• 대한치과보철학회지
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• 제56권4호
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• pp.278-286
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• 2018

목적: 인조골에 동일한 조건으로 식립한 임플란트에 대하여 타진방식의 임플란트 안정성 측정기기인 Periotest와 AnyCheck을 사용하여 안정성 수치를 측정함에 있어서, healing abutment의 높이와 타진각도의 변화에 따른 각 측정기기의 안정성 수치 차이를 조사하는 것이다. 재료 및 방법: 총 60개의 임플란트를 주문제작한 인조골 블록에 식립하고 2, 3, 4, 5 mm 높이의 healing abutment를 각각 15개씩 네 그룹으로 나누어 체결하였으며, 각각 식립 토크, implant stability test, Periotest value를 측정했다. 임플란트 식립 시 45 - 55 Ncm의 토크를 유지하였다. 임플란트 장축에 수직인 지면을 기준으로, implant stability test는 AnyCheck을 사용하여 $0^{\circ}$, $30^{\circ}$의 기울기로 측정했으며 Periotest value는 Periotest M을 사용하여 $0^{\circ}$, $30^{\circ}$의 기울기로 측정하였다. 측정값은 통계적으로 비교 분석하였다. 결과: 식립 토크는 그룹 간 통계적 유의차가 없었다. AnyCheck과 Periotest M으로 측정했을 때, healing abutment의 높이가 증가할수록 안정성 수치가 낮게 측정되었다. 또한 AnyCheck과 Periotest M을 $0^{\circ}$와 $30^{\circ}$ 기울기로 측정 시 $0^{\circ}$로 측정한 그룹에서 안정성 수치가 더 낮게 측정되었다. 결론: 임플란트의 안정성 수치를 타진방식으로 측정할 때에는 healing abutment 높이와 타진각도의 변화에 따른 차이를 고려하여 측정해야 표준화된 평가를 할 수 있으며, 이에 대한 더욱 세밀한 사용법을 인지할 필요가 있다고 사료되었다.

• Journal of Periodontal and Implant Science
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• 제38권3호
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• pp.493-502
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• 2008

Purpose: The purpose of this study is to investigate on the regenerative capacity by using different size of graft materials around bony defect around implant. Material and Methods: Dental implant fixtures(Bio-TIS, Korea) were placed into the tibia of 8 rabbits. After placement of implant, artificial defects were created for each group, and the size of bone graft materials were used according to each designated group. 4 weeks after surgery, 8 rabbits were sacrificed. The histologic and histomorphometrical study were done for comparison of the regenerative capacity using $80-90{\mu}m$ and $200{\sim}1000{\mu}m$ size of grafting materials of OCS-$B^{(R)}$. Result: Matured bone formation was significantly increased more in Group E1($80-90{\mu}m$) than in Group E2($200{\sim}1000{\mu}m$). Group E1($80-90{\mu}m$) showed more significant augmentation in marginal length of graft material per unit area than Group E2($200{\sim}1000{\mu}m$). Group E1($80-90{\mu}m$) showed more interspace in graft material than Group E2($200{\sim}1000{\mu}m$). Control group showed no new bone formation around and inside of implanted fixture. Conclusion: Small grafting material size has great influence on bone regeneration.

• 대한치과보철학회지
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• 제29권2호
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• pp.225-243
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• 1991

In recent years immediate implantation has been tried by a few clinicians. This study placed IMZ implants in the rabbit femur with and without bony defects around the implant for simulating fresh extraction site. And one group with bony defects used porous hydroxyapatite ganules(HA) to fill if and the other group left the bony defects around the implant. The purpose of this study was to compare the shear bond strength and the bony contact and formation around the implant. Fifteen rabbits were divided into three groups and placed 10 IMZ implants to each group. Implant sites were surgically prepared with IMZ drills kit and implants were placed(Control), artificial bony defect was created with Apaceram drills kit around the implant sites and implants were placed(Experimental I), bony defect was filled with porous hydroxyapatite granules(Experimental II). Thereafter, rabbits were sacrificed at 8th week and specimens were prepared and pushout tested for shear bond strength of bone-implant interface immediately. Undecalcified and decalcified specimens were prepared with Vilanueva and hematoxylin-eosin stain for light microscopic finding. The results of this study were as follows. 1. In the control group, mean shear strength of bone-implant interface was $2.614{\pm}0.680$ MPa, experimental I was $0.664{\pm}0.322$ MPa, and experimental II was $2.281{\pm}0.606$ MPa. There was significant difference between control and experimental I, between experimental I and experimental II, but did not show significant difference between control and experimental II statistically. 2. In the bony formation surrounding IMZ implant of the three groups, that of cortical bone is more advanced than cancellous bone area. 3. In the histological findings of undecalcified specimens, control and experimental II showed more than 50% of bony or osteoid formation at the bony-implant interface. 4. In the histological findings of undecalcified specimens, experimental I showed less than 50% of bony or osteoid formation at the interface, and observed partial bony defect in the coronal zone. 5. In the experimental II group, were observed direct bony contact to hydroxyapatite granules, and infiltration of a few giant cells. 6. No inflammatory responses were seen around the titanium implants and the hydroxyapatite granules.

• 대한치과보철학회지
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• 제62권1호
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• pp.54-63
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• 2024

장기간 사용된 임플란트 피개의치는 부착장치의 마모와 전치부 교합집중, 인공치 파절, 의치의 회전 등을 보일 수 있다. 이러한 문제점은 추가적인 임플란트 식립을 이용한 임플란트보조 국소의치(IARPD, implant assisted removable partial denture)로의 전환으로 개선할 수 있다. 본 증례는 임플란트 피개의치를 사용하는 3급 악간관계 환자에서 전치부에 집중된 교합을 분산하고 의치의 회전방지를 위해 서베이드 크라운을 이용한 IARPD으로 전환하였다. 여러 단계의 임시수복물을 통해 적절한 기능과 심미를 가진 최종보철물의 형태를 결정하였으며 최종 보철물의 적절한 구치부 교합과 임플란트 주위 변연골 유지를 보였기에 이를 보고하는 바이다.

• 구강회복응용과학지
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• 제36권2호
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• pp.121-127
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• 2020

상악 무치악 환자에서 치료 방법을 결정하는데 있어 생역학적 고려사항과 함께 전치부 치아에 대한 환자의 심미적 요구도 고려될 수 있다. 이 증례 보고는 전치부의 임플란트 고정성 보철물과 구치부의 후방 연장 가철성 국소의치로 구강 기능이 회복된 상악 무치악 환자의 10년 동안 임상 결과를 기술하고 있다. 상악 전방에 임플란트 고정성 보철물로 4개의 임플란트를 연결고정 하였으며 후방에 가공선 유지장치를 가진 가철성 국소의치가 장착되었다. 하악 무치악은 임플란트 피개의치로 수복되었다. 경과 관찰 기간 동안 고정성 보철물의 인공치아와 전장 레진의 변색, 사고로 인한 보철물 파절 이외에 임플란트 및 국소의치 관련된 기계적, 기계적 생물학적 주요 합병증은 관찰되지 않았다.

• Journal of Periodontal and Implant Science
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• 제41권2호
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• pp.86-91
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• 2011

Purpose: The aim of this study was to analyze the short-term predictability and reliability of Astra Tech implants according to the demographical distribution of patients and condition of implant sites and location of implants. Methods: Among patients treated with Astra Tech implant (Astra Tech AB) in the Department of Periodontology at the Dental Hospital of Yonsei University of College of Dentisry and K Dental Clinic from May 2004 to March 2009, 195 implants in 98 patients which had been restored more than 6 months ago were reviewed in this study. Following data were reviewed from patient charts and implants success rate was examined: 1) patient type and implant location, 2) bone status at the implant site, 3) diameter and length of the placed implants, 4) presence or absence of bone augmentation and types of the augmentation. Results: The results from this study are as follows: 1) most implants were placed in the molar area, especially 1st molar area of maxilla, 2) most implants were placed at $D_2$ and $D_3$ bone type, 3) most implants were placed in areas of B and C bone quantity, 4) autogenous and alloplastic bone graft and artificial membrane were used for placement of 74 implants. Conclusions: Short-term survival rate of Astra Tech implants was 100%.

• 구강회복응용과학지
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• 제24권2호
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• pp.193-201
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• 2008

하악 완전 무치악 환자의 보철수복에 있어 임플란트 식립 후 피개의치의 제작은 첫 번째 치료 옵션으로 고려되어질 수 있다. 임플란트 지지 텔레스코프 피개의치를 제작하는 경우 인공치 및 유지 장치의 배열을 위한 악간 공간이 필요하다. 임플란트 상부 보철물의 passive한 fit은 보철물의 기계적 실패를 막는 중요한 요소이다. Gold electroforming system을 이용하여 제작한 telescopic attachment는 우수한 마진 적합도 및 passive한 fit을 보이며 얇은 코핑 두께로 인하여 좁은 악간 공간에서도 사용이 가능한 장점이 있다. 본 증례에서는 4개의 임플란트 식립 후 Gold electroforming system을 이용하여 telescopic overdenture를 제작하여 기능 및 심미적으로 좋은 결과를 나타내었다.

• The Journal of Advanced Prosthodontics
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• 제6권5호
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• pp.346-350
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• 2014

PURPOSE. Impact forces in implant supported FDP (fixed dental prosthesis) are higher than that of tooth supported FDPs and the compositions used in frameworks also has a paramount role for biomechanical reasons. The aim of this study was to evaluate the flexural strength of two different zirconia frameworks. MATERIALS AND METHODS. Two implant abutments with 3.8 mm and 4.5 mm platform were used as premolar and molar. They were mounted vertically in an acrylic resin block. A model with steel retainers and removable abutments was fabricated by milling machine; and 10 FDP frameworks were fabricated for each Biodenta and Cercon systems. All samples were thermo-cycled for 2000 times in $5-55^{\circ}C$ temperature and embedded in $37^{\circ}C$ artificial saliva for one week. The flexural test was done by a rod with 2 mm ending diameter which was applied to the multi-electromechanical machine. The force was inserted until observing fracture. The collected data were analyzed with SPSS software ver.15, using Weibull modulus and independent t-test with the level of significance at ${\alpha}=.05$. RESULTS. The mean load bearing capacity values were higher in Biodenta but with no significant differences (P>.05). The Biodenta frameworks showed higher load bearing capacity ($F_0=1700$) than Cercon frameworks ($F_0=1520$) but the reliability (m) was higher in Cercon (m=7.5). CONCLUSION. There was no significant difference between flexural strengths of both zirconia based framework systems; and both Biodenta and Cercon systems are capable to withstand biting force (even parafunctions) in posterior implant-supported bridges with no significant differences.

• 대한치과보철학회지
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• 제34권4호
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• pp.722-745
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• 1996

The purpose of this study is to investigate the effect of constant direct current electrical stimulation in healing the bone defects and surrounding tissues of the endo-oseous(TPS-IMZ) implants. Implants were inserted in the femur of adult dogs. Then a constrant direct current of approximately $10{\mu}A$ was applied. Artificial bone defects were prepared on one side of the implant site. Experimental groups were divided into 4 : control group : bone defect without treatment group I : bone defect filled with hydroxyapatite powders group II : bone defect, in which a negative and positive electrodes were inserted 5mm apart from both sides of the implant group III : bone defect, in which negative current was directly connected to the IMZ implant and a positive electrode was placed 10mm apart from the implant The animals were sacrificed in the 1st, 2nd, 4th and 8th week after implantation for the light microscopic examination. The results obtained were as follows : 1. In electrically stimulated experimental groups, new bone formation and osseointegration around implants were accelerated. 2. Group III showed the greatest activity in new bone formation. Osteoconductivity around HA particles was observed in group 1. 3. The defect area of the control group was healed by forming new bone, which grew from the underlying cancellous bone. The defect areas of the electrically stimulated experimental groups were healed by newly formed bone, which grew upward from the cancellous bone and downward from the periosteum. 4. 8 weeks after implantation, all the groups showed good osseointegration between the surrounding bone and implants.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.455-464
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• 2004

현재 인공고관절 전치환 수술 과정의 높은 난이도 때문에 숙련된 의사의 경험에 상당히 의존하고 있는 실정이다. 비구컵과 대퇴 임플란트의 위치 선정은 수술의 성공 여부와 밀접한 관계가 있지만 아직까지는 의사의 눈대중에 의해 이루어지는 경우가 많다. 이러한 이유로 인하여 인공삽입물(비구컵, 대퇴시스템) 삽입의 정확성이 낮아서 재치환술을 해야 하는 경우가 자주 발생한다. 본 연구에서는 환자 골반골(pelvis)과 대퇴골(femur)의 3차원적인 고유 기하학적 정보를 이용하는 모사 시술을 통하여 비구컵과 대퇴 임플란트의 정확한 위치를 선정하는 방법을 결정하였다. 이를 위하여 우선 비구컵의 위치 변화에 따른 대퇴 전염각 및 대퇴 경간각의 변화 양상을 살펴보았고 또한 대퇴 임플란트의 삽입 위치에 따른 대퇴스템 경부 길이 및 대퇴스템각의 변화 양상을 조사하였다. 본 연구에서 다양한 모사 시술을 통한 기하학적 정보의 분석 결과 비구컵과 대퇴 임플란트의 정확한 위치 선정이 가능함을 확인하였다. 본 연구의 모사 시술 방법을 이용하여 의사가 인공고관절 수술을 선행한다면 수술의 정확도와 숙련도를 향상시킬 수 있을 것으로 기대된다.