• 제목/요약/키워드: CREST

검색결과 899건 처리시간 0.026초

Study of a "wing-type" implant on stress distribution and bone resorption at the alveolar crest

  • Park, Jong-Wook;Kim, Sin-Guen;Choi, Dong-Won;Choi, Mi-Ra;Yoon, Youn-Jin;Park, Jun-Woo;Choi, Dong-Ju
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권6호
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    • pp.337-342
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    • 2012
  • Objectives: Implants connect the internal body to its external structure, and is mainly supported by alveolar bone. Stable osseointegration is therefore required when implants are inserted into bone to retain structural integrity. In this paper, we present an implant with a "wing" design on its area. This type of implant improved stress distribution patterns and promoted changes in bone remodeling. Materials and Methods: Finite element analysis was performed on two types of implants. One implant was designed to have wings on its cervical area, and the other was a general root form type. On each implant, tensile and compressive forces ($30N/m^2$, $35N/m^2$, $40N/m^2$, and $45N/m^2$) were loaded in the vertical direction. Stress distribution and displacement were subsequently measured. Results: The maximum stresses measured for the compressive forces of the wing-type implant were $21.5979N/m^2$, $25.1974N/m^2$, $29.7971N/m^2$, and $32.3967N/m^2$ when $30N/m^2$, $35N/m^2$, $40N/m^2$, and $45N/m^2$ were loaded, respectively. The maximum stresses measured for the root form type were $23.0442N/m^2$, $26.9950N/m^2$, $30.7257N/m^2$, and $34.5584N/m^2$ when $30N/m^2$, $35N/m^2$, $40N/m^2$, and $45N/m^2$ were loaded, respectively. Thus, the maximum stresses measured for the tensile force of the root form implant were significantly higher (about three times greater) than the wing-type implant. The displacement of each implant showed no significant difference. Modifying the design of cervical implants improves the strength of bone structure surrounding these implants. In this study, we used the wing-type cervical design to reduce both compressive and tensile distribution forces loaded onto the surrounding structures. In future studies, we will optimize implant length and placement to improve results. Conclusion: 1. Changing the cervical design of implants improves stress distribution to the surrounding bone. 2. The wing-type implant yielded better results, in terms of stress distribution, than the former root-type implant.

Cone-beam Computed Tomography Measurement of the Position of the Inferior Alveolar Nerve Canal in Mandibular Prognathism

  • Yun, Sung-Hun;Park, Ji-Young;Ko, Young-Kyung;Park, Je-Uk;Pyo, Sung-Woon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권1호
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    • pp.26-30
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    • 2009
  • Background and Objectives: To determine the anatomic position of the inferior alveolar nerve (IAN) canal in patients with mandibular prognathism using the cone-beam CT (CBCT). Materials and Methods: Fifty rami from 25 patients were evaluated. The images were taken by i-CAT and reconstructed 3-dimensionally using the Simplant 11 program. The linear distances between the IAN canal to the buccal cortex (a, $a^{\dag}$ and $a^{\ddag}$), from the IAN canal to the alveolar crest (b and $b^{\dag}$) and the anterior margin ($b^{\ddag}$) and finally the buccal cortical thickness (c, $c^{\dag}$ and $c^{\ddag}$) were measured at three reference planes (VP, OP and HP). Results: On the left side, the average distance of a, b and c were 7.12, 15.96 and 3.60 mm on the VP plane, respectively. On the OP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\dag}$ was 6.11, 8.83 and 2.63 mm. For the HP, the distance of $a^{\ddag}$, $b^{\ddag}$ and $c^{\ddag}$ was 4.84, 10.11 and 2.30 mm. On the right side, the distance of a, b and c, on the VP, was 7.10, 16.13 and 3.42 mm, respectively. On the OP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\dag}$ was 4.77, 8.75 and 2.68 mm. On the HP, the distance of $a^{\dag}$, $b^{\dag}$ and $c^{\ddag}$ was 4.55, 9.84 and 2.38 mm. Regarding the difference between genders, the distance in male's was longer than female's on the VP (p=0.019), and was thicker in males than females on the HP (p=0.002). Conclusion: The CBCT data provided accurate information about the location and course of the IAN.

치조 파열 환자에 있어서 이차성 골이식술 후의 치조정 높이 변화에 관한 임상적 연구 : 예비적 연구 (A clinical study on the alveolar crest height after secondary alveolar bone graft in the cleft alveolus patients : Preliminary Study)

  • 최진영;김명진;김수곤;윤정주;정필훈
    • 대한구순구개열학회지
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    • 제3권1호
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    • pp.1-9
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    • 2000
  • 목적 : 치조파열 환자에 있어서 이차 치조골 이식술을 시행한 후 그 결과를 알아보고자 방사선학적 분석을 통하여 평가하였다. 본 연구의 목적은 수술전 골결손부 인접치아의 치조정 높이와 수술후 골결손부 인접치아의 치조정 높이를 근심측과 원심측에서 각각 측정함으로써 치조정의 높이가 과연 통계적으로 유의성 있게 증가하는지와 치조골 이식술의 성공률이 치조열의 너비와 상관관계가 있는지의 여부를 알아보는 것이다. 환자 및 방법 : 1991년부터 1999년까지 서울대학교병원 구강악안면외과에서 자가장골 채취 후 분쇄피질망사골 형태 또는 block 피질망상골 형태로 이식한 편측성 치조열을 가진 환자 중 최소한 6개월이 경과한 환자 56명을 연구대상으로 하였고 두 술자에 의해 시술되었다. 수술전 골결손부 인접치아의 치조정의 높이와 치조열의 너비 및 수술후 이식한 골의 높이와 절흔의 양은 치과용 파노라마 방사선 사진을 이용하여 측정하였고, 치조열의 너비는 모델이나 환자의 골결손부 근심치아의 근원심 폭경을 이용하여 환산하였다. 그리고 이식한 골의 높이와 절흔의 양을 1995년 Long이 제시한 방법으로 측정하여 술전의 측정치와 비교하였다. 결과 : 치조열의 너비는 평균 6.9mm(1.9mm-12.1mm) 였다. 근심에서의 치아는 골이식 당시 중절치가 52개(92.9%), 측절치가 4개(7.1%)였고, 49명의 환자에서 완전맹출을, 6명의 환자에서 부분맹출(측절치 2개, 중절치 4개)을 보였다. 원심측에서의 치아는 골이식 당시 측절치가 25개(44.6%), 견치가 29개(51.8%), 소구치가 2개(3.6%)였고, 완전 맹출이 32.1%, 부분 맹출이 57.2%, 미맹출이 10.7%로서 완전히 맹출하기 전에 골이식한 경우가 67.9%였다. 모든 환자에 있어서 bony bridge가 나타났고, 절흔이 인접치 아래로 연장되지 않았으며, 치조골 이식술 후 oronasal fistula를 보인 환자는 한 명도 없었으므로 성공률은 100%였다. 술후 근심측에서의 치조정의 높이는 근심측 치아 치근길이의 79%(평균), 원심측에서의 치조정의 높이는 원심측 치아 치근길이의 87%(평균)로서 통계적으로 유의성 있게 증가하였다. 결론: 이차 치조골 이식술을 시행한 후 치조정의 높이는 골결손부 근심측과 원심측에서 모두 유의성있게 증가하였고, 근심측에서보다 원심측에서 통계학적으로 더 유의성 있게 증가하였다. 치조열의 너비와 절흔의 양, 치조정의 높이 및 치조골이식 성공률과는 유의성 있는 관련성이 없었다.

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칼만 필터 기반의 스마트 해양기상관측 파고 시스템 연구 (A Study on Ocean Meteorological Observation Wave Meter System based on Kalman-Filter)

  • 박상현;박용팔;김희진;김진술;박종수
    • 디지털콘텐츠학회 논문지
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    • 제18권7호
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    • pp.1377-1386
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    • 2017
  • 본 논문에서는 개발 분야가 취약한 해양관련 기상기후와 파고를 실시간으로 측정할 수 있는 스마트 해양기상관측 파고 시스템을 제안하고자 한다. 현재 국내에서는 해양파고 측정 장치가 없으며 대부분 수입하여 사용하고 있다. 대부분 수입 제품은 긴 시간 동안 측정이 불가능 하고 실시간으로 데이터를 전송하지 못하는 단점을 가지고 있다. 따라서 본 논문의 스마트 해양기상관측 파고 시스템은 데이터로거 방식으로 실시간 해양기상을 관측하고 기존의 데이터로거가 가지고 있는 기능과 해양에서 사용할 수 있는 다양한 센서들을 동시에 적용하여 사용할 수 있다. 해양파고 측정은 칼만 필터 알고리즘을 적용하였고 실시간 파고를 측정할 때 발생되는 노이즈와 정확도를 높였다. 본 논문에서는 검교정 장치와 실제 해양 테스트를 통하여 알고리즘을 적용하였을 때와 적용하지 않았을 때를 실험하였고 실험을 통하여 결과를 도출하였다. 개발된 시스템은 해양에서 사용되는 시스템으로 충전이 가능한 리튬 인산철 배터리를 개발하였고 최적의 사용을 위하여 RTC 기반의 타이머를 이용하여 소비 전력을 최소화 하였다. 본 논문에서는 측정 주기에 따른 실험을 통하여 최적의 배터리 사용과 측정값을 도출하였다.

탈회 동결 건조골과 탈단백 우골의 백서 치조골 천공결손에 대한 치유 효과 (Healing Effects of Demineralized Freeze - Dried Bone Allograft and Deproteinized Bovine Bone Mineral on Periodontal Fenestration Defect in Rats)

  • 신중호;권영혁;박준봉;허익
    • Journal of Periodontal and Implant Science
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    • 제31권1호
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    • pp.73-91
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    • 2001
  • The present study was performed to compare effects of demineralized freeze-dried bone allograft(DFDBA) with deproteinized bovine bone mineral(DBBM) on periodontal fenestration defect in rats. Twelve adult male rats weighing 500 to 540 grams were used in this study. Periodontal fenestration defects were surgically created with tapered fissure bur(${\Phi}1mm$) at the left side of buccal surface of the mandible. The defect size was from anterior border of the first molar to anterior of the ascending ramus mesiodistally and from just below the alveolar crest to apically 1.5-2mm area apicocoronally with 2mm in depth. Rats were divided into control group, test group I and II. Four defects were assigned to the test group I grafted with DBBM and other 4 defects were assigned to the test group II grafted with DFDBA. The rest of defects were the negative control group. At 10 days and 35 days after surgery, 12 rats were sacrificed through intracardiac perfusion and specimens were obtained prepared with Hematoxylin-Eosin stain for light microscopic evaluation. The results of this study were as follows : 1. In the control group, new bone, osteoid, dense connective tissue were observed in the defects at 10 days. new bone formation was not found but loose connective tissue was formed in the defect and fibrous encapsulation of graft materials was shown in two test groups at 10 days. 2. In all groups, new bone formation was shown in the defect at 35 days. And in the control group, bone formation increased at 35 days than at 10 days. 3. In the test group I and II at 35 days, graft materials were combined with new bone and joined host bone. There was very close contact between new bone, graft materials, and host bone with no gaps. 4. In the test group I and II, new bone formation was similar to that in the control group but not exeeded. In conclusion, in the test group I new bone formation was similar to that in the test group II at 35 days, but there was infiltration of inflammatory cells at 10 days. DFDBA and DBBM were considered as the biocompatible graft materials and effective in the regeneration of new bone.

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뉴헤브리디스 해분의 지질.지구물리학적 특징에 관한 연구 (Geological and Geophysical Characteristics of the New Hebrides Basin)

  • 박충화
    • 한국지구과학회지
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    • 제18권6호
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    • pp.559-564
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    • 1997
  • 뉴헤브리디스 해분은 태평양판과 인도-오스트레일리아판의 경계부에 위치한 고령의 비활동적 비배호상 해분이다. 46 Ma에서 60 Ma 사이에 형성된 뉴헤브리디스 해분은 형성과정상 34 mm/a(42 Ma$\sim$47 Ma)와 17 mm/a(47 Ma$\sim$60 Ma)의 두가지 상이한 확장율을 보이며, 해분의 표층은 0.65 sec두께의 퇴적층으로 전반적으로 고르게 피복되어 있다. 본 연구에서 산출된 해분의 생장 발달 곡선은 $Depth(m)=2689+312\sqrt{Age}(Ma)$라는 수식으로 표현될 수 있으며, 여기서 냉각계수 312는 일반대양저의 350과 매우 유사함을 보이는 것이 특징이다. 이러한 특징은 해분의 암권의 생장 발달과정이 일반대양저와 유사할 가능성을 강력히 시사하고 있는 것으로 사료된다. 해분의 전반적인 후리-에어 중력 이상치는 -22.3 mgal에서 +59.0 mgal까지 심한 변화폭을 보이고 있다. 평균 중력이상치는 +30.2 mgal로 일반대양저에 비해 현저히 높은 값을 나타내고 있다. 이는 일반적으로 잘 나타나지 않는 매우 특이한 현상이다. 이것은 해분 자체가 섭입하는 판경계에 위치해 있어 marginal swell의 형상을 취하고 있기 때문인 것으로 해석된다. 이 swell들은 일반적으로 해구축상에서 대양저를 향해 약 200 km 범위내에서 관찰되어지며, 이들의 후리-에어 중력이상치는 평균 $+50{\sim}160mgal$을 보이는 것이 일반적이다. 해분의 높은 양의 중력이상은 이러한 지형적인 특수성에 기인하는 것으로 보여진다. 해분의 위치적 특성 및 암권 자체의 구부러짐에 따른 불안정성은 뉴 헤브리디스 해분의 대표적인 지질 지구물리학적 특징이라고 할 수 있다.

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하중의 위치 및 경사에 따른 임플랜트 보철의 유한요소법적 응력분석 (Finite Element Stress Analysis of Implant Prosthesis according to Position and Direction of Load)

  • 배숙진;정재헌;정승미
    • 구강회복응용과학지
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    • 제19권4호
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    • pp.257-268
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    • 2003
  • The purpose of this study was to assess the loading distributing characteristics of implant prosthesis according to position and direction of load, under vertical and inclined loading using FEA analysis. The finite element model was designed according to standard fixture (4.1mm restorative component x 11.5mm length). The crown for mandibular first molar was made using UCLA abutment. Each three-dimensional finite element model was created with the physical properties of the implant and surrounding bone. This study simulated loads of 200N at the central fossa in a vertical direction (loading condition A), 200N at the outside point of the central fossa with resin filling into screw hole in a vertical direction (loading condition B), 200N at the centric usp in a $15^{\circ}$ inward oblique direction (loading condition C), 200N at the in a $30^{\circ}$ inward oblique direction (loading condition D) or 200N at the centric cusp in a $30^{\circ}$ outward oblique direction (loading condition E) individually. Von Mises stresses were recorded and compared in the supporting bone, fixture, and abutment screw. The following results have been made based on this study: 1. Stresses were concentrated mainly at the ridge crest around implant in both vertical and oblique loading but stresses in the cancellous bone were low in both vertical and oblique loading. 2. Bending moments resulting from non-axial loading of dental implants caused stress concentrations on cortical bone. The magnitude of the stress was greater with the oblique loading than with the vertical loading. 3. An offset of the vertical occlusal force in the buccolingual direction relative to the implant axis gave rise to increased bending of the implant. 4. The relative positions of the resultant line of force from occlusal contact and the center of rotation seems to be more important. 5. The magnitude of the stress in the supporting bone, fixture and abutment screw was greater with the outward oblique loading than with the inward oblique loading and was the greatest under loading at the centric cusp in a $30^{\circ}$ outward oblique direction. Conclusively, this study provides evidence that bending moments resulting from non-axial loading of dental implants caused stress concentrations on cortical bone. But it seems to be more important that how long is the distance from center of rotation of the implant itself to the resultant line of force from occlusal contact(leverage). The goal of improving implants should be to avoid bending of the implant.

임플랜트-지대주의 내측연결 시스템에서 하중의 위치 및 경사에 따른 임플랜트 보철의 유한요소 응력분석 (Finite Element Stress Analysis of Implant Prosthesis of Internal Connection System According to Position and Direction of Load)

  • 장종석;정용태;정재헌
    • 구강회복응용과학지
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    • 제21권1호
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    • pp.1-14
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    • 2005
  • The purpose of this study was to assess the loading distributing characteristics of implant prosthesis of internal connection system(ITI system) according to position and direction of load, under vertical and inclined loading using finite element analysis (FEA). The finite element model of a synOcta implant and a solid abutment with $8^{\circ}$ internal conical joint used by the ITI implant was constructed. The gold crown for mandibular first molar was made on solid abutment. Each three-dimensional finite element model was created with the physical properties of the implant and surrounding bone. This study simulated loads of 200N at the central fossa in a vertical direction (loading condition A), 200N at the outside point of the central fossa with resin filling into screw hole in a vertical direction (loading condition B), 200N at the centric cusp in a $15^{\circ}$ inward oblique direction (loading condition C), 200N at the in a $30^{\circ}$ inward oblique direction (loading condition D) or 200N at the centric cusp in a $30^{\circ}$ outward oblique direction (loading condition E) individually. Von Mises stresses were recorded and compared in the supporting bone, fixture, and abutment. The following results have been made based on this study: 1. Stresses were concentrated mainly at the ridge crest around implant under both vertical and oblique loading but stresses in the cancellous bone were low under both vertical and oblique loading. 2. Bending moments resulting from non-axial loading of dental implants caused stress concentrations on cortical bone. The magnitude of the stress was greater with the oblique loading than with the vertical loading. 3. An offset of the vertical occlusal force in the buccolingual direction relative to the implant axis gave rise to increased bending of the implant. So, the relative positions of the resultant line of force from occlusal contact and the center of rotation seems to be more important. 4. In this internal conical joint, vertical and oblique loads were resisted mainly by the implant-abutment joint at the screw level and by the implant collar. Conclusively, It seems to be more important that how long the distance is from center of rotation of the implant itself to the resultant line of force from occlusal contact (leverage). In a morse taper implant, vertical and oblique loads are resisted mainly by the implant-abutment joint at the screw level and by the implant collar. This type of implant-abutment connection can also distribute forces deeper within the implant and shield the retention screw from excessive loading. Lateral forces are transmitted directly to the walls of the implant and the implant abutment mating bevels, providing greater resistance to interface opening.

만성 요통 통증 완화에 대한 미세전류 테이프의 안전성 및 유효성 평가 (Efficacy and Safety of Micro Current Tape on Chronic Low Back Pain: One Group Pre-Post Test Design, Multi Center Pilot Study)

  • 박현건;김종연;이운섭;이신지;정원석;김호준;이종수
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.185-194
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    • 2013
  • Objectives The aim of this study was to evaluate the efficacy and safety of micro current taping therapy (MTT) on patients with chronic low back pain (CLBP). Methods We included 50 participants who met the inclusion criteria and 5 participants dropped out during the sessions due to the following reasons: 3 participants were personal reasons, 1 participant was taking medication, 1 participant was fore arm fracture. We attached "I" shaped 40 cm, 2 tapes along the erector muscles of the spine starting from both iliac crest and another "I" shaped 30 cm, 1 tape on the painful site horizontally. This procedure was done 8 times and participants visited a total of 9 times including a final visit for evaluation. We measured visual analog scale (VAS), range of motion (ROM) and schober's test on every visit. Participants completed a questionnaire of oswestry disability index (ODI) and Beck's depression inventory (BDI) on the first and last visits. Results In VAS for pain intensity and bothersomeness, there were significant decreases after 1st, 6th treatments. In range of extension, there was significant increase after 3rd treatment at first. In range of flexion, there was significant increase after 2nd treatment at first. In range of left flexion, there was significant increase after 4th treatment at first. In range of right flexion, there was significant increase after 3rd treatment at first. in schober's test, there was significant increase after 2nd treatment at first. In VAS, ROM, schober's test, BDI, ODI, there were significant improvement after all treatments had done. Conclusions There was a significant effect of MTT on CLBP. And there was no adverse effect.

간접유치장치 설계변화에 따른 하악유리단 국소의치의 광탄성 응력분석 (A PHOTOELASTIC STRESS ANALYSIS IN MANDIBULAR DISTAL - EXTENSION REMOVABLE PARTIAL DENTURES WITH VARIOUSLY DESIGNEO INDIRECT RETAINERS)

  • 강승종;계기성
    • 대한치과보철학회지
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    • 제28권2호
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    • pp.183-197
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    • 1990
  • The purpose of this study was to analyse the magnitude and distribution of stresses using a Photoelastic model from and distal - extension removable partial dentures With four designed indirect retainers. The designs of the indirect retainers were as follows : Design No. 1 : Aker's clasp on 1st bicuspid with no indirect retainer. Design No. 2 : Aker's clasp on 1st bicuspid with indirect retainer on canine. Design No. 3 : Extension of the reciprocal arm of Aker's clasp toward incisal rest on canine. Design No. 4 : Connection with the indirect retainer as in No. 2 and extension of reciprocal arm of Aker' s clasp. A photoelastic model was made of the epoxy resin(PL - 1) and hardner(PLH - 1) and coated with plastic cement -1(PC -1) at the lingual surface of the epoxy model and set with chrome - cobalt partial dentures. A unilateral vertical load of 10kg to the right 1st molar and a vertical load of 10kg to the middle portion of the metal bar crossing both the 1st molars of the right and left, were applied. With the use of specially designed jig, fixture; loading device and the reflective circular polariscope, we obtained the following results : 1. When the unilateral vertical load and the vertical load of the middle portion of the metal bar were applied, design No. 2, 3 and 4 exhibited the higher stress concentration at the root apices and their surrounding tissues of the primary and secondary abutment teeth. 2. When the unilateral vertical load applied to design No. 2,3 and 4 the root apices of the primary and secondary abutment teeth and their surrounding tissues and the nonloaded side of edentulous area exhibited and even stress distribution. 3. When the vertical load was applied, the stress concentration fringe in the primary and secondary abutment teeth was in the order of No. 1,4,2 and 3. 4. No.1 and 4 exhibited the higher distrorted stress concentration at the primary teeth and the edentulous area in the nonloaded side. 5. No.2 design reduced the stresses at the apices of the alveoli of the primary abutment teeth bilaterally as well as on the crest of the residual ridge on the nonloaded side. 6. No. 2 design exhibited the most favorable stress distribution.

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