임상에서 실패된 치과 임플란트 고정체의 표면 분석 (Surface Analysis of Clinically Failed Dental Implant Fixture)

서지정보

· 발행기관 : 대한금속·재료학회
· 수록지 정보 : 대한금속·재료학회지 / 44권 / 6호 / 400 ~ 411페이지
· 저자명 : 최한철, 홍국선, 고영무, 김병욱

초록

The aim of this investigation was to analyze surface of clinically failed dental implant fixture in order to determine possible causes of failure. The failed implants were classified into three groups; 3 and 5 month used implant, 19 and 60 month used implant, and fractured implant, after implantation for 33 month and 120 month in patient jaws. The topography and surface chemical composition were studied with energy dispersive x-ray spectroscopy(EDS) and field emission scanning electron microscope(FE-SEM) to analyze elements on the surface of flank and bottom of thread. Evaluations were performed at the upper, middle and lower implant fixture. From surface observation of 3 and 5 month used implant, contaminants were detected in the middle and lower part of implants. Overall, foreign elements such as silicon, carbon, oxygen, zinc, sulfur, zirconium, and chloride were detected in failed implants. From surface observation of 19 and 60 month used implant, the corrosion was accelerated at the bottom of thread that was accumulated chloride. Corrosion products showed in the bottom of thread including dissolution elements, such as Au, Cu, Ag, from suprastructure of dental implant system. From surface observation of fatigue fractured implants, the crack were nucleated in the bottom of thread and the crack of corrosion fatigue was predominantly propagated. The corrosion products including chloride were found opposite side of starting point of corrosion fatigue crack. We could find the fatigue striation and estimate the dimple fracture of implants.

영어초록

The aim of this investigation was to analyze surface of clinically failed dental implant fixture in order to determine possible causes of failure. The failed implants were classified into three groups; 3 and 5 month used implant, 19 and 60 month used implant, and fractured implant, after implantation for 33 month and 120 month in patient jaws. The topography and surface chemical composition were studied with energy dispersive x-ray spectroscopy(EDS) and field emission scanning electron microscope(FE-SEM) to analyze elements on the surface of flank and bottom of thread. Evaluations were performed at the upper, middle and lower implant fixture. From surface observation of 3 and 5 month used implant, contaminants were detected in the middle and lower part of implants. Overall, foreign elements such as silicon, carbon, oxygen, zinc, sulfur, zirconium, and chloride were detected in failed implants. From surface observation of 19 and 60 month used implant, the corrosion was accelerated at the bottom of thread that was accumulated chloride. Corrosion products showed in the bottom of thread including dissolution elements, such as Au, Cu, Ag, from suprastructure of dental implant system. From surface observation of fatigue fractured implants, the crack were nucleated in the bottom of thread and the crack of corrosion fatigue was predominantly propagated. The corrosion products including chloride were found opposite side of starting point of corrosion fatigue crack. We could find the fatigue striation and estimate the dimple fracture of implants.

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