의치상 직접 이장레진의 색조 안정성

강은숙,전영찬,정창모,Kang Eun-Sook,Jeon Young-Chan,Jeong Chang-Mo 대한치과보철학회 2003 대한치과보철학회지 Vol.41 No.2

Statement of problem : Direct denture reline resins tend to discolor during service in the oral environment by intrinsic and extrinsic factor. Purpose : This study was designed to evaluate the color stability of direct denture reline resins. Material and methods : Mild Rebaron(GC Corp., Japan), Meta Base M(Sun medical Co., Japan), Mild Rebaron LC(GC Corp., Japan) and as a control group, Vertex SC(Dentimex Zeist, Holland) were chosen for this study. Ten specimens of each direct denture reline resins were fabricated. Treatment methods designed for this study were the coffee staining test(7days) and the accelerated aging test(100hours). The color changes before and after treatment were measured by Tristimulous colorimeter(Yasuda seiki seisakusho, Ltd. Japan) and analyzed. Results All the direct denture reline resins subjected to the coffee staining test and the accelerated aging test showed noticible difference in color change. After coffee staining test, Meta Base M showed the highest color change followed by Vertex SC. Mild Rebaron LC and Mild Rebaron. There were no statistical differences between Meta Base M and Vertex SC and between Mild Rebaron LC and Mild Rebaron(p>0.05). After accelerated aging test. Mild Rebaron LC showed the highest color change followed by Vertex SC, Meta Base M and Mild Rebaron. There were no statistical differences only between Mild Rebaron and Mata Base M(p>0.05) but among the others, there were statistical differences(p<0.05). Conclusion : Within the limitation of this study, all the direct denture reline resins subjected to the extrinsic and intrinsic factors showed noticible difference in color change, and there were differences among manufacturers.

INTRODUCTION OF SPARK EROSION

정창모,Jeong, Chang-Mo 대한치과보철학회 2000 대한치과보철학회지 Vol.38 No.4

The dental profession is currently experiencing a technology explosion. Processes are being replaced by modern, inexpensive, and precise techniques that can be used to solve complex restorative problems. Electrical discharge machining(EDM, known as spark erosion in Europe) is a nonconventional, industrial technique that has application in dentistry. EDM may be defined as a metal removal process using a series of sparks to erode material from a workpiece in a liquid medium under carefully controlled conditions. EDM is recently adopted in the dental laboratory to fabricate precision attachments, hybrid tele-scope crowns, Ti-ceramic crowns. EDM has also been used to achieve a passive precision metal-to-metal fit between the substructure bar and the removable superstructure and to correct the fit of implant retained restorations. In this article, a brief history and explanation of EDM is discussed and a description of the use of this process for fabricating attachments and crowns or for correcting the fit of cast restorations is presented.

주조연결된 니켈-크롬-베릴리움 주조체의 굽힘강도에 관한 비교연구

정창모,전영찬,임장섭,Jeong, Chang-Mo,Jeon, Young-Chan,Lim, Jang-Seop 대한치과보철학회 1998 대한치과보철학회지 Vol.36 No.6

Soldering is the usual method used to correct an unstable fixed partial denture framework at patient's try-in; However, presoldering base metal alloys is technique-sensitve and results are unstable because it is difficult to maintain uniform heat distribution and to prevent oxidation of an alloy. A cast-joining technique has been developed by Weiss and Munyon for repair, correction and addition to base metal framework. This joining technique eliminates the problem with presoldering of non-precious frameworks. The object of this study was to 1) compare the relative flexure strength and the joining effectiveness of Ni-Cr-Be cast in two pieces and 'pre-soldered' versus in two pieces and 'cast-joined'. 2) determine the effect of increasing the number of retentive grooves on the face of the cast and 3) determine the effect of the relative matched position of groove patterns on flexure strength. The joining effectiveness can be expressed by the ratio of the mean flexure stress of soldered or cast-joined specimens to that of one-piece cast. Resin rods 3mm in diameter were used as pattern of specimens for one-piece casted, presoldered, and cast-joined groups. Cast-joined specimens had two different patterns of retentive grooves on the joined faces. Type A had cross-shaped grooves 1mm in depth. 0.6mm in width. Type B was the same except for the addition of one more retentive groove. In the experiment connecting cast-joined specimens, half of specimens with type A pattern had their patterns on the faces of paired casts matched with each other as mirror image. With the rest pairs, it was proceeded that one of paired casts turned 45 degrees so that the patterns crossed. Half of specimens with type B pattern also had the patterns matched as mirror image; However, here, one of paired casts turned 90 degrees with the other pairs. Retentive groove in this study lacked the intentional undercuts, in contrast with the suggestion of Weiss and Munyon. The specimens were subjected to four-point flexural loading in an Instron testing machine. The midspan flexural stress was calculated at the point of initial plastic strain as determined from a strip-chart recorder or at the point of failure if this occured at a lower stress level. Within the scope of this study, the following results were obtained. 1. The presoldered group showed flexural strength at least 2 times higher than the cast-joined groups. Its joining effectiveness was 82%. 2. In cast-joined groups, the flexural strength of joints with type B patterns exhibited 1.5 times that of joints with type A patterns. Joining effectivenesses were 38% for type B patterns, 25-26% for type A patterns. 3. The relative matched position of groove patterns did not have any significant effect on flexural strength of the cast-joined specimens with either type A patterns or type B patterns(p>.05).

하악구치부 피질골 engagement가 임플란트 하중전달에 미치는 영향에 관한 3차원 유한요소법적 응력분석

정창모,Jeong, Chang-Mo 대한치과보철학회 1999 대한치과보철학회지 Vol.37 No.5

Cortical support is an important factor, as the engagement of the fixture in strong compact bone offers an increased load-carrying capacity and initial stability. Because of the poor bone quality in the posterior mandible and other anatomic considerations, it has been suggested that implant fixtures be placed in these locations with apical engagement of the lingual cortical plate for so-called bicortication. The purpose of this investigation was to determine the effect of cortical engagements and in addition polyoxymethylene(POM) intramobile connector(IMC) of IMZ implant on implant load transfer in edentulous posterior segment of mandible, using three-dimensional (3D) finite element analysis models composed of cortical and trabecular bone involving single implant. Variables such as (1) the crestal peri-implant defect, (2) the apical engagement of lingual cortical plate, (3) the occlusal contact position (a vertical load at central fossa or buccal cusp tip), and (4) POM IMC were investigated. Stress patterns were compared and interfacial stresses along the bone-implant interface were monitored specially. Within the scope of this study, the following observations were made. 1) Offset load and angulation of fixture led to increase the local interfacial stresses. 2) Stresses were concentrated toward the cortical bones, but the crestal peri-implant defect increased the interfacial stresses in trabecular bone. 3) For the model with bicortication, it was noticed that the crestal cortical bone provided more resistance to the bending moment and the lingual cortical plate provided more support for the vertical load. But Angulation problem of the fixture from the lingual cortical engagement caused the local interfacial stress concentrations. 4) It was not clear that POM IMC had the effect on stress distribution under the present experimental conditions, especially for the cases of crestal peri-implant defect.

수종의 상악 총의치수지상 금속보강법에 관한 비교연구

정창모,Jeong, Chang-Mo 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.2

A common site of fracture in maxillary complete denture is on the anteroposterior midline that coincides with the notch for relief of the labial frenum. Various approaches to reduce the incidence of this type of fracture have been suggested. The most widely used technique is the reinforcement of acrylic resin denture base with several solid metal forms. But few comparative studies on the efficacy of metal reinforcements have been reported. This study was conducted to compare reinforcing effects of commonly available metal reinforcements, which include wire, metal mesh embedded in the denture base and metal plate affixed to the impression surface of denture base by silicoating technique. This was load on the posterior. The strain gauges were oriented perpendicular to the anteroposterior midline of maxillary polished denture surface at one labial and the four palatal sites Non-renforced denture was used as control. The results were as follows : 1. In the non-reinforced denture group, only tensile strains on the palatal polished surface were observed. The tensile strains decreased in the order of incisive papilla, posterior denture border area, mid palatal area and rugae area. Compressive strain was observed on the labial polished surface. 2. As compared with the non-reinforced denture group, the metal plate or the metal mesh reinforced denture groups showed reduced palatal tensile strains,and the metal mesh reinforcement had a better reinforcing effect than the metal plate. But both reinforced denture groups showed no difference in the amount of compressive strain on the labial polished surface when compared to the non-reinforced denture group. 3. The metal wire positioned just above the labial notch decreased the compressive strain on the labial polished surface. But the presence of metal wires in the palatal polished surface caused increase in tensile strains in the area.

금속 wire의 아크릴릭 레진 보강효과에 관한 연구

정창모,전영찬,임장섭,Jeong, Chang-Mo,Jeon, Young-Chan,Lim, Chang-Sup 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.4

The purpose of this study was to assess the effect of 1) the diameter(0.7,1.0,1.2mm) and number(1,2,3) of commonly available orthodontic metal wires embedded in self-curing orthodontic acrylic resin specimens($64{\times}10{\times}3mm$) and 2) the use of chemical adhesive system(Silicoater, Metalprimer) to prevent slipping at the interface between the resin and the metal wire on reinforcement by using three-point bending test. From this study, the following results were obtained. 1. No statistically significant difference was found among the transverse strengths for the control without reinforcement, one 0.7mm wire, two 0.7mm wires, three 0.7mm wires, and one 1.0mm wire groups(P>.05). 2. In the groups with 1.0 or 1.2mm wires, the transverse strength increased in proportion to the increase of number of wires(P<.05). 3. In the groups with 0.7 or 1.0mm wires, neither of Silicoater and Netalprimer increased the transverse strength significantly(P>.05). 4. No statistically significant difference was found in transverse strength between Silicoater groups and Metalprimer groups with same diameter of wires(P.>05). From these result, it is concluded that diameter of wires is a primary considering factor to reinforce the acrylic resin effectively and, when this requirement is satisfied, increased number of wires or chemical adhesive systems can be expected to produce the additional reinforcing effect.

극초단파에너지에 의해 온성된 의치상용 레진의 다공성에 관한 연구

정창모,Jeong, Chang-Mo 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.4

The purpose of this study was to determine whether there was any difference in the mean porosity of denture base resin cured by microwave energy, when the liquid monomers of denture resin(K-33 : methyl methacrylate for conventional water bath curing or Acron MC : special monomer for microwave curing) and/or the thicknesses of denture base($5{\times}10{\times}60mm\;or\;10{\times}10{\times}60mm$) were varied. The mean porosities of k-33 specimens cured in water bath with two different thicknesses were used as control. The results were as follows : 1. Regardless of specimen thickness, Acron MC cured by microwave energy showed the least mean porosity, followed by K-33 cured by water bath heat, and K-33 cured by microwave energy showed the highest level of mean porosity(P<0.05). 2. In both K-33 and Acron MC cured by microwave energy the mean porosities of 5mm thickness groups were lower than those of 10mm thickness groups(P<0.05). But no significant difference was found in mean porosity between 5mm thickness and 10mm thickness of water bath heat cured groups made of K-33(P>0.05).

골유착성 임프란트와 자연치를 이용한 고정성 국소의치에서 응력분산 및 충격흡수에 관한 유한요소법적 응력분석

정창모,이호용,Jeong Chang-Mo,Lee Ho-Yong 대한치과보철학회 1992 대한치과보철학회지 Vol.30 No.4

The long-term success of any dental implant is dependent upon the optimization of stresses which occur during oral function and parafunction. Especially, it has been suggested that there is an unique set of problems associated with joining an osseointegrated implant and a natural tooth with a fixed partial denture. For this particular case, although many literatures suggest different ways to avoid high stress concentrations on the bone surrounding the implant under static and dynamic loading conditions, but few studies on the biomechanical efficacy of each assertion have been reported. The purpose of this investigation was to evaluate the efficacies of clinically suggested methods on stress distribution under static load and shock absorption under dynamic load, using two dimensional finite element method. In FEM models of osseointegrated implant-natural tooth supported fixed partial dentures, calculations were made on the stresses in surrounding bone and on the deflections of abutments and superstructure, first, to compare the difference in stress distribution effects under static load by the flexure of fastening screw or prosthesis, or intramobile connector, and second, to compare the difference in the shock absorption effects under dynamic load by intramobile connector or occlusal veneering with composite resin. The results of this analysis suggest that : 1. Under static load condition, using an implant design with fastenign screw connecting implant abutment and prosthesis or increasing the flexibility of fastening screw, or increasing the flexibility of prosthesis led to the .increase in height of peak stresses in cortical bone surrounding the implant, and has little effect on stress change in bone around the natural tooth. 2. Under static load condition, intramobile connector caused the substantial decrease in stress concentration in cortical bone surrounding the implant and the slight increase in stress in bone around the natural tooth. 3. Under dynamic load condition, both intramobile connector and composite resin veneering showed shock absorption effect on bone surrounding the implant and composite resin veneering had a greater shock absorption effect than intramobile connector.

수종의 의치세척 방법에 따른 세척효과의 주사전자 현미경적 비교 연구

정창모(Chang Mo Jeong),정문규(Moon Kyu Chung) 대한치과의사협회 1986 대한치과의사협회지 Vol.24 No.12

한국 성인 유치악자의 상악전치 위치에 관한 연구

정창모(Chang-Mo Jeong),박정형(Jeong-Hyeong Park) 대한턱관절교합학회 2005 구강회복응용과학지 Vol.21 No.2