Publications by authors named "Chun-Cheng Hung"

Article Synopsis
  • - This study addresses the challenges in implant dentistry regarding accurate digital data positioning for patients with missing teeth, emphasizing the need for effective fiducial markers (reference points).
  • - The researchers tested 15 different dental materials as fiducial markers to see which produced the least amount of radiographic artifacts on cone beam computed tomography (CBCT) scans, using 3D modeling software for analysis.
  • - Findings revealed that flowable composite resin generated the least artifacts compared to other materials, suggesting it is a better choice for fiducial markers in CBCT imaging to enhance accuracy in dental implant procedures.
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Background/purpose: As science and technology continue to advance, the utilization of intraoral scanners (IOSs) has become increasingly popular in the orthodontic workflow. The aim of this study was to discuss whether the degree of crowded arches affects scan accuracy.

Materials And Methods: Three different crowding levels of dental models (model MI: mild, model MO: moderate, and model SE: severe) were scanned using both an IOS and desktop scanner.

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Background/purpose: As a commonly-found pathogen in periodontal disease, has been reported with several antibiotic resistance. Thus, to develop an alternative and protective therapy for infections is urgently needed in dentistry. In this study, we sought to synthesize a silica-based material to deliver silver nanoparticles for antibacterial purposes.

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Article Synopsis
  • The study aimed to validate the accuracy of full-arch digital impressions using two intraoral scanners, Trios 3 and Trios 4, under clinical conditions by comparing different scanning strategies.
  • A dental model with 28 teeth was used as a reference to evaluate the trueness of the scans, employing three strategies: the manufacturer's original method (O), a half segmental range (OH), and a third quarter segmental range (TQ).
  • Results indicated that strategy TQ provided the best accuracy for both scanners, suggesting that clinicians should choose scanning strategies accordingly for enhanced precision in their work.
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  • This study evaluates the durability of composite resin used to repair porcelain-fused-to-metal (PFM) crowns, focusing on factors like bonding strength and operational feasibility.
  • Researchers tested different cavity types (class VI, III, IV) using both sandblasted and nonsandblasted samples under thermal cycling and load conditions.
  • Results indicated that sandblasting significantly improves the repair success of ceramic sites in certain fracture models, especially for mesiobuccal (MB) cavities.
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Background/purpose: The simulated color of restorations plays an important role in improving patient satisfaction. The aim of this study was to test a new intelligent colorimetric solution using the Advanced Reflectionless Technology (ART) monitor and compare them using commercially available shade systems.

Materials And Methods: Six participants' right maxillary central incisors were tested with three devices, including the AUO Display Plus (Group A), a Canon single-lens reflex camera with eLAB's polar eyes filter (Group E), and the VITA Easyshade V (Group V).

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Background/purpose: Implant stability is crucial for successful osseointegration. Marginal bone level is considered an important indicator of long-term implant success and stability. The purposes of this study were to investigate 1) the effect of age, gender, bone density, implant length, and implant diameter on insertion torque (IT), primary implant stability quotient (ISQ), and secondary ISQ, 2) the impact of age, gender, bone density, implant length, implant diameter, IT, and ISQ on marginal bone loss (MBL).

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Article Synopsis
  • The study compared the outcomes of immediate implant placement with immediate provisionalization (Ipro) versus without Ipro in patients with failed maxillary anterior teeth.
  • It involved 70 patients divided into two groups, measuring implant stability, marginal bone loss, survival rates, and patient satisfaction over a year.
  • Results showed no differences in bone loss or survival rates, but Group A (with Ipro) had higher patient satisfaction and better implant stability at multiple time points after surgery.
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Background/purpose: The SimEx is dental training system that applies new technology in a computerized dental simulator. The purpose of this study was to understand the usability satisfaction of the SimEx dental education and evaluation system by dental students and dentists at Tohoku University.

Materials And Methods: In this study, the Tohoku University IRB execution number was 2020-3-33.

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  • This study aimed to develop a new toothpaste with dicalcium phosphate anhydrous (DCPA) and evaluate its effects on tooth health compared to two commercial brands.
  • Results showed that the new toothpaste had superior microhardness and better sealing of dentinal tubules over time, indicating increased effectiveness.
  • Overall, the innovative toothpaste outperformed the commercial options in enhancing tooth properties and maintaining oral health.
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Background/purpose: The optimal strategy for scanning removable partial dentures remains unknown. This study investigated scanning strategies for patients with a maxillary Kennedy Class I arch as well as the measurement deviations of three scanning strategies.

Materials And Methods: A standard maxilla model was positioned with a holder in a dental chair to simulate a natural patient position and posture.

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Background/purpose: Palladium-silver (Pd-Ag) alloys are important as an alternative to gold-based alloys. The purpose of this study was to investigate the effect of an argon-arc vacuum pressure casting process on the recasting of the Pd-Ag alloy.

Materials And Methods: The recasting Pd-Ag alloys were compared with conventional horizontal centrifugal (HC) casting to an argon (Ar)-arc vacuum pressure (Ar-arc/VP) casting.

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Article Synopsis
  • Clenching is a dental issue that can harm teeth and dental prostheses, and while CAD/CAM technologies create strong and high-quality prosthetics, they still show damage post-clenching.* -
  • Researchers utilized Abaqus software to simulate various ceramic assembly models under stress tests, considering factors like loading, material type, and layer thickness across 96 models.* -
  • The study found that a four-layered ceramic assembly design, particularly using IPS e.max CAD and Vita Enamic, can effectively mimic natural teeth and possibly improve the durability of dental prostheses.*
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Background/purpose: Cone beam computed tomography (CBCT) is frequently used in dental diagnosis and treatment. Comparative studies of the effects of CBCT on implant navigation, however, are still limited. The objective of this study was to evaluate whether the computed tomography images of the four commercial brands will affect the accuracy of the new version of IRIS implant navigation system.

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Background/purpose: Bioceramic tetracalcium phosphate (TTCP) is used as a surface modifier on the implant surface and the clinical studies on this surface modification are still limited. The objective of this clinical study was to investigate short-term implant stability of titanium implant surfaces being modified through sandblasting and acid etching (SLA), followed by TTCP sintered bioceramic anchoring.

Materials And Methods: A total of 20 patients who had single tooth space were included in this study.

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This study evaluated the in vitro characterizations of biodegradable hydrogel beads with calcium phosphate bone cement (CPC). Commercial fast-setting CPC and hydrogel beads were compared with 25%-volume hydrogel in CPC (C/0.25) in vivo.

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Background/purpose: Among the ceramic materials used for all-ceramic crowns, zirconia has high biocompatibility and favorable mechanical properties, but its main drawbacks include low translucency and stress-induced phase transformation. To stabilize high-strength tetragonal zirconia polycrystal (TZP), 3-5 mol% yttria is usually added to prepare yttria-stabilized TZP (Y-TZP). In this study, the optical properties of three commercial Y-TZP ceramics were compared with those of the clinically available glass-ceramic material of lithium disilicate, and the relationship between translucency and crystal properties was analyzed in vitro.

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Devices and medicines used in the medical field must be sterile. Gamma (γ)-irradiation is commonly used for sterilization because its high rate of penetration ensures uniform sterilization. To confirm that hydrogel macrosphere carriers inherit excellent liquid absorption with no cytotoxicity after γ-irradiation sterilization, investigating whether the physiochemical properties of hydrogel macrospheres differ before and after sterilization is essential.

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An in vitro investigation was performed to evaluate the bonding characteristics of porcelain fused to metal (PFM)/commercially pure titanium (cp Ti, grade II) in three firing atmospheres of under vacuum and using two noble gases argon (Ar) and helium (He). Three groups of porcelain veneers firing under vacuum, Ar, and He were prepared to evaluate the bonding of porcelain fused to the cold-rolled cp Ti. The bond strength of PFM durability by a three-point bending test, phases, microhardness of cp Ti after firing processes, and fractures were measured and evaluated.

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Article Synopsis
  • - Clinical use of PMMA resin for provisional FPDs often leads to fractures due to inadequate mechanical strength, especially in long-span connectors; this study aims to assess the fracture load related to different pontic span lengths.
  • - Fifty-six provisional FPDs were tested, with some reinforced by glass fibers, revealing that those with a 14 mm span had the highest fracture load, and fiber reinforcement significantly improved strength and fracture patterns compared to unreinforced samples.
  • - The study concluded that acrylic FPDs exhibit higher fracture resistance at spans up to 17 mm, and incorporating glass fibers can enhance durability and alter fracture patterns from catastrophic to less severe types.
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Article Synopsis
  • The OSCE (Objective Structured Clinical Examination) is an effective method for assessing dental students' preclinical skills, particularly when augmented reality (AR) simulators are used.
  • Recent literature explores the integration of virtual reality (VR) and AR in dental education, emphasizing their role in enhancing skill development and reducing surgery risks.
  • The advancement of tracking units has transformed both surgical education and practice, with VR and AR positively influencing training and navigation across various fields beyond dentistry.
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Background/purpose: Pure titanium (Ti) has many advantages, such as high corrosion resistance and excellent biocompatibility. The mechanical properties of pure Ti are like those of type IV gold alloys. Furthermore, gold alloys can be successfully recast in dental clinics.

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This study designed a biomimetic implant for reducing healing time and achieving early osseointegration to create an active surface. Bone morphogenetic protein-2 (BMP-2) is a strong regulator protein in osteogenic pathways. Due to hardly maintaining BMP-2 biological function and specificity, BMP-2 efficient delivery on implant surfaces is the main challenge for the clinic application.

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Article Synopsis
  • * Researchers tested chlorin e6 (Ce6) in both free and micelle forms to observe their effects during photodynamic therapy (PDT) on melanoma tumor-associated vasculature in mice.
  • * Results showed that micelle-encapsulated Ce6 provided clearer vascular imaging and more effective vascular destruction compared to free Ce6, indicating its potential as a multifunctional agent in cancer therapy.
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In this study, a calcium phosphate cement was developed using tetracalcium phosphate and surface-modified dicalcium phosphate anhydrous (DCPA). This developed injectable bone graft substitute can be molded to the shape of the bone cavity and set in situ through the piping system that has an adequate mechanical strength, non-dispersibility, and biocompatibility. The materials were based on the modified DCPA compositions of calcium phosphate cement (CPC), where the phase ratio of the surface-modified DCPA is higher than that of the conventional CPC for forming dicalcium phosphate (DCP)-rich cement.

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