• The Journal of Advanced Prosthodontics
• /
• 제10권5호
• /
• pp.340-346
• /
• 2018

PURPOSE. In this study, the shear bond strengths (SBS) of luting cements to fixed superstructure metal surfaces under various seating forces were investigated. MATERIALS AND METHODS. Seven different cements [Polycarboxylate (PCC), Glass-Ionomer (GIC), Zinc phospahate (ZPC), Self-adhesive resin (RXU), Resin (C&B), and Temporary cements ((RXT) and (TCS))] were bonded to a total number of 224 square blocks ($5{\times}5{\times}3mm$) made of one pure metal [Titanium (CP Ti) and two metal alloys [Gold-Platinum (Au-Pt) and Cobalt-Chrome (Co-Cr)] under 10 N and 50 N seating forces. SBS values were determined and data were analyzed with 3-way ANOVA. Pairwise comparisons and interactions among groups were analyzed with Tukey's simultaneous confidence intervals. RESULTS. Overall mean scores indicated that Co-Cr showed the highest SBS values ($1.96{\pm}0.4$) (P<.00), while Au-Pt showed the lowest among all metals tested ($1.57{\pm}0.4$) (P<.00). Except for PCC/CP Ti, RXU/CP Ti, and GIC/Au-Pt factor level combinations (P<.00), the cements tested under 10 N seating force showed no significantly higher SBS values when compared to the values of those tested under 50 N seating force (P>.05). The PCC cement showed the highest mean SBS score ($3.59{\pm}0.07$) among all cements tested (P<.00), while the resin-based temporary luting cement RXT showed the lowest ($0.39{\pm}0.07$) (P<.00). CONCLUSION. Polycarboxylate cement provides reliable bonding performance to metal surfaces. Resin-based temporary luting cements can be used when retrievability is needed. GIC is not suitable for permanent cementation of fixed dental prostheses consisting of CP Ti or Au-Pt substructures.

• 대한치과기공학회지
• /
• 제39권1호
• /
• pp.35-42
• /
• 2017

Purpose: The purpose of this paper was to evaluate the occurrence of errors regarding adaptation by conducting a three-dimensional assessment comparing the bridge type dental restoration after the cutting process, which has multiple abutments, with a single type dental restoration. Methods: By using ten identical files obtained by scanning the master model, thirty designs were created consisting of ten maxillary right first premolars and ten maxillary right first molars with single crown abutments, along with ten bridge designs with the identical abutment. A 5-axis milling machine was used to produce the design file. The produced denture prostheses were scanned using a silicone replica for a STL file. An evaluation was conducted using 3D analysis software on the master model and each of the thirty data files. Results: The RMS value of the pre-molar (14) was $38.4{\pm}4{\mu}m$ for single and $54.7{\pm}6{\mu}m$ for bridge abutment; therefore, a statistically significant difference was observed for single and bridge designs although both shared the same abutment form (P<.05). Also, the RMS value of the molar (16) was $47.6{\pm}2{\mu}m$ and $56.6{\pm}5{\mu}m$ for the single and bridge designs, respectively, thereby presenting a statistically significant difference (P<.05). Conclusion: As a result, dental prosthesis fabricated using the single method presented better internal adaptation outcomes.

• 치위생과학회지
• /
• 제12권6호
• /
• pp.566-571
• /
• 2012

제한된 조건 하에서 수행된 본 연구에서는 다음과 같은 결론을 얻었다. 1. 치형과 고정성 보철물을 근 원심 방향의 단면에 8지점을 선정한 후 서로 다른 두 가지 방식으로 적합도를 측정하여 비교한 결과 8지점 모두에서 유의한 차이를 보이지 않았다(p<0.05). 2. 8지점을 변연부, 경사부, 축벽부, 교합면으로 분류하여 비교한 결과에서도 역시 두 측정 방법 간에 유의한 차이를 보이지 않았다(p<0.05). 이와 같은 결과를 바탕으로 실리콘 복제본 기술을 이용하여 적합도를 측정하는 것이 치형과 고정성 보철물을 직접 절단하여 단면을 측정하는 것만큼 정확하다는 결론을 얻었다. 따라서 고정성 보철물의 적합도 측정 시 비 파괴적인 방법인 실리콘 복제본 기술을 이용한다면 치형과 고정성 보철물 모두 파괴하지 않고 측정이 가능할 것으로 사료된다.

• 대한치과기공학회지
• /
• 제45권2호
• /
• pp.31-38
• /
• 2023

Purpose: This in vitro study aimed to compare the trueness of 3-unit fixed dental provisional prostheses (FDPs) fabricated by three different additive manufacturing and subtractive manufacturing procedures. Methods: A reference model with a maxillary left second premolar and the second molar prepped and the first molar missing was scanned for the fabrication of 3-unit FDPs. An anatomically shaped 3-unit FDP was designed on computer-aided design software. 10 FDPs were fabricated by subtractive (MI group) and additive manufacturing (stereolithography: SL group, digital light processing: DL group, liquid crystal displays: LC group) methods, respectively (N=40). All FDPs were scanned and exported to the standard triangulated language file. A three-dimensional analysis program measured the discrepancy of the internal, margin, and pontic base area. As for the comparison among manufacturing procedures, the Kruskal-Wallis test and the Mann-Whitney test with Bonferroni correction were evaluated statistically. Results: Regarding the internal area, the root mean square (RMS) value of the 3-unit FDPs was the lowest in the MI group (31.79±6.39 ㎛) and the highest in the SL group (69.34±29.88 ㎛; p=0.001). In the marginal area, those of the 3-unit FDPs were the lowest in the LC group (25.39±4.36 ㎛) and the highest in the SL group (48.94±18.98 ㎛; p=0.001). In the pontic base area, those of the 3-unit FDPs were the lowest in the LC group (8.72±2.74 ㎛) and the highest in the DL group (20.75±2.03 ㎛; p=0.001). Conclusion: A statistically significant difference was observed in the RMS mean values of all the groups. However, in comparison to the subtractive manufacturing method, all measurement areas of 3-unit FDPs fabricated by three different additive manufacturing methods are within a clinically acceptable range.

• 대한치과보철학회지
• /
• 제60권1호
• /
• pp.44-54
• /
• 2022

다수 치아의 상실 상태로 장시간 지속시 구치부 지지의 부족 및 치아들의 과정출이 발생되어 교합 부조화, 수직고경 상실 및 기능 장애 등의 심각한 문제가 초래된다. 본 증례는 장기간 다수치아 결손으로 인하여 대합치가 정출하면서 교합평면의 붕괴가 일어난 환자의 완전 구강 회복에 관한 증례이다. 상기 환자는 서울대학교 치과병원 치과보철과로 내원한 68세 남환으로 오래된 상악 의치를 빼다가 치아가 함께 발거되었으며, 하악 전치부가 상악 전치부와 강하게 닿아서 불편함을 호소하며 내원하였다. 여러가지 평가를 통해 수직고경을 4 mm 거상하였으며, 무치악부는 진단 및 치료계획시 설계한 최종 보철 수복물 제작을 고려하여 정확한 임플란트 식립을 위해 CAD-CAM (Computer-aided design-computer-aided manufacturing) 기술을 이용한 Computer guided implant surgery를 시행하고, 임플란트 고정성 보철 수복으로 진행하였고, 환자는 저작, 기능 및 심미 모두 큰 개선에 만족하였다.

• Journal of Periodontal and Implant Science
• /
• 제50권5호
• /
• pp.340-354
• /
• 2020

Purpose: This pilot study was conducted to evaluate the cleaning efficacy of an angled implant brush for home oral hygiene of full-arch fixed-implant prostheses. Methods: Forty-one patients treated with a full-arch implant rehabilitation in the maxilla or mandible (164 implants) for at least 4 months were enrolled. The screw-retained fixed prostheses were removed and baseline (T0) parameters were recorded, including plaque index (PI), probing depth (PD), and bleeding on probing (BOP). All patients completed a 5-item questionnaire on hygiene maintenance and received an implant brush for home hygiene. After 1 month (T1) PI, PD, and BOP were recorded again and patients completed a 7-item questionnaire to evaluate their satisfaction with the implant brush. One-way repeated-measures analysis of variance was conducted to evaluate the significance of changes in PI, PD, and BOP. A P value <0.05 was considered to indicate statistical significance. Results: A statistically significant reduction of BOP (0.62±0.6 at T0 vs. 0.5±0.5 at T1; P=0.032) was found, while no statistically significant changes in PD (1.74±0.5 mm at T0 vs. 1.77±0.5 mm at T1; P=0.050) or PI (1.9±0.7 at T0 vs. 1.7±0.7 at T1; P=0.280) occurred. According to the 7-item questionnaire, patients reported no difficulty in using the angled brush (63.4%) and deemed it highly (46.3%) or very highly (4.8%) effective in improving their home oral hygiene. Conclusions: Within the limits of the present pilot study, the patients experienced a reduction of BOP 1 month after being instructed to use the angled implant brush. The angled implant brush appeared to be a well-accepted device for home-care hygiene of full-arch fixed-implant rehabilitations.

• 대한치과보철학회지
• /
• 제34권4호
• /
• pp.675-686
• /
• 1996

Today, dental implants are an acceptable alternative, capable of providing bone-anchored fixed prostheses for improved quality of life and self esteem for many patients. Research advances in dental implantology have led to the development of several different types of materials, and it is anticipated that continued research will likewise lead to advanced dental implant materials. Currently used pure titanium has relatively low hardness and strength which possibly limits its ability to resist the functional loads as a dental implant. Ti-6Al-4V also has potential problems such as corrosion resistance, bone biocompatibility etc. The carefully selected Zr, Nb, Ta, Pd, In constituents could improve mechanical strength, corrosion resistance, and biocompatibility compared to that of currently used implant metals. On the basis of the totality of the data from our study, it can be concluded that new titanium alloys containing Zr, Nb, Ta, Pd, In are able to provide improved mechanical properties, corrosion resistance and biocompatibility to warrant further investigation of it's potential as new biomaterials for dental implants.

• 구강회복응용과학지
• /
• 제32권3호
• /
• pp.158-168
• /
• 2016

본 논문은 기존에 선행되었던 연구들을 바탕으로 고정성 보철물의 내면 및 변연적합도를 평가하는 여러 가지 방법에 관하여 정리하였으며, 각 방법에 대한 장, 단점에 대해 언급하였다. 보철물의 적합도를 평가하는 방법은 크게 임상적 평가법과 실험실 평가법으로 분류할 수 있다. 임상적 평가법에는 탐침 검사법, 방사선 사진 검사법, 인상채득법이 있으며, 실험실 평가법에는 현미경을 이용하는 변연부 측정법, 절단면 측정법, 실리콘 복제 측정법, 그리고 마이크로 CT나 조면계를 사용하여 측정하는 방법 등이 있다. 최근 스캐닝 기법이 발전하면서 내면 및 변연적합도를 3차원적으로 평가하는 것이 가능해졌으며, 앞으로 측정법 및 분석법의 개발에 따라 보철물의 적합도 평가가 더욱 간편해지고 효과적으로 변화할 것이라 생각된다.

• 대한치과보철학회지
• /
• 제46권3호
• /
• pp.290-297
• /
• 2008

STATEMENT OF PROBLEM: Implant-supported fixed cantilever prostheses are influenced by various biomechanical factors. The information that shows the effect of implant number and position of cantilever on stress in the supporting bone is limited. PURPOSE: The purpose of this study was to investigate the effect of implant number variation and the effect of 2 different cantilever types on stress distribution in the supporting bone, using 3-dimensional finite element analysis. MATERIAL AND METHODS: A 3-D FE model of a mandibular section of bone with a missing second premolar, first molar, and second molar was developed. $4.1{\times}10$ mm screw-type dental implant was selected. 4.0 mm height solid abutments were fixed over all implant fixtures. Type III gold alloy was selected for implant-supported fixed prostheses. For mesial cantilever test, model 1-1 which has three $4.1{\times}10$ mm implants and fixed prosthesis with no pontic, model 1-2 which has two $4.1{\times}10$ mm implants and fixed prosthesis with a central pontic and model 1-3 which has two $4.1{\times}10$ mm implants and fixed prosthesis with mesial cantilever were simulated. And then, 155N oblique force was applied to the buccal cusp of second premolar. For distal cantilever test, model 2-1 which has three $4.1{\times}10$ mm implants and fixed prosthesis with no pontic, model 2-2 which has two $4.1{\times}10$ mm implants and fixed prosthesis with a central pontic and model 2-3 which has two $4.1{\times}10$ mm implants and fixed prosthesis with distal cantilever were simulated. And then, 206N oblique force was applied to the buccal cusp of second premolar. The implant and superstructure were simulated in finite element software(Pro/Engineer wildfire 2.0). The stress values were observed with the maximum von Mises stresses. RESULTS: Among the models without a cantilever, model 1-1 and 2-1 which had three implants, showed lower stress than model 1-2 and 2-2 which had two implants. Although model 2-1 was applied with 206N, it showed lower stress than model 1-2 which was applied with 155N. In models that implant positions of models were same, the amount of applied occlusal load largely influenced the maximum von Mises stress. Model 1-1, 1-2 and 1-3, which were loaded with 155N, showed less stress than corresponding model 2-1, 2-2 and 2- 3 which were loaded with 206N. For the same number of implants, the existence of a cantilever induced the obvious increase of maximum stress. Model 1-3 and 2-3 which had a cantilever, showed much higher stress than the others which had no cantilever. In all models, the von Mises stresses were concentrated at the cortical bone around the cervical region of the implants. Meanwhile, in model 1-1, 1-2 and 1-3, which were loaded on second premolar position, the first premolar participated in stress distribution. First premolars of model 2-1, 2-2 and 2-3 did not participate in stress distribution. CONCLUSION: 1. The more implants supported, the less stress was induced, regardless of applied occlusal loads. 2. The maximum von Mises stress in the bone of the implant-supported three unit fixed dental prosthesis with a mesial cantilever was 1.38 times that with a central pontic. The maximum von Mises stress in the bone of the implant-supported three-unit fixed dental prosthesis with a distal cantilever was 1.59 times that with a central pontic. 3. A distal cantilever induced larger stress in the bone than a mesial cantilever. 4. A adjacent tooth which contacts implant-supported fixed prosthesis participated in the stress distribution.

• 대한치과보철학회지
• /
• 제31권3호
• /
• pp.447-459
• /
• 1993

A two dimensional finite element model was constructed to analyze the mechanical behavior of four unit fixed partial dentures (FPD) with a 2nd premolar abutment either employing a rigid or nonrigid connector and a 2nd molar abutment(Branemark implant, IMZ implants and natural tooth). Gap elements were used to model the clearance space of the nonrigid connectors and each components of implants. All FPDs with a implant abutment alter the patterns of stress distribution and displacement, but the magnitude of stress in the periodontium was not greater than that of the control. A FPD with rigid connectors induced the smaller stresses in the periodontium than a FPD with a nonrigid connector. A FPD with a Branemark implant exhibited the more desirable mechanical stress states as compared to the IMZ implants with IME or IMC.