근관충전용 sealer의 성분이 포스트 세멘트시 레진 세멘트에 미치는 영향

이청희,조광헌,Lee, Cheong-Hee,Jo, Kwang-Hun 대한치과보철학회 1994 대한치과보철학회지 Vol.32 No.1

근관 충전에 사용된 sealer가 포스트를 세멘트할때 사용되는 레진 세멘트에 어떠한 영향을 주는지 알아보기 위하여 절치 치근 86개를 사용하여 통상의 방법으로 근관확대한 후, 44개의 치근은 I, II, & III군의 Z.O.E. sealer, 42개의 치근은 IV, V, & VI군의 수산화칼슘 계통의 sealer인 Apexit를 사용하여 근관충전하였다. 근관충전 1일(I, IV군), 3일 (II, V군), 7일(III, VI군)이 경과된 후에 기성의 Para-post stainless steel post를 사용하여 a군에서는 Z.P.C.로, b군에서는 All-Bond & composite resin cement로 깊이 7mm가 되게 세멘트하여 군당 시편의 수가 7-8개 되도록 하여 12군으로 나누었다. 완전한 세멘트의 경화를 위하여 5일이 경과된 후 인스트론 만능시험기에 retention jig를 사용하여 거상하고 1mm/min의 cross-head speed로 인장력을 가하여 유지력을 측정하여 다음과 같은 결과를 얻었다. 1. Z.O.E. sealer사용 후 All-Bond & composite resin cement로 세멘트한 군에서 I b군이 $15.5{\pm}7.1kg$, II b군이 $21.6{\pm}5.4kg$, 그리고 III b군이 $20.1{\pm}8.1kg$으로 나타나 I b군이 매우 유지력이 낮았으나 통계학적 유의성은 없었다(p>0.05). 2. 수산화칼슘 계통의 sealer 사용 후 All-Bond & composite resin cement로 세멘트한 군에서 IV b군이 $19.0{\pm}6.7kg$, V b군이 $17.3{\pm}6.5kg$, 그리고 VI b군이 $18.9{\pm}7.9kg$으로 나타났으며 통계학적 유의성은 없었다(P>0.05). 3. 같은 sealer를 사용하고 같은 기간에서 Z.P.C.와 All-Bond & composite resin cement의 포스트 유지력 비교시 All-Bond & composite resin cement 군이 Z.P.C. 군보다 높게 나타났으나 통계학적 유의성은 없었다(P>0.05). The purpose of this study was to evaluate the effect of the canal filling sealer to resin cement When posts were cemented in the endodontically treated teeth, 86 incisors were used. The coronal portion of the teeth were removed at the cemento-enamel junction, every tooth was done treatment of canal. And the teeth was divided was into 12 groups. G : I a n : 7 Treatment : Z.P.C (1 day after Z.O.E. sealer) G : I b n : 7 Treatment : All-Bond (3 day after sealer) G : II a n : 8 Treatemt : Z.P.C (3 day after sealer) G : II b n : 7 Treatemt : All-Bond (3 day after sealer) G : III a n : 8 Treatemt : Z.P.C (7 day after sealer) G : III b n : 8 Treatemt : All-Bond (7 day after sealer) G : IV a n : 7 Treatemt : Z.P.C (1 day after Apexit sealer) G : IV b n : 7 Treatemt : All-Bond (1 day after sealer) G : V a n : 7 Treatemt : Z.P.C (3 day after sealer) G : V b n : 7 Treatemt : All-Bond (3 day after sealer) G : VI a n : 7 Treatemt : Z.P.C (7 day after sealer) G : VI a n : 7 Treatemt : All-Bond (7 day after sealer) Ready made stainless steel Para-post(PD-K-3) was cemented with Z.P.C. in subgroup a, and cemented with All-Bond & composite resin cement in subgroup b to depth 7mm. After 5 days at cementation of post, teeth with cemented posts were mounted on a retention jig and the failure loads of the specimens were measured by an Instron Universal Testing Machine. The results were as follows. 1. The results of failure loads were $15.5{\pm}7.1kg$ in group I b, $21.6{\pm}5.4kg$ in group II b and $20.1{\pm}18.1kg$ in group III b, and there was no statistically significant , difference between each group(p>0.05). 2. The results of failure loads were $19.0{\pm}6.7kg$ in group IV b, $17.3{\pm}6.5kg$ in group V b.and $18.9{\pm}7.9kg$ in group VI b and there was no significant difference between each other(p>0.05). 3. In same condition, the failure load of subgroup a was largely higher the subgroup b. But there was no significant difference between each other(p>0.05).

고정성 가공의치에서 이차 지대치에 발생하는 응력의 삼차원 유한요소법적 분석

김정희,조광헌,이청희,Kim, Jeong-Hee,Jo, Kwang-Hun,Lee, Cheong-Hee 대한치과보철학회 2000 대한치과보철학회지 Vol.38 No.5

The purpose of this study was to investigate the displacement of and the stress distribution on the prosthesis, abutment, and its supporting tissues under functional load, and the effect of alteration in root length of 2nd abutment. The 3-dimensional finite element method was used and the finite element models were prepared in which the abutments of left mandibular 5 unit axed partial denture were canine, the 1st pre-molar and the 2nd molar, and the root lengths of canines were as follows. Model I : Root length of canine was 2mm longer than the 1st premolar Model II : Root length of canine was 2mm shorter than the 1st premolar Static compressive force of 300N was applied to connector between 2nd premolar & 1st molar, and then von Mises stress, displacement and reaction force were obtained. The results were as follows : 1. In fixed partial denture, prosthesis under load on pontic was rotated around mesio-distal long axis of it from longual side to buccal, and simultaneously bended in buccal and gingival direction with mesial end deformed in gingival direction and distolingual end in occlusal. 2. Clinical crowns of abutments were bended in the same directions with those in which prosthesis deforms. Due to that, roots of anterior abutments were twisted in counterclockwise with concentration of shear stress on distal or distobuccal sides of their cervices, and that of posterior was in clockwise with concentration of shear stress on mesiobuccal side of it in the same level with anterior abutments. 3. In case that root length of the 2nd abutment was longer than that of the 1st abutment, its displacement and reaction force which means the force tooth exerts on the surrounding periodontal tissues were smaller but shear stress on itself was larger than in the case root length of 2nd abutment was shorter.

수종의 CAD/CAM 시스템으로 제작한 지르코니아 기반 완전도재관의 적합도 비교

김성준,조광헌,이규복,Kim, Sung-Jun,Jo, Kwang-Hun,Lee, Kyu-Bok 대한치과보철학회 2009 대한치과보철학회지 Vol.47 No.2

연구목적: 최근에는 금속도재관의 심미적 문제로 심미성과 강도가 개선된 코아용 도재 및 지르코니아를 이용한 전부도재관 시스템에 관심이 증가되고 있다. 특히 금속과 유사한 강도를 가지면서 금속의 비심미성을 극복할 수 있는 지르코니아를 이용한 보철물의 제작이 국내외에서 많이 이뤄지고 있다. 하지만 CAD/CAM 시스템으로 제작되는 여러 종류의 지르코니아를 이용한 전부도재관의 적합도에 대한 임상 연구는 부족한 실정이다. 다양한 CAD/CAM 시스템 중 Procera, Cerec inLab, Lava에 의해 제작된 지르코니아를 이용한 전부도재관의 변연 적합도와 내면 적합도를 측정하여 이를 전통적인 방식으로 주조된 금속 도재관의 적합도와 비교 평가해 봄으로써 임상 적용에 참고 자료로 활용하고자 한다. 연구 재료 및 방법: 본 연구를 위해 하악 우측 제2소구치에 해당하는 레진치를 삭제하여 인상채득 후, 금속 주모형을 제작하였다. 금속 주모형의 40개의 인상을 채득 후 각 시스템마다 10개씩 총 40개의 crown을 제작하였다. 금속도재관은 전통적인 방식으로 제작하였고 Procera, Lava, Cerec inLab crown은 zirconia core를 이용하여 CAD/CAM 시스템으로 제작하였다. 수직 변연 오차와 내면 간격을 각 그룹마다 금속 주모형에 시멘트 접착 없이 측정하였다. 그 결과는 oneway ANOVA와 Tukey's HSD test로 통계 내었다. 결과: 수직 변연 오차는 금속도재관이 $50.6{\pm}13.9{\mu}m$, Procera crown이 $62.3{\pm}15.7{\mu}m$, Lava crown이 $45.3{\pm}7.9{\mu}m$, Cerec inLab crown은 $71.2{\pm}2.0{\mu}m$로 측정되었다. 내면 간격은 금속도재관이 $52.6{\pm}10.1{\mu}m$, Procera crown이$161.7{\pm}18.5{\mu}m$, Lava crown이 $63.0{\pm}10.2{\mu}m$, Cerec inLab crown이 $73.7{\pm}10.7{\mu}m$로 측정되었다. 변연 적합도 측면에서 볼 때 Procera crown, Lava crown, Cerec inLab 그리고 전통적인 금속도재관은 임상적으로 받아들일 수 있는 적합도 범위($120{\mu}m$) 내에 있었다. 내면 적합도 측면에서 볼 때 Procera crown을 제외한 Lava crown, Cerec inLab, 금속도재관은 임상적으로 받아들일 수 있는 적합도 범위($140{\mu}m$) 내에 있었다. Statement of problem: The interest in all-ceramic restorations has increased as more techniques have become available. With the introduction of machinable dental ceramics and CAD/CAM systems there is a need to evaluate the quality levels of these new fabrication techniques. Purpose: This study is to evaluate the crown fidelity(absolute marginal discrepancy and internal gap) of various zirconia-based all-ceramic crowns fabricated with different CAD/CAM(computer-assisted design/computer-assisted manufacturing) systems and conventional cast metal-ceramic crowns. Material and methods: A resin tooth of lower right second premolar was prepared. After an impression was taken, one metal master die was made. Then 40 impressions of metal master dies were taken for working dies. 10 crowns per each system were fabricated using 40 working dies. Metal-ceramic crowns were cast by using the conventional method, and Procera, Lava, and Cerec inLab crowns were fabricated with their own CAD/CAM manufactruing procedures. The vertical marginal discrepancies and internal gaps of each crown groups were measured on a metal master die without a luting agent. The results were statistically analyzed using the one-way ANOVA and Tukey's HSD test. Results: 1. Vertical marginal discrepancies were $50.6{\pm}13.9{\mu}m$ for metal-ceramic crowns, $62.3{\pm}15.7{\mu}m$ for Procera crowns, $45.3{\pm}7.9{\mu}m$ for Lava crowns, and $71.2{\pm}2.0{\mu}m$ for Cerec inLab crowns. 2. The Internal gaps were $52.6{\pm}10.1{\mu}m$ for metal-ceramic crowns, $161.7{\pm}18.5{\mu}m$ for Procera crowns, $63.0{\pm}10.2{\mu}m$ for Lava crowns, and $73.7{\pm}10.7{\mu}m$ for Cerec inLab crowns. Conclusion: 1. The vertical marginal discrepancies of, 4 crown groups were all within the clinically acceptable range($120{\mu}m$). 2. The internal gaps of LAVA, Cerec inlab, and metal-ceramic crowns were within clinically acceptable range except Procera crown($140{\mu}m$).

수종의 세멘트에 따른 주조금관의 유지력 및 세멘트 두께의 비교

이청희,조광헌,Lee, Cheong-Hee,Jo, Kwang-Hun 대한치과보철학회 1994 대한치과보철학회지 Vol.32 No.1

주조관에 대한 레진 세멘트의 유지력을 알아보기 위하여 상악소구치 30개를 일정한 크기로 삭제한 다음통상적인 방법으로 비귀금속 주조관을 제작한후, 각 군에 10개씩 나눈 후 I군에서는 인산 아연세멘트, II군에서는 Panavia-EX, 그리고 III군에서는 All-Bond & composite resin cement로 5kg의 정적인 압력하에서 세멘트한 후, 인스트론 만능시험기에서 cross head speed 1mm/min으로 유지력을 측정하였다. 레진 세멘트의 세멘트 두께를 측정하기 위해서 하나의 상악 소구치를 치아 형성한 후 인상을 채득하여 비귀금속의 치아 5개를 만들고 여기에서 각각의 비귀금속 주조관을 만든 후각 시편의 협, 설, 근, 원심 4면에 변연 가까이 표식을 만든 후, 세멘트하기전 및 Panavia-EX, All-Bond, 인산 아연 세멘트의 순으로 세멘트한 후의 주사전자 현미경 사진을 채득하여 세멘트 후의 두 표시 사이의 간격에 세멘트 하기 전의 간격을 제한 후 한 시편의 4면에서 나온 간격을 평균하여 그 해당 세멘트의 해당 시편에서의 세멘트 두께로 하여 5개의 시편에서 각각 세멘트의 세멘트 두께를 측정하였다. 1. III군에서 $4.34{\pm}1.08kg$으로 가장 파단하중이 높았고 II군에서 $3.34{\pm}1.22kg$, I군에서 $1.66{\pm}0.4kg$의 순으로 나타났다. 2. III군은 I군과 II군에 대해, 그리고 II군은 I군에 대해 통계학적 유의성 있는 차이를 나타내었다(p<0.05). 3. 세멘트 두께에 있어서 Z.P.C는 $45.4{\pm}16.6m$, Panavia는 $41.3{\pm}22.9m$, 그리고 All-Bond는 $151{\pm}82m$로 나타났다. 4. 인산 아연 세멘트와 Panavia는 All-Bond에 대해 통계학적 유의성 있는 차이를 나타내었으며(p<0.05)인산 아연 세멘트와 Panavia-EX사이에는 유의성 있는 차이가 없었다(p>0.05). The purpose of this study was to evaluate the effect of various cements on the retention of casting crown and the cement film thickness. To evaluate the retention of crown, thirty maxillary premolars were used and prepared to largely same dimension. According to the routine method, Non-precious metal crowns were made. The teeth and the metal crowns were divided into three groups and cemented under 5kg static pressure. Group I was composed of 10 teeth and 10 metal crowns and was cemented with zinc phohsphste cement. Group II was composed of 10 teeth and 10 metal crowns and was cemented with Panavia-EX cement. Group III was composed of 10 teeth and 10 metal crowns and was cemented with All-Bond & composite resin cement. After 5 days, the cemented specimens were mounted and the failure loads were measured by an Instron Universal Testing Machine. To evaluate the cement film thickness. 5 metal teeth and 5metal crowns from a prepared maxillary premolar were made. Two marks were flawed on the margin part of each surface at 4-surfaces of each specimen(one mark : crown, the other : metal tooth) and were measured the width with SEM photograph(80 sheets) before and after cementation(Panavia-EX, All-Bond cement, & ZPC) was made. Differences of the widths of marks between before and after were measured, and differences from 4-surfaces of a specimen cemented with a cement were measured and calculated. The results were as follows ; 1. There was a statistically significant difference between the failure loads of group III and the others(p<0.05). 2. There was a statistically significant difference between the cement film thickness of group III and the others(p<0.05).

Porcelain Laminate veneer 절연 피복시 설측 연장 길이에 따른 파절강도의 연구

박종한,조광헌,Park, Johng-Han,Jo, Kwang-Hun 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.4

개교증, 절연부 파절, 변색등 심미적 요인으로 라미네이트를 설측연장시 연장길이에 따른 파절강도를 알아보기위해 발거된 60개의 상악 전치의 순면에 3개의 seating form을 형성하고sheet wax를 사용하여 가로 5mm $^*$세로 5mm $^*$두께 0.9mm의 block을 형성하고, 각 군에 따라 I군 : 0.5mm, II군 : 1mm, III군 : 2mm, IV군 : 0mm로 설측 연장 길이를 달리하여 block을 형성 이를 인상채득하여 내화모형을 제작하였다. 여기에 라미네이트용 도재를 2회에 걸쳐 축성 통법대로 소성 제작하였다. block에 맞추어 contouring하고, 내화매몰재를 제거 sandblast처리를 시행하였다. 그후 레진시멘트로 합착하였다. 절치간 각도를 127도로 특별히 제작된 holding device를 이용하여 인스트론 만능시험기에 시편을 거상하고, 분당 0.5mm cross head speed로 파절강도를 측정하여 다음과 같은 결과를 얻었다. 1. 각 군의 평균파절강도는 대조군인 설면으로 연장치 않은 IV군에서 86.95Mpa, 0.5mm 연장한 I군에서 44.98Mpa, 1.0mm연장한 II군에서 27.47Mpa, 2.0mm연장한 III군에서 19.61Mpa의 순으로 나타났다. 2. 모든 실험군 사이에는 통계적으로 유의성 있는 차이를 나타냈고(p<0.01), 이러한 실험 결과로 미루어 보아 라미네이트 디자인시, 설면으로 연장치 않거나, 절연부의 피개가 불가피한 경우에는 설면으로 0.5mm 연장하는 것이 파절 강도면에서 유리하다고 사료된다. The purpose of this study was to evaluate the fracture strength of porcelain laminate veneer with various lingual extention length when incisal restoring. Sixty recently extracted, intact maxillary incisors were used and stored in a physiologic saline solution from the time of extraction. Seating form was preparation at the labial surface of each tooth with a water-cooled round diamond bur. Standard block was formed with 32 gauge and 24 gauge wax at tooth labial and lingual surface. Lingual extention length differed according to each group. (group I : 0.5mm, group II : 1 mm, group III : 2mm, group IV : 0mm) All tooth specimens were impressioned with examix(GC Inc., Japan). Refractory cast were maked with refractory die material(Ceramco Inc., U.S.A.) Laminate porcelain (Ceramco II Veneer porcelain, Ceramco Inc., U.S.A.) was condensed in refractory die cast and baked according to the manufacturer's recommendations. Each surface was contoured with low speed diamond bur according to guide block. All porcelain specimens were sandblasted and ultrasonically cleaned in distlled water for 3 minutes. Then, all porcelain specimen were etched with 8% hydrofluoric acid for 5 minutes. Sixty specimens were bonded with composite resin cement(Choice Porcelain Veneer System, Bisco Inc., U.S.A.) according to manufacture's directions. The fracture loads of the specimen were measured by Instron universal testing machine. The mean values of fracture loads for the groups were statistically compared by Duncan's multiful range test. The result were as follows : Mean fracture strengths of each group were 86.95Mpa in no lingual extention group, 44.98Mpa in 0.5mm lingual extention group, 27.47Mpa in 1mm lingual extention group, 19.61Mpa in 2mm lingual extention group. There was a statistically significant difference between all group(p<0.01).

위상이동 형상측정법을 이용한 의치 중합 방법에 따른 적합도 검사

이청희,조광헌,최부병,Lee, Cheong-Hee,Jo, Kwang-Hun,Choi, Boo-Byung 대한치과보철학회 1999 대한치과보철학회지 Vol.37 No.4

According to repeated measurements and correction procedures, the accuracy of the phase-shifting profilometry was developed. At first, after 20 final models for maxillary complete denture were duplicated , the mucosa sur-faces of models were measured with the phase-shifting proflometry and each mirror view of these was calibrated. Maxillary casts were divided into 4 groups of 5 casts per each, and wax dentures with 2 sheets of baseplate wax and artificial teeth were made and then cured according to the curing method of each group. Group I ; quick curing with QC-20 acrylic resin Group II ; 9 hour curing with QC-20 acrylic resin Group III ; SR-Ivocap system Group IV ; metal base and quick curing with QC-20 acrylic resin. After curing, polishing, and storing at $37^{\circ}C$ in saline for 30 days, the forms of the impression surface of the dentures were measured with the phase-shifting profilometry. Then, the impression surface form of each denture was placed in the optimal position of com-parison with the mirror view of the same final cast. The amount and direction of distortion of each denture was analyzed and the effects of polishing and storage in each denture were compared, The obtained results were as follows : 1. In Group I, the denture was observed as the appearance distorted in the opposite direction of the mucosa and the postero-lateral part of palatal portion of the denture was observed as the appearance separated from the mucosa. Also, the buccal flanges of the denture were observed as the appearance distorted in the direction of the mucosa. 2. In Group II, the postero-lateral part of palatal portion of the denture was observed as the appearance separated slightly from the mucosa. The bilateral buccal flanges of denture were observed as the appearance distorted severely in the direction of the mucosa. 3. In Group III the bilateral part of the residual ridge crest portions and the buccal flanges of the denture were observed as the appearance distorted in the direction of the mucosa, and specially, the buccal flanges of the maxillary tuberosities were distorted severely. 4. In Group IV, the acrylic resin base of the buccal portion of the denture was observed as the appearance distorted in the opposite direction of the mucosa. 5. The phase-shifting profilometry, done with repeated measurements and correction procedures, was effective in comparing the amount and direction of distortion at every position after the laboratory work and the delivery of maxillary complete denture.

저작시(咀嚼時) 하악운동(下顎運動)의 양상(樣相)

배영수,조광헌,Bae, Young-Soo,Jo, Kwang-Hun 대한치과보철학회 1986 대한치과보철학회지 Vol.24 No.1

Numerous studies have been reported on the movement of the jaw during chewing. However, there is still much controversy. The purposes of this study were to observe the jaw movement during mastication and to provide the information in prosthodontic treatment and diagnosis of temporomandibular disorder. The author analyzed the time and characteristics of the masticatory movement during chewing using mandibular kinesiograph in 24 subjects, 17 males 7 females, age of 22-27 without orofacial problems. The obtained results were as follows: The duration of single chewing cycle was $515{\pm}87msec.$. Comparing the three phases of the chewing cycle (opening, closing, centric pause), the closing phase had the longest duration, and the centric pause had the shortest duration. The maximal laterotrusive movement of the mandible druing chewing was $3.5{\pm}1mm$. The maximal mediotrusive movement of the mandible during chewing was $1.0{\pm}0.7mm$. The maximal vertical velocity of the mandible during chewing was $120{\pm}28mm/sec.$ in opening phase, and $109{\pm}21mm/sec.$ in closing phase. 경북대학교 치과대학에 재학중인 남자 17명, 여자 7명 총 24명을 연구대상으로 M.K.G의 sweep mode에 나타나는 저작운동을 분석한 바 다음과 같은 결과를 얻었다. 단일 저작회로의 기간은 $515{\pm}87msec.$ 이며, 이중 폐구 기간이 가장 길었고, 개구 기간, centric pause의 기간 순위였다. (P<0.005). 개구시 저작측으로 측방변위한 양은 $3.5{\pm}1mm$이었고, 비저작측으로 측방변위한 양은 $1.0{\pm}0.7mm$이었다. 개구시 최대 수직속도는 $120{\pm}28m/sec.$이며, 폐구시 최대 수직속도는 $109{\pm}21mm/sec.$로서 개구시의 최대 수직속도가 더 빠르게 나타났다. (P<0.05).

전부주조금관 치경부 변연의 형태가 치경부 변연적합에 미치는 영향

김순영,이석현,조광헌,Kim, Soon Young,Lee, Seok Hyeon,Jo, Kwang Hun 대한치과보철학회 1990 대한치과보철학회지 Vol.28 No.2

The purpose of the study was to correlate margin design(chamfer, shoulder, shoulder with a $45^{\circ}$ bevel. with the seating and sealing of cemented full cast crowns under standardized simulated clinical conditions. Wax patterns were made with milled stainless-steel dies and rings, and were invested, burnt out, and cast. The full cast crowns were comented on individual resin dies, and a gradually diminishing load(45kg to 25kg. was applied over a 10-minute period. The specimens were sectioned centrally with a low speed diamond saw and examined with light microscope. The results were as follows : 1. Chamfer preparations demonstrated it was the best marginal seal, followed in order by the shoulder with a $45^{\circ}$ bevel, and by the shoulder(p<.05). 2. Chamfer preparations demonstrated it was the best occlusal seating, followed in order by the shoulder, and by the shoulder with a $45^{\circ}$ bevel(p<.05). 현재 임상에서 사용되고 있는 니켈-크롬합금(Washiloy Soft, Kamemizu Chemical Inc. Ltd., Japan)을 이용하여 Chamfer, shoulder, shoulder with a $45^{\circ}$ bevel의 각 치경부 변연의 형태에 따른 시멘트층 피막후경을 교합면 및 치경부에서 측정, 비교하여 다음과 같은 결론을 얻었다. 금관의 교합면 장착정도는 chamfer가 가장 우수하고, 다음으로는 shoulder, shoulder with a $45^{\circ}$ bevel의 순이며, 이들 간에는 유의성 있는 차이를 나타내었다(p<.05). 금관의 치경부 적합도는 chamfer가 가장 우수하고, 다음으로 shoulder with a $45^{\circ}$ vevel, shoulder의 순이며, 이들 간에는 유의성 있는 차이를 나타내었다(p<.05).

임플란트 경부의 역사면 디자인이 변연골 응력분포에 미치는 영향

차지영,조진현,조광헌,Cha, Ji-Young,Cho, Jin-Hyun,Jo, Kwang-Hun 대한치과보철학회 2010 대한치과보철학회지 Vol.48 No.4

Purpose: The purpose of this study was to investigate the effects of the surface morphology of the implant neck on marginal bone stress measured by using finite element analysis in six implant models. Materials and methods: The submerged type rescue implant system (Dentis co., Daegu, Korea) was selected as an experimental model. The implants were divided into six groups whose implant necks were differently designed in terms of height (h, 0.4 and 1.0 mm) and width (platform width, w = 3.34 + 2b [b, 0.2, 0.3 and 0.4 mm]). Finite element models of implant/bone complex were created using an axisymmetric scheme. A load of 100 N was applied to the central node on the top of crown in parallel with the implant axis. The maximum compression stress was calculated and compared. Results: Stress concentration commonly observed around dental implants did not occur in the marginal bone around all six test implant models. Marginal bone stress varied according to the implant neck bevel which had different width and height. The stress was affected more markedly by the difference in height than in width. Conclusion: This result indicates that the implant neck bevel may play an important role in improving stress distribution in the marginal bone area. 연구 목적: 임플란트 경부 역사면의 디자인이 변연골 응력분포에 미치는 영향을 알아보기 위해 유한요소법을 사용하여 비교분석하였다. 연구 재료 및 방법:경부 직경 5.5 mm, 길이 8 mm의 매립형 (submerged type) 고정체 (Dentis Co., Daegu, Korea)를 연구모델로 선정하였다. 임플란트 경부 역사면의 디자인을 높이 (h, 0.4 mm, 1.0 mm)와폭경({5.5 - (3.34 + 2b)} / 2, [b, 0.2 mm, 0.3 mm, 0.4 mm])을 다르게 하여 총 여섯 가지의 실험 임플란트 조합으로 구분하였다. 축대칭 유한요소모델링을 이용하여 임플란트/악골 복합체에 대해 임플란트 장축에 평행한 방향으로 치관 교합면의 중심부에 수직 하중 100 N이 작용할 때 변연골의 최대압축응력을 산출하여 비교 하였다. 결과: 여섯 개의 모든 실험 임플란트 모델에서 변연골의 응력집중이 관찰되지 않았다. 변연골 응력은 임플란트 경부 역사면의 폭과 높이의 차이에 따라 달라지는 것이 관찰되었으며 사면각이 클수록 응력 집중이 증가하는 경향을 보였다. 결론: 임플란트 경부 역사면 디자인의 부여는 변연골 응력 분포 개선에 중요한 역할을 할 수 있을 것으로 여겨진다.

임플랜트와 경부골이 이루는 각도가 치경부 응력 발생에 미치는 영향

조성범,이규복,조광헌,Cho, Sung-Bum,Lee, Kyu-Bok,Jo, Kwang-Hun 대한치과보철학회 2007 대한치과보철학회지 Vol.45 No.2

Statement of problem: Main consideration was given to the stresses at the site of implant entry into the cortical bone at the alveolar crest. As a suspectible factor affecting the occurrence of stress concentrations, the contact angle between the implant and the alveolar crest bone was addressed. Purpose: The purpose of this study is to evaluate angles between the alveolar crest bone and the implant effect on the implant crestal area induced stresses using a finite element method. Material and methods: Cylindrically shaped, standard size ITI implants entering into alveolar crest with four different contact angles of 0, 15, 30, and 45 deg. with the long axis of the implant were axisymmetrically modelled. Alterations of stresses around the implants were computed and compared at the cervical cortical bone. Results and conclusion: The results demonstrated that regardless of the difference of the implant/alveolar crest bone contact angles, stress concentration occurred at the cervical bone and the angle differences led to insignificant variations in stress level.