Comparison of Accuracy of Implant Torque Controllers

수종의 임플란트 토크 조절기의 정확성 비교

  • Kim, Dae-Gon (Department of Prosthodontics, College of Dentistry, Kangnung National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics, College of Dentistry, Kangnung National University) ;
  • Park, Chan-Jin (Department of Prosthodontics, College of Dentistry, Kangnung National University)
  • 김대곤 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉대학교 치과대학 치과보철학교실 및 구강과학연구소)
  • Received : 2008.01.25
  • Accepted : 2008.06.25
  • Published : 2008.06.30

Abstract

Tightening of the screws in implant restorations should be accurate and precise. If applied torque is too low, screw loosening would be occurred. With too high torque, the screw fracture might take place. Various torque generating devices are developed and employed to apply a proper torque. The purpose of this investigation was to determine and compare the accuracy of the torque controllers. In this study, 4 types of torque controllers were used; electronic torque controller, torque limiting device, torque indicating device and contra angle torque driver. Digital torque gauge was employed to measure the de-torque value. Thirty cycles of tightening and loosening were done with each torque controller. All implant torque controllers have shown slight errors and deviations. The torque liming device exhibited the most accurate data. No significant difference was found among the mean de-torque values of the electronic torque controller, torque indicating device and contra angle torque driver. In the limitation of this study, it would be recommended that the implant torque controllers should be checked whether uniformed and precise torque can be generated and a measuring error should be corrected.

네 종류의 토크 조절기(전자 토크 조절기($Br{\aa}nemark$), 토크 최대값 제한 장치(Pentaborn), 토크 표시 장치(ITI), 콘트라앵글 토크장치(Anthogyr))를 이용하여 나사의 조임 및 풀림 토크값을 측정하여 적정 토크 값과 토크 조절기를 통해 적용되는 실제 토크값에 대한 차를을 측정하여 토크 조절기의 정확도를 비교, 분석하였다. 풀림토크의 평균값 및 최대값과 최소값을 살펴 본 결과 Pentaborn과 같은 토크 최대값 제한 장치의 정확도가 다른 세 종류의 토크 조절기에 비해 우수한 것으로 나타났으며 15회 정도의 조임과 풀림은 큰 영향을 미치지 않지만 그 이상의 조임과 풀림은 정확한 토크 조절에 나쁜 영향을 미치는 것을 알 수 있었다. 그러므로 토크 조절기가 일정하고 정확한 토크값을 반복적으로 유지하는지 확인 및 교정하면서 임상적으로 적용해야 할 것으로 사료된다.

Keywords

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