• 제목/요약/키워드: Dental abutment

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치과용 세라믹 임플란트 지대주의 기계적 특성 및 절단면 평가 (Mechanical Properties and Cross-sectional Surface Evaluation of Dental Ceramic Abutment)

  • 황준호;권성민;최성기;성미애;이규복
    • 한국표면공학회지
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    • 제51권5호
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    • pp.309-315
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    • 2018
  • The purpose of this study is to assess the mechanical properties of the ceramic abutment with washer. In this study, ceramic abutment were used, tested with $30^{\circ}$ compression load, shear fatigue, adaptation accuracy test(rotation angle, contact interval), removal torque force test, torsional breaking force test. The $30^{\circ}$ compression load was 729 N, the shear fatigue load was 275 N, adaptation accuracy test of rotation angle was within $3^{\circ}$, contact interval within $10{\mu}m$, and removal torque force test value is $18.88N{\cdot}cm$, torsional breaking force test value is $35.52N{\cdot}cm$. Ceramic abutment with a washer fitted have sufficient mechanical strength and may be substituted for titanium abutment.

캐드캠 기능을 이용한 전치부 심미 수복 및 전치부 임플란트에서 지르코니아 링크 지대주(Hybrid abutment)의 사용 (The use of zirconia hybrid abutment for the anterior esthetic restoration and anterior implant utilizing CAD/CAM technology)

  • 김종엽
    • 대한심미치과학회지
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    • 제22권1호
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    • pp.9-21
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    • 2013
  • 심미의 기준은 시대와 문화 그리고 개개인의 주관적인 관점에 따라 각기 다를 수 있다. 하지만 심미적인 부위를 수복하는 치과의사로서 일반적으로 따라야 할 원칙과 기준들이 있으며 수복물의 형태와 주변치아와의 조화 등을 위해 캐드캠의 몇몇 기능들은 아주 유용한 것으로 보이며, 전통적인 작업 방식에 비해 효율성도 높은 것으로 보인다. 또한 전치부 임플란트에서 치은이 얇은 경우 기계적인 문제를 줄이면서도 지르코니아 등의 도재를 사용하기 위한 한 방법인 링크 지대주에 대해 함께 알아보려 한다.

나사풀림과 나사파절이 동반된 실패한 임플란트 고정성 보철물의 회복증례 (Reconstruction of failed fixed implant prosthesis accompanied by abutment screw loosening and fracture : A case report)

  • 배은빈;신영근;전영찬;정창모;윤미정;이소현;허중보
    • 대한치과의사협회지
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    • 제55권7호
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    • pp.457-466
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    • 2017
  • In the case of failed fixed implant prosthesis accompanied by abutment screw fracture, fractured screw fragment must be removed to use the existing implant fixtures. A 61-year-old male patient, who had a failed maxillary fixed implant prosthesis accompanied by three abutment screw fracture, hoped to reconstruct the maxillary implant prosthesis, while maintaining the existing implant fixtures. To use the existing implant fixtures, fractured screw fragments were removed. A maxillary implant overdenture using available existing implants was planned. Bar-attachment with Locator was used for implant splinting, denture stability, and retention. Final impression was taken after treatment of peri-implantitis. Jaw relation registration was taken to evaluate available interarch space for bar-attachment. After fabricating bar-attachment, centric relation was taken. Implant overdenture using bar-attachment with Locator was delivered after wax-denture evaluation. This case report showed that a satisfactory clinical result was achieved by implant overdenture using existing implant fixtures in a maxillary edentulous patient.

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Repeatability and reproducibility of individual abutment impression, assessed with a blue light scanner

  • Jeon, Jin-Hun;Kim, Dong-Yeon;Lee, Jae-Jun;Kim, Ji-Hwan;Kim, Woong-Chul
    • The Journal of Advanced Prosthodontics
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    • 제8권3호
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    • pp.214-218
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    • 2016
  • PURPOSE. We assessed the repeatability and reproducibility of abutment teeth dental impressions, digitized with a blue light scanner, by comparing the discrepancies in repeatability and reproducibility values for different types of abutment teeth. MATERIALS AND METHODS. To evaluate repeatability, impressions of the canine, first premolar, and first molar, prepared for ceramic crowns, were repeatedly scanned to acquire 5 sets of 3-dimensional data via stereolithography (STL) files. Point clouds were compared and the error sizes were measured (n=10, per type). To evaluate reproducibility, the impressions were rotated by $10-20^{\circ}$ on the table and scanned. These data were compared to the first STL data and the error sizes were measured (n=5, per type). One-way analysis of variance was used to assess the repeatability and reproducibility of the 3 types of teeth, and Tukey honest significant differences (HSD) multiple comparison test was used for post hoc comparisons (${\alpha}=.05$). RESULTS. The differences with regard to repeatability were 4.5, 2.7, and $3.1{\mu}m$ for the canine, premolar, and molar, indicating the poorest repeatability for the canine (P<.001). For reproducibility, the differences were 6.6, 5.8, and $11.0{\mu}m$ indicating the poorest reproducibility for the molar (P=.007). CONCLUSION. Our results indicated that impressions of individual abutment teeth, digitized with a blue light scanner, had good repeatability and reproducibility.

The reliability of Anycheck device related to healing abutment diameter

  • Lee, Dong-Hoon;Shin, Yo-Han;Park, Jin-Hong;Shim, Ji-Suk;Shin, Sang-Wan;Lee, Jeong-Yol
    • The Journal of Advanced Prosthodontics
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    • 제12권2호
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    • pp.83-88
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    • 2020
  • PURPOSE. The purpose of this in vitro study was to examine the reliability of the Anycheck device and the effect of the healing abutment diameter on the Anycheck values (implant stability test, IST). MATERIALS AND METHODS. Thirty implants were placed into three artificial bone blocks with 10 Ncm, 15 Ncm, and 35 Ncm insertion torque value (ITV), respectively (n = 10). (1) The implant stability was measured with three different kinds of devices (Periotest M, Osstell ISQ Mentor, and Anycheck). (2) Five different diameters (4.0, 4.5, 4.8, 5.5, and 6.0 mm) of healing abutments of the same height were connected to the implants and the implant stability was measured four times in different directions with Anycheck. The measured mean values were statistically analyzed. RESULTS. The correlation coefficient between the mean implant stability quotient (ISQ) and IST value was 0.981 (P<.01) and the correlation coefficient between the meant periotest value (PTV) and IST value was -0.931 (P<.01). There were no statistically significant differences among the IST values with different healing abutment diameters. CONCLUSION. There was a strong correlation between the Periotest M and Anycheck values and between the ISQ and IST. The diameter of the healing abutment had no effect on the Anycheck values.

티타늄 및 PEEK 지대주 소재가 임플란트 유지 수복물 및 주위 지지골 응력 분포에 미치는 영향: 3차원 유한요소해석 (Effects of titanium and PEEK abutments on implant-supported dental prosthesis and stress distribution of surrounding bones: three-dimensional finite element analysis)

  • 홍민호
    • 대한치과기공학회지
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    • 제44권3호
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    • pp.67-75
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    • 2022
  • Purpose: This study aimed to comparatively evaluate the stress distribution of bones surrounding the implant system to which both titanium and polyetheretherketone (PEEK) abutments are applied using a three-dimensional finite element analysis. Methods: The three-dimensional implant system was designed by the computer-aided design program (CATIA; Dassault Systemes). The discretization process for setting nodes and elements was conducted using the HyperMesh program (Altair), after finishing the design of each structure for the customized abutment implant system. The results of the stress analysis were drawn from the Abaqus program (Dassault Systèmes). This study applied 200 N of vertical load and 100 N of oblique load to the occlusal surface of a mandibular first molar. Results: Under external load application, the PEEK-modeled dental implant showed the highest von Mises stress (VMS). The lowest VMS was observed in the Ti-modeled abutment screws. In all groups, the VMS was observed in the crestal regions or necks of implants. Conclusion: The bones surrounding the implant system to which the PEEK abutment was applied, such as the cortical and trabecular bones, showed stress distribution similar to that of the titanium implant system. This finding suggests that the difference in the abutment materials had no effect on the stress distribution of the bones surrounding implants. However, the PEEK abutments require mechanical and physical properties improved for clinical application, and the clinical application is thought to be limited.

지르코니아 단일구조 전부도재관의 지대치 형태에 따른 파절 강도 (Fracture Strength Analysis of Monolithic Zirconia Ceramic by Abutment Shape)

  • 김원영;홍민호
    • 대한치과기공학회지
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    • 제36권4호
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    • pp.231-237
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    • 2014
  • Purpose: This study was performed fracture strength test by conducted change of abutment and coping shape for suggesting monolithic all ceramic crown which has thin thickness and superior strength of the occlusal surface. Methods: The specimens on the four kinds abutment was made according to thickness of occlusal surface and angle of axis surface. And All ceramic coping specimens of 6 different kinds was made by the CAD/CAM Method. Compression strength test using the UTM and the verification of compression-stress situation using the 3D finite element method were conducted under optimum conditions. Results: 516C specimen was showed the strongest compression-fracture strength, followed by 516FR, 516F45, specimens. Did not show significant differences between 516FR and 516F45. 516C of the universal testing machine the specimen's surface that are within the vertical load is small, finite element method of a uniformly distributed load, so the value received suggests otherwise. Conclusion: In conclusion, abutments of monolithic ziconia ceramic when having a same thickness of the occlusal, as the angle of occlusal edge is small, the stress is well dispersed and it can endure well in the fracture.

Evaluation of the effect of abutment preparation angles on the repeatability and reproducibility using a blue light model scanner

  • Kim, Dong-Yeon
    • The Journal of Advanced Prosthodontics
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    • 제12권4호
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    • pp.210-217
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    • 2020
  • PURPOSE. The purpose of the study is to evaluate the repeatability and reproducibility of the abutment angle using a blue light scanner. MATERIALS AND METHODS. 0°, 6°, and 10° wax cast abutment dies were fabricated. Each of the silicone impression was produced using the replicable silicone. Each study die was constructed from the prepared replicable stone used for scans. 3-dimensional data was obtained after scanning the prepared study dies for the repeatability by using the blue light scanner. The prepared 3-dimensional data could have the best fit alignment using 3-dimensional software. For reproducibility, each abutment was used as the first reference study die, and then it was scanned five times per each. 3-dimensional software was used to perform the best fit alignment. The data obtained were analyzed using a nonparametric Kruskal-Wallis H test (α=.05), post hoc Mann-Whitney U test, and Bonferroni correction (α=.017). RESULTS. The repeatability of 0°, 6°, and 10° abutments was 3.9, 4.4 and 4.7 ㎛, respectively. Among them, the 0° abutment had the best value while the 10° abutment showed the worst value. There was a statistically significant difference (P<.05). The reproducibility of 0°, 6°, and 10° abutments was 6.1, 5.5, and 5.3 ㎛, respectively. While the 10° abutment showed the best value, the 0° abutment showed the worst value. However, there was no statistically significant difference (P>.05). CONCLUSION. In repeatability, the 0° abutment showed a positive result. In reproducibility, the 10° abutment achieved a positive result.

Effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations: in vitro study of color masking ability

  • Oh, Seon-Hee;Kim, Seok-Gyu
    • The Journal of Advanced Prosthodontics
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    • 제7권5호
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    • pp.368-374
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    • 2015
  • PURPOSE. The aim of the study was to evaluate the effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations. MATERIALS AND METHODS. Three different types of disk-shaped zirconia coping specimens (Lava, Cercon, Zirkonzahn: ${\phi}10mm{\times}0.4mm$) were fabricated and veneered with IPS e.max Press Ceram (shade A2), for total thicknesses of 1 and 1.5 mm. A total of sixty zirconia restoration specimens were divided into six groups based on their coping types and thicknesses. The abutment specimens (${\phi}10mm{\times}7mm$) were prepared with gold alloy, base metal (nickel-chromium) alloy, and four different shades (A1, A2, A3, A4) of composite resins. The average $L^*$, $a^*$, $b^*$ values of the zirconia specimens on the six abutment specimens were measured with a dental colorimeter, and the statistical significance in the effects of three variables was analyzed by using repeated measures analysis of variance (${\alpha}$=.05).The average shade difference (${\Delta}E$) values of the zirconia specimens between the A2 composite resin abutment and other abutments were also evaluated. RESULTS. The effects of zirconia specimen thickness (P<.001), abutment shade (P<.001), and type of zirconia copings (P<.003) on the final shade of the zirconia restorations were significant. The average ${\Delta}E$ value of Lava specimens (1 mm) between the A2 composite resin and gold alloy abutments was higher (close to the acceptability threshold of 5.5 ${\Delta}E$) than th ose between the A2 composite resin and other abutments. CONCLUSION. This in-vitro study demonstrated that abutment shade, ceramic thickness, and coping type affected the resulting shade of zirconia restorations.

지대치의 재료와 Clasp 재료 사이의 마찰계수와 원형 clasp의 유지력 추정 (Fiction Coefficient between Abutment Materials and Clasp Materials and Estimation of Retention Force of Circumferential Clasp)

  • 임동천
    • 대한치과기공학회지
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    • 제21권1호
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    • pp.67-75
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    • 1999
  • The purpose of this study is to evaluate the friction coefficients between abutment materials and clasp materials, and to an estimation formula for retention force. The coefficients of friction between three clasp materials and four abutment materials were measured under various conditions, polished and sandblasted and wet and dry. The measurement was repeated for each combination up to a total measurement of 1200 times. Estimation formula for retention force is measured as sum of two terms, which the one time is proportional to the product of friction coefficient ${\mu}$ and undercut u and the other term is proportional to u-squared. Two proportional coefficient were obtained by least square method. The results are as follows: 1. Friction coefficients were ranged from 0.08 to 0.53 under various conditions. 2. Friction coefficients of non-metal abutment materials are greater in wet conditions than dry conditions. 3. Friction coefficients of sandblasted clasp against abutment are greater than that of polished clasp. 4. Clasp retention force can be estimated with the model as F=$F_d(3.0{\mu}u+1.5u^2/h)$ with minor error.

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