• Journal of Periodontal and Implant Science
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• 제23권3호
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• pp.493-506
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• 1993

실패한 임프란트를 구강내에 유지하기 위하여는 임프란트 매식체의 표면을 처치하여 세균독소를 제거하구 주위의 연, 경조직에 적합한 표면 구조를 만들어 주어야 한다. 이에 본 연구에서는 임프란트 매식체 표면을 high speed diamond bur, low speed diamond bur, stone, rubber point, Jetpolisher로 처치하여 가장 평활한 표면을 만들 수 있는 방법을 알아 보았다. 조도측정기를 이용하여 표면의 최대높이값을 측정한 결과 high speed diamond bur, rubber point, Jetpolisher를 사용한 시편의 최대높이값의 평균은 $7.77{\mu}m$였고, low speed diamond bur, rubber point, Jetpolisher를 사용한 경우에는 $8.44{\mu}m$를 보였다. Stone, rubber point, Jetpolisher를 사용한 경우 $6.24{\mu}m$로 가장 평활한 표면을 보였다. 이러한 수치들은 제거하지 않은 TPS(titanium plasma sprayed)면의 $24.43{\mu}m$에 비하여는 낮은 수치를 보였다. 주사전자현미경으로 관찰 하였을 때 high speed diamond bur, rubber point, Jetpolisher를 사용한 군에서는 TPS 입자들이 부분적으로 남아있었으나 이 입자들은 그 높이가 원래의 TPS에 비하여는 상당히 감소되어 있었다. Low speed diamond bur, rubber point, Jetpolisher를 사용한 시편에서는 전 표면에 걸쳐 TPS가 남아있는 거친 표면 구조를 보였다. Stone, rubber point, Jetpolisher를 사용한 시편은 대부분의 TPS가 제거되어 titanium이 노출되어 있었고, titanium 금속에 stone에 의한 흠들이 보였으나 일부분에서는 TPS가 남아있어 제조회사에서 만들어진 평활한 표면에 비해서는 거친 양상을 보였다.

• 대한지역사회영양학회:학술대회논문집
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• 대한지역사회영양학회 2003년도 춘계학술대회 및 비만ㆍ다이어트 박람회
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• pp.124-124
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• 2003

본 연구에서는 국립보건원 유전체연구소에서 실시하고 있는 지역사회 유전체역학사업의 일환으로 안성과 안산 지역의 40세 이상 성인을 대상으로 영양실태를 조사하였다. 두 지역 각 200명을 표본집단으로 선정하여 2002년 1월 25일부터 2월 2일 까지 조사를 실시하였으며, 3일간 식이기록법으로 그 날 섭취한 음식명, 음식재료명, 재료의 양, 매식 여부, 식사시간을 기입하도록 하였고, 이 중 분석 가능한 326(안성 163, 안산 163; 회수율 80.3 %)명의 설문을 분석하였다. (중략)

• 대한치과보철학회지
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• 제29권2호
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• pp.23-34
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• 1991

Even if we can recover the function of mastication, pronunciation and esthetic using the fixed or removable prosthesis in the loss of teeth or hard tissue in the oral cavity, we use several kinds of implants in order to solve the problem which can be occured when we can't install the denture because of excessive bone resolution or psychlogical affairs. At present Titanium implant plays a major role in this field and has osseointegrated. And the study on the modern material is going on, that result in developing and using the implant which is coated with HA, bone induced material. In this, I studied histologically the change of the bone tissue which is occured when three kinds of HA coated implants. Such as Integral, Sustain, Biovent implanted into mandible of dog and got a 8-weeks healing period. I got the conclusion as follows: 1. Most of the implant which is covered with serveral kinds of HA coating implant in bone after 8 weeks being implanted and has osseointegrated, partially converted into the connective tissue. 2. Biovent formed the connective tissue in the perforated area of inferior alveolar canal and has osseointegrated.

• 대한치과보철학회지
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• 제29권2호
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• pp.35-48
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• 1991

Installation periods of implants in Mx. and Mn., is related to pattern of bone formation. The purpose of this study was to observe histologic response in osseointegration at root formed implant-tissue interface at Mx. and Mn., the other is comparison of osseointegration level between Mx. and Mn. at 8 weeks. In this study, unilateral upper & lower molars were extracted in dog. After allowing to heal for 4 months, two kinds of osseointegrated implants Swedevents, Corevents-were inserted in dog. The specimens were treated by conventional method. The interface zones between bone and implant were investiigated using X-rays, light microscope. The following results were obtained from this study. 1. Around titanium implants that were installed in Ma and Mn., Radio lucencies don't exist 2. There are not inflammation and mobility of titanium implants that were installed in Mx. and Mn. Most of implant surface are covered by bony tissued partly by bone-marrow tissues. 3. Titanium implants installed in Mx, in contrast to same implants in Mn., shows more coverage by bone marrow tissue and lack of apposition lamellar bone, which lead to the assumption that bone formation in Mn. is faster than in Mx.

• 대한치과보철학회지
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• 제48권3호
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• pp.224-231
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• 2010

연구 목적: 본 연구에서는 임플란트 경부 디자인의 측면에서 미세나사, 치은 관통부의 곡면 디자인 적용 및 경부 역사면 부여효과를 직접 비교하여 정량적인 평가를 하고자 하였다. 연구 재료 및 방법: 직경 4.1 mm, 길이 10 mm 의 매립형 (submerged) 고정체 (Dentis Co., Daegu, Korea)를 기본 형상으로 설정하였다. 실험 모델로는 대조 모델의 경부 주위, 즉 치은 관통부/지대주 체결 방법에 변화를 준 다섯 가지 경우로 설정하였다 (실험 모델 I: 경부측 3 mm에 높이 0.15 mm, 피치 0.3 mm의 미세나사 (microthread)가 가공된 모델, 실험 모델II: 실험 모델 I 과 동일한 고정체이나, 매립형이 아니라 1-stage 형 (internal type) 디자인을 가진 미세나사가 가공된 모델, 실험 모델 III: 매식부 나사산은 대조 모델과 동일하나 1-stage 형 경부 디자인을 가지는 미세나사가 가공되지 않은 모델, 실험 모델 IV: 일체형 (one piece system) 임플란트로 치은 관통부에 3 mm 직경의 만곡 (concavity)형상을 갖는 모델, 실험 모델 V : 매식부 나사산 및 지대주는 대조 모델과 동일하나 고정체 platform 가장 자리에 높이 1 mm 의 역사면 (reverse bevel)을갖는모델). 유한요소해석을 위해 PC용으로 출시된 상용 프로그램인 NISA II/Display III (EMRC, Troy, MI, USA)를 사용하여, 축대칭으로 임플란트/악골 조합을 모델링하였다. 고정체 형상은 동일하나 경부 (및 치은 관통부) 디자인에 차이가 있는 여섯 종의 임플란트 (대조 모델 + 다섯 종 실험 모델)를 9 mm 폭경의 악골에 식립하고 임플란트 장축에 대해 30도의 각도를 갖는 100 N의 하중을 받는 조건으로 임플란트/골 복합체의 응력을 해석하였다. 결과:실험 모델 I과 실험 모델 IV에서 변연골 응력이 약간 낮았으나 실험 모델 II, III, 실험 모델 V는 대조 모델보다 변연골 응력이 높았다. 최대 절점응력이 기록된 임플란트로부터 0.2 mm 떨어진 위치에서의 응력은 실험 모델 III에서 21.11 MPa로 가장 높았고 실험 모델 II와 실험 모델 V는 비슷한 수준으로 각각 18.39 MPa, 17.88 MPa이었으며 실험 모델 I, IV는 대조모델의 15.09 MPa 보다 약간 낮은 14.78 MPa, 14.63 MPa 였다. 결론: 경부의 미세나사와 치은 관통부의 곡면 (concavity) 부여가 변연골의 응력집중 방지에 효과가 있는 것으로 분석되었다.

• 구강회복응용과학지
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• 제27권1호
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• pp.51-61
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• 2011

최근 심미 보철을 위해 높은 강도와 정밀도를 가지면서 동시에 자연치와 유사한 상아질 색을 구현할 수 있는 세라믹 계열의 지르코니아 임플란트 지대주가 보철 재료로서 각광을 받고 있다. 이에 본 연구에서는 삼차원적 유한요소응력분석을 이용하여 기존의 티타늄 소재의 임플란트 지대주와 지르코니아 소재의 임플란트 지대주의 응력분포비교를 통해 지르코니아 임플란트 지대주의 기계적 안정성을 간접적으로 확인하고자 하였다. 악골에 식립된 internal conical joint type과 external butt joint type의 임플란트 매식체에 티타늄 임플란트 지대주 또는 지르코니아 임플란트 지대주를 지대주 나사로 연결하고 상부에 금합금관을 장착하는 유한요소모형을 설계하였다. 교합면 중심으로부터 3mm 편측에 수직 방향으로 250N의 하중을 인가하여 교합력에 의해 임플란트 지대주에서 발생하는 등가응력분포를 분석하였다. 유한요소분석결과 지르코니아 임플란트 지대주와 티타늄 임플란트 지대주의 응력 분포는 유사하게 관찰되었으나 최대등가응력은 임플란트 연결 방식에 상관없이 티타늄 임플란트 지대주에 비해 지르코니아 임플란트 지대주가 약 15% 정도 높게 나타났다. 그럼에도 불구하고 티타늄에 비해 지르코니아의 더 높은 기계적 강도를 고려해 볼 때 임상에서도 기존의 티타늄 임플란트 지대주와 마찬가지로 지르코니아 임플란트 지대주도 임상적인 기계적 안정성을 가질 것으로 생각된다.

• 대한치과보철학회지
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• 제22권1호
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• pp.33-50
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• 1984

The purpose of this study was to investigate whether the ashed tooth powder is utilized as an alternative material of the implant to recovery the bony defect. For this purpose its biocompatibility was evaluated comparing to the synthetic calcium phosphate compounds, such as Syntograft and Calcitite, as well as the vacuum firing porcelain (Ceramco Inc.) which is anticipated to use as a matrix to aid sintering. Bony defects to exposure the bone marrow, $3{\times}5$ mm in size, were created in the right and left tibias of fifteen rabbits, and then the ashed tooth powder at $950^{\circ}C$, the porcelain powder, Syhtograft and Calcitite were inserted in the defects of twelve rabbits of the experimental group and the blood clot only was filled in the defects of three rabbits of the control group. The experimental and control rabbits were sacrificed at 1st, 2nd 3rd week after implantation and the histologic examination was performed. The ashed tooth powder in order to make the needed form of the implant was molded using the cylindrical mold 1 cm high, 1 cm in diameter under the pressure of $1000kg/cm^2$ and the ashed tooth powder was sintered at $1100^{\circ}C$ for 1 hour and the mixture of the porcelain powder and the ashed tooth powder at the weight ratio of 7:3, 6:4, 5:5, 4:6 were molded in the same manner and were sintered at $925^{\circ}C$. From this sintered material, square shaped implants were prepared in the dimension of $2{\times}4{\times}6mm$. The prepared implants were surgically placed in the subperiosteum of lateral surfaces of the right and left mandibular bodies. The dogs were sacrificed at 4 weeks, and then the specimens were examined using the light and scanning electron microscopes. The results of this study were obtained as follows: 1. Any inflammatory response was not noted after implanting of the ashed tooth powder, Syntograft, Calcitite and the porcelain powder during the whole experimental period after implantation. 2. Induction of the new bone formation was significantly shown in the ashed tooth powder, Syntograft and Calcitite. 3. The more the porcelain powder was contained in the implants, the more the porosity was and the bigger the pore size was under the scanning electron microscope. And there was ingrowing of the fibrous connective and the osteoid tissue. 4. The osteoid tissues were found to be directly fused to the implant of the ashed tooth powder, and the mixture implant of the porcelain powder and the ashed tooth powder at the weight ratio of 4:6 under the light and scanning electron microscopes.

• 대한치과보철학회지
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• 제22권1호
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• pp.51-68
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• 1984

The purpose of this study is primarily to test the use value of tooth ash as an alternative material of the synthetic hydroxyapatite. For this purpose the author performed the experimental study to investigate the phsyical properties of sintered tooth ash and its histocompatibility in vitro. The tooth ash was made by incinerating procedure at $650^{\circ}C,\;750^{\circ}C,\;850^{\circ}C,\;950^{\circ}C\;and\;1050^{\circ}C$ respectively. The composition of tooth ash was analyzed and X-ray diffraction was done. The experimental specimens were molded to the cylinderical form 1 cm high, 1 cm in diameter under the pressure of $1000kg/cm^2$, which were divided into two groups; the one is sintered tooth ash at $1100^{\circ}C$ and the other is fired mixture of tooth ash and dental porcelain mixed to the weight ratio of 4:6, 5:5, 6:4 and 7:3. The physical propoerties of the sintered specimens were examined and their microstructure was observed under the Scanning Electron Microscope. The results obtained were as followings: 1. The difference of the tooth ash composition depending on incinerating temperature was of no significance, but the $CO_2$ disappeared from $950^{\circ}C$. 2. X-ray diffraction showed the tooth ash was mainly composed of hydroxyapatite and a small amount of - white lockite. But phase transformation was not disclosed. 3. The microstructure of the sintered specimens of the ashed tooth powder was of no difference in the structure and grain size accompanying the ashed temperature, but sintering ability seemed to be the best in the specimen incinerated at $950^{\circ}C$. 4. There was good wettability in the mixed sintered specimens of the ashed tooth powder and the porcelain powder. 5. The compressive strength of the sintered specimens of the tooth ash incinerated at $950^{\circ}C$ was the highest with $589.75kg/cm^2$ and the porosity and the absorption were the lowest as well. 6. The mixed sintered specimens of the tooth ash and porcelain powder was good in the physical properties in the case of mixed weight ratio of 6:4. 7. The animal fibroblast cultures with porcelain showed increase in the cell number, whereas the tooth ash showed a small degree of growth inhibition. But the difference of cell multiplication efficiency between control cultures and test cultures with tooth ash was not observed.

• 대한치과보철학회지
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• 제28권2호
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• pp.1-28
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• 1990

The severe atrophic edentulism with poor neuromuscular control militates against successful conventional denture therapy. To such situation, a prescribing of dental implant treatment has been considered with some probability. Implant materials used as a trial for dental implants includes metals, plastic polymers and ceramics. The purpose of this study was to observe histologic response in osseointegration process at titanium implant-tissue interface based on biocompatibility at specific period of sequential natures which were divided into a half month, one, month, two months, three months and immediate as a base line. In this study, unilateral lower left premolar and molar teeth were extraced in three dogs. After allowing to heal for 6 months, three kinds of osseointegrated implant, $Br{\aa}nemark$, Corevent and kimplant(a prototype of SNU implant study)were inserted in each dog respectively according to the above sequence from front to back. The specimens were taken from those dogs at the same time since implant were inserted quite reverse order of the specified periods, and decalcified and processed for histologic examination for the light microscopy and the electron microscopy. The microscopic histologic findings at the interface between titanium implants and tissue were interpretated as follows : A. Light microscopic findings : a. Immediate : Implant were surrounded by compact bone and spongy bone. Microcrak was observed in the superficial bone tissue. Osteocytes were disappeared and bone lacunae were observed as a vacant space in some parts. In the contacting with the spongy bone, bone trabeculae and bone marrow were in contact with the implant. b. A half Month : Osteoblasts exist as a monolayer in th inner bone trabeculae and do bone additiocn. Osteoblasts&inflammatory cells were observed in some parts. c. One Month : The presence of osteoclasts decreased. Osteoblasts did active bone fromation, and bone marrow was in contact with the implant in the many places. d. Two Months : Bone formation was advanced in comparison with the b and c. The presence of osteoclsts was not observed. e. Three Months : The superficial bone tissue contacted with the implants was entirely composed by the compact bone. B. Electron microscopic findings : a. A half month and one month group : In the parts of the active bone formation, osteoblasts with the well developed endoplasmic reticulum and Golgi apparatus were arranged in the monolayer. In the parts of the bone resorption, ruffled border was well developed and many osteoclasts with the well-developed golgi apparatus, mitochondria, vacuole, vesicle and lysosome were existed. b. Three months group : No osteoblasts were observed in the superficial bone tissue. Bone matrix with collaen fiber was observed. c. No significant dirrerence in the histologic findings was observed in $Br{\aa}nemark$, Core-vent and kimplant.

• 대한치과보철학회지
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• 제47권1호
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• pp.12-20
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• 2009

연구목적: 임플란트가 식립되어질 때 매식체는 조직액과 접촉하게 된다. 임플란트의 조직액 흡착은 표면처리에 따라 다양하게 나타난다. 이 때 임플란트 시편의 표면 거칠기와 젖음성과의 상관관계를 분석하고자 하였다. 연구재료 및 방법: 표면 거칠기와 젖음성의 상관관계를 측정하기 위해 네 종류의 임플란트 시편을 각각 5종류 만들었다. 각각의 그룹은 그룹 A: Machined Surface, 그룹 B: Anodized surface, 그룹 C: RBM (HA blasting) surface, 그룹 D: CMP (calcium methaphosphate) coating surface이다. 연구결과: 1. 표면의 거칠기는 RBM, CMP, Anodized, Machined 그룹 순서로 거칠었다. RBM과 CMP는 통계적으로 유의차가 없었다 (P<.05). 2. 젖음성은 Anodized, RBM, CMP, Machined 그룹 순서로 높았다. CMP와 Machined는 통계적으로 유의차가 없었다 (P<.05). 3. 표면 거칠기와 젖음성과의 상관관계는 없었다.