The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Effect of various casting alloys and abutment composition on the marginal accuracy of bar-type retainer

합금의 종류와 지대주 성분이 바형 유지 장치의 변연 적합도에 미치는 영향

  • Lee, Yun-Hui (Department of Prosthodontics, School of Dentistry, Dankook University) ;
  • Song, Young-Gyun (Department of Prosthodontics, School of Dentistry, Dankook University) ;
  • Lee, Joon-Seok (Department of Prosthodontics, School of Dentistry, Dankook University)
  • 이윤희 (단국대학교 치과대학 치과보철학교실, 치의학연구소) ;
  • 송영균 (단국대학교 치과대학 치과보철학교실, 치의학연구소) ;
  • 이준석 (단국대학교 치과대학 치과보철학교실, 치의학연구소)
  • Received : 2011.10.27
  • Accepted : 2012.02.13
  • Published : 2012.04.30
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Abstract

Purpose: The object of this study was to determine if the low-priced alloy and metal UCLA abutment could be available for manufacturing bar-retained framework of implant prosthesis. Materials and methods: Bar structure was classified into 4 groups, The specimen of group 1 and 2 were based on casting high noble metal alloys and noble metal alloys with gold UCLA abutment. The specimen of group 3 and 4 were based on casting noble metal alloys and base metal alloys with metal UCLA abutment. Cast bar structure was installed in an acrylic resin model and only the screw on the hexed abutment side was tightened to 20 Ncm. On the opposite side, vertical discrepancy was measured with stereo microscope from front, back, and lateral side of the implant-abutment interface. One-way ANOVA was performed to analyze the marginal fit discrepancy. Results: One-way ANOVA test showed significant differences among all groups ($P$<.05) except for Group 1 and 3. Among them, difference between Group 1 and 2 was noticeable. Measured vertical discrepancies were all below $70{\mu}m$ except to Group 2. Conclusion: Base metal alloy and metal UCLA abutment could be used as an alternative to high-priced gold alloy for implant bar-retained framework.

연구 목적: 합금의 종류와 지대주의 재질의 차이가 변연적합도에 미치는 영향을 비교 분석하고자 한다. 연구 재료 및 방법: 2개의 임플란트 유사체를 평행하게 위치시킨 후 아크릴릭 레진으로 포매하여 연구모형을 제작하였다. 바 구조물은 gold UCLA 지대주에 고귀금속 합금(high noble metal alloy)과 귀금속 합금(noble metal alloy)을, 그리고 metal UCLA 지대주에 고귀금속 합금과 비귀금속 합금(base metal alloy)을 이용하여 총 4 종류의 바 구조물을 7개씩 시편을 제작하였다. 주조된 바 구조물을 레진 모형에 장착하고 한쪽 지대나사를 조인 후, 반대쪽 임플란트-지대주 간극의 수직 거리를 앞, 뒤, 측면 3부위에서 입체 광학 현미경으로 관찰하여 기록하였다. 결과: 각 군들의 변연오차 평균값은 gold UCLA 지대주에 고귀금속 합금과 귀금속 합금을 사용했을 때 각각 $13.69{\pm}6.74{\mu}m$와 $267.26{\pm}65.85{\mu}m$이었으며, metal UCLA 지대주에 고귀금속 합금과 비귀금속 합금을 사용했을 때 $26.19{\pm}8.14{\mu}m$와 $61.90{\pm}33.65{\mu}m$이었다. One-way ANOVA를 이용하여 변연 적합도의 차이를 분석했을 때 고귀금속 함금을 사용한 군들을 제외하고, 모든 군간에 유의한 차이가 존재하였다($P$<.05). Gold UCLA 지대주-귀금속 합금 조합을 제외하고 모두 $70{\mu}m$ 이하의 수직오차를 보였다. 결론: 임플란트 바 유지 장치의 제작에 있어서 고귀금속 합금 대신 비귀금속 합금과 metal UCLA 지대주를 사용하는 것은 임상적 타당성이 있다고 판단된다.

Keywords

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