• 제목/요약/키워드: Delayed loading

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교정력 부하시기에 따른 교정용 미니 임플란트의 안정성 (The effect of loading time on the stability of mini-implant)

  • 이승연;차정열;윤태민;박영철
    • 대한치과교정학회지
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    • 제38권3호
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    • pp.149-158
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    • 2008
  • 본 연구는 미니 임플란트 식립 후 교정력 부하시기와 관련하여 임플란트 주위골의 치유과정을 조사하였다. 성견 8마리의 하악 협측골에 교정용 미니 임플란트(ORLUS, Ortholution CO, Korea) 48개를 식립한 후 교정력을 주지 않은 대조군과 식립 후 즉시 교정력을 준 즉시 부하군, 그리고 식립 후 3주간의 치유기간을 두고 교정력을 준 지연 부하군으로 나누어 각각의 군에 대해 3주, 6주, 12주가 경과된 시점에 임플란트 주위골의 변화를 조직 계측학적으로 관찰하였다. 골 접촉률은 즉시 부하군에서 시기에 따른 유의한 변화가 없었으며 지연 부하군은 3주에 비해 12주에서 유의하게 증가하였다(p<0.05). 각 시점에서 군간의 골 접촉률을 비교했을 때 12주째 지연 부하군이 즉시 부하군 보다 유의하게 높았다(p<0.05). 골 면적비율은 즉시 부하군의 경우, 시기에 따른 유의한 변화가 없었으며, 지연 부하군과 대조군은 6주에 비해 12주째 유의한 증가를 보였으며 (p<0.05), 12주째 실험군 간에 유의한 차이는 관찰되지 않았다(p>0.05). 동요도는 12주째 즉시 부하군과 지연 부하군 간에 유의한 차이는 없었다(p>0.05). 위의 결과에서 즉시 부하가 self drilling형 미니 임플란트 주위골의 안정성에 부정적인 영향을 주지 않았으므로 식립 즉시 교정력을 부여하여 사용하는 데 임상적으로 문제가 없을 것으로 판단된다.

비글견에서 아래턱 작은어금니 Implant의 즉시 부하에 대한 평가 (Evaluation of the Osseointegration in Immediatedly Loaded Implants in the Premolar Socket of the Mandible in Beagles)

  • 김대진;김정은;성윤상;장환수;권영삼;장광호
    • 한국임상수의학회지
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    • 제27권1호
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    • pp.55-61
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    • 2010
  • Tooth restoration with implant placement have been interested in modern veterinary dentistry. It is important to reduce the interval between the tooth extraction and the insertion of the implants, to determine the restoration time after implant placement in dogs The aim of the this study was to compare the bone mineral apposition rate of immediately loaded implants with an unloaded control during the early healing state in the artificial extraction mandible. In four Beagles, two premolar sockets (PM2 and PM3) of the both sides of the mandible were installed with a one stage titanium mini-implant with a length of 11 mm and a diameter of 3.37 mm immediately after tooth extraction. Provisional restroration was given to implants, 3 weeks after implant placement in the left side (immediate loading) and 12 weeks in the right side (delayed loading), respectively. Radiographic and histologic examinations were performed. Radiographic evaluation revealed no significant difference between two groups. Bone-implant contact was $47.1{\pm}8.9$ in immediate loading and $50.2{\pm}8.2$ in delayed loading, interthread bone density was $78.7{\pm}10.9$ in immediate loading and $73.1{\pm}15.5$ in delayed loading, and peri-implant bone density was $95.4{\pm}7.1$ in immediate loading and $95.0{\pm}5.2$ in delayed loading, respectively. Three histologic analyses showed no significant difference between delayed and immediate loading. Followed by this study, the immediate loading of implants insterted into fresh extraction sockets after tooth extraction could be considered in veterinary dentistry.

하악 무치악에서 즉시하중과 지연하중간 임플랜트의 안정성 변화 (STABILITY CHANGES OF IMMEDIATELY LOADED AND DELAYED LOADED IMPLANTS IN EDENTULOUS MANDIBLE)

  • 정혜은;김대곤;박찬진;조리라;이양진
    • 대한치과보철학회지
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    • 제45권2호
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    • pp.250-262
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    • 2007
  • Statement of problem: It was reported high success rate of implant-supported fixed prostheses using with $5{\sim}6$ implants on anterior mandible. Recently, immediate loading protocol was focused to overcome disadvantages of classic 2-stage delayed loading protocol. Purpose: This clinical study was to evaluate stability changes with time of immediately loaded and delayed loaded implants in edentulous mandible and to compare stability changes with time according to implantation sites. Materials and methods: Five or six implants were placed on anterior mandible depending on the arch shape. The immediately loading group was consisted of 8 patients received their prostheses within $24{\sim}48$ hours after implantation. The delayed loading group was consisted of 8 patients received their definitive prostheses following classical prosthetic procedures after a healing period of 3 months. All patients were recalled every 6 months for check-up. The evaluations of radiographic examination, ISQ value measurement and recording of complication were done. To evaluate marginal bone level, intraoral periapical radiographs were taken with long cone paralleling technique. At every evaluation recall, all prostheses were removed and ISQ values were measured with OsstellTM on individual implants. Results: 1. None of implants was failed. All implants showed stable marginal bone levels and ISQ values. 2. Marginal bone level changes with time showed statistically significant difference between immediately loading group and delayed loading group (P<0.001). 3. ISQ value changes with time did not show statistically significant difference between immediately loading group and delayed loading group (P=0.079). ISQ value decreased with time in both groups, however, all implants showed stable ISQ value at 30 months-recall evaluation. 4. Marginal bone level changes with time did not show statistically significant differences among implantation sites (P=0.604). 5. ISQ value changes with time showed statistically significant differences among implantation sites (P=0.047). ISQ values of most posterior implants decreased with time comparing to other implants. Conclusion: Although the marginal bone level of the terminal abutment didn't different with the other implants, ISQ value of the terminal abutment was lower than that of the other implants. Therefore, further clinical evaluation would be needed in this point of view.

상악전치부임플란트에서의 즉시식립 후 심미수복증례 (Case Report; Esthetic Restorations for Immediate Implantation and Delayed loading on Maxillary Anterior Region)

  • 이희경
    • 대한치과의사협회지
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    • 제55권10호
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    • pp.733-737
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    • 2017
  • Successful osseo-integration of dental implants that Dr. Bronemak reported in 1965 had been ground-breaking research in the restorative dentistry for the missing dentition. Clinical application of dental implants in the restorative dentistry has begun with the role of retention and support for the complete denture, beyond the functional recovery in partially missing area, and succeeds in the cosmetic recovery for anterior missing area. Recently, immediate implantation and loading after the extraction have been preferred by many excellent clinicians especially on maxillary anterior missing area, because they want to prevent from the absorption of residual alveolar bone. But it is hard to decide immediate loading for common clinicians also, because it is difficult for them to convict proper osseo-integration. In this article, immediate implantation and delayed loading case on maxillay anterior region have been introduced and predictable prosthetic procedure for the esthetic result has suggested.

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적재작업과 교통사고의 연관성에 관한 연구 (A Study on the Relationship between Loading Work and Traffic Accidents)

  • 김형태;김기홍
    • 대한안전경영과학회지
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    • 제25권2호
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    • pp.91-97
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    • 2023
  • Ensuring the safe arrival of delivery cargo at its intended destination is of utmost importance. Truck drivers play a crucial role in guaranteeing the secure delivery of cargo without any mishaps. However, there are various factors that may lead to delayed arrival of trucks at their destination, such as late departures or prolonged loading operations. The timely departure of cargo transportation is contingent upon several variables, including the driver's experience, cargo volume, and loading time. If the transportation commencement is delayed, it may increase the risk of accidents due to an elevated operating speed. Consequently, we conducted a study to investigate the correlation between cargo loading time, cargo volume, driving experience, and the likelihood of accidents. Our findings indicate that both cargo volume and driver experience can impact the likelihood of vehicle accidents. Furthermore, all factors can have an interactive effect on the occurrence of accidents. However, extending the loading time may mitigate the impact on the likelihood of accidents.

Immediate vs. Delayed Loading

  • 최용창
    • 대한치과보철학회:학술대회논문집
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    • 대한치과보철학회 1999년도 창립 40주년 기념 추계학술대회
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    • pp.141-141
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    • 1999
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Effect of loading time on marginal bone loss around hydroxyapatite-coated implants

  • Kim, Young-Kyun;Ahn, Kyo-Jin;Yun, Pil-Young;Kim, Minkyoung;Yang, Hong-So;Yi, Yang-Jin;Bae, Ji-Hyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권4호
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    • pp.161-167
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    • 2013
  • Objectives: The objective of this study is compare the rate of marginal bone resorption around hydroxyapatite-coated implants given different loading times in order to evaluate their stability. Materials and Methods: The study was conducted retrospectively for one year, targeting 41 patients whose treatment areas were the posterior maxilla and the mandible. Osstem TS III HA (Osstem Implant Co., Busan, Korea) and Zimmer TSV-HA (Zimmer Dental, Carlsbad, CA, USA), which employ the new hydroxyapatite coating technique, were used. The patients were divided into two groups - immediate and delayed loading - and the bone level at the time of loading commencement and after one year of loading was measured using periapical radiography. Differences between the groups were evaluated using Mann-Whitney (${\alpha}$=0.05). Results: For all patients as a single group, the survival rate of the implants was 100%, and the mean marginal bone loss was $0.26{\pm}0.59mm$. In comparison of the differences by loading, mean marginal bone loss of $0.32{\pm}0.69mm$ was recorded for the immediate loading group whereas the delayed loading group had mean marginal bone loss of $0.16{\pm}0.42mm$. However, the difference was not significant (P>0.05). Conclusion: Within the limited observation period of one year, predictable survival rates can be expected when using immediately loaded hydroxyapatite-coated implants.

Histomorphometric analysis of an immediate non-functional loaded implant in dogs

  • Ha, Jeong-Wan;Kim, Su-Gwan;Kim, Hak-Hyun;Moon, Seong-Yong;Lim, Sung-Chul
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권1호
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    • pp.90-94
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    • 2008
  • The purpose of this study was to investigate the effects of immediate non-functional loading by analyzing histomorphology around the implant tissues in dogs. Five eight- to nine-month-old full-grown dogs weighing around 12 kg were used in the study. Group I (control group) comprised those in which delayed loading was applied to the right side of the mandible, and Group II (experimental group) consisted of dogs in which immediate loading was performed on the left side of the mandible. Resorbable blast media (RBM)-treated double-threaded US III implants measuring 3.5 mm in diameter and 11 mm long were used in the study. Each animal received four implants in each group, for a total of 40 implants. Cemented type abutments were used after implantation. An 8-week period was allowed for bone healing and an abutment was placed after exposing the periosteum for loading. An implant sample was obtained from bone blocks taken when the dogs were killed at 16 weeks after loading. A Mann-Whitney U-test was performed to evaluate statistical significance. Student's t-test was used for the histological evaluation. The bone formation ratio in Groups 1 and 2 was 88.23 and 86.41%, respectively. No significant difference in new bone formation was observed in the two groups. As no significant difference was seen in new bone formation between the delayed and immediate loading groups, early loading might be possible after implant placement.

On the effect of temperature on the threshold stress intensity factor of delayed hydride cracking in light water reactor fuel cladding

  • Alvarez Holston, Anna-Maria;Stjarnsater, Johan
    • Nuclear Engineering and Technology
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    • 제49권4호
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    • pp.663-667
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    • 2017
  • Delayed hydride cracking (DHC) was first observed in pressure tubes in Canadian CANDU reactors. In light water reactors, DHC was not observed until the late 1990s in high-burnup boiling water reactor (BWR) fuel cladding. In recent years, the focus on DHC has resurfaced in light of the increased interest in the cladding integrity during interim conditions. In principle, all spent fuel in the wet pools has sufficient hydrogen content for DHC to operate below $300^{\circ}C$. It is therefore of importance to establish the critical parameters for DHC to operate. This work studies the threshold stress intensity factor ($K_{IH}$) to initiate DHC as a function of temperature in Zry-4 for temperatures between $227^{\circ}C$ and $315^{\circ}C$. The experimental technique used in this study was the pin-loading testing technique. To determine the $K_{IH}$, an unloading method was used where the load was successively reduced in a stepwise manner until no cracking was observed during 24 hours. The results showed that there was moderate temperature behavior at lower temperatures. Around $300^{\circ}C$, there was a sharp increase in $K_{IH}$ indicating the upper temperature limit for DHC. The value for $K_{IH}$ at $227^{\circ}C$ was determined to be $2.6{\pm}0.3MPa$ ${\surd}$m.