The purpose of this study was to evaluate the marginal and internal fit of all-ceramic crowns fabricated using the Decsy CAD/CAM system.A master die of maxillary first premolar was measured, and experimental crowns were fabricated. Four conditions were established by combining two convergence angles (4° and 12° ) of the abutment with two different luting space settings (15 pm and 55 ;u m) . The results showed that the experimental crowns had a marginal gap of 42 to 56 pm. When the luting space setting was 15 ,um, the internal gap was 85-88 pm; when the setting was 55 pm, the internal gap was 126-138 pm. The marginal gap for each experimental crown met the clinically acceptable criterion.
When sandblasted at a pressure of 0.4MPa, the zirconia specimens developed a strong bond with the tooth-colored porcelain, regardless of the type of porcelain.
In this study, the effect on the fracture load of inlay-retained composite fixed partial dentures(FPDs)caused by reinforcing them with fiber-reinforced composite(FRC)in different positions was examined. Experimental FPDs were fabricated using Estenia/EG Fiber(Kuraray Medical) . Pontic reinforcement was then performed in one of the following three ways: reinforced the central area in a single line or in double straight lines, or reinforced the bottom in a curved line. The finding was that, when the area ranging from the connector to the bottom of the pontic was reinforced with FRC in a curved line, the fracture load of the FPDs tended to become higher. In addition, the FPDs fractured mainly at the veneering composite of the connector area. Based on the results of this study, it was concluded that reinforcement using FRC is effective, and that the veneering composite in the connector area needs to have sufficient strength to prevent the fractures.
Two-dimensional finite element models were created for a three-unit posterior fixed partial denture.An experimental resinimpregnated glass fiber was used as the fiber-reinforced composite (FRC) for the framework. The FRC was evaluated using varying combinations of position and thickness, alongside with two types of veneering composite.A load of 50 N simulating bite force was applied at the pontic in a vertical direction.Tensile stress was examined using a finite element analysis program.Model without FRC showed tensile stress concentrations within the veneering composite on the cervical side of the pontic -from the connector area to the bottom of the pontic. Model with FRC at the top of the pontic had almost the same stress distribution as the model without FRC. Models with 0.4-0.8 mm thick FRC positioned at the bottom of the pontic showed maximum tensile stresses reduced by 4-19% within the veneering composite.
New-generation composite materials have excellent strength and wear resistance, and thus can be used to make metal-free crowns. However, composite materials are translucent, and so when using them to make metal-free crowns, it is necessary to take the effect of the abutments into consideration. In this study, five types of materials including three types of new-generation composite materials, a conventional composite material, and a ceramic material were used to examine the translucency (contrast ratio) of the materials and the effects of the colour of the abutments on the final appearance of metal-free crowns. It was found that the materials varied slightly from one-another in translucency and that it was possible to reproduce the desired colour when gold alloy was used for the background. However, it was difficult to produce an adequate colour match when silver-palladium alloy was used for the background. When a tooth colour material that was darker than the target colour was used for the abutment teeth, some materials could not reproduce the target colour satisfactorily.
Face and dentition were measured using a high-resolution three-dimensional laser scanner to circumvent problems of radiation exposure and metal-streak artifacts associated with X-ray computed tomography. The resulting range data were integrated in order to visualize the dentition relative to the face. The acquisition interval for dentition by laser scanner was 0.18 mm, and complicated morphologies of the occlusal surface could be sufficiently reproduced. Reproduction of occlusal condition of upper and lower dentitions was conducted by matching the surface of the occlusal impression record with upper dentition data. To integrate dentition and face, a marker plate interface was devised and adopted on the lower dental cast or by the subject directly. Integration was performed by matching both sets of interface data. Reproduction of the occlusal condition and integration of the dentition and face were accomplished and visualized satisfactorily by computer graphics. The integration accuracy was examined by changing the attachment angle of the marker plate, and the marker plate attached at 45 degrees showed the smallest error of 0.2 mm. The current noninvasive method is applicable to clinical examination, diagnosis and explanation to the patient when dealing with the physical relationship between face and dentition.
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