지대주와 금속 실린더의 종류가 보철물의 적합도 및 preload에 미치는 영향

THE EFFECTS OF FABRICATION OF GOLD CYLINDER AND ABUTMENT ON THE FITNESS AND PRELOAD OF THE PROSTHESIS

  • 하점임 (원광대학교 치과대학 치과보철학교실) ;
  • 정회열 (원광대학교 치과대학 치과보철학교실) ;
  • 김유리 (원광대학교 치과대학 치과보철학교실) ;
  • 조혜원 (원광대학교 치과대학 치과보철학교실)
  • Ha Jum-Im (Dept. of Dentistry, Graduate School, Wonkwang University) ;
  • Jeong Hoe-Yeol (Dept. of Dentistry, Graduate School, Wonkwang University) ;
  • Kim Yu-Lee (Dept. of Dentistry, Graduate School, Wonkwang University) ;
  • Cho Hye-Won (Dept. of Dentistry, Graduate School, Wonkwang University)
  • 발행 : 2003.08.01

초록

Statement of problem : Recently various implant components such as premachined gold cylinder, plastic cylinder gold UCLA abutment and plastic abutment were developed and used clinically without clinical investigation. Purpose : The purpose of this study was to evaluate the effects of fabrication of gold cylinder on the fitness and preload of the standard abutment and also the effects of fabrication of UCLA gold abutment on the fitness and stress transfer around the implant fixture. Material and method : Three kinds of gold cylinders such as, as-received gold cylinder (Nobel Biocare, Sweden), gold cylinder after casting, and plastic cylinder after casting with type IV gold alloy were tested over the top of the standard abutment. At the same time, three types of abutments such as, gold UCLA abutment before and after casting, and plastic abutment after casting were tested. The cylinder and abutment was secured over the fixture with conventional pre-load values using an electronic torque controller (Nobel Biocare, Sweden). The fitness of the abutment on the fixture and gold cylinder over the standard abutment were measured using the microhardness tester (MXT 70, Matsuzawa, Japan). Preload and the strain values were recorded using the strain balance unit (SB-10, Measurement group, Raleigh, USA) and strain indicator (P-3500, Measurement group, Raleigh, USA) systems. Results and conclusion : 1. Significant differences were found in the fit between the gold cylinder and plastic cylinder. 2 There were significant differences between the preload of the gold cylinder and that of the plastic cylinder. 3. Significant differences were found in the fit between the gold UCLA abutment and plastic UCLA abutment. 4. There were no significant differences in the stress generated on the supporting structure of the fixture among different cylinder and abutment groups.

키워드

참고문헌

  1. Branemark PI, Zarb GA, Albrektsson T. Tissue-integrated prosthesis: Osseointegration in clinical dentistry. Chicago: Quintessence Publ Co. Inc. 1985; 117
  2. Branemark PI. Osseointegration and its experimental background. J Prosthet Dent 1983;50:399 https://doi.org/10.1016/S0022-3913(83)80101-2
  3. Adell R. Lekholm U, Rocker B, Branemark PI. 'A 15-year study of osseointegrated implants in the treatment of the edentulous jaw'. Int J Oral Surg 1981;10:387 https://doi.org/10.1016/S0300-9785(81)80077-4
  4. Albrektsson T. The long-term efficacy of currently used dental implants : A review and prosposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11
  5. Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of paritally edentulous patients. A preliminary study of 876 consecutively installed fixtures. J Oral Maxillofac Implants 1989;4:211
  6. Jemt T. Modified single and short-span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243 https://doi.org/10.1016/0022-3913(86)90352-5
  7. Barth E. Johansson C. Albretksson T. Histologic comparison of ceramic and titanium implants in cats. Int J Oral Maxillofac Impl 1990;5:227
  8. Han ET. Kim YS. Kim CW. A comparative analysis of the accuracy of implant impression techniques by using strain gauge. J Kor Academy of Prosthodontics. 1995;33:539
  9. Burguete RL. Johns RB. King T. Patterson EA. Tightening characteristics for screwed joints in osseointegrated dental implants. J Prosthet Dent 1994;71;592
  10. Misch CE. Contemporary implant dentistry. Mosby-Year-book, Inc, St. Louis, 1993;271
  11. Humphries RM, Yaman P, Bleom TJ. The accuracy of implant master casts constructed from transfer impressions. Int J Oral Maxillofac Implants 1990;5;331
  12. Rangert B, Jemt T, Jorneus L. Forces and movements on Branemark implants. Int J Oral Maxillofac Implants 1989;4:241
  13. Sergoz A, Guvener S. Finite element analysis of the effect of cantilever and implant length of stress distribution in an implant-supported fixed prosthesis. J Prosthet Dent 1996;76:165 https://doi.org/10.1016/S0022-3913(96)90301-7
  14. McCartney JW, Pearson R. Segmental framework matrix, Master cast verification, corrected cast guide, and analog transfer template for implant- supported prosthosis. J Prosthet Dent 1994;71:197 https://doi.org/10.1016/0022-3913(94)90031-0
  15. Klineberg IJ, Murray GM. Design of superstructures for osseointegrated implants. Swed Dent J 1985;28(suppl) :63
  16. Millington ND, Leung T. Inaccurate fit of implant superstructures. Part 1: Stresses generated on the superstructure relative to the size of fit discrepancy. Int J Prosthodont 1995;8:511
  17. Yanase RT, Binon PP, Jemt T, Gulbransen HJ, Parel S. How do you test a cast framework fit for a full-arch fixed implant supported prosthesis? (Current Issues Forum). Int J Oral Maxillofac Implants 1994;9:469
  18. Dellow AG, Driessen CH, Nel HJ. Scanning electron microscopy evaluation of the interfacial fit of interchanged components of four dental implant systems. Int J Prosthodont 1997;4:216
  19. Jemt T. Prosthesis misfit and marginal bone loss in edentulous implant patients. Int Oral Maxillofac Implants 1996;11:620
  20. Cheshire PD, Hobkirk JA. An in vivo quantitative analysis of the fit of Nobel Biocare implant superstructures. J Oral Rehabil 1996;23:782 https://doi.org/10.1046/j.1365-2842.1996.d01-193.x
  21. Jansen VK, Conrads G, Richter EJ. Microbial leakage and marginal fit of the implant-abutment interface (Published erratum appears in Int J Oral Maxillofaci Implant 1997;12:709
  22. May KB, Edge MT, Russell MM, Razzoog ME, Lang BR. The precision of fit at the implant prosthodontic interface. J Prosthet Dent 1997;77:497 https://doi.org/10.1016/S0022-3913(97)70143-4
  23. Byrne D, Houston F, Cleary R, Claffey N. The fit of cast and premachined implant abutments. J Prosthet Dent 1998;80:184 https://doi.org/10.1016/S0022-3913(98)70108-8
  24. Sones AD. Complications with osseointegrated implants. J Prosthet Dent 1989; 62:581 https://doi.org/10.1016/0022-3913(89)90084-X
  25. Spector MR, Donovan TE, Nicholls J. An evaluation of impression techniques for osseointegrated implants. J Prosthet Dent 1990;63:444 https://doi.org/10.1016/0022-3913(90)90235-5
  26. Worthington P. Bolender CL, Taylor TD. The Swedish system of osseointegrated implants: Problems and complications encountered during a 4-year trial period. Int Oral Maxillofac Implants 1987;2:77
  27. Benzing UR, Gall H, Weber H. Biomechanical aspects of two different implant-prosthetic concepts for edentulous maxillae. Int Oral Maxillofac Implants 1985;10:188
  28. Falk H. On occlusal forces in dentitions with implant-supported fixed cantilever prostheses. Swed Dent J 1990;14:69
  29. Setz j, Kramer A, Benzing U, Weber H. Complete Dentures fixed on dental implants: Chewing Patterns and implant stress. Int Oral Maxillofac Implants 1989;4: 107
  30. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: The Toronto study. Part III: Problems and complications encountered. J Prosthet Dent 1990;64:185 https://doi.org/10.1016/0022-3913(90)90177-E
  31. Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Branemark implants in edentulous jaws: A study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants 1991;6:270
  32. Tolman DE, Laney WR. Tissue-integrated prosthesis complications. Int J Oral Maxillofac Implants 1992;7:477
  33. Rangert B, Gunne J, Sullivan DY. Mechanical aspects of a Branemark implant connected to natural tooth: An in vitro study. Int J Oral Maxi- llofac Implants. 1991;6:177
  34. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant units; part 1. the effects of tightening the gold screws and placement of a superstructure with varying degrees of fit. Eur J Prosthodont Restor Dent 1995;3:247
  35. Smedberg JI. Nilner K. Rangert B, Svensson SA, Glantz SA. On the influence of superstructure connection on implant preload: a methodological and clinical study. Clin Oral implants Res 1996;7:55 https://doi.org/10.1034/j.1600-0501.1996.070107.x
  36. Carr AB. Brunski JB, Hurley E. Effects of fabrication, Finishing and Polishing procedures on preload in prostheses using conventional 'Gold' and plastic cylinder. Int J Oral Maxillofac Implants 1996;11:589
  37. Jeong CM, Lee HY. A finite element stress analysis of the stress distribution and the shock absroption in an osseointegrated implant-natural tooth supported fixed partial denture. J Kor Dental Implantology. 1993;12:138
  38. Han JS. 'Repair and check point of implant prostheses.' {Osseo-integrated Dental Implant System} 1997;292
  39. Burguete RL, Johns RB, Tightening characteristics for screw joints in osseointegrated dental implants. J Prosthet Dent 1994;71:592
  40. McGlumphy E. Keeping implant screws tight. J Prosthet Dent 1994;72:628
  41. Binon PP. Screw Joints, components. and other intimate relationships. J Prosthet Dent 1994;72:625
  42. Dixon DL, Breeding LC. Mckay MLL. Comparison of screw loosening, rotation, and deflection among three implant designs. J Prosthet Dent. 1995;74:270 https://doi.org/10.1016/S0022-3913(05)80134-9
  43. Edmund C. Fred A : Preventing loosening of implant abutment screws. J Prosthet Dent 1996;75:566 https://doi.org/10.1016/S0022-3913(96)90464-3
  44. Jemt T, Linden B, Lekholn U: Failures and complications in 127 consecutively placed fixed partial prostheses supported by Branemark implants:from prosthetic treatment to first annual checkup. Int J Oral Maxillofac Implants 1992;7:40
  45. Haack JE, Sakaguchi RL. Sun T. Elongation and preload stress in dental implant abutment screw. Int J Oral Maxillofac Implants 1995;10:529
  46. McGlumphy E. Keeping implant screw tight: the solution. J Dent Symp 1993;1:20
  47. Wicks RA, Windler AS. An Evaluation of fit in osseointegrated implant components using torque/turn analysis. J Prosthodont 1994;3:206 https://doi.org/10.1111/j.1532-849X.1994.tb00157.x
  48. Laney WR. Jemt T. Harris GA, Herrmann I. osseointegrated implants for singletooth replacement: progress report from a multicenter prospective study after 3 years. Int J Oral Maxillofac Implants 1994;9:49
  49. Hass R. Mensdorff PN. Mailthg, Watzez G.Branemark single tooth implants; a prelimincary report of 76 implants. J Prosthet Dent 1995;73:274 https://doi.org/10.1016/S0022-3913(05)80205-7
  50. Kallus T, Bressing C. Loose gold screws frequently occur full arch fixed prostheses supported by oseointegrated implants after 5 years. Int J Oral Maxillofac Implants 1994;9;169
  51. Weinberg LA. The Biomechanics of force distribution iimplant-supported prosthesis. Int J Oral Maxillofac Implants 1993;8:19
  52. Kang YM, Lim JH, Cho IH. A study on the abutment screw loosening of dental implants. J Dankook Dental Research institute. 1996
  53. Binon PP. Evaluation of maching accuracy and consistency of selected implant, standard abutments and laboratory analog. Int J Prosthodont 1995;8:162
  54. Binon PP. Evaluation of three slip fit hexagonal implants. Implant Dent 1996;5:253
  55. Jung SH, Ma JS, Chung CH. A comparative study on the fit in prostheses using premade gold cylinder and plastic cylinder. J Kor Academy of Prosthodontics. 1999;37:825
  56. Hurson S. Laboratory techniques to prevent screw loosening on dental implants. J Dent Technol 1996;13:30
  57. Clelland NL, Gilat A, McGlumphy EA, Brantley WA. A photoelastic and strain gauge analysis of angled abutment for an implant system. Int J Oral Maxillofac Implants 1993;8:541
  58. Patterson EA, Burguete RL, Yhoi H, Richard BJ. Distribution of load in an oral prosthesis system. Int J Oral Maxillofac Implants 1995;10:552
  59. Ichikawa T, Horiunchi M, Wigianto R, Matsumoto N. In vitro study of mandibular implant-retained overdentures: The influence of stud attachments on load transfer to the implant and soft tissue. Int J Prosthdont 1996;3:394
  60. Uysal H, Iplikciogllu H, Gunduz O, Kural O. Efficacy of the intramobile connector in implant tooth-supported fixed prosthesis: an experimental stress analysis. Int J Prosthdont 1996;9:353
  61. Yamashita J, Shiozawa I. Takuda K. A comparison of in vivo strain with posterior fixed partial denture. J Prosthet Dent 1997;7:250
  62. Assif D, Marshak B, Schmidt A. Accuracy of implant techniques. Int J Oral Maxillofac Implants 1996;11:216
  63. Richter EJ. In vivo vertical forces Implants. Int Oral Maxillofac Implants. 1995;10:99
  64. Kinni ME, Hokama SN, Caputo AA. Force transfer by osseointegrated implant devices. Int J Oral Maxillofac Implants 1987;2:11
  65. Rieger MR, Mayerberry M, Bross MO. Finite element analysis of six endosseous implants. J Prosthet Dent 1990;63:671 https://doi.org/10.1016/0022-3913(90)90325-7
  66. Tesk JA, Widera O. Stress distribution in bone arising from loading on endosteal dental implants. J Biomed Mater Res 1973;7:251 https://doi.org/10.1002/jbm.820070317
  67. Meijer HA, Starmans FM, Steen WA, Bosman F. A three-dimensional, finite- element analysis of bone around dental implants in an edentulous human mandible. Auchs Oral Bio 1993;38:491 https://doi.org/10.1016/0003-9969(93)90185-O
  68. James E, Haack RL, Ssakaguchi. Elongation and Preload Stress in Dental Implant Abutment Screws. Int J Oral Maxillofac Implants 1995;10:529