임플랜트 지대주와 주조 금합금과의 접합 및 부식에 관한 연구

손미경,마장선,정재헌,Son, Mee-Kyoung,Ma, Jang-Seon,Chung, Chae-Heon 대한치과보철학회 1999 대한치과보철학회지 Vol.37 No.5

The purpose of this study was to compare the casting problem and corrosion behavior in two types of HL Hexed abutments of the Steri-Oss system ; gold/plastic coping and gold coping. The anodic Polarization behavior, the galvanic corrosion between abutments and Type III gold alloys, before and after casting were analyzed, and the crevice corrosion of casting samples was analyzed with the CPPT test and the SEM. The results are as follows : 1. Anodic polarization behavior of samples ; Before casting, gold/plastic coping and gold coping was shown to have a similar corrosion pat-terns. Type III casting gold alloy was shown to have a lower corrosion potential and passivation film. Corrosion potential of the case of gold/plastic coping after casting was higher than that of gold coping, but the region of passivation film for gold/plastic coping was smaller than that of gold coping. 2. Galvanic corrosion behavior of samples ; Contact current density between casting gold alloys and gold/plastic before casting was higher than that between gold coping and casting gold alloy Galvanic corrosion of samples after casting was shown to have similar contact current density 3. Crevice corrosion behavior of samples ; Crevice corrosion resistance of casting sample using gold coping was lower than that of cast-ing sample using gold/plastic coping, and a severe corrosion pattern was observed at the abutment-casting gold alloy interface by the SEM.

T-Scan(R)3 시스템의 임상적 적용

손미경 ( Mee Kyoung Son ),김희중 ( Hee Jung Kim ),강동완 ( Dong Wan Kang ),정재헌 ( Chae Heon Chung ) 조선대학교 구강생물학연구소 2011 Oral Biology Research (Oral Biol Res) Vol.35 No.2

The diagnosis and establishment of ideal occlusion is most important factor for the patient who needs occlusal treatment or prosthetic rehabilitation. But, traditionally, dentists depend on their experiences to evaluate occlusion. With the development of digital dentistry, a computerized system for an objective analysis of dental occlusion has been introduced and is widely used. The T-Scan(R)III system is a reliable and easy-to-use clinical diagnostic device that recorded and analyzed occlusal contact forces to time using paper-thin sensors. This digital device has application in many phase of dentistry in which occlusal diagnosis and treatment are involved, and remains the only practical quantitative method to analyze the occlusion. In this study, we introduce the T-Scan(R)III system, capabilities and various clinical applications.

가철성 국소의치의 진단 및 치료계획: 진단모형 분석과 지대치 선정

손미경(Mee-Kyoung Son) 대한턱관절교합학회 2014 구강회복응용과학지 Vol.30 No.1

골격성 Ⅲ 급 부정교합을 가진 환자의 보철수복을 통한 기능 및 심미적 회복

손미경(Mee-Kyoung Son),정재헌(Chae-Heon Chung) 대한턱관절교합학회 2010 구강회복응용과학지 Vol.26 No.3

Ti-8Ta-3Nb 합금의 표면처리에 의한 백서 두개관 세포의 반응

김해진,손미경,박지일,정현주,김영준,Kim, Hae-Jin,Son, Mee-Kyoung,Park, Ji-Il,Chung, Hyun-Ju,Kim, Young-Joon 대한치주과학회 2008 Journal of Periodontal & Implant Science Vol.38 No.4

Purpose: Ti-6Al-4V alloy is widely used as an implant material because of its good biocompatibility and good mechanical property compared with commercial pure titanium. Otherwise, toxicity of aluminum and vanadium in vivo has been reported. Ti-8Ta-3Nb alloy is recently developed in the R&D Center for Ti and Special Alloys and it was reported that this alloy has high mechanical strength, no cytotoxicity and similar biocompatibility to commercial pure titanium, but many studies are needed for its clinical use. In these experiment, we carried out different surface treatment on each Ti-8Ta-3Nb alloy disks, then cultured cell on it and assessed biological response. Materials and Methods: cpTi, Ti-6Al-4V, Ti-8Ta-3Nb alloy disks were prepared and carried out sandblasting and acid etching (SLA) or alkali-heat treatment (AH) on the Ti-8Ta-3Nb alloy disks. We cultured primary rat calvarial cells on each surface and assessed early cell attachment and proliferation by scanning electron microscopy, cell proliferation, alkaline phosphatase activity. Result: The rates of cell proliferation on the cpTi, Ti-8Ta-3Nb AH disks were higher than others (p<0.05) and alkaline phosphatase activity was significantly enhanced on the Ti-STa-8Nb AH disks(p<0.05). Conclusion: Most favorable cell response was shown on the Ti-8Ta-3Nb AH surfaces. It is supposed that alkali-heat treatment of the Ti-8Ta-3Nb alloy could be induced earlier bone healing and osseointegration than smooth surface.

치근단 완성된 치아의 자가이식

이술현,손미경,박지일,김옥수,정현주,김영준,Lee, Sul-Hyun,Son, Mee-Kyoung,Park, Ji-Il,Kim, Ok-Su,Chung, Hyun-Ju,Kim, Young-Joon 대한치주과학회 2008 Journal of Periodontal & Implant Science Vol.38 No.4

Purpose: Autogenous transplantation of teeth can be defined as transplantation of teeth from one site to another in the same individual, involving transfer of impacted or erupted teeth into extraction sites or surgically prepared sockets". Successful autogenous transplantation of teeth depends upon a complex variety of factors. Such factors include damage to the periodontal ligament of the donor tooth, residual bone height of the recipient site, extra-oral time of tooth during surgery. Schwartz and Andreasen previously reported that autogenous transplantation of teeth with incomplete root formation demonstrated higher success rate than that of teeth with complete root formation. Gault and Mejare yielded similar rate of successful autogenous transplantation both in teeth with complete root formation and in teeth with incomplete root formation when appropriate cases were selected. This case report was aimed at the clinical and radiographic view in autogenous transplantation of teeth with complete root formation. Materials and Methods: Patients who presented to the department of periodontics, Chonnam National University Hospital underwent autogenous transplantation of teeth. One patient had vertical root fracture in a upper right second molar and upper left third molar was transplanted. And another patient who needed orthodontic treatment had residual root due to caries on upper right first premolar. Upper right premolar was extracted and lower right second premolar was transplanted. Six months later, orthodontic force was applied. Results: 7 months or 11/2 year later, each patient had clinically shallow pocket depth and normal tooth mobility. Root resorption and bone loss were not observed in radiograph and function was maintained successfully. Conclusion: Autogenous transplantation is considered as a predictive procedure when it is performed for the appropriate indication and when maintenance is achieved through regular radiographic taking and follow-up.

나사 시멘트 유지형 임플란트 보철물의 잔여 전부하 및 시멘트 파손에 대한 임상평가

정재헌,손미경,김석규,Chung, Chae-Heon,Son, Mee-Kyoung,Kim, Seok-Gyu 대한치과보철학회 2015 대한치과보철학회지 Vol.53 No.4

목적: 이 연구의 목적은 지대주 나사 잔여 전부하 비율과 시멘트 파손유무 평가를 통해 나사 시멘트 유지형 임플란트 보철물(screw- and cement-retained implant prosthesis: SCP)의 임상적 수행 능력을 알아보는 것이다. 재료 및 방법: 구치부 부분 무치악 환자들을 대상으로 임플란트가 식립되었으며 3 - 6개월의 치유기간 후 SCP임플란트 보철물이 장착되었다. 추적관찰을 통해 임플란트의 생존율이 평가되고 보철물 성공률도 평가되었다. SCP 보철물의 나사 잔여 전부하 비율 및 시멘트 파손 비율이 측정되었다. 결과: 20명의 환자로부터 21개의 SCP보철물(43개의 임플란트)이 최대 64개월까지 관찰되었다. 관찰기간(평균 34개월) 동안 골융합에 실패한 임플란트는 하나도 없었다. 지대주, 나사, 도재 혹은 보철물 프레임 파절이나 나사 풀림 등은 없었으므로 보철물 성공율은 100%였다. SCP 보철물의 나사 잔여 전부하 비율은 97.61% (${\pm}16.29$), 그리고 시멘트 파손비율은 9.5%이었다. 결론: 본 실험의 한계 내에서, 나사 풀림과 시멘트 파손이란 관점에서 SCP 디자인의 임플란트 보철물은 양호한 단기 임상 결과를 보였다. Purpose: The aim of this study was to evaluate the clinical performance of screw- and cement-retained implant prosthesis (SCP) design in terms of retained preload of abutment screws and cement washout. Materials and methods: Patients with the partial posterior edentulous areas comprised the study group. Implants were placed, and SCPs were delivered after 3 to 6 months healing. Follow-up examinations were performed. The implant survival rate and the prosthetic success rate were evaluated. The retained preload ratio of abutment screws and the prosthetic decementation ratio were measured. Results: Twenty one SCPs (forty three implants)in twenty patients were followed up to 64 months. All of the implants survived during the follow-up period (mean follow-up: 34 months). The prosthetic success rate was 100 % considering no abutment, screw, porcelain or metal frame fractures, as well as no screw loosening. The retained preload ratio of SCPs at the end of follow-up period was 97.61% (${\pm}16.29$) and the decementation ratio was 9.5 %. Conclusion: Within the limitations of this clinical study, SCP design showed favorable short-term clinical performances in respect of screw loosening and cement washout.

ARCUSdigma 2와 Checkbite를 사용하여 측정한 과로경사각 비교

이동인,이창희,손미경,정재헌,강동완,Lee, Dong-In,Lee, Chang-Hee,Son, Mee-Kyoung,Chung, Chae-Heon,Kang, Dong-Wan 대한치과보철학회 2013 대한치과보철학회지 Vol.51 No.3

연구 목적: 근래에 들어 체크바이트 법뿐만 아니라 디지털 센서를 이용하여 하악의 운동을 기록, 분석하여 과로각을 계산하는 방법이 개발되어 사용되어져 오고 있으나 두 방법간의 비교하는 연구는 없었다. 이에 새로운 방법인 ARCUSdigma 2 system을 이용한 방법과 전통적인 방법인 체크바이트 법으로 과로각을 측정하여 두 방법 간의 차이를 비교해 보고자 하였다. 연구 대상 및 방법: 교정치료의 경험이 없고, 제3대구치를 제외한 치아의 결손이 없고, 교합평면의 변화를 수반한 광범위한 수복이 없으며, 악관절 질환이 없는 24세부터 34세 사이의 건강한 젊은 성인 남녀(남 10명, 여 10명)를 대상으로 하여 Camper's plane을 기준으로 하여 ARCUSdigma 2 system과 왁스를 사용한 체크바이트법을 각각 3번씩 측정하였으며 교합기는 KaVo Protar Evo 7 반조절성 교합기를 사용하여 각각의 방법으로 과로경사각을 측정하였다. 두 방법 간의 자료를 SPSS 20을 이용한 Mann-Whitney U Test를 사용하여 통계적으로 분석하였다. 결과: 1. ARCUSdigma 2 system에서 전방시상과로각은 좌우 각각 $26.97^{\circ}({\pm}7.38^{\circ})$, $29.80^{\circ}({\pm}8.19^{\circ})$로 측정되었으며, 측방과로경사각은 $5.75^{\circ}({\pm}3.47^{\circ})$와 $8.10^{\circ}({\pm}4.98^{\circ})$로 측정되었다. 2. 체크바이트법에서 전방시상과로각은 좌우 각각 $25.20^{\circ}({\pm}6.53^{\circ})$, $28.18^{\circ}({\pm}7.38^{\circ})$로 측정되었으며, 측방과로경사각은 $10.97^{\circ}({\pm}5.63^{\circ})$와 $12.03^{\circ}({\pm}5.22^{\circ})$로 측정되었다. 결론:두 방법 모두 남녀간 좌우간 유의적 차이는 나타나지 않았으며 두 방법 사이에서는 측방시상과로각에서 ARCUSdigma 2를 사용하여 측정한 값이 Checkbite를 사용하여 측정한 값보다 통계적으로 유의하게 작게 측정되었다(P<.05). Purpose: Nowadays, checkbite methods and a digital sensor are used to analyze the movement of mandible. However, there are no study comparing two methods. Therefore, this study has compared measuring the condylar inclination methods by using the new ARCUSdigma 2 system and the checkbite method. Materials and methods: Young 20 adults without any orthodontic treatment experiences, missing teeth, and restorations with the change of occlusal plane were tested. Angles of condylar path were measured 3 times each, based on Camper's line, by using two methods. KaVo PROTAR Evo 7 semi-adjustable articulator was used and the data were statistically analyzed. Results: 1. The anterior sagittal condylar inclination by ARCUSdigma 2 system were measured as $26.97^{\circ}({\pm}7.38^{\circ})$ on the left side and $29.80^{\circ}({\pm}8.19^{\circ})$ on the right side. The lateral condylar inclination were measured as $5.75^{\circ}({\pm}3.47^{\circ})$ on the left side and $8.10^{\circ}({\pm}4.98^{\circ})$ on the right side. 2. The anterior sagittal condylar inclination by checkbite method were measured as $25.20^{\circ}({\pm}6.53^{\circ})$ on the left side and $28.18^{\circ}({\pm}7.38^{\circ})$ on the right side. The lateral condylar inclination were measured as $10.97^{\circ}({\pm}5.63^{\circ})$ on the left side and $12.03^{\circ}({\pm}5.22^{\circ})$ on the right side. There was no statistically significant difference between male and female (P>.05). 3. The lateral condylar inclinations of ARCUSdigma 2 were statistically significantly smaller than that of checkbite method (P<.05). Conclusion: In Both of 2 methods, there was no statistically significant difference between male and female (P>.05). However, the lateral condylar inclinations of ARCUSdigma 2 were statistically significantly smaller than that of checkbite method (P<.05).

임플란트-지대주-나사의 적합에 관한 연구

김낙형,정재헌,손미경,백대화,Kim Nak-Hyung,Chung Chae-Heon,Son Mee-Kyoung,Back Dae-Hwa 대한치과보철학회 2003 대한치과보철학회지 Vol.41 No.4

Statement of problem : There have been previous studies about considerable variations in machining accuracy and consistency in the implant-abutment-screw interfaces. Purpose : The purpose of this study was to evaluate the machining accuracy and consistency of implant/abutment/screw combinations on two randomly selected implants from each of four manufactures. Material and methods : In this study, screws were respectively used to secure a cemented abutment, to a hexlock implant fixture ; teflon coated titanium alloy screw(Torq-Tite) and titanium alloy screw in Steri--Oss system, gold-plated gold-palladium alloy screw(Gold-Tite) and titanium alloy screw in 3i system gild screw ana titanium screw in AVANA Dental Implant system, and titanium screws in Paragon System. The implants were perpendicularly mounted in polymethyl methacrylate autopolymerizing acrylic resin block(Orthodontic resin, Densply International Inc. USA) by use of dental surveyer. Each abutment screw was secured to the implant with recommended torque value using a digital torque controller. Each screw was again tightened after 10 minutes. All samples were cross sectioned with grinder-polisher unit(Omnilap 2000 SBT Inc) after embeded in liquid unsaturated polyester (Epovia, Cray Valley Inc) Results : There were the largest gaps in the neck areas of screws in hexagonal extension implants which were examined in this study. The leading edge of the abutment screw thread (superior surface) was in contact with the implant body thread, and the majority of the contacting surfaces were localized to the middle portion of the mating threads. Considerable variation in the contacting surfaces was noted in the samples evaluated. Amounts of contact in the abutment screw thread were larger for assemblies with Gold-Tite screw, gold alloy screw. Torq-Tite screw than those with titanium screws. The findings of intimate contact between the screw and screw seat were seen in all samples, regardless of manufacturers. However, microgap between the head and lateral neck surface of the screw and the abutment could be dectected in all samples. The findings of intimate contact between the platform of the implant and the bottom of the abutment were consistent in all samples, regardless of manufacturers. However, microgaps between the lateral surface of external hex of the fixture and the abutment could be dectected in all samples. Conclusion : Considerable variations in machining accuracy and consistency were noted in the samples and the implant-abutment-screw interfaces were incomplete. From the results of this study, further development of the system will be required, including improvements in pattern design.

가철성 국소의치 제작을 위한 인상채득

허유리(Yu-Ri Heo),손미경(Mee-Kyoung Son) 대한턱관절교합학회 2014 구강회복응용과학지 Vol.30 No.2