• Journal of Periodontal and Implant Science
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• 제52권6호
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• pp.496-508
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• 2022

Purpose: This study aimed to compare the long-term survival rate and peri-implant marginal bone loss between different types of dental implant-abutment connections. Methods: Implants with external or internal abutment connections, which were fitted at Gangneung-Wonju National University Dental Hospital from November 2011 to December 2015 and followed up for >5 years, were retrospectively investigated. Cumulative survival rates were evaluated for >5 years, and peri-implant marginal bone loss was evaluated at 1- and 5-year follow-up examinations after functional loading. Results: The 8-year cumulative survival rates were 93.3% and 90.7% in the external and internal connection types, respectively (P=0.353). The mean values of marginal bone loss were 1.23 mm (external) and 0.72 mm (internal) (P<0.001) after 1 year of loading, and 1.20 mm and 1.00 mm for external and internal abutment connections, respectively (P=0.137) after 5 years. Implant length (longer, P=0.018), smoking status (heavy, P=0.001), and prosthetic type (bridge, P=0.004) were associated with significantly greater marginal bone loss, and the use of screw-cement-retained prosthesis was significantly associated (P=0.027) with less marginal bone loss. Conclusions: There was no significant difference in the cumulative survival rate between implants with external and internal abutment connections. After 1 year of loading, marginal bone loss was greater around the implants with an external abutment connection. However, no significant difference between the external and internal connection groups was found after 5 years. Both types of abutment connections are viable treatment options for the reconstruction of partially edentulous ridges.

• Steel and Composite Structures
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• 제42권1호
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• pp.1-22
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• 2022

In cold-formed steel (CFS) structures, such as trusses, transmission towers and portal frames, the use of back-to-back built-up CFS unequal angle sections are becoming increasingly popular. In such an arrangement, intermediate welds or screw fasteners are required at discrete points along the length, preventing the angle sections from buckling independently. Limited research is available in the literature on axial strength of back-to-back built-up CFS unequal angle sections. The issue is addressed herein. This paper presents an experimental investigation reported by the authors on back-to-back built-up CFS unequal angle sections with intermediate stiffeners under axial compression. The load-axial shortening behaviour along with the deformed shapes at failure are reported. A nonlinear finite element (FE) model was then developed, which includes material non-linearity, geometric imperfections and modelling of intermediate fasteners. The FE model was validated against the experimental test results, which showed good agreement, both in terms of failure loads and deformed shapes at failure. The validated finite element model was then used for the purpose of a parametric study comprising 96 models to investigate the effect of longer to shorter leg ratios, stiffener provided in the longer leg, thicknesses and lengths on axial strength of back-to-back built-up CFS unequal angle sections. Four different thicknesses and seven different lengths (stub to slender columns) with three overall widths to the overall depth (B/D) ratios were investigated in the parametric study. Axial strengths obtained from the experimental tests and FE analyses were used to assess the performance of the current design guidelines as per the Direct Strength Method (DSM); obtained comparisons show that the current DSM is conservative by only 7% and 5% on average, while predicting the axial strengths of back-to-back built-up CFS unequal angle sections with and without the stiffener, respectively.

• Geomechanics and Engineering
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• 제35권5호
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• pp.511-523
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• 2023

Canal-side roads frequently collapse due to an unexpectedly greater soft-clay thickness with a rapid drawdown situation. This causes annually increased repair and reconstruction costs. This paper aims to explore the effect of soft-clay thickness on the failure in the canal-side road in the case study of Phra Nakhon Si Ayutthaya rural road no. 1043 (AY. 1043). Before the actual construction, a field vane shear test was performed to determine the undrained shear strength and identify the thickness of the soft clay at the AY. 1043 area. After establishing the usability of AY. 1043, the resistivity survey method was used to evaluate the thickness of the soft clay layer at the failure zone. The screw driving sounding test was used to evaluate the undrained shear strength for the road structure with a medium-stiff clay layer at the failure zone for applying to the numerical model. This model was simulated to confirm the effect of soft-clay thickness on the failure of the canal-side road. The monitoring and testing results showed the tendency of rapid drawdown failure when the canal-side road was located on > 9 m thick of soft clay with a sensitivity > 4.5. The result indicates that the combination of resistivity survey and field vane shear test can be successfully used to inspect the soft-clay thickness and sensitivity before construction. The preliminary design for preventing failure or improving the stability of the canal-side road should be considered before construction under the critical thickness and sensitivity values of the soft clay.

• 대한치과보철학회지
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• 제42권2호
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• pp.226-237
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• 2004

Purpose: Four finite element models were constructed in the mandible having a single implant fixture connected to the first premolar-shaped superstructure, in order to evaluate how the shape of the fixture and the implant-abutment connection would influence the stress level of the supporting tissues fixtures, and prosthethic components. Material and methods : The superstructures were constructed using UCLA type abutment, ADA type III gold alloy was used to fabricate a crown and then connected to the fixture with an abutment screw. The models BRA, END , FRI, ITI were constructed from the mandible implanted with Branemark, Endopore, Frialit-2, I.T.I. systems respectively. In each model, 150 N of vertical load was placed on the central pit of an occlusal plane and 150 N of $40^{\circ}$ oblique load was placed on the buccal cusp. The displacement and stress distribution in the supporting tissues and the other components were analysed using a 2-dimensional finite element analysis . The maximum stress in each reference area was compared. Results : 1. Under $40^{\circ}$ oblique loading, the maximum stress was larger in the implant, superstructure and supporting tissue, compared to the stress pattern under vertical loading. 2. In the implant, prosthesis and supporting tissue, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 3. In the superstructure and implant/abutment interface, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 4. In the implant fixture, the maximum stress was smaller with the internal connection type (FRI) and the morse taper type (ITI) when compared to that of the external connection type (BRA & END). 5 The stress was more evenly distributed in the bone/implant interface through the FRI of trapezoidal step design. Especially Under $40^{\circ}$ oblique loading, The maximum stress was smallest in the bone/implant interface. 6. In the implant and superstructure and supporting tissue, the maximum stress occured at the crown loading point through the ITI. Conclusion: The stress distribution of the supporting tissue was affected by shape of a fixture and implant-abutment connection. The magnitude of maximum stress was reduced with the internal connection type (FRI) and the morse taper type (ITI) in the implant, prosthesis and supporting tissue. Trapezoidal step design of FRI showed evenly distributed the stress at the bone/implant interface.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권2호
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• pp.111-117
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• 2001

There are three designs of thread form in screw type implants: V-thread, Reverse buttress thread and Square thread. The purpose of this study was to find out how thread form designs have an influence on the equivalent stress, equivalent strain, maximum shear stress and maximum shear strain and which design of thread form generates more maximum equivalent stress and strain. 3-D finite element analysis was used to evaluate the stress and strain patterns of three tread types. The results of this study were as follow. 1. Under the 200N of axial load, the value of maximum equivalent stress is smallest in square thread and there is no significant difference between that of V thread and reverse buttress thread. 2. Under the 200N of axial load, the value of maximum equivalent strain is largest in V thread and smallest in square thread. 3. Under the 200N of axial load, the value of maximum shear stress is smallest in square thread and there is no significant difference between that of V thread and reverse buttress thread. 4. Under the 200N of axial load, the value of maximum equivalent strain is largest in V thread and there is no significant difference between that of square thread and reverse buttress thread. 5. Above results show that the square thread has special advantages in stress and strain compared with other thread types, especially in shear stess which is most determinant to implant-bone interface. Considering the superior biomechanical properties of square form implant, we presume that square form implant has better clinical results than the other types of implants in the same clinical conditions.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.578-585
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• 2018

본 논문은 고속철도차량에 전기기계제동장치(EMB : Electric Mechanical Brake)를 적용하기 위한 주요 구성품인 3상 매입형영구자석동기전동기(IPMSM : Interior Permanent Magnet Synchronous Motor)의 설계방법과 이를 이용한 인버터 제어시스템의 압부력제어 시뮬레이션 방법을 제안한다. 최근 자동차에서 주로 사용하는 유압식 제동장치는 유압을 발생시키기 위해 필요한 오일류와 유압 라인의 관리, 유지보수성 및 유압펌프의 동작으로 인한 효율성 등이 문제로 제기되면서 EMB에 대한 관심이 높아지고 있으나 비용증가 및 안전측면의 보완이 지속적으로 요구되고 있다. 공압식 제동장치를 주로 사용하는 철도차량은 EMB 시스템을 적용할 경우 차량 하부에 큰 공간을 차지하는 공기압축기, 제동공기통 및 연결 배관 등의 부품이 필요하지 않으므로 50% 이상의 소형화가 가능하며 인버터를 적용한 전동기 구동방식으로 인하여 상대적으로 빠른 응답속도와 정밀제어를 통해 공주거리를 단축시킬 수 있는 장점을 갖는다. 또한, 철도차량은 다수의 제동장치가 제동력을 분담하는 구조로 설계되어 자동차와 비교하여 EMB 적용이 안전측면에서 유리하다. 본 논문에서는 JMAG을 활용하여 고속철도의 제동 캘리퍼와 제동력 출력에 적합한 모터설계 및 전자계해석을 수행하였다. 제동 압부력 제어 시뮬레이션을 위해 기계구동부는 기존 EMB 시스템에 주로 적용된 볼스크류 형태의 동작방식과는 달리 고속철도차량에 적용된 편심축 회전을 이용한 구동방식으로 모델링하였다. IPMSM 제어를 통한 제동압부력 및 제동력 출력결과는 Matlab/Simulink를 활용하여 JMAG의 IPMSM 모델과 co-simulation을 통해 보였으며 결과의 타당성은 차세대고속철도(HEMU-430X)의 제동사양과의 비교를 통해 검증하였다.

• 구강회복응용과학지
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• 제33권3호
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• pp.189-198
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• 2017

목적: 외측 육각형과 내측 원추형 연결부로 설계된 임플란트 지지 하악 구치 수복물에 교합력을 가할때 발생하는 생역학 현상을 분석하고자 한다. 연구 재료 및 방법: 외측 연결형 임플란트(EXHEX)와 내측 연결형 임플란트(INCON) 그리고 이와 결합할 해당 나사와 지대주 및 크라운을 제작하였고, 하악 무치악 치조골을 설계하였다. 각 부분을 조립하여 2종의 유한요소 모형을 제작하였다. 총 120 N 크기의 수직력(L1)과 45도 측방력(L2)을 가하였고, 유한요소 응력 분석을 시행하였다. 결과: L2 측방력 하중에 의해 발생한 최대 응력은 L1 수직력 하중에 의한 것 보다 6 - 15배 더 컸다. INCON 모델은 EXHEX 모델보다 크라운 교두부에서 2.2배 더 큰 변위량을 보여 주었다. 측방력에 의해 EXHEX 모델은 나사에서, INCON 모델은 임플란트 고정체의 상단 변연부에서 폰미세스 응력의 최대값이 관찰 되었다. INCON 모델에서는 임플란트 내부 계면에서 긴밀한 접촉이 유지 되었다. 결론: 측방력이 큰 변형과 응력을 발생하였으나, 임플란트에서의 최대 응력 발생부위는 INCON과 EXHEX 모델이 서로 상이하였다.

• 대한치과보철학회지
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• 제57권3호
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• pp.288-295
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• 2019

임플란트 지지 보철물의 'passive fit'은 보철물의 장기적인 성공과 합병증의 최소화에 핵심적인 요소이다. 그리고 이 요소는 보철물의 제작과정에 의해 대부분 결정된다. 전통적인 주조 방식은 금속의 수축 변형이 발생하여 광범위한 임플란트 보철물에 적용하는데 제한이 있었다. 그러나 Computer-aided design/Computer-aided manufacture (CAD/CAM) 밀링 방식과 3D 프린팅 방식을 사용하면 이러한 한계점을 극복할 수 있다. 본 증례는 광범위한 임플란트 보철물을 사용한 완전 구강 회복 증례이다. 가철성 임시 보철물을 제작하여 심미와 기증을 평가하고 임플란트 식립을 위한 가이드로 사용하였다. 임플란트 식립 후, 임플란트 고정성 임시 보철물이 장착되었다. 추가적인 평가와 조정 후, 최종 보철물이 CAD를 사용하여 설계되었고, CAM을 사용하여 제작되었다. 전치부 임플란트의 나사 유지형 상부구조물은 밀링되어 제작되었고, 전치부 및 구치부 금속도재관의 금속구조물은 3D 프린팅되어 제작되었다. 보철물은 양호한 적합도를 보였고 술자와 환자 모두 증례의 최종 결과에 심미적, 기능적으로 만족하였다.

• 구강회복응용과학지
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• 제24권3호
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• pp.269-281
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• 2008

골유착성 임플란트 보철물에서 피로나 과하중에 의해 보철유지 나사나 지대주 나사의 파절, 보철물의 파절, 또는 고정체의 파절 등과 같은 기계적 강도와 연관된 문제점이 발생할 가능성이 높다. 임플란트 시스템의 기계적인 강도에 영향을 주는 요소에는 고정체와 나사의 직경, 재료적 특성, 연결부 디자인, 지대주 디자인 등이 있으며, 이 중 임플란트 고정체와 지대주간의 연결부 디자인은 임플란트 시스템의 기계적인 연결상태와 연결부 안정성을 결정하는 주요소이다. 대부분의 기계적 강도에 관한 연구에서처럼 단일하중에 의한 압축굽힘강도나, 단기적인 반복하중 후의 결과만을 평가하여 임플란트 시스템의 장기적인 안정성을 예측하기에는 한계가 있다. 연구 목적: 이에 본 연구에서는 external butt joint와 internal conical joint를 갖는 임플란트 시스템(오스템사)의 연결부 디자인에서 각각 다른 두 가지 지대주를 사용하여, 연결부 및 지대주 디자인이 기계적 강도에 미치는 영향을 압축굽힘강도는 물론 내구성한계를 측정하여 알아보고자 하였다. 연구 재료 및 방법: External butt joint인 US II에서는 통상적인 UCLA 지대주 형태의 Cemented abutment(BJT)와 굽힘 저항성을 증가시키기 위해 나사 두부가 지대주 상단에 위치하도록 설계된 Safe abutment(BJS)를, internal conical joint인 SS II에서는 one-piece형의 Solid abutment(CJO)와 two-piece형의 ComOcta abutment(CJT)를 지대주로 사용하였다. ISO 규정을 참고하여 단일 임플란트, 변연골 흡수, 그리고 $30^{\circ}$ 경사하중 조건에서 압축굽힘강도와 내구성한계를 측정하였고 실패 양상을 관찰한 결과 다음과 같은 결론을 얻었다. 결과 및 결론: 1. 압축굽힘강도는 BJS군(1392.0N), CJO군(1261.8N), BJT군(1153.2N), 그리고 CJT군(1110.2N) 순으로 낮아졌으며(P<.05), CJT군과 BJT군 사이에는 차이가 없었다(P>.05) 2. 내구성한계는 CJO군(600N), CJT군(453N), BJS군(360N) 그리고 BJT군(300N) 순으로 낮아졌다. 3. 압축굽힘강도는 연결부 디자인 또는 지대주 디자인에 따라 차이를 보였으며, 내구성한계에 있어서는 연결부 디자인이 더 주된 요소로 작용하였다.

• 대한치과보철학회지
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• 제40권5호
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• pp.507-524
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• 2002

Load transfer of implant overdenture varies depending on anchorage systems that are the design of the superstructure and substructure and the choice of attachment. Overload by using improper anchorage system not only will cause fracture of the framework or screw but also may cause failure of osseointegration. Choosing anchorage system in making prosthesis, therefore, can be considered to be one of the most important factors that affect long-term success of implant treatment. In this study, in order to determine the effect of anchorage systems on load transfer in mandibular implant overdenture in which 4 implants were placed in the interforaminal region, patterns of stress distribution in implant supporting bone in case of unilateral vertical loading on mandibular left first molar were compared each other according to various types of anchorage system using three-dimensional photoelastic stress analysis. The five photoelastic overdenture models utilizing Hader bar without cantilever using clips(type 1), cantilevered Hader bar using clips(type 2), cantilevered Hader bar with milled surface using clips(type 3), cantilevered milled-bar using swivel-latchs and frictional pins(type 4), and Hader bar using clip and ERA attachments(type 5), and one cantilevered fixed-detachable prosthesis(type 6) model as control were fabricated. The following conclusions were drawn within the limitations of this study, 1. In all experimental models. the highest stress was concentrated on the most distal implant supporting bone on loaded side. 2. Maximum fringe orders on ipsilateral distal implant supporting bone in a ascending order is as follows: type 5, type 1, type 4, type 2 and type 3, and type 6. 3. Regardless of anchorage systems. more or less stresses were generated on the residual ridge under distal extension base of all overdenture models. To summarize the above mentioned results, in case of the patients with unfavorable biomechanical conditions such as not sufficient number of supporting implants, short length of the implant and unfavorable antero-posterior spread. selecting resilient type attachment or minimizing distal cantilever bar is considered to be appropriate methods to prevent overloading on implants by reducing cantilever effect and gaining more support from the distal residual ridge.