, the different porcelain surface were abraded by gold alloy, nickel-chrome alloy and natural teeth in order to compare roughness. Results were as follows. 1. The group of porcelain abraded by gold alloy showed less surface roughness change (t=2.92, p<0.05), and the group of porcelain abraded by natural teeth had high surface roughness. change (t=6.84, p<0.05). 2. According to the method of surface treatment, the surface roughness were very significant (F=9.12, p<0.05). 3. After abrading, the porcelain surface roughness change was very significant (F=54.49, p<0.05). 4. There was no significant between surface treatment method and the kind of abrading materials. (F=1.01, p>0..05). 5. The group of natural glazing had the most smooth surface ($2.1{\pm}1.13{\mu}m$).

• Restorative Dentistry and Endodontics
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• 제36권4호
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• pp.271-279
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• 2011

임상에서 복합 레진을 이용하여 자연치를 재현하는 과정은 매우 어려우며 이를 위해서는 색과 사용하는 재료에 대한 충분한 이해가 필요하다. 복합 레진은 자연치와 화학적 조성과 미세구조가 다르기 때문에 광학적 특성도 다를 수 밖에 없다. 본 논문에서는 색에 대한 기본적인 지식과 색을 측정하는 장비에 대한 이해, 그리고 자연치의 색에 대한 분석을 살펴보고, shade tab의 정확도에 대한 평가, 복합 레진의 중합 전후의 색 변화, 수분과 물에 의한 영향, 미백제의 의한 영향 및 투명도, 유백광 성질(opalescence), 형광성(fluorescence)에 대해 알아보고자 하였다.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 춘계학술대회
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• pp.235-237
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• 2001

;Dentistry has benefited from tremendous advances in technology with the introduction of new techniques and materials, and patients are aware that esthetic approaches in dentistry can change one's appearance. Increasingly. tooth-colored restorative materials have been used for restoration of posterior teeth. Tooth-colored restoration for posterior teeth can be divided into three categories: 1) the direct techniques that can be made in a single appointment and are an intraoral procedure utilizing composites: 2) the semidirect techniques that require both an intraoral and an extraoral procedure and are luted chairside utilizing composites: and 3) the indirect techniques that require several appointments and the expertise of a dental technician working with either composites or ceramics. But, resin restoration has inherent drawbacks of microleakage. polymerization shrinkage, thermal cycling problems. and wear in stress-bearing areas. On the other hand, Ceramic restorations have many advantages over resin restorations. Ceramic inlays are reported to have less leakage than resin restoration and to fit better. although marginal fidelity depends on technique and is laboratory dependent. Adhesion of luting resin is more reliable and durable to etched ceramic material than to treated resin composite. In view of color matching, periodontal health. resistance to abrasion, ceramic restoration is superior to resin restorationl. Materials which have been used for the fabrication of ceramic restorations are various. Conventional powder slurry ceramics are also available. Castable ceramics are produced by centrifugal casting of heat-treated glass ceramics. and machinable ceramics are feldspathic porcelains or cast glass ceramics which are milled using a CAD/CAM apparatus to produce inlays (for example, Cered. They may also be copy milled using the Celay apparatus. Pressable ceramics are produced from feldspathic porcelain which is supplied in ingot form and heated and moulded under pressure to produce a restoration. Infiltrated ceramics are another class of material which are available for use as ceramic inlays. An example is $In-Ceram^{\circledR}$(Vident. California, USA) which consists of a porous aluminum oxide or spinell core infiltrated with glass and subsequently veneered with feldspathic porcelain. In the 1980s. the development of compatible refractory materials made fabrication easier. and the development of adhesive resin cements greatly improved clinical success rates. This case report presents esthetic ceramic inlays for posterior teeth.teeth.

• 치위생과학회지
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• 제13권2호
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• pp.165-173
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• 2013

본 논문은 미백 후 수복재의 종류에 따른 표면변화를 관찰하고, 미백제에 의한 표면변화가 수복재의 착색감수성에 미치는 영향을 조사하기 위하여 자가미백제로 널리 사용되는 15% carbamide peroxide가 대표적인 심미수복재인 콤포지트 레진(composite resin, CR), 레진강화형글라스아이오노머(resin modified glass ionomer, RMGI), 글라스아이오노머(glass ionomer, GI)의 표면에 미치는 영향을 분석하였다. 또한, 미백 후의 착색감수성을 평가하기 위하여 커피용액에 일정 시간 보관한 후 수복재의 색 변화를 비교하여 다음과 같은 결과를 얻었다. 1. 미백 전과 미백 후의 색변화에서는 실험에 사용된 모든 재료에서 ${\Delta}L^*$, ${\Delta}a^*$, ${\Delta}b^*$, ${\Delta}E^*$값이 통계적으로 유의하게 나타났다(p<0.05). ${\Delta}E^*$와 ${\Delta}L^*$값은 RMGI, GI, CR 순으로 색변화가 많이 나타났고(p<0.05), ${\Delta}a^*$값은 GI, RMGI, CR 순으로 미백 후 감소하였으며, ${\Delta}b^*$값은 RMGI에서 유의하게 감소하였다(p<0.05). 2. 미백 전과 미백 후 표면조도는 CR, RMGI, GI 모두 미백 전과 후에 유의한 차이를 나타내었는데 RMGI가 미백 후 가장 큰 차이를 보였다(p<0.05). 3. 실험군과 대조군을 커피 용액에 착색시킨 후의 ${\Delta}E^*$값은 GI, RMGI, CR 순으로 크게 나타났으나 GI와 RMGI에서만 유의한 차이를 보여 미백을 한 실험군의 색 변화가 유의하게 높게 나타났다(p<0.05). ${\Delta}L^*$값은 GI와 RMGI의 경우 유의한 차이를 보여 미백을 하고 착색한 경우 명도가 더욱 감소하는 것으로 나타났고, ${\Delta}a^*$값보다 ${\Delta}b^*$값의 증가가 훨씬 더 크고 뚜렷하였다. 4. 커피 용액 착색에 따른 시편의 표면 변화는 CR, RMGI, GI 모두 착색 전과 착색 후에 유의한 차이를 나타내지 않았다(p>0.05). 심미수복재의 색안정성은 심미성을 유지하는 중요한 요인이고, 치아미백 또한 심미를 목적으로 하는 술식이다. 따라서 치과에서는 수복재의 종류에 따라 미백제나 착색물에 대한 반응이 다르게 나타날 수 있다는 것을 고려해야 하며, 술식을 제공받는 내원자들이 착색을 야기할 수 있는 음식이나 음료에 대해 인지하고 예방할 수 있도록 해야 할 것이다.

• 대한치과보철학회지
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• 제47권2호
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• pp.164-173
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• 2009

연구 목적: 심미적 장점을 지닌 지르코니아 지대주와 금속 지대주 사이에 반복 하중 전, 후의 풀림 회전력을 비교하여 지대주 재질에 따른 나사 안정성에 차이가 있는지를 비교 분석해 보고자 하는 것이다. 연구 재료 및 방법: 실험군은 크게 외측 연결 구조(US II, Osstem Implant, Korea)와 내측 연결 구조(GS II, Osstem Implant, Korea)의 임플란트 시스템을 두 군으로 나누었다. 각각의 군에서 지르코니아 지대주군와 금속 지대주군으로 나누어 실험하였다. 각군당5개씩의 시편을 제작하였다. 임플란트 고정체를 별도 제작된 지그에 고정시킨다. 디지털 토크게이지를 이용하여 30 Ncm의 조임 회전력을 가하고 10분 후 동일 조임 회전력을 한번 더 적용하였다. 다음 각 지대주 나사의 초기 풀림 회전력을 디지털 토크게이지로 측정하였다. 동일 시편을 다시 30 Ncm의 조임 회전력을 가하여 체결한 후, 유압식 동적 재료시험기(Instron, USA)에 임플란트 매식체를 치과용 임플란트 피로시험에 관한 ISO/FPIS 14801:2003(E)규정을 참고하여 고정시켰다. 최소 하중은 10 N, 최대 하중은 250 N의 sine형 반복 하중을 $30^{\circ}$의 경사각도로, 하중 주기는 14 Hz로, 100만 회의 반복 하중을 적용한 후 풀림 회전력을 측정하였다. 결과: 1. 모든 시스템에서 지대주 나사의 풀림 회전력이 조임 회전력 보다 감소하였으나, 나사 풀림 현상은 나타나지 않았다. 2. 반복 하중 전과 후의 나사 풀림 회전력은 두 임플란트 시스템 모두에서 지르코니아 지대주가 금속 지대주보다 더 컸다(P<.05). 3. 반복 하중에 따른 풀림 회전력 상실률은 두 임플란트 시스템 모두에서 지르코니아 지대주와 금속 지대주가 차이가 없는 것으로 나타났다(P>.05). 4. 금속 지대주에서 반복 하중에 따른 풀림 회전력 상실률은 내측 연결 형태의 GS II 시스템이 외측 연결형태의 US II 시스템보다 작았다(P<.05). 5. 지르코니아 지대주에서는 반복 하중에 따른 풀림 회전력 상실률은 두 임플란트 시스템 간에 차이가 없는 것으로 나타났다(P>.05). 결론: 본 실험을 통해 100만회 반복 하중 하에서 지르코니아 지대주가 금속 지대주에 비해 나사 결합부 안정성이 더 크다는 결론을 내릴 수 있다.

• Restorative Dentistry and Endodontics
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• 제24권2호
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• pp.299-309
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• 1999

The composite resin, due to its esthetic qualities, is considered the material of choice for restoration of anterior teeth. With respect to shade control, the direct-placement resin composites offer some distinct advantages over indirect restorative procedures. Visible-light-cured (VLC) composites allow dentists to match existing tooth shades or to create new shades and to evaluate them immediately at the time of restoration placement. Optimal intraoral color control can be achieved if optical changes occurring during application are minimized. An ideal VLC composite, then, would be one which is optically stable throughout the polymerization process. The shade guides of the resin composites are generally made of plastic, rather than the actual composite material, and do not accurately depict the true shade, translucency, or opacity of the resin composite after polymerization. So the numerous problems associated with these shade guides lead to varied and sometimes unpredictable results. The aim of this study was to assess the color changes of current resin composite restorative materials which occur as a result of the polymerization process and to compare the color differences between the shade guides provided with the products and the actual resin composites before- and after-polymerization. The results obtained from this investigation should provide the clinician with information which may aid in improved color match of esthetic restoration. Five light activated, resin-based materials (${\AE}$litefil, Amelogen Universal, Spectrum TPH VeridonFil-Photo, and Z100) and shade guides were used in this study. Three specimens of each material and shade combination were made. Each material was condensed inside a 1.5mm thick metal mold with 10mm diameter and pressed between glass plates. Each material was measured immediately before polymerization, and polymerized with Curing Light XL 3000 (3M Dental products, USA) visible light-activation unit for 60 seconds at each side. The specimens were then polished sequentially on wet sandpaper. Shade guides were ground with polishing stones and rubber points (Shofu) to a thickness of approximately 1.5mm. Color characteristics were performed with a spectrophotometer (CM-3500d, Minolta Co., LTD). A computer-controlled spectrophotometer was used to determine CIELAB coordinates ($L^*$, $a^*$ and $b^*$) of each specimen and shade guide. The CIELAB measurements made it possible to evaluate the amount of the color difference values (${\Delta}E{^*}ab$) of resin composites before the polymerization process and shade guides using the post-polishing color of the composite as a control, CIE standard D65 was used as the light source. The results were as follows. 1. Each of the resin composites evaluated showed significant color changes during light-curing process. All the resin composites evaluated except all the tested shades of 2100 showed unacceptable level of color changes (${\Delta}E{^*}ab$ greater than 3.3) between pre-polymerization and post-polishing state. 2. Color differences between most of the resin composites tested and their corresponding shade guides were acceptable but those between C2 shade of ${\AE}$litefil and IE shade of Amelogen Universal and their respective shade guides exceeded what is acceptable. 3. Comparison of the mean ${\Delta}E{^*}ab$ values of materials revealed that Z100 showed the least overall color change between pre-polymerization and post-polishing state followed by ${\AE}$litefil, VeridonFil-Photo, Spectrum TPH, and Amelogen Universal in the order of increasing change and Amelogen Universal. Spectrum TPH, 2100, VeridonFil-Photo and ${\AE}$litefil for the color differences between actual resin and shade guide. 4. In the clinical environment, the shade guide is the better choice than the shade of the actual resin before polymerization when matching colors. But, it is recommended that custom shade guides be made from resin material itself for better color matching.