関: porcelain

WordNet

an appreciable consequence (especially a lessening); "it made a dent in my bank account"
an impression in a surface (as made by a blow) (同)ding, gouge, nick
of or relating to the teeth; "dental floss"
of or relating to dentistry; "dental student"
ceramic ware made of a more or less translucent ceramic

PrepTutorEJDIC

くぼみ,へこみ / …‘を'くぼませる,へこませる / へこむ,くぼむ
(くし・歯車などの)歯
歯の,歯科医の / (音声が)歯音の / 歯音(など)
(材料としての)磁器 / 《集合的に》磁器製品

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/10/15 19:06:42」(JST)

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Dental porcelain (also known as dental ceramic) is a porcelain used by a dental technician to create biocompatible lifelike crowns, bridges, and veneers for the patient. Evidence suggests they are effective (they are biocompatible, esthetic, insoluble and have hardness of 7 on the Mohs scale), although for three-unit molars porcelain fused to metal or in complete porcelain group only zirconia-based restorations are recommended.^[1]

The word “ceramic” is derived from the Greek word “keramos” that translates to mean, “burnt earth.” It came from the ancient art of fabricating pottery where mostly clay was fired to form a hard, brittle object. A more modern definition is a material that contains metallic and non-metallic elements (usually oxygen). These materials can be defined by their inherent properties; they form hard, stiff, and brittle materials due to the nature of their inter-atomic bonding, which is ionic and covalent. Contrast that to a metal; metals are non-brittle (display elastic behavior), and ductile (display plastic behavior). This is because of the nature of the inter-atomic bonding, which is called a metallic bond. These bonds are defined by a cloud of shared electrons that can easily move when energy is applied. This is what makes most metals great conductors. Ceramics can be very translucent to very opaque. In general, the more glassy the microstructure (ie, noncrystalline) the more translucent it will appear, and the more crystalline, the more opaque.^[2]

The dentist will usually specify a shade or combination shades for different parts of the restoration, corresponding to a set of bottles in the lab containing the porcelain powder. A common shade system used is the Vita guide (Vita Classical and Vita 3D Master). There are two types of porcelain restorations: porcelain fused to metal and complete porcelain. For porcelain fused to metal, the black color of metal is first masked with an opaque layer to make it a shade of white and then consecutive layers are built up. The powder corresponding to the desired shade of dentine base is mixed with water, and then fired. Further layers are built up to mimic the natural translucency of the enamel of the tooth. The porcelain is fused to a semi-precious metal or precious metal such as gold, for extra strength. Many systems use an aluminium oxide or zirconium oxide or zirconia core instead of metal that makes complete porcelain restorations.

Recent developments in dental CAD-CAM technology utilize special partially sintered ceramic (zirconia), glass-bonded ceramic ("Vitablock") or glass-ceramic ("ips.emax" lithium disilicate)^[3] formed into machinable blocks, which are fired again after machining. CAD/CAM restorations created with glass-ceramic CEREC technology appear to last well.^[4]

Utilizing in-office CAD/CAM technology, clinicians can design, fabricate and place all-ceramic inlays, onlays, crowns and veneers in a single patient visit. The ceramic restorations produced by this method have demonstrated excellent fit, strength and longevity.Two basic techniques can be used for CAD/CAM restorations.

- Chairside single-visit technique

- Integrated chairside–laboratory CAD/CAM procedure.^[5]

Classifications

Ceramics can be classified by their microstructure (i.e., amount and type of crystalline phase and glass composition).^[6] They can also be classified by the processing technique (power-liquid, pressed or machined).

Microstructural Classifications

At the microstructural level, we can define ceramics by the nature of their composition of glass-to-crystalline ratio. There can be infinite variability of the microstructures of materials, but they can be broken down into four basic compositional categories, with a few subgroups:composition category 1 – glass-based systems (mainly silica),composition category 2 – glass-based systems (mainly silica) with fillers, usually crystalline (typically leucite or, more recently, lithium disilicate),composition category 3 – crystalline- based systems with glass fillers (mainly alumina) andcomposition category 4 – polycrystalline solids (alumina and zirconia).

Dental porcelain is generally regarded as biologically inert. However, other toxicities may exist from depleted uranium and some of the other accessory materials, and the fillings may increase wear on opposing teeth.^[7]

References[edit]

^ Della Bona A, Kelly JR (September 2008). "The clinical success of all-ceramic restorations". J Am Dent Assoc. 139. Suppl: 8S–13S. PMID 18768903.
^ McLaren, Cao, Edward A, Phong Tran (October 2009). "Ceramics in Dentistry—Part I: Classes of Materials". Inside Dentistry 5 (9).
^ Tysowsky, George. "The Science Behind Lithium Disilicate". Retrieved Feb 2012.
^ Fasbinder DJ (September 2006). "Clinical performance of chairside CAD/CAM restorations". J Am Dent Assoc. 137. Suppl: 22S–31S. PMID 16950934.
^ Shenoy, Shenoy, Arvin, Nina (Oct-Dec 2010). "Dental ceramics: An update". Journal of Conservative Dentistry 13 (4): 195–203. doi:10.4103/0972-0707.73379.
^ McLaren, Tran, Edward A, CP (10 2009). "Ceramics in Dentistry-Part I: Classes of Materials". Inside Dentistry 5 (9). Retrieved 29 August 2013.
^ Mackert JR (September 1992). "Side-effects of dental ceramics". Adv. Dent. Res. 6: 90–3. PMID 1337968.

External links[edit]

Dentistry portal

US National Association of Dental Laboratories

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1. 小児における歯の損傷の評価およびマネージメント evaluation and management of dental injuries in children
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4. 成人における単一恐怖の治療における内科的治療および歯科治療 treatment for specific phobias of medical and dental procedures in adults
5. 成人における医療手技に対する急性不安発作：疫学および臨床像 acute procedure anxiety in adults epidemiology and clinical presentation

English Journal

Adhesion determination of dental porcelain to zirconia using the Schwickerath test: Strength vs. fracture energy approach.

Kosyfaki P1, Swain MV2.
Acta biomaterialia.Acta Biomater.2014 Nov;10(11):4861-9. doi: 10.1016/j.actbio.2014.07.028. Epub 2014 Aug 1.
Two approaches to measure the fracture energy to delaminate four different porcelains from zirconia substrates are compared using Schwickerath adhesion strength test specimens. In all instances it was possible to stably extend the crack along or adjacent to the porcelain-zirconia interface. The frac
PMID 25091292

Using a Porcelain Furnace to Debond Cement-Retained Implant Crown from the Abutment after Screw Fracture: A Clinical Report.

Saponaro PC1, Heshmati RH, Lee DJ.
Journal of prosthodontics : official journal of the American College of Prosthodontists.J Prosthodont.2014 Oct 14. doi: 10.1111/jopr.12233. [Epub ahead of print]
When a screw fracture occurs on a cement-retained, implant-supported restoration, the abutment and restoration are completely separated from the implant's internal connection. Traditionally, an access hole is drilled through the crown to retrieve the broken screw, and the restoration can be placed a
PMID 25316610

Effect of Bonding Agent Application Method on Titanium-Ceramic Bond Strength.

Curtis JG1, Dossett J, Prihoda TJ, Teixeira EC.
Journal of prosthodontics : official journal of the American College of Prosthodontists.J Prosthodont.2014 Oct 14. doi: 10.1111/jopr.12234. [Epub ahead of print]
PURPOSE: Although milled titanium may be used as a substructure in fixed and implant prosthodontics, the application of the veneering porcelain presents particular challenges compared to traditional alloys. To address these challenges, some Ti ceramic systems incorporate the application of a bonding
PMID 25314910