• Title/Summary/Keyword: Early loading

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Stability dip, the obstacle of early loading protocol, how can it be figured out? (임상가를 위한 특집 2 - Early loading의 난제 stability dip, 어떻게 극복할 것인가?)

  • Park, Chang-Joo
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.198-203
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    • 2013
  • Nowadays, it seems like that the concept of the early loading protocol has been intruded between the concept of the immediate loading supported by advanced clinicians and the concept of the conventional loading supported by the prudent clinicians. In particular, the stability dip, which is found to occur usually at 4~6 weeks after dental implant placement because the decrease of the primary mechanical stability is not compensated by the increase of the secondary biologic stability, is frequently pointed out as one of the major causes of early loading failure. In this article, based on our recent clinical investigation about the crestal bone preservation effect of the early loaded NanoTite$^{TM}$ Tapered Certain Prevail$^{(R)}$ (Biomet 3i, USA), the concept of the early loading is revisited. In addition, various methods to overcome the stability dip are reviewed as the oral and maxillofacial surgeon's view point.

Conventional loading, is the concept still useful? (임상가를 위한 특집 3 - Conventional loading, 여전히 임상적으로 유용한가?)

  • Yeo, In-Sung
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.204-209
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    • 2013
  • Implant-supported restorations were connected to commercially pure titanium endosteal implants 3 months in mandible and 6 months in maxilla after the implants were inserted into patient jaws. Modifications of titanium implant surfaces have reduced the waiting time for osseointegration, resulting in the development of the early loading concept, which is defined at present as a restoration in contact with the opposing dentition and placed at least 1 week after implant placement, but no later than 2 months afterward. Nowadays, immediate loading protocols have also been introduced, using the implants that are designed to enhance initial stability. Immediate loading eliminates the edentulous period of a patient. Although dentists widely accept these concepts of early and immediate loading, they agree the conventional loading concept is still necessary, which describes loading protocols later than 2 months after implant insertion. The timing of loading is determined mainly by the factors of a patient. This paper considers for what dental clinicians should be careful in implant-supported restoration procedures, considering the implant late failure.

Histomorphometry and stability analysis of early loaded implants with two different surface conditions in beagle dogs

  • Kim, Dong-Seok;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Advanced Prosthodontics
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    • v.1 no.1
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    • pp.10-18
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    • 2009
  • STATEMENT OF PROBLEM. Despite an improved bone reactions of Mg-incorporated implants in the animals, little yet has been carried out by the experimental investigations in functional loading conditions. PURPOSE. This study investigated the clinical and histologic parameters of osseointegrated Mg-incorporated implants in early loading conditions. MATERIAL AND METHODS. A total of 36 solid screw implants(diameter 3.75 mm, length 10 mm) were placed in the mandibles of 6 beagle dogs. Test groups included 18 Mg-incorporated implants. Turned titanium implants served as control. Gold crowns were inserted 4 weeks after implant placement and the dogs were immediately put on a food diet. Implants were observed for 10 weeks after loading. Radiographic assessments and stability tests were performed at the time of fixture installation, $2^{nd}$ stage surgery, 4 weeks after loading, and 10 weeks after loading. Histological observations and morphometrical measurements were also performed. RESULTS. Of 36 implants, 33 displayed no discernible mobility, corresponding to successful clinical function. There was no statistically significant difference between test implants and controls in marginal bone levels(P=.46) and RFA values. The mean BIC % in the Mg-implants was $54.5{\pm}8.4%$. The mean BIC % in the turned implant was $45.3{\pm}12.2%$. These differences between the Mg-implant and control implant were statistically significant(P=.005). CONCLUSIONS. The anodized, Mg-incorporated implant demonstrated significantly more bone-to-implant contact(BIC) in early loading conditions. CLINICAL IMPLICATIONS. The results of this study in beagle dogs suggest the possibility of achieving predictable stability of early loaded free-standing dental implants with Mg-incorporated surface.

Effect of fiber reinforcing on instantaneous deflection of self-compacting concrete one-way slabs under early-age loading

  • Vakhshouri, Behnam;Nejadi, Shami
    • Structural Engineering and Mechanics
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    • v.67 no.2
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    • pp.155-163
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    • 2018
  • The Early-age construction loading and changing properties of concrete, especially in the multi-story structures can affect the slab deflection, significantly. Based on previously conducted experiment on eight simply-supported one-way slabs this paper investigates the effect of concrete type, fiber type and content, loading value, cracking moment, ultimate moment and applied moment on the instantaneous deflection of Self-Compacting Concrete (SCC) slabs. Two distinct loading levels equal to 30% and 40% of the ultimate capacity of the slab section were applied on the slabs at the age of 14 days. A wide range of the existing models of the effective moment of inertia which are mainly developed for conventional concrete elements, were investigated. Comparison of the experimental deflection values with predictions of the existing models shows considerable differences between the recorded and estimated instantaneous deflection of SCC slabs. Calculated elastic deflection of slabs at the ages of 14 and 28 days were also compared with the experimental deflection of slabs. Based on sensitivity analysis of the effective parameters, a new model is proposed and verified to predict the effective moment of inertia in SCC slabs with and without fiber reinforcing under two different loading levels at the age of 14 days.

Transient heat transfer analysis using Galerkin finite element method for reinforced concrete slab exposed to high elevated temperature

  • Han, Byung-Chan;Kwon, Young-Jin;Lee, Byung-Jae;Kwon, Seung-Jun;Chae, Young-Suk
    • Computers and Concrete
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    • v.18 no.6
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    • pp.1097-1112
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    • 2016
  • Fire loading causes a critical collapse of RC (Reinforced Concrete) Structures since the embedded steels inside are relative week against high elevated temperature. Several numerical frameworks for fire resistance have been proposed, however they have limitations such as unstable convergence and long calculation period. In the work, 2-D nonlinear FE technique is proposed using Galerkin method for RC structures under fire loading. Closed-form element stiffness with a triangular element is adopted and verified with fire test on three RC slabs with different fire loading conditions. Several simulations are also performed considering fire loading conditions, water contents, and cover depth. The proposed numerical technique can handle time-dependent fire loading, convection, radiation, and material properties. The proposed technique can be improved through early-aged concrete behavior like moisture transport which varies with external temperature.

Early loading on a maxillary posterior single implant with deepened threads: a case report (깊은 나사선을 갖는 임플란트를 이용한 상악 구치부 조기 하중: 증례보고)

  • Han, Chang-Hoon;Kim, Hyun-Seung;Park, Sang-Won;Yun, Kwi-Dug;Joo, Han-Sung;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.253-258
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    • 2014
  • This case report shows an early loading at the maxillary posterior area with the wide diameter implant which has a deepened threads after removal of failed implant. Implant Stability Quotient (ISQ) value has represented favorable result for one year. This clinical report describes the potential of early loading on a maxillary posterior single implant with deepened threads.

Development of Early Evaluation System for Concrete Quality, Construction and Maintenance (콘크리트 품질ㆍ시공ㆍ유지관리의 조기판정시스템 개발)

  • 손용우;이증빈;최미라;박봉수
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.10a
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    • pp.517-526
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    • 2004
  • In the resent years, the early evaluation of concrete quality, construction and maintenance has been considered as all is of major concern due to the increase of loading and the degradation of structures related with time. This paper presents evaluation of structural safety performance using measured data of construction, on the basis of a field measurements for the prevention of unreliable concrete works. Measurements analyzed in this paper are early quality condition and performance assessment, serviceability performance by cracks and deflection, rating performance by loading, durability performance by chloride attack and carbonation. Thus, a quantitative assessment model of resistance capacity was developed here to meet the requirement for deteriorated concrete structures. The model focuses on damage mechanical of concrete structures deteriorated by initial damage factors for concrete quality and environment factors such as chloride and carbonation attacks. These results could provide useful information for concrete structures interested in design, construction and maintenance.

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A resonance frequency analysis of sandblasted and acid-etched implants with different diameters: a prospective clinical study during the initial healing period

  • Kim, Hyun-Joo;Kim, Yeun-Kang;Joo, Ji-Young;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.47 no.2
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    • pp.106-115
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    • 2017
  • Purpose: The possibility of immediate or early loading has become popular in implant dentistry. A prerequisite for the immediate or early loading of an implant prosthesis is the achievement of initial stability in the implant. Moreover, in response to clinicians' interest in verifying clinical stability to determine the optimal time point for functional loading, a non-invasive method to assess implant stability has been developed on the basis of resonance frequency analysis (RFA). The primary objective of this study was to monitor the stability of sandblasted, large-grit, and acid-etched (SLA) implants with different diameters during the early phases of healing by RFA. The secondary objective was to evaluate how the initial stability of implants varied depending on different surface modifications and other contributing factors. Methods: Thirty-five implants (25 SLA implants and 10 resorbable blasting media [RBM] implants) placed in 20 subjects were included. To measure implant stability, RFA was performed at baseline and at 1, 2, 3, 4, 6, and 10 weeks after surgery. Results: The longitudinal changes in the implant stability quotient (ISQ) values were similar for the SLA implants with different diameters and for the RBM implants. During the initial healing period, the ISQ decreased after installation and reached its lowest values at 1 week and 2 weeks, respectively. The mean ISQ values in the SLA implants were significantly higher in ${\varnothing}5.0mm$ implants than in ${\varnothing}4.0mm$ implants. Men showed a higher ISQ than women. Mandibular sites showed a higher ISQ than maxillary sites. Conclusions: All implants used in this study are suitable for immediate or early loading under appropriate indications. A wider diameter and SLA surface treatment of implants could improve the stability, if the implant is fixed with at least 30 Ncm of insertion torque.

Effect of Difference in Mixing Methods of Zirconia on Mechanical Properties of ZTA (ZrO2의 혼합방법 차이가 ZTA의 기계적 물성에 미치는 영향)

  • Sohn, Jeongho
    • Korean Journal of Materials Research
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    • v.23 no.11
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    • pp.625-630
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    • 2013
  • In this study, intermediate-mixed powders were prepared by loading zirconia powders initially in a ball-mill jar and loading alumina powders afterward; the initial-mixed powders were produced by loading zirconia and alumina powders together in the ball-mill jar. The effect of such differences in mixing method on the mechanical properties was investigated. In intermediate-mixed powders, the volume fraction of large particles slightly increased and, simultaneously, zirconia particles formed agglomerates that, due to early ball-mill loading of the zirconia powders only, were more dispersed than were the initial-mixed powders. For the intermediate-mixed powders, zirconia agglomerates were destroyed more quickly than were initial-mixed powders, so the number of dispersed zirconia particles rose and the inhibitory effect of densification due to the addition of a second phase was more obvious. In the microstructure of intermediate-mixed powders, zirconia grains were homogeneously dispersed and grain growth by coalescence was found to occur with increasing sintering temperature. For the initial-mixed powders, large zirconia grains formed by localized early-densification on the inside contacts of some zirconia agglomerates were observed in the early stages of sintering. The intermediate-mixed powders had slightly lower hardness values as a whole but higher fracture toughness compared to that of the initial-mixed powders.

Effect of Creep on Quasi-Instanteneous Deformation of Early-Age Concrete (크리프가 초기재령 콘크리트의 순간 변형에 미치는 영향)

  • 오병환;최성철;박호;신용석
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.11a
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    • pp.309-312
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    • 2003
  • Quasi-instanteneously performed creep loading is probably one way to seperate the viscous and the plastic creep from the elastic deformation. For mature concrete no differences seem to exist depending on whether the loading is rapidly applied or not. At early age the plastic deformations probably dominate the deformation. A series of test have been done to measure the quasi-instanteneous deformation in concrete specimens according to loading durations and concrete ages. The present study indicates that even very short-term loading contains creep deformation. As concrete is younger and load duration is longer, the proportion of creep deformation in quasi-instanteneous deformation is increased.

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