나사형 임플란트 고정체의 길이, 직경, 플랫폼 형태에 따른 임플란트와 주위조직의 응력분포

강지은,정현주,구철회,양홍서,Kang, Ji-Eun,Chung, Hyun-Ju,Ku, Chul-Whoi,Yang, Hong-So 대한턱관절교합학회 2002 구강회복응용과학지 Vol.16 No.3

Seven finite element models were constructed in mandible having single screw-type implant fixture connected to the premolar superstructure, in order to evaluate how the length, diameter and platform shape of a screw-type fixture influence the stress in the supporting tissue around fixtures. Each finite element model was varied in terms of length, diameter, and platform shape of the fixture. In each model, 250N of vertical load was placed on the central pit of an occlusal plane and 250N of oblique load placed on the buccal cusp. The stress distribution in the supporting tissue and the other components was analysed using 2-dimensional finite element analysis and the maximum von Mises stress in each reference area was compared. Under lateral loading, the stress was larger at the abutment/fixture interface, and in the crestal bone, compared to the stress pattern under vertical loading. The amount of stress at the superstructure was similar regardless of the length, diameter and platform shape of a fixture. Around the longer fixture, the stress was decreased at the bone crest and subjacent cancellous bone and increased in the cancellous bone area apical to the fixture. Around the wider fixture, the stress was decreased at the abutment/fixture interface, and the bone crest and increased in the cancellous bone area apical to the fixture. Around the fixture having wider platform, less stress was produced at the abutment/fixture interface and the upper part of the cortical bone, compared to the fixture having standard platform. In conclusion, the stress distribution of the supporting tissue was affected by length, diameter, and platform shape of a fixture, and the fixture which was larger in diameter and length could reduce the stress in the supporting tissues at the bone-fixture interface and bone crest area.

혈소판 농축혈장이 임플랜트 주위 골결손부 재생에 미치는 영향

홍기석,임성빈,정진형,이종헌,Hong, Ki-Seok,Lim, Sung-Bin,Chung, Chin-Hyung,Lee, Chong-Heon 대한치주과학회 2003 Journal of Periodontal & Implant Science Vol.33 No.4

The current interest in periodontal tissue regeneration has lead to research in bone graft, root surface treatments, guided-tissue regeneration, and the administration of growth factors as possible means of regenerating lost periodontal tissue. Several studies have shown that a strong correlation between platelet-rich plasma and the stimulation of remodeling and remineralization of grafted bone exists, resulting in a possible increase of 15-30% in the density of bone trabeculae. The purpose of this study was to study the histopathological correlation between the use of platelet-rich plasma and a bone xenograft used in conjunction with a non-resorbable guided-tissue membrane, e-PTFE, compared to a control group with regards to bone regeneration at the implant fixture site. Implant fixtures were inserted and graft materials placed into the left femur of in the experimental group, while the control group received only implant fixtures. In the first experimental group, platelet-rich plasma and BBP xenograft were placed at the implant fixture site, and the second experimental group had platelet-rich plasma, BBP xenograft, and the e-PTFE membrane placed at the fixture site. The degree of bone regeneration adjacent to the implant fixture was observed and compared histopathologically at 2 , 4, and 8 weeks after implant fixture insertion. The results of the experiment are as follows: 1. The rate of osseointegration to the fixture threads was found to be greater in the first experimental group compared to the control group. 2. The histopathological findings of the second experimental group showed rapid resorption of BBP with subsequent new bone formation replacing the resorbed BBP. 3. The second experimental group showed new bone formation in the area adjacent to the fixture threads beginning two weeks after fixture implantation, with continued bone remodeling in the areas mesial and distal to the fixture. 4. Significant new bone formation and bone remodeling was observed in both experimental groups near the implant fixture sites. 5. The rate of osseointegration at the fixture threads was greater in the second experimental group compared to the first group, and the formation of new bone and trabeculae around the fixture site occurred after the fourth week in the second experimental group. The results of the experiment suggest that a greater degree of new bone formation and osseointegration can occur at the implant fixture site by utilizing platelet-rich plasma and bone xenografts, and that these effects can be accelerated and enhanced by concurrent use of a non-resorbable guided tissue membrane.

지대주의 반복적인 착탈에 따른 임플랜트 고정체의 external hexagon과 지대주 internal hexagon의 변화에 관한 연구

정석원,김희중,정재헌,Jung Seok-Won,Kim Hee-Jung,Chung Chae-Heon 대한치과보철학회 2005 대한치과보철학회지 Vol.43 No.4

Statement of problem: Repeated delivery and removal of abutment cause some changes such as wear, scratch or defect of hexagonal structure. It may increase the value of rotational freedom(RF) between hexagonal structures. Purpose: The purpose of this study was to evaluate surface changes and rotational freedom between the external hexagon of the implant fixture and internal hexagon of abutment after repeated delivery and removal under SEM and toolmaker's microscope. Materials and methods: Implant systems used for this study were 3i and Avana. Seven pail's of implant fixture, abutment and abutment screws for each system were selected and all fixtures were perpendicularly mounted in liquid unsaturated polyesther with dental surveyor. Each one was embedded beneath the platform of fixture. Surfaces of hexagonal structure before repeated closing and opening of abutment were observed using SEM and rotational freedom was measured by using toolmaker's microscope. Each abutment was secured to the implant future by each abutment screw with recommended torque value using a digital torque controller and was repeatedly delivered and removed by 20 times respectively. After experiment, evaluation for the change of hexagonal structures and measurement of rotational freedom were performed. Result : The results were as follows; 1. Wear of contact area between implant fixture and abutment was considerable in both 3i and Avana system. Scratches and defects were frequently observed at the line-angle of hexagonal structures of implant fixture and abutment. 2. In the SEM view of the external hexagon of implant fixture, the point-angle areas at the corner edge of hexagon were severely worn out in both systems. It was more notable in the case of 3i systems than in that of Avana systems. 3. In the SEM view of the internal hexagon of abutment, Gingi-Hue abutment of 3i systems showed severe wear in micro-stop contacts that were machined into the corners to prevent rotation and cemented abutment of Avana systems showed wear in both surface area adjacent to the corner mating with external hexagon of implant fixture. 4 The mean values of rotational freedom between the external hexagon of the implant fixture and internal hexagon of abutment were 0.48$\pm$0.04$^{\circ}$ in pre-tested 3i systems and 1.18$\pm$0.25$^{\circ}$ after test, and 1.80$\pm$0.04$^{\circ}$ in pre-tested Avana systems and 2.61$\pm$0.16$^{\circ}$ after test. 5. Changes of rotational freedom after test shouted statistical)y a significant increase in both 3i and Avana systems(P<0.05, paired t-test). 6. Statistically, there was no significant difference between amount of increase in the rotational freedom of 3i systems and amount of increase in that of Avana ones(P>0.05, unpaired t-test). Conclusion: Conclusively, it was considered that repeated delivery and remove of abutment by 20 times would not have influence on screw joint stability. However, it caused statistically the significant change of rotational freedom in tested systems. Therefore, it is suggested that repeated delivery and remove of abutment should be minimal as possible as it could be and be done carefully Additionally, it is suggested that the means or treatment to prevent the wear of mating components should be devised.

Optimal workpiece positioning in flexible fixtures for thin-walled components

Do, Minh Duc,Son, Younghoon,Choi, Hae-Jin Elsevier 2018 Computer aided design Vol.95 No.-

<P><B>Abstract</B></P> <P>Flexible fixtures are finding widespread use in manufacturing processes of thin-walled components in the automotive and aerospace industries. Owing to its reconfigurability, a flexible fixture can take different layouts depending on the workpiece geometry and location. By finding the appropriate workpiece location, the deformation of workpieces under machining forces and their own weights can be reduced, hence increasing the quality of the final products. In this paper, we introduce a novel method for optimum workpiece positioning in rod type flexible fixtures for thin-walled components. First, the geometry of the workpiece is extracted from its CAD model. Second, a geometry-based method is proposed to find the optimal location of the workpiece relative to the fixture system. A composition of homogeneous transformations is performed to maximize the workpiece support capacity, initially place the workpiece in the fixture region, and maximize the number of active fixture elements (fixels). Third, the result is verified and visualized in a fixture verification module. An aircraft body panel is employed as an example to test the performance of the proposed method. Finally, conclusions and future studies are discussed.</P> <P><B>Highlights</B></P> <P> <UL> <LI> We proposed a novel workpiece positioning method of flexible fixtures. </LI> <LI> The workpiece positioning was reduced to 2D polygon problems. </LI> <LI> The number of supports was maximized by optimizing a point-in-polygon problem. </LI> <LI> The cutting-tool fixture interference was avoided automatically. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

치주질환에 이환된 환자에서 구치 상실 치열 수복을 위한 임플란트 수복

이승원,김영수,Yi, Seung-Won,Kim, Young-Soo 대한치주과학회 2005 Journal of Periodontal & Implant Science Vol.35 No.1

Number of fixtures supporting prosthesis for rehabilitation of partial edentulism in distal area is an important factor in distal area to the bone tissue response around dental implant. Optimal number and optimal positioning of dental implant has leaded to the stable condition of bone tissue and successful long-term treatment outcome. This clinical and radiographic study was performed to document and evaluate the short-term result of occlusal rehabilitation by means of implant-supported fixed prostheses (ISPs) especially for partial edentulism in distal area in patients treated for advanced periodontal disease and to verify the number of fixture affecting the bone tissue response. A total of 30 consecutive patients referred because of advanced periodontal disease were included. Before the implant therapy was initiated, periodontal treatment was performed and the outcome evaluated during at least a 6-month period. An individual maintenance care program was designed for each patient. All 75 implants were placed using a 2-stage surgical approach. The patients were divided into 2 groups, in one of which two fixtures were placed and in the other of which three fixtures were placed with tripodal geometry. Following installation of the ISPs, all patients underwent a baseline examination including evaluation of i) oral hygiene, and ii) periodontal/ peri-implant conditions, and iii) radiographs. These examinations were repeated annually during the 1 or 2-year observation period. The results were as follows: 1.No single implant was lost during the observation follow-up period. 1.The percentage of plaque harboring surfaces and bleeding units upon probing were found to be low (<10%), and no soft tissue complications were recorded. 1.Two-fixture group showed bone destruction ranged from 0.0mm to 1.5mm and the mean was 0.31mm. Three-fixture group showed more bone destruction of 0.51mm. There was no statistically difference between two groups. These results suggested that the factor for success is not the number of fixture but the strict maintenance of peri-implant tissue health and initial stability of fixture.

Sensitivity Analysis of Anti-resonance Frequency for Vibration Test Control of a Fixture

Jeong, Weui-Bong,Yoo, Wan-Suk,Kim, Jun-Yeop The Korean Society of Mechanical Engineers 2003 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.17 No.11

The test specimen in environmental vibration test is connected to the fixture through several attachment points. The forces generated by the shaker must be transmitted equally to all attachment points. The forces transmitted to attachment points, however, are different because of the flexural vibration of the fixture. The variations of the transmitted force cause the under-test, especially at anti-resonance frequencies, in vibration test control. Anti-resonance frequencies at the attachment points of the fixture must be same in order to avoid the under-test in vibration test control. The structural modification of the fixture is needed so that anti-resonance frequencies at attachment points have the same value. In this paper, the method to calculate the anti-resonance frequencies and those sensitivities is presented. This sensitivity analysis is applied to the structural modification of the fixture excited at multi-points by the shaker. The antiresonance frequencies at the attachment points of the fixture can have the same value after structural modification, and the under-test in the vibration test control can be removed. Several computer simulations show that the proposed method can remove the under-tests, which are not removed in conventional vibration test control.

임상적 방법을 이용한 내부연결 임플랜트에서 고정체수준 인상법의 정확도 평가

최정한,Choi Jung-Han 대한치과보철학회 2006 대한치과보철학회지 Vol.44 No.4

Statement of problem : Accurate impression is essential to success of implant prostheses. But there have been few studies about the accuracy of fixture-level impression technique in internal connection implant system. Purpose: This study evaluated the accuracy of splinted fixture-level impression technique using clinical methods and the effect of internal hex on fit of superstructure in internal connection implant system (Astra Tech). Material and method : Two metal master frameworks made from two abutments (Cast-to Abutment ST) each for parallel and divergent conditions and a corresponding. passively fitting, dental stone master cast with four future replicas (Fixture Replica ST) were fabricated. Ten dental stone casts were made with vinyl polysiloxane impressions from the master cast by acrylic resin splinted fixture-level impression technique. To evaluate the accuracy of impression technique, the fit of master frameworks for test models was evaluated using screw resistance test (SRT) and one-screw test. The results of SRT were recorded as SRT values from grade 1 to grade 5 by 1/4 turn. And to evaluate the effect of hex on fit of superstructure, the same tests were performed after removing hexes of master frameworks. Results: 1. There was only one case (2.5%) showing SRT value of test model below ade 2 in total before and after removing hexes of master frameworks. And, by removing hexes. SRT values decreased in only one test model (5%) and did not change in 17 test models (85%). 2. SRT values of the 1$^{st}$ screws were grade 2 in 80% of cases before, and grade 1 in 80% of cases after removing hexes. And, by removing hexes, SRT values decreased in 72.5% of cases. 3. SRT values of the 2$^{nd}$ screws were grade 3 in 85% of cases before, and grade 3 in 95% of cases after removing hexes. And, by removing hexes, SRT values did not change in 85% of cases. 4. There were only 2 cases regarded as acceptable fit by one-screw test, and SRT values of 2$^{nd}$ screws of both cases were grade 2. Conclusion. Within the limitations of this study, future-level impression of internal connection implant system is considered to obtain inaccurate working cast, even using acrylic resin splinted impression technique. And, it is considered to be unable improve the fit to remove the hexes of implant restoration.

단일치 임플랜트 지지 보철물에서 고정체와 지대주 나사 직경의 차이에 따른 삼차원 유한요소법적 응력 분석

권주홍,최민호,김유리,조혜원,Kwon Joo-Hong,Choi Min-Ho,Kim Yu-Lee,Cho Hye-Won 대한치과보철학회 2005 대한치과보철학회지 Vol.43 No.1

Statement of problem. As the effects of the various diameters of fixture and abutment screw on stress distribution was not yet examined, this study focused on the different design of single implant restoration using three dimensional finite element analysis. Purpose. This study was to compare five different fixture-abutment combinations for single implant supported restorations with different fixture and abutment screw diameters. Material of methods. The five kinds of finite element models were designed by 3 diameter fixtures ($\oslash$3.3, 3.75, 5.0 mm) with 3 different abutment screws $\oslash$1.5, 1.7, 2.0 mm). The crown for mandibular first molar was made using UCLA abutment according to Wheeler's anatomy. 244 N was applied at the central fossa with two different loading directions, vertically and obliquely (30$^{\circ}$) and at the buccal cusp vertically. Maximum von Mises stresses were recorded and compared in the supporting bone, crowns, fixtures, and abutment screws. Results. 1. The stresses in supporting bone and implant-abutment structure under oblique loading were greater than those under vertical or offset loading. The stresses under vertical loading were the least among 3 loading conditions regardless of the implant and abutment screw diameters. 2. The stresses in the narrow implants were greater than the wider implants. The narrow implant with narrow abutment screw showed highest stresses in the lingual crest, but the narrow implant with standard abutment screw showed highest stress in abutment screw. 3. The stresses of abutment screws were influenced by the diameter of fixtures and loading conditions. The wide implants showed least difference between two different abutment screw diameters. Conclusions. The wide implants showed lesser stresses than the narrow implants and affected least by the different abutment screw diameters. The narrow implants with standard abutment screw showed highest stresses in the lingual bony crest under oblique loading.

대형 열진공챔버용 내부 위성체 근접 치구 설계

이상훈(Sang-Hoon Lee),조혁진(Hyokjin Cho),서희준(Hee-Jun Seo),문귀원(Guee-Won Moon) 한국항공우주연구원 2010 항공우주산업기술동향 Vol.8 No.1

우주환경은 고진공 환경과 태양 복사열에 의한 고온 환경 및 극저온이 반복되는 가혹한 환경으로 ,위성체는 지상에서 발사되어 우주궤도에 진입한 순간부터 이러한 우주환경에 노출되어 위성체의 주요부품에 기능장애가 발생하고 결국 임무의 실패로 이어지기도 한다. 따라서 위성체는 지상에서 우주환경시험을 거쳐 기능 및 작동상태를 점검해야 한다. 한국항공우주연구원에서는 정지궤도 위성과 같은 대형 위성체 의 시험을 위해 φ8m×L10m급의 대형열진공챔버를 국산화 제작하였다. 대형챔버 내부에서 우주환경시험을 수행하기 위해서는 각종 EGSE cable의 연결, MLI 도포 및 대형 챔버 내부에 대한 접근이 필요하다. 대형열진공챔버는 위성체의 크기에 비해 매우 큰 진공용기로 실제 작업시 위성체에의 접근이 용이하지않다. 이에 대형열진공챔버 내부에서 위성체 및 챔버 내부 접근의 용이성을 제공하는 전용 치구의 필요성이 대두되어 이를 설계하고자 하며, 본 논문은 access fixture라 불리는 전용치구의 설계 과정에 대해 설명한다. Thermal vacuum test should be carried out to verify the performance of the S/C on the ground under the simulated space environment. KARI already completed the construction of a Large Thermal Vacuum Chamber(LTVC) with 8 m of diameter and 10 m of length dimension. LTVC is for the purpose of performing the orbital environment test for large Space Craft(S/C). Inside LTVC, S/C is much smaller than LTVC. For the function test of S/C during the thermal vacuum test, the S/C has to be connected to Electrical Ground Support Equipment(EGSE) which includes several cable and RF wave guide inside LTVC. Also, MLI should be installed on S/C before the test. But it is very difficult to access the S/C inside big LTVC. To solve the accessibility to the S/C inside LTVC, KARI designed an access fixture. This fixture provides easy access to the any S/C thus can help safe installation and saving time for the related work inside LTVC. This paper describes whole process for the design of the access fixture.

유한요소법을 이용한 치과 임플란트 고정체의 직경과 길이에 따른 지지골의 응력 분석

이명곤 대한치과기공학회 2016 대한치과기공학회지 Vol.38 No.3

Purpose: The dental implant should be enough to endure chewing load and it’s required to have efficient design and use of implant to disperse the stress into bones properly. This study was to evaluate the stress distribution on a supporting bone by lengths and diameters of the implant fixture. Methods: The modeling and analysis of stress distribution was used for the simple molar porcelain crown model by Solidworks as FEM program. It was designed on applying with tightening torque of 20 Ncm of a abutment screw between a cement retained crown abutment and a fixture. The fixtures of experimental model used 10, 13㎜ by length and 4, 5㎜ by diameter. A external vertical loading on the two buccal cusps of crown and performed finite element analysis by 100 N. Results: The maximum von Mises stress(VMS) of all supporting bone models by fixture length and diameter were concentrated on the upper side of supporting compact bone. The maximum stress of each model under vertical load were 164.9 ㎫ of M410 model, and 141.2 ㎫ of M413 model, 54.3 ㎫ of M510 model, 53.6 ㎫ of M513 model. Conclusion: The stress reduction was increase of fixture’s diameter than it’s length. So it’s effective to use the wider fixture as possible to the conditions of supporting bone.