교정용 미니 임플랜트의 cutting flute의 길이 및 형태에 따른 식립 및 제거 토크의 비교 = Effect of cutting flute length and shape on insertion and removal torque of orthodontic mini-implants

다국어 초록 (Multilingual Abstract)

Objective: The purpose of this study was to evaluate the effect of length and shape of cutting flute on mechanical properties of orthodontic mini-implants. Methods: Three types of mini-implants with different flute patterns (Type A with 2.6 mm long flute, Type B with 3.9 mm long and straight flute, Type C with 3.9 mm long and helical flute) were inserted into the biomechanical test blocks (Sawbones Inc., USA) with 2 mm and 4 mm cortical bone thicknesses to test insertion and removal torque. Results: In 4 mm cortical bone thickness, Type C mini-implants showed highest maximum insertion torque, then Type A and Type B in order. Type C also showed shortest total insertion time and highest maximum removal torque, but Type A and B didn't showed statistically significant difference in insertion time and removal torque. In 2 mm cortical bone thickness, there were no significant difference in total insertion time and maximum removal torque in three types of mini-implants, but maximum insertion torque of Type A was higher than two other Types of mini-implants. Conclusions: Consideration about length and shape of cutting flute of mini-implant is also required when the placement site has thick cortical bone.

국문 초록 (Abstract)

본 연구는 self-tapping screw의 특징적 구조인 cutting flute의 길이 및 형태 변화에 따른 미니 임플랜트의 식립 및 제거 토크를 비교해보기 위해 시행되었다. 외경, 내경, 길이 및 pitch 등 다른 조건이 모두 동일하고 cutting flute의 형태만 다른 세 종류의 미니 임플랜트를 사용하였다(A군; 2.6 mm 길이의 flute가 형성된 그룹, B군; 3.9 mm의 길이이면서 직선형의 flute를 갖는 그룹, C군; 3.9 mm의 길이이면서 나선형의 flute를 갖는 그룹). 골밀도를 균일하게 하기 위해 실험용 인공골(Sawbones Inc., USA)을 사용하였으며, 수직력 및 회전속도를 일정하게 하기 위해 구동식 토크 시험기를 이용하였다. 그 결과 다음과 같은 결론을 얻었다. 총 삽입 시간은 2 mm 두께의 피질골 시편에서는 세 군간에 차이를 보이지 않으나, 4 mm 두께의 피질골 시편에서는 C군 ＞ B군 ＞ A군 순으로 짧은 삽입 시간을 보였다. 최대 삽입 토크는 2 mm 두께의 시편에서는 A군이 다른 두 군에 비해 높은 값을 보이나, 4 mm 두께의 피질골 시편에서는 C군 ＞ A군 ＞ B군 순으로 높은 값을 보였다. 최대 제거 토크는 2 mm 두께의 피질골 시편에서는 세 군 사이에 차이가 없으나, 4 mm 두께의 피질골 시편에서는 C군이 다른 두 군에 비해 높은 값을 보여주었다. 이상의 결과로 보아 피질골이 두꺼운 부위에 미니 임플랜트를 식립할 경우 cutting flute의 길이 및 형태 또한 고려하여 미니 임플랜트를 선택하는 것이 바람직하다.

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