• 대한치과보철학회지
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• 제44권1호
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• pp.112-123
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• 2006

Purpose: The biocompatibility and bio-adhesive property of a dental implant abutment are important for proper soft tissue healing and maintenance of osseointegration of implant. However, studies of soft tissue healing and mucosal attachment of various materials of implant abutment other than titanium are still needed. In this study, cell attachment, proliferation, cytotoxicity of human gingival fibroblast for ceramic, gold alloy, Ni-Cr alloy and, commercially available pure titanium as a control were evaluated, using MTS and scanning electron microscopy. Materials and Methods: Specimen was designed to disc, 4mm diameter and 1mm thickness, made of ceramic, gold alloy, Ni-Cr alloy and commercially available pure titanium. Primary culture of human gingival fibroblasts were grown in Dulbecco's modified Eagle's medium with 10% fetal bovine serum and 1% antibiotics. Cells were inoculated in the multiwell plates placed the specimen disc. Cell Titer 96 AQucous One Solution Cell Proliferation Assay were done after 1hour 3hours, 24hours, 3days, 5days of incubation. The discs were processed for scanning electron micrography to evaluate cell attachment and morphologic change. Results: The results were obtained as fellows. 1. The ceramic showed high cell attachment and proliferation and low cytotoxicity, which is as much bioadhesive and biocompatible as titanium. 2. The gold alloy represented limited proliferation of human gingival fibroblast and the highest cytotoxicity among tested materials (p<0.05). 3. The Ni-Cr alloy limited the proliferaion of the human gingival fibroblast compared to titanium(p<0.05) but cytotoxicity on the bottom of well was not so considerable, compared to titanium. 4. On the scanning electron micrographs , the ceramic showed good attachment and proliferation of human gingival fibroblast, which was similar to titanium. But gold alloy and Ni-Cr alloy showed the shrinkage of gingival fibroblast both after 24 hours and 3 days. On 5th day, small amount of the human gingival fibroblast proliferation was observed on the Ni-Cr alloy, while the shrinkage of gingival fibroblast was still observed on the gold alloy. Conclusions: These results suggest that the ceramic abutment is as biocompatible as titanium to make proper mucosal seal. The gold alloy has a high cytotoxicity to limit proliferation of gingival fibroblast, which suggest limited use on the anterior tooth where soft tissue healing is recommeded.

• 대한치과보철학회지
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• 제45권2호
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• pp.240-249
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• 2007

Statement of problem: A phenomenon of screw-loosening in implant abutment is frequently occurred in a single and multiple implant restoration. Purpose: This study was performed to evaluate an effect of abutment material on screw-loosening before and after a cyclic loading. In a single-tooth implant, different materials of abutment, Type III Gold alloy and Zirconium composite$(ZrO_2/Al_2O_3)$ were used. Material and method: The Gold alloy(Type III) and Zirconium composite$(ZrO_2/Al_2O_3)$ were used to make a superstructure of implant, the one of types of UCLA, Each group was constituted of 5 sample with a 30-degree offset angulated loading platform. The external hexagonal fixture was rigidly hel d in a special holding zig to ensure solid fixation without rotation during the tightening and a cyclic loading. A Titanium-alloy screw was used to connect and controlled to be tighten in 20Ncm torque by a digital torque gauge. A 20 times of consecutive closing/opening cycle were performed to evaluate the immediate torque loss. In 5 sample of each material group, an initial opening torque was recorded during 3 closing/opening cycle, then 2Hz, 200N, 1,000,000 cyclic loadings were performed, then a opening torque was evaluated. Result & Conclusion: 1. In this limited study, titanium alloy screw tightened in 20Ncm, a cold-welding phenomen on was not observed during the 20 times of closing/opening cycle(p=0.11, p=0.18). 2. In titanium alloy abutment screw, repeated opening and closing of the screw caused to progressive decrease of opening torque(p=0.014). 3. The difference in preload of screw between gold alloy abutment and ceramic$(ZrO_2/Al_2O_3)$ abutment was not significant(p=0.78). 4. The difference in torque loss of screw between gold alloy abutment and ceramic$(ZrO_2/Al_2O_3)$ abutment was not significant after 2Hz,200N, 1,000,000 cyclic loading(p=0.92). 5. In titanium alloy abutment screw tightened by 20Ncm, the screw loosening was not significant on each group after 2Hz, 200Ncm, 1,000,000 cyclic loading(p=0.59).

• 한국세라믹학회지
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• 제36권12호
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• pp.1381-1389
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• 1999

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1999년도 Asian Academy of Prosthodntics. Korean Academy of Prosthodontics
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• pp.76.1-76.1
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• 1999

• The Journal of Advanced Prosthodontics
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• 제8권2호
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• pp.131-136
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• 2016

PURPOSE. The aim of this study was to observe stress concentration in the implant, the surrounding bone, and other components under the pull-out force during the crown removal. MATERIALS AND METHODS. Two 3-dimensional models of implant-supported conventional metal ceramic crowns were digitally constructed. One model was designed as a vertically placed implant ($3.7mm{\times}10mm$) with a straight abutment, and the other model was designed as a 30-degree inclined implant ($3.7mm{\times}10mm$) with an angled abutment. A pull-out force of 40 N was applied to the crown. The stress values were calculated within the dental implant, the abutment, the abutment screw, and the surrounding bone. RESULTS. The highest stress concentration was observed at the coronal portion of the straight implant (9.29 MPa). The stress concentrations at the cortical bone were lower than at the implants, and maximum stress concentration in bone structure was 1.73 MPa. At the abutment screws, the stress concentration levels were similiar (3.09 MPa and 3.44 MPa), but the localizations were different. The stress at the angled abutment was higher than the stress at the straight abutment. CONCLUSION. The pull-out force, applied during a crown removal, did not show an evident effect in bone structure. The higher stress concentrations were mostly observed at the implant and the abutment collar. In addition, the abutment screw, which is the weakest part of an implant system, also showed stress concentrations. Implant angulation affected the stress concentration levels and localizations. CLINICAL IMPLICATIONS. These results will help clinicians understand the mechanical behavior of cement-retained implant-supported crowns during crown retrieval.

• 구강회복응용과학지
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• 제24권1호
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• pp.57-65
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• 2008

연구목적 : 본 연구에서는 rotational freedom을 측정할 수 있는 기구를 개발하여 시중에서 유통되고 있는 국산 임플란트 및 다양한 국적의 임플란트들의 기계적인 가공오차들을 측정하여 다양한 임플란트 시스템의 component간의 기계적인 안정성을 평가하고자 한다. 또한 본 연구에서는 더 나아가 최근에 임플란트 abutment로 각광을 받고 있는 각종 ceramic abutment의 절삭 가공오차에 관한 항목을 측정하여 임플란트 제조사 및 임상의들에게 올바른 정보를 제공하고자 한다. 연구재료 및 방법 : 국내에서 유통되는 외부연결구조의 외국산 임플란트 시스템(Nobel Biocare, Anthorgyr)과 국산 시스템(Neobiotec)과 내부연결구조의 임플란트 시스템(외국산:Nobel Biocare, Anthorgyr, Straumann, Frident Dentsply, 국산:Dentium) 별로 임플란트 fixture, abutment, analog를 서로 교차 연결하여 회전각도측정기(rotational angle measuring device)로 freedom of rotational angle을 측정하였다. 국산 외부연결구조의 지르코니아 abutment(ZirAce)를 외부연결구조의 임플란트 시스템(Neobiotec, Nobel Biocare, Anthorgyr)의 fixture와 analog와 교차연결하여 freedom of rotational angle을 측정하였다. 연구결과 : 국산 외부연결구조의 임플란트 시스템은 약 2.67도(fixture와 abutment 연결시), 내부연결구조의 임플란트는 약 4.3도(fixture와 abutment 연결시)의 rotational freedom을 보였다. 국산 지르코니아 abutment는 외국산 및 국산 외부연결구조 임플란트 시스템과 상관없이 3도 이하(fixture와 연결시)의 결과를 보였다. 결 론 : 시제품으로 제작된 디지털 회전각도측정기는 높은 분해능을 갖고 있었으며, 국산 임플란트의 기계적 가공오차는 외국산 임플란트와 거의 유사했다. 국산 세라믹 abutment의 기계적 가공오차는 fixture 제조회사별로 다르게 나타났지만 같은 회사의 절삭가공된 금속 abutment와 비교시 가공오차가 더 적었다.

• 대한치과의사협회지
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• 제54권1호
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• pp.21-26
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• 2016

The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction" and "the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. I would like to share my clinical experience about "silica based ceramic and non silica based ceramic restoration.

• The Journal of Advanced Prosthodontics
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• 제6권3호
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• pp.241-244
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• 2014

Fabricating a crown to retrofit an existing abutment tooth for a partial removable dental prosthesis (PRDP) is one of the most time-consuming and labor-intensive clinical procedures. In particular, when the patient is concerned with esthetic aspects of restoration, the task of fabricating becomes more daunting. Many techniques for the fabrication of all-metallic or metal-ceramic crowns have been discussed in the literature. This article was aimed to describe a simple fabrication method in which a retrofitting crown was fabricated for a precise fit using a ceramic-pressed-to-metal system.

• The Journal of Advanced Prosthodontics
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• 제9권3호
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• pp.152-158
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• 2017

PURPOSE. The purpose of this study was to evaluate the influence of different coping thicknesses and veneer ceramic cooling rates on the failure load of zirconia-ceramic crowns. MATERIALS AND METHODS. Zirconia copings of two different thicknesses (0.5 mm or 1.5 mm; n=20 each) were fabricated from scanning 40 identical abutment models using a dental computer-aided design and computer-aided manufacturing system. Zirconia-ceramic crowns were completed by veneering feldspathic ceramics under different cooling rates (conventional or slow, n=20 each), resulting in 4 different groups (CONV05, SLOW05, CONV15, SLOW15; n=10 per group). Each crown was cemented on the abutment. 300,000 cycles of a 50-N load and thermocycling were applied on the crown, and then, a monotonic load was applied on each crown until failure. The mean failure loads were evaluated with two-way analysis of variance (P=.05). RESULTS. No cohesive or adhesive failure was observed after fatigue loading with thermocycling. Among the 4 groups, SLOW15 group (slow cooling and 1.5 mm chipping thickness) resulted in a significantly greater mean failure load than the other groups (P<.001). Coping fractures were only observed in SLOW15 group. CONCLUSION. The failure load of zirconia-ceramic crowns was significantly influenced by cooling rate as well as coping thickness. Under conventional cooling conditions, the mean failure load was not influenced by the coping thickness; however, under slow cooling conditions, the mean failure load was significantly influenced by the coping thickness.

• 한국세라믹학회지
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• 제41권7호
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• pp.508-512
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• 2004

치과 임프란트의 상부구조물로 응용하기 위해 Zr $O_2$, $Y_2$ $O_3$, Nb$_2$ $O_{5}$를 각각 90.24, 5.31, 4.45mo1%씩 혼합한 정방정 지르코니아 고용체에 알루미나를 부피비로 10-90%를 10vo1%간격으로 첨가하여 (Y, Nb)-TZP/알루미나 복합체를 제조하였다. 최적의 기계적 물성은 알루미나를 10vo1% 첨가했을 때 이축 곡강도는 900MPa이었으며 파괴인성은 8.9MPam$^{1}$2/이었고 20$0^{\circ}C$ 오토크레이브하에서 10시간 열처리했을 때 저온열화가 관찰되지 않았다. 복합체를 임프란트 상부구조물로 제작하여 40명의 환자에게 총 65개를 시술한 후 2년 동안 관찰한 결과 부작용이나 나사의 풀림 또는 파절이 전혀 일어나지 않아 우수한 임상결과를 보였다.