섬유성 강화 컴포지트를 사용한 임플랜트 고정성 보철물의 굴곡강도

FLEXURAL STRENGTH OF IMPLANT FIXED PROSTHESIS USING FIBER REINFORCED COMPOSITE

  • 강경희 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 이성복 (경희대학교 치과대학 치과보철학교실) ;
  • 최대균 (경희대학교 치과대학 치과보철학교실)
  • Kang, Kyung-Hee (Department of Prosthodontics, Division of Dentistry, Graduate School, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, Division of Dentistry, Graduate School, Kyung Hee University) ;
  • Lee, Sung-Bok (Department of Prosthodontics, Division of Dentistry, Graduate School, Kyung Hee University) ;
  • Choi, Dae-Gyun (Department of Prosthodontics, Division of Dentistry, Graduate School, Kyung Hee University)
  • 발행 : 2006.10.31

초록

Statement of problem : Use of fiber composite technology as well as development of nonmetal implant prosthesis solved many problems due to metal alloy substructure such as corrosion. toxicity, difficult casting, expensiveness and esthetic limit. After clinical and laboratory test, we could find out that fiber-reinforced composite prostheses have good mechanical properties and FRC can make metal-free implant prostheses successful. Purpose : The purpose of this study is to evaluate the flexural strength of implant fixed prosthesis using fiber reinforced composite. Material and methods : 2-implant fixture were placed in second premolar and second molar area in edentulous mandibular model, and their abutments were placed, and bridge prostheses using gold, PFG, Tescera, and Targis Vectris were fabricated. Tescera was made in 5 different designs with different supplements. Group I was composed by 3 bars with diameter 1.0mm and 5 meshes, 2 bars and 5 meshes for Group II, 1 bar and 5 meshes for Group III, and only 5 meshes were used for Group IV. And Group V is composed by only 3 bars. Resin (Tescera) facing was made to buccal part of pontic of gold bridge. All of gold and PFG bridges were made on one model, 5 Targis Vectris bridges were also made on one model, and 25 Tescera bridges were. made on 3 models. Each bridge was attached to the test model by temporary cement and shallow depression was formed near central fossa of the bridge pontic to let 5 mm metal ball not move. Flexual strength was marked in graph by INSTRON. Results : The results of the study are as follows. The initial crack strength was the highest on PFG. and in order of gold bridge Tescera I, Tescera II, Targis vectris, Tescera IV, Tescera III, and Tescera V. The maximum strength was the highest on gold bridge, and in order of PFG, Tescera I, Tescera IV Tescera II, Targis vectris, Tescera III, and Tescera V. Conculsions : The following conclusions were drawn from the results of this study. 1. Flextural strength of implant prosthesis using fiber reinforced composite was higher than average posterior occlusal force. 2. In initial crack strength, Tescera I was stronger than Tescera V, and weaker than PFG. 3. Kinds and number of auxillary components had an effect on maximum strength, and maximum strength was increased as number of auxillary components increased. 4 Maximum strength of Tescera I was higher than Targis vectris, and lower than PFG.

키워드

참고문헌

  1. Martin A Fleilich, Jacqueline P. Duncan, E, Karina, Alarcon, Kimberly A. Eckrote A. Jon Goldberg, The design and fabrication of fiber-reinforced implant prostheses. JPD 2002:88:449-54 https://doi.org/10.1067/mpr.2002.128173
  2. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Development and clinical applications of a light-polymerized fiberreinforced composite. J Prosthet Dent 1998 :80:311-8 https://doi.org/10.1016/S0022-3913(98)70131-3
  3. Anonymous. Report on base metal alloys for crown and bridge applications: benefits and risks. Council on Dental Materials, Instruments, and Equipment. J Am Dent Assoc 1985:111:479-83 https://doi.org/10.14219/jada.archive.1985.0139
  4. Freilich MA, Meiers JC, Duncan JP, Goldberg AJ. Fiber-reinforced composites in clinical dentistry. Tokyo: Quintessence: 1999. p.19, 873-4
  5. Cox J, Zarb G. Alternative prosthodontic superstructure designs. Swed Dent J Suppl 1985:28:71-5
  6. Ray Foster, Bisco Newsletter, 2003 Mar
  7. Bjork N, Ekstrand K, Ruyter IE. Implantfixed, dental bridges from carbon/graphite fibre reinforced poly (methylmethacrylate). Biomaterials 1986:7:73-5 https://doi.org/10.1016/0142-9612(86)90093-1
  8. Moffa JP. American Dental Association. Biological effects nickel-containing dental alloys. Council on Dental Materials, Instruments and Equipment. J Am Dent Assoc 1982:104:501-5 https://doi.org/10.14219/jada.archive.1982.0223
  9. Classification system for cast alloys. Council on Dental Materials, Instruments and Equipment. J Am Dent Assoc 1984:109:766
  10. Report on base metal alloys for crown and bridge applications: benefits and risks. Council on Dental Materials, Instruments and Equipment. J Am Dent Assoc 1985:111:479-83 https://doi.org/10.14219/jada.archive.1985.0139
  11. Covington JS, McBride MA Slagle WF, Disney AL. Quantization of nickel and beryllium leakage from base metal casting alloys. J Prosthet Dent 1985:54:127-36 https://doi.org/10.1016/S0022-3913(85)80087-1
  12. Moffa JP, Beck WD. Hoke AW. Allergic response to nickel containing dental alloys. J Dent Res 1977:56:1378 (abstract no.107)
  13. Morris HF. Veterans Administration Cooperative Studies Project No. 147. Part IV. Biocompatibility of base metal alloys. J Dent 1987:58:1-5
  14. Nowlin TP, Barghi N, Norling BK. Evaluation of the bonding of three porcelain repair systems. J Prosthet Dent 1981:46:516-8 https://doi.org/10.1016/0022-3913(81)90240-7
  15. Monasky GE, Taylor DF. Studies on the wear of porcelain, enamel and gold. J Prosthet Dent 1971:25:299-306 https://doi.org/10.1016/0022-3913(71)90191-0
  16. Mahalick JA, Knapp FJ, Weiter EJ. Occlusal wear in prosthodontics. J Am Dent Assoc 1971:82:154-9 https://doi.org/10.14219/jada.archive.1971.0018
  17. Ekfeldt A, Oilo G. Occlusal contact wear of prosthodontic materials. An in vivo study. Acta Odontol Scand 1988:46:159-69 https://doi.org/10.3109/00016358809004762
  18. Kern M, Knode H, Strubb JR. The allporcelain resin bonded bridge. Quintessence Int 1991 22:257-62
  19. Kern M, Knode H, Strubb JR. The allporcelain resin bonded bridge. Quintessence Int 1991 22:257-62
  20. Karmaker AC, DiBenedetto AT, Goldberg AJ. Fiber reinforced composite materials for dental appliances. Indianapolis: Society of Plastic Engineers ANTEC. May 5-9, 1996
  21. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Flexure strength of fiberreinforced composites designed for prosthodontic application. J Dent Res 1997:76:138
  22. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Flexure strength and handling characteristics of fiber-reinforced composites used in prosthodontics. J Dent Res 1997:76:184 (abstract 1361)
  23. Gibbs CH, Mahan PE, Lundeen HC, Brehnan K, Walsh EK, Holbrook WB. Occlusal forces during chewing and swallowing as measured by sound transmission. J Prosthet Dent 1981:46:443-9 https://doi.org/10.1016/0022-3913(81)90455-8
  24. Schwickerath H, Coca J. Single crowns of glass ceramic. (in German) Phillip J Restaur Zahnmed 1987:4:336-40
  25. Waltimo A, Kononen M. A novel bite force recorder and maximal isometric bite force values for healthy young adults. Scand J Dent Res 1993:101:171-5 Res 1997:76:138