• The Journal of Advanced Prosthodontics
• /
• 제11권2호
• /
• pp.105-111
• /
• 2019

PURPOSE. Limited data is available regarding the differences for possible microleakage problems and fitting accuracy of zirconia versus titanium abutments with various connection designs. The purpose of this in vitro study was to investigate the effect of connection design and abutment material on the sealing capability and fitting accuracy of abutments. MATERIALS AND METHODS. A total of 42 abutments with different connection designs [internal conical (IC), internal tri-channel (IT), and external hexagonal (EH)] and abutment materials [titanium (Ti) and zirconia (Zr)] were evaluated. The inner parts of implants were inoculated with $0.7{\mu}L$ of polymicrobial culture (P. gingivalis, T. forsythia, T. denticola and F. nucleatum) and connected with their respective abutments under sterile conditions. The penetration of bacteria into the surrounding media was assessed by the visual evaluation of turbidity at each time point and the number of colony forming units (CFUs) was counted. The marginal gap at the implant- abutment interface (IAI) was measured by scanning electron microscope. The data sets were statistically analyzed using Kruskal-Wallis followed by Mann-Whitney U tests with the Bonferroni-Holm correction (${\alpha}=.05$). RESULTS. Statistically significant difference was found among the groups based on the results of leaked colonies (P<.05). The EH-Ti group characterized by an external hexagonal connection were less resistant to bacterial leakage than the groups EH-Zr, IT-Zr, IT-Ti, IC-Zr, and IC-Ti (P<.05). The marginal misfit (in ${\mu}m$) of the groups were in the range of 2.7-4.0 (IC-Zr), 1.8-5.3 (IC-Ti), 6.5-17.1 (IT-Zr), 5.4-12.0 (IT-Ti), 16.8-22.7 (EH-Zr), and 10.3-15.4 (EH-Ti). CONCLUSION. The sealing capability and marginal fit of abutments were affected by the type of abutment material and connection design.

• 대한치과보철학회지
• /
• 제50권2호
• /
• pp.92-98
• /
• 2012

연구 목적: 본 연구 목적은 서로 다른 재료로 제작된 지대주를 이용하여 동적하중을 가했을 때 풀림토크와 침하량에 대한 임플란트-지대주 연결부의 안정성에 대하여 알아보는 것이다. 연구 재료 및 방법: 원추형 내부연결 구조를 갖는 임플란트에 이용되는 세 가지 지대주, 티타늄 합금 지대주(Cement abutment, Osstem Co., Seoul, Korea), 귀금속 UCLA 지대주(UCLA Goldcast abutment, Osstem Co., Seoul, Korea), 비귀금속 UCLA 지대주(CCM Metalcast abutment, 3M ESPE, Seefeld, Germany)를 사용하였다. 귀금속 UCLA 지대주와 비귀금속 UCLA 지대주를 티타늄 지대주와 유사한 형태로 납형을 형성 한 후 각각 제 3형 금합금(E-3, Heesung catalyst Co., Seoul, Korea)와 니켈-크롬 합금인(Rexillium $III^{(R)}$, $Pentron^{(R)}$, San Diego, USA)를 사용하여 주조 하였다. 임플란트와 지대주를 디지털 토크 컨트롤러를 이용하여 30 N cm로 체결하였고 전하중 상실을 보상하기 위하여 10분 후 다시 같은 힘으로 체결 하였다. 디지털 토크 게이지를 사용하여 풀림토크를 측정하였고 디지털 마이크로미터를 이용하여 임플란트/지대주 길이를 측정하였다. 그 후 동적 하중 피로 시험기에 지대주를 장착한 후 최대 250 N, 최소 25 N, 주기 14 HZ의 sine형의 하중을 장축과 평행하게 가하였다. 하중 후 임플란트/지대주의 길이를 재측정 하고, 전후 길이변화량을 이용하여 침하량을 계산하였으며 풀림토크를 측정하였다. 결과: 하중 전후의 길이를 비교하였을 때 세 군 모두에서 유의한 차이를 보였다($P$<.05). 군 간의 침하량을 비교하였을 때 통계적으로 유의한 차이를 보이지는 않았다. 하중 전후의 풀림토크를 비교하였을 때 역시 세 군 모두에서 유의한 차이를 보이며 감소하였다 ($P$<.05). 하중 전 풀림토크와 하중 후 풀림토크를 군간 비교하였을 경우에는 통계적으로 유의한 차이를 보이지는 않았다. 결론: 원추형 내부 연결구조를 갖는 임플란트에서 동적하중은 임플란트의 침하량과 풀림토크에 영향을 미치는 것으로 보이나 지대주간 차이는 나타나지 않았다. 비귀금속UCLA 지대주이 사용은 귀금속 UCLA 지대주와 마찬가지로 기능적 하중에서 안정적일 것으로 사료된다.

• 대한치과보철학회지
• /
• 제51권4호
• /
• pp.315-322
• /
• 2013

연구 목적: 내측연결형 임플란트와 지대주의 연결체에 반복하중을 부여하였을 때 수직 침하를 평가하고자 하였다. 연구 재료 및 방법: 외측연결형 임플란트와 내측연결형 임플란트에 세 종류의 시멘트유지형 지대주를 각각 장착하였다. 즉, 외측연결형 지대주(Ext 그룹), 내측연결형 1-piece 지대주(Int-1 그룹), 내측연결형 2-piece 지대주(Int-2 그룹)를 사용하였으며, 각 그룹마다 7개의 시편을 준비하였다. 임플란트-지대주 연결체에 수직하중을 적용하기 위하여 임플란트 받침대에 고정한 후, 4 Hz의 빈도로 $150{\pm}10N$의 반복하중을 가하였다. 수직침하량은 0, 5, 10, 50, 100, 1,000, 5,000, 10,000회의 반복하중 후에 각각 측정하였다. 반복측정분산분석(RM-ANOVA)를 이용하여 반복하중의 영향을 분석하였으며, 패턴변화를 관찰하기 위하여 선형혼합모형(linear mixed model)을 사용하였다. 유의수준은5% 로 설정하였다. 결과: 10,000회 반복하중 후 수직침하량은, Ext 그룹에서 $0.714{\pm}0.488{\mu}m$, Int-1그룹에서 $5.286{\pm}1.604{\mu}m$, Int-2 그룹에서 $11.429{\pm}1.902{\mu}m$를 나타내었다. 패턴분석에서는, Int-1 그룹 및 Int-2 그룹에서 지속적인 수직침하가 관찰되었으며, Ext그룹에서는 수직침하현상이 관찰되지 않았다. 결론:10,000회 반복하중 후의 선형혼합모형을 통한 분석에서, Ext그룹은 수직침하현상을 보이지 않았으나, Int-1 및 Int-2 그룹은 지속적인 수직침하현상을 나타내었다. 또한, Int-2그룹에서 Int-1그룹보다 더 많은 수직침하량이 관찰되었다.

• 한국산업융합학회 논문집
• /
• 제26권4_2호
• /
• pp.623-628
• /
• 2023

The purpose of this study was to evaluate the fracture strength and removal torque value (RTV) of a conventional angled abutment and a newly developed angled abutment (Beauty up abutment) with an angulated screw access hole. Each abutment was divided into a control group and an experimental group (n = 20, respectively). To measure the fracture strength, the abutment was connected to the internal hex implant with 30 Ncm torque, and a load was applied at 30 degree angle with cross-head speed of 1 mm/min using a universal testing machine according to the ISO 14801:2016 standard. To measure RTV, each abutment was fastened to the implant with 30 Ncm torque. Retightening was performed after 10 minutes, and initial RTV was measured with a digital torque gauge. After retightening, a load of 250 N was applied to the abutment at a 30 degree angle using a chewing simulator. After a total of 100,000 repeated loads, RTV was measured. Statistical analysis was performed using Wilcoxon signed rank test and Mann-Whitney U test (α = .05). The fracture strength of the experimental group was statistically significantly lower than that of the control group (P = .009). There was no significant difference between initial RTV and post-loading RTV between the experimental group and the control group (P = .753, P = .527, respectively), and cyclic loading did not significantly affect RTV in both groups (P = .078).

• 대한치과보철학회지
• /
• 제46권2호
• /
• pp.116-124
• /
• 2008

문제 진술: 임플랜트 시스템은 임플랜트와 지대주 사이에서 빈 공간이 발생하여 세균의 저장소로서 작용하게 되어 임플랜트 주위 연조직에 염증반응을 야기할 수 있다. 목 적: 이 연구의 목적은 임플랜트-지대주 간극의 미세 누출에 관여하는 치주질환원인균으로 추정되는 Porpyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema denticola, Aggregatibacter actinomycetemcomitans의 검출률을 조사하는 것이다. 연구재료 및 방법: 시료채취는 27명의 환자들에서 행하였고 소독된 페이퍼포인트를 이용하여 $1{\times}PBS$로 옮겼다. 치주질환원인균의 검출은 16 rDNA에 근거한 종특이적인 프라이머를 지닌 중합효소체인반응을 이용하였다. 결과: 임플랜트 고정체내에서의 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 59%와 82%였다. 환자의 임플랜트 연구에서는 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 44%와 82%였다. 환자혀에서의 Porphyromonas gingivalis와 Prevotella intermedia의 검출률은 82%와 82%였다. 결 론: 현재의 임플랜트 시스템은 임플랜트 내부의 세균 군집화와 미세누출을 안전하게 예방할 수 없다.

• 구강회복응용과학지
• /
• 제31권1호
• /
• pp.60-66
• /
• 2015

임플란트 수복물의 기계적 실패 요인들 중 가장 잦은 빈도를 보이는 것은 지대주 나사의 풀림이나 파절로 알려져 있다. 이렇게 지대주나, 나사가 파절된 경우 그 잔사들을 임플란트 고정체의 손상 없이 완전히 제거해야만 한다. 때로는 잔사들을 제거할 수 없는 경우나 제거 과정에서 고정체와 나사를 연결하는 부위가 손상되어 임플란트를 지속하여 사용할 수 없는 경우가 발생하여 임상가를 곤란하게 만드는 경우가 있다. 본 증례보고에서는 각기 다른 세가지 임상상황에서 임플란트 고정체의 손상 없이 성공적으로 파절편을 제거한 사례들을 보고하고 나사가 파절된 임상상황에서 대처할 수 있는 방법들에 대해 고찰해 보고자 한다.

• The Journal of Advanced Prosthodontics
• /
• 제5권3호
• /
• pp.234-240
• /
• 2013

PURPOSE. This study evaluated the effectiveness of various methods for removing provisional cement from implant abutments, and what effect these methods have on the retention of prosthesis during the definitive cementation. MATERIALS AND METHODS. Forty implant fixture analogues and abutments were embedded in resin blocks. Forty cast crowns were fabricated and divided into 4 groups each containing 10 implants. Group A was cemented directly with the definitive cement (Cem-Implant). The remainder were cemented with provisional cement (Temp-Bond NE), and classified according to the method for cleaning the abutments. Group B used a plastic curette and wet gauze, Group C used a rubber cup and pumice, and Group D used an airborne particle abrasion technique. The abutments were observed using a stereomicroscope after removing the provisional cement. The tensile bond strength was measured after the definitive cementation. Statistical analysis was performed using one-way analysis of variance test (${\alpha}$=.05). RESULTS. Group B clearly showed provisional cement remaining, whereas the other groups showed almost no cement. Groups A and B showed a relatively smooth surface. More roughness was observed in Group C, and apparent roughness was noted in Group D. The tensile bond strength tests revealed Group D to have significantly the highest tensile bond strength followed in order by Groups C, A and B. CONCLUSION. A plastic curette and wet gauze alone cannot effectively remove the residual provisional cement on the abutment. The definitive retention increased when the abutments were treated with rubber cup/pumice or airborne particle abraded to remove the provisional cement.

• 구강회복응용과학지
• /
• 제19권1호
• /
• pp.27-33
• /
• 2003

Excessive heat generation at the implant-bone interface may cause irreversible bone damage and loss of osseointegration. The effect of heat generation in vitro at the implant surface caused by abutment reduction with high-speed dental turbine was examined. Titanium-alloy abutments connected to a titanium alloy screw-implant embedded in an acrylic-resin block in a $37^{\circ}C$ water bath were prepared. Temperature changes were recorded via embedded thermocouples at the cervix and apex of the implant surface. Analysis of variance for repeated measures was used to compare seven treatment groups. Fifty seconds of continuous cutting with air and water coolant caused a mean temperature increase of $1.24^{\circ}C$ at apex and $5.77^{\circ}C$ at cervix. Similar intermittent cutting caused increase of $2.50^{\circ}C$ at apex and $1.64^{\circ}C$ at cervix. But, continuous cutting with air coolant caused a mean temperature increase of $6.47^{\circ}C$ at apex and $5.77^{\circ}C$ at cervix. Similar intermittent cutting caused increase of $6.47^{\circ}C$ at apex and $5.77^{\circ}C$ at cervix. Preparation of implant abutment does not lead to detrimental effect on peri-implant tissues provided that adequate cooling. However, without water cooling, extreme overheating could be provoked, reaching the critical temperature that would lead to irreversible bone damage within only a few seconds.

• The Journal of Advanced Prosthodontics
• /
• 제11권1호
• /
• pp.48-54
• /
• 2019

PURPOSE. The aim of the present randomized controlled study was to compare prefabricated all-ceramic, anatomically shaped healing abutments followed by all-ceramic abutments and all-ceramic crowns and prefabricated standard-shaped (round-diameter) titanium healing abutments followed by final titanium abutments restored with porcelain-fused-to-metal (PFM) implant crowns in the premolar and molar regions. MATERIALS AND METHODS. Forty-two patients received single implants restored either by all-ceramic restorations (test group, healing abutment, final abutment, and crown all made of zirconia) or conventional titanium-based restorations. Immediately after prosthetic incorporation and after 12 months of loading, implant survival, technical complications, bone loss, sulcus fluid flow rate (SFFR) as well as plaque index (PI) and implant stability (Periotest) were analyzed clinically and radiologically. RESULTS. After 12 months of loading, an implant and prosthetic survival rate of 100% was observed. Minor prosthetic complications such as chipping of ceramic veneering occurred in both groups. No statistical significant differences were observed between both groups with only a minimum of bone loss, SFFR, and PI. CONCLUSION. All-ceramic implant prostheses including a prefabricated anatomically shaped healing abutment achieved comparable results to titanium-based restorations in the posterior region. However, observational results indicate a benefit as shaping the peri-implant soft-tissue with successive provisional devices and subsequent compression of the soft tissue can be avoided.

• 대한치과보철학회지
• /
• 제40권2호
• /
• pp.193-200
• /
• 2002

For the purpose of decreasing the chair time in implant cases, the time needed to loosening and fastening the screw must be shortened. Nowadays, the two typical designs of screw head are slot and hexa form. This study aimed at the shortening of loosening and fastening time by modifying the slot and hexa form. Total of twelve dentists participate in these experiments, four of them were experienced and eight of them were novice dentists. 1. There were many differences in the speeds of screw loosening and fastening between personal experiences. Experienced dentists are faster than novice dentists. 2. There were many differences in the speeds by angulation of the implant, by the conditions of the muscle tonicity. 3. Revised slot and hexa Heads show the slightly shortened time for acrew looseing and fastening.