1.Effect of universal adhesive pretreatments on the bond strength durability of conventional and adhesive resin cements to zirconia ceramic
Tae-Yub KWON ; Seung-Hee HAN ; Du-Hyeong LEE ; Jin-Woo PARK ; Young Kyung KIM
The Journal of Advanced Prosthodontics 2024;16(2):105-114
PURPOSE:
This study aimed to evaluate the effect of pretreatment of three different universal adhesives (Single Bond Universal [SBU], All-Bond Universal [ABU], and Prime&Bond universal [PBU]) on the bonding durability of an adhesive (Panavia F 2.0, PF) and a conventional (Duo-Link, DL) resin cements to air-abraded zirconia.
MATERIALS AND METHODS:
Rectangular-shaped zirconia specimens were prepared. The chemical composition and surface energy parameters of the materials were studied by Fourier transform infrared spectroscopy and contact angle measurement, respectively. To evaluate resin bonding to the zirconia, all the bonding specimens were immersed in water for 24 h and the specimens to be aged were additionally thermocycled 10000 times before the shear bond strength (SBS) test.
RESULTS:
The materials showed different surface energy parameters, including the degree of hydrophilicity/hydrophobicity. While the DL/CON (no pretreatment) showed the lowest SBS and a significant decrease in the value after thermocycling (P < .001), the PF/CON obtained a higher SBS value than the DL/CON (P < .001) and no decrease even after thermocycling (P = .839). When the universal adhesives were used with DL, their SBS values were higher than the CON (P < .05), but the trend was adhesive-specific. In conjunction with PF, the PF/SBU produced the highest SBS followed by the PF/ABU (P = .002), showing no significant decrease after thermocycling (P > .05). The initial SBS of the PF/PBU was similar to the PF/CON (P = .999), but the value decreased after thermocycling (P < .001).
CONCLUSION
The universal adhesive pretreatment did not necessarily show a synergistic effect on the bonding performance of an adhesive resin cement, whereas the pretreatment was beneficial to bond strength and durability of a conventional resin cement.
2.Rehabilitation using milled-bar with attachment maxilla overdenture in a patient with peri-implantitis fixed prosthesis: A case report
Joon-Myung LEE ; So-Yeun KIM ; Du-Hyeong LEE ; Kyu-Bok LEE ; Cheong-Hee LEE
The Journal of Korean Academy of Prosthodontics 2024;62(2):123-130
There are various methods for restoring the dentition of completely edentulous patients. Removable complete dentures have the advantage of being relatively economical, but they can be uncomfortable to wear. With the introduction of implant prosthodontics, various options such as implant-supported overdentures and hybrid prostheses have become available. If there is inadequate remaining ridge or limited financial resources, an overdenture supported by a few implants with additional attachments may be more suitable. In this case, due to severe peri-implantitis and other complications, the implants were removed. Subsequently, four implants (two on each side) were placed in the maxilla and a milledbar with attachment was fabricated for each side of the maxilla.
3.Combined use of direct and indirect digital impression in temporary denture fabrication
Ji-Su PARK ; Cheong-Hee LEE ; Kyu-Bok LEE ; Du-Hyeong LEE ; Hyun-Ji YU ; So-Yeun KIM
Journal of Dental Rehabilitation and Applied Science 2024;40(3):159-168
Through the use of intraoral scanners, it is possible to obtain intraoral scan impressions and produce prostheses. This approach isalso being attempted not only in dentate patients but also in edentulous patients. However, obtaining scans of edentulous areas can be more challenging than scanning dental areas, and there may be limitations, especially in capturing the details of the mucosal tissues. On the other hand, when obtaining impressions with intraoral scanners, simultaneous recording of the occlusal relationship of the maxilla and mandible can reduce the number of patient visits and expedite the restoration process. In this case, we aimed to combine the advantages of direct intraoral scanning and indirect digital impressions obtained after traditional impression-taking by merging two types of scan files. Consequently, in patients with partially edentulous arches, we sought to provide effective in-terim prostheses through direct and indirect digital model impressions and report our findings accordingly.
4.Effects of wax rim in image registration of intraoral and face scan in edentulous arch condition
Sang-Hyeok SEO ; Cheong-Hee LEE ; Kyu-Bok LEE ; So-Yeun KIM ; Du-Hyeong LEE
Journal of Dental Rehabilitation and Applied Science 2024;40(3):135-141
Purpose:
The purpose of this study was to investigate the accuracy of image merging of an intraoral scan of an edentulous arch to a facial scan using wax rim and markers. .
Materials and Methods:
For registration of oral scan to face scan, a wax rim with markers wasmade. The markers were cuboid and divided into four groups according to size (5, 10 mm) and attachment location (midline, canine region). The evaluation of registration accuracy was compared with a standard created using cone-beam computed tomographydata. Anterior linear variation of the edentulous arch and the 3D variation of the overall arch were measured. Kruskal-Wallis test and Mann-Whitney U test were used for statistics, and the significance level was set at 0.05 and evaluated under Bonferroni correction (0.05/6 = 0.083).
Results:
In the anterior deviation and global deviation results, there was no statistically significant difference in the oral scan position displacement values between the 5 mm and 10 mm groups. When the midline marker was used, the intraoral scan position displacement value was significantly lower than when only the canine marker was used.
Conclusion
Marker attached wax rim can be used for image matching between facial and intraoral scans of the edentulous arch. Marker location at the middle area increases the accuracy of image matching.
5.Accuracy of interocclusal record established by different occlusal scans
Minjee KANG ; Cheong-Hee LEE ; Kyu-Bok LEE ; So-Yeun KIM ; Du-Hyeong LEE
Journal of Dental Rehabilitation and Applied Science 2024;40(3):142-148
Purpose:
The purpose of this study was to investigate the accuracy of digital mounting with occlusal scans in the interocclusal record for a full-mouth fixed prosthetic treatment condition.
Materials and Methods:
The entire maxillary teeth were prepared in a dentiform model and attached to an articulator in maximum intercuspation. Temporary crowns were fabricated and occlusion was adjusted. After scanning the arch with tooth preparation, digital mounting was performed using an occlusion scan of the anterior or posterior teeth areas. The accuracy of the positioned jaw relation was evaluated three-dimensionally through positional deviation and angular error of the occlusal plane. Afterwards, the same procedure was repeated on the partially edentulous model to evaluate the accuracy of digital interocclusal record. Kruskal-Wallis test and Mann-Whitney U test were used for statistical analysis, and the significance level was set at 0.05.
Results:
There was no significant difference in the positional error at the centerof the arch in the digitally established jaw relation depending on the scan area used and remaining tooth conditions (P = 0.53). Theangular error of the occlusal plane was larger when the anterior teeth were used as the overlapping area, and a smaller error value was observed when both posterior teeth were used as the overlapping area (P < 0.001).
Conclusion
The use of bilateral posterior occlusal scans is recommended when digitally mounting the jaw relation established with temporary teeth during full-mouth fixed prosthetic treatment.
6.Combined use of direct and indirect digital impression in temporary denture fabrication
Ji-Su PARK ; Cheong-Hee LEE ; Kyu-Bok LEE ; Du-Hyeong LEE ; Hyun-Ji YU ; So-Yeun KIM
Journal of Dental Rehabilitation and Applied Science 2024;40(3):159-168
Through the use of intraoral scanners, it is possible to obtain intraoral scan impressions and produce prostheses. This approach isalso being attempted not only in dentate patients but also in edentulous patients. However, obtaining scans of edentulous areas can be more challenging than scanning dental areas, and there may be limitations, especially in capturing the details of the mucosal tissues. On the other hand, when obtaining impressions with intraoral scanners, simultaneous recording of the occlusal relationship of the maxilla and mandible can reduce the number of patient visits and expedite the restoration process. In this case, we aimed to combine the advantages of direct intraoral scanning and indirect digital impressions obtained after traditional impression-taking by merging two types of scan files. Consequently, in patients with partially edentulous arches, we sought to provide effective in-terim prostheses through direct and indirect digital model impressions and report our findings accordingly.
7.Effects of wax rim in image registration of intraoral and face scan in edentulous arch condition
Sang-Hyeok SEO ; Cheong-Hee LEE ; Kyu-Bok LEE ; So-Yeun KIM ; Du-Hyeong LEE
Journal of Dental Rehabilitation and Applied Science 2024;40(3):135-141
Purpose:
The purpose of this study was to investigate the accuracy of image merging of an intraoral scan of an edentulous arch to a facial scan using wax rim and markers. .
Materials and Methods:
For registration of oral scan to face scan, a wax rim with markers wasmade. The markers were cuboid and divided into four groups according to size (5, 10 mm) and attachment location (midline, canine region). The evaluation of registration accuracy was compared with a standard created using cone-beam computed tomographydata. Anterior linear variation of the edentulous arch and the 3D variation of the overall arch were measured. Kruskal-Wallis test and Mann-Whitney U test were used for statistics, and the significance level was set at 0.05 and evaluated under Bonferroni correction (0.05/6 = 0.083).
Results:
In the anterior deviation and global deviation results, there was no statistically significant difference in the oral scan position displacement values between the 5 mm and 10 mm groups. When the midline marker was used, the intraoral scan position displacement value was significantly lower than when only the canine marker was used.
Conclusion
Marker attached wax rim can be used for image matching between facial and intraoral scans of the edentulous arch. Marker location at the middle area increases the accuracy of image matching.
8.Accuracy of interocclusal record established by different occlusal scans
Minjee KANG ; Cheong-Hee LEE ; Kyu-Bok LEE ; So-Yeun KIM ; Du-Hyeong LEE
Journal of Dental Rehabilitation and Applied Science 2024;40(3):142-148
Purpose:
The purpose of this study was to investigate the accuracy of digital mounting with occlusal scans in the interocclusal record for a full-mouth fixed prosthetic treatment condition.
Materials and Methods:
The entire maxillary teeth were prepared in a dentiform model and attached to an articulator in maximum intercuspation. Temporary crowns were fabricated and occlusion was adjusted. After scanning the arch with tooth preparation, digital mounting was performed using an occlusion scan of the anterior or posterior teeth areas. The accuracy of the positioned jaw relation was evaluated three-dimensionally through positional deviation and angular error of the occlusal plane. Afterwards, the same procedure was repeated on the partially edentulous model to evaluate the accuracy of digital interocclusal record. Kruskal-Wallis test and Mann-Whitney U test were used for statistical analysis, and the significance level was set at 0.05.
Results:
There was no significant difference in the positional error at the centerof the arch in the digitally established jaw relation depending on the scan area used and remaining tooth conditions (P = 0.53). Theangular error of the occlusal plane was larger when the anterior teeth were used as the overlapping area, and a smaller error value was observed when both posterior teeth were used as the overlapping area (P < 0.001).
Conclusion
The use of bilateral posterior occlusal scans is recommended when digitally mounting the jaw relation established with temporary teeth during full-mouth fixed prosthetic treatment.
9.Combined use of direct and indirect digital impression in temporary denture fabrication
Ji-Su PARK ; Cheong-Hee LEE ; Kyu-Bok LEE ; Du-Hyeong LEE ; Hyun-Ji YU ; So-Yeun KIM
Journal of Dental Rehabilitation and Applied Science 2024;40(3):159-168
Through the use of intraoral scanners, it is possible to obtain intraoral scan impressions and produce prostheses. This approach isalso being attempted not only in dentate patients but also in edentulous patients. However, obtaining scans of edentulous areas can be more challenging than scanning dental areas, and there may be limitations, especially in capturing the details of the mucosal tissues. On the other hand, when obtaining impressions with intraoral scanners, simultaneous recording of the occlusal relationship of the maxilla and mandible can reduce the number of patient visits and expedite the restoration process. In this case, we aimed to combine the advantages of direct intraoral scanning and indirect digital impressions obtained after traditional impression-taking by merging two types of scan files. Consequently, in patients with partially edentulous arches, we sought to provide effective in-terim prostheses through direct and indirect digital model impressions and report our findings accordingly.
10.Effects of wax rim in image registration of intraoral and face scan in edentulous arch condition
Sang-Hyeok SEO ; Cheong-Hee LEE ; Kyu-Bok LEE ; So-Yeun KIM ; Du-Hyeong LEE
Journal of Dental Rehabilitation and Applied Science 2024;40(3):135-141
Purpose:
The purpose of this study was to investigate the accuracy of image merging of an intraoral scan of an edentulous arch to a facial scan using wax rim and markers. .
Materials and Methods:
For registration of oral scan to face scan, a wax rim with markers wasmade. The markers were cuboid and divided into four groups according to size (5, 10 mm) and attachment location (midline, canine region). The evaluation of registration accuracy was compared with a standard created using cone-beam computed tomographydata. Anterior linear variation of the edentulous arch and the 3D variation of the overall arch were measured. Kruskal-Wallis test and Mann-Whitney U test were used for statistics, and the significance level was set at 0.05 and evaluated under Bonferroni correction (0.05/6 = 0.083).
Results:
In the anterior deviation and global deviation results, there was no statistically significant difference in the oral scan position displacement values between the 5 mm and 10 mm groups. When the midline marker was used, the intraoral scan position displacement value was significantly lower than when only the canine marker was used.
Conclusion
Marker attached wax rim can be used for image matching between facial and intraoral scans of the edentulous arch. Marker location at the middle area increases the accuracy of image matching.

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