• Title/Summary/Keyword: 나사 안정성

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Stability of implant screw joint (임플란트 나사의 안정성)

  • Chung, Chae-Heon;Kwak, Jong-Ha;Jang, Doo-IK
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.125-137
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    • 2003
  • The use of screw-retaind prosthesis on an osseointegrated implant is a popular treatment modality offering relative ease in the removal of the restoration. One of the complications associated with this modality is the loosening of the abutment and coping screws. Loosening of the screws results in patient dissatisfaction, frustration to the dentist and, if left untreated, component fracture. There are several factors which contribute to the loosening of implant components which can be controlled by the restorative dentist and lab technician. This article offers pratical solutions to minimize this clinical problem and describes the factors involved in maintaining a stable screw joint assembly. To avoid joint failure, adherence to specific clinical, as well as mechanical, parameters is critical. With respect to hardware, optimal tolerance and fit, minimal rotational play, best physical properties, a predictable interface, and optimal torque application are mandatory. In the clinical arena, optimal implant distribution; load in line with implant axis; optimal number, diameter, and length of implants; elimination of cantilevers; optimal prosthesis fit; and occlusal load control are equally important.

A VITRO STUDY OF RETAINED SCREW STABILITY BY VARIOUS CONNECTION DESIGNS BETWEEN FIXTURE AND ABUTMENT IN IMPLANT DENTISTRY (임플란트 고정체와 지대주 연결 형태의 차이에 따른 유지 나사 안정성에 대한 연구)

  • Yang Jae-Sik;Vang Mong-Sook;Jo Gyu-Jong
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.83-93
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    • 2004
  • Statement of problem : Since the concept of osseointegrated dental implant by $Br{\aa}nemark$ et al was first applied to mandibular full edentulous patients. Recently it is considerated the first treatment option on missing teeth. A common problem associated with dental implant restorations is loosening of screws that retain the prosthesis to the abutment and the abutment to the implant fixture. Purpose : This study is to examine the influence on screw loosening of implant-abutment designs. Material and methods : External hex, cone screw, beveled hex, cam cylinder, cylinder hex by means of evaluating the loosening torques, with respect to a range of tightening torques after repeated loading. Result : 1. Cone screw, beveled hex groups are the highest initial tightening rate and cylinder hex, external hex groups are the lowest initial tightening rate (p < 0.05). 2. Cone screw groups are the highest after repeated loading tightening rate and cylinder hex groups are lowest after repeated loading tightening rate(p < 0.05). 3. Cone screw groups have the highest initial stability and anal stability. 4. All groups are decreased tightening rate after repeated loading.

TRIO-CINEMA의 시스템 harness

  • Jeon, Je-Heon;Lee, Hyo-Jeong;Chae, Gyu-Seong;Seon, Jong-Ho;Jin, Ho;Lee, Dong-Hun;Lin, Robert P.;Immel, Thomas
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.199.1-199.1
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    • 2012
  • TRIO-CINEMA(TRiplet Ionospheric Observatory-Cubesat for Ion, Neutron, Electron & MAgnetic field)는 지구근접공간에서의 미세 자기장 변화 및 중성입자의 검출을 목적으로 경희대학교와 UC Berkeley가 공동 개발하는 초소형위성이다. 초소형위성은 내부 공간이 협소하여 효율적인 공간배치 및 위성체발사 시 진동에도 견딜 수 있도록 harness가 제작되어야 한다. CINEMA는 OBC, EPS, 배터리, 수신기, IIB(Instrument Interface Board), MAGIC(MAGnetometer Imperial College) board, HVPS(High Voltage Power Supply)로 구성된 avionics bus와 MAGIC, STEIN(Supra Thermal Electron, Ion, Neutral)의 payload, Solar panel, UHF와 S-band 안테나로 구성되어 있다. Solar panel에서 생산된 전력은 EPS를 통해 배터리에 저장되고 PC104를 통해 avionics stack의 각 board로 전력이 분배된다. IIB는 탑재체 파트와 연결되어 이를 제어하고 HVPS에서 STEIN에 공급되는 고전압은 특수 와이어를 통해 연결되며 UHF 안테나와 S-band 안테나는 RF 케이블로 수신기와 송신기가 연결되어 있다. 각각의 harness는 케이블타이와 lacing tape로 위성체와 고정되며 커넥터는 고정 지지대를 제작하여 나사로 체결하였다. CINEMA에 적용된 harness는 진동시험과 열진공시험을 통해 harness와 시스템의 안정성이 검증 되었다.

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Clinical Results of Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Tendon (슬괵건을 이용한 관절경적 전방십자인대 재건술)

  • Song, Eun-Kyoo;Seo, Hyoung-Yeon;Lee, Geun-Bae;Yoon, Taek-Rim;Shim, Sang-Don
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.17-23
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    • 1999
  • Purpose : We intend to review clinical results after Anterior cruciate ligament(ACL) reconstruction using hamstring tendon arthroscopically. Materials & Methods : Sixty two patients who had underwent arthroscopic ACL reconstruction using hamstring tendon from Mar. 1996 to Mar. 1997 were reviewed. The average follow-up was 16 months and average age at operation was 27 years old. Clinical results were evaluated with physical examination, Lysholm Knee score and instrumented anterior laxity test with Telos Results : The average preoperative Lysholm knee score was 57.0 and postoperative average of that was 91.8. All cases of 62 patients had normal range of motion of knee and were able to walk with no problems at follow-up. On the Lachmann test, there were mild(+) instability in 24 cases, moderate(++) in 24 cases, severe(+++) in 14 cases preoperatively and 48 cases were converted to negative, 14 cases mild postoperatively. On instrumented anterior laxity test with Telos, difference between normal and affected knee on 20 lb which was 13.4mm preoperatively was decreased to 4.7mm at follow-up and anterior stability was regained(P<0.05). Parapatellar complications such as crepitus in 18 cases(29.5%), atrophy of quadriceps in 23 cases(36.5%) were observed. There were 2 cases of inaccuracy of guide pin of semifix screw intraoperatively and 3 cases of malposition of semifix screw postoperatively. Conclusion : ACL reconstruction using hamstring tendon seems to be a effective procedure to establish the stability of knee joint but is technically demanding procedure and leaves some parapatellar complications.

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Operative treatment for Proximal Humeral Fracture (상완골 근위부 골절의 수술적 요법)

  • Park Jin-Young;Park Hee-Gon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.168-175
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    • 2003
  • Fracture about proximal humerus may be classified as the articular segment or the anatomical neck, the greater tuberosity, the lesser tuberosity, and the shaft or surgical neck. Now, usually used, Neer's classification is based on the number of segments displaced, over 1cm of displaced or more than 45 degrees of angulation , rather than the number of fracture line . Absolute indication of a operative treatment a open fracture, the fracture with vascular injury or nerve injury , and unreductable fracture-dislocation . Inversely, the case that are severe osteoporosis, and eldly patient who can't be operated by strong internal fixation is better than arthroplasty used by primary prosthetic replacement and early rehabilitation program than open reduction and internal fixation. The operator make a decision for the patient who should be taken the open reduction and internal fixation, because it's different that anatomical morphology, bone density, condition of patient. The operator decide operation procedure. For example, percutaneous pinning, open reduction, plate & screws, wire tension bands combined with some intramedullary device are operation procedure that operator can decide . The poor health condition for other health problem, fracture with unstable vital sign and severe osteoporosis , are the relative contraindication. The stable fracture without dislocation is not the operative indication . The radiologic film of the prokimal humerus before the operation can not predict for fracture evaluation. It's necessary to good radiologic film for evaluation of fracture form. The trauma serise is better than the other radiologic film for evaluation. The accessary radiologic exam is able to help for evaluation of bone fragment and anatomy. The CT can be helpful in evaluating these injury, especially if the extract fracture type cannot be determined from plain roenterogram of the proximal humerus, bone of humerus head. If the dislocation is severe anatomically , we could consider to do three dimentional remodelling. The MRI doing for observing of bony morphology before the operation is not better than CT If we were suspicious of vascular injury, we could consider the angiography.

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CASE REPORTS OF MULTIPLE FACIAL BONE FRACTURE TREATED BY THE USE OF MINIPLATE OSTEOSYNTHESIS (MINIPLATE를 이용한 다발성 안면골 골절의 치험례)

  • Lee, Dong-Keun;Yim, Chang-Joon;Yang, Hee-Chang
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.47-52
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    • 1989
  • There were increased number of maxillofacial trauma in recent years accompanied by the change in the type and the severity of the injury thus it was necessary to set up new therapeutic concepts. Among many fixation methods, miniplate osteosynthesis, compression osteosynthesis, wire osteosynthesis and so forth were considered. In this paper we are reporting case of the multiple facial bone fracture, which mainly treated with miniplate osteosynthesis and the additionally used craniofacial suspension wire and transpaltal wire. It was concluded that miniplate osteosynthesis was useful in multiple facial bone fractures.

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Separation and Determination of Cadmium in Blood Serum by Solvent Extraction and Atomic Absorption Spectrophotometry (용매추출과 원자흡수분광법에 의한 혈청시료중 카드뮴의 분리 및 정량)

  • Lee, Seok Ki;Joung, Chang Ung
    • Journal of the Korean Chemical Society
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    • v.43 no.4
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    • pp.401-406
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    • 1999
  • Trace amount of cadmium was quantitatively extracted with 1% Aliquat 336-MIBK from 0.2M KSCN and 0.01M-HCl. Test tubes with a screw cap stopper were used for extraction in place of conventional separating funnels and organic solvents used were less dense than water. In this analysis, 22 times concentration effect was achieved with higher selectivity without interference. The detection limit of cadmium was 0.7ppb, therefore trace cadmium was easily analyzed by this method. The proposed method was applied to the determination of cadmium in blood serum and extraction mechanism was elucidated.

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On the osseointegration of zirconia and titanium implants installed at defect site filled with xenograft material (이종골 이식을 동반한 지르코니아와 타이타늄 임플란트의 골유착에 관한 연구)

  • Kim, Sung-Won;Cho, In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.9-17
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    • 2014
  • Purpose: The purpose of this study was to compare zirconia implants with titanium implants from the view point of biomechanical stability and histologic response on osseointegration when those were placed with xenograft materials. Materials and methods: Specimens were divided into two groups; the control group was experimented with eighteen titanium implants which had anodized surface and the experimental group was experimented with eighteen sandblasted zirconia (Y-TZP) implants. At the tibias of six pigs, implants were installed into bone defect sites prepared surgically and treated with resorbable membranes and bovine bone. Two pigs were sacrificed after 1, 4 and 12 weeks respectively. Each implant site was sampled and processed for histologic and histomorphometric analysis. The stability of implants was evaluated with a $Periotest^{(R)}$. And the interfaces between bone and the implant were observed with a scanning electron microscope. Results: In stability analysis there was no significant difference between Periotest values of the control group and the experimental group. In histologic analysis with a light microscope after 4 weeks, there was new bone formation with the resorption of bovine bone and the active synthesis of osteoblasts in both groups. In bone-implant contact percentage there was significant difference between both groups (P<.05). In bone area percentage there was no significant difference between both groups. In analysis of both groups with a scanning electron microscope there was a gap between bone and a surface at 4 weeks and it was filled up with bone formed newly at 12 weeks. Conclusion: When accompanied by xenograft using membrane, bone to implant contact percentage of zirconia implants used in this experiment was significantly less than that of the titanium implants by surface treatment of anodic oxidation. So, it is considered that the improvement of zirconia implant is needed through ongoing research on surface treatment methods for its practical use.

Cortical bone strain during the placement of orthodontic microimplant studied by 3D finite element analysis (3차원 유한요소법을 이용한 교정용 마이크로임플란트 식립 시의 피질골 스트레인 해석)

  • Nam, Ok-Hyun;Yu, Won-Jae;Kyung, Hee-Moon
    • The korean journal of orthodontics
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    • v.38 no.4
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    • pp.228-239
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    • 2008
  • Objective: The aim of this study was to evaluate the strain induced in the cortical bone surrounding an orthodontic microimplant during insertion. Methods: A 3D finite element method was used to model the insertion of a microimplant (AbsoAnchor SH1312-7, Dentos Co., Daegu, Korea) Into 1 mm thick cortical bone with a pre-drilled hole of 0.9 mm in diameter. A total of 1,800 analysis steps was used to simulate the 10 turns and 5 mm advancement of the microimplant. A series of remesh in the cortical bone was allowed to accommodate the change in the geometry accompanied by the implant insertion. Results: Bone strains of well higher than 4,000 microstrain, the reported upper limit for normal bone remodeling, was observed in the bone along the whole length of the microimplant. At the bone in the vicinity of the screw tip, strains of higher than 100% was recorded. The insertion torque was calculated at approximately 1.2 Ncm which was slightly lower than those measured from the animal experiment using rabbit tibias. Conclusions: The insertion process of a microimplant was successfully simulated using the 3D finite element method which showed that bone strains from a microimplant insertion might have a negative impact on physiological remodeling of bone.

STABILITY AFTER SURGICAL CORRECTION OF MANDIBULAR PROGNATHISM USING BILATERAL SAGGITAL SPLIT RAMUS OSTEOTOMY AND FIXATION WITH POLY-L/DL-LACTIDE COPOLYMER SCREWS ($BIOSORB^{TM}FX$) (하악지 시상 골절단술 이후 흡수성 나사를 사용하여 고정한 환자에서 술 후 안정성에 대한 연구)

  • Kwon, Taek-Kyun;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Kim, Jong-Ryoul;Chung, In-Kyo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.2
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    • pp.160-163
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    • 2005
  • This study was designed to assess skeletal stabilily after surgical correction of mandibular prognathism by bilateral saggital split ramus osteotomy(BSSRO) and fixation with absorbable screws. From July 2001 to September 2003, 30 patients with Class III malocclusion were treated with BSSRO and mandibular setback. They underwent fixation with Biosorb$^{TM}$ FX screws. Cephalograms were obtained preoperatibely, 2 or 3 days postoperatively, and about 12 months after the operation. Changes in the position of lower incisor tip, B point, and pogonion were examined on lateral cephalograms. The mean mandibular setback just after surgery was 10.6mm. 12 months after surgery, mean relapse at pogonion represented 17.9% and 15.1% at B point. Our results suggest that fixation of the bony segments with absorbable screws after BSSO may be used effectively in properly selected cases.