• The Journal of Advanced Prosthodontics
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• 제5권2호
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• pp.179-186
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• 2013

PURPOSE. One of the most important factors in evaluating the quality of fixed dental prostheses (FDPs) is their gap. The purpose of this study was to compare the marginal and internal gap of two different metal-ceramic crowns, casting and selective laser sintering (SLS), before and after porcelain firing. Furthermore, this study evaluated whether metal-ceramic crowns made using the SLS have the same clinical acceptability as crowns made by the traditional casting. MATERIALS AND METHODS. The 10 study models were produced using stone. The 20 specimens were produced using the casting and the SLS methods; 10 samples were made in each group. After the core gap measurements, 10 metal-ceramic crowns in each group were finished using the conventional technique of firing porcelain. The gap of the metal-ceramic crowns was measured. The marginal and internal gaps were measured by two-dimensional and three-dimensional replica techniques, respectively. The Wilcoxon signed-rank test, the Wilcoxon rank-sum test and nonparametric ANCOVA were used for statistical analysis (${\alpha}$=.05). RESULTS. In both groups, the gap increased after completion of the metal-ceramic crown compared to the core. In all measured areas, the gap of the metal cores and metal-ceramic crowns produced by the SLS was greater than that of the metal cores and metal-ceramic crowns produced using the casting. Statistically significant differences were found between cast and SLS (metal cores and metal-ceramic crown). CONCLUSION. Although the gap of the FDPs produced by the SLS was greater than that of the FDPs produced by the conventional casting in all measured areas, none exceeded the clinically acceptable range.

• 대한치과의사협회지
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• 제58권7호
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• pp.435-442
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• 2020

치과의사가 수복재료를 선택하고 환자에게 추천할 때는 수복할 치아 위치, 결손 정도, 환자의 심미적 요구도, 저작력, 나이, 경제적 여건 등 여러 가지의 요인을 고려한다. 그렇지만, 수복재료를 선택할 때의 일차적인 기준은 구강 내에서 기능 시 작용하는 교합력을 최우선으로 고려해야 한다. 미국 국립보건원(NIH) 지원으로 조사된 연구 결과에 의하면, 전치부 수복재료로서는 리튬 디실리케이트계 글라스-세라믹이 54%, layered zirconia가 17%, 루사이트 강화 글라스-세라믹이 13% 순을 보여, 전치부 수복재료로서 리튬 디실리케이트계 글라스-세라믹이 가장 많이 사용었다. 또한 구치부 수복재료로서는 단일구조 지르코니아가 32%, 금속-세라믹이 31%, 리튬 디실리케이트계 글라스-세라믹이 21% 순을 나타냈다. 세라믹 수복 재료의 특성을 살펴보면, 단일구조 지르코니아는 강도는 높지만 명도가 높고 저온열화로 인한 강도 저하가 일어날 수 있다. layered zirconia는 심미성은 우수하지만 강도가 낮은 비니어 세라믹의 칩핑과 박리가 문제가 되고 있다. 리튬 디실리케이트계 글라스-세라믹은 심미성은 우수하지만 지르코니아에 비해 강도가 낮으므로 구치부에 적용 시 파절이 일어날 위험성이 있다. 루사이트계 글라스-세라믹은 심미성은 우수하지만 기본적으로 강도가 낮기 때문에 전치부에 한정하여 적용한다. 세라믹 크라운이 구치부 교합력에 저항하기 위해서는 350 MPa 이상의 굴곡강도를 가져야 한다. 리튬 디실리케이트계 글라스-세라믹은 광투과성이 양호한 심미성이 있는 재료이므로 비니어 없이 전치부에 적용할 수 있고, 굴곡강도가 400 MPa 이상이므로 구치부 교합력에 저항할 수 있고, HF에 의한 산부식과 실란(silane) 처리가 가능하므로 레진과 강한 결합력을 얻을 수 있고, 또한 포세린에 비해 대합치의 마모가 적다. 이러한 점들을 고려하면 리튬 디실리케이트계 글라스-세라믹 재료는 전구치부의 단일치 수복에 적합한 성질을 갖고 있음을 알수 있다. 그렇지만 그의 임상 응용이 더욱 증가하기 위해서는 이들 재료에 대한 보다 많은 연구와 이해가 필요하리라고 생각된다.

• The Journal of Advanced Prosthodontics
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• 제3권3호
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• pp.113-118
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• 2011

PURPOSE. The objective of the present study was to evaluate the effect of five different metal framework designs on the fracture resistance of the metal-ceramic restorations. MATERIALS AND METHODS. For the purpose of this study, the central incisor tooth was prepared, and the metal analogue of it and a master die were fabricated. The counter die with the 0.5 mm clearance was used for fabricating the wax patterns for the metal copings. The metal copings with five different metal framework designs were designed from Group 1 to 5. Group 1 with the metal collar, Group 2, 3, 4 and 5 with 0 mm, 0.5 mm, 1 mm and 1.5 mm cervical metal reduction respectively were fabricated. Total of fifty metal ceramic crown samples were fabricated. The fracture resistance was evaluated with the Universal Testing Machine (Instron model No 1011, UK). The basic data was subjected to statistical analysis by ANOVA and Student's t-test. RESULTS. Results revealed that the fracture resistance ranged from 651.2 to 993.6 N/$m^2$. Group 1 showed the maximum and Group 5 showed the least value. CONCLUSION. The maximum load required to fracture the test specimens even in the groups without the metal collar was found to be exceeding the occlusal forces. Therefore, the metal frameworks with 0.5 mm and 1 mm short of the finish line are recommended for anterior metal ceramic restoration having adequate fracture resistance.

• 대한치과기공학회지
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• 제27권1호
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• pp.89-95
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• 2005

In the manufacture of ceramo-metal crown, difference of fracture strength according to the metal depth has been known to be an important influence on enough intensity and internal stress to endure an occlusion-pressure as well as aesthetics of rehabilitating similar colour such as natural teeth. Depth of ceramic material could be determined by that of metal in three groups: first case of thin depth, second case of thick depth, and third case of constant depth. For the enhancement of the fracture strength between metal and ceramic materials and aesthetic satisfaction, a study on the bonding force, fracture strength, and aesthetics have been required more. In this study, therefore metal coping were made in three groups of A, B and C by using both ceramic powder of Norithe and metal of Columbium, which have been used primarily in the market. A group was made in $0.2mm\times10mm\times10mm$, B group was made in $0.4mm\times10mm\times10mm$, and, C group was made in $0.8mm\times10mm\times10mm$, respectively. The number of metal coping in each group was 10, and total sample numbers used in this study were 30 metal copings. After these metal coping tissue were in the process of build-up in 1.5mm constant depth of porcelain, firing, and glazing, the fracture strength about each metal coping tissue was investigated using oil press. It was found that the average values of durable occlusion pressure for separation of ceramic material in the porcelain fused to metal crown (PFM) in the each group showed the increasing order of A group (30 bar), B group (42 bar), and C group (44 bar), respectively. Proper depth of metal coping in the PFM was considered to be 0.4mm in the B group because this metal size showed higher durable property to the occlusion pressure and better coupling strength in the ceramo-metal crown.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.219-225
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• 2013

PURPOSE. Few studies have investigated the marginal accuracy of 3-unit zirconia fixed partial dentures (FPDs) fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) system. The purpose of this study was to compare the marginal fit of zirconia FPDs made using two CAD/CAM systems with that of metal-ceramic FPDs. MATERIALS AND METHODS. Artificial resin maxillary central and lateral incisors were prepared for 3-unit FPDs and fixed in yellow stone. This model was duplicated to epoxy resin die. On the resin die, 15 three-unit FPDs were fabricated per group (45 in total): Group A, zirconia 3-unit FPDs made with the Everest system; Group B, zirconia 3-unit FPDs made with the Lava system; and Group C, metal-ceramic 3-unit FPDs. They were cemented to resin dies with resin cement. After removal of pontic, each retainer was separated and observed under a microscope (Presize 440C). Marginal gaps of experimental groups were analyzed using one-way ANOVA and Duncan test. RESULTS. Mean marginal gaps of 3-unit FPDs were $60.46{\mu}m$ for the Everest group, $78.71{\mu}m$ for the Lava group, and $81.32{\mu}m$ for the metal-ceramic group. The Everest group demonstrated significantly smaller marginal gap than the Lava and the metal-ceramic groups (P<.05). The marginal gap did not significantly differ between the Lava and the metal-ceramic groups (P>.05). CONCLUSION. The marginal gaps of anterior 3-unit zirconia FPD differed according to CAD/CAM systems, but still fell within clinically acceptable ranges compared with conventional metal-ceramic restoration.

• The Journal of Advanced Prosthodontics
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• 제10권1호
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• pp.25-31
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• 2018

PURPOSE. The aim of the present study was to record the metal-ceramic bond strength of a feldspathic dental porcelain and a Co-Cr alloy, using the Direct Metal Laser Sintering technique (DMLS) for the fabrication of metal substrates. MATERIALS AND METHODS. Ten metal substrates were fabricated with powder of a dental Co-Cr alloy using DMLS technique (test group) in dimensions according to ISO 9693. Another ten substrates were fabricated with a casing dental Co-Cr alloy using classic casting technique (control group) for comparison. Another three substrates were fabricated using each technique to record the Modulus of Elasticity (E) of the used alloys. All substrates were examined to record external and internal porosity. Feldspathic porcelain was applied on the substrates. Specimens were tested using the three-point bending test. The failure mode was determined using optical and scanning electron microscopy. The statistical analysis was performed using t-test. RESULTS. Substrates prepared using DMLS technique did not show internal porosity as compared to those produced using the casting technique. The E of control and test group was $222{\pm}5.13GPa$ and $227{\pm}3GPa$, respectively. The bond strength was $51.87{\pm}7.50MPa$ for test group and $54.60{\pm}6.20MPa$ for control group. No statistically significant differences between the two groups were recorded. The mode of failure was mainly cohesive for all specimens. CONCLUSION. Specimens produced by the DMLS technique cover the lowest acceptable metal-ceramic bond strength of 25 MPa specified in ISO 9693 and present satisfactory bond strength for clinical use.

• 대한치과기공학회지
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• 제33권1호
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• pp.7-14
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• 2011

Purpose: As the demand and importance of aesthetic aspects in dental treatment become higher, much attention is paid to materials used for dental prostheses. Thus, the marginal fidelity of most-commonly used alloy, IPS - Empress and ZrO2 ceramic is compared. Methods: The alloy core made by casting, IPS - Empress core made by pressing and ZrO2 ceramic core made by CAD/CAM are used to make 10 samples respectively. For each core, three points were measures and the optical microscope (Axio Imager.Alm,Zeiss co., Oberkochen, Germany) was used to observe the cores with a magnification of 100. Results: As for alloy, IPS - Empress and ZrO2 ceramic, the average and deviation of their marginal distance are $29.91\;{\pm}11.93{\mu}m$ for alloy, $33.45\;{\pm}8.61{\mu}m$ for IPS - Empress, and $31.55\;{\pm}9.85{\mu}m$ for ZrO2. The one-way ANOVA test was conducted to compare them. However, there was no statistically significant difference among them. Conclusion: The study on marginal fidelity of alloy, IPS - Empress, and ZrO2 ceramic shows they have no marginal fidelity problem clinically. Therefore, if a system is selected based on the patient's condition or treatment method, there will be no problem.

• The Journal of Advanced Prosthodontics
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• 제6권4호
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• pp.266-271
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• 2014

PURPOSE. The purpose of this study was to compare the fracture strength of the metal and the bond strength in metal-ceramic restorations produced by selective laser sintering (SLS) and by conventional casting (CAST). MATERIALS AND METHODS. Non-precious alloy (StarLoy C, DeguDent, Hanau, Germany) was used in CAST group and metal powder (SP2, EOS GmbH, Munich, Germany) in SLS group. Metal specimens in the form of sheets ($25.0{\times}3.0{\times}0.5mm$) were produced in accordance with ISO 9693:1999 standards (n=30). To measure the bond strength, ceramic was fired on a metal specimen and then three-point bending test was performed. In addition, the metal fracture strength was measured by continuing the application of the load. The values were statistically analyzed by performing independent t-tests (${\alpha}=.05$). RESULTS. The mean bond strength of the SLS group (50.60 MPa) was higher than that of the CAST group (46.29 MPa), but there was no statistically significant difference. The metal fracture strength of the SLS group (1087.2 MPa) was lower than that of the CAST group (2399.1 MPa), and this difference was statistically significant. CONCLUSION. In conclusion the balling phenomenon and the gap formation of the SLS process may increase the metal-ceramic bond strength.

• 대한치과기공학회지
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• 제28권2호
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• pp.321-329
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• 2006

The popularity of Ni-Cr-Mo based metal alloys for metal-ceramic crown have increased recently because of low price, superior yield strength and rigidity. the use of these alloys give them the potential advantage of thinner copping with the required rigidity for long span bridges. The purpose of this study was to assess the microstructures and mechanical properties of Ni-Cr-Mo-(Si,Al,Nb,Zr,Ti.Cu,Mm) based Alloys not containing beryllium(Be) related toxic effects. The abtained results indicated that as-cast these specimen alloys showed compositional and microstructural differences, and mechanical properties values of Ni69Cr20Mo5Si2Al4 alloy among these specimen alloys was found to be superior to those of commercial Ni-Cr based alloy using in market place today.

• 대한치과기공학회지
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• 제23권2호
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• pp.9-15
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• 2002

A new kind of 'All Ceramic Crown' could be manufactured by making improvements in the manufacturing technique for the current 'All Ceramic Crown' which does not use a special ceramic but rather a general one as a substitute. If we use the manufacturing technique for the 'All Ceramic Crown', metal coping and core are not produced. The effects of the new manufacturing technique for the 'All Ceramic Crown' are as follows: First. We do not need to use new material or special machinery or tools. Second. We can use general machinery and tools. Third. Using the basic 'All Ceramic Technique', we anticipate improvement in learning in our students. Forth. We can save effort, materials and time. Fifth. The technique also has advantages for esthetic 'temporary crown'.