• The Journal of Advanced Prosthodontics
• /
• 제8권6호
• /
• pp.465-471
• /
• 2016

PURPOSE. The purpose of this study is to evaluate the stability of interface between Co-Cr-Mo (CCM) UCLA abutment and external hex implant. MATERIALS AND METHODS. Sixteen external hex implant fixtures were assigned to two groups (CCM and Gold group) and were embedded in molds using clear acrylic resin. Screw-retained prostheses were constructed using CCM UCLA abutment and Gold UCLA abutment. The external implant fixture and screw-retained prostheses were connected using abutment screws. After the abutments were tightened to 30 Ncm torque, 5 kg thermocyclic functional loading was applied by chewing simulator. A target of $1.0{\times}10^6$cycles was applied. After cyclic loading, removal torque values were recorded using a driving torque tester, and the interface between implant fixture and abutment was evaluated by scanning electronic microscope (SEM). The means and standard deviations (SD) between the CCM and Gold groups were analyzed with independent t-test at the significance level of 0.05. RESULTS. Fractures of crowns, abutments, abutment screws, and fixtures and loosening of abutment screws were not observed after thermocyclic loading. There were no statistically significant differences at the recorded removal torque values between CCM and Gold groups (P>.05). SEM analysis revealed that remarkable wear patterns were observed at the abutment interface only for Gold UCLA abutments. Those patterns were not observed for other specimens. CONCLUSION. Within the limit of this study, CCM UCLA abutment has no statistically significant difference in the stability of interface with external hex implant, compared with Gold UCLA abutment.

• 대한치과의사협회지
• /
• 제53권11호
• /
• pp.804-816
• /
• 2015

PURPOSE: The aim of this study was to evaluate the influence of the oxide layer removal process in the Co-Cr-Mo (CCM) abutment after casting procedure on the prosthesis settlement and screw stability. MATERIALS AND METHODS: CCM abutments of four different interface conditions (CCM-M; machined, CCM-O; oxide layer formed, CCM-B; blasted, CCM-P; polished after blasted) and gold abutment (Gold-C; Cast with type III Gold alloy) were used. The initial settling values of abutments were evaluated according to the difference of implant-abutment length when the tightening torques were applied at 5 Ncm and 30 Ncm, and the settling values of abutments caused by loading were evaluated according to the difference of implant-abutment length before and after loading with 250 N, 100000 cycle. The loss ratios of removal torque for abutment screws were evaluated according to the difference in value of removal torques under 30 Ncm tightening torque applied before and after cyclic loading. RESULTS: The CCM-P and CCM-B group showed a higher initial settling value compared with the Gold-C group (P<.05), while the Gold-C group showed the highest settling values caused by loading (P<.05) and no significant differences were observed for between CCM groups (P>.05). The loss ratio of removal torque values for the CCM-B, CCM-P groups did not differ significantly from that of the Gold-C group (P>.05). CONCLUSION: Even though the oxide layer was removed by different methods, CCM abutment with internal conical connection structure showed lower abutment settling and similar screw loosening after cyclic loading compared with gold abutment.

• 대한치과보철학회지
• /
• 제50권2호
• /
• pp.92-98
• /
• 2012

연구 목적: 본 연구 목적은 서로 다른 재료로 제작된 지대주를 이용하여 동적하중을 가했을 때 풀림토크와 침하량에 대한 임플란트-지대주 연결부의 안정성에 대하여 알아보는 것이다. 연구 재료 및 방법: 원추형 내부연결 구조를 갖는 임플란트에 이용되는 세 가지 지대주, 티타늄 합금 지대주(Cement abutment, Osstem Co., Seoul, Korea), 귀금속 UCLA 지대주(UCLA Goldcast abutment, Osstem Co., Seoul, Korea), 비귀금속 UCLA 지대주(CCM Metalcast abutment, 3M ESPE, Seefeld, Germany)를 사용하였다. 귀금속 UCLA 지대주와 비귀금속 UCLA 지대주를 티타늄 지대주와 유사한 형태로 납형을 형성 한 후 각각 제 3형 금합금(E-3, Heesung catalyst Co., Seoul, Korea)와 니켈-크롬 합금인(Rexillium $III^{(R)}$, $Pentron^{(R)}$, San Diego, USA)를 사용하여 주조 하였다. 임플란트와 지대주를 디지털 토크 컨트롤러를 이용하여 30 N cm로 체결하였고 전하중 상실을 보상하기 위하여 10분 후 다시 같은 힘으로 체결 하였다. 디지털 토크 게이지를 사용하여 풀림토크를 측정하였고 디지털 마이크로미터를 이용하여 임플란트/지대주 길이를 측정하였다. 그 후 동적 하중 피로 시험기에 지대주를 장착한 후 최대 250 N, 최소 25 N, 주기 14 HZ의 sine형의 하중을 장축과 평행하게 가하였다. 하중 후 임플란트/지대주의 길이를 재측정 하고, 전후 길이변화량을 이용하여 침하량을 계산하였으며 풀림토크를 측정하였다. 결과: 하중 전후의 길이를 비교하였을 때 세 군 모두에서 유의한 차이를 보였다($P$<.05). 군 간의 침하량을 비교하였을 때 통계적으로 유의한 차이를 보이지는 않았다. 하중 전후의 풀림토크를 비교하였을 때 역시 세 군 모두에서 유의한 차이를 보이며 감소하였다 ($P$<.05). 하중 전 풀림토크와 하중 후 풀림토크를 군간 비교하였을 경우에는 통계적으로 유의한 차이를 보이지는 않았다. 결론: 원추형 내부 연결구조를 갖는 임플란트에서 동적하중은 임플란트의 침하량과 풀림토크에 영향을 미치는 것으로 보이나 지대주간 차이는 나타나지 않았다. 비귀금속UCLA 지대주이 사용은 귀금속 UCLA 지대주와 마찬가지로 기능적 하중에서 안정적일 것으로 사료된다.