Vinyloligosilsesquioxane 함유 의치상용 아크릴릭 레진의 마모 저항성

박란,심준성,한동후,Park Ran,Shim June-Sung,Han Dong-Hoo 대한치과보철학회 2003 대한치과보철학회지 Vol.41 No.5

Statement of problem : Recently, in attempts to reinforce the acrylic resin and to reduce the polymerization shrinkage, it has been reported that adding vinyloligo-silsesquioxane (vinyl-POSS) to PMMA significantly compensates for polymerization shrinkage and somewhat increases the fracture resistance. Purpose : There haven't been any studies on abrasion that can affect the adaptation of the denture in long-term use. In this study abrasion resistance was compared between acrylic resin with vinyl-POSS and commercialized acrylic resin for denture base. In addition, the difference in abrasion resistance according to molding methods was compared. Material and method : Using PaladentR 20 including vinyl-POSS. PaladentR 20, Lucitone 199R, SR IvocapR, denture bases were fabricated using compression molding technique and continuous-pressure injection technique. Surface hardness and abrasion were measured for each group, and the worn surfaces were observed under a scanning electron microscope. Results : 1. When surface hardness was measured for each material and molding technique, there was no statistically significant difference among the materials. (p<0.05) 2. When same denture base material and molding technique were used, the abrasion due to toothpaste solution was 5 times as severe as the abrasion due to soap solution. 3, When toothpaste solution was used, the abrasion decreased in the order of PaladentR20, PaladentR 20 including vinyl-POSS, SR IvocapR, and Lucitone 199R. However statistically significant difference was seen only among PaladentR 20, SR IvocapR, and Lucitone 199R. (p<0.05). 4. When soap solution was used, the abrasion was more severe in PaladentR 20 and including vinyl-POSS PaladentR 20 groups than in SR IvocapR and Lucitone 199R groups. (p<0.05). Conclusion : Addition of vinyl-POSS doesn't improve the abrasion resistance, and the abrasion resistance was similar to those of existing materials. Additional studies under different conditions are needed. For clinical application of vinyl-POSS, further investigations with different requirements and conditions are necessary.

성견에서 발치 직후 Hydroxylapatite의 축조와 조직 유도 재생술이 발치와의 골조직 치유에 미치는 영향

한동후,심준성,Han, Dong-Hoo,Shim, June-Sung 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.1

After loss of tooth, initial healing process is critical to preserve residual alveolar process. This study was conducted to compare the effect of hydroxylapatite particle synthetic graft and guided tissue regeneration procedure on healing of extraction wounds in 5 mongrel dogs. To investigate the maturity of bone and velocity of bone heating, bone-labeled tracers were used. After 16 weeks healing period, dogs were sacrificed. The specimens were treated with Villanueva bone stain. Fluorescence microscopy and polarized microscopy were performed to exam the pattern of bone formation in the extraction socket. The results were following ; 1. Pattern of bone regeneration in the group of hydroxylapatie graft and the group of membrane protection after hydroxylapatite graft was following ; bone regeneration was slow, regenerated bone was immature, and thickness of cortical layer was thin compare to that of untreated control group. 2. Cortical layers in membrane protected group were somewhat thicker but less condense to that of untreated control group. 3. Infiltration of inflammation cells were found in the groups using hydroxylapatite graft and membrane. We concluded that grafting of replamineform hydroxylapatite particles into the extraction socket delayed healing of the wound and disturbed the formation of cortical bone at the roof of extraction socket. The placement of expanded polytetrafluoroethylene membranes on the extraction socket promotes the bone regeneration. But newly formed bone in cortical layer consists of the cortico-cancellous bone in comparison with the cortical bone of the control group.

치과용 도재의 재소성 과정중 수분 함량이 강도에 미치는 영향

박혜양,심준성,이근우,Park Hye-Yang,Shim June-Sung,Lee Keun-Woo 대한치과보철학회 2003 대한치과보철학회지 Vol.41 No.5

Statement of problem : Long-term exposure of dental porcelain to saliva during temporary cementation of a porcelain-fused to metal (PFM) restoration could affect mechanical strength of dental porcelain if the restoration is refired. Purpose : This work was performed to verify the effect of water on the mechanical strength in aged dental porcelain. Material and method : 63 specimens(Vintage Metalbond opaque and opal powder) were distributed to three experimental groups ; non-water immersed control, immersed and pedried, and immersed and non-predired groups. The changes in flexural strength and fracture toughness after specimen refiring related to Fourier Transform Infrared (FT-IR) spectroscopy. Results : 1. The FT-IR reflectances assigned to molecular bonds of $H_2O$ were noted as significantly different between the first-fired group and three refired groups and between two water-immersed groups and control group after refiring(p<0.05). They were also significantly different between predried group and non-predried group after refiring(p<0.05) 2. For opal specimens, FT-IR absorbances for hydrogen bond of $H_2O$ and silanols were significantly higher in non-predried group than in predreid group(p<0.05). 3 Predried opal group showed the highest mean flexural strength(p<0.05). Non-predried group indicated higher mean flexural strength than control group(p<0.05). 4. The mean fracture toughness for predired group was higher than non-predried group(p<0.05). 5. The difference of leucite crystal size is noted between control group and water-immersed, predried group in scanning electron microscopic study(${\times}10000$).

의치진료 경험 후 치과대학 학생들의 임상진료능력에 대한 자기인식도

이보라,심준성,이재훈,김종은,박지만,김지환,Lee, Bora,Shim, June-Sung,Lee, Jae Hoon,Kim, Jong-Eun,Park, Ji-Man,Kim, Jee-Hwan 대한치과보철학회 2020 대한치과보철학회지 Vol.58 No.3

목적: 본 연구의 목적은 의치치료 경험이 있는 치과대학 학생들을 대상으로 임상진료능력에 대한 자기인식도를 조사하는 것이다. 재료 및 방법: 2019학년도 치과대학 본과4학년 학생 58명 중 설문에 응한 50명의 학생을 대상으로 하였다. 설문 문항은 치료계획 수립 및 보철 전 치료과정 (4문항), 의치 임상 및 기공과정 (20문항), 의치 임상교육 부분 (4문항)으로 구성하였다. 각 문항은 5점 척도로 응답하도록 하였고, 각 문항에서 4점과 5점('그렇다'와 '매우 그렇다')의 응답비율을 긍정응답률로, 1점과 2점('그렇지 않다'와 '매우 그렇지 않다')의 응답비율을 부정응답률로 분류하였다. 결과: 단계별 진료과정에 대한 설문에서 긍정응답률은 모두 60% 이상으로 전반적으로 학생들의 자기인식도는 높았다. 그러나 졸업 후 독립적인 의치 치료 수행능력에 대해서는 긍정응답률이 48%로 다소 낮았다. 환자관리, 의치에 대한 주의사항 설명, 개인트레이 제작, 박싱 및 작업모형 제작 항목이 긍정응답률이 가장 높았고, 치료계획수립, 최종인상 채득, 서베잉이 가장 낮았다. 결론: 의치치료 경험이 있는 치과대학 학생들은 의치치료 수행능력에 대한 자기인식도는 높은 편이었으나 독립적인 수행능력 증진을 위해서는 교육이 더 필요하다는 것을 알 수 있었다. Purpose: The purpose of this study is to investigate dental students' self-perception of clinical care ability after a denture treatment experience. Materials and methods: Of the 58 fourth-year students at the dental school in 2019, 50 students completed the questionnaire concerning their denture treatment session, including treatment planning and pre-prosthetic treatment (4 questions), clinical and laboratory procedures (20 questions), and students' opinions on clinical denture education (4 questions). Each question was answered on a five-point scale, of which points four and five, "agree" and "strongly agree" respectively, were classified as positive responses while points one and two, "disagree" and "strongly disagree" respectively, were classified as negative. Results: All the items on clinical and laboratory procedures received a positive response rate of over 60%, and the overall self-perception of the students appeared to be positive. However, the questions on the ability to perform denture treatment independently after graduation received only 48% of positive answer. Those on patient management, explanations of denture precautions, customized tray production, boxing, and work model production were answered with the highest positive response rate whereas those on treatment planning, final impression acquisition, and surveying, were the lowest in each session. Conclusion: The dental students with experience in denture treatment generally have a positive opinion of their clinical care ability, but further education may be necessary to improve their ability to treat their patients independently.

수종의 조직 양화재에서 탄성 변형과 복원에 관한 연구

최성호,심준성,문홍석,정문규,Choi Sung-Ho,Shim June-Sung,Moon Hong-Seok,Chung Moon-Kyu 대한치과보철학회 2003 대한치과보철학회지 Vol.41 No.1

The dimensional stability of tissue conditioners characterizes the ability of the materials to yield accurate functional impressions of oral mucosa. This study evaluated the viscoelastic property and the linear dimensional changes with the factor of time and thickness of tissue conditioners ($COE-COMFORT^{TM}$, Visco-gel. $COE-SOFT^{TM}$, Soft-Liner). The thickness of these materials were changed (1.5mm, 3.0mm) and the percentage changes in dimension were measured at 1h, 12h, 24h, 36h, 3day, 7day after specimen preparation. From the results large differences appear between the various tissue conditioners. The results suggest that the period recommended for forming functional impression would be 2-3days after insertion in the mouth. in addition. it is important to select tissue conditioners suitable for functional impression because of the wide range of dimensional stability among the materials.

MAD/MAM을 이용한 치과용 지르코니아 코어의 변연 적합도

강동림,심준성,문홍석,이근우,Kang, Dong-Rim,Shim, June-Sung,Moon, Hong-Suk,Lee, Keun-Woo 대한치과보철학회 2010 대한치과보철학회지 Vol.48 No.1

연구 목적: 본 연구에서는MAD/MAM 시스템으로 제작된 지르코니아 코어를 통상적인 방법으로 제작된 금속-도재관 코어와 CAD/CAM 시스템으로 제작된 코어와의 변연부 적합도를 비교 분석해 보고자 한다. 연구 재료 및 방법: 레진치를 전부 도재관 제작을 위한 형태로 삭제하고, 이를 복제하여 석고 모형을 제작하였다. 석고 모형에 대해 금속-도재관, CAD/CAM ($Cercon^{(R)}$), 3종의 MAD/MAM 시스템 ($Ceramill^{(R)}$, $Rainbow^{(TM)}$, $Zirkonzhan^{(R)}$)으로 각각 10개의 코어를 제작하였다. 제작된 코어를 다이에 합착하여 광학 현미경 상에서 50배율로 변연 간격을 관찰, 계측하였다. 측정된 결과는 one-way ANOVA test로 분석하고, Tukey's HSD test로 사후검정 하였다. 결과: 각 시스템에서 변연 간격의 평균과 표준 편차는 금속-도재관 코어 $51.97{\pm}23.38{\mu}m$, $Cercon^{(R)}$ $62.16{\pm}25.88{\mu}m$, $Ceramill^{(R)}$ $67.64{\pm}40.38{\mu}m$, $Rainbow^{TM}$ $125.07{\pm}42.19{\mu}m$, $Zirkonzhan^{(R)}$ $105.02{\pm}44.61{\mu}m$로 측정되었다. 결론: 금속-도재관 코어나 CAD/CAM에 비해 MAD/MAM 방식으로 제작된 코어의 변연 간격이 큰 것으로 나타났다 (P < .05). MAD/MAM 시스템 내에서도 $Ceramill^{(R)}$, $Zirkonzhan^{(R)}$, $Rainbow^{TM}$ 순으로 변연 간격이 작은 것으로 측정되었으며, 이중 $Ceramill^{(R)}$은 CAD/CAM 시스템인 $Cercon^{(R)}$과 변연 간격에 유의차가 없었다. Purpose: The purpose of this study was to evaluate the fit of zirconia core using MAD/MAM system comparing to that of conventional metal-ceramic and CAD/CAM system. Materials and methods: Duplicating the prepared resin tooth, 50 improved stone dies were fabricated. These dies are classified as a group of 5 to create the core. The groups were composed of metal-ceramic, $Cercon^{(R)}$, $Ceramill^{(R)}$, $Rainbow^{TM}$, and $Zirkonzhan^{(R)}$. Each core was cemented to stone die, and then, absolute marginal discrepancy was measured with microscope at a magnification of ${\times}50$. Statistical analysis was done with one-way ANOVA test and Tukey's HSD test. Results: The mean absolute marginal discrepancy for metal-ceramic was $51.97{\pm}23.38{\mu}m$, for $Cercon^{(R)}$ was $62.16{\pm}25.88{\mu}m$, for $Ceramill^{(R)}$ was $67.64{\pm}40.38{\mu}m$, for $Rainbow^{TM}$ was $125.07{\pm}42.19{\mu}m$, and for $Zirkonzhan^{(R)}$ was $105{\pm}44.61{\mu}m$. Conclusion: 1. Fit of margin was identified as in the order of metal-ceramic, $Cercon^{(R)}$, $Ceramill^{(R)}$, $Zirkonzhan^{(R)}$, and $Rainbow^{TM}$. 2. Absolute marginal discrepancy of the zirconia core that designed by MAD/MAM system had significant differences in order of $Ceramill^{(R)}$, $Zirkonzhan^{(R)}$, and $Rainbow^{TM}$. 3. The mean absolute marginal discrepancy between $Cercon^{(R)}$ and $Ceramill^{(R)}$ did not show significant differences.

임플랜트 지지 고정성 국소의치의 임상적, 방사선학적 평가

서지영,심준성,이재훈,이근우,Seo Ji-Young,Shim June-Sung,Lee Jae-Hoon,Lee Keun-Woo 대한치과보철학회 2006 대한치과보철학회지 Vol.44 No.4

Statement of problem: A conventional 3-unit fixed partial denture design with a pontic between two retainers is the most commonly used. However in cases where the mental nerve is in close proximity to the second premolar, a cantilever design can be considered. As such, logical and scientific evidence is lacking for the number and position of implants to be placed for partially edentulous patients, and no clear-cut set of treatment principles currently exist. Purpose : The purpose of this study was to evaluate prognosis of implant-supported fixed partial dentures and to compare changes in bone level which may rise due to the different factors. Material and method : The present study examined radiographical marginal bone loss in patients treated with implant-supported fixed partial dentures (87 prostheses supported by 227 implants) and evaluated the influence of the span of the pontic, type of the opposing dentition. Clinical complications were studied using a retrospective method. Within the limitation of this study. the following result were drawn Result, 1. Seven of a total of 227 implants restored with fixed prostheses failed, resulting in a 96.9% success rate. 2. Complications encountered during recall appointments included dissolution of temporary luting agent (17 cases), porcelain fracture (8 cases), loosened screws (5 cases), gingival recession (4 cases), and gingival enlargement (1 case). 3. Marginal bone loss, 1 year after prosthesis placement, was significant(P<0.05) in the group that underwent bone grafting, however no difference in annual resorption rate was observed afterwards. 4. Marginal bono loss, 1 year post-placement, was greater in cantilever-type prostheses than in centric pontic protheses (P<0.05). 5. Marginal bone loss was more pronounced in posterior regions compared to anterior regions (P<0.05). 6. The degree of marginal bone loss was proportional to the length of the pontic (P<0.05). Conclusion: The success rate of implant-supported fixed partial dentures, including marginal bone loss, was satisfactory in the present study. Factors influencing marginal bone loss included whether bone graft was performed, location of the pontic (s), location of the surgical area in the arch pontic span. Long-term evaluation is necessary for implant-supported fixed partial dentures, as are further studies on the relationship between functional load and the number of implants to be placed.

지각과민 처치제 도포 후 칫솔질에 의한 마모가 상아질 투과도에 미치는 영향

이종욱,심준성,이근우,Lee Jong-Wook,Shim June-Sung,Lee Keun-Woo 대한치과보철학회 2001 대한치과보철학회지 Vol.39 No.2

To study the effect of dentin permeability on a tooth with wear from tooth brushing after application of desensitizing agent, extracted teeth free from caries were chosen. Coronal dentin discs with thickness of 1mm were prepared. Using the split chamber device developed by Pashely, hydraulic conductance, scanning electron microscope images(SEM) and atomic force microscope images(AFM) were compared and contrasted before and immediately after the application of desensitizing agent and after equivalent tooth brushing of 1 week, 2 weeks, and 6 weeks. Four commercially available desensitizing agents were used in this study ; they were Gluma, Seal & Protect, All-Bond 2 and MS Coat. The results of this study are as follows. 1. On all specimens, the hydraulic conductance decreased after the application of tooth desensitizing agent. 2. Except the specimens treated with MS Coat, the remaining specimens had an increase in dentin permeability after tooth brushing for 1 and 2 weeks but a decrease after 6 weeks. 3. The specimens treated with MS Coat had statistically significant increase in the dentin permeability regardless with the duration of tooth brushing. 4. On examination of SEM and AFM, the dentinal tubule diameter had decreased after treatment of desensitizing agents. The specimens other than those treated with MS Coat, smear layers were noted after tooth brushing. It is not always consistant but the hydraulic conductance correlated with the images from SEM and AFM.

치과용 지혈제가 상아질 투과도에 미치는 영향

김종현,심준성,이근우,Kim, Chong-Hyun,Shim, June-Sung,Lee, Keun-Woo 대한치과보철학회 2000 대한치과보철학회지 Vol.38 No.4

Before impression making in the fixed restorations or other prosthesis, hemostatic solutions are used for hemostasis and moisture control. Hemostatic solutions effectively control bleeding but their major ingredients, acid removes smear layers which are formed in the tooth preparation, exposes the dentinal tubular orifices which are occluded by smear layers, makes dentinal tubular fluid displace more easily to the various external stimulus, and according to the hydrodynamic theory, consequently causes dentin hypersensitivity. To know the effect of hemostatic solutions on dentin permeability, coronal dentin discs, 1mm in thickness, were prepared from extracted third molars free from decay and wear, and a split chamber device was used. Hydraulic conductance values and SEMs, which were measured before and after treatment with $Astringedentr^{(R)},\;Altract^(R)\;and\;Epri-dent^{(R)}$, were compared and ana-lysed. The following conclusions were drawn: 1. Hydraulic conductance values which were measured after the treatment of hemostatic solutions were increased in all groups(p<0.05). 2. %change values of hydraulic conductance were compared but no significant difference was found among the three hemostatic solutions(p<0.05). 3. On SEM observations of all groups, after treatment smear layers were removed and dentinal tubular orifices were partially exposed. On the basis of these conclusions, the reckless use of hemostatic solutions should be restricted, and when in use, various methods should be considered to protect dentin.

Glass Fiber Post와 Composite Resin Core의 전단결합강도

김태형,심준성,이근우,Kim Tae-Hyoung,Shim June-Sung,Lee Keun-Woo 대한치과보철학회 2005 대한치과보철학회지 Vol.43 No.4

Statement of problem : Fracture of composite resin core will be occulted by progress of crack. Bonding interface of different materials has large possibility of starting point of crack line. Therefore, the bond strength of glass fiber post to composite resin core is important for prevention of fracture. Purpose: This in vitro study tried to find out how to get the higher strength of glass fiber post to composite resin core through surveying the maximum load that fractures the post and cote complex. Materials and methods: 40 specimens made with glass fiber Posts(Style $post^{(R)}$, Metalor, Swiss) and composite resin core ($Z-100^{(R)}$, 3M, USA) were prepared and loaded to failure with push-out type shear-bond strength test in a universal test machine. The maximum fracture load and fracture mode were investigated in the specimens that were restored with four different surface treatments. With the data. ANOVA test was used to validate the significance between the test groups, and Bonferroni method was used to check if there is any significant statistical difference between each test group. Evely analysis was approved with 95% reliance. Results: On measuring the maximum fracture load of specimens, both the treatments of sandblasted and acid-etched one statistically showed the strength increase rather than the control group (p<0.005). The scanning electric microscope revealed that sand blasting made more micro-retention form not only on the resin matrix but on the glass fiber, and acid-etching contributed to increase in surface retention form, eliminated the inorganic particles in resin matrix. Specimen fracture modes investigation represented that sand blasted groups showed lower bonding failure than no-sand blasted groups. Conclusion: Referring to the values of maximum fracture load of specimens, the bonding strength was increased by sand blasting and acid-etching.