• Title/Summary/Keyword: 지지골

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나노 크기의 생체 재료를 이용한 골 재생 촉진용 지지체의 제작 및 특성 평가

  • Heo, Su-Jin;Jie, Wei;Kim, Dong-Hwa;Lee, Si-U;Kim, Seung-Eon;Sin, Jeong-Uk
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2009.05a
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    • pp.46.1-46.1
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    • 2009
  • 우리 몸의 뼈를 재료적인 측면으로 보면, 주로 나노 크기의 콜라겐과 아파타이트로 이루어 져 있는 복합체이다. 때문에 최근 생체 모사적인 측면에서 나노 크기의 생체 활성 재료를 이용하여 골 재생 촉진이 우수한 지지체를 제작하고자 하는 많은 연구 들이 진행되고 있다. 이러한 나노 크기의 재료는 일반적인 마이크로 크기의 생체 재료에 비해 표면적이 월등히 크기 때문에 생체 활성 (bioactivity)이 우수하다고 알려져 있으며, 이를 골 재생용 지지체의 구성 재료로 사용하였을 경우 기계적 강도 또한 향상 시킬 수 있다고 알려져 있다. 따라서 본 연구에서는 나노 크기의 HA, CaSiO3 등 다양한 나노 생체 활성 입자들을 침전법 (precipitation method)을 통하여 제조하였으며, 이를 이용하여 골 재생 촉진을 위한 3차원 지지체를 제조 하였다. 또한 기존의 마이크로 크기의 생체 재료로 제작된 지지체와의 생물학적, 기계학적 비교 평가를 통하여 나노크기의 재료의 우수성을 입증하고자 하였다. 결론적으로, 나노 크기의 재료로 제작된 골 재생용 지지체의 경우 기존의 마이크로 크기의 재료로 제작된 지지체보다 골세포의 부착, 증식 및 분화능이 우수하였고, 지지체의 기계적 강도 또한 향상됨을 알 수 있었다. 이를 통하여 나노 크기의 생체 활성재료는 골 재생 촉진을 위한 지지체 제작에 응용 가능성이 높음을 확인 할 수 있었다.

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Finite Element Analysis of Stress Distribution on Supporting Bone of Cement Retained Implant by Oblique Loading (경사하중에 따른 시멘트 유지형 임플란트 지지골의 유한요소법 응력 분포)

  • Lee, Myung-Kon
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.343-349
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    • 2014
  • The dental osseointegration implant should be enough to endure occlusion load and it's required to have efficient design and use of implant to disperse the stress into bones properly. Solidworks as a finite element analysis program for modeling and analysis of stress distribution was used for the research. The simple crown model was designed on applying conjoined condition with tightening torque of 20 Ncm of a abutment screw between a cement retained implant abutment and a fixture. A $45^{\circ}$ oblique loading from lingual to buccal side on buccal cusps of crown and performed finite element analysis by 100 N of external load. The results by a analysis for stress distribution of supporting bones of fixture were as below. The von Mises stress was concentrated on the upper side of supporting compact bone regardless of the diameters and lengths of fixture, and the efficiency result of stress reduction was increase of fixture's diameter than it's length. Therefore, it's effective to use wider fixture as possible to the conditions of supporting jaw bone.

Assessment of the permanent canine bone support after secondary bone graft In UCLP patients (편측성 순구개열 환자에서 이차 골이식후 맹출된 영구 견치의 치조골 지지도에 관한 연구)

  • Park, Ki-Tae
    • The korean journal of orthodontics
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    • v.31 no.6 s.89
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    • pp.601-610
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    • 2001
  • The purpose of this retrospective study was to evaluate the level oi alveolar bone support of the erupted Permanent canine through the reconstructed cleft region compared to the contralateral canine on the non-cleft side. This study was limited to children with complete unilateral cleft lip and palate who underwent secondary alveolar iliac bone gvaft and the apices of the erupted canine roots were closed at the time of evaluation. With these criteria the study included 21 children whose average age at the time of bone graft reconstruction was 9.8 years, with a minimum of 12.4 years of age at the time of the evaluation. The study was limited to the use of iliac cancellous bone as the autograft material for reconstruction of the alveolar cleft. Cranial bone graft and other autogenous bone sources were excluded. The periapical radiographs were used to evaluate alveolar bone level of each canine. The percentages of root supported by the bone were established by dividing the amount of root covered with the bone by the anatomic root length. The canine oi the non-cleft side was used as an internal control and the canine on the cleft side was used as an experimental. There was a statistically significant difference in the alveolar bone support ratio between the control ($92.9\%$) and experimental canines ($8.7\%$). An average of $95\%$ level of alveolar bone support was achieved for the experimental canine in comparison to the control canine. Neither the presence of lateral incisor, nor the stage of root development of the canine at the time of the bone graft appeared to have affected the alveolar bone support ratio of the canine after the secondary bone graft.

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Fabrication of Calcium Phosphate Scaffolds Using Projection-based Microstereolithography and Their Effects on Osteogenesis (투영기반 마이크로 광조형 기술을 이용한 3 차원 인산칼슘 인공지지체 제작 및 골 분화 영향)

  • Seol, Young-Joon;Park, Ju-Young;Cho, Dong-Woo
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.11
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    • pp.1237-1242
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    • 2011
  • Calcium phosphates are very interesting materials for use as scaffolds for bone tissue engineering. These materials include hydroxyapatite (HA) and tricalcium phosphate (TCP), which are inorganic components of human bone tissue and are both biocompatible and osteoconductive. Although these materials have excellent properties for use as bone scaffolds, many researchers have used these materials as additives to synthetic polymer scaffolds for bone tissue regeneration, because they are difficult to manufacture three-dimensional (3D) scaffolds. In this study, we fabricated 3D calcium phosphate scaffolds with the desired inner and outer architectures using solid freeform fabrication technology. To fabricate the scaffold, the sintering behavior was evaluated for various sintering temperatures and slurry concentrations. After the fabrication of the calcium phosphate scaffolds, in-vitro cell proliferation and osteogenic differentiation tests were carried out.

Effect of prosthetic designs and alveolar bone conditions on stress distribution in fixed partial dentures with pier abutments (중간 지대치가 존재하는 고정성 국소의치에서 보철물 설계 및 치조골 상태가 응력분포에 미치는 영향)

  • Cho, Wook;Kim, Chang-Seop;Jeon, Young-Chan;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.328-334
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    • 2009
  • Statement of problem: Pier abutments act as a Class I fulcrum lever system when the teeth are incorporated in a fixed partial denture with rigid connectors. Therefore non-rigid connector incorporated into the fixed partial denture might reduce the stresses created by the leverage. Purpose: The purpose of this study was to evaluate, by means of finite element method, the effects of non-rigid connectors and supporting alveolar bone level on stress distribution for fixed partial dentures with pier abutments. Material and methods: A 2-dimensional finite element model simulating a 5-unit metal ceramic fixed partial denture with a pier abutment with rigid or non-rigid designs, the connector was located at the distal region of the second premolar, was developed. In the model, the lower canine, second premolar, and second molar served as abutments. Four types of alveolar bone condition were employed. One was normal bone condition and others were supporting bone reduced 20% height at one abutment. Two different loading conditions, each 150 N on 1st premolar and 1st molar and 300N on 1st molar, were used. Results: Two types of FPD were displaced apically. The amount of displacement decreased in an almost linear slope away from the loaded point. Non-rigid design tended to cause the higher stresses in supporting bone of premolar and molar abutments and the lower stresses in that of canine than rigid design. Alveolar bone loss increased the stresses in supporting bone of corresponding abutment. Conclusion: Careful evaluation of the retentive capacity of retainers and the periodontal condition of abutments may be required for the prosthetic design of fixed partial denture with a pier abutment.

Preparation and Characterization of Ipriflavone-Loaded Poly(L-lactide-co-glycolide) Scaffold for Tissue Engineered Bone (조직공학적 골을 위한 애프리플라본을 함유한 다공성 지지체의 제조 및 그 특성)

  • Jang, Ji-Wook;Lee, Bong;Han, Chang-Whan;Lee, Il-Woo;Lee, Hai-Bang;Khang, Gil-Son
    • Polymer(Korea)
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    • v.27 no.3
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    • pp.226-234
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    • 2003
  • Ipriflavone (IP), a non-hormonal isoflavone derivative, has been shown to interfere with bone remodeling by inhibiting bone resorption and stimulating bone formation. IP consistently increased the amount of Ca incorporated into the cell layer by mesenchymal stem cells (MSCs). In this study, we developed the novel IP loaded poly(L-lactide-co-glycolide) (PLGA) scaffolds for the possibility of the application of the tissue engineered bone. IP/PLGA scaffo1ds were prepared by solvent casting/salt leaching method and were characterized by porosimeter, scanning electron microscopy, determination of residual salt amount, differential scanning calorimetry, and X-ray diffractometer, respectively. IP/PLGA scaffolds were implanted into the back of athymic nude mouse to observe the effect of IP on the osteoinduction compared with control PLGA scaffo1ds. Thin sections were cut from paraffin embedded tissues and histological sections were stained H&E, von Kossa, and immunohistochemical staining for Type I collagen and osteocalcin. It can be observed that the porosity was above 91.7% and the pore size was above 101 $\mu\textrm{m}$. Control scaffo1d and IP/PLGA scaffo1ds of 50% IP were implanted on the back of athymic nude mouse to observe the effect of IP on the induction of cells proliferation for 9 weeks. The evidence of calcification, osteoblast, and osteoid from the undifferentiated stem cells in the subcutaneous sites and other soft connective tissue sites having a preponderance of stem cells has been observed. From these results, it seems that IP plays an important role for bone induction in IP/PLCA scaffolds.

골조직 재생 촉진을 위한 Novel Perfusion Bioreactor

  • Lee, Si-U;Heo, Su-Jin;Jang, Ji-Yeon;Jeong, Jae-Yeong;Kim, Seung-Eon;Sin, Jeong-Uk
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2009.05a
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    • pp.46.2-46.2
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    • 2009
  • In vitro 상에서 골조직을 원활하게 재생하기 위해서는 3차원 지지체를 이용한 세포 배양과 세포 배양 시 세포의 형태와 기능을 유지/향상시키기 위한 인체 내 미세 환경 재현은 필수적이다. 따라서 본 연구에서는 뼈 성분과 유사한 생체 활성 물질인 hydroxyapatite (HA)와 생분해성 고분자인 poly $\varepsilon$-caprolactone (PCL)를 복합재료로 이용하여 내부 연결성이 우수한 골조직 재생용 3차원 지지체를 제작하였으며, 골 재생 능력 향상을 위하여 인체내 골조직의 기계적 미세 환경을 체외에서 구현한 새로운 형태의 perfusion bioreactor system을 개발/적용하였다. 또한 본 연구에서 개발된 perfusion bioreactor system의 생물학적 평가를 위해 MG63 (osteoblast like cell, 한국 세포주 은행)과 New Zealand White Rabbit에서 분리한 중간엽 줄기세포를 골조직 재생용 3차원 지지체에 파종하였다. 48시간 동안 안정화 후 perfusion bioreactor system을 이용하여 기계적 자극을 파종된 세포에 인가하였으며, 배양 기간 동안 세포의 증식 확인 및 형태학적 관찰을 실시하였다. 본 연구 결과, perfusion bioreactor system을 이용하여 기계적 자극을 인가한 실험군에서 세포의 증식 및 활성도가 대조군에 비해 우수함을 확인 할 수 있었다. 따라서, perfusion bioreactor를 이용한 세포 배양은 세포의 활성 향상 및 골조직 재생에 도움이 될 것으로 사료된다. 차후 perfusion bioreactor를 이용한 다양한 패턴의 자극이 골재생 능력 및 중간엽 줄기세포의 골 분화능에 미치는 영향에 대한 연구가 필요할 것으로 사료된다.

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Characteristic Analysis and Fabrication of Bioceramic Scaffold using Mixing Ratios of TCP/HA by Fused Deposition Modeling (압출 적층 조형 기술을 이용한 TCP/HA 의 혼합비율에 따른 바이오 세라믹 인공지지체의 제작 및 특성 연구)

  • Sa, Min-Woo;Kim, Jong Young
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.11
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    • pp.1273-1281
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    • 2014
  • Tissue engineering is an emerging research field that has the potential to restore, regenerate and repair damaged bone tissue and organs. Tricalcium phosphate and hydroxyapatite biomaterials-based calcium phosphate are excellent materials that have both osteoconduction and biocompatibility for bone tissue regeneration. In this study, solution structures were successfully fabricated using a fused deposition modeling system based on deposition and heating devices. The morphology characteristics of the bioceramic scaffolds sintered at a temperature of $1,300^{\circ}C$ were analyzed by scanning electron microscopy. The effects of various blended TCP/HA ratio on the microstructure and shrinkage were studied. The mechanical properties of the scaffolds were measured using a compression testing machine from stress-strain curves on the crosshead velocity of 1 mm/min. The fabricated scaffolds were evaluated by cell proliferation tests of MG-63 cells. The results of this study suggest that the blended TCP(75 wt%)/HA(25 wt%) scaffold is an appropriate scaffold for bone tissue regeneration.

Effect of Matrigel for Bone Graft using Hydroxyapatite/Poly $\varepsilon$-caprolactone Scaffold in a Rat Calvarial Defect Model (랫드의 두개골결손부 모델에서 HA/PCL 지지체를 사용한 골이식 시 Matrigel의 효과)

  • Kim, Se-Eun; Shim, Kyung-Mi;Kim, Seung-Eon;Choi, Seok-Hwa;Bae, Chun-Sik;Han, Ho-Jae;Kang, Seong-Soo
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.325-329
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    • 2010
  • The osteogenic potential of hydroxyapatite/poly $\varepsilon$-caprolactone composite (HA/PCL) scaffolds with matrigel was evaluated in a rat calvarial defect model. Calvarial defect formation was surgically created in Sprague Dawley rats (n = 18). HA/PCL scaffold was grafted with matrigel (M-HA/PCL group, n = 6) or without matrigel (HA/PCL group, n = 6). A critical defect group (CD group, n = 6) did not received a graft. Four weeks after surgery, bone formation was evaluated with radiography, micro computed tomography (micro CT) scanning, and histologically. No bone tissue formation was radiographically evident in the CD group. Bone tissue was radiographically evident in the HA/PCL and M-HA/PCL groups, however, there was more bone-similar opacity in the M-HA/PCL group. Micro CT analysis revealed that the bone volume of the M-HA/PCL group was higher than the HA/PCL group, however, no significant difference was found between the HA/PCL and M-HA/PCL groups. Bone mineral density in the M-HA/ PCL group was significantly higher than in the HA/PCL group (p < 0.05). Histologically, new bone was formed only from existing bone in the CD group, showing concavity without bone formation in the defect. In the HA/PCL group, new bone formation was only derived from existing bone, while in the M-HA/PCL group the largest bone formation was observed, with new bone tissue forming at the periphery of existing bone and around the HA/PCL scaffold with matrigel. The results indicate that the combination of HA/PCL scaffold with matrigel may be an effective means of enhancing bone formation in critical-sized bone defects.

Treatment of ankylosed posterior teeth: Subluxation and Extrusion Method (골유착 대구치의 교정적 치험례)

  • Mun, Cheol-Hyeon
    • The Journal of the Korean dental association
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    • v.38 no.10 s.377
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    • pp.962-968
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    • 2000
  • 치조골과 백악질이 치근막에 의하여 경계되어지지 않고 직접 접촉된 상태인 골유착치는 치조골성장장애, 불안전 맹출, 대합치의 정출, 인접치와의 불안정한 관계 등 다양한 문제를 야기한다. 골유착치의 진단은 방사선 사진에서 치근막의 소실, 타진시의 독특한 소리, periotest를 이용한 동요도 검사 등 다양한 방법이 사용되나 그 신뢰성은 높지 않은 편이다. 따라서 저자는 통산적인 방법은 견인을 시행한 후 견인여부를 평가하여 골유착 여부를 판단하는 임상적 진단법을 사용하고 있다. 골유착치의 치료는 subluxation & extrusion법, autotransplantation법, corticotomy법, segmental osteotomy법, ostectomy법등 다양한 방법이 제시되고 있다. Subluxation & extrusion법은 적용이 간편한 장점이 있으나 골유착의 재발로 인한 교정치료의 실패가능성이 높은 단점이 있다. 본 증례는 다수치의 부분맹출 및 골유착으로 인한 구치부 개방교합이 주소인 환자로 소구치는 통산적인 교정치료법으로 골유착된 대구치는 subluxation & extrusion법을 적용하여 양호한 치료 결과를 얻을 수 있었다.

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