Hong-So Yang

Effect of poling conditions on growth of calcium phosphate crystal in ferroelectric BaTiO3 ceramics

Recently, ceramic materials have been given a lot of attention as candidates for implant materials, since they possess biologically favorable characteristics for osseointegration. Among them, BaTiO3 (BTO) ceramics are ferroelectric and piezoelectric after poling treatments. However, little or no information is available on the poling condition of BTO and their effect on calcium phosphate (CaP) formation. In this study, the effect of poling conditions on the formation of CaP layer was investigated. It was observed from this study that CaP was formed on negatively charged BTO surfaces. An increase in Ca/P ratio to 1.67 was observed when the poling temperature was increased above the Curie temperature. On positively charged BTO, no CaP layer was observed.

Marginal accuracy and internal fit of machine-milled and cast titanium crowns

STATEMENT OF PROBLEM Titanium is an alternative tooth restorative material because of a its biocompatibility and mechanical properties. However, there is little information on the marginal accuracy of a complete titanium crown with different margin configurations. PURPOSE This study examined the effect of fabrication method and margin configuration on the marginal and internal fit of complete titanium crowns. MATERIAL AND METHODS An acrylic resin maxillary first molar was prepared with shoulder (buccal), chamfer (palatal), and knife edge (proximal) margin configurations. Forty crowns were produced and then divided into 2 groups according to the manufacturing method (casting method or CAD/CAM technique) (n=20). Each crown was luted to the original stone die with zinc phosphate cement. The margin of the crown, center point of the axial wall, and occlusal area were measured with a 3-dimensional measuring microscope. An independent t-test (internal gap) and repeated measures 2-way ANOVA (marginal gap) were used for statistical analysis (α=.05). RESULTS The mean marginal gap of the cast group was significantly smaller than that of the CAD/CAM group (P<.001). The margin configuration affected the measured marginal discrepancy (P<.001). In both groups, the mean marginal gap of the chamfer and shoulder margin was significantly smaller than that of the knife-edge margin (P<.001). CONCLUSIONS Castings-produced titanium crowns with a better marginal fit than the CAD/CAM technique. The knife-edge margin exhibited the greatest marginal discrepancy.

Stress analysis of a cantilevered fixed partial denture with normal and reduced bone support

A two-dimensional finite element model was constructed to analyze the simulated mechanical behavior of a cantilevered fixed partial denture. The variations of the models were made by altering the degree of bone support, the number of splinted abutments, and the length of the pontics. High stress concentrations were observed around the connectors of the fixed prosthesis and the tooth closest to the cantilever. Reduced bone support increased the deflection and stress concentrations. There was reduction in displacement and stress concentration when the teeth were splinted together. To improve the prognosis of the fixed partial denture cantilever, the number of abutments should be increased and the number of pontics decreased.

Effect of adhesive primers on bonding strength of heat cure denture base resin to cast titanium and cobalt-chromium alloy

STATEMENT OF PROBLEM The poor chemical bonding of a denture base resin to cast titanium framework often introduces adhesive failure and increases microleakage. PURPOSE This study evaluated the shear bond strengths of a heat cure denture base resin to commercially pure titanium, Ti-6Al-4V alloy and a cobalt-chromium alloy using two adhesive primers. MATERIAL AND METHODS Disks of commercially pure titanium, Ti-6Al-4V alloy and a cobalt-chromium alloy were cast. Specimens without the primer were also prepared and used as the controls. The shear bond strengths were measured on a screw-driven universal testing machine. RESULTS The primers significantly (P < .05) improved the shear bond strengths of the heat cure resin to all metals. However, the specimens primed with the Alloy primer® (MDP monomer) showed higher bond strength than those primed with the MR bond® (MAC-10 monomer) on titanium. Only adhesive failure was observed at the metal-resin interface in the non-primed specimens, while the primed specimens showed mixed failure of adhesive and cohesive failure. CONCLUSIONS The use of appropriate adhesive metal primers makes it possible not only to eliminate the need for surface preparation of the metal framework before applying the heat cure resins, but also reduce the need for retentive devices on the metal substructure. In particular, the Alloy primer®, which contains the phosphoric acid monomer, MDP, might be clinically more acceptable for bonding a heat cure resin to titanium than a MR bond®, which contains the carboxylic acid monomer, MAC-10.

A morphometric analysis of maxillary central incisor on the basis of facial appearance in Korea.

PURPOSE We aimed to identify a more esthetic width-to-length ratio by analyzing maxillary central incisor of Korean adult population. Information regarding tooth ratio in the Korean population may be useful to clinicians when restoring anterior teeth. MATERIALS AND METHODS A total of 40 men and 40 women were included in this study. The NON-MEDIA group included 40 non-celebrities, who were healthy and 25 to 39 years old, with normal dentofacial appearance. The MEDIA group consisted of 40 celebrities selected only on the basis of their soft-tissue facial appearance. The facial photographs of 40 celebrities were collected from the Internet websites. The width and length of the maxillary central incisor were measured using Adobe Photoshop® 7.0, a software for analysis, measurement and edition of photographs. Data were analyzed statistically using the Independent t-test at 5% statistical significance level. RESULTS The mean ratio for the MEDIA group was 0.77, whereas that of the NON-MEDIA group was 0.88. The difference between the two groups was statistically significant. No significant gender differences were found in the width-to-length ratio in MEDIA group. In NON-MEDIA group, however, there were significant differences between female and male. CONCLUSION After analyzing maxillary anterior teeth of Korean adults, our results were in accordance with the general Western standards of esthetics. A dentist restoring the natural look and beauty of teeth will have to consider those standards.

Shear bond strength of composite resin to titanium according to various surface treatments

STATEMENT OF PROBLEM When veneering composite resin-metal restoration is prepared, the fact that bond strength between Ti and composite resin is relatively weak should be considered. PURPOSE The purpose of this study is to evaluate the shear bond strength between the veneering composite resin and commercial pure (CP) Ti / Ti-6Al-4V alloy according to the method of surface treatment. MATERIAL AND METHODS The disks were cast by two types of metal. Their surfaces were treated by sandblasting, metal conditioner, TiN coating and silicoating respectively. After surface treatment, the disks were veneered by composite resin (Tescera™, Bisco, USA) which is 5 mm in diameter and 3 mm in thickness. The specimens were stored in water at 25℃ for 24 hours, and then evaluated for their shear bond strength by universal testing machine (STM-5®, United Calibration, USA). These values were statistically analyzed. RESULTS 1. All methods of surface treatment were used in this study satisfied the requirements of ISO 10477 which is the standard of polymer-based crown and bridge materials. 2. The metal conditioner treated group showed the highest value in shear bond strength of CP Ti, silicoated group, TiN coated group, sandblasted group, in following order. 3. The silicoated group showed the highest value in shear bond strength of Ti-6Al-4V alloy, metal conditioner treated group, sandblasted group, TiN coated group, in following order. CONCLUSION Within the limitations of this study, all methods of surface treatment used in this study are clinically available.

Influence of preparation depths on the fracture load of customized zirconia abutments with titanium insert

PURPOSE This study evaluated the fracture load of customized zirconia abutments with titanium insert according to preparation depths, with or without 5-year artificial aging. MATERIALS AND METHODS Thirty-six identical lithium disilicate crowns (IPS e.max press) were fabricated to replace a maxillary right central incisor and cemented to the customized zirconia abutment with titanium insert on a 4.5×10 mm titanium fixture. Abutments were fabricated with 3 preparation depths (0.5 mm, 0.7 mm, and 0.9 mm). Half of the samples were then processed using thermocycling (temperature: 5-55℃, dwelling time: 120s) and chewing simulation (1,200,000 cycles, 49 N load). All specimens were classified into 6 groups depending on the preparation depth and artificial aging (non-artificial aging groups: N5, N7, N9; artificial aging groups: A5, A7, A9). Static load was applied at 135 degrees to the implant axis in a universal testing machine. Statistical analyses of the results were performed using 1-way ANOVA, 2-way ANOVA, independent t-test and multiple linear regression. RESULTS The fracture loads were 539.28 ± 63.11 N (N5), 406.56 ± 28.94 N (N7), 366.66 ± 30.19 N (N9), 392.61 ± 50.57 N (A5), 317.94 ± 30.05 N (A7), and 292.74 ± 37.15 N (A9). The fracture load of group N5 was significantly higher than those of group N7 and N9 (P<.017). Consequently, the fracture load of group A5 was also significantly higher than those of group A7 and A9 (P<.05). After artificial aging, the fracture load was significantly decreased in all groups with various preparation depths (P<.05). CONCLUSION The fracture load of a single anterior implant restored with lithium disilicate crown on zirconia abutment with titanium insert differed depending on the preparation depths. After 5-year artificial aging, the fracture loads of all preparation groups decreased significantly.

Histologic evaluation and removal torque analysis of nano- and microtreated titanium implants in the dogs.

STATEMENT OF PROBLEM A number of studies about the nano-treated surfaces of implants have been conducting along with micro-treated surfaces of implants. PURPOSE The purpose of this study was to get information for the clinical use of nano-treated surfaces compared with micro-treated surfaces by measuring removal torque and analyzing histological characteristics after the placement of various surface-treated implants on femurs of dogs. MATERIAL AND METHODS Machined surface implants were used as a control group. 4 nano-treated surface implants and 3 micro-treated surface implants [resorbable blast media surface (RBM), sandblast and acid-etched surface (SAE), anodized RBM surface] were used as experimental groups. Removal torque values of implants were measured respectively and the histological analyses were conducted on both 4weeks and 8weeks after implant surgery. The surfaces of removed implants after measuring removal torque values were observed by scanning electron microscopy (SEM) at 8 weeks. RESULTS 1. Removal torque values of the nano-treated groups were lower than those of micro-treated groups. 2. Removal torque values were similar in the anodized RBM surface groups. 3. On the histological views, there was much of bone formation at 8 weeks, but there was no difference between 4 and 8 weeks, and between the types of implant surfaces as well. CONCLUSION It is suggested that implant topography is more effective in removal torque test than surface chemistry. To get better clinical result, further studies should be fulfilled on the combined effect of surface topography and chemistry for the implant surface treatments.

Shore hardness and tensile bond strength of long-term soft denture lining materials

STATEMENT OF PROBLEM Reduced softness and separation from the denture base are the most significant problems of long-term soft lining materials. PURPOSE The purpose of this study was to evaluate the durometer Shore A hardness and tensile bond strength of long-term soft denture lining materials and to investigate the correlation between these 2 properties. MATERIAL AND METHODS A group of 7 soft lining materials, 6 silicone based (Dentusil, GC Reline Soft, GC Reline Ultrasoft, Mucopren Soft, Mucosoft, Sofreliner Tough) and 1 acrylic resin based (Durabase), were evaluated for durometer Shore A hardness and tensile bond strength to heat-polymerized denture base resin (Lucitone 199). A specially designed split mold and loading assembly with a swivel connector were used for the durometer Shore A hardness test and tensile bond strength test to improve accuracy and facilitate measurement. Three specimens of each product were stored in a 37°C water bath, and durometer Shore A hardness tests were carried out after 24 hours and 28 days. A tensile bond strength test was carried out for 10 specimens of each product, which were stored in a 37°C water bath for 24 hours before the test. Repeated-measures ANOVA, the Kruskal-Wallis and Duncan multiple range tests, and the Spearman correlation were used for statistical analyses. RESULTS The repeated-measures ANOVA found significant durometer Shore A hardness differences for the materials (P<.001) and the interaction effect (aging×materials) (P<.001). GC Reline Ultrasoft showed the lowest mean durometer Shore A hardness (21.30 ±0.29 for 24 hours, 34.73 ±0.47 for 28 days), and GC Reline Soft showed the highest mean durometer Shore A hardness (50.13 ±0.48 for 24 hours, 57.20 ±0.28 for 28 days). The Kruskal-Wallis test found a significant difference in the mean tensile bond strength values (P<.001). GC Reline Ultrasoft (0.82 ±0.32 MPa) and Mucopren Soft (0.96 ±0.46 MPa) had a significantly lower mean tensile bond strength (P<.05). GC Reline Soft had the highest mean tensile bond strength (2.99 ±0.43 MPa) (P<.05), and acrylic resin-based Durabase showed a significantly different tensile bond strength (1.32 ±0.16 MPa), except for Mucopren Soft, among the materials (P<.05). The tensile bond strength and Shore A hardness showed a statistically insignificant moderate positive correlation (r=0.571, P=.180 for Shore A hardness 24 hours versus tensile bond strength; r=0.607, P=.148 for Shore A hardness 28 days versus tensile bond strength). CONCLUSIONS Within the limitations of this study, significant differences were found in durometer Shore A hardness (with aging time) and tensile bond strength among the materials. Adhesive failure was moderately correlated with durometer Shore A hardness, especially after 28 days, but was not significant.

A New Fast and Simple Border Molding Process for Complete Dentures Using a Compound Stick Gun

This article describes the use of a newly invented compound stick gun to take impressions for complete denture. The border molding process involves loading the modeling compound in an electric heating device and applying an even thickness of compound on the flange of a custom tray at a proper temperature without hot water tempering. This method provides a quicker and easier border molding process alternative to conventional techniques.