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스프링형과 마찰형 기계식 임플란트 토크 렌치의 정확도에 관한 연구

Accuracy of spring-style and friction-style mechanical implant torque wrench

  • 차동희 (원광대학교 치과대학 치과보철학교실) ;
  • 오상천 (원광대학교 치과대학 치과보철학교실)
  • Cha, Dong-Hee (Department of Prosthodontics, School of Dentistry, Wonkwang University) ;
  • Oh, Sang-Chun (Department of Prosthodontics, School of Dentistry, Wonkwang University)
  • 투고 : 2015.12.11
  • 심사 : 2016.01.15
  • 발행 : 2016.01.29

초록

목적: 본 연구의 목적은 두 가지(스프링형, 마찰형) 종류의 기계식 임플란트 토크 렌치를 2000회의 반복 사용과 100회의 멸균과정 후 그들의 정확도를 평가하는 것이다. 재료 및 방법: 각기 다른 5개 제조사의 스프링형, 마찰형 기계식 임플란트 토크 렌치가 각 15개씩, 총 30개 사용되었다. 디지털 토크 측정기(MGT-12, Mark-10 Corp, USA)를 이용하여 토크값을 실험 전 최초 측정 후 각 토크 렌치를 같은 조건(목표 토크 값까지 20회씩 반복 사용 후 멸균봉투에 포장하여 고압증기 멸균 시행)으로 100회 반복 시행하였다. 그 후 다시 토크값을 측정하여 비교하였다. 수집된 자료는 SPSS 통계분석 프로그램을 이용하여 분석하였고 오차율을 계산하였다. Mann-Whitney-U test를 이용하여 실험군 사이의 유의성을 분석하였다(P<.05). 결과: 스프링형 토크 렌치는 실험 전후로 토크값의 유의할만한 차이를 보이지 않았다(P>.05). 반면에 마찰형 토크 렌치는 실험 전후로 토크값의 유의할만한 차이를 나타내었으며(P<.05), 10% 이상의 오차율이 모두 마찰형 토크 렌치에서 나타났다. 결론: 본 연구의 제한된 실험 조건하에서 스프링형 토크 렌치가 마찰형 토크 렌치보다 사용횟수와 멸균과정을 고려했을 때 더욱 신뢰성이 높은 정확도를 보였다.

Purpose: The aim of this study was to compare the accuracy of two different styles of mechanical implant torque wrenches before and after sterilization and repeated use. Materials and methods: Thirty new spring-style and friction-style mechanical implant torque wrenches from five different manufacturers were selected as subjects of study and assessed in terms of accuracy. Three manufacturers produced, spring-style (Dio, Neobiotech, Osstem) torque wrenches, and other three manufactures produced friction-style (Dentium, Osstem, Shinhung) torque wrenches. The procedure of target torque measurement was performed 10 times for each device and a digital torque gauge (MGT-12, Mark-10 Corp, USA) was used to record the measurements. All torque wrenches were used repeatedly for 20 times and then sterilized. This whole procedure was repeated 100 times and all torque wrenches were retested. The collected data was analyzed using a SPSS Statistics Analysis program to evaluate the accuracy of the torque wrenches and Mann-Whitney-U test was used for a comparative analysis. Results: After sterilization and repeated use procedure, results did not show any significant difference between error values in the spring-style torque wrench group. However, the results demonstrated an increase in error values within the friction-style torque wrench group (P<.05). Conclusion: There was no difference between the accuracy of new spring-style torque wrenches before and after 100 cycles of sterilization and repeated use (P>.05). There was significant difference between the accuracy of new friction-style torque wrenches before and after 100 cycles of sterilization and repeated use (P<.05). Within the limitation of this study, spring-style torque wrenches were more accurate than friction-style torque wrenches in delivering target torque values.

키워드

참고문헌

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