• The Journal of Korean Academy of Prosthodontics
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• 제49권2호
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• pp.128-137
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• 2011

Purpose: Resonance frequency analysis, Periotest, and removal torque (RT) test were known as the methods to assess implant stability. The results of these methods are affected by the bone condition, implant diameter and shape. The purpose of this study is to access the meaning and the correlationship of the resonance frequency analysis, Periotest and RT test in osseointegration simulated acrylic resin when the engaged bone thickness and peri-implant bone defect are changed. Materials and methods: To simulate osseointegration, the fixture was fixed to an aluminum mold with a screw. Acrylic resin powder and liquid were poured into the mold for polymerization. The engaged resin thickness with implant was controlled. Simulated cortical bone thicknesses were 1, 3, 5 and 10 mm. Additional 1, 3 and 5 mm peri-implant bone defects were simulated. Three types of implants were used; 4 mm diameter implants of straight shape, 4 mm diameter implants of tapered shape and 5 mm diameter implants of tapered shape. Five fixtures per each type were tested in respective bone condition. Resonance frequency analysis and Periotest were evaluated in all bone conditions. Peak removal torque was measured at simulated cortical bone thicknesses of 1 and 3 mm. The statistical analysis was performed with the Kruskal-Wallis test, Mann-Whitney U test, and Spearman test using a 95% level of confidence. Results: With increasing engaged bone depth, the Implant Stability Quotient (ISQ) values increased and the Periotest values (PTVs) decreased (P<.001, P<.001). With increasing peri-implant bone defect, ISQ values decreased and PTVs increased (P<.001). When the diameter of implant increased, ISQ values increased and Periotest values (PTV) decreased (P<.001). There was a strong correlation between ISQ values and PTVs (r = -0.99, P<.001). Furthermore, the peak removal torque values had weak correlations with both ISQ values and PTVs (r = 0.52, P<.001 ; r = -0.52, P<.001). Conclusion: This study confirmed favorable implant stability with increasing engaged bone depth and implant diameter and decreasing peri-implant bone defect. ISQ values and PTVs showed strong correlation with each other and not with the peak removal torque values.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권4호
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• pp.301-308
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• 2007

Purpose: This study was performed to compare and evaluate the effect of recipient site depths and diameters of the drills on the primary stability of implant in pig's ribs. Materials and methods: An intact pig's rib larger than 8 mm in width and 20 mm in height; RBM(resorbable blasting media) surface blasted ${\phi}3.75mm$ and 8.0 mm long USII Osstem Implants (Osstem Co., Korea) were used. To measure the primary stability, $Periotest^{(R)}$ (Simens AG, Germany) and $Osstell^{TM}$ (Model 6 Resonance Frequency Analyser: Integration Diagnostics Ltd., Sweden) were used. They were divided into 6 groups according to its recipient site formation method: D3H3, D3H5, D3H7, D3.3H3, D3.3H5, D3.3H7. Each group had, as indicated, 10 implants placed, and total 60 implants were used. The mean value was obtained by 4-time measurements each on mesial, distal, buccal, and lingual side perpendicular to the long axis of the implant using $Periotest^{(R)}$ and $Osstell^{TM}$. For statistical analysis one-way ANOVA was used to compare the mean value of each group, and the correlation between placement depths and the primary stability, and that of measuring instruments was analyzed using SPSS 12.0. Results: The primary stability of the implants increased as the placement depths increased (p<0.05), and showed a proportional relationship (p<0.01). The primary stability increased when the diameter of the recipient site was smaller than that of the implant but with no statistical significance. There was a strong correlation between $Osstell^{TM}$ and $Periotest^{(R)}$ (p<0.01). Conclusion: These results suggest that increasing the placement depth of implants enhances the primary stability of implant.

• The Journal of Korean Academy of Prosthodontics
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• 제55권4호
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• pp.389-393
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• 2017

Purpose: The aim of this study is to evaluate the flexural strength of flexible resins and the flexibility of different resin splint (RS) systems in comparison with resin wire splint (RWS) system. Materials and methods: Three different resin materials (G-aenial flo, GA, GC; Superbond, SB, Sun medical; G-fix, GF, GC) were tested flexural strength test in accordance with ISO-4049:2000. For the flexibility test of splint systems, a artificial model with resin teeth was used to evaluate three types of resin splint systems (GA, SB, and GF) and one resin wire splint system. The left central incisor was simulated 'injured teeth' with third degree mobility. Three consecutively repeated measurements of periotest value were taken in horizontal direction, before and after splinting to access tooth mobility. The splinting effect was calculated through the periotest value. Differences were evaluated through One-way Anova and Tukey HDS post-hoc tests for pair-wise comparison (${\alpha}=.05$). Results: Although GA group showed significant higher flexural strength than SB and GF groups, all of three different resin splint systems produced a significantly higher and rigid splinting effect compared with 016" resin-wire splint system (P < .05). Conclusion: Within the limits of an in vitro study, it can be stated that resin splint systems are too rigid and may not be acceptable to treat tooth avulsion.

• The Journal of Korean Academy of Prosthodontics
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• 제46권2호
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• pp.209-216
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• 2008

Statement of problem: It is difficult about assessing the loosening tendency of conical connection type implant after cyclic loading with diamond like carbon coating one-piece abutments, and also about the retightening effect. Purpose: This study was performed to investigate the influence of one-piece abutment screw retightening after $5.0{\times}10^{4}$ cyclic loading and Diamond like coating Material and methods: Thirty two ITI implant were divided to 4 groups. Group 1,3-titanium abutment, group 2,4 - diamond like carbon coated abutment. Group 1,2 - $20.0{\times}10^{4}$ cyclic loading after $5.0{\times}10^{4}$ cyclic loading, Group 3,4- after $20.0{\times}10^{4}$ Cyclic loading. After cyclic loading, periotest values were taken and removal torque values of abutments were measured with a digital torque gauge. Results: 1. The removal torque of group 2 after $5.0{\times}10^{4}$ cyclic loading is slightly greater than the other groups but not significantly higher than others (P>0.05). 2. The final removal torque values after $20.0{\times}10^{4}$ cyclic loading of group 1 is bigger than group 3, and group 2 is bigger than group 4, but not significantly higher (P>0.05). 3. The final removal torque values after $20.0{\times}10^{4}$ cyclic loading of all groups are not significantly different (P>0.05).

• The Journal of Korean Academy of Prosthodontics
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• 제39권6호
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• pp.625-632
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• 2001

Statement of Problem. Objective and quantitative measurement of implant stability is very important from implant installation to long-lasting maintenance period thereafter. Purpose of study. This study was to evaluate and compare two ISQ and PTVs on the implant stability measurements according to the increased effective implant length. Materials and methods. Twenty self-tapping fixtures were installed in the bovine scapula and in 10 of those for group I, ISQ and PTVs were obtained in the vertical/horizontal directions according to the increased effective implant length using $Osstell^{TM}$ and $Periotest^{(R)}$. After stability measurement, removal torques were measured between the after installation and after thread exposure group. Results. ISQ and PTVs showed decreased and increased values according to the increased abutment length. Apart from PTVs, ISQ values were shown higher in horizontal direction to the long axis of bone in both the after installation and the after thread exposure groups. Removal torque values were shown higher in after installation group. Conclusion. From the results of this study, implant stability measurement using resonance frequency analysis was more sensitive and discriminative than PTVs measurement.

• The Journal of Korean Academy of Prosthodontics
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• 제46권1호
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• pp.31-41
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• 2008

Statement of problem: It has been proved that Pleurotus eryngii Quel and Eleutherococcus senticosus have antiinflammatory action and not only stimulates the proliferation and activity of osteoblast but inhibits the generation and activity of osteoclast in vitro. Pleurotus eryngii Quel and Eleutherococcus senticosus are the main component of $OPB-K^{(R)}$. Purpose: The purpose of this study was to evaluate $OPB-K^{(R)}$ which enhances the healing rate of peri-implant bone and the bone mineral density. Materials and methods: Thirty six specially designed implants were installed in the tibia of rats. The group medicated with $OPB-K^{(R)}$ was the experimental group, and that without was the control group. hen the implant stability was measured by $Periotest^{(R)}$. Bone mineral density and histological measurement were conducted at the 2nd, 4th and 6th week $Periotest^{(R)}$ and bone mineral density values were analyzed statistically with independent t-test at 95% confidence level(p<0.05). Results: The results of this study were as follows : 1. There was no statistically significant difference in $Periotest^{(R)}$. values between the experimental group and control group at the 2nd week, however, on the 4th and 6th week there was significant difference(p<0.05). 2. There was no statistically significant difference in bone mineral density between the experimental group and control group at the 2nd and 4th week, however on the 6th week there was significant difference(p<0.05). 3. Histological analysis showed difference in osseointegration on the 4th and 6th week between the groups. Conclusion: From the results, it is concluded that the $OPB-K^{(R)}$ medicated group showed statistically better results in bone density and stability than the control group. Clinically it would be better to medicate $OPB-K^{(R)}$ to patients for a long period of time after implantation to get superior results.

• The korean journal of orthodontics
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• 제40권1호
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• pp.34-39
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• 2010

Objective: The aim of the present study was to evaluate the changes in tooth mobility following orthodontic treatment and to obtain information regarding the guideline of retainer wear duration during the post-treatment period. Methods: The sample consisted of twenty patients who had been treated with edgewise appliances. The mobility of the maxillary teeth from the central incisor to the first molar was measured bilaterally by way of the $Periotest^{(R)}$, a non-invasive, electronic device that provides an objective measurement of the reaction of the periodontium to a defined impact load. Tooth mobility was monitored at the time of the removal of the orthodontic appliances and subsequently at three-month intervals during the two years following appliance removal. Results: Tooth mobility decreased rapidly for the first six months and then decreased at a slower rate during the next six months; no statistically significant decrease in mobility was observed during the second year following appliance removal. Conclusions: The results of the present study suggest that adequate tooth stabilization is critical during the first six months following appliance removal and that continued wearing of retainers is recommended at least until twelve months after the completion of orthodontic treatment.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권2호
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• pp.112-116
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• 2012

Purpose: This study attempts to compare the stability of hydroxy-apatite coating implant with that of sandblasted, large-grit and acid-etched surface implant at an early state of installation. Methods: 35 implants were installed in 18 patients, who had visited hospital for implant installation. The early stability at operation, 6 weeks and 12 weeks after operation using Osstell$^{TM}$ mentor (Integration Diagnostics, Savedalen, Sweden) and Periotest$^{(R)}$ (Siemens AG, Benssheim, Germany) were measured, and subsequently analyzed statistically. Results: OsstellTM mentor value of hydroxy-apatite coated implant (HAPTITE) was measured as $70.14{\pm}9.07$ at the stage of installation, $76.98{\pm}5.25$ at 6 weeks and $80.28{\pm}4.23$ at 12 weeks after installation. A statistically significant increase in measurement value was observed after 6 weeks and 12 weeks than when implants were placed. In case of IMPLANTIUM (DENTIUM Co. Ltd., Seoul, Korea), the measurement value was $74.68{\pm}7.42$ at installation, $79.03{\pm}4.39$ at 6 weeks and $80.59{\pm}3.59$ at 12 weeks after installation. In addition, a statistically significant increase in the value was observed when comparative analysis of the value at after installation and 12 weeks after installation was carried out. However, no significant difference between HAPTITE and IMPLANTIUM was observed. The average measurement value of periotest$^{(R)}$ was $-1.94{\pm}3.90$ at installation of HAPTITE, $-4.03{\pm}1.48$ at 6 weeks and $-5.00{\pm}1.71$ at 12 weeks after installation. Moreover, whilst comparing the value at after installation and 12 weeks after installation, statistically significant decrease in the value was observed. In case of IMPLANTIUM, the average measurement value was measured as $-4.25{\pm}1.76$ at installation, $-4.76{\pm}0.97$ at 6 weeks and $-5.18{\pm}0.91$ at 12 weeks after installation and no statistically significant difference was observed. Furthermore, no statistically significant difference was observed between HAPTITE and IMPLANTIUM. Conclusion: In this study, both the implants demonstrated favorable early stability at the time of measurement using Osstell$^{TM}$ mentor and Periotest$^{(R)}$. Moreover, based on the observed results, both HAPTITE and IMPLANTIUM are considered as potent to exhibit clinically stable and prognostic results.

• Journal of Periodontal and Implant Science
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• 제37권2호
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• pp.223-236
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• 2007

This study was attempted to evaluate home-manufactured implants by placing $Stage-1^{(R)}$ Implant (Lifecore, Co., USA) whose surface is treated with REM that has already been varified clinically,$Chaorum^{(R)}$ Implant(Chaorum Co., Korea) whose surface treatment is same as that of Stage-1 Implant and $Atlas^{(R)}$ Implant(Cewellmedi Co., Korea) whose surface is treated with anodic oxidation immediately after the teeth of experimental animals were extracted to compare histological findings among them. Stage-l Implant(diameter: 3.5mm, length: IOmm), Chaorum Implant(diameter: 3.3mm, length: 8.5mm) and Cowell medi Implant(diameter: 4.0mm, length: 8.0mm) were placed into the mandible premolars of 2 adult beagle dogs immediately after their teeth were extracted, and then histological findings were analyzed at 6 weeks. After those implants were inserted directly after their teeth were extracted, the results of periotest were recorded, radiography was done, the subjects went through thorough control for 6 weeks, and then comparison among periotest, radiography and histological finding was made. After comparison of those findings, the values of periotest were satisfactory and bone healing was relatively satisfactory on radiography at 6 weeks. For osseointegration with the bone tissue, Stage-1 was 45.3%, Chaorum 55.3%, and Cowellmedi 52.5%, which was a satisfactory result. Although implant surgery immediately after teeth were extracted involves difficulties among recent implant surgeries, it is being frequently used in that it may reduce surgery hours, the frequency of surgery, and bone loss for patients. This experiment was conducted to evaluate the technological levels of home-manufactured implants that have been remarkably developed in recent years and in conclusion, those implants showed nearly similar result.

• Journal of Periodontal and Implant Science
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• 제25권2호
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• pp.290-300
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• 1995

Tooth mobility is one of the most important clinical parameters in examination, diagnosis, prognosis and treatment planning procedure. In order to determine the differences of tooth mobility according to radiographical bone level, clinical root length, clinical crown/root ratio, and bleeding on probing, 90 male adults with periodontal disease and 10 male adults with periodontal health($25{\sim}45$ years old) were selected through clinical examinations including occlusal relationship, probing depth, attachment level, and bleeding on probing. On the mandibular anterior teeth, standard periapical radiographs were taken, and tooth mobility was measured by Periotest(Siemens Co., Germany). The radiographic bone level of individual tooth was evaluated as coronal 1/3, middle 1/3, and apical 1/3 to anatomical root length, and clinical crown length from incisal edge to bone level and clinical root length from bone level to root apex were measured with Boley gauge, and subsquently clinical crown/root ratio was calculated. The difference of tooth mobility(Periotest value) according to radiographical bone level, clinical root length, clinical crown/root ratio, and bleeding on probing was statistically analyzed by unpaired Student t-test. Tooth mobility was significantly higher in bleeding group than non-bleeding group on probing in the teeth radiographic bone level of middle 1/3, with clinical root length longer than 6mm, and with clinical crown/root ratio over 0.3(p<0.01). But there was no statistical difference in tooth mobility between bleeding group and non-bleeding group on probing in the teeth with radiographic bone level of apical 1/3, with short clinical root length less than 5mm, and with clinical crown/root ratio under 0.2(p>0.05). The results note that the tooth mobility depends on clinical root length, clinical crown/root ratio and gingival inflammation, and in the teeth with relatively good alveolar bone support gingival inflammation is one of the most important factors that affect tooth mobility.