손상 없이 영구 접착 보철물을 제거할 수 있는 cementation type 임플랜트 지대주 개발에 관한 연구

A STUDY ON THE COMPLETE RETRIEVAL SYSTEM OF THE CEMENTATION TYPE IMPLANT ABUTMENT

  • 최진호 (서울대학교 치과대학 치과보철학교실) ;
  • 이재봉 (서울대학교 치과대학 치과보철학교실)
  • Choi Jin-Ho (Department of Prosthodontics, Graduate School, Seoul National University) ;
  • Lee Jai-Bong (Department of Prosthodontics, Graduate School, Seoul National University)
  • 발행 : 2004.10.01

초록

Purpose: This study was peformed to investigate the retrievability of the cemented crown from the cementation type implant abutment. Material and method: The cementation type implant abutments (NEOBIOTECH implant abutment regular, 3 degree taper, 10mm length, 4mm diameter, Ti grade III, machined surface. Hwasung, Kyunggi-do) and cemented crowns were divided into 3 groups, depending on their hole angles formed in the crowns for their retrievability. The abutments and crowns were luted with 4 kinds of cements and separation test using metal wedge was executed with Instron 4465 Universal Testing Machine and the maximum impact force of the modified crown ejector was measured. Results and conclusion : 1. All of the cementation type implant abutments and cemented crowns were separated with relatively small force by metal wedge. 2. The retrieving force was minimum when the metal wedge was applied perpendicular to the axis of abutment. 3. The force for retrieving crowns from abutments was maximum in resin cement group, and reduced in orders of zinc phosphate cement, glass ionomer cement and zinc oxide eugenol cement. 4. The maximum force obtained by the crown ejector was higher than the retrieval force in ZOE and GI cement and lower than that in ZPC and resin cement. 5. If it has similar conditions clinically, the cemented crowns luted with 2 types of cements (ZOE, GI cement) can be safely retrieved from the cementation type implant abutments by the modified crown ejector.

키워드

참고문헌

  1. Zarb GA, Jansson T, Jemt T. Other prosthodontic applications. Quintessence Int 1985;283-292
  2. Jemt T. Modified single and short span restorations supported by osseointegrated fixtures in the partially edentulous jaws. J Prosthet Dent 1986;55:243-246 https://doi.org/10.1016/0022-3913(86)90352-5
  3. George H, Clayton GH. The effect of luting agents on the retention and marginal adaptation of the ceraone implant system. Int J Oral Maxillofac Implants 1997;12:660-665
  4. Adell R. Lekholm U, Rocklier B. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  5. Zarb GA, Schmidt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part II : the prosthetic results. J Prosthet Dent 1990;64:53-61 https://doi.org/10.1016/0022-3913(90)90153-4
  6. Zarb GA. Schmidt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III : problems and complications encountered. J Prosthet Dent 1990;64:185-94 https://doi.org/10.1016/0022-3913(90)90177-E
  7. Jemt T. Failures and complications in 391 consecutively inserted fixed prosthesis supported by Branemark implants in edentulous jaws : a study of treatment from the time of prosthesis placement and to the first annual check up. Int J Oral Maxillofac Implants 1991;6:270-6
  8. Preiskel HW, Tsolka P. Telescopic prosthesis for implants. Int J Oral Maxillofac Implants 1998;13:352-7
  9. Whinston C, David A. Cement-retained versus screw-retained implant prosthesis : which is better? Int J Oral Maxillofac Implants 1999;14(1):137-141
  10. Kenneth S, Hebel KS, Reena C, Gajjar RC. Cement-retained versus screw-retained implant restorations : Achieving optimal occlusion and esthetics in implant dentistry. J Prosthet Dent 1997;77(1):28-35 https://doi.org/10.1016/S0022-3913(97)70203-8
  11. Guichet D, Caputo A. Passivity of fit and marginal opening in screw-or cement-retained implant fixed partial denture designs. Int J Oral Maxillofac Implants 2000;15:239-246
  12. Misch CE. Screw-retained versus cementretained implant-supported prosthesis. Practical Periodontics Aesthetic Dentistry 1995;7(9):15-8
  13. Misch CE. Principles for cement-retained fixed implant prosthodontics. Contemporary Implant Dentistry 1993;651-668
  14. Binnon PP, Sutter F. The role of screws in implant system. Int J Oral Maxillofac Implants 1994;9:48-63
  15. Wilson TG. Maintenance problems and protocols. Int J Oral Maxillofac Implants 1994;75
  16. Tekavec, C Insurance. Dental Economics 1997;20
  17. Wijk P, Bouma J. The cost of dental implants as compared to that of conventional strategies. Int J Oral Maxillofac Implants 1998;13:546-553
  18. Fernando P. Alternative method for retention and removal of cement-retained implant prosthesis. J Prosthet Dent 2001;86:2 https://doi.org/10.1067/mpr.2001.117227
  19. Okamoto M. Technique for removing a cemented superstructure from an implant abutment. J Prosthet Dent 2002;87:2
  20. John D. Simplified technique for retrieving cemented implant restoration. J Prosthet Dent 2002;88:3
  21. Rachel S. Retentiveness of dental cements used with metallic implant components. Int J Oral Maxillofac Implants 2001;15:793-798
  22. Lee JB. The retrievability of cementation type implant abutment by surface treatments and types of cements. J Korean Acad Prosthodont 1999;37:545-551
  23. Smith BGN. The effect of the surface roughness of prepared dentin on the retention of castings. J Prosthet Dent 1970;23:187-98 https://doi.org/10.1016/0022-3913(70)90296-9
  24. Rosenstiel E. The taper of inlay and crown preparations, a contribution to dental terminology. British Dental Journal 1975;139(11):436-8 https://doi.org/10.1038/sj.bdj.4803655
  25. David A. Effects of abutment size and luting cement type on the uniaxial retention force of implant-supported crowns. J Prosthet Dent 2000;83:344-8 https://doi.org/10.1016/S0022-3913(00)70138-7
  26. Willey RL. Retention in the preparation of teeth for cast restorations. J Prosthet Dent 1976;35:526 https://doi.org/10.1016/0022-3913(76)90046-9
  27. Kaufman EG, Coelho AB, Colin L. Factors influencing the retention of cemented gold casting. J Prosthet Dent 1961;1l:487-502
  28. Gilboe DB, Teteruck WR. Fundamentals of extracoronal tooth preparation. Part I : Retention and resistance form. J Prosthet Dent 1974;32:651 https://doi.org/10.1016/0022-3913(74)90074-2
  29. Kent D, Koka S, Froeschle M. Retention of cemented implant supported restorations. J of Prosthodont 1997;6(3):193-6 https://doi.org/10.1111/j.1532-849X.1997.tb00090.x