악안면 보철용 실리콘의 물리적 특성 및 색조안정성에 관한 연구

박찬진,김창회,김영수,Park, Chan-Jin,Kim, Chang-Whe,Kim, Yung-Soo 대한치과보철학회 1997 대한치과보철학회지 Vol.35 No.2

Extraoral maxillofacial prostheses are essential for restoring facial structures that are lost as a result of congenital missing, injuries from accidents, surgical treatments of head and neck cancer. Recently, silicone is the most useful material for this purpose and is more advantageous than other maxillofacial prosthetic materials. However, there are some problems for long-term usage of silicone prostheses due to tear and color change. These are major contributing environmental factors to those problems that are such as ultraviolet light, cleansing agents, changes in humidity and successive adhesion and removal. The aim of this study is to evaluate the physical properties and color changes of maxillofacial prosthetic silicone material by those environmental factors using A-2186 silicone material (Factor II, USA) and two pigments, cadmium yellow medium and cosmetic red. Aluminium molds were fabricated according to the ASTM No. D412 & D624 specifications and resulted specimens from molds were fabicated and treated as follows. Control group and experimental I group were fabricated with 0.1% wt. pigment mixing in silicone elastomer and II-1 group, II-2 group of experimental II group were fabricated with 0.2%, 0.3% wt. pigment mixing in silicone elastomer, respectively. Control group was kept in darkroom at room temperature, I-1 group was kept under natural sunlight during 1week, I-2 group was soaked in 20% soap water during 1wk. I-3 group was successively adhered and removed 200 times on inner region of arm using Daro adhesive-33. Experimental II groups were kept in darkroom at room temperature. Instron universal testing machine was used to measure the % elongation, tensile strength, tear strength of control, experimental I, II groups and reflectance spectrophotometer(COLOR EYE-3000, Macbeth, USA) was used to measure the color differences between control group and experimental I group. The results were as follows : 1. When compared with control group, natural weathering group and 20% soap-water soaking group had no significant differences in % elongation(p>0.05). 2. 200 times successive adhesion and removal group, 0.2% wt. pigment group and 0.3% wt. pigment group had significant decreases in % elongation(p<0.05). 3. Natural weathering group, 20% soap-water soaking group and 200 times successive adhesion and removal group had no significant differences in tensile strength (p>0.05). 4. 0.2%, 0.3% wt. pigment groups had significant decreases in tensile strength(p<0.05). 5. Values of all experimental groups were decreased in tear strength. and 200 times successive adhesion and removal group had significant decrease in tear strength(p<0.05). 6. Natural weathering group and 20% soap-water soaking group had significant color differences(${\Delta}E$) and it could be detectable to naked eye(p<0.05). 7. Color differences between control group and 200 times adhesion and removal group were not detectable to the naked eye (${\Delta}E<1.0$).

치과용(齒科用) 경석고(硬石膏) 의 표면경도(表面硬度) 강화(强化)에 관(關)한 실험적(實驗的) 연구(硏究)

김창회,Kim, Chang-Whe 대한치과보철학회 1969 대한치과보철학회지 Vol.9 No.1

The purpose of this studies is to determine the surface hardness of dental stone and to investigate the methods which increase the surface hardness of dental stone using the dissolved solution of various synthetic resin, the obtained results of hardness value calculated Rockwell Hardness Number by means of Rockwell Hardness Tester. 1) In this experiment, 10% polystyrene dissolved in 100cc amylacetate is excellent solution which provides the surface hardness of dental stone after setting of specimen, and there is no effective way that stone specimen is immersed into polystyrene in amylacetate, polystyrene in benzene and polystyrene in butylacetate above 1 hour. 2) When the stone specimen is immersed into acrylic resin in benzene and melamin resin in amylacetate at least 1 hour to 3 hours, the hardening effect of stone surface is valuable. 3) The stone specimen immersing into urea resin in butylacetate, the surface hardness of the stone specimen decreased within 1 hour, but increased after 3 houre. 4) For the separating medium, the easyfoil is superior to the olive oil in the aspect of improving the hardening effect of the immersed specimen.

수종의 화학소독제에 침적시킨 고무인상체의 크기안정성에 관한 연구

김형식,김창회,Kim, Hyung-Sik,Kim, Chang-Whe 대한치과보철학회 1989 대한치과보철학회지 Vol.27 No.2

Dental impression materials often become contaminated with patients' saliva and blood which creates the potential for cross-infection. It was the purpose of this study to investigate the effects of disinfection of three different rubber impression materials with four different disinfecting solutions. Polysulfide, vinyl polysiloxane and polyether impression materials were mixed according to the manufacturer's directions and samples were formed on a stainless steel model. On removal from the standard model, impressions were immersed in a disinfectant (acid-potentiated glutaraldehyde, phenollic compound, chlorine compound, iodophor) at room tempera tures for ten minutes. After disinfection, the distance between reference points(linear dimension) was measured using the non-contact automatic cordinate measuring projector(MZ-1, Nikon). Through statistical analyses on the data from this study,. the following conclusions were obtained. 1. Polysulfide, vinyl polysiloxane impressions were disinfected without dimensional change.(p>0.05) 2. Polyether impressions which were immersed in acid-potentiated glutaraldehyde were statistically different from control group.(p<0.05) But the amount of shrinkage(0.04%) would not be clinically significant. 3. By immersion of polysulfide, vinyl polysiloxane, polyether impressions in Banicide, Biocide, Multicide plus, sodium hypochlorite for ten minutes, clinically accurate impressions were obtained without dimensional change.

골조직과 임플랜트 계면의 최소접촉분율에 관한 삼차원 유한요소분석적 연구

장경수,김영수,김창회,Jang, Kyoung-Soo,Kim, Yung-Soo,Kim, Chang-Whe 대한치과보철학회 1997 대한치과보철학회지 Vol.35 No.4

In order to find the degree of osseointegration at bone-implant interface of clinically successful implants, models including the 3.75mm wide, 10mm long screw type $Br{\aa}nemark$ implant as a standard and cylinder, 15mm long, 5.0mm wide, two splinted implants, and implants installed in various cancellous bone density were designed. Also, the amount of load and material of prostheses were changed. The stress and minimum contact fraction were analyzed on each model using three-dimensional finite element method(I-DEAS and ABAQUS version 5.5). The results of this study were as follows. 1. 10mm long, 3.75mm diameter-screw type implant had $36.5{\sim}43.7%$ of minimum contact fraction. 2. Cylinder type implant showed inferior stress distribution and higher minimum contact fraction than screw type. 3. As implant length was increased, minimum contact fraction was increased a little, however, maximum principal stress was decreased. 4. Implants with a large diameter had lower stress value with slightly higher minimum contact fraction than standard screw type. 5. Two splinted implants showed no change of minimum contact fraction. 6. The higher bone density, the lower stress value. 7. The material of occlusal surface had no effect on the stress of the bone-implant interface.

OCCLUSAL SPRINT가 저작운동에 미치는 영향

김선영,김영수,김창회,Kim, Sun-Yung,Kim, Yung-Soo,Kim, Chang-Whe 대한치과보철학회 1985 대한치과보철학회지 Vol.23 No.1

Occlusal splints have been widely used in dentistry for treatment and diagnosis of signs and symptoms related to dental occlusion. The autor studyed the effect of occlusal splint on masticatory movement of young adult men (mean age 23.8 yrs.). Who had worn. occlusal splint for 1 week. The result were as follows: 1. Lateral movement of the mandible during mastication could be increased after wearing occlusal splint for 1 week. 2. Vertical movement of the mandible during mastication was increased after wearing occlusal splint for 1 week. 3. Maximum opening velocity of the mandible during mastication was increased after wearing occlusal splint for 1 week. 4. Mandibular movement during mastication was more affected by chewing of hard foods than of soft foods following occlusal changes. 5. Steepness of the anterior guidance affected several aspects of masticatory movement. 6. Masticatory movement of the mandible became more regular after wearing occlusal splint for 1 week.

BRUXISM에 관한 임상적 연구

김창회(Chang Whe Kim) 대한턱관절교합학회 1982 구강회복응용과학지 Vol.2 No.1

즉시중합 Resin이 구강조직에 미치는 영향에 관한 실험적 연구

김창회(Chang Whe Kim) 대한치과의사협회 1980 대한치과의사협회지 Vol.18 No.10

총의치 장착 환자의 저작운동시 교합시간에 관한 연구

김창회(Chang Whe Kim) 대한치과의사협회 1990 대한치과의사협회지 Vol.28 No.1

총의치제작에 Sureyer의 용도

김창회(Chang Whe Kim) 대한턱관절교합학회 1980 구강회복응용과학지 Vol.1 No.1

의치온성시 발생하는 교합 및 수직고경 변화에 관한 실험적 연구

김기성,김창회,Kim, Ki Seong,Kim, Chang Whe 대한치과보철학회 1990 대한치과보철학회지 Vol.28 No.2

The purpose of this study was to compare the amount of the vertical pin opening of $33^{\circ}$ resin and $0^{\circ}$ resin teeth during processing and to determine whether the changes in tooth contacts by using articulation ribbon and T-Scan system follow any identifiable pattern, and to determine if there is any correlation between the changes in tooth contacts and the amount of the vertical pin opening after processing. Through statistical analyses on the data from this study, the following conclusions were obtained. 1. The amounts of the vertical pin opening were 0.78m, 0.87mm for $0^{\circ}$ teeth and $33^{\circ}$ teeth, respectively. But there was no significant difference between them. 2. The total number of contact points recorded by articulating ribbon after processing was decreased to 442.5% of that before processing. 3. The mean values for the number of contact points per tooth recorded by articulating ribbon after processing were 4.3 for the second molar, 3.8 for the first molar, 1.3 for the second premolar, 0.8 for the first premolar. The reduction of contact points per tooth became greater moving in an anterior direction. 4. The correlation between the reduction of contact points and the amount of the pin opening after processing was not significant. 5. The mean values for the numbers of contact points per tooth recorded by T-Scan system after processing were 2.2, 2.5, 1.0, and 0.5 at the second molar, the first molar, the second premolar, and the first premolar, respectively. 6. The correlation between the number of contact points by using articulating ribbon and TScan system after processing was not significant.