임플랜트 상부구조의 재료가 반복하중 후 나사풀림에 미치는 영향

이태식; 양재호; 이재봉; 한중석; 김성훈

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임플랜트 상부구조의 재료가 반복하중 후 나사풀림에 미치는 영향
AN INFLUENCE OF ABUTMENT MATERIALS ON A SCREW-LOOSENING AFTER CYCLIC LOADING

대한치과보철학회지 2007년 45권 2호 p.240 ~ 249

이태식, 양재호, 이재봉, 한중석, 김성훈,

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이태식 ( Lee Tae-Sik ) - 서울대학교 치과대학 치과보철학교실
양재호 ( Yang Jae-Ho ) - 서울대학교 치과대학 치과보철학교실
이재봉 ( Lee Jai-Bong ) - 서울대학교 치과대학 치과보철학교실
한중석 ( Han Jung-Suk ) - 서울대학교 치과대학 치과보철학교실
김성훈 ( Kim Seong-Hun ) - 서울대학교 치과대학 치과보철학교실

KMID : 0362420070450020240

Abstract

Statement of problem: A phenomenon of screw-loosening in implant abutment is frequently occurred in a single and multiple implant restoration.

Purpose: This study was performed to evaluate an effect of abutment material on screw-loosening before and after a cyclic loading. In a single-tooth implant, different materials of abutment, Type III Gold alloy and Zirconium composite(ZrO_2/Al_2O_3) were used.

Material and method: The Gold alloy(Type III) and Zirconium composite(ZrO_2/Al_2O_3) were used to make a superstructure of implant, the one of types of UCLA, Each group was constituted of 5 sample with a 30-degree offset angulated loading platform. The external hexagonal fixture was rigidly hel d in a special holding zig to ensure solid fixation without rotation during the tightening and a cyclic loading. A Titanium-alloy screw was used to connect and controlled to be tighten in 20Ncm torque by a digital torque gauge. A 20 times of consecutive closing/opening cycle were performed to evaluate the immediate torque loss. In 5 sample of each material group, an initial opening torque was recorded during 3 closing/opening cycle, then 2Hz, 200N, 1,000,000 cyclic loadings were performed, then a opening torque was evaluated.
Result & Conclusion: 1. In this limited study, titanium alloy screw tightened in 20Ncm, a cold-welding phenomen on was not observed during the 20 times of closing/opening cycle(p=0.11, p=0.18). 2. In titanium alloy abutment screw, repeated opening and closing of the screw caused to progressive decrease of opening torque(p=0.014). 3. The difference in preload of screw between gold alloy abutment and ceramic(ZrO_2/Al_2O_3) abutment was not significant(p=0.78). 4. The difference in torque loss of screw between gold alloy abutment and ceramic(ZrO_2/Al_2O_3) abutment was not significant after 2Hz,200N, 1,000,000 cyclic loading(p=0.92). 5. In titanium alloy abutment screw tightened by 20Ncm, the screw loosening was not significant on each group after 2Hz, 200Ncm, 1,000,000 cyclic loading(p=0.59).