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1.
Micromachines (Basel) ; 15(1)2023 Dec 27.
Article in English | MEDLINE | ID: mdl-38258177

ABSTRACT

In this study, we propose an optimized AlGaN/GaN high-electron-mobility transistor (HEMT) with a considerably improved breakdown voltage. First, we matched the simulated data obtained from a basic T-gate HEMT with the measured data obtained from the fabricated device to ensure the reliability of the simulation. Thereafter, to improve the breakdown voltage, we suggested applying a gate-head extended structure. The gate-head-top and gate-head-bottom lengths of the basic T-gate HEMT were symmetrically extended by 0.2 µm steps up to 1.0 µm. The breakdown voltage of the 1.0 µm extended structure was 52% higher than that of the basic T-gate HEMT. However, the cutoff frequency (fT) and maximum frequency (fmax) degraded. To minimize the degradation of fT and fmax, we additionally introduced a gate-recessed structure to the 1.0 µm gate-head extended HEMT. The thickness of the 25 nm AlGaN barrier layer was thinned down to 13 nm in 3 nm steps, and the highest fT and fmax were obtained at a 6 nm recessed structure. The fT and fmax of the gate-recessed structure improved by 9% and 28%, respectively, with respect to those of the non-gate-recessed structure, and further improvement of the breakdown voltage by 35% was observed. Consequently, considering the trade-off relationship between the DC and RF characteristics, the 1.0 µm gate-head extended HEMT with the 6 nm gate-recessed structure was found to be the optimized AlGaN/GaN HEMT for high-power operations.

2.
Micromachines (Basel) ; 13(11)2022 Nov 11.
Article in English | MEDLINE | ID: mdl-36422387

ABSTRACT

This study investigates the operational characteristics of AlGaN/GaN high-electron-mobility transistors (HEMTs) by applying a slant-gate structure and drain-side extended field-plate (FP) for improved breakdown voltage. Prior to the analysis of slant-gate-based HEMT, simulation parameters were extracted from the measured data of fabricated basic T-gate HEMTs to secure the reliability of the results. We suggest three different types of slant-gate structures that connect the basic T-gate electrode boundary to the 1st and 2nd SiN passivation layers obliquely. To consider both the breakdown voltage and frequency characteristics, the DC and RF characteristics of various slant-gate structures including the self-heating effect were analyzed by TCAD simulation. We then applied a drain-side extended FP to further increase the breakdown voltage. The maximum breakdown voltage was achieved at the FP length of 0.4 µm. Finally, we conclude that the slant-gate structures can improve breakdown voltage by up to 66% without compromising the frequency characteristics of the HEMT. When the drain-side FP is applied to a slant-gate structure, the breakdown voltage is further improved by up to 108%, but the frequency characteristics deteriorate. Therefore, AlGaN/GaN HEMTs with an optimized slant-gate-based structure can ultimately be a promising candidate for high-power and high-frequency applications.

3.
Biomed Rep ; 12(6): 319-325, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32382416

ABSTRACT

The aim of the present study was to investigate the anti-inflammatory effects of glycine thymosin ß4 (Gly-Tß4) eye drops, and to compare the efficacy of topical Gly-Tß4 with Cyclosporine A (CsA) in a mouse model of experimental dry eye (EDE). Eye drops consisting of balanced salt solution (BSS), 0.1% Gly-Tß4 or 0.05% CsA were used for treatment of EDE. Tear volume, tear film break-up time and corneal staining scores were measured after 7 and 14 days. Periodic acid-Schiff staining for conjunctival gobleT cells, TUNEL assay for corneal apoptotic positive cells, multiplex immunobead assay for interleukin (IL)-1ß, IL-6, tumor necrosis factor-α and interferon-γ levels, and flow cytometry for CD4+/CCR5+ T cells were performed after 14 days. All clinical parameters showed improvement in the Gly-Tß4 and CsA groups (all P<0.05). Significantly increased conjunctival gobleT cells and decreased corneal TUNEL positive cells were observed in the Gly-Tß4 and CsA groups. The Gly-Tß4 and CsA treated groups showed significantly reduced inflammatory cytokine levels and T cells in the conjunctiva compared with the EDE and BSS groups (all P<0.05). However, there were no significant differences observed in the inflammatory and clinical parameters between the Gly-Tß4 and CsA treatment groups. Topical application of 0.1% Gly-Tß4 significantly reduced inflammation on the ocular surface, as well as clinical parameters of EDE, with a similar efficacy to that of 0.05% CsA emulsions, suggesting that Gly-Tß4 eye drops may be used as a therapeutic agent for treatment of dry eye disease.

4.
Int J Ophthalmol ; 12(3): 393-400, 2019.
Article in English | MEDLINE | ID: mdl-30918806

ABSTRACT

AIM: To investigate the abnormalities in the meibomian gland in patients with dry eye disease (DED) associated with chronic ocular graft-versus-host disease (coGVHD) in comparison with Sjögren's syndrome (SS), a major form of aqueous deficient DED and meibomian gland dysfunction (MGD), a common cause of evaporative DED. METHODS: A total 135 eyes of 135 subjects included in this study: patients with DED associated with coGVHD (n=30), patients with SS (n=35), patients with MGD (n=35), and normal controls (n=35). All participants completed the Ocular Surface Disease Index (OSDI) questionnaire, ocular surface examination [Schirmer test, tear film breakup time (TFBUT), and ocular surface staining], and meibomian gland assessment [meiboscore (gland dropout detected on meibography using infrared camera of the Keratograph 5M), meibum expressibility score (MES), meibum quality score (MQS), lid margin abnormality]. In addition, correlations of meibomian gland characteristics with ocular surface parameters as well as disease severity score were investigated in coGVHD group. RESULTS: The coGVHD group showed significantly higher meiboscore, MES, and MQS than the other 3 groups (all P<0.05). In the coGVHD group, parameters of meibomian gland showed a significant correlation each other and those of ocular surface. The correlation between meibomian gland parameters and severity score of coGVHD was also established (meiboscore, r=0.62; MES, r=0.47; MQS, r=0.47; lid margin abnormality score, r=0.55; all P<0.05). CONCLUSION: Patients with DED associated with coGVHD show poorer gland morphology and worse gland function than other types of DED. In addition, meibomian gland damage is not only associated with ocular surface damage but also disease severity of coGVHD.

5.
Curr Eye Res ; 44(5): 486-496, 2019 05.
Article in English | MEDLINE | ID: mdl-30580651

ABSTRACT

PURPOSE: To investigate the efficacy and safety of a new cyclosporine A (CsA) delivery system using contact lenses (CLs) for the treatment of experimental dry eye (EDE). METHODS: CsA-laden porous carriers and CsA-eluting CLs were fabricated using the supercritical fluid technique. The release of CsA from carriers and CLs was investigated using high-performance liquid chromatography. The CsA concentrations in the cornea, conjunctiva, and crystalline lens of rabbits were measured. Dry eye was induced using 0.1% benzalkonium chloride in rabbits, which were subdivided into the normal, EDE, balanced salt solution (BSS), 0.05% CsA, hydrogel CL, or CsA-CL groups. Tear volume, tear film break-up time (TBUT), and corneal staining scores were measured at 1 and 2 weeks after treatment. Periodic acid-Schiff staining for the evaluation of conjunctival goblet cell density was performed at 2 weeks. Interleukin (IL)-1ß, IL-6, tumor necrosis factor-α, and interferon-γ levels in the conjunctiva were measured using enzyme-linked immune-sorbent assay. RESULTS: The porous carrier showed the release of drug. CsA-eluting CLs showed initial burst and sustained release of CsA until 48 h. The concentration of CsA elevated in the cornea, conjunctiva, and lens until 48 h after application of CsA-CLs. The CsA-CL group showed significantly higher tear volume, TBUT, and lower corneal staining scores compared to the other groups (p < 0.05). Goblet cell density was significantly higher in the CsA-CL group compared to the other groups. The CsA-CLs group showed a lower level of IL-1ß than the BSS and soft CL groups (p < 0.01), and a lower level of IFN-γ than the other groups (all p < 0.01). CONCLUSIONS: The newly designed CsA-eluting CLs released drug continuously and showed good penetration in the eye. In addition, the use of CsA-eluting CLs improved clinical parameters and conjunctival goblet cell density and decreased inflammatory cytokines.


Subject(s)
Contact Lenses, Hydrophilic , Cyclosporine/administration & dosage , Drug Carriers , Dry Eye Syndromes/drug therapy , Immunosuppressive Agents/administration & dosage , Animals , Cell Count , Chromatography, High Pressure Liquid , Conjunctiva/metabolism , Conjunctiva/pathology , Cytokines/metabolism , Disease Models, Animal , Enzyme-Linked Immunosorbent Assay , Female , Goblet Cells/pathology , Ophthalmic Solutions , Rabbits , Tears/physiology
6.
PLoS One ; 13(10): e0206541, 2018.
Article in English | MEDLINE | ID: mdl-30379901

ABSTRACT

PURPOSE: To investigate the influences of smartphone use on ocular symptoms, status of the tear film, and oxidative stress indices in the tears and at the ocular surface. METHODS: Eighty healthy volunteers were enrolled in the study. Subjective symptoms and asthenopia were evaluated using the ocular surface disease index (OSDI), visual analogue scale (VAS), and computer vision syndrome (CVS) score before and after smartphone or computer display (control) use. The status of the tear film was evaluated using fluorescein film break-up time (FBUT), non-invasive keratograph break up time (NIKBUT), Schirmer score, keratoepitheliopathy (KEP), and tear meniscus height (TMH). Oxidative stress markers in the tear film including hexanoyl lysine (HEL), 4-hydroxy-2-nonenal (4-HNE), malondialdehyde (MDA), and 8-oxo-2'-deoxyguanosine (8-OHdG) in the tear film were measured using ELISA. Reactive oxygen species (ROS) at the ocular surface were measured through 2',7'-dichloro-dihydrofluorescein diacetate. All measurements were conducted at baseline, and after use for 1 and 4 h. RESULTS: All parameters showed no significant group-wise differences at baseline. Scores of OSDI, VAS, fatigue, burning sensation, and dryness showed significant increases after 1 and 4 h of smartphone use compared with those at baseline (all P < 0.05). The smartphone group showed higher OSDI, fatigue, burning, and dryness scores than the control group at 4 h. Smartphone use showed significantly decreased FBUT and NIBUT at 4 h than those at baseline (P < 0.01). In the smartphone group, the concentration of HEL significantly increased at 4 h compared with that at baseline and 1 h (P < 0.01). Both groups showed increased ROS with higher value in the smartphone group versus the control group at 4 h (P < 0.01). CONCLUSIONS: Smartphone use could not only aggravate subjective symptom indices such as the OSDI, VAS, and CVS but also induce tear film instability and oxidative stress indices in the tears and at the ocular surface.


Subject(s)
Eye/metabolism , Oxidative Stress/physiology , Smartphone , Tears/metabolism , Adult , Biomarkers/metabolism , Dry Eye Syndromes/metabolism , Female , Humans , Male , Malondialdehyde/metabolism , Prospective Studies , Reactive Oxygen Species/metabolism , Young Adult
7.
Korean J Ophthalmol ; 29(2): 131-7, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25829831

ABSTRACT

PURPOSE: To investigate the therapeutic effects of mineral oil (MO) and hyaluronic acid (HA) mixture eye drops on the tear film and ocular surface in a mouse model of experimental dry eye (EDE). METHODS: Eye drops consisting of 0.1% HA alone or mixed with 0.1%, 0.5%, or 5.0% MO were applied to desiccating stress-induced murine dry eyes. Tear volume, corneal irregularity score, tear film break-up time (TBUT), and corneal fluorescein staining scores were measured at 5 and 10 days after treatment. Ten days after treatment, goblet cells in the conjunctiva were counted after Periodic acid-Schiff staining. RESULTS: There was no significant difference in the tear volume between desiccating stress-induced groups. The corneal irregularity score was lower in the 0.5% MO group compared with the EDE and HA groups. The 0.5% and 5.0% MO groups showed a significant improvement in TBUT compared with the EDE group. Mice treated with 0.1% and 0.5% MO mixture eye drops showed a significant improvement in fluorescein staining scores compared with the EDE group and the HA group. The conjunctival goblet cell count was higher in the 0.5% MO group compared with the EDE group and HA group. CONCLUSIONS: The MO and HA mixture eye drops had a beneficial effect on the tear films and ocular surface of murine dry eye. The application of 0.5% MO and 0.1% HA mixture eye drops could improve corneal irregularity, the corneal fluorescein staining score, and conjunctival goblet cell count compared with 0.1% HA eye drops in the treatment of EDE.


Subject(s)
Conjunctiva/drug effects , Dry Eye Syndromes/drug therapy , Hyaluronic Acid/administration & dosage , Mineral Oil/administration & dosage , Tears/metabolism , Animals , Conjunctiva/pathology , Cornea/metabolism , Disease Models, Animal , Drug Combinations , Dry Eye Syndromes/metabolism , Emollients/administration & dosage , Female , Goblet Cells/drug effects , Goblet Cells/metabolism , Goblet Cells/pathology , Mice , Mice, Inbred C57BL , Ophthalmic Solutions , Viscosupplements/administration & dosage
8.
Curr Eye Res ; 39(9): 871-8, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24559509

ABSTRACT

PURPOSE: To investigate the efficacy of the topical application of omega-3 essential fatty acids (EFAs) and hyaluronic acid (HA) mixtures in a mouse model of experimental dry eye (EDE). METHODS: Eye drops consisting of 0.1% HA, 0.02%, or 0.2% omega-3 EFAs alone and mixture of 0.02%, or 0.2% omega-3 EFAs and 0.1% HA were applied in desiccating stress-induced murine dry eye. Corneal irregularity scores and fluorescein staining scores were measured 5 and 10 days after treatment. Levels of interleukin (IL)-1ß, -17, and interferon gamma-induced protein (IP)-10 were measured in the conjunctiva at 10 days using a multiplex immunobead assay. The concentrations of hexanoyl-lys (HEL) and 4-hydroxynonenal (4-HNE) in conjunctiva tissue were measured with enzyme-linked immunosorbent assays. RESULTS: Mice treated with the mixture containing 0.2% omega-3 EFAs showed a significant improvement in corneal irregularity scores and corneal fluorescein staining scores compared with EDE, HA, 0.02% or 0.2% omega-3 EFAs alone, and 0.02% omega-3 EFAs mixture-treated mice. A significant decrease in the levels of IL-1ß, -17, and IP-10 were observed in the 0.2% EFAs mixture-treated group, compared with the other groups. In the mice treated with the mixture containing 0.2% omega-3 EFAs, the concentration of 4-HNE was also lower than the other groups. Although 0.2% omega-3 EFAs alone group also had a significant improvement in corneal irregularity scores and IL-17, IL-10, and 4 HNE levels compared with the other groups, the efficacy was lower than 0.2% omega-3 mixture group. CONCLUSIONS: Topically applied eye drops containing a mixture of omega-3 EFAs and HA could improve corneal irregularity and corneal epithelial barrier disruption, and decrease inflammatory cytokines and oxidative stress markers on the ocular surface. Topical omega-3 EFAs and HA mixture may have a greater therapeutic effect on clinical signs and inflammation of dry eye compared with HA artificial tears.


Subject(s)
Conjunctiva/drug effects , Cornea/drug effects , Dry Eye Syndromes/drug therapy , Fatty Acids, Omega-3/pharmacology , Hyaluronic Acid/pharmacology , Aldehydes/metabolism , Animals , Chemokine CXCL10/metabolism , Conjunctiva/metabolism , Cornea/pathology , Desiccation , Disease Models, Animal , Drug Combinations , Enzyme-Linked Immunosorbent Assay , Female , Interleukin-17/metabolism , Interleukin-1beta/metabolism , Lipid Peroxidation , Mice , Mice, Inbred C57BL , Ophthalmic Solutions , Oxidative Stress
9.
JAMA Ophthalmol ; 131(1): 62-6, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23307210

ABSTRACT

OBJECTIVE: To investigate the efficacy of WINROP (https://winrop.com), an algorithm based on serial measurements of neonatal body weight to predict proliferative retinopathy of prematurity (ROP), in a Korean population of preterm infants. METHODS: The records of preterm infants with gestational age less than 32 weeks who were admitted to the neonatal intensive care unit at Chonnam National University Hospital, Gwangju, South Korea, from October 2006 to November 2010 were reviewed. The body weight of infants was measured weekly and entered into a computer-based surveillance system, WINROP, and the outcome was analyzed. RESULTS: A total of 314 preterm infants participated in the study. The mean gestational age was 29 weeks (range, 25-32 weeks). The mean body weight was 1263 g (range, 590-2260 g). For 166 of 314 infants (52.9%), a high-risk alarm was noted. In the high-risk alarm group, 36 infants developed type 1 ROP, according to the Early Treatment for Retinopathy of Prematurity criteria, and they were treated for ROP. The remaining 148 infants (47.1%) had a low-risk alarm. In the low-risk alarm group, 3 infants with bronchopulmonary dysplasia and intraventricular hemorrhage, a risk factor for ROP, and 1 infant without any risk factors for ROP developed type 1 ROP and were treated. CONCLUSIONS: In a Korean population, the WINROP algorithm had a sensitivity of 90% for identifying infants with type 1 ROP. Although some limitations are present, adjustment to the WINROP algorithm for a specific population may improve the efficacy of predicting proliferative ROP and reduce the frequency of retinal examinations.


Subject(s)
Algorithms , Birth Weight/physiology , Retinal Neovascularization/diagnosis , Retinopathy of Prematurity/diagnosis , Asian People/ethnology , Computer Systems , Female , Gestational Age , Humans , Infant, Newborn , Infant, Premature , Intensive Care Units, Neonatal , Male , Republic of Korea/epidemiology , Retinal Neovascularization/classification , Retinal Neovascularization/ethnology , Retinal Vessels/pathology , Retinopathy of Prematurity/classification , Retinopathy of Prematurity/ethnology , Risk Factors , Sensitivity and Specificity
10.
Nanotechnology ; 24(1): 015201, 2013 Jan 11.
Article in English | MEDLINE | ID: mdl-23221258

ABSTRACT

We investigated the radio-frequency transmission properties of reduced graphene oxide (GO) sheets including contact effects with the metal electrodes. GO sheets were prepared by dielectrophoresis and their structural characteristics were analyzed by x-ray photoelectron spectroscopy and Raman spectroscopy. The contact resistance was much higher than the intrinsic resistance over the entire frequency range, thus the contact resistance was considered as a dominant component of impedance in the radio-frequency regime. In the radio-frequency regime, GO sheets showed a drastic decrease in impedance based on a consistent decrease in the intrinsic and contact resistance. These results support the potential of GO as a radio-frequency interconnector with a solution-based fabrication method.

11.
Opt Express ; 20(27): 28538-43, 2012 Dec 17.
Article in English | MEDLINE | ID: mdl-23263091

ABSTRACT

We demonstrate the first integrated transmitter for serial 100 Gb/s NRZ-OOK modulation in datacom and telecom applications. The transmitter relies on the use of an electro-optic polymer modulator and the hybrid integration of an InP laser diode and InP-DHBT electronics with the polymer board. Evaluation is made at 80 and 100 Gb/s through eye-diagrams and BER measurements using a receiver module that integrates a pin-photodiode and an electrical 1:2 demultiplexer. Error-free performance is confirmed both at 80 and 100 Gb/s revealing the viability of the approach and the potential of the technology.


Subject(s)
Computer Communication Networks/instrumentation , Indium/chemistry , Lasers, Semiconductor , Phosphines/chemistry , Semiconductors , Telecommunications/instrumentation , Tryptamines/chemistry , Equipment Design , Equipment Failure Analysis , Microwaves , Photons
12.
Opt Express ; 20(16): 18248-53, 2012 Jul 30.
Article in English | MEDLINE | ID: mdl-23038374

ABSTRACT

By using the film mode matching method, a novel design for asymmetrical multi-section 1.55/1.31 µm wavelength splitter based on multimode interference has been proposed and simulated, which can be effectively applied to wavelength multiplexer, self-biased photodiode, and other optical devices. Compared with the conventional wavelength splitter design, the length of the novel structure has been reduced to at least 1/5, showing better performance. The presented structure is also adequate for splitting other wavelengths and more tolerable fabrications.

13.
Int J Oral Maxillofac Implants ; 26(5): 1016-23, 2011.
Article in English | MEDLINE | ID: mdl-22010085

ABSTRACT

PURPOSE: This study aimed to evaluate the effect of different screw-tightening sequences, torques, and methods on the strains generated on an internal-connection implant (Astra Tech) superstructure with good fit. MATERIALS AND METHODS: An edentulous mandibular master model and a metal framework directly connected to four parallel implants with a passive fit to each other were fabricated. Six stone casts were made from a dental stone master model by a splinted impression technique to represent a well-fitting situation with the metal framework. Strains generated by four screw-tightening sequences (1-2-3-4, 4-3-2-1, 2-4-3-1, and 2-3-1-4), two torques (10 and 20 Ncm), and two methods (one-step and two-step) were evaluated. In the two-step method, screws were tightened to the initial torque (10 Ncm) in a predetermined screw-tightening sequence and then to the final torque (20 Ncm) in the same sequence. Strains were recorded twice by three strain gauges attached to the framework (superior face midway between abutments). Deformation data were analyzed using multiple analysis of variance at a .05 level of statistical significance. RESULTS: In all stone casts, strains were produced by connection of the superstructure, regardless of screw-tightening sequence, torque, and method. No statistically significant differences in superstructure strains were found based on screw-tightening sequences (range, -409.8 to -413.8 µm/m), torques (-409.7 and -399.1 µm/m), or methods (-399.1 and -410.3 µm/m). CONCLUSIONS: Within the limitations of this in vitro study, screw-tightening sequence, torque, and method were not critical factors for the strain generated on a well-fitting internal-connection implant superstructure by the splinted impression technique. Further studies are needed to evaluate the effect of screw-tightening techniques on the preload stress in various different clinical situations.


Subject(s)
Dental Implant-Abutment Design , Dental Implants , Dental Impression Technique , Models, Dental , Calcium Sulfate/chemistry , Dental Impression Materials/chemistry , Dental Impression Technique/instrumentation , Dental Marginal Adaptation , Dental Prosthesis, Implant-Supported , Humans , Polyvinyls/chemistry , Siloxanes/chemistry , Splints , Stress, Mechanical , Surface Properties , Torque
14.
Int J Oral Maxillofac Implants ; 26(1): 45-55, 2011.
Article in English | MEDLINE | ID: mdl-21365037

ABSTRACT

PURPOSE: This study compared the removal torque values (RTVs) of different abutments (straight, angled, and gold premachined UCLA-type) in external- and internal-hex implants after dynamic cyclic loading with the clinical situation of the anterior maxilla simulated. MATERIALS AND METHODS: An ideal cast of a maxilla with a missing right central incisor was fabricated in dental stone, and an implant analog was embedded in this model at a 15-degree angle labial to the long axis of the left central incisor. Thirty external-hex and 30 internal-hex implants were used. A total of 10 straight abutments, 10 angled abutments, and 10 gold premachined UCLA-type abutments of each system and 60 abutment screws were tested. Initial RTVs were measured after each assembly was tightened to 30 Ncm. Straight abutments and angled abutments were prepared and gold-premachined UCLA-type abutments were waxed and cast with low-fusing gold alloy for the central incisor. RTVs were then measured again. After each assembly was tightened, a metal crown was temporarily cemented. After cyclic loading of 20 to 200 N was applied 1 million times, RTVs were measured for a third time. Statistical analysis (alpha = .05) was performed to evaluate the results. RESULTS: The angled abutment group showed significantly higher RTVs than the straight abutment and gold premachined UCLA-type abutment groups in external-hex implants. However, no significant difference in RTVs was found among abutments in internal-hex implants. The time of analysis of RTV was found to significantly influence mean RTVs. Mean RTVs of external- and internal-hex implants showed significant differences. CONCLUSIONS: Within the limitations of this study, there were significant differences in RTVs among different abutment groups in external-hex implants. There were no significant differences in RTVs among different abutment groups in internal-hex implants.


Subject(s)
Dental Abutments , Dental Implants , Dental Restoration Failure , Maxilla , Crowns , Dental Prosthesis Design , Dental Prosthesis, Implant-Supported , Dental Stress Analysis/instrumentation , Gold Alloys/chemistry , Humans , Incisor , Materials Testing , Models, Dental , Stress, Mechanical , Surface Properties , Time Factors , Torque
15.
J Adv Prosthodont ; 2(1): 25-31, 2010 Mar.
Article in English | MEDLINE | ID: mdl-21165184

ABSTRACT

PURPOSE: This study compared the accuracy of an abutment-framework (A-F) taken with open tray impression technique combining cementon crown abutments, a metal framework and resin cement to closed tray and resin-splinted open tray impression techniques for the 3-implant definitive casts. The effect of angulation on the accuracy of these 3 techniques was also evaluated. MATERIAL AND METHODS: Three definitive casts, each with 3 linearly positioned implant analogs at relative angulations 0, 30, and 40 degrees, were fabricated with passively fitted corresponding reference frameworks. Ten impressions were made and poured, using each of the 3 techniques on each of the 3 definitive casts. To record the vertical gap between reference frameworks and analogs in duplicate casts, a light microscope with image processing was used. Data were analyzed by two-way analysis of variance and the Tukey test. RESULTS: The open tray techniques showed significantly smaller vertical gaps compare to closed tray technique (P < .05). The closed tray and the resin-splinted open tray technique showed significantly different vertical gaps according to the angulation of implant (P < .05), but the A-F impression technique did not (P > .05). CONCLUSION: The accuracy of the A-F impression technique was superior to that of conventional techniques, and was not affected by the angulation of the implants.

16.
Int J Oral Maxillofac Implants ; 24(6): 1045-53, 2009.
Article in English | MEDLINE | ID: mdl-20162108

ABSTRACT

PURPOSE: This study evaluated the effect of different screw-tightening sequences, forces, and methods on the stresses generated on a well-fitting internal-connection implant (Astra Tech) superstructure. MATERIALS AND METHODS: A metal framework directly connected to four parallel implants was fabricated on a fully edentulous mandibular resin model. Six stone casts with four implant replicas were made from a pickup impression of the superstructure to represent a "well-fitting" situation. Stresses generated by four screw-tightening sequences (1-2-3-4, 4-3-2-1, 2-4-3-1, and 2-3-1-4), two forces (10 and 20 Ncm), and two methods (one-step and two-step) were evaluated. In the two-step method, screws were tightened to the initial torque (10 Ncm) in a predetermined screw-tightening sequence and then to the final torque (20 Ncm) in the same sequence. Stresses were recorded twice by three strain gauges attached to the framework (superior face midway between abutments). Deformation data were analyzed using multiple analysis of variance at a .05 level of statistical significance. RESULTS: In all stone casts, stresses were produced by the superstructure connection, regardless of screw-tightening sequence, force, and method. No statistically significant differences for superstructure preload stresses were found based on screw-tightening sequences (-180.0 to -181.6 microm/m) or forces (-163.4 and -169.2 microm/m) (P > .05). However, different screw-tightening methods induced different stresses on the superstructure. The two-step screw-tightening method (-180.1 microm/m) produced significantly higher stress than the one-step method (-169.2 microm/m) (P = .0457). CONCLUSIONS: Within the limitations of this in vitro study, screw-tightening sequence and force were not critical factors in the stress generated on a well-fitting internal-connection implant superstructure. The stress caused by the two-step method was greater than that produced using the one-step method. Further studies are needed to evaluate the effect of screw-tightening techniques on preload stress in various different clinical situations.


Subject(s)
Dental Abutments , Dental Prosthesis Retention , Dental Prosthesis, Implant-Supported , Dental Stress Analysis , Torque , Dental Implantation, Endosseous/instrumentation , Dental Implants , Humans , Jaw, Edentulous/rehabilitation , Mandible , Models, Dental , Weight-Bearing
17.
Int J Oral Maxillofac Implants ; 22(5): 761-8, 2007.
Article in English | MEDLINE | ID: mdl-17974110

ABSTRACT

PURPOSE: This study evaluated the accuracy of 2 implant-level impression techniques (direct nonsplinted and splinted) for the fabrication of multi-unit internal-connection implant restorations in 2 simulated clinical settings (parallel and divergent) using a laboratory model. MATERIALS AND METHODS: A dental stone master model was fabricated with 2 pairs of implant replicas. One pair simulated a parallel clinical condition and the other an 8-degree-divergent condition. Ten stone casts were made from vinyl polysiloxane impressions of the master model for each impression technique. Half of the samples were created by a direct nonsplinted technique (square impression copings, custom tray), and the other half were made by a direct splinted technique (square impression copings splinted with autopolymerizing acrylic resin, custom tray). Four strain gauges were fixed on each metal framework to measure the degree of framework deformation for each stone cast in half-Wheatstone-bridge formations. Deformation readings were made twice in 4 directions (anterior, posterior, superior, and inferior). Deformation data were analyzed using repeated-measures analysis of variance at a .05 level of significance. RESULTS: No significant difference in deformation was found between the direct nonsplinted and splinted samples in either simulated clinical condition (P > .05). No significant difference in deformation was found between the techniques regardless of condition (P > .05). CONCLUSIONS: Within the limitations of this study, using a 2-implant model, the accuracy of implant-level impressions for internal-connection implant restorations was similar for the direct nonsplinted and splinted techniques in settings with divergence up to 8 degrees.


Subject(s)
Dental Implants , Dental Impression Technique , Dental Prosthesis Design , Dental Prosthesis, Implant-Supported , Acrylic Resins , Dental Abutments , Dental Impression Materials , Dental Impression Technique/instrumentation , Dental Materials , Humans , Materials Testing , Models, Dental , Polyvinyls , Prosthesis Fitting , Siloxanes , Splints , Stress, Mechanical , Surface Properties
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