• Restorative Dentistry and Endodontics
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• v.19 no.1
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• pp.124-134
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• 1994

The shade of restorative materials is very important for successful restoration esthetically harmonized with the natural tooth. The purpose of this study was to evaluate the color stability and the opacity change of conventional chemical setting and visible light curing glass-ionomer cements for restorative esthetic filling. Specimens of each brand (GC Fuji II and Fuji II LC) were uniformly prepared and divided into three groups: In group l(control group), the specimens received no surface treatment; in group 2, the specimens were coated with varnish and the excess gently blown off; and in group 3. the specimens were coated with light-cured bonding resin and irradiated by a visible light curing unit for 20 seconds on both sides. All specimens were stored in distilled water at $37^{\circ}C$ and checked after for 24 hours. 2 months. 4 months, 6 months. and 8 months. The color characteristics($L^*,\;a^*,\;b^*$) and the opacity(Y%) of all the samples were measured by a spectrocolorimeter and the total color differences(${\Delta}E^*$) and opacity changes(${\Delta}Y%$) were computed. The following results were obtained : 1. The total tolor differences in all groups increased with time. 2. The total color differences of the LC groups after immersion for 8 months in distilled water at $37^{\circ}C$ were lower than those of GC groups(p<0.01), and the total color differences of the varnish or the light-cured bonding resin coated groups were lower than those of the control group with glass-ionomer cements which had no surface treatment(p<0.01). 3. In all groups the translucency decreased with time. 4. In the control group and the varnish coating group. the opacity changes of the GC groups were lower than those of the LC groups(p<0.01) and in the light-cured bonding resin coated group, there was no significant difference between the GC group and the LC group. 5. The opacity changes of the varnish or the light-cured bonding resin coated groups were lower than those of the control group(p<0.01). These results suggest that color change and opacity of conventional chemical setting and light cured glass-ionomer cement were increased with time, and the color changes and the opacity changes of a control group after immersion for 8 months in distilled water at $37^{\circ}C$ were greater than those of the varnish or the light-cured bonding resin coated groups.

• The Journal of Advanced Prosthodontics
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• v.9 no.5
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• pp.387-393
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• 2017

PURPOSE. Beverages may affect the translucency of esthetic dental restorative materials.The aim of the present study was to investigate the effects of coffee and red wine on the translucency of a PICN material with two translucency levels, and finished with different methods. MATERIALS AND METHODS. 2M2 high translucent and translucent VITA Enamic hybrid ceramic blocks were investigated. Rectangular specimens with the dimensions of $12mm{\times}14mm{\times}2mm$ were prepared. The specimens were finished and polished with different methods as suggested by the manufacturer. The translucency parameters of the specimens were evaluated before and after 24 hours, 7 days, and 28 days immersion in distilled water, coffee and red wine. Translucency parameters were measured using a portable spectrophotometer. RESULTS. At the end of 28 days, there was no statistically significant difference between the groups of specimens kept in coffee (P>.05). In the red wine groups, there was a statistically significant difference between the control group and all other groups (P<.05) at the end of 28 days. CONCLUSION. The translucency of hybrid ceramic for a restoration may not be important regarding the effects of coffee on translucency change because the specimens with different translucencies and finishing methods that were immersed to coffee had similar translucency parameters at the end of 28 days. The translucency of hybrid ceramic may be important in the case of red wine, however, since the results showed that highly translucent specimens exposed to red wine demonstrated better translucency parameters than specimens made from translucent blocks at the end of 28 days.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.3
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• pp.557-568
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• 2005

The aim of this study was to evaluate the resistance to degradation and to compare the wear resistance characteristics of four esthetic restorative materials in an alkaline solution(0.1N NaOH). The brands studied were MetafilCX(Sun medical, Japan) Solitaire 2(Heraeus Kulzer, USA), Composan LCM(Promedica, Germany), DenFil(Vericom, Korea). The results were as follows: 1. The mass loss of each brand was 0.74~7.94% and highest value in Metafil($7.94{\pm}0.39%$). 2. The sequence of the degree of degradation layer depth was in descending order by Metafil, Solitaire 2, DenFil, Composan LCM. There were significant differences between Metafil and the others(p<0.05). 3. The sequence of the Si loss was in descending order by Metafil, Solitaire 2, Composan LCM, DenFil. There were significant differences among the materials(p<0.05). 4. On SEM, destruction of bonding between matrix and filler and on CLSM, the depth of degradation layer of specimen surface was observed. 5. The sequence of maximum wear depth was in descending order by Metafil, Solitaire 2, Composan LCM and DenFil. There were significant differences among the materials(p<0.05). 6. The correlation coefficient between Si loss and degradation layer depth (r=0.491, p<0.05) and Vicker's hardness number and maximum wear depth (r=-0.942, p<0.05) were relatively high. These results indicate that hydrolytic degradation and wear may consider as a evaluation factors of composite resins.

• Journal of the korean academy of Pediatric Dentistry
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• v.44 no.3
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• pp.306-316
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• 2017

The purpose of this study was to evaluate the effects of exposure to various children's drinks on the color stability of anterior primary teeth and different esthetic restorative materials clinically used in pediatric dentistry. Exfoliated maxillary primary central incisors that had been unaffected by caries were chosen as control group. Maxillary primary central incisor-shaped specimens made of strip crown and Nu-smile zirconia crowns were chosen as test groups. Polished strip resin crowns were additionally prepared to compare with unpolished strip resin crown. Each specimen and teeth were divided into 4 groups in which the test samples (n=5 each) were immersed in 4 different drinks (distilled water, cola, grape juice, jelly juice) for 6 days. In all 4 drink groups, all specimens generally showed increasing ${\Delta}E^*$ value (color difference) with time. Polished resin strip crown had higher ${\Delta}E^*$ value than the unpolished in cola, grape juice and jelly juice groups. ${\Delta}E^*$ value of zirconia crown in cola, grape juice and jelly juice groups were significantly different (p < 0.05). In conclusion, dietary control of children's drinks is required for preventing discoloration of restorative materials.

• Journal of the korean academy of Pediatric Dentistry
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• v.39 no.3
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• pp.242-248
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• 2012

Children usually have varying degree of caries in primary anterior teeth, and treatment planning for each case prescribed by each dentist can also be varied. This survey was conducted to compare the preferred treatment method and restorative materials between general dentists and pediatric dentists in regard to the treatment of primary incisors. The questionnaires, composed of 18 questions were sent to 45 general dentists and 50 pediatric dentists. Among which 30 and 31 questionnaires were retrieved respectively. The collected data were analyzed by rate and the results were as follows: 1. For the teeth with initial caries without cavitation, general dentists showed the tendency to prefer restorative treatment(30%) or observation without any treatment(42%), whereas pediatric dentists prefer preventive treatment(76%). 2. The primary factor in choosing restorative materials by both groups was its manipulativeness. 3. For anterior esthetic restoration, general dentists seldom use the full-coverage restoration(13%) but resin restoration(75%), whereas pediatric dentists frequently used full-coverage crow(64%). 4. In the treatment of dentinal caries, pediatric dentist did not perform the treatment lesser than 2.0 years before the exfoliation (compared to 1.2 years of general dentist). 5. In the treatment of 1 year children, both pediatric and general dentists tend to select preventive procedure as first choice of treatment(84%, 52%). When treating primary incisor caries, it is shown that pediatric dentists are more interested in restorative/preventive treatment than general dentists are.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.22 no.1
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• pp.30-46
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• 2013

Porcelain fused to metal crown has been used mostly over the last 50 years for restorations in dentistry. However, the patients' awareness of aesthetic aspect, biocompatibility and the problems such as an allergy to metals led to the growing interest in the 'metal free restoration'. In particular, the price of the precious metals that have been mainly used to date has risen drastically, which made them impossible to play their role as oral restorative materials anymore, and in addition, the PFM restoration has intrinsic problems of chipping and fracture. Therefore, the CAD/CAM has been drawing more attention than ever due to the popular needs for the material that is more aesthetic and stronger for restoration of the molar implant. Considerations in carrying out the full zirconia restoration are as follows: 1) strength, 2) combination work, 3) light penetrability, 4) treatment of cracks, 5) the color reproducibility of the block, 6) the abrasivity of antagonistic tooth, 7) low temperature degradation. In this presentation, the color reproducibility of the block will be discussed. One of the biggest reasons for avoiding the full zirconia restoration is that it is difficult to reproduce the natural color compared to the conventional PFM restoration. Thus, many clinicians show reluctance due to the exposure of the ugly block when the coloring on the surface is removed after occlusal adjustment. From the experience of using blocks by Zirkonzahn for more than 4 years, it is considered that these problems can be addressed to some degrees. Accordingly, how to make restorations that are well in harmony with surrounding prosthesis or natural teeth will be discussed.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.25 no.2
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• pp.98-108
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• 2016

In recent days, perhaps the biggest driver in new material development is the desire to improve restorations esthetics compared to the traditional metal substructure based ceramics or all-ceramic restorations. Each material type performs differently regarding strength, toughness, effectiveness of machining and the final preparation of the material prior to placement. For example, glass ceramics are typically weaker materials which limits its use to single-unit restorations. On the other hand, zirconia has a high fracture toughness which enables multi-unit restorations. This material requires a long time sintering procedure which excludes its use for fast chair side production. Hybrid ceramic material developed for CAD/CAM system is contained improved nano ceramic elements. This new material, called a Resin Nano Hybrid Ceramic is unique in durability of function and aesthetic base compositions. The new nano-hybrid ceramic material is not a composite resin. It is also not a pure ceramic. The material is a mixture of both and consists of nano-ceramic fillers. Like a composite, the material is not brittle and is fracture resistant. Like a glass ceramic, the material has excellent polish retention for lasting esthetics. The material is easily machined by chair side or in a dental lab side, could be an useful restorative option.

• Restorative Dentistry and Endodontics
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• v.41 no.3
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• pp.167-175
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• 2016

Objectives: Endodontically treated teeth with insufficient tooth structure are often restored with esthetic restorations. This study evaluated the cytotoxicity and biological effects of yttria partially stabilized zirconia (Y-TZP) blocks in combination with several dental cements. Materials and Methods: Pairs of zirconia cylinders with medium alone or cemented with three types of dental cement including RelyX U200 (3M ESPE), FujiCEM 2 (GC), and Panavia F 2.0 (Kuraray) were incubated in medium for 14 days. The cytotoxicity of each supernatant was determined using 3-(4,5-dimethylthiazole- 2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays on L929 fibroblasts and MC3T3-E1 osteoblasts. The levels of interleukin-6 (IL-6) mRNA were evaluated by reverse transcription polymerase chain reaction (RT-PCR), and IL-6 protein was evaluated by enzyme-linked immunosorbent assays (ELISA). The data were analyzed using one-way ANOVA and Tukey post-hoc tests. A p < 0.05 was considered statistically significant. Results: The MTT assays showed that MC3T3-E1 osteoblasts were more susceptible to dental cements than L929 fibroblasts. The resin based dental cements increased IL-6 expression in L929 cells, but reduced IL-6 expression in MC3T3-E1 cells. Conclusions: Zirconia alone or blocks cemented with dental cement showed acceptable biocompatibilities. The results showed resin-modified glass-ionomer based cement less produced inflammatory cytokines than other self-adhesive resin-based cements. Furthermore, osteoblasts were more susceptible than fibroblasts to the biological effects of dental cement.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.31-37
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• 2008

A variety of the porcelain fused to gold(PFG) have been developed to which porcelain can be fused. PFG alloys developed for this purposed have a high melting point and do not discolor when combined with porcelain. The design of the compositions of PFG is very important to esthetic restorative materials applying to porcelain. The purpose of this study is on the change of physical and mechanical characteristics in PFG 18K alloy by the small additional elements. Principal results are as follows. The high Au alloy containing 18Karat gold contents is respectively Au(75%), Pd(10%), Pt(4%), Ag(4%), In(2%), Sn(2%), Cu(2%), Ti(1%). These alloys are composed mainly of gold, platinum, silver and palladium with a few percent of the additional elements. By the addition of small amounts of elements such as In, Sn, Ti, the fine grain castings are produced in gold alloy and the small addition of platinum is very effective in increasing of hardness and strength. These gold alloys are representative of the changes to be expected as a result of heat treatment. These changes in strength and hardness values are sufficient to demonstrate a significant difference in performance between a as-casted and a heat-treated. These alloys have mechanical properties characteristics of Type and Type gold alloys. These alloys are useful to porcelain-metal restorations and dental laboratory. Also the porcelain fused to metal(PFM) alloys containing gold are commonly use for dental purposes in dental laboratory.

• Restorative Dentistry and Endodontics
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• v.22 no.1
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• pp.132-143
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• 1997

Recently composite resin luting cement have been widely used according as esthetic requirement was increased. The purpose of this study was to evaluate of shear bond strength of four resin cements to bovine dentin. The materials used in this study were All-Bond 2(dentin bonding agent), Duolink cement, Bistite resin cement, Twinlook cement, Clearfil CR inlay cement. A total 40 acrylic cylinders with bovine dentin were divided into four groups. Four experimental groups were as follows; Group l(AB) : Specimens bonded with All-Bond 2 and Duolink Cement Group 2(BT) : Specimens bonded with Bistite Resin Cement Group 3(TL) : Specimens bonded with Twinlook Cement Group 4(CR) : Specimens bonded with Clearfil CR Inlay Cement Mter 1 hour of bonding, all specimens were stored for 24 hours in water at $37^{\circ}C$ and tested with Instron universal testing machine between bovine dentin and resin cements. The data were evaluated statistically at the 95% confidence level with a one-way analysis of variance and Tukey's range statistics. The following results obtained; 1. The group l(AB) was highest shear bond strength and the group 3(TL) was 10west(p>0.05). 2. Group 2(BT), 4(CR) were similar shear bond strength and there was no significant difference(p<0.05). 3. Group 1(AB), 4(CR) with acid etching were showed resin tags on the opened dentinal tubules, but Group 2(BT), 3(TL) without acid etching were not showed resin tags. 4. Group l(AB) was showed intimate adaptation than other groups.