• 제목/요약/키워드: Fixture level

검색결과 76건 처리시간 0.026초

A short-term clinical study of marginal bone level change around microthreaded and platform-switched implants

  • Yun, Hee-Jung;Park, Jung-Chul;Yun, Jeong-Ho;Jung, Ui-Won;Kim, Chang-Sung;Choi, Seong-Ho;Cho, Kyoo-Sung
    • Journal of Periodontal and Implant Science
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    • 제41권5호
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    • pp.211-217
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    • 2011
  • Purpose: The marginal bone levels around implants following restoration are used as a reference for evaluating implant success and survival. Two design concepts that can reduce crestal bone resorption are the microthread and platform-switching concepts. The aims of this study were to analyze the placement of microthreaded and platform-switched implants and their short-term survival rate, as well as the level of bone around the implants. Methods: The subjects of this study were 27 patients (79 implants) undergoing treatment with microthreaded and platform-switched implants between October 2008 and July 2009 in the Dental Hospital of Yonsei University Department of Periodon-tology. The patients received follow-up care more than 6 months after the final setting of the prosthesis, at which time periapical radiographs were taken. The marginal bone level was measured from the reference point to the lowest observed point of contact between the marginal bone and the fixture. Comparisons were made between radiographs taken at the time of fixture installation and those taken at the follow-up visit. Results: During the study period (average of 11.8 months after fixture installation and 7.4 months after the prosthesis delivery), the short-term survival rate of microthreaded and platform-switched implants was 100% and the marginal bone loss around implants was $0.16{\pm}0.08$ mm, the latter of which is lower than the previously reported values. Conclusions: This short-term clinical study has demonstrated the successful survival rates of a microthread and platform-switched implant system, and that this system is associated with reduced marginal bone loss.

임플랜트 고정체의 형태와 연결방식에 따른 임플랜트 및 지지조직의 응력분포 (STRESS ANALYSIS OF SUPPORTING TISSUES AND IMPLANTS ACCORDING TO IMPLANT FIXTURE SHAPES AND IMPLANT-ABUTMENT CONNECTIONS)

  • 한상운;박하옥;양홍서
    • 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.

BONE RESPONSE OF THREE DIFFERENT SURFACE IMPLANTS: HISTOMORPHOMETRIC AND RESONANCE FREQUENCY ANALYSIS IN DOGS

  • Song Woo-Seok;Kim Yung-Soo;Kim Chang-Whe;Jang Kyung-Soo;Lim Young-Jun
    • 대한치과보철학회지
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    • 제42권6호
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    • pp.671-678
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    • 2004
  • Statement of problem. Reducing treatment time in implant dentistry is a matter of main concern. There are so many factors affecting the success rate of immediate or early loaded implant for the initial bone response. The especially microscopic properties of implant surfaces playa major role in the osseous healing of dental implant. Purpose. The aims of this study were to perform a histologic and histomorphometric comparison of the healing characteristics anodically roughened surface, HA coated surface and RBM surface implant, and to compare of ISQ values measured by $Osstell^{TM}$ for resonance frequency analysis in dogs mandible during 2 weeks. Material and method. Bone blocks from 2 dogs were caught after covered healing for 0 day(2 h); Group I, 1 week; Group II and 2 weeks; Group III. One longitudinal section was obtained for each implant and stained with hematoxylin and eosin. Histomorphometric analysis was done with Kappa Imagebase system to calculate bone-to-implant contact and bone volumes inside the threads. ISQ values were measured in every time of surgery schedule. Conclusion. The experiment revealed that: 1. The percentages of bone-to-implant contact on the fixture in each group were not significantly different(P > 0.05). 2. The percentages of bone area inside the threads on the fixture in each group were not significantly different(P > 0.05). 3. The ISQ level showed clinical stability of each fixture during 2 weeks(all ISQ level ${\geq}71$ ).

내측 연결형 임플란트 지대주의 체결부 길이 변화에 따른 비선형 유한요소법적 응력분석 (The non-linear FEM analysis of different connection lengths of internal connection abutment)

  • 이용상;강경탁;한동후
    • 대한치과보철학회지
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    • 제54권2호
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    • pp.110-119
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    • 2016
  • 목적: 본 연구는 임플란트 지대주의 체결부 길이와 골정에 대한 고정체 상단의 위치에 따라서, 하중 적용 시 고정체, 지대주, 나사 및 골에서의 응력 분포에 어떤 변화가 나타나는지 평가해 보고자 하였다. 재료 및 방법: 원추형 사면과 육각 기둥 형태의 회전저항구조를 갖는 내측 연결형 임플란트에서 지대주의 체결부 길이가 2.5 mm, 3.5 mm, 4.5 mm인 경우와 각 경우에서 고정체 상단이 골정과 같거나 골정보다 2 mm 상방에 위치할 때를 상정하여, 유한요소분석을 위한 모델을 총 6개 형성하였다. 각 경우에서 170 N의 30도 경사하중을 적용하였다. 결과: 6개의 유한요소분석 모델 모두에서, 임플란트는 고정체와 지대주의 체결 상단 부위에서, 주위 골에서는 골정 부근에서 최대 응력 값을 나타냈다. 지대주의 체결부 길이가 길어질수록, 주어진 하중에서 발생되는 고정체, 지대주, 나사 및 골에서의 최대 응력 값은 줄어들었다. 고정체 상단이 골정과 동일한 높이에 있는 경우보다 골정 2 mm 상방에 위치하는 경우에서 지대주의 체결부 길이가 길어질수록 모든 부위에서 더 큰 비율로 최대 응력 값의 감소를 나타내었다. 결론: 지대주의 체결부 길이가 길어질수록 모든 부위에서 주어진 하중에 따른 최대 응력 값이 줄어드는 것을 알 수 있었고, 임플란트의 기계적 및 생물학적 합병증 예방에 도움이 될 수 있을 것으로 판단된다.

인상채득방법이 임플란트 주모형의 정확성에 미치는 영향 (EFFECT OF IMPRESSION TECHNIQUE ON THE ACCURACY OF MASTER CAST FOR IMPLANT PROSTHESIS)

  • 김영오;양홍서
    • 대한치과보철학회지
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    • 제42권2호
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    • pp.238-247
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    • 2004
  • Statement of problem: Major objective in making on implant-supported prosthesis is the production of superstructure that exhibits a passive fit when connected to multiple abutments. One requirement to ensure passive fit is to make an accurate impression. Purpose : The purpose of this study was to compare the accuracy of master cast fabricated by using different impression methods at the different impression levels. Material and method: The master model used in this study was resin block having low implant analogs. Impression method studied were 1) direct method on fxiture level (Group FIX-D), 2) indirect method on fixture level(Group FIX-I), 3) modified indirect method on fixture level(Group FIX-M), 4) direct method on abutment level(Group AB-D) and 5) indirect method on abutment level(Group AB-I). Each of the five groups took 10 impressions. Fifty impressions were made for master cast by using Impregum $F^{(R)}$ impression material loaded on individual tray. Three dimensional measuring microscope was used to measure the inter-implant distance. Error rate of each inter-implant distance were calculated and evaluated. Results : The results were as follows. 1. Group FIX exhibited higher accuracy than group AB. 2. In group FIX, modified indirect method showed the highest accuracy, while indirect method showed the lowest accuracy. In group Ab, indirect method showed the higher accuracy than direct method. 3. Group FIX showed larger horizontal error than group AB. But, group AB showed the larger vertical error than group FIX. 4. Group Fix-M showed smallest vertical and horizontal error. Conclusion: An impression method have more effect on accuracy of master model than an impression level. A modified indirect method showed smallest vertical and horizontal error.

Steri-Oss 임플랜트의 임상 결과에 관한 연구 (A STUDY OF CLINICAL RESULTS ON STERI-OSS ENDOSSEOUS IMPLANTS)

  • 민영규;권혁신;정재헌
    • 대한치과보철학회지
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    • 제36권2호
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    • pp.258-272
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    • 1998
  • This investigation evaluated patients who received Steri-Oss implants from the Dental Hospital of Chosun University during the period from March 1989 to August 1997. 346 fixtures of 127 patients were included in this study. The results were as follows ; 1.The follow-up period was defined as the period between the surgical placement of the implants and the last follow-up examination. The mean follow-up period was $2.17{\pm}1.21$ years. 2.The period between fixture installation and second surgery was $0.71{\pm}0.44$ years in the maxilla and $0.46{\pm}0.21$ years in the mandible. 3.The number of fixtures which were installed in the upper jaw(112) was less than that in the lower jaw(234) and in the posterior region(260) was more than in the anterior region(86). 4.The length of fixture which was most frequently used was 12 mm and least was 8mm. Screw implants were installed more than cylindrical implants. 3.8mm implant was the most common implans, followed by 4.5mm and 3.25mm. 5.The number of augmentation cases was more than that of non-augmentation cases and the rate of augmentation cases in the maxilla was more than that in the mandible. 6.Implant restorations for partial edentulos patients(94cases) were more than single- tooth implant restorations(33cases) or implant restorations for complete edentulos patients(10cases). 7.Free-standing prostheses for partially edentulous patients were more commom than any other type of connection between implants and natural teeth. 8.Plaque Index($0.95{\pm}0.74$) and Gingival Index($0.31{\pm}0.52$) were very similar around the natural teeth and reflected an acceptable level of plaque and gingivitis control. Mean value for keratinized mucosa index($1.93{\pm}1.20$) remained fairly constant around level 2(1-2 mm keratinized epithelium). 9.Patients were generally satisfied with implant in terms of comfort, function, speech and esthetics. 10.There was not a statistically significant differences in overall survial rate between implants placed in the maxilla (91.5%) and those placed in the mandible (93.8%). Fourteen implants lost before the prosthetic rehabilitation and eleven implants lost following variable periods in function after the prosthetic phase of the treatment. 11.Cause of implant failures was exfoliation or removal of fixture due to non-osseointegration before the prosthetic rehabilitation or due to fracture of fixture, masticatory pain after the prosthetic rehabilitation. 12.The survival rate of Steri-Oss implants using the Kaplan-Meier statistical analysis was 93.8% at 2 year and 86.6% at 5 year, In all cases, implant losses occured predominantly in the healing period. There was a steep decline in the rate of implant loss after the first year. 13.The survival rate of Steri-Oss implants in the anterior region was 94.8% at 2 year and 94.8% at 5 year and that in the posterior region was 92.8% at 2 year and 75.9% at 5 year. In conclusion, this study revealed a number of parameters and guidelines for achieving an optimal success rate in osseointegration.

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기능적 부하 후 임플란트 주변의 골 흡수에 대한 방사선학적 연구 (STUDY ON RADIOGRAPHIC EVALUATION OF MARGINAL BONE LOSS AROUND OSSEOINTEGRATED IMPLANT AFTER FUNCTIONAL LOADING)

  • 최수진;지영덕;고세욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권4호
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    • pp.240-247
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    • 2009
  • Purpose: The purpose of this study was to evaluate marginal bone loss to the bone crest functionally loaded for up to eighteen months and also with regard to other variables of interest. Material and Methods: 135 endosseous implants(GS II, Osstem, South Korea) were placed in 35 patients. The design of GS II implant is straight with the microthread. Radiographic examinations were conducted at baseline (implant loading) and 3, 6, 9, 12 and 18 months after loading. Marginal bone level measurement was made from the reference point to the lowest observed point of contact of the marginal bone with the fixture. The reference point of the fixture was the border between the blasted surface and machined surface of the fixture. Results: Implants were on function for a mean 12.7 months(range, 3?18 months). For the 56 maxillary and 79 mandibular implants, mean marginal bone loss was 0.68 mm and 0.70 mm. Implants placed maxillary posterior area displayed more crestal bone loss than the other position. The difference between mesial and distal bone levels was statistically significant (p<0.05) with respective means of 0.51 mm and 0.62 mm. Also, The difference between bone graft group and no-bone graft group was statistically significant(p<0.05) with respective means of 0.38 mm and 0.66 mm. But no statistically significant influence of sex, type of surgery(one or two stage surgery), the implant length was observed(p>0.05). Conclusion: This study indicates the amount of marginal bone loss around implant has maintained a relative stable during follow-up periods.

수중구조를 위한 ICT 기반 수중통신 모니터링 장치 구현 (Implementation of ICT-based Underwater Communication Monitoring Device for Underwater Lifting)

  • 윤종화;강상일;윤달환
    • 전기전자학회논문지
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    • 제26권3호
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    • pp.396-400
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    • 2022
  • 본 연구에서는 해저에서 발견한 인체를 해수면까지 운반하는 인양백을 기반으로 수중구조를 위한 ICT 기반 수중통신 모니터링 장치를 구현한다. 인양백은 에어를 주입하는 리프트백, 사이드백, CO2 카트리지 등으로 패키지화 되어 있다. 모니터링 시스템은 휴대하기 용이한 구조로 모바일 방식으로 개발한다. 수중 초음파 센서 신호는 USB 포트를 사용하여 공급되며, O/S는 리눅스로 구성한다. 수중통신동시험은 동해안에서 수심 6m~40m까지 실시간으로 측정 시험을 진행한다. 초음파 음향센서는 2,400bps로 변환되어 2원화에 따라 전송오차를 검증한다. 센서에서 모니터링까지 통신속도는 115,200bps, 제어기에서 수신부까지 통신속도는 2,400bps를 사용한다. 리프팅 장치의 상용화 단계에서 로우엔드 타입 개발이 용이하고 호환성이 넓도록 한다.

ACHIEVING CONSISTENCY IN LIGHTING SCHEMES FOR CONSTRUCTION WORK ZONES THROUGH LIGHTING SIMULATION

  • Khaled Nassar;Soo-Young Kim
    • 국제학술발표논문집
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    • The 2th International Conference on Construction Engineering and Project Management
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    • pp.269-278
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    • 2007
  • Nighttime construction is being adopted by many state DOT's as a way to mitigate the impact of construction operations on the traveling public. Although a number of states have developed standard specifications for nighttime lighting, these standards are usually in the form of generic requirement statements that only specify minimum illuminance levels. The lighting standards do not include specific ways to achieve this illuminance level such as lighting arrangements and configurations for various work zone plans and construction operations. This leaves confusion between the traffic engineers and the contractors and does not guarantee consistency in those plans, thus affecting productivity and safety (lighting conditions account for 18% to 28% of work zone accidents). The main objective of this study is to utilize three dimensional animation and lighting analysis software to study and model lighting conditions of a construction site. This is expected to increase the safety and productivity of construction operations by achieving consistency in work zone lighting schemes. A computerized model was developed, called Nitelite. Various lighting schemes can be studied using the software to provide for typical applications including lighting fixture's locations, luminance, mounting height, tilt angle, and fixture type. The results from the developed software tool were validated through comparisons with previous research conducted using field measurements.

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차세대 LED 조명의 국내외 표준화 동향 (Trend of the National and International Standards for LED Lightings)

  • 조미령;전상규;양승용
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2009년도 춘계학술대회 논문집
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    • pp.141-144
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    • 2009
  • LED Lightings market remains highly fragmented, encompassing many niche applications. Architectural lighting is the largest and many applications are for colored (R, G, B) light. Hundreds of companies worldwide are participating at the luminaire or fixture level. Standard setting is on a fast track. The larger LED lightings market scale, the more important standardization of performance evaluation techniques to clearly prescribe the product specification.

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