• 제목/요약/키워드: Screw-in force

검색결과 239건 처리시간 0.023초

초기 진단에 어려움이 있는 불안정성 족근 중족 관절 미세 손상에 대한 도수 정복 및 내고정술 후 임상적 결과 (Clinical Results after Closed Reduction and Internal Fixation for Unstable Subtle Injuries of Lisfranc Joint)

  • 유선오;박용욱;김주성;이기준
    • 대한족부족관절학회지
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    • 제8권1호
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    • pp.71-75
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    • 2004
  • Purpose: The purpose of this study was to evaluate retrospectively the clinical results of closed reduction and percutaneous screw fixation for unstable injuries on stress radiographs in subtle injuries of Lisfranc joint. Materials and Methods: From June 1997 to March 2003, 6 cases of unstable injuries on stress radiograph in subtle injuries of Lisfranc joint were treated by percutaneous cannulated screw fixation after closed reduction. All cases were injuried by indirect force (twisting injury). The average diastasis between the 1st and 2nd metatarsal base was 3 mm (2-4 mm) on initial nonweight bearing AP radiograph. The average follow-up period was 20 months. Clinical evaluation was assessed according to the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score. Results: The AOFAS midfoot score was average 86 (80-90) points. The average diastasis between 1st and 2nd metatarsal base was 2 mm (1-3 mm) on weight bearing AP radiograph in final follow up. The final diastasis was increased slightly than diastasis in initial postoperative radiographs. But the clinical results were good. There was no correlation between the degree of diastasis and the clinical results. On weight bearing lateral radiograph, the average difference with normal foot in the distance between plantar aspect of 5th metatarsus and medial cuneiform was 2 mm (0-3 mm). One case had mild arthritic change on the radiographs. Conclusion: When the Lisfranc injuries, especially in the subtle injuries were suspicious, the stress views are helpful to assess stability of the Lisfranc injuries and planning of treatment. For unstable injuries on stress radiographs in subtle injuries of Lisfranc joint, closed reduction and percutaneous screw fixation is useful method to expect good clinical results.

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Effects of crown retrieval on implants and the surrounding bone: a finite element analysis

  • Ozkir, Serhat Emre;Unal, Server Mutluay;Yurekli, Emel;Guven, Sedat
    • The Journal of Advanced Prosthodontics
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    • 제8권2호
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    • pp.131-136
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    • 2016
  • PURPOSE. The aim of this study was to observe stress concentration in the implant, the surrounding bone, and other components under the pull-out force during the crown removal. MATERIALS AND METHODS. Two 3-dimensional models of implant-supported conventional metal ceramic crowns were digitally constructed. One model was designed as a vertically placed implant ($3.7mm{\times}10mm$) with a straight abutment, and the other model was designed as a 30-degree inclined implant ($3.7mm{\times}10mm$) with an angled abutment. A pull-out force of 40 N was applied to the crown. The stress values were calculated within the dental implant, the abutment, the abutment screw, and the surrounding bone. RESULTS. The highest stress concentration was observed at the coronal portion of the straight implant (9.29 MPa). The stress concentrations at the cortical bone were lower than at the implants, and maximum stress concentration in bone structure was 1.73 MPa. At the abutment screws, the stress concentration levels were similiar (3.09 MPa and 3.44 MPa), but the localizations were different. The stress at the angled abutment was higher than the stress at the straight abutment. CONCLUSION. The pull-out force, applied during a crown removal, did not show an evident effect in bone structure. The higher stress concentrations were mostly observed at the implant and the abutment collar. In addition, the abutment screw, which is the weakest part of an implant system, also showed stress concentrations. Implant angulation affected the stress concentration levels and localizations. CLINICAL IMPLICATIONS. These results will help clinicians understand the mechanical behavior of cement-retained implant-supported crowns during crown retrieval.

Grooved abutment가 임플란트 지대주 연결나사의 안정성에 미치는 영향 (Effects of grooved abutment on stability of implant abutment screw)

  • 심일광;양승원;심준성;김지환
    • 대한치과보철학회지
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    • 제54권4호
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    • pp.387-392
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    • 2016
  • 목적: 본 연구의 목적은 grooved abutment가 지대주 나사풀림 현상에 미치는 영향을 확인하는 것이다. 재료 및 방법: 2015년 3월부터 7월까지 연세대학교 치과대학병원 보철과에 내원한 50명, 51개 임플란트에 대해서 임플란트 보철 장착 후 6개월 점검 시 지대주 연결나사의 안정성을 평가하였다. 대조군은 groove가 없는 지대주를 사용한 30개 임플란트이었고, 실험군은 groove가 있는 지대주를 사용한 21개 임플란트이었으며, Astra, Straumann, Implantium, Osstem 시스템이 사용되었다. 6개월 점검 시에 지대주 연결나사의 풀림여부를 조사하였고, 동일한 힘으로 재체결 시 지대주 연결나사의 추가 회전각을 측정하였으며, 보철물 협측하방 부위에서 PTV를 측정하였다. SPSS 프로그램을 이용하여 정규성 분석 후 Mann-Whitney 분석을 시행하였다. 결과: 51개 임플란트에 대해 보철 장착 후 6개월 점검을 시행한 바, 나사 풀림이나 보철물 파절 등의 특이할 만한 합병증은 나타나지 않았다. 6개월 후 지대주 연결나사의 추가회전각은, 실험군 평균은 $4.75^{\circ}$이었고 대조군 평균은 $7.35^{\circ}$이었으며, 통계적으로 유의한 차이는 없었다 (P = .576). PTV에서도 유의한 차이는 없었다 (P = .767). 결론: 지대주의 groove 여부가 지대주 연결나사의 안정성에 미치는 영향은 유의한 차이가 없으나, 이에 대해 좀더 장기적이고 다수의 증례를 이용한 추가적인 연구가 필요해 보인다.

Henry James's The Turn of the Screw: The Subject and the Ontological Status of the Real Gaze

  • Kim, Kyung-Soon
    • 영어영문학
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    • 제57권6호
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    • pp.999-1016
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    • 2011
  • In The Turn of the Screw, the go'erness encounters with the apparitions that harrow her throughout the story: she sees a frightening male ghost that Mrs. Grose identifies as Peter Quint, deceased former 'alet of the children's uncle, who had pre'iously shared the charge of the children with the pre'ious go'erness, Miss Jessel. The appearance of the ghosts hails the go'erness and thereby forces her to be jarred out of the comfortable habits of indi'iduality and plunged into a negati'ity de'oid of the socio-normati'e directi'es and guarantees. Such an encounter shows the idea that consciousness is a plenum of existence e'ocati'e of human mind as a decentered pandemonium. For the go'erness in The Turn of the Screw, the foundation to force her to experience the uncanny, as an inconsistency in the symbolic order, is particular. Its particularity is absolute in the same way e'ery one of us dreams his or her world. It resists mediation and cannot be made part of a symbolic medium. Just as Lacan's conceptions of desire, feminine sexuality, 'Object a,' not-whole, sla'ery, mastery, self-deception, authenticity, and act of psychoanalysis help us understand our contradictory social reality, so does The Turn of the Screw help us make sense of the way the go'erness, as the being who is capable of raising the question of being, questions the idea of being. In conclusion, the particular way the go'erness dreams her world is e'ocati'e of an excessi'e being, an anatomical complement, and a particular experience, such as the go'erness's encounter with the ghosts testifies to a knowledge that escapes the knowledge of the speaking being.

Corticotomy for orthodontic tooth movement

  • Lee, Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권6호
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    • pp.251-258
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    • 2018
  • Corticotomy was introduced as a surgical procedure to shorten orthodontic treatment time. Corticotomy removes the cortical bone that strongly resists orthodontic force in the jaw and keeps the marrow bone to maintain blood circulation and continuity of bone tissues to reduce risk of necrosis and facilitate tooth movement. In the 21st century, the concept of regional acceleratory phenomenon was introduced and the development of the skeletal anchorage system using screw and plate enabled application of orthopedic force beyond conventional orthodontic force, so corticotomy has been applied to more cases. Also, various modified methods of minimally invasive techniques have been introduced to reduce the patient's discomfort due to surgical intervention and complications after surgery. We will review the history of corticotomy, its mechanism of action, and various modified procedures and indications.

임플랜트 상부 보철물의 고정 방식에 따른 힘의 분포에 관한 연구 : 나사 유지형 대 시멘트 유지형 (A COMPARISON OF LOAD TRANSFER IN SCREW- AND CEMENT-RETAINED IMPLANT FIXED PARTIAL DENTURE DESIGNS)

  • 이주희;김창회;김영수
    • 대한치과보철학회지
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    • 제39권2호
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    • pp.125-145
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    • 2001
  • To compare the stress distribution patterns between cement-retained and screw-retained implant supported fixed prostheses according to four different abutment types, a three dimensional finite element analysis was performed. The hypothetical three unit fixed partial denture case was modelled on the three implants(10mm length and 3.75 diameter) in mandibular bone. Four angles of implantation(vertical, 10, 15 and 20 degree inclined mesially) were created and three different directions of force (vertical, oblique, horizontal) were applied at the center of the second premolar and distal end of the first molar for each cases. Within the limits of this study, the results were as follows, 1. In vertically installed cases, the more stress was concentrated at upper components, but mesially inclined cases, the more stress was concentrated at cortical bone. 2, The more inclined mesially the more stress was observed, especially at cortical bone. 3. The cement-retained models showed lower principal stress and more even stress distribution than the screw-retained models. 4. The similar stress distribution pattern was showed in model 1 and model 2, model 3 and model 4. 5. The more stress was observed when the loads were applied at the distal end of 1st molar than the center of 2nd premolar. 6 The fixture and the model as a whole, lesser stress values were observed when vertical loads were applied as compared to horizontal and oblique loads.

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쌀가루와 옥수수가루의 비율을 달리하여 제조한 생선스낵의 품질특성 (Quality Characteristics of Extruded Formulated Products Prepared from Blends of Rice Flour, Corn Flour and Fish Muscle by Single-Screw Extrusion)

  • 심영자;정복미;이기춘
    • 한국식품과학회지
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    • 제33권1호
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    • pp.45-49
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    • 2001
  • 본 연구는 single-screw extrusion puffing을 이용하여 동태, 탈지콩가루의 양은 고정시키고, 쌀가루와 옥수수가루의 함량을 달리하여 제조한 압출 성형제품의 특성을 알아보고자 실행하였다. 각 제품에 있어 일반성분에서의 통계적인 차이는 나타나지 않았으며 품질특성에서는 쌀가루 100%로 제조한 제품이 다른 제품과 비교했을 때 팽화율이 높고, 밀도가 낮으며 전단력이 가장 낮게 나타나 유의성 있는 차이를 보여주었다(P<0.05). 100% 쌀가루제품이 색도에서도 명도가 가장 높았고, 관능검사의 전반적인 바람직성 검사에서도 선호도가 높게 나타났다. 결론적으로 수산식품인 동태와 탈지콩가루를 쌀가루에 첨가하여 옥수수가루보다 팽창이 잘된 압출성형제품을 전단력이 낮은 좋은 조건에서 생산할 수 있었다. 이 결과는 차후 제품 개발에 동태를 첨가시킨 쌀가루 스낵제품을 만들 수 있는 기초자료가 될 것으로 사료된다.

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하중의 위치 및 경사에 따른 임플랜트 보철의 유한요소법적 응력분석 (Finite Element Stress Analysis of Implant Prosthesis according to Position and Direction of Load)

  • 배숙진;정재헌;정승미
    • 구강회복응용과학지
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    • 제19권4호
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    • pp.257-268
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    • 2003
  • The purpose of this study was to assess the loading distributing characteristics of implant prosthesis according to position and direction of load, under vertical and inclined loading using FEA analysis. The finite element model was designed according to standard fixture (4.1mm restorative component x 11.5mm length). The crown for mandibular first molar was made using UCLA abutment. Each three-dimensional finite element model was created with the physical properties of the implant and surrounding bone. This study simulated loads of 200N at the central fossa in a vertical direction (loading condition A), 200N at the outside point of the central fossa with resin filling into screw hole in a vertical direction (loading condition B), 200N at the centric usp in a $15^{\circ}$ inward oblique direction (loading condition C), 200N at the in a $30^{\circ}$ inward oblique direction (loading condition D) or 200N at the centric cusp in a $30^{\circ}$ outward oblique direction (loading condition E) individually. Von Mises stresses were recorded and compared in the supporting bone, fixture, and abutment screw. The following results have been made based on this study: 1. Stresses were concentrated mainly at the ridge crest around implant in both vertical and oblique loading but stresses in the cancellous bone were low in both vertical and oblique loading. 2. Bending moments resulting from non-axial loading of dental implants caused stress concentrations on cortical bone. The magnitude of the stress was greater with the oblique loading than with the vertical loading. 3. An offset of the vertical occlusal force in the buccolingual direction relative to the implant axis gave rise to increased bending of the implant. 4. The relative positions of the resultant line of force from occlusal contact and the center of rotation seems to be more important. 5. The magnitude of the stress in the supporting bone, fixture and abutment screw was greater with the outward oblique loading than with the inward oblique loading and was the greatest under loading at the centric cusp in a $30^{\circ}$ outward oblique direction. Conclusively, this study provides evidence that bending moments resulting from non-axial loading of dental implants caused stress concentrations on cortical bone. But it seems to be more important that how long is the distance from center of rotation of the implant itself to the resultant line of force from occlusal contact(leverage). The goal of improving implants should be to avoid bending of the implant.

인장력이 골조직 세포군의 DNA 및 단백합성에 미치는 영향 (THE EFFECT OF TENSILE FORCE ON DNA AND PROTEIN SYNTHESIS IN BONE CELLS)

  • 권오선;김상철
    • 대한치과교정학회지
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    • 제24권4호
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    • pp.933-943
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    • 1994
  • The present study was undertaken to determine the effect of tensile force on DNA and protein biosynthesis in bone cells, and to identify the cell type(s) which primarily respond to external physical force among the heterogenous bone cell populations. As a prerequisite for this study, two bone cell populations which retain fibroblastic and osteoblastic feature were isolated from fetal rat calvaria with sequential enzyme digestion scheme. Tensile force was delivered to each bone cell population by two acrylic resin plates connected with a orthodontic expansion screw during culture period. Rate of DNA and protein synthesis in each bone cell population were assessed by the incorporated radioactivity of $[^3H]-thymidine$ into DNA and $[^3H]-proline$ into fraction of collagenase-digestible protein and noncollagenous protein, respectively. DNA synthesis of osteoblast-like calvarial cell populations was increased significantly by the application of tensile force for 24 hours. In contrast, no alteration in DNA synthesis of fibroblast-like populations could be observed in response to applied force. Tensile force induced the change in protein synthesis of bone cell populations with the same pattern. Total protein and collagen synthesis were increased whithin 24 hours in osteoblast-like populations, but not in fibroblast-like populations by tensile force application. These findings indicate that physical force can affect cellullar activity of the particular cell population, not all cell Populations residing in bone and osteoblasts respond more sensitively than fibroblasts. So osteoblasts can modulate the behavior of other bone cells including osteoclasts by producing several local regulating factors of bone metabolism. In this context, preferential responsiveness of osteoblasts to applied tensile force observed in this study suggests that osteoblasts may play an important role in regulation of physical force-induced remodelling process.

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골내 임플랜트의 종류에 따른 광탄성 응력 분석 (PHOTOELASTIC ANALYSIS OF STRESS INDUCED BY DIFFERENT TYPE ENDOSSEOUS IMPLANTS)

  • 정재헌;장두익
    • 대한치과보철학회지
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    • 제31권4호
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    • pp.661-678
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    • 1993
  • The purpose of this study was to analyze the stress distribution at supporting bone according to the types of endosseous implants. This investigation evaluated the stress patterns in rectangular photoelastic models produced by four different types of dental implants such as $Br\ddot{a}nemark$, screw type of Steri-Oss, blade type of Steri-Oss, IMZ with IMC and resin tooth using the techniques of quasi-three dimensional photoelasticity. All prostheses were casted in the same nonprecious alloy and were cemented or screwed on their respective implants and abutments. 20 kg of vertical load was applied on the central fossa of casted crown and 16 kg of inclined had was applied on the top third of distal surface of casted crown respectively. The results were as follows : 1. Under the vertical load, screw implants of Steri-Oss and $Br\ddot{a}nemark$ showed increasing stress condition between and around the screw threads along the implant lateral surface and cylindrical implant of IMZ showed the less stress condition along the lateral surface with concentration of stress mostly near the root apex. 2. Under the vertical load, the stress of Steri-Oss blade was distributed uniformly at the alveolar bone under the broad blade. 3. Under the inclined load, the stress concentration of Steri-Oss screw and $Br\ddot{a}nemark$ was developed highly around the mesiocervical bone area on the contralateral side to force application. The stress of $Br\ddot{a}nemark$ with flexible gold glod was more concentrated in the cervical bone area than that of Steri-Oss with stiff screw. 4. Under the inclined load, the stress of Steri-Oss blade broadly was distributed around the mesioceivical bone area and the lower and mesial bone area of the blade. 5. Under the Inclined load, IMZ implant showed the gap between c개wn and fixture due ta deformation of the IMC and IMZ was lower in stress concentration developed around the mesiocervical bone area than $Br\ddot{a}nemark$ and Steri-Oss screw. 6. Under the inclined load, the stress magnitude induced in the mesiocervical bone area of implants was in order of $Br\ddot{a}nemark$, Steri-Oss strew, IMZ and Stsri-Oss blade. 7. Tilting forces as compared to axial forces exerted greater magnitude of stress in the cervical bone area of the implant. 8. In respect of stress distribution, Steri-Oss blade was superior than any other implants and in respect of the stability by horizontal lone, IMB and $Br\ddot{a}nemark$ was inferior than any other implants.

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