Effect of anatomic, semi-anatomic and non-anatomic occlusal surface tooth preparations on the adaptation of zirconia copings

Habib, Syed Rashid,Asiri, Waleed,Hefne, Mohammed Jameel The Korean Academy of Prosthodonitics 2014 The Journal of Advanced Prosthodontics Vol.6 No.6

PURPOSE. To compare the accuracy of marginal and internal adaptation of zirconia (Zr) copings fabricated on anatomic (A), semi-anatomic (SA) and non-anatomic (NA) occlusal surface preparations. MATERIALS AND METHODS. 45 extracted bicuspid teeth were prepared for receiving zirconia crowns, with different occlusal preparation designs A=15, SA=15 & NA=15. The Zr copings were fabricated by using CAD4DENT, CAD/CAM. The copings were adjusted, cemented and were cross sectioned centrally from buccal cusp tip to lingual cusp tip into mesial and distal halves. The copings were examined under electron microscope at ${\times}200$ magnification and the measurements were recorded at 9 predetermined areas in micrometers. RESULTS. Overall mean gap values for the three groups was found to be $155.93{\pm}33.98{\mu}m$ with Anatomical Occlusal preparation design having the least gap value of $139.23{\pm}30.85{\mu}m$ showing the best adaptation among the groups. Post Hoc Tukey's test showed a statistically significant difference (P=.007) between the means of gap for A & NA preparation designs. Measurements recorded at 9 predetermined points showed variations for the three groups. CONCLUSION. Anatomical occlusal preparation designs resulted in better marginal and internal adaptation of Zr copings. There is a considerable variation between the measured marginal and internal gap values for the Zr copings fabricated by the (CAD4DENT-CAD/CAM). This variation may be associated with the lack of standardization of the preparation of teeth, computerized designing of the coping for each tooth, cement used, uniform pressure application during the cementation of the copings, sectioning of the copings and the microscopic measurements.

Effect of anatomic, semi-anatomic and non-anatomic occlusal surface tooth preparations on the adaptation of zirconia copings

Mohammed Jameel Hefne,Waleed Asiri,Syed Rashid Habib 대한치과보철학회 2014 The Journal of Advanced Prosthodontics Vol.6 No.6

PURPOSE To compare the accuracy of marginal and internal adaptation of zirconia (Zr) copings fabricated on anatomic (A), semi-anatomic (SA) and non-anatomic (NA) occlusal surface preparations. MATERIALS AND METHODS 45 extracted bicuspid teeth were prepared for receiving zirconia crowns, with different occlusal preparation designs A=15, SA=15 & NA=15. The Zr copings were fabricated by using CAD4DENT, CAD/CAM. The copings were adjusted, cemented and were cross sectioned centrally from buccal cusp tip to lingual cusp tip into mesial and distal halves. The copings were examined under electron microscope at ×200 magnification and the measurements were recorded at 9 predetermined areas in micrometers. RESULTS Overall mean gap values for the three groups was found to be 155.93±33.98 µm with Anatomical Occlusal preparation design having the least gap value of 139.23±30.85 µm showing the best adaptation among the groups. Post Hoc Tukey's test showed a statistically significant difference (P=.007) between the means of gap for A & NA preparation designs. Measurements recorded at 9 predetermined points showed variations for the three groups. CONCLUSION Anatomical occlusal preparation designs resulted in better marginal and internal adaptation of Zr copings. There is a considerable variation between the measured marginal and internal gap values for the Zr copings fabricated by the (CAD4DENT-CAD/CAM). This variation may be associated with the lack of standardization of the preparation of teeth, computerized designing of the coping for each tooth, cement used, uniform pressure application during the cementation of the copings, sectioning of the copings and the microscopic measurements.

CAD/CAM을 이용하여 전부도재관의 지르코니아 코핑 디자인에 따른 파절강도에 관한 연구

로도이 볼강,조인호,신수연 대한턱관절교합학회 2006 구강회복응용과학지 Vol.22 No.2

A Study on the Fracture Strength of All-Ceramic Crown according to the Zirconia Coping Design using CAD/CAM System L. Bulgan, In-Ho Cho, Soo-Yeon Shin Department of Prosthodontics, Graduate School, Dankook University The fracture strength of prosthesis is important, because it affects the function, and long term success of prosthesis and teeth. The purpose of this study was to compare the fracture strength of zirconia coping designs. Experimental test group were classified into three designs according to coping design, Modified design: Zirconia coping margin was located at 1mm above the axiogingival line angle. Collarless design: The coping margin terminated at the axiogingival line angle Butt design: The coping margin was extended to the finishing line of prepared margin. A Cercon(Degussa, Germany) CAD/CAM system was used to make the zirconia coping. Fracture strength was measured using loading machine at a cross head speed of 1mm/min. The results were statistically analyzed using the one-way ANOVA and multiple comparison test. Statistical significance was set in advance at the probability level of less than 0.05. The result : I. Collarless(738N±155N) and Modified(755N±185N) groups showed significantly a lower fracture strength than Butt(1057N±262N) group(p<0.05). II. There were no statistical differences of the fracture strength between Modified(755N±185N) and Collarless(738N±155N) groups. III. When comparing the fractured surface, all the group showed porcelain fracture, which were fractured at the labial surface of baked porcelain The butt design of the zirconia coping has higher fracture strength than modified and collarless design.

The effect of different cooling rates and coping thicknesses on the failure load of zirconia-ceramic crowns after fatigue loading

Yu Lung Tang,Jee-Hwan Kim,June-Sung Shim,Sunjai Kim 대한치과보철학회 2017 The Journal of Advanced Prosthodontics Vol.9 No.3

PURPOSE. The purpose of this study was to evaluate the influence of different coping thicknesses and veneer ceramic cooling rates on the failure load of zirconia-ceramic crowns. MATERIALS AND METHODS. Zirconia copings of two different thicknesses (0.5 mm or 1.5 mm; n=20 each) were fabricated from scanning 40 identical abutment models using a dental computer-aided design and computer-aided manufacturing system. Zirconiaceramic crowns were completed by veneering feldspathic ceramics under different cooling rates (conventional or slow, n=20 each), resulting in 4 different groups (CONV05, SLOW05, CONV15, SLOW15; n=10 per group). Each crown was cemented on the abutment. 300,000 cycles of a 50-N load and thermocycling were applied on the crown, and then, a monotonic load was applied on each crown until failure. The mean failure loads were evaluated with two-way analysis of variance (P=.05). RESULTS. No cohesive or adhesive failure was observed after fatigue loading with thermocycling. Among the 4 groups, SLOW15 group (slow cooling and 1.5 mm chipping thickness) resulted in a significantly greater mean failure load than the other groups (P<.001). Coping fractures were only observed in SLOW15 group. CONCLUSION. The failure load of zirconia-ceramic crowns was significantly influenced by cooling rate as well as coping thickness. Under conventional cooling conditions, the mean failure load was not influenced by the coping thickness; however, under slow cooling conditions, the mean failure load was significantly influenced by the coping thickness.

The effect of different cooling rates and coping thicknesses on the failure load of zirconia-ceramic crowns after fatigue loading

Tang, Yu Lung,Kim, Jee-Hwan,Shim, June-Sung,Kim, Sunjai The Korean Academy of Prosthodonitics 2017 The Journal of Advanced Prosthodontics Vol.9 No.3

PURPOSE. The purpose of this study was to evaluate the influence of different coping thicknesses and veneer ceramic cooling rates on the failure load of zirconia-ceramic crowns. MATERIALS AND METHODS. Zirconia copings of two different thicknesses (0.5 mm or 1.5 mm; n=20 each) were fabricated from scanning 40 identical abutment models using a dental computer-aided design and computer-aided manufacturing system. Zirconia-ceramic crowns were completed by veneering feldspathic ceramics under different cooling rates (conventional or slow, n=20 each), resulting in 4 different groups (CONV05, SLOW05, CONV15, SLOW15; n=10 per group). Each crown was cemented on the abutment. 300,000 cycles of a 50-N load and thermocycling were applied on the crown, and then, a monotonic load was applied on each crown until failure. The mean failure loads were evaluated with two-way analysis of variance (P=.05). RESULTS. No cohesive or adhesive failure was observed after fatigue loading with thermocycling. Among the 4 groups, SLOW15 group (slow cooling and 1.5 mm chipping thickness) resulted in a significantly greater mean failure load than the other groups (P<.001). Coping fractures were only observed in SLOW15 group. CONCLUSION. The failure load of zirconia-ceramic crowns was significantly influenced by cooling rate as well as coping thickness. Under conventional cooling conditions, the mean failure load was not influenced by the coping thickness; however, under slow cooling conditions, the mean failure load was significantly influenced by the coping thickness.

시멘트 공간이 캐드캠 시스템으로 제작한 지르코니아 수복물의 변연과 내부 적합도에 미치는 효과

이정환,안재석 대한치과기공학회 2017 대한치과기공학회지 Vol.39 No.4

Purpose: The aim of this study was to evaluate the marginal and internal gap of zirconia copings fabricated by CAD/CAM system and to research the effect of cement space on the fit of zirconia prosthesis. Methods: Zirconia copings were designed using 3shape software and then milled from presintered zirconia blocks by Kavo dental milling machine. The cement space was set at 0 ㎛ around the margins for all groups, and additional cement space appling 1 mm above the finish lines of tooth. The samples were classified into 4 groups according to the cement space setting(Cs-0, Cs-40, Cs-80, Cs-120). Replica technique used to investigate marginal and internal gap. The silicone film thickness was recorded using a optical microscope with image software analysis system at 75×magnification. The assessment performed on the six points in bucco-lingual and mesio-distal sections(4 groups, 10 copings per group, 12 measuring points per coping). The data were statistically analyzed with one-way ANOVA followed by pair-wise Tukey’s post hoc tests(α<0.05). Results: Better marginal and internal fit values were exhibited by 80 ㎛ cement space. The results showed that different cement space values had statistically significant effect on the marginal and internal gap of zirconia copings(p<0.001). The gap of margin and axial wall area was smaller than that the gap of occlusal area in all groups(p<0.001). Conclusion : Effect of different cement spaces on the marginal and internal gap of zirconia copings.

구강인기방법과 블록 종류에 따른 지르코니아 코핑의 변연적합도 비교

정인성(In-Sung Chung),전병욱(Byung-Wook Jeon),김원영(Won-Young Kim) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.1

구강인기방법과 지르코니아 블록 종류에 따른 지르코니아 코핑의 변연적합도 변화를 관찰하기 위해 2종의 고무인상재와 1종의 구강스캐너를 사용한 구강인기방법과 3종의 지르코니아 블록을 사용하여 지르코니아 코핑을 10개씩 제작하여 표면 거칠기와 변연적합도를 측정하였다. 표면 거칠기는 LUXEN Smile(2.3±0.9㎛) 블록이 가장 우수하였다. 그리고 협측 변연간격은 HL시편(26.5±2.1㎛), 설측 변연간격은 HL시편(27.2±2.1㎛), 근심 변연간격은 HJ시편(29.6±4.0㎛), 원심 변연간격은 HJ시편(29.0±3.0㎛)이 가장 낮게 나타났으며, 통계학적으로 유의차가 있었다(p<0.05). 이 결과, 구강인기방법과 지르코니아 블록 종류가 변연적합도에 영향을 준 것으로 나타났으며, 변연간격은 모든 군에서 임상적 허용 범위 내에 속했다. The purpose of this study was to compare of marginal fitness of zirconia copings according to impression techniques and zirconia blocks. For the conventional impression, two types of rubber impression materials were used and digital impression was made by using an intraoral scanner. Zirconia copings were manufactured from three types of blocks. With each of ten zirconia copings was determined by surface roughness and marginal fitness. For surface roughness, LUXEN Smile(2.3±0.9㎛) block was superior. And the lowest mean values and standard deviations of marginal gap for the HL specimens were 26.5±2.1㎛ for buccal, 27.2±2.1㎛ for lingual, and that of the HJ specimens 29.6±4.0㎛ for mesial, 29.0±3.0㎛ for distal. One-way ANOVA showed statistically significant difference between groups for marginal fitness(p<0.05). From the above results, the impression techniques and zirconia blocks had influence on marginal fit of the zirconia copings. Also the marginal fitness of all groups showed clinically acceptable range.

지르코니아 코핑과 전장도재 간의 전단결합강도와 파절양상 비교

김원영,전병욱,정인성 대한치과기공학회 2015 대한치과기공학회지 Vol.37 No.4

Purpose: The aim of this study was to investigate the shear bond strength between various commercial zirconia coping and veneering ceramic, and to observe the failure mode. Methods: For each zirconia block (iJAM Emerald, LUXEN Smile block, ICE Zirkon transluzent), 10 rectangular specimens were layered with Cercon ceram kiss, IPS e.max ceram, ICE Zirkon ceramic according to recommended by the manufacturer. The shear bond strength tests of the veneering porcelain to zirconia were carried out until fracture by a universal testing machine. After the shear bond tests, failure modes were characterized visually, under a stereomicroscope, such as adhesive, cohesive, or mixed. Data were analyzed with One-way ANOVA followed by Scheffe's tests. Results: The shear bond strength (mean±SD) of zirconia-veneer ceramic were JC group 13.9±3.6 ㎫; JE group 17.7±2.4 ㎫; JI group 15.1±2.5 ㎫; LC group 9.5±1.5 ㎫; LE group 16.2±2.3 ㎫; LI group 12.6±0.8 ㎫; ZC group 16.0±2.3 ㎫; ZE group 18.5±3.4 ㎫; and ZI group 15.3±3.2 ㎫. The One-way ANOVA showed a significant difference between groups (p<0.05). The failure mode in most experimental groups was mixed failure, except for the LC group, which showed adhesive failure, and JE group, LE group and ZE group showed cohesive failure. Conclusion: For IPS e.max ceram, the shear bond strength value was highest for all kinds of zirconia blocks. For ICE Zirkon transluzent, the shear bond strength value was highest for all kinds of veneering ceramics. Most of experimental group interfaces revealed mixed failure mode.

석고 모형재와 고무인상재의 젖음성이 지르코니아 코핑의 변연적합도에 미치는 영향

김원영,정인성,전병욱,Kim, Won-Young,Chung, In-Sung,Jeon, Byung-Wook 대한치과기공학회 2016 대한치과기공학회지 Vol.38 No.4

Purpose: This study examined the effect of wettability of gypsum materials and rubber impression material on the marginal fitness of zirconia copings. Methods: Three commercially available gypsum materials(Fugirock EP, Snow Rock, Tuff Rock) and three zirconia blocks(iJAM Emerald, LUXEN Smile block, ICE Zirkon transluzent) were studied. The zirconia copings were fabricated by using dental CAD/CAM system. Contact angles on the impression materials were measured with contact angle measuring device. Silicone replica method was used to measure the marginal fitness and cutting was performed on the bucco-lingual and mesio-distal sides. It were observed with a stereomicroscope at °ø40 magnification. The data were statistically analyzed with One-way ANOVA. Results: Mean values of contact angles were $58.3{\pm}0.7^{\circ}$ for Tuff Rock, $77.5{\pm}0.5^{\circ}$ for Fugirock EP and $87.8{\pm}0.5^{\circ}$ for Snow Rock and the difference between them was statistically significant(p<0.05). The smallest values of marginal fitness for the JF groups were $30.7{\pm}3.0{\mu}m$ for bucco-lingual direction, $29.3{\pm}3.0{\mu}m$ for mesio-distal direction. One-way ANOVA showed statistically significant difference between groups for marginal fitness(p<0.05). Conclusion: Tuff rock gypsum material had superior wettability to others. The mean marginal fitness of the Tuff rock gypsum material group were significantly better than other groups. Thus they can be also expected to show clinically satisfactory marginal fitness.

The effect of resin cements and primer on retentive force of zirconia copings bonded to zirconia abutments with insufficient retention

김승미,윤지영,이명현,오남식 대한치과보철학회 2013 The Journal of Advanced Prosthodontics Vol.5 No.2

PURPOSE. The purpose of this study was to investigate the effect of resin cements and primer on the retentive force of zirconia copings bonded to zirconia abutments with insufficient retention. MATERIALS AND METHODS. Zirconia blocks (Lava, 3M ESPE, St. Paul, MN, USA) were obtained and forty sets of zirconia abutments and copings were fabricated using CAD/CAM technology. They were grouped into 4 categories as follows, depending on the types of resin cements used, and whether the primer is applied or not:Panavia F2.0 (P), Panavia F2.0 using Primer (PRIME Plus, Bisco Inc, Schaumburg, IL, USA) (PZ), Superbond C&B (S), and Superbond C&B using Primer (SZ). For each of the groups, the cementation was conducted. The specimens were kept in sterilized water (37℃) for 24 hours. Retentive forces were tested and measured, and a statistical analysis was carried out. The nature of failure was recorded. RESULTS. The means and standard deviations of retentive force in Newton for each group were 265.15 ± 35.04 N (P), 318.21 ± 22.24 N (PZ), 445.13 ± 78.54 N (S) and 508.21 ± 79.48 N (SZ). Superbond C&B groups (S & SZ) showed significantly higher retentive force than Panavia F2.0 groups (P & PZ). In Panavia F2.0 groups, the use of primer was found to contribute to the increase of retentive force. On the other hand, in Superbond C&B groups, the use of primer did not influence the retention forces. Adhesive failure was observed in all groups. CONCLUSION. This study suggests that cementation of the zirconia abutments and zirconia copings with Superbond C&B have a higher retentive force than Panavia F2.0. When using Panavia F2.0, the use of primer increases the retentive force.