임프란트의 상부구조물 형상과 하중조건에 따른 3차원 유한요소해석을 이용한 하악골의 응력분포에 관한 연구

THREE-DIMENSIONAL STRESS ANALYSIS OF IMPLANT SYSTEMS IN THE MANDIBULAR BONE WITH VARIOUS ABUTMENT TYPES AND LOADING CONDITIONS

  • 신하식 (연세대학교 대학원 기계공학과) ;
  • 전흥재 (연세대학교 공과대학 기계공학부) ;
  • 한종현 (연세대학교 치과대학 보철학교실) ;
  • 이수홍 (연세대학교 공과대학 기계공학부)
  • Shin Ha-Shik (Department of Mechanical Engineering, Yonsei Graduate School) ;
  • Chun Heoung-Jae (School of Mechanical Engineering, Yonsei University) ;
  • Han Chong-Hyun (Department of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Lee Soo-Hong (School of Mechanical Engineering, Yonsei University)
  • 발행 : 2003.10.01

초록

Statement of problem : There are many studies focused on the effect of shape of futures on stress distribution in the mandibular bone. However, there are no studies focused on the effect of the abutment types on stress distribution in mandibular bone. Purpose : The purpose of this study is to investigate the effect of three different abutment types on the stress distributions in the mandibular bone due to various loads by performing finite element analysis. Material and method : Three different implant systems produced by Warantec (Seoul, Korea), were modeled to study the effect of abutment types on the stress distribution in the mandibular bone. The three implant systems are classified into oneplant (Oneplant, OP-TH-S11.5). internal implant (Inplant, IO-S11.5) and external implant (Hexplant, EH-S11.5). All abutments were made of titanium grade ELI. and all fixtures were made of titanium grade IV. The mandibular bone used in this study is constituted of compact and spongeous bone assumed to be homogeneous, isotropic and linearly elastic. A comparative study of stress distributions in the mandibular bone with three different types of abutment was conducted. Results : It was found that the types of abutments have significant influence on the stress distribution in the mandibular bone. It was due to difference in the load transfer mechanism and the size of contact area between abutment and fixture. Also the maximum effective stress in the mandibular bone was increased with the increase of inclination angle of load. Conclusion : It was concluded that the maximum effective stress in the bone by the internal implant was the lowest among the maximum effective stresses by other two types.

키워드

참고문헌

  1. David C. Holmes, William R. Grigsby, Vijay K. Geol, John C. Keller. 'Comparison of Stress Transmission in the IMZ Implant System with Polyoxymethylene or Titanium Intranmobile Element : A Finite Element Stress Analysis'. Int J Oral Maxillofac Implants. Vol. 7. pp. 450-458. 1992
  2. M.R. Rieger. W.K. Adams. G.L. Kinzel. and M.D Brose. 'Alternative materials for three endosseous implants'. J Prosth Dent. pp. 317, 1989
  3. M.R. Rieger, W.K. Adams, G.L. Kinzel. 'A finite element survey of eleven endosseous implants'. J Prosth Dent. Vol. 63. pp. 457-465, 1990 https://doi.org/10.1016/0022-3913(90)90238-8
  4. N.L. Clelland. Y.H. Ismail. H.S. Zaki, D. Pipko, 'Three-dimensional Finite Element Stress Analysis in and around the Screw-Vent Implant'. Int J Oral Maxillofac Implants. Vol. 6, pp. 391-398. 1991
  5. D. Siegele, 'Numerical Investigations of the Influence of Implant Shape on Stress Distributon in the Jaw Bone', Int J Oral Maxillofac Implants. Vol. 4. pp. 333-340. 1989
  6. Eric P. Holmgren. Robert J. Seckinger. Leslie M. Kilgren. 'Evaluating Parameters of Osseointergated Dental Implant Using Finite Element Analysis a Two-dimensional Comparative Study Examining the Effects of Implant Diameter, Implant Shape. and Load Direction'. Journal of Oral Implantology, Vol. 24, 1998
  7. Chun HJ. Cheong SY, Han JH. Heo SJ. Chung JP. Rhyu IC, Choi YC. Paik HK, Ku Y, Kim MH. Evaluation of Design Parameters of Osseointegrated Dental Implants Using Finite Element Analysis', Journal of Oral Rehabilitation. Vol. 29. pp. 565-574. 2002
  8. Laurent Pierrisnard, Guy Hure, Michel Barquins, Daniel Chappard. 'Two Dental Implants Designed for Immediate Loading: A Finite Element Analysis'. Int J Oral Maxillofac Implants. Vol. 17. pp. 353 - 362. 2002
  9. Ziennkiewics OC. 'The finite element method in engineering science', ed 4. New York. Mc-GrawHill. 1989
  10. Tanne K. Burstone CJ, Sakuda M. 'Biomech- anical responses of tooth associated with diff-erent root lenghs and alveolar bone height: Changes of stress distributions in the PDL'. J Osaka Univ DentSchool 29: 17-24, 1989
  11. Chun HJ, Cheong SY, Han JH, Heo SJ. Chung JP, Choi YC. Rhyu IC. Kim MH. 'Influence of Implant Shapes on Stress Distribution in the Jaw Bone by Finite Element Analysis'. J Biomed Eng Research, vol. 21, No.6, pp. 599-606, 2000
  12. Beat R. Merz, Stephan Hunenbart, 'Mechanics of the Implant-Abutment Connection : An 8-Degree Taper Compared to a Butt Joint Connection', Int J Oral Maxillofac Implants, Vol. 15. pp. 519-526, 2000