• 구강회복응용과학지
• /
• 제18권4호
• /
• pp.321-329
• /
• 2002

Bending moments results from offset overloading of dental implant, which may cause stress concentrations to exceed the physiological capacity of cortical bone and lead to various kinds of mechanical failures. The purpose of this study was to compare the distributing pattern of stress on the finite element models with the different angulated placement of dental implant in mandibular posterior missing areas. The three kinds of finite element model, were designed according to 3 main configurations: Model 1(parallel typed placement of 2 fixtures), Model 2(15. distal angulated placement of one fixture on second molar area), Model 3(15. mesial angulated placement of one fixture on second molar area). The cemented crowns for mandibular first and second molars were made on the two fixtures (4mm 11.5). Three-dimensional finite element models by two fixtures were constructed with the components of the implant and surrounding bone. A 200N vertical static load were applied to the center of central fossa and the point 2mm apart from the center of central fossa on each model. The preprocessing, solving and postprocessing procedures were done by using FEM analysis software NISA/DISPLAY IV Version 10.0((Engineering Mechanics Research Corporation, USA). Von Mises stresses were evaluated and compared in the supporting bone, fixtures, and abutment. The results were as following : (1) Under the point loading at the central fossa, the direction of angulated fixture affected the stress pattern of implants. (2) Under the offset loading, the position of loading affected more on the stress concentration of implants compare to the angulated direction of implants. The results had a tendency to increase the stress on the supporting bone, fixture and screw under the offset loads when the placement angulation of implant fixture is placed toward mesial or distal direction. In designing of the occlusal scheme for angulated placement, placing the occlusal contacts axially during chewing appears to have advantages in a biomechanical viewpoint.

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

• 대한치과교정학회지
• /
• 제47권4호
• /
• pp.229-237
• /
• 2017

Objective: The aim of this study was to compare the initial stability as insertion and removal torque and the clinical applicability of novel orthodontic zirconia micro-implants made using a powder injection molding (PIM) technique with those parameters in conventional titanium micro-implants. Methods: Sixty zirconia and 60 titanium micro-implants of similar design (diameter, 1.6 mm; length, 8.0 mm) were inserted perpendicularly in solid polyurethane foam with varying densities of 20 pounds per cubic foot (pcf), 30 pcf, and 40 pcf. Primary stability was measured as maximum insertion torque (MIT) and maximum removal torque (MRT). To investigate clinical applicability, compressive and tensile forces were recorded at 0.01, 0.02, and 0.03 mm displacement of the implants at angles of $0^{\circ}$, $10^{\circ}$, $20^{\circ}$, $30^{\circ}$, and $40^{\circ}$. The biocompatibility of zirconia micro-implants was assessed via an experimental animal study. Results: There were no statistically significant differences between zirconia micro-implants and titanium alloy implants with regard to MIT, MRT, or the amount of movement in the angulated lateral displacement test. As angulation increased, the mean compressive and tensile forces required to displace both types of micro-implants increased substantially at all distances. The average bone-to-implant contact ratio of prototype zirconia micro-implants was $56.88{\pm}6.72%$. Conclusions: Zirconia micro-implants showed initial stability and clinical applicability for diverse orthodontic treatments comparable to that of titanium micro-implants under compressive and tensile forces.

• The Journal of Advanced Prosthodontics
• /
• 제12권1호
• /
• pp.33-37
• /
• 2020

PURPOSE. The purpose of this study is to evaluate the effects of type of magnet attachment and implant angulation in two implant overdenture models. MATERIALS AND METHODS. Magnet attachments used in this study were flat and dome types (MGT5515, MGT5520D, Dentium Co., Seoul, Korea). Two implants with keepers were inserted in the resin blocks at a distance of 24 mm. For the first model, the implants were parallel to the vertical and perpendicular to the horizontal; for the second model, both were angulated 5 degrees to the mesial; for the third model, both were angulated 10 degrees toward the mesial. The retentive force was measured in both vertical and lateral directions. Statistical analyses were performed using SPSS software version 22.0 (α=.05). RESULTS. The flat type magnet attachment showed the highest lateral retentive force in the 20° divergent group (P<.05) and the dome type magnet attachment showed the highest lateral retentive force in the parallel group (P<.05). The vertical and lateral retentive force of the dome type magnet attachment was greater than that of the flat type magnet attachment in every direction (P<.05). CONCLUSION. Within the limitations of this study, the dome shape magnet attachment can resist vertical and lateral retentive force more superiorly than the flat type magnet attachment, regardless of angle, in the mandibular two implant model.

• 대한치과보철학회지
• /
• 제35권4호
• /
• pp.662-673
• /
• 1997

The purpose of this study was to compare the accuracy between future impression and abutment impression using strain gauges. The master model used in this study was a partially edentulous mandibular metal cast with two fixture analogs on both sides. On the left, two future analogs were parallel, whereas right side, posterior future analog exhibiting a 15-degree lingual inclination. From master cast, 10 impressions were made for each of the three impression methods. The master frameworks was fabricated on the master model, and two-element strain gauge was attached to a master framework. The master framework was seated on each cast, and gold screws were tightened to 10 Ncm using a torque controller AI-1600 strain measurement system was used for strain measuring. Impression methods studied were : Group 1:abutment impression Group 2:fixture impression Group 3:combined impression (anterior:fixture impression, posterior:abutment impression) The results were as followed. 1. The strain values on X-axis and Y-axis according to the three impression methods showed no significant difference. 2. The strain values on parallel and angulated groups according to the three impression methods showed no significant difference. 3. The parallel group exhibited significantly higher accuracy in adaptation than angulated group for all experimental groups (p<0.05). In conclusion, it is considered that accuracy of implant prostheses is more affected by implant angulation than impression methods.

• 대한치과보철학회지
• /
• 제38권4호
• /
• pp.552-560
• /
• 2000

Purpose : The purpose of this study was to determine proper position and angulation of an implant for immediate implantation. Materials and Method : From the years 1997 to 2000. 52 Denta $scan^R$ views, 22 upper and 32 lower jaw with an average age of 43 and 40 respectively, were investigated, which comprise intact upper and lower 6 anterior teeth and premolars. On the Denta $scan^R$, the optimal placement for the immediated implantation was simulated. The measuring methods included 1) Angulation difference between tooth long axis and alveolar bone process. 2) Angulation difference of long axis between tooth and installing fixture 3) Distance between center of tooth at cervical area and center of fixture. 4) Distance from root apex to the bone limit of vital structure. One sample t-test was used for statistical analysis. Result : The results were as follows. 1) At the maxillary central incisor and lateral incisor, angulation difference of long axis between tooth and installing fixture was respectively 0.5 and 3.2 degrees with the fixture center's palatally positioned 2mm apart from tooth center. 2) At the lower anterior 6 teeth, that was about $-2.8^{\circ}\;to\;-4.6^{\circ}$ with the fixture center's lingually positioned 1mm apart from tooth center. 3) At the maxillary canine and premolar, that was respectively $11.8^{\circ}\;and \;7.2^{\circ}$ with the fixture center palatally positioned $2\sim2.4mm$ apart from tooth center. 4) At the lower premolar area, that was about $0^{\circ}\;to\;2^{\circ}$ with the fixture center's lingually positioned $0.5{\sim}1mm$ apart from tooth center. 5) Distance from root apex to the bone limit of vital structure, at the maxillary anterior and premolars. was the range of 10 to 12mm, and at the mandibular anterior teeth and the 1st premolar, that was the range of 18 to 20mm. Conclusion : The proper implant position of maxillary anterior and premolar teeth is as paralleled as or more buccally angulated than long axis of tooth with the fixture center's palatally positioned. In mandiblular anterior region, long axis of implants is lingully angulated compared with long axis of tooth and in premolar, almost parelleled with long axis of tooth and alveolar process.

• The Journal of Advanced Prosthodontics
• /
• 제15권6호
• /
• pp.290-301
• /
• 2023

PURPOSE. The study aimed to determine the influence of implant angulation on the trueness of multi-unit implant impressions taken through different techniques and strategies. MATERIALS AND METHODS. As reference models, three partially edentulous mandibular models (Model 1: No angulation; Model 2: No angulation for #33, 15-degree distal angulation for #35 and #37; Model 3: No angulation for #33, 25-degree distal angulation for #35 and #37) were created by modifying the angulations of implant analogues. Using a lab scanner, these reference models were scanned. The obtained data were preserved and utilized as virtual references. Three intraoral scanning (IOS) strategies: IOS-Omnicam, ISO-Quadrant, and IOS-Consecutive, as well as two traaditional techniques: splinted open tray (OT) and closed tray (CT), were used to create impressions from each reference model. The best-fit alignment approach was used to sequentially superimpose the reference and test scan data. Computations and statistical analysis of angular (AD), linear (LD), and 3D deviations (RMS) were performed. RESULTS. Model type, impression technique, as well as interaction factor, all demonstrated a significant influence on AD and LD values for all implant locations (P < .05). The Model 1 and SOT techniques displayed the lowest mean AD and LD values across all implant locations. When considering interaction factors, CT-Model 3 and SOT-Model 1 exhibited the highest and lowest mean AD and LD values, respectively. Model type, impression technique, and interaction factor all revealed significant effects on RMS values (P ≤ .001). CT-Model 3 and SOT-Model 1 presented the highest and lowest mean RMS values, respectively. CONCLUSION. Splinted-OT and IOS-Omnicam are recommended for multi-unit implant impressions to enhance trueness, potentially benefiting subsequent manufacturing stages.

• 구강회복응용과학지
• /
• 제36권1호
• /
• pp.29-40
• /
• 2020

목적: Encoded healing abutment와 scan body를 이용한 디지털 인상과 pick-up 인상용 코핑을 이용한 인상 채득법의 정확도를 다른 임플란트 식립 각도에서 비교 연구하고자 하였다. 연구 재료 및 방법: 3D 프린터를 이용해 주모형을 제작하고 0°, 10° 및 20°의 근심경사로 3개의 임플란트를 위치 시켰다. 각각의 임플란트에 지대주를 체결하고 주모형을 스캔하여 참조 모델을 만들었다. P군 모델은 pick-up 인상용 코핑을 사용하여 15개의 석고 모형을 만들고 지대주를 장착 후 스캔하여 제작하였다. E군과 S군의 모델은 각각 encoded healing abutment와 scan body를 주모형에 체결하고 구내 스캐너를 이용해 15회씩 인상채득을 하여 제작하였다. 각각의 실험군 STL 파일은 best fit alignment를 이용해 참조 모델과 중첩하였고 root mean square (RMS) 값을 분석하였다. 결과: RMS 값은 P군에서 가장 작았고(25.56 ± 2.53 ㎛), 그다음 S군(35.27 ± 2.56 ㎛), E군(38.29 ± 4.12 ㎛) 순 이었다. S군과 E군 사이에는 유의차가 없었고, P군은 S군과 E군 보다 작았다(P < 0.05). 임플란트 각도와 RMS 값의 상관관계는 E군에서 유의하였다(P < 0.05). 결론:Pick-up 인상용 코핑 방법은 encoded healing abutment와 scan body 인상 채득 방법에 비해 더 높은 정확도를 보였고 encoded healing abutment와 scan body 인상 방법은 정확도에서 유의한 차이가 없었다. Encoded healing abutment의 임상적 사용은 가능하나 경사진 임플란트의 인상의 경우 주의하여 사용해야 할 것으로 사료된다.

• 대한치과보철학회지
• /
• 제59권3호
• /
• pp.261-270
• /
• 2021

목적: 본 연구의 목적은 (1) 기존에 존재하던 몇 가지 다른 임플란트 인상의 정확도 평가방법들과 역공학 기술을 비교하고 (2) 역공학 기술로 임플란트 식립 방향 및 임플란트 인상용 코핑의 종류에 따른 인상 채득의 정확도를 평가하는 것이다. 재료 및 방법: 임플란트 식립 방향에 따른 세 가지 다른 마스터 모델을 제작하였고, 그 중 임플란트를 평행하게 식립한 마스터 모델에서 두 임플란트 중심점 사이의 거리를 다음과 같은 세 가지 방법으로 측정하였다 (디지털 캘리퍼를 이용한 측정 방법(그룹 DC), 광학 사진을 이용한 측정 방법(그룹 OM) 및 역공학 기술을 이용한 측정 방법(그룹 RE)). 세 종류의 마스터 모델 별로 각각 세 가지 유형의 임프레션 코핑을 이용하여 인상을 채득한 후 총 90개의 실험 모델을 제작하였으며 각 실험 모델들과 마스터 모델 간의 각도 및 거리의 오차율(error rate)을 계산하였다. 세 가지 평가 방법 간의 비교에는 One-way ANOVA가 사용되었다 (P < .05). 각 실험 그룹들의 오차율은 two-way ANOVA를 이용하여 분석하였다 (P < .05). 결과: 그룹 DC의 오차율과 그룹 RE의 오차율 간에는 통계적으로 유의한 차이가 있었지만 (P < .05), 그룹 OM의 오차율을 다른 그룹들과 비교하였을 때는 통계적으로 유의한 차이가 없었다(P > .05). 역공학 기술로 측정한 오차율의 표준 편차는 디지털 캘리퍼 및 광학 사진 측정으로 계산한 오차율의 표준 편차보다 상당히 낮았다. 하이브리드 인상용 코핑 그룹은 거리 오차율에서 픽업 인상용 코핑 그룹과 큰 차이가 없었다 (P > .05). 결론: 본 실험을 통해 역공학 기술이 임플란트 인상의 삼차원적인 정확도 평가 기법으로서의 잠재력이 있음을 확인하였다.