• Title/Summary/Keyword: 골융합

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인공치아와 표면처리

  • Choe, Han-Cheol
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2016.11a
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    • pp.121-121
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    • 2016
  • 치아는 인체중에서도 혹한 환경에서 부분으로 높은 하중과 타액과 같은 강 부식성 매체로 그 환경이 상상을 초월한다. 즉 반복적으로 가해지는 하중(응력)과 침식을 유발하는 타액과 음식물 등이다. 따라서 치아가 쉽게 파괴되거나 썩는 현상이 나타나게 된다. 이렇게 사용되다가 치아의 역할을 다하게 되면 인공치아를 사용하게 되는데 그 재료가 바로 타이타늄(Ti)이다. 생체매식재로 사용되는 Ti는 반응성이 높아 산소와 쉽게 결합하여 표면에 TiO, $TiO_2$, 및 $Ti_2O_3$와 같은 산화피막을 표면에 형성함으로써 뛰어난 부식저항성과 생체적합성을 가지며 생체에 독성이 없고 탄성계수가 골과 비슷하여 골과 임플란트 경계면에서 응력분산에 유리한 성질 등 물리적, 기계적 성질이 뛰어나 외과용 임플란트 재료로 가장 좋은 재료이다. 금속 임플란트의 생체적합도는 임플란트 재료 자체보다는 생체 내 산화막이 화학적으로 불안정할 때 부식이 발생하게 되고 그 결과 금속이온이 주위로 유리되어 조직반응을 일으키므로 금속의 표면을 덮고 있는 산화막에 의해 좌우된다. Ti는 생체불활성재료로서 매식재료로 사용할 경우 뼈와 잘 융합되는 골유착을 나타내나 골과 화학적결합은 하지 않고 골형성을 적극적으로 유도하지 못함으로 환자의 치유기간이 길어지게 된다. 이러한 이유로 골조직내 임플란트의 접합을 개선하기위한 연구가 이루어져 골과의 결합을 높이기 위해 골유착을 일으키는 Ti에 골성장을 유도하는 뼈성분인 하이드록시 아파타이트(HA)라는 물질을 플라즈마 코팅법을 사용하던가 아니면 Hanks' solution내에서 침적 후 HA도금을 하는 방법 등으로 처리하고 있다. 그러나 플라즈마 코팅법은 고온에서 처리를 행하고 Hanks' solution내에 침적할 경우 Ti표면에 밀착도가 저하되거나 합금의 상변화 등으로 인하여 표면처리 과정 중에서 내식성이 크게 감소될 수 있다. 이러한 여러 가지 코팅법을 통하여 골 유착을 증진시키기 위한 연구는 계속되고 있지만 임상적으로 사용 후 문제가 단시일에 발생되는 것도 아니고 수년이 지나야 나타나게 된다. 이러한 방법으로 코팅을 하게 되면 골과 잘 유착이 되어 자연차아와 같은 기능을 하게 된다. 따라서 이러한 문제를 최소화하는 방법이 나노구조를 표면에 형성시켜 골유착을 쉽게 함으로써 이를 개선할 수 있을 것으로 생각되어 본 강의에서는 임플란트의 문제와 사용되는 재료에 대하여 고찰하여 자연치아를 대체 할 수 있는지 알아보았다.

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The Converge Effects of Long-term Weight-bearing Exercise on Lumbar, Femur Neck BMD and Body Compositions in Person with Intellectual Disabilities and Normal Men (지적장애와 일반인 남성의 장기간 체중부하운동 참여가 요추와 대퇴골경부 골밀도 및 신체구성에 미치는 융합적 효과)

  • Byun, Jae-Chul
    • Journal of the Korea Convergence Society
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    • v.7 no.2
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    • pp.101-107
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    • 2016
  • The purpose of this study was to determined the converge effects of weight-bearing exercise on lumbar, femur neck BMD and body compositions in intellectual disabilities and normal men. Nineteen men were participated for this study, they are divided into two groups(intellectual disabilities, n=9, and normal men, n=10). All subjects are accomplished on weight-bearing exercise (music rope-jumping) program for 60 minutes a day, 3 days a week throughout 12 weeks. Two-way ANOVA with repeated measures was used to determine differences between and within the intellectual and normal groups for dependent variables. The statistically significant level was set at 0.05. In this study, there were a significant differences on the bone mineral density of lumbar and femur neck level after exercise training in both groups (respectively p<.01, p<.001). Also, I found that there were effectively decreased on body weight, percent of body fat, and BMI levels after exercise training for 12 weeks in both groups (respectively p<.001). Therefore, music rope-jump exercise program may suggested to be one of the ideal training methods for enhancing and the convergence positive effect of bone mineral density and body compositions in intellectual and normal person.

Electrochemical Surface Engineering for medical implants (전기화학적 임플란트 표면처리기술)

  • Kim, Du-Heon
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2016.11a
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    • pp.114-114
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    • 2016
  • 임플란트로 널리 사용되고 있는 타이타늄 금속 표면을 처리하여 골융합 접촉 면적을 증가시키기 위한 다양한 방법들이 사용되고 있다. 본 연구에서는 마이크로 단위의 거칠기가 형성된 표면에 나노패턴화된 나노 거칠기를 전기화학적으로 형성시키는 방식(ENF: Electrochemical Nanopattern Formation)을 소개한다. SLA 표면처리 된 임플란트 표면에 100nm 수준의 나노패턴화된 그릿을 기존의 마이크로 그릿의 손상 없이 고르게 형성시켜 표면적을 극대화 할 수 있다. 이를 임플란트의 새로운 표면처리기술로 응용하기 위하여 기존의 표면처리기술과 비교분석하였다.

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Tracking of Physique and Physical Fitness According to Bone Age in Athletically Gifted Children from age 7 to age 12 years : 3 year Longitudinal Study (남녀 초등학교 체육영재 학생들의 골연령에 따른 체격, 체력변화에 관한 종단연구)

  • Kim, Do-Youn;Kim, Won-Hyun;Kim, Young-Wook
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.309-317
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    • 2018
  • The purpose of this study was to investigate the effect of bone age on physique and physical fitness in elementary school students. For this purpose, the structural equation model test was conducted based on the three-year longitudinal study. The results were as follows. First, bone age in boys and girls (1st~3rd grade) has a direct effect on the change of body size, but it does not affect the change of physical strength. Second, the bone age of the senior male students(4~6 grade) gave a direct effect on the change of physique, 50m running, and sit-up. On the other hand, it gave an indirect effect on push-ups, sitting basketball throws, and standing long jump. Third, the bone age of the female students(grades 4~6) affected directly on body size change, sit-up, side step and indirect effect on 50m running, half squat jump, and standing long jump. These results indicated that the evaluation of the bone age of the subjects should be included in the exercise ability evaluation items for the male and female students in elementary school over the fourth grade in relation to the myofunction.

THE STUDY ON THE RELATIONSHIP BETWEEN THE MENARCHE AND THE BONE MATURITY OF MALOCCUSION GROUP (초경시기와 골성숙도의 연관성에 관한 연구)

  • Chang, Youn-Hee;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.415-423
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    • 1995
  • In order to investigate the relationship between the menarche and the bone maturity of growing girls, the author interviewed about the date of menarche of 70 girls and assessed their bone maturity by hand-wrist radiographs. The results and conclusion were as iollows ; 1. The mean menarcheal age was $12.04{\pm}0.82$ year. 2. There was significant correlation between the time interval after menarche and the ossification stage. 3. The skeletal maturation level at menarche was stage SMI 7 and SMI 8. 4. There was statistically different among the time intervals after menarche according to the ossification stage. 5. The epiphyseal union of radius began about 2 years after menarche. According to this study, the probability of clinical use can be accepted in some range. In another words, skeletal age can be predicted by just interviewing the date and time interval of menarche without hand-wrist radiograph, also, with this information, the level of maxillofacial growth can be assessed.

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An Electron Microscopic Study on the Cell Wall Regeneration of Culture Panax ginseng Callus Protoplast (인삼 캘러스 원형질체의 배양에 따른 세포벽 재생의 전자현미경적 연구)

  • 박종범
    • Korean Journal of Plant Tissue Culture
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    • v.25 no.6
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    • pp.495-500
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    • 1998
  • Ultrastructural changes of the isolated and cultured protoplasts from ginseng (Panax ginseng C. A. Meyer) callus were studies with electron microscopy. In the 3-day-cultured protoplasts, the cell organelles such as rough endoplasmic reticulum, ribosome, Golgi complex, mitochondria, proplastid increased in number and observed microtubules. Many vesicles derived from the Golgi complex were evenly distributed in the cytoplasm. Some of such vesicles protruded the outer surface of the plasmalemma, and formed the protuberances. Vacuole derived from endoplasmic reticulum included Golgi vesicles by the invagination of vacuoles. These vacuoles migrated toward the plasmalemma by a fusion process (exocytosis), after fusing the plasmalemma the cell wall materials released from the outer surface of the plasmalemma, and lastly deposited on the plasmalemma. Proplastids containing many starch grains, and microtubules parallel to the plasmalemma were observed near the plasmalemma. Connected fibrils which were observed on the outer surface of the 3-day-cultured protoplast were interpreted as the component of cellulose.

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Integration of Four-Strand Hamstring Tendon Graft with Bone in Reconstruction of the Anterior Cruciate Ligament -Report of one case- (슬괵건을 이용한 전방십자인대 재건술시 이식건과 골 사이의 골통합에 대한 조직학적 변화 - 1례 보고 -)

  • Jung, Young-Bok;Jang, Eui-Chan;Yum, Jae-Kwang;Park, Geun-Hyung
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.40-43
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    • 1999
  • Arthroscopic anterior cruciate ligament(ACL) reconstruction using four-strand hamstring tendon with looping around transfixing screw in femoral tunnel requires osteointegration between the grafted tendon and bone for stability of the knee. Authors have experienced a histologic finding of osteointegration between the grafted autogenous hamstring tendon and bone in femoral tunnel after arthroscopic ACL reconstruction. A patient received arthroscopic ACL reconstruction with autogenous four strand hamstring tendon for the ACL injury. Traumatic re-rupture of mid-substance of ACL graft was developed at thirteenth week after operation. During the procedures of arthroscopic revision at fifteenth week after initial ACL reconstruction, biopsy was performed at the site of interface between grafted tendon and bone in femoral tunnel. Integration between the grafted tendon and bone was evident by demonstrating the continuity of collagen fiber between bond and tendon. This histologic finding and the low incidence of early graft failure suggest that free tendon autograft attached to bone by looping around a transfixing screw in femoral tunnel undergoes adequate osteointegration between 12 and 15 weeks after surgery and authors thought that insertion of bone chip into the femoral tunnel would accelerate osteointegration procedure.

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MAXILLARY ADVANCEMENT USING RIGID EXTERNAL DISTRACTION(RED) IN CLEFT LIP AND PALATE PATIENT : CASE REPORT (견고 구외 골신장술을 이용한 구순구개열 환아의 치험례)

  • Yu, Nan-Young;Kim, Sung-Min;Lee, Ju-Hyun;Seo, Hyun-Woo;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.709-716
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    • 2005
  • Patients with cleft tip and palate present severe maxillary hypoplasia due to scar of lip and palate, often accompanied by compromised mastication, speech abnormalities. Sometimes maxillary hypoplasia persist even though active orthodontic treatment was done. In theses cases, patients born with cleft lip and palate will be potential candidates for maxillary advancement with bone grafting after growth to correct the functional deformities and improve aesthetic facial proportions. But, maxillary advancement using standard surgical approaches has several limitations : increased relapse tendency after maxillary advancement, necessity of additional bone graft and mandibular setback surgery. Distraction osteogenesis is current treatment modality to overcome these limitations, thus has become popular for treatment of maxillary hypoplasia associated cleft lip and palate, craniosyntosis. Especially, rigid external distraction, contrary to internal device, has advantages : better vector control of osteotomized segment, effective traction of the bony segments, the ease of the application and removal the distraction device. This study showed that relatively successful result could be generated by using rigid external distraction osteogenesis(RED) in the case of cleft lip and palate with severe maxillary hypoplasia, 6 years 7 months old.

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