• 제목/요약/키워드: New Bone formation

검색결과 590건 처리시간 0.029초

Nonossifying Fibroma of the Rib Resected by Video-Assisted Thoracoscopic Surgery with Preservation of Periosteum

  • Pyo, Ju Yeon;Chon, Soon-Ho;Ro, Jae Yoon
    • Journal of Chest Surgery
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    • 제46권6호
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    • pp.478-481
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    • 2013
  • Nonossifying fibromas are not uncommon, but those described in the rib are unique. We report the case of a 15-year-old patient with symptoms of chest wall pain for 5 days who underwent a video-assisted thoracoscopic rib resection for a 2.5-cm rib mass. Unexpectedly, pathological results revealed a nonossifying fibroma of the rib. The results showed excellent cosmesis and new bone formation because of the preservation of the overlying periosteum.

Chronic suppurative osteomyelitis with proliferative periostitis related to a fully impacted third molar germ: a report of two cases

  • Park, Joonhyoung;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권4호
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    • pp.215-220
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    • 2016
  • In prolonged chronic osteomyelitis, chronic inflammation and low-grade infections can result in new periosteal bone formation. Chronic osteomyelitis with proliferative periostitis (traditionally termed $Garr{\acute{e}^{\prime}s$ sclerosing osteomyelitis) mainly affects children and young adults. Here, we present two rare cases of an 11-year-old and a 12-year-old patient with suppurative chronic osteomyelitis with proliferative periostitis without any definitive infection source, such as dental caries or periodontitis. The source of infection was likely to be related to the development of a lower right third molar germ with follicular space widening. Management involved antibiotics and the removal of the third molar germ and surgical debridement. Disease remission and a normal appearance was observed at the six-month follow-up visit.

Occurrence of multiple myeloma in the head and neck: a report of two cases

  • Nam, Ki-Uk;Ahn, Jaemyung;Hong, Jongrak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권3호
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    • pp.139-143
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    • 2013
  • Multiple myeloma (MM) is a disease reported to account for 1% of all cancers and 10% of hematological malignant diseases. Unlike other malignant diseases that are transferred to the osseous tissues, MM does not show new bone formation, is associated with characteristic osteolytic lesions, and shows monoclonal protein (M-protein) on the immunohematological test, which is an important index in its diagnosis. Solitary lesions of MM are rare in the head and neck area, and, in most cases, MM of the head and neck area is related to systemic sympomts.

Proliferative periostitis of the mandibular ramus and condyle: a case report

  • Seok, Hyun;Kim, Seong-Gon;Song, Ji-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권4호
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    • pp.198-202
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    • 2015
  • Proliferative periostitis is a rare form of osteomyelitis that is characterized by new bone formation with periosteal reaction common causes of proliferative periostitis are dental caries, periodontitis, cysts, and trauma. While proliferative periostitis typically presents as a localized lesion, in this study, we describe an extensive form of proliferative periostitis involving the whole mandibular ramus and condyle. Because the radiographic findings were similar to osteogenic sarcoma, an accurate differential diagnosis was important for proper treatment.

치주인대 신장에 의한 치아의 급속 견인 시 성견 치주조직의 변화 (Histological Periodontal Tissue Reaction to Rapid Tooth Movement by periodontal Distraction in Dogs)

  • 장영일;김태우;최희영
    • 대한치과교정학회지
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    • 제32권6호
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    • pp.455-466
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    • 2002
  • 본 연구의 목적은 periodontal distraction을 통해 급속 견인된 치아의 치조골과 치주인대에서 일어나는 변화를 조직학적으로 관찰하고, 치주조직이 정상적으로 재생될 수 있는지를 규명하는 것이다. 4 마리의 성견을 대상으로 하여, 좌우 상악 제2소구치를 발치 후에 상악 제1소구치 원심측 치간골에 홈을 주는 치조골 수술을 통해 골 저항을 약화시키고 제1소구치와 제3소구치에 periodontal distraction 장치를 장착하였다. 장치는 0.225mm씩, 하루에 2회 활성화시키며 상악 제1소구치를 발치와 공간으로 급속 견인하였다. 치아의 급속 견인은 5 일, 10 일, 20 일간 시행하였으며, 20 일간 견인한 대상에서는 2 주, 4 주, 8 주 후까지 유지기간을 두었다. 20 일간의 periodontal distraction을 통해 상악 제1소구치는 평균 5.02mm 원심 이동하였고, 고정원인 제3소구치는 0.58mm 근심 이동하였다. 조직학적 검사에서 distraction된 치주인대 공간에서는 골 재생과 개조가 빠르게 일어나, 견인 10일에 유골조직이 치아의 견인방향에 평행하게 생성되었고, 새로운 골 조직의 형성과 골 개조를 통한 골 성숙은 periodontal distraction 방향을 따라 활발히 진행되었으며, 이는 다른 골의 distraction osteogenesis에서 나타나는 결과와 비슷하였다. 급속 견인된 치아의 치주인대는 상당히 넓게 나타났고, 교원섬유와 치아간의 정상 관계는 급속 견인이 끝난 후 2주에 나타나기 시작하여 8주에 거의 회복되었다. 그러나, 치주인대의 골 쪽에서는 치아 급속 견인 후 8주까지도 새로운 골이 계속 형성되고 있었고, 교원섬유속이나 Sharpey 섬유는 보이지 않았다. 고정원으로 이용된 치아 주위의 조직반응은 통상적인 교정치료에서와 같이 압박 측에서의 골 흡수와 신장 측에서의 골 형성 소견을 나타냈다. 이상의 결과로 볼 때, periodontal distraction을 통한 치아의 급속 견인 시, 치주인대 조직은 잘 반응하여 치주조직의 재생이 활발히 일어남을 알 수 있었다.

백서 두개골결손모델에서 실크단백과 골형성단백 이식체가 골재생에 미치는 영향 (The effect of silk fibroin and rhBMP-2 on bone regeneration in rat calvarial defect model)

  • 남정훈;노경록;방은오;유우근;강응선;권해용;김성곤;박영주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권5호
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    • pp.366-374
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    • 2010
  • Introduction: This study evaluated the capability of silk fibroin (SF) and recombinant human bone morphogenetic protein-2 loaded SF (SF-BMP) as a bone defect replacement matrix when grafted in a calvarial bone defect of rats in vivo. Materials and Methods: A total 70 calvarial critical size defects (5.0 mm in diameter) made on 35 adult female Sprague-Dawley rats were used in this study. The defects were transplanted with (1) rhBMP-2 loaded silk fibroin graft (SF-BMP: 0.8+$10\;{\mu}g$), (2) Silk fibroin (SF: $10\;{\mu}g$), and (3) no graft material (Raw). The samples were evaluated with soft x-rays, alkaline phosphatase activity, calcium/phosphate quantification, histological and histomorphometric analysis at postoperative 4 and 8 weeks. Results: The SF-BMP group ($48.86{\pm}14.92%$) had a significantly higher mean percentage bone area than the SF group ($24.96{\pm}11.01%$) at postoperative 4 weeks.(P<0.05) In addition, the SF-BMP group ($40.01{\pm}12.43%$) had a higher % bone area at postoperative 8 weeks than the SF group ($33.26{\pm}5.15%$). The mean ratio of gray scale levels to the host bone showed that the SF-BMP group ($0.67{\pm}0.08$) had a higher mean ratio level than the SF group ($0.61{\pm}0.09$) at postoperative 8 weeks. These differences were not statistically significant.(P=0.168 and P=0.243, respectively) The ratio of the calcium and phosphate contents of the SF-BMP ($0.93{\pm}0.22$) group was lower than that of the SF ($1.90{\pm}1.42$) group at postoperative 4 weeks. However, the SF-BMP group ($0.75{\pm}0.31$) had a higher Ca/$PO_4$ ratio than the SF ($0.68{\pm}0.04$) at postoperative 8 weeks. These differences were not statistically significant.(P=0.126 and P=0.627, respectively) For the bone-specific alkaline phosphatase (ALP) activity, which is recognized as a reliable indicator of the osteoblast function, the SF-BMP ($23.71{\pm}8.60\;U/L$) groups had a significantly higher value than the SF group ($12.65{\pm}6.47\;U/L$) at postoperative 4 weeks.(P<0.05) At postoperative 8 weeks, the SF-BMP ($21.65{\pm}10.02\;U/L$) group had a lower bone-specific ALP activity than the SF group ($16.72{\pm}7.35\;U/L$). This difference was not statistically significant.(P=0.263) For the histological evaluation, the SF-BMP group revealed less inflammation, lower foreign body reactions and higher bone healing than the SF group at postoperative 4 and 8 weeks. The SF group revealed more foreign body reactions at postoperative 4 weeks. However, this immunogenic reaction decreased and the remnant of grafted material was observed at postoperative 8 weeks. For histomorphometric analysis, the SF-BMP group had a significantly longer bone length to total length ratio than those of the SF group at postoperative 4 and 8 weeks.(P<0.05) Conclusion: The rhBMP-2 loaded silk fibroin graft revealed fewer immunoreactions and inflammation as well as more new bone formation than the pure silk fibroin graft. Therefore, silk fibroin may be a candidate scaffold for tissue engineered bone regeneration.

Si and Mg doped Hydroxyapatite Film Formation by Plasma Electrolytic Oxidation

  • Park, Seon-Yeong;Choe, Han-Cheol
    • 한국표면공학회:학술대회논문집
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    • 한국표면공학회 2016년도 추계학술대회 논문집
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    • pp.195-195
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    • 2016
  • Titanium and its alloys are widely used as implants in orthopedics, dentistry and cardiology due to their outstanding properties, such as high strength, high level of hemocompatibility and enhanced biocompatibility. Hence, recent works showed that the synthesis of new Ti-based alloys for implant application involves more biocompatible metallic alloying element, such as, Nb, Hf, Zr and Mo. In particular, Nb and Hf are one of the most effective Ti ${\beta}-stabilizer$ and reducing the elastic modulus. Plasma electrolyte oxidation (PEO) is known as excellent method in the biocompatibility of biomaterial due to quickly coating time and controlled coating condition. The anodized oxide layer and diameter modulation of Ti alloys can be obtained function of improvement of cell adhesion. Silicon (Si) and magnesium (Mg) has a beneficial effect on bone. Si in particular has been found to be essential for normal bone and cartilage growth and development. In vitro studies have shown that Mg plays very important roles in essential for normal growth and metabolism of skeletal tissue in vertebrates and can be detected as minor constituents in teeth and bone. The aim of this study is to research Si and Mg doped hydroxyapatite film formation by plasma electrolytic oxidation. Ti-29Nb-xHf (x= 0, 3, 7 and 15wt%, mass fraction) alloys were prepared Ti-29Nb-xHf alloys of containing Hf up from 0 wt% to 15 wt% were melted by using a vacuum furnace. Ti-29Nb-xHf alloys were homogenized for 2 hr at $1050^{\circ}C$. Each alloy was anodized in solution containing typically 0.15 M calcium acetate monohydrate + 0.02 M calcium glycerophosphate at room temperature. A direct current power source was used for the process of anodization. Anodized alloys was prepared using 270V~300V anodization voltage at room. A Si and Mg coating was produced by RF-magnetron sputtering system. RF power of 100W was applied to the target for 1h at room temperature. The microstructure, phase and composition of Si and Mg coated oxide surface of Ti-29Nb-xHf alloys were examined by FE-SEM, EDS, and XRD.

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Studies on Root Restoration: Embedding Titanium and Cultured Periodontal Ligament Fibroblasts into the Intradentinal Cavities in Dogs.

  • Yamamoto, T.;Hirata, M.;Iwarnatsu, Y.;Tadatomo, Y.;Shimonishi, M.;Murakami, Y.;Nagaoka, S.;Higuchi, S.;Sato, H.;Kanehira, M.;Kindaichi, K.;Komatsu, M.
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2001년도 추계학술대회(제116회) 및 13회 Workshop 제3회 한ㆍ일 치과보존학회 공동학술대회 초록집
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    • pp.568.1-568
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    • 2001
  • The purpose of our study is new formation of periodontal ligament (PDL) around titanium implants. In this study, we investigated histologically whether cultured periodontal ligament fibroblasts (CPLFs) would form new PDL on titanium implants in beagle dogs. PDL fibroblasts were obtained from upper premolars of dogs and cultured in ${\alpha}-MEM$ supplemented with 10% FBS. Some CPLFs were cultured on glass-beads-sandblasted titanium specimen. Artificial intradentinal cavities were prepared through alveolar bone to dentin of lower premolars.(omitted)

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PDGF와 LPS가 치주 인대 세포의 활성에 미치는 영향에 관한 연구 (The Effects of PDGF and LPS on the Viability of Human Periodontal Ligament Cells)

  • 허정;임정현;김상철
    • 대한치과교정학회지
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    • 제28권1호
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    • pp.143-153
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    • 1998
  • PDGF와 LPS는 골 대사에 중요한 조절요소이다. 외인성 PDGF는 골 흡수를 자극하기도 하고, 또 새로운 골 형성을 자극하기도 한다. LPS는 골파괴 활성의 자극 요인으로 알려져 있다. 본 연구의 목적은 골개조에 중요한 역할을 하는 치주 인대에 PDGF와 LPS의 상호 작용을 평가하기 위해서 시행되었다. 배양된 사람의 치주 인대 세포에 PDGF와 LPS를 첨가 배양하여 각 농도와 시간에 따른 대조군에 대한 백분율로 환산된 세포 활성의 평균과 표준 편차를 구하고 ANOVA를 시행하여 다음과 같은 결과를 얻었다. 1. PDGF를 단독으로 가한 경우 0.1ng/ml에서는 세포 활성이 대조군과 차이가 없었으나 1ng/ml에서는 배양 2일째에, 10ng/ml에서는 배양 2,3일째에 유의한 세포 활성 증가를 보였다. 2. LPS단독처리시 $0.5{\mu}g/ml$$5{\mu}g/ml$농도에서 배양 1일째,2일째에는 대조군과 차이가 없었으나 배양 3일째에 유의한 활성 감소가 없었다. 3. $0.5{\mu}g/ml$$5{\mu}g/ml$농토의 LPS에 1ng/m 및 10ng/ml농도의 PDGF 첨가시, 배양 3일째에 LPS단독 투여시보다 유의한 세포 활성 증가가 있었으며 특히 10ng/ml PDGF 첨가시에는 대조군보다 활성이 컸다. 이상의 연구결과로 골개조 과정에 관여하는 것으로 여겨지는 치주 인대세포에 대한 적절한 농도의 PDGF와 LPS의 복합 투여는 PDGF 단독 투여 못지 않게 치주 인대세포의 활성을 증가시키는 것으로 사료된다.

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Effect of isoflavone-enriched whole soy milk powder supplementation on bone metabolism in ovariectomized mice

  • Kim, So Mi;Lee, Hyun Sook;Jung, Jae In;Lim, Su-Min;Lim, Ji Hoon;Ha, Wang-Hyun;Jeon, Chang Lae;Lee, Jae-Yong;Kim, Eun Ji
    • Nutrition Research and Practice
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    • 제12권4호
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    • pp.275-282
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    • 2018
  • BACKGROUND/OBJECTIVE: There is intense interest in soy isoflavone as a hormone replacement therapy for the prevention of postmenopausal osteoporosis. A new kind of isoflavone-enriched whole soy milk powder (I-WSM) containing more isoflavones than conventional whole soy milk powder was recently developed. The aim of this study was to investigate the effects of I-WSM on bone metabolism in ovariectomized mice. MATERIALS/METHODS: Sixty female ICR mice individually underwent ovariectomy (OVX) or a sham operation, and were randomized into six groups of 10 animals each as follows: Sham, OVX, OVX with 2% I-WSM diet, OVX with 10% I-WSM diet, OVX with 20% I-WSM diet, and OVX with 20% WSM diet. After an 8-week treatment period, bone mineral density (BMD), calcium, alkaline phosphatase (ALP), tartrate-resistant acid phosphatase (TRAP) 5b, osteocalcin (OC), procollagen 1 N-terminal propeptide (P1NP), and osteoprotegenin (OPG) were analyzed. RESULTS: BMD was significantly lower in the OVX group compared to the Sham group but was significantly higher in OVX + 10% I-WSM and OVX + 20% I-WSM groups compared to the OVX group (P < 0.05). Serum calcium concentration significantly increased in the OVX + 10% and 20% I-WSM groups. Serum ALP levels were significantly lower in the OVX + 10% and 20% I-WSM groups compared to the other experimental groups (P < 0.05). OC was significantly reduced in the OVX group compared to the Sham group (P < 0.05), but a dose-dependent increase was observed in the OVX groups supplemented with I-WSM. P1NP and OPG levels were significantly reduced, while TRAP 5b level was significantly elevated in the OVX group compared with the Sham group, which was not affected by I-WSM (P < 0.05). CONCLUSIONS: This study suggests that I-WSM supplementation in OVX mice has the effect of preventing BMD reduction and promoting bone formation. Therefore, I-WSM can be used as an effective alternative to postmenopausal osteoporosis prevention.