Min-Ho Hong

Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study.

PURPOSE A recently introduced direct drill-guiding implant surgery system features minimal tolerance of surgical instruments in the metal sleeve by using shank-modified drills and a sleeve-incorporated stereolithographic guide template. The purpose of this study was to evaluate the accuracy of this new guided surgery system in partially edentulous patients using geometric analyses. MATERIALS AND METHODS For the study, 21 implants were placed in 11 consecutive patients using the direct drill-guiding implant surgery system. The stereolithographic surgical guide was fabricated using cone-beam computed tomography, digital scanning, computer-aided design and computer-assisted manufacturing, and additive manufacturing processes. After surgery, the positional and angular deviations between planned and placed implants were measured at the abutment level using implant-planning software. The Kruskal-Wallis test and Mann-Whitney U test were used to compare the deviations (α=.05). RESULTS The mean horizontal deviations were 0.593 mm (SD 0.238) mesiodistally and 0.691 mm (SD 0.344) buccolingually. The mean vertical deviation was 0.925 mm (SD 0.376) occlusogingivally. The vertical deviation was significantly larger than the horizontal deviation (P=.018). The mean angular deviation was 2.024 degrees (SD 0.942) mesiodistally and 2.390 degrees (SD 1.142) buccolingually. CONCLUSION The direct drill-guiding implant surgery system demonstrates high accuracy in placing implants. Use of the drill shank as the guiding component is an effective way for reducing tolerance.

Does the maxillary anterior ratio in Korean adults follow the Golden Proportion

PURPOSE The purpose of this study was to determine the effect of changes in the horizontal plane angle on the mesiodistal width ratios of the maxillary anterior teeth during the acquisition of frontal view photographs, derive these ratios for Korean adults on the basis of the data obtained, and analyze them using the Golden Proportion as a reference. MATERIALS AND METHODS In experiment I, 30 plaster casts were mounted on an articulator and positioned on the angle-measuring device with a center setting of 0°. The device was rotated to 10° in 1° increments in a counterclockwise direction. At each angle, photographs were obtained and analyzed. Experiment II was based on 60 patients who visited the Department of Prosthodontics at Kyungpook National University Dental Hospital from February 2012 to February 2015. The patients were divided into three groups [Male (M), Female (F), Total (M + F)]. Frontal views were obtained for all groups and analyzed. RESULTS From 1° to 10°, the relative mesiodistal width ratios for the maxillary anterior teeth showed no significant differences from those at 0°. In all three groups, the relative width ratio of the maxillary central incisor was smaller than that specified in the Golden Proportion; the opposite was true for the canine. CONCLUSION Our results suggest that the mesiodistal width ratios of the maxillary anterior teeth do not follow the Golden Proportion in Korean adults, and that a change in the horizontal plane angle from 1° to 10° during frontal photography does not affect these ratios.

Influence of Oxidative Etching Solution Temperatures on the Surface Roughness and Wettability of a Titanium Alloy

Recently, a simple surface modification treatment of titanium (Ti) was developed to produce nano-and micro-scale features on the surfaces via simple immersion in an oxidative aqueous solution (30% hydrogen peroxide/5% sodium bicarbonate). However, this treatment method of Ti surfaces requires a relatively long immersion time (4 h) in the oxidative solution. In this study, we investigated whether an increase in the temperature of the oxidative etching solution can shorten the immersion time of Ti effectively. Polished grade 5 dental Ti (Ti-6Al-4V) discs were immersed in the oxidative aqueous solution either for 30 or 60 min. The temperature of the etching solution was maintained at 25 (similar to room temperature), 35, or 45 °C during etching. The etched surfaces were studied in terms of micro- and nano-structures, surface roughness, and wettability (surface energy). The increase in the temperature of the solution accelerated the etching effect of Ti and created both micro- and nano-structures on the surfaces more effectively. In particular, immersion for 60 min at the solution temperature of 35 °C significantly increased the surface roughness and wettability, although the etching effect was enhanced further at the solution temperature of 45 °C.

Surface Roughness of a 3D-Printed Ni–Cr Alloy Produced by Selective Laser Melting: Effect of Process Parameters

The selective laser melting (SLM) process parameters, which directly determine the melting behavior of the metallic powders, greatly affect the nanostructure and surface roughness of the resulting 3D object. This study investigated the effect of various laser process parameters (laser power, scan rate, and scan line spacing) on the surface roughness of a nickel-chromium (Ni-Cr) alloy that was three-dimensionally (3D) constructed using SLM. Single-line formation tests were used to determine the optimal laser power of 200 W and scan rate of 98.8 mm/s, which resulted in beads with an optimal profile. In the subsequent multi-layer formation tests, the 3D object with the smoothest surface (Ra = 1.3 μm) was fabricated at a scan line spacing of 60 μm (overlap ratio = 73%). Narrow scan line spacing (and thus large overlap ratios) was preferred over wide scan line spacing to reduce the surface roughness of the 3D body. The findings of this study suggest that the laser power, scan rate, and scan line spacing are the key factors that control the surface quality of Ni-Cr alloys produced by SLM.

Comparative Study of the Fit Accuracy of Full-Arch Bar Frameworks Fabricated with Different Presintered Cobalt-Chromium Alloys

Purpose This study was to measure the geometric discrepancies that occur during the sintering contraction of presintered Co-Cr alloys in a full-arch bar framework and to compare the variations between alloys from different manufacturers. Materials and Methods Eighteen implant-supported full-arch bar frameworks were fabricated through a soft-machining process using presintered Co-Cr alloy blocks: Ceramill Sintron (CS), Soft Metal (SM), and Sintermetall (SML) (n=6 for each group). The sintered frameworks were digitized using a structured light scanner, and the scan images were superimposed on the reference design. The geometric discrepancies of the sintered frameworks were three-dimensionally analyzed for horizontal, angular, and internal discrepancies. Kruskal-Wallis and Mann–Whitney U tests were used to compare the discrepancies among the groups (α=.05). Results Significant differences were found in the geometric discrepancy measurements among the groups. The CS group showed larger horizontal and angular discrepancies, followed by the SM and SML groups (P<.001). The root mean square (RMS) values for internal discrepancy were not statistically different among the groups (P=.778). Conclusion The geometric discrepancies of full-arch bar frameworks fabricated using the soft-machining process were affected by accuracies in sintering contraction of presintered alloys.