• The Korean Journal of Ceramics
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• 제6권3호
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• pp.214-218
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• 2000

Hydroxyapatite (HA) and $\beta$-tricalcium phosphate ($\beta$-TCP) are bio-compatible materials with bones and teeth. HA has been widely applied as bone substitutes because of chemical stability in vivo, while $\beta$-TCP has higher resorbability than HA when the material is implanted in a bone defect. In the present study, both HA and $\beta$-TCP porous ceramics were soaked in the simulated body fluid in order to investigate the reaction between the materials and the fluid. After the soaking test, carbonate hydroxyapatite was formed on HA surface at 1 week, and then the amount of precipitates increased with increasing period of the soaking test. While $\beta$-TCP was not dissolved in the fluid, carbonate hydroxyaopatite was also formed on $\beta$-TCP surface after 12 weeks, and the amount of precipitates was less than that on HA. In vitro behavior of HA was similar to that in vivo, but in vitro behavior of $\beta$-TCP was not similar to that in vivo.

• 대한치과보철학회지
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• 제48권4호
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• pp.259-265
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• 2010

연구 목적: $\beta$-Tricalcium phosphate/Hydroxyapatite ($\beta$-TCP/HA) 입자가 혼합된 합성 골 이식재의 particle size가 토끼의 두개골에서 타이타늄 메쉬를 이용해 시행된 골유도 재생술의 결과에 미치는 영향을 평가하고자 하였다. 연구 재료 및 방법: 여섯 마리의 수컷 뉴질랜드 산 백토끼 (5 kg)를 이용하여 실험 하였다. 토끼 두개골의 정 중앙을 절개하고 전층 판막을 형성하여 박리하였다. 두개골의 네 부위에 6 mm 직경의 트레핀 바 (XTP 5406; Dentium, Seoul, Korea)로 원형의 홈을 형성한 후 blood supply를 위해 원형의 홈안에 1 mm 직경의 라운드 바로 다섯 개의 작은 구멍을 형성하였다. 형성된 네 개의 홈 위에 표준화되어 맞춤 제작된 반구형 타이타늄 메쉬 (높이 3 mm, 직경 6 mm; Dentium, Seoul, Korea)를 위치시키고 세 개의 2 mm 길이의 티타늄 핀 (Dentium, Seoul, Korea)을 이용하여 고정하였다. 대조군은 이식재를 포함시키지 않았고 나머지 타이타늄 메쉬들은 실험군으로서 서로 다른 세 가지 크기의 이식재를 각각 담아서 고정하였다. 이식재 ($Osteon^{(R)}$, Dentium, Seoul, Korea)의 성분은 HA와 $\beta$-TCP ($\beta$-TCP/HA)가 혼합되어 있는 합성골 이식재이며 실험군으로 사용한 이식재의 크기는 각각 small (0.3 - 0.5 mm), medium (0.5 - 1.0 mm), large (1.0 - 2.0 mm) size 였다. 8주의 치유기간 후에 토끼를 희생시킨 후 조직 표본을 제작하고 CCD 카메라 (Polaroid DMC2 digital Microscope Camera (Polaroid Corporation, Cambridge, MA 02139, USA))가 부착되어 있는 광학 현미경 (Olympus BX, Tokyo, Japan)을 이용하여 두 가지 배율 (12.5배, 40배)로 조직학적 소견을 관찰하였다. 신생 골부위와 남은 골이식재 부위의 넓이를 측정하여 타이타늄 메쉬 내부 공간에서 차지하는 면적의 비율(%)을 구하였다. 그 수치들을 Mann-Whitney U-test와 Wilcoxon signed rank-test를 이용하여 통계 분석하였다 ($\alpha$ = .05). 결과: 대조군과 $\beta$-TCP/HA를 이식한 나머지 세 군의 신생골 형성을 비교하면 통계적으로 유의하게 $\beta$-TCP/HA를 이식한 군에서 신생골 형성이 더 많았다 (P = .003). 서로 다른 particle size 간 비교에서는 신생골 형성에 있어서 통계적으로 유의한 차이는 없었다. 하지만 형성된 수직골 총량 (신생골과 이식골의 면적의 합)을 각 그룹 간에 비교해 보면 대조군보다 $\beta$-TCP/HA를 이식한 군이 통계적으로 더 많은 비율을 나타내었고 (P = .001), 특히 $\beta$-TCP/HA 이식 군간 비교에서는 medium size 군이 large particle size 군보다 통계적으로 더 큰 면적을 나타내었다 (P = .039). 그러나 large particle size 군과 small particle size 군 사이 그리고 medium size 군과 small particle size 군 사이에는 통계적으로 유의한 차이를 보이지 않았다 (P> .05). 결론: 티타늄 메쉬를 이용한 수직골 증대술에서 $\beta$-TCP/HA 합성골을 사용하는 경우 수직골 형성에 기여하며 특히 medium size (0.5 - 1.0 mm)의 $\beta$-TCP/HA 이식재가 large size 이식재 보다 더 우수한 수직골 형성의 결과를 보였다.

• 한국재료학회지
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• 제25권4호
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• pp.165-170
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• 2015

Ceramics biomaterials are useful as implant materials in orthopedic surgery. In this study, porous HA(hydroxyapatite)/${\beta}$-TCP(tricalcium phosphate) composite biomaterials were successfully fabricated using HA/${\beta}$-TCP powders with 10-30 wt% $NH_4HCO_3$ as a space holder(SH) and $TiH_2$ as a foaming agent, and MgO powder as a binder. The HA/${\beta}$-TCP powders were consolidated by spark plasma sintering(SPS) process at $1000^{\circ}C$ under 20 MPa conditions. The effect of SH content on the pore size and distribution of the HA/${\beta}$-TCP composite was observed by scanning electron microscopy(SEM) and a microfocus X-ray computer tomography system(SMX-225CT). These microstructure observations revealed that the volume fraction of the pores increased with increasing SH content. The pore size of the HA/${\beta}$-TCP composites is about $400-500{\mu}m$. The relative density of the porous HA/${\beta}$-TCP composite increased with decreasing SH content. The porous HA/${\beta}$-TCP composite fabricated with 30%SH exhibited an elastic modulus similar to that of cortical bone; however, the compression strength of this composite is higher than that of cortical bone.

• 한국세라믹학회지
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• 제41권3호
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• pp.202-209
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• 2004

침전법 및 솔젤법에 의하여 10- l5 nm 및 500 nm 크기의 구형 TiO$_2$ 분말을 제조하고 수열합성법으로 50-70 nm 및 120-250 nm 크기의 침상 hydroxyapatite(이하 HA라 표기) 입자를 각각 제조한 다음, 두 분말의 조성비를 달리한 세 종류(HA/TiO$_2$비; 75/25, 50/50, 25/75wt%)의 HA/TiO$_2$ 복합분말을 planetary 볼밀로 혼합하여 각각 제조하였다. 복합분말을 탄소몰드에 넣고 hot-press를 사용하여 가압소결로 치밀체를 제조하였는데, 가압도중 대부분의 HA가 tricalcium phosphate(이하 TCP라 표기)로 분해되면서 $\beta$-TCP/TiO$_2$ 복합체가 제조되었다. 제조된 복합체의 미세구조와 소결밀도는 복합분말의 형태와 조성에 따라 변화하였는데, 입자가 균질하게 분산되어 있는 미세구조를 갖는 복합분말을 소결한 경우, 치밀한 소결체를 얻을 수 있었으며, 소결온도가 증가할수록 균질한 미세구조를 나타내었다. 또한 복합분말 내 HA 함량이 증가하면서 소결체의 입자크기가 증가한 반면, 소결밀도가 감소하고, 미세구조는 불균질하였다. 반대로 HA분말에 비하여 TiO$_2$분말의 함량이 큰 시편은 전체적으로 작은 입자크기와 균질한 미세구조를 나타냈으며, 소결밀도 또한 증가하였다.

• Journal of Periodontal and Implant Science
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• 제39권sup2호
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• pp.223-230
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• 2009

Purpose: Synthetic bone products such as biphasic calcium phosphate (BCP) are mixtures of hydroxyapatite (HA) and ${\beta}$-tricalcium phosphate (${\beta}$- TCP). In periodontal therapies and implant treatments, BCP provides to be a good bone reconstructive material since it has a similar chemical composition to biological bone apatites. The purpose of this study was to compare bone regeneration capacity of two commercially available BCP. Methods: Calvarial defects were prepared in sixteen 9-20 months old New Zealand White male rabbits. BCP with HA and ${\beta}$- TCP (70:30) and BCP with Silicon-substituted hydroxyapatite (Si-HA) and ${\beta}$-TCP (60:40) particles were filled in each defect. Control defects were filled with only blood clots. Animals were sacrificed at 4 and 8 week postoperatively. Histomorphometric analysis was performed. Results: BCP with HAand ${\beta}$- TCP 8 weeks group and BCP with Si-HA and ${\beta}$- TCP 4 and 8 weeks groups showed statistically significant in crease (P <0.05) in augmented area than control group. Newly formed bone area after 4 and 8 weeks was similar among all the groups. Residual materials were slightly more evident in BCP with HA and ${\beta}$- TCP 8 weeks group. Conclusions: Based on histological results, BCP with HA and ${\beta}$- TCP and BCP with Si-HA and ${\beta}$- TCP appears to demonstrate acceptable space maintaining capacity and elicit significant new bone formation when compared to natural bone healing in 4 and 8 week periods.

• 한국정밀공학회지
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• 제31권9호
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• pp.791-797
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• 2014

Abstract Scaffold used as a carrier of the cell has been actively conducted using plenty of technology in tissue engineering. ${\beta}$-tricalcium phosphate (${\beta}$-TCP) material has shown good biocompatibility and osteoconductive ability when it was implanted as a bone graft substitute in osseous defect in human and animal studies for bone regeneration. In this study, we fabricated the blended polycaprolactone (PCL) and ${\beta}$-TCP scaffold by the polymer deposition system (PDS). The PCL/${\beta}$-TCP scaffold was fabricated at a temperature of $110^{\circ}C$, pressure of 650 kPa, and scan velocity of 100 mm/sec. The Overall geometry and size of the scaffold were fixed circle type with a diameter of 10 mm and a height of 4 mm. PCL/${\beta}$-TCP scaffold was observed by scanning electron microscopy. Cell attachment and proliferation of the scaffold containing 30 wt% ${\beta}$-TCP was superior to those containing 10 wt% and 20 wt% ${\beta}$-TCP.

• The Journal of Advanced Prosthodontics
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• 제6권4호
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• pp.285-294
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• 2014

PURPOSE. The purpose of this study was to evaluate the properties of a porous zirconia scaffold coated with bioactive materials and compare the in vitro cellular behavior of MC3T3-E1 preosteoblastic cells to titanium and zirconia disks and porous zirconia scaffolds. MATERIALS AND METHODS. Titanium and zirconia disks were prepared. A porous zirconia scaffold was fabricated with an open cell polyurethane disk foam template. The porous zirconia scaffolds were coated with ${\beta}$-TCP, HA and a compound of ${\beta}$-TCP and HA (BCP). The characteristics of the specimens were evaluated using scanning electron microscopy (SEM), energy dispersive x-ray spectrometer (EDX), and x-ray diffractometry (XRD). The dissolution tests were analyzed by an inductively coupled plasma spectrometer (ICP). The osteogenic effect of MC3T3-E1 cells was assessed via cell counting and reverse transcriptase-polymerase chain reaction (RT-PCR). RESULTS. The EDX profiles showed the substrate of zirconia, which was surrounded by the Ca-P layer. In the dissolution test, dissolved $Ca^{2+}$ ions were observed in the following decreasing order; ${\beta}$-TCP > BCP > HA (P<.05). In the cellular experiments, the cell proliferation on titanium disks appeared significantly lower in comparison to the other groups after 5 days (P<.05). The zirconia scaffolds had greater values than the zirconia disks (P<.05). The mRNA level of osteocalcin was highest on the non-coated zirconia scaffolds after 7 days. CONCLUSION. Zirconia had greater osteoblast cell activity than titanium. The interconnecting pores of the zirconia scaffolds showed enhanced proliferation and cell differentiation. The activity of osteoblast was more affected by microstructure than by coating materials.

• The Journal of Advanced Prosthodontics
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• 제3권3호
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• pp.161-165
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• 2011

PURPOSE. This randomized clinical trial was conducted to assess the safety and effectiveness of the ErhBMP-2 in alveolar bone regeneration as well as preservation of the ${\beta}$-TCP bone graft material that contains ErhBMP-2. MATERIALS AND METHODS. This study involved 72 patients at the 3 study centers. The patients, who were divided into 2 groups: the experiment group who had ErhBMP-2 coated TCP/HA and the control group who had TCP/HA graft material alone transplanted immediately after tooth extraction. CT was taken before and 3 months after the transplantation and healing status was compared between the two groups. The efficacy endpoints that were used to measure the degree of bone induction included alveolar bone height and 3 measurements of bone width. The paired t test was used to determine the significance of the changes (P<.05). RESULTS. Changes in alveolar bone height were $-1.087{\pm}1.413$ mm in the control group and $-.059{\pm}0.960$ mm in the experimental group (P<.01). At 25% extraction socket length [ESL], the changes were $0.006{\pm}1.149$ mm in the control group and $1.279{\pm}1.387$ mm in the experimental group. At 50% ESL, the changes were $0.542{\pm}1.157$ mm and $1.239{\pm}1.249$ mm, respectively (P<.01 for 25% ESL, and P<.05 for 50% ESL). During the experiment, no adverse reactions to the graft material were observed. CONCLUSION. ErhBMP-2 coated ${\beta}$-TCP/HA were found to be more effective in preserving alveolar bone than conventional ${\beta}$-TCP/HA alloplastic bone graft materials.

• 한국결정성장학회지
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• 제29권5호
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• pp.203-207
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• 2019

인산칼슘(hydroxyapatite(HAp), ${\beta}$-tricalcium phosphate(${\beta}$-TCP) 및 HAp와 ${\beta}$-TCP가 혼합된 2상 인산칼슘(BCP, HA/${\beta}$-TCP))들을 수열합성법을 통해 합성하였다. 여러 수열합성 조건(최고온도 $150^{\circ}C$ 및 pH 12 이하)에서 수산화칼슘($Ca(OH)_2$) 수용액과 인산($H_3PO_4$) 용액을 반응시켜 얻은 침전물을 수열합성에 이용하였다. 초기 전구체 Ca/P 비율을 1.30, 1.50 및 1.67로 조절하였으며 이 조성비와 합성 후 열처리가 분말 및 소결체의 상합성에 미치는 영향에 대해 조사하였다. 초기 전구체 Ca/P 비율을 조절함으로써 분말 및 소결체의 상의 조절이 가능하였다. Ca/P 비율이 1.67일 경우 모든 열처리 온도에서 분말 및 소결체 모두에서 HAp 단일 상이 합성되었다. Ca/P 비율이 1.30과 1.50에서 $900^{\circ}C$ 이상 열처리 할 경우 각각 순수한 ${\beta}$-TCP와 BCP(HAp/${\beta}$-TCP)가 합성되었다. 반응성 높은 미세한 분말을 이용하여 소결함으로써 미세한 입경을 가지며 투광성을 가지는 소결체들을 저온에서 얻을 수 있었다.

• Journal of Periodontal and Implant Science
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• 제46권1호
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• pp.57-69
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• 2016

Purpose: The aim of this pilot study was to determine the osteoconductivity and dimensional stability of augmented sinuses using different ratios of biphasic calcium phosphate (BCP) in a rabbit sinus model. Methods: Each sinus of New Zealand white rabbits (2.5-3.5 kg) was assigned to one of two groups: BCP with a hydroxyapatite to ${\beta}$-tricalcium phosphate (HA:${\beta}$-TCP) ratio of 70:30 (group TCP30) and BCP with an HA:${\beta}$-TCP ratio of 30:70 (group TCP70). After preparing a window in the antral wall of a sinus, the Schneiderian membrane was elevated, and the applicable material was grafted. A fluorochrome calcein green was injected five days before euthanizing the animals at four months post-surgery. The specimens were analyzed histologically, histomorphometrically, and by using micro-computed tomography (micro-CT). Results: Micro-CT analysis revealed that the total augmented volume and the new bone volume did not differ significantly between the two groups whereas the resorption of materials was greater in the TCP70 group. The trabecular thickness, number, and separation also did not differ significantly between the two groups. Histomorphometrically, the areas of total augmentation, new bone, and residual material, as well as the ratio of new-bone-material contact did not differ significantly between the groups. Histologically, the residual particles were more scattered in the TCP70 group than in the TCP30 group. The fluorescence of the calcein green did not differ notably between the two groups. Conclusions: The osteoconductivity and dimensional stability of the two BCPs with different ratios tested in this study were comparable after four months of healing. Therefore, we conclude that both BCPs show promise as a bone substitute for sinus augmentation.