• 한국표면공학회지
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• 제43권1호
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• pp.17-24
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• 2010

In this study, surface characteristics of dental implant fixture with various manufacturing process have been researched using electrochemical methods. The dental implant fixture was selected with 5 steps by cleaning, surface treatment and sterilization with same size and screw structure; the 1st step-machined surface, 2nd step-cleaned by thinner and prosol solution, 3th step-surface treated by RBM (resorbable blasting media) method, 4th step-cleaned and dried, 5th step-sterilized by gamma-ray. The electrochemical behavior of dental implant fixture has been evaluated by using potentiostat (EG&G Co, 2273A) in 0.9% NaCl solution at $36.5{\pm}1^{\circ}C$. The corrosion surface was observed using field-emission scanning electron microscopy (FE-SEM) and energy dispersive x-ray spectroscopy (EDS). The step 5 sample showed the cleaner and rougher surface than step 3 sample. The step 5 sample of implant fixture treated by RBM and gamma sterilization showed the low corrosion current density compared to others. Especially, the step 3 sample of implant fixture treated by RBM was presented the lowest value of corrosion resistance and the highest value of corrosion current density. The step 3 sample showed the low value of polarization resistance compared to other samples. In conclusion, the implant fixture treated with RBM and gamma sterilization has the higher corrosion resistance, and corrosion resistance depends on the step of manufacturing process.

• 구강회복응용과학지
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• 제24권1호
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• pp.57-65
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• 2008

연구목적 : 본 연구에서는 rotational freedom을 측정할 수 있는 기구를 개발하여 시중에서 유통되고 있는 국산 임플란트 및 다양한 국적의 임플란트들의 기계적인 가공오차들을 측정하여 다양한 임플란트 시스템의 component간의 기계적인 안정성을 평가하고자 한다. 또한 본 연구에서는 더 나아가 최근에 임플란트 abutment로 각광을 받고 있는 각종 ceramic abutment의 절삭 가공오차에 관한 항목을 측정하여 임플란트 제조사 및 임상의들에게 올바른 정보를 제공하고자 한다. 연구재료 및 방법 : 국내에서 유통되는 외부연결구조의 외국산 임플란트 시스템(Nobel Biocare, Anthorgyr)과 국산 시스템(Neobiotec)과 내부연결구조의 임플란트 시스템(외국산:Nobel Biocare, Anthorgyr, Straumann, Frident Dentsply, 국산:Dentium) 별로 임플란트 fixture, abutment, analog를 서로 교차 연결하여 회전각도측정기(rotational angle measuring device)로 freedom of rotational angle을 측정하였다. 국산 외부연결구조의 지르코니아 abutment(ZirAce)를 외부연결구조의 임플란트 시스템(Neobiotec, Nobel Biocare, Anthorgyr)의 fixture와 analog와 교차연결하여 freedom of rotational angle을 측정하였다. 연구결과 : 국산 외부연결구조의 임플란트 시스템은 약 2.67도(fixture와 abutment 연결시), 내부연결구조의 임플란트는 약 4.3도(fixture와 abutment 연결시)의 rotational freedom을 보였다. 국산 지르코니아 abutment는 외국산 및 국산 외부연결구조 임플란트 시스템과 상관없이 3도 이하(fixture와 연결시)의 결과를 보였다. 결 론 : 시제품으로 제작된 디지털 회전각도측정기는 높은 분해능을 갖고 있었으며, 국산 임플란트의 기계적 가공오차는 외국산 임플란트와 거의 유사했다. 국산 세라믹 abutment의 기계적 가공오차는 fixture 제조회사별로 다르게 나타났지만 같은 회사의 절삭가공된 금속 abutment와 비교시 가공오차가 더 적었다.

• Journal of Periodontal and Implant Science
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• 제35권1호
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• pp.53-63
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• 2005

Number of fixtures supporting prosthesis for rehabilitation of partial edentulism in distal area is an important factor in distal area to the bone tissue response around dental implant. Optimal number and optimal positioning of dental implant has leaded to the stable condition of bone tissue and successful long-term treatment outcome. This clinical and radiographic study was performed to document and evaluate the short-term result of occlusal rehabilitation by means of implant-supported fixed prostheses (ISPs) especially for partial edentulism in distal area in patients treated for advanced periodontal disease and to verify the number of fixture affecting the bone tissue response. A total of 30 consecutive patients referred because of advanced periodontal disease were included. Before the implant therapy was initiated, periodontal treatment was performed and the outcome evaluated during at least a 6-month period. An individual maintenance care program was designed for each patient. All 75 implants were placed using a 2-stage surgical approach. The patients were divided into 2 groups, in one of which two fixtures were placed and in the other of which three fixtures were placed with tripodal geometry. Following installation of the ISPs, all patients underwent a baseline examination including evaluation of i) oral hygiene, and ii) periodontal/ peri-implant conditions, and iii) radiographs. These examinations were repeated annually during the 1 or 2-year observation period. The results were as follows: 1.No single implant was lost during the observation follow-up period. 1.The percentage of plaque harboring surfaces and bleeding units upon probing were found to be low (<10%), and no soft tissue complications were recorded. 1.Two-fixture group showed bone destruction ranged from 0.0mm to 1.5mm and the mean was 0.31mm. Three-fixture group showed more bone destruction of 0.51mm. There was no statistically difference between two groups. These results suggested that the factor for success is not the number of fixture but the strict maintenance of peri-implant tissue health and initial stability of fixture.

• 대한치과보철학회지
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• 제42권4호
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• pp.356-372
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• 2004

Statement of problom: In the internal connection system the loading transfer mechanism within the inner surface of the implant and also the stress distribution occuring to the mandible can be changed according to the abutment form. Therefore it is thought to be imperative to study the difference of the stress distribution occuring at the mandible according to the abutment form. Purpose: The purpose of this study was to assess the loading distributing characteristics of 3 implant systems with internal connection under vertical and inclined loading using finite element analysis. Material and method: Three finite element models were designed according to the type of internal connection of ITI(model 1), Friadent(model 2), and Bicon(model 3) respectively. This study simulated loads of 200N in a vertical direction (A), a $15^{\circ}$ inward inclined direction (B), and a $30^{\circ}$ outward inclined direction (C). Result: The following results have been made based on this numeric simulations. 1. The greatest stress showed in the loading condition C of the inclined load with outside point from the centric cusp tip. 2. Without regard to the loading condition, the magnitudes of the stresses taken at the supporting bone, the implant fixture, and the abutment were greater in the order of model 2, model 1, and model 3. 3. Without regard to the loading condition, greater stress was concentrated at the cortical bone contacting the upper part of the implant fixture, and lower stress was taken at the cancellous bone. 4. The stress of the implant fixture was usually widely distributed along the inner surface of the implant fixture contacting the abutment post. 5. The stress distribution pattern of the abutment showed that the great stress was usually concentrated at the neck of the abutment and the abutment post, and the stress was also distributed toward the lower part of the abutment post in case of the loading condition B, C of the inclined load. 6. In case of the loading condition B, C of the inclined load, the maximum von Misess stress at the whole was taken at the implant fixture both in the model 1 and model 2, and at the abutment in the model 3. 7. The stress was inclined to be distributed from abutment post to fixture in case of the internal connection system. Conclusion: The internal connection system of the implant and the abutment connection methods, the stress-induced pattern at the supporting bone, the implant fixture, and the abutment according to the abutment connection form had differenence among them, and the stress distribution pattern usually had a widely distributed tendency along the inner surface of the implant fixture contacting the a butment post.

• 대한심미치과학회지
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• 제27권1호
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• pp.41-50
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• 2018

전치부 임플란트 수복에 가이드를 사용하면 다음과 같은 장점이 있다. 첫번째 전치부 임플란트 수복에 제일 중요한 픽스쳐의 위치를 확보할 수 있고, 고정이 확실하게 얻어진 경우는 픽스드로 템포러리를 딜리버리 할 수 있다. 임상에서 늘 어려운 전치부 임플란트 브릿지케이스에 가이드를 적용한 증례를 소개한다.

• 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.

• 구강회복응용과학지
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• 제20권2호
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• pp.71-81
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• 2004

The purpose of this study was to compare the distributing pattern of stress on the finite element models of two units implant prosthesis with one angulated placement of two implant fixtures. The two unit implant crowns simulated to mandibular first and second molars were made. The two kinds of finite element models were designed according to angulation of fixture ($4.0mm{\times}11.5mm$) : Model 1($15^{\circ}$ buccally angulated placement of one fixture on second molar area), Model 2($15^{\circ}$ lingually angulated placement of one fixture on second molar area). Axial loads of 200N were applied to the center of central fossa and to distance of 2mm and 4mm apart from the center of central fossa. Von-Mises stresses were recorded and compared in the fixtures, and buccolingual section of implants. The results were as follows: 1. Under axial loading at the central fossa, the stress was distributed along the straight fixture except apical portion, while on buccally or lingually angulated placement, the highest stresses were concentrated in the neck portion on the opposite side of the angulated fixture. 2. With offset distance increasing, the stresses were concentrated greater in buccal neck of lingually angulated fixture than in lingual neck of buccally angulated fixture. From the above results, in designing of the occlusal scheme for implant prosthesis with the angulated fixture, occlusal contacts should be placed to distribute stress axially in maximum intercuspation and to avoid offset force during eccentric movements.

• 대한치과보철학회지
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• 제44권5호
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• pp.584-593
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• 2006

Statement of problem : Dental implant which has been developed gradually through many experiments and clinical applications is presently used to various dental prosthetic treatments. To conduct a successful function of implant prosthesis in oral cavity for a long time, it is important that not only structure materials must have the biocompatibility, but also the prosthesis must be designed for the stress, which is occurred in occlusion, to scatter adequately of load support. Therefore, it is essential to give the consideration about the stress analysis of supporting tissues for higher successful rates. Purpose : Recently, many implant manufacturing company produce various taper design of root form implant, the fixture is often selected. However, the stress analysis of taper form fixture still requires more studies. Material and method : This study we make the element models that five implant fixture; Branemark system(Nobel Biocare, Gothenberg, Sweden), Camlog system(Altatec, Germany), Astra system(Astra Tech, Sweden), 3i system(Implant Innovations Inc, USA), Avana system(Osstem, Korea) were placed in the area of mandibular first premolar and prosthesis fabricated, which we compared with stress distribution using the three-dimension finite element analysis under two loading condition. Results : This study compares the aspect of stress distribution of each system with the standard of Von mises stress, among many resulted from finite element analysis so that this research gets the following results. 1. In all implant system, oblique loading of maximum Von mises stress of implant, alveolar bone and crown is higher than vertical loading of those. 2. Regardless of loading conditions and type of system, cortical bone which contacts with implant fixture top area has high stress, and cancellous bone has a little stress. under the vertical loading, maximum Von mises stress is more higher in order of Branemark, Camlog, Astra, 3i, Avana. under the horizontal loading, maximum Von mises is more higher in order of Camlog, Branemark, Astra, 3i, Avana.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권5호
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• pp.297-302
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• 2022

Objectives: This retrospective study aimed to analyze data on nerve damage in patients who complained of sensory changes after dental implant surgery, the clinical results according to proximity of the implant fixture to the inferior alveolar nerve (IAN) canal, and the factors affecting recovery of sensation. Materials and Methods: The electronic medical records of 64 patients who had experienced sensory change after implant surgery were reviewed. Patients were classified by sex, age, implant installation sites, recovery rate and the distance between the implant fixture and IAN canal on computed tomography (CT). The distance was classified into Group I (D>2 mm), Group II (2 mm≥D>0 mm), and Group III (D≤0 mm). Results: The 64 patients were included and the mean age was 57.3±7.3 years. Among the 36 patients who visited our clinic more than two times, 21 patients (58.3%) reported improvement in sensation, 13 patients (36.1%) had no change in sensation, and 2 patients (5.6%) reported worsening sensation. In Group II, symptom improvement was achieved in all patients regardless of the removal of the implant fixture. In Group III, 8 patients (40.0%) had reported symptom improvement with removal of the implant fixture, and 2 patients (33.3%) of recovered patients showed improvement without removal. Removal of the implant fixture in Group III did not result in any significant difference in recovery (P=0.337), although there was a higher possibility of improvement in sensation in removal cases. Conclusion: Clinicians first should consider removing the fixture when it directly invades the IAN canal. However, in cases of sensory change after dental implant surgery where the drill or implant fixture did not invade the IAN canal, other indirect factors such as flap elevation and damage due to anesthesia should be considered as causes of sensory change. Removal of the implant should be considered with caution in these situations.

• 한국정밀공학회지
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• 제25권2호
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• pp.148-155
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• 2008

The aim of the study is to interpret the distribution of occlusal force by 3-dimensional finite element analysis of ISP(Implant Supported Prosthesis) supported by minimum number of implant to restore the edentulous patients. For this study, the Astra Tech implant system is used. Geometric modeling for 6 and 4 fixture ISP group is performed with respect to the bone, implant and one piece superstructure, respectively. Implants are arbitrarily placed according to the anatomical limit of lower jaw and for the favorable distribution of occlusal force, which is applied at the end of cantilever extension of ISP with 30mm. Element type is tetrahedral for finite element model and the typical mechanical properties, Young's modulus and Poisson's ratio of each material, cortical, cancellous bone and implant material are utilized for the finite element analysis. From this study, we can see the distribution of equivalent stress equal to real situation and speculate the difference in the stress distribution in the whole model and at each implant fixture, From the analysis, the area of maximum stress is distributed on distal contact area between bone and fixture in the crestal bone. The maximum stress is 53MPa at the 0.2mm area from the bone-implant interface in the maximum side for 300N load condition for 4 fixture case, which is slightly less than the stress calculated from allowable strain. This stress has not been deduced to directly cause the loss of crestal bone around implant fixture, but the stress can be much reduced as the old peoples may have lower chewing force. Thus, clinical trial may be performed with this treatment protocol to use 4 fixtured ISP for old patients.