• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권4호
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• pp.327-333
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• 2006

Future cell-based therapies such as tissue engineering will benefit from a source of autogenous pluripotent stem cells. There are embryonic stem cells (ESC) and autologous adult stem cells, two general types of stem cells potentilally useful for these applications. But practical use of ESC is limited due to potential problems of cell regulation and ethical considerations. To get bone marrow stem cells is relatively burden to patients because of pain, anesthesia requirement. The ideal stem cells are required of such as the following advantages: easy to obtain, minimal patient discomfort and a capability of yielding enough cell numbers. Adipose autologus tissue taken from intraoral fatty pad or abdomen may represent such a source. Our study designed to demonstrate the ability of human adipose tissue-derived stromal cells (hATSC) from human abdominal adipose tissue diffentiating into osteocyte and adipocyte under culture in vitro conditions. As a result of experiment, we identified stromal cell derived adipose tissue has the multilineage potentiality under appropriate culture conditions. And the adipose stromal cells expressed several mesenchymal stem cell related antigen (CD29, CD44) reactions. Secondary, we compared the culture results of a group of hATSC stimulated with TGF-${\beta}$1, bFGF with a hATSC group without growth factors to confirm whether cytokines have a important role of the proliferation in osteogenic differentiation. The role of cytokines such as TGF-${\beta}$1, bFGF increased hATSC's osteogenic differentiation especially when TGF-${\beta}$1 and bFGF were used together. These results suggest that adipose stromal cells with growth factors could be efficiently available for cell-based bone regeneration.

• Journal of Periodontal and Implant Science
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• 제31권2호
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• pp.437-449
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• 2001

The socket preservation procedure was a simple and effective technique, and has better prognosis for implantation. The socket preservation usually used barrier membrane in combination with/without alloplastic bone materials. A recently study had shown that a regenerative therapy to tooth extraction utilizing growth factors made better results. Platelet-rich plasma was clinically easy method that acquired the growth factors, and is known that accelerated new bone formation and mineralization of bone graft materials. The purpose of this study was to evaluate clinical and histopathologic results which occur following socket preservations using platelet-rich plasma and bovine bone powder. Twelve patients who required extraction of one or more teeth for implantation at the department of periodontics in Dankook University Dental Hospital were selected. Extraction sockets were treated by using platelet-rich plasma and bovine bone powder. 3 months later, we observed clinical and histopathological results as follows: 1. Internal vertical measurement was an average of 7.33mm preoperatively and statistically significantly decreased to an average of 1.42mm postoperatively(p<0.05). 2. External vertical measurement was an average of 3.33mm preoperatively and decreased to an average of 2.75mm postoperatively; therefore there was no significant difference. 3. Horizontal measurement was an average of 7.75mm preoperatively and statistically decreased to an average of 6.08mm postoperatively(p<0.05). 4. Osteocyte-like cells and new bone formation connected with bovine bone grafts were observed in histopathologic examination. This study implied that platelet-rich plasma and bovine bone powder grafts were effective treatment for socket preservation and regeneration of severe bony defect made by implantation failure.

• Journal of Korean Neurosurgical Society
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• 제60권1호
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• pp.114-117
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• 2017

A 42-year-old man was admitted to our hospital with complaints of low back pain and intermittent right thigh pain. Twelve weeks before admission, the patient received intradiscal electrothermal therapy (IDET) at a local hospital. The patient still reported low back pain after the procedure that was managed with narcotic analgesics. Follow-up magnetic resonance imaging (MRI) was performed, and his referring physician thought the likely diagnosis was spondylodiscitis at the L4-5 spinal segment with a small epidural abscess. At admission to our department, the patient reported aggravated low back pain. Blood test results, including the erythrocyte sedimentation rate and C-reactive protein levels, were slightly elevated. Biopsy samples of the L4, L5 vertebral bodies and disk were obtained. The material underwent aerobic, anaerobic, fungal, mycobacterial cultures and histologic examination. Results of all cultures were negative. Histologically, necrosis of the bone was evident from the number of empty osteocyte lacunae. In addition, there was no evidence of infection based on biopsy results. No antibiotic treatment was administered on discharge. Repeat computed tomography and MRI performed 12 months after IDET showed a bony defect in the L4 and L5 vertebral bodies, and a decrease in the size of the L4-5 intervertebral disc lesion. We report a case of lumbar vertebral osteonecrosis induced by IDET and discuss etiology and radiologic features.

• Journal of Periodontal and Implant Science
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• 제50권6호
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• pp.418-434
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• 2020

Purpose: The purpose of the present study was to evaluate the effect of silica-calcium phosphate composite (SCPC) granules on bone regeneration in extraction sockets. Methods: Ten patients were selected for a split-model study. In each patient, bone healing in SCPC-grafted and control ungrafted sockets was analyzed through clinical, radiographic, histomorphometric, and immunohistochemical assessments 6 months postoperatively. Results: A radiographic assessment using cone-beam computed tomography showed minimal ridge dimension changes in SCPC-grafted sockets, with 0.39 mm and 1.79 mm decreases in height and width, respectively. Core bone biopsy samples were obtained 6 months post-extraction during implant placement and analyzed. The average percent areas occupied by mature bone, woven bone, and remnant particles in the SCPC-grafted sockets were 41.3%±12%, 20.1%±9.5%, and 5.3%±4.4%, respectively. The percent areas of mature bone and woven bone formed in the control ungrafted sockets at the same time point were 31%±14% and 24.1%±9.4%, respectively. Histochemical and immunohistochemical analyses showed dense mineralized bundles of type I collagen with high osteopontin expression intensity in the grafted sockets. The newly formed bone was well vascularized, with numerous active osteoblasts, Haversian systems, and osteocytes indicating maturation. In contrast, the new bone in the control ungrafted sockets was immature, rich in type III collagen, and had a low osteocyte density. Conclusions: The resorption of SCPC granules in 6 months was coordinated with better new bone formation than was observed in untreated sockets. SCPC is a resorbable bone graft material that enhances bone formation and maturation through its stimulatory effect on bone cell function.

• 대한수의학회지
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• 제58권4호
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• pp.211-217
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• 2018

Mesenchymal stem cells (MSCs) are useful candidates for tissue engineering and cell therapy. Physiological cell environment not only connects cells to each other, but also connects cells to the extracellular matrix that provide mechanical support, thus exposing the entire cell surface and activating signaling pathways. Hydrogel is a polymeric material that swells in water and maintains a distinct 3-dimensional (3D) network structure by cross linking. In this study, we investigated the optimized cellular function for canine adipose tissue-derived MSCs (cAD-MSCs) using hydrogel. We observed that the expression levels of Ki67 and proliferating cell nuclear antigen, which are involved in cell proliferation and stemness, were increased in transwell-hydrogel (3D-TN) compared to the transwell-normal (TN). Also, transforming growth factor-${\beta}1$ and SOX9, which are typical bone morphogenesis-inducing factors, were increased in 3D-TN compared to the TN. Collagen type II alpha 1, which is a chondrocyte-specific marker, was increased in 3D-TN compared to the TN. Osteocalcin, which is a osteocyte-specific marker, was increased in 3D-TN compared to the TN. Collectively, preconditioning cAD-MSCs via 3D culture systems can enhance inherent secretory properties that may improve the potency and efficacy of MSCs-based therapies for bone regeneration process.

• International Journal of Stem Cells
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• 제16권1호
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• pp.93-107
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• 2023

Background and Objectives: Chronic periodontitis can lead to alveolar bone resorption and eventually tooth loss. Stem cells from exfoliated deciduous teeth (SHED) are appropriate bone regeneration seed cells. To track the survival, migration, and differentiation of the transplanted SHED, we used super paramagnetic iron oxide particles (SPIO) Molday ION Rhodamine-B (MIRB) to label and monitor the transplanted cells while repairing periodontal bone defects. Methods and Results: We determined an appropriate dose of MIRB for labeling SHED by examining the growth and osteogenic differentiation of labeled SHED. Finally, SHED was labeled with 25 ㎍ Fe/ml MIRB before being transplanted into rats. Magnetic resonance imaging was used to track SHED survival and migration in vivo due to a low-intensity signal artifact caused by MIRB. HE and immunohistochemical analyses revealed that both MIRB-labeled and unlabeled SHED could promote periodontal bone regeneration. The colocalization of hNUC and MIRB demonstrated that SHED transplanted into rats could survive in vivo. Furthermore, some MIRB-positive cells expressed the osteoblast and osteocyte markers OCN and DMP1, respectively. Enzyme-linked immunosorbent assay revealed that SHED could secrete protein factors, such as IGF-1, OCN, ALP, IL-4, VEGF, and bFGF, which promote bone regeneration. Immunofluorescence staining revealed that the transplanted SHED was surrounded by a large number of host-derived Runx2- and Col II-positive cells that played important roles in the bone healing process. Conclusions: SHED could promote periodontal bone regeneration in rats, and the survival of SHED could be tracked in vivo by labeling them with MIRB. SHED are likely to promote bone healing through both direct differentiation and paracrine mechanisms.

• 대한소아치과학회지
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• 제24권1호
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• pp.1-17
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• 1997

백서 태자 두개관을 효소처리하여 얻은 조골세포 유사세포군의 증식능 및 골결절의 형성에 미치는 dexamethasone의 영향과 형성된 골결절의 조직학적 형태 관찰을 위하여, 12 well 배양접시의 각 well 당 $4{\times}10^4cell$ 을 접종하였으며, 30일간 표준배양액으로만 배양한 군, 표준배양액에 ascorbic acid와 Na-${\beta}$-glycerophosphate를 첨가한 군, 그리고 각각에 dexa methasone을 첨가한 군등 4군으로 분리 배양하여 다음과 같은 결과를 얻었다. 1. 골세포의 증식율은 표준용액으로 배양한 군에 비해 dexamethasone 을 단독으로 투여한 군에서 약간 증가하는 경향을 보였으나 통계적인 유의성은 없었다 (p<0.05). 2. 골세포의 증식율은 ascorbic acid 에 의해 영향을 많이 받았으며, 특히 ascorbic acid와 dexamethasone을 동시에 투여했을때 더욱 현저히 세포증식율이 감소됨을 볼 수 있었다(p<0.05). 3. 배양 초기에는 세포들이 주로 섬유아세포 양으로 나타났으나, 밀생상태에 이르면서 점차 다각형 형태로 바뀌었다. 4. 배양 9일후 지방세포와 연골세포들이 관찰되었으며, 이들은 모두 dexamethasone이 첨가된 군에서 발견되었다. 5. 골결절은 ascorbic acid와 Na-${\beta}$-glycerophosphate가 첨가된 군에서만 형성되었으며, dexamethasone 을 병용첨가한 군에서 광화된 골결절이 현저히 증가됨을 관찰할 수 있었다. 6. 골결절 형성이 되지 않은 부위의 세포들은 평면형상을 이루고 있었으나, 골결절 부위를 덮고있는 세포들은 많은 세포돌기를 가진 조골세포양 세포들로 나타났으며, ascorbic acid, Na-${\beta}$-glycerophosphate 그리고 dexamethasone 을 첨가한 군에서는 침상의 돌기를 가진 광화물질들이 다발의 교원섬유들 사이에 현저히 많이 존재하였으며, 골결절 내부에는 매몰된 골세포(osteocyte)양 세포들이 관찰되었다.

• 대한치과교정학회지
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• 제28권5호
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• pp.699-716
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• 1998

본 연구는 열을 이용한 금속 브라켓의 재생 처리시, 기저부 형태와 브라켓 재생 방법에 따른 전단접착강도 및 브라켓 탈락 양상을 비교하고자 시행되었다. 교정 치료를 위해 발거된 건전한 소구치 252개를 수집하고, Type I, Type II, Type III 스탠다드 브라켓을 각각 재생 방법에 따라 네 군으로 나누어 준비된 소구치에 접착하고, Instron Universal Testing Machine(Model 4466)으로 전단접착강도를 측정하였으며, 브라켓의 탈락 양상을 관찰하고 브라켓 기저부의 주사전자현미경 소견을 관찰하였다. SPSS 통계처 리 프로그램을 이용하여 일원분산분석(oneway ANOVA), Scheffe's multiple range test를 실시하여 다음과 같은 결론을 얻었다. 1. 브라켓 기저부 형태에 따른 전단접착강도는 유의차가 있었으며(p<0.001), 그 크기는 Type III(round indentation, micro-etched base), Typ I(foil-mesh base), Type II(grooved integral base, micro-etched)의 순이었다. 2. 생 방법에 따른 전단접착강도는, Type I, Tpe II 브라켓에서는 Big Jane에 1분간 처리시 우수한 결과를 보였고 (p<0.05), Type III 브라켓에서는 각 군간 유의한 차이를 보이지 않았다(p>0.05). 3. Type I, Type II 브라켓은 기저부-레진 계면에서 가장 높은 빈도로 탈락하였고, Type III 브라켓에서는 레진의 절반 가량이 치면에 잔존하는 탈락 양상이 가장 많았다. 4. 탈락 양상에 따라 탈락시의 전단접착강도가 유의성 있는 차이를 보였는데(p<0.05),브라켓 탈락시 접착제의 절반 가량이 치면에 잔존하는 경우 전단접착강도가 가장 큰 것으로 나타났다. 5. 브라켓 재생 후 기저부에 남아 있는 접착제는 전단접착강도의 감소에 영향을 미치지 않았다.

• 대한치과교정학회지
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• 제31권6호
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• pp.579-587
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• 2001

구개열에 대한 유병률과 분자생물학적 방법으로 연구가 지속되어 왔고, 원인 요소에 많은 연구가 수행되어 왔다. 많은 연구방법중 분자생물학적 방법은 구개열 연구에 중요한 방법으로 고려 된다. 구개 형성에 여러성장 요소가 관여하는데, 그중 $TGF-\beta$는 세포이주, 상피-간엽 형질 전환, 세포외 기질 합성과 축적에 관여한다. 구개열 연구중에 beta-aminonitroproprionitrile (BAPN)을 이용하여 구개열 형성 백서와 $TGF-\beta$ 발현 양상과의 상관성에 대한 연구는 수행되지 않았다. 이 연구는 임신 10일째 백서 4마리를 구입한 후, 그 중 3마리에 BAPN을 1g/kg body weight비율로 구강투여하고 임신 20일째 희생하여 구개열 태자와 정상 태자에서 $TGF-\beta$ 발현 양상을 면역조직화학염색과 Western blot 분석을 시행하여 다음과 같은 결과를 얻었다. 1. 면역조직화학염색 결과 구개열 백서의 골아세포와 간엽조직에서 $TGF-\beta$ 발현 양상은 대조군과 비교할 때 낮은 활성을 보였다. 2. 구개열 백서의 골세포에서 $TGF-\beta$ 발현 양상은 대조군과 유의한 차이는 보이지 않았다. 3. Western blot 분석결과 구개열 백서의 상악에서 $TGF-\beta$ 발현은 대조군의 상악에 비해 밴드가 약하게 발현되었다.

• 대한소아치과학회지
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• 제38권4호
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• pp.399-406
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• 2011

영구치의 외상성 손상은 전체 외상 환자 중 높은 빈도로 발생하며 사고의 대부분은 치근이 미완성되어 있는 시기에 발생하여 치수, 치주인대, 치조골, Hertwig 상피 근초(HERS)에 다양한 영향을 주게 된다. 손상 정도에 따라 치수의 완전한 재혈관화, 근관 석회화, 근관내 치조골 함입 등의 다양한 치유 양상을 나타내며, 치근단의 성장 정지 및 치수 괴사로 인한 염증성 치근 흡수 등의 합병증을 나타낼 수 있다. 본 증례에서는 미성숙 영구치 치근단을 가진 세 환아에서 외상에 의한 Hertwig 상피 근초의 손상으로 발치와 기저부에 존재하는 치근막 세포와 골세포의 치수강내로의 증식으로 인해 치근 발육 정지 및 근관내로의 치조골 함입을 나타내어 보고하고자 한다. 외상 후 Hertwig 상피 근초의 손상에 의한 근관내로의 치조골 함입 치유 양상은 치수는 정상적인 기능을 하는 것으로 생각되며, 유착 등의 합병증이 동반되지 않는 경우 특별한 치료를 필요로 하지 않으므로 감별 진단이 요구되며, 외상 받은 치아의 치료시 Hertwig 상피 근초에 대한 부가적인 외상을 가하지 않도록 주의해야 한다.