The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Evaluation of Insertion of torque and Pull-out strength of mini-screws according to different thickness of artificial cortical bone

다양한 교정용 미니 스크류의 인공 피질골 두께에 따른 삽입 토오크와 Pull-out 강도 비교

  • Song, Young-Youn (Private Practice) ;
  • Cha, Jung-Yul (Department of Orthodontics, College of Dentistry, Dental Science Research Institute, Yonsei University) ;
  • Hwang, Chung-Ju (Department of Orthodontics, College of Dentistry, Yonsei University)
  • 송영윤 (개인 치과 의원) ;
  • 차정열 (연세대학교 치과대학 교정학교실, 두개안면기형 연구소, 구강과학 연구소) ;
  • 황충주 (연세대학교 치과대학 교정학교실)
  • Published : 2007.02.28
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Abstract

Objective: The purpose of this study was to evaluate the mechanical performance of mini-screws during insertion into artificial bone with use of the driving torque tester (Biomaterials Korea, Seoul, Korea), as well as testing of Pull-out Strength (POS). Methods: Experimental bone blocks with different cortical bone thickness were used as specimens. Three modules of commercially available drill-free type mini-screws (Type A; pure cylindrical type, Biomaterials Korea, Seoul, Korea, Type B; partially cylindrical type, Jeil Medical, Seoul, Korea, Type C; combination type of cylindrical and tapered portions, Ortholution, Seoul, Korea), were used. Results: Difference in the cortical bone thickness had little effect on the maximum insertion torque (MIT) in Type A mini-screws. But in Type B and C, MIT increased as the cortical bone thickness Increased. MIT of Type C was highest in all situations, then Type B and Type A in order. Type C showed lower POS than Type A or B in all situations. There were statistically significant correlations between cortical bone thickness and MIT, and POS for each type of the mini-screws. Conclusion: Since different screw designs showed different insertion torques with increases in cortical bone thickness, the best suitable screw design should be selected according to the different cortical thicknesses at the implant sites.

본 연구는 스크류의 역학적인 특성을 알아보고자 세 종류의 self-drilling형의 교정용 미니 스크류 (Type A; 순수한 원통형, Type B; 내경이 증가하는 구간이 있는 부분적인 원통형, Type C; 원통형과 원추형이 함께 있는 복합형)를 피질골의 두께를 다르게 설정한 인공골 시편에 삽입하였다. 일정한 회전 속도와 수직력을 부여할 수 있는 구동식 토오크 시험기(Biomaterials Korea, Seoul, Korea)를 이용하여 삽입 토오크를 측정하고 만능시험기(Instron 3366, Instron, Norwood, MA, USA)를 이용하여 Pull-out 강도를 측정하여 다음과 같은 결과를 얻었다. 피질골 두께의 증가에 따른 최대 삽입 토오크(maximum insertion torque) 값은 Type A는 차이가 없는 반면(p > 0.05), Type B와 Type C에서는 유의한 증가가 관찰되었다 (p < 0.05). 모든 피질골 두께에서 Type C > Type A > Type B의 순으로 최대 삽입 토오크 값이 크게 나타났다 (p < 0.05). Pull-out 강도는 모든 경우에 Type A가 Type B와 Type C보다 낮게 측정되었다 (p < 0.05). Type별로 피질골 두께와 최대 삽입 토오크, Pull-out 강도 간에 통계적으로 유의한 상관관계가 있었다 (p < 0.05). 이상의 결과는 미니 스크류 식립을 위한 디자인 선택 시 식립부위의 피질골 두께를 고려해야 함을 시사한다.

Keywords

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