• Journal of Periodontal and Implant Science
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• 제27권3호
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• pp.495-514
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• 1997

The purpose of this study was to evaluate the in vitro effects of Nd:YAG laser irradiation on removal of a root surface smear layer after root planing in comparison with Tetracycline HCl. The 60 extracted human teeth due to severe periodontal disease were vigorously scaled and root planed with Gracey curet. Thirty specimen($5{\times}5{\times}2mm$) were obtained from root planed surface of 30 human teeth and assigned randomly to one of three groups : root planed group(5 specimen), Tetracycline HCI group(5 specimen, burnished for 5 minutes), and Nd:YAG laser group(25 specimen, German Dental Laser, Fotona Twinlight). Nd:YAG laser group was divided into 4 subgroups according to power of 1W, 1.5W, 2W, 3W at frequency to 10Hz. The specimen were then fixed, and examed by Scanning electron microscopic study. 30 of 60 human teeth used to measurement of the intrapulpal temperature rise during laser irradiation. Laser-irradiated surface exhibited various surface texture from relative flat surface to irregular surface with patent dentinal tubules of various shape and size. In some area, the root surface alteration which are carbonization, pit and crater formation and melting and resolidification were observed. The number of exposed dentinal tubules per unit($100_{\mu}m^2$) on tetracycline HCI group was more than that in the laser group below 1.5W of power(150mJ/pulse) and was significantly less than that in laser group above 2W of power(200mJ/pulse)(P<0.OOl). As power increased the intrapulpal temperature rise also increased. The result suggested that the parameter which effectively remove root surface smear layer than tetracycline HCI may cause thermal damage to pulp and root surface alteration result from laser exposure would indicate need for additional instrumentation. Thus, Nd:YAG laser irradiation in these parameter may not be appropriate for clinical use as adjunct to conventional periodontal therapy.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권4호
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• pp.309-320
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• 2007

Purpose: This study was to evaluate the removal effect on artificial plaque from RBM treated implant surfaces that are exposed due to peri-implantitis. Materials and methods: Artificial plaque with Streptococcus mutans and acquired pellicle adhered to RBM treated implant discs. Study materials divided into one control and six test groups. In test groups, physical and chemical methods used to remove plaques. Prophyflex, Professional Mechanical Tooth Cleaning (PMTC) and interdental brush as mechanical treatments and 0.1% Chlorhexidine, Citric acid, HCl tetracycline as a chemical treatment were used. To analyses the study, disc weight was measured for remaining plaque quantities and SEM(Scanning Electronic Microscope) findings was taken for evaluation of surfaces. Results: 1. In weight changes, there was significant difference between each treatment group and the control group (p<0.05). Therefore all treatment methods using this study have good ability for remove plaques. 2. In weight changes, there was no significant difference between mechanical and chemical group, and there were no significant differences between each groups (p>0.05). 3. SEM findings after mechanical treatment disclosed as follows; Prophyflex group looked like sound implant surface, and there were some paste on implant surface at PMTC group, and there were some artificial plaque at interdental brush group. 4. SEM findings after chemical treatment disclosed as follows; there were some dark lesions which were supposed as the product from Streptococcus mutans at Chlorhexidine, Citric acid and HCl tetracycline groups. Conclusion: All six methods using in this study have good ability to remove artificial plaque on RBM treated implant. According to SEM findings, prophyflex is a superior method for removing of dental plaque among test groups.

• Journal of Periodontal and Implant Science
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• 제25권3호
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• pp.587-602
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• 1995

치근면처리후 신부착에 관여하는 치주인대 세포의 부착을 비교하기위해 치근활택술만 시행한 군, 치근활택술후 구연산처리한 군, 치근활택술후 테트라사이클린처리한 군으로 분류하여 치주인대세포에 대한 부착양상을 관찰하였다. 세포증식실험에서는 각군의 시편을 조직배양지에 넣고 $1{\times}10^5$ cells/ml 농도의 치주인대세포를 1 ml씩 넣어 6시간 배양후 새 배양기에 옮겨 24시간, 28시간 및 72시간동안 배양하여 세포수를 측정하였고 세포부착후 주사전자현미경 관찰에서는 각각의 조직배양기에 1${\times}$104 cells/ml의 치주인대세포를 가진 배양액 1 ml씩을 넣어 배양하여 세포배양개시 푸 30분, 6시간, 24시간에 고정한후 탈수하고 임계점으로 건조시켜 주사전자현미경을 사용하여 세포부착양상을 관찰하였다. 세포증식실험에서 부착된 세포수가 24, 48, 72시간 모두에서 치근활택군, 구연산처리군, 테트라사이클린처리군순으로 높았고 치근활택군과 테트라사이클린처리군사이에 통계학적 유의성이 있었으며 24, 48시간에서는 구연산처리군과 테트라사이클린처리군사이에 통계학적 유의성이 있어 탈회군이 비탈회군보다 증가된 세포증식을 보였고 테트라사이클린처리군이 구연산처리군보다 증식된 세포수가 많았다. 주사전자현미경관찰에서 모든 군이 24시간 경과 후 전개가 거의 완성되는 양상을 보였고 테트라사이클린처리군의 초기전개가 다소 빠르게 진행됨이 관찰되었으며 테트라사이클린처리군과 구연산처리군이 세포가 부착되는 양상에서 치근활택군보다는 전개가 다소 진전된 양상을 나타내었으나 두 군간에는 유사한 전개가 진행되어 탈회면과 비탈회면의 차이는 나타나나 두 군간의 뚜렷한 차이는 보이지 않았다. 이상의 연구결과 테트라사이클린과 구연산처리가 치근활택술만 시행한 경우보다 치주인대세포의 증식 및 전개에 더 유리하며, 테트라사이클린과 구연산은 치주인대세포의 전개양상은 유사하나 치주인대세포증식에 있어서는 테트라사이클린에서 더 나은 효과가 있었다.

• Journal of Periodontal and Implant Science
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• 제31권1호
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• pp.21-41
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• 2001

The goal of Periodontal treatment is predictable periodontal regeneration. But until now, many products including GTR materials and growth factors are beyond of complete regeneration. BMP can induce ectopic bone formation when implanted into sites such as rat muscle and can greatly enhance healing of bony defects when applied exogenously. BMP can promote periodontal regeneration by their ability to stimulate new bone and new cementum formation. But little is known about optimal conditions required for the application. Root conditioning is used for bioacive root change so altered root surface provides a substrate that promotes chemotaxis, migration and attachment of peridontal cells encouraging connective attachment to the denuded root surface. The aim of this study is to investigate whether the acid conditioning change effect of rhBMP-2 on human periodontal ligament cell and osteoblast cell line. 288 periodontally involved root dentin slices are divided into 6 groups, each 48, 1)control, 2)treated with BMP, 3)treated with citric acid 4)treated with citric acid+BMP 5)treated with tetracycline 6)treated with TC+BMP. Each group was devided half, so 12 root dentin slices were seeded with periodontal ligament cells and 12 were seeded with osteoblasts. At day 2 and 7, cell number, protein assay, ALP activitiy was measured. To investigate morphology of cultured cells, SEM was employed. Statistical analysis was performed with SPSS 8.0 either t-test or ANOVA test. The results are ; Protein assay and cell number was slightly decreased in CA+BMP group compared to Ca group but it was not statistically significant and ALP activity was much more increased in CA+BMP group compared to CA group so there was no statistically significance between BMP and CA+BMP group and statistically significant compared to control group. Cell number and protein assay was slightly increased in TC group and ALP activity was much less the BMP group and CA group. Cell number and protein and ALP activity was not much increased in TC+BMP group. TC group and TC+BMP group showed cell morphology change in SEM. This results suggested that application of root surface with citric acid before BMP treatment might give better result in periodontal regeneration.

• Journal of Periodontal and Implant Science
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• 제28권1호
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• pp.37-56
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• 1998

The purpose of this study was to evaluate the clinical and microbiological outcomes following the use of 30% minocycline-loaded polycaprolacton film and 2% minocycline-loaded gel that was applied locally into pockets combined with scaling and root planing. 25 human subjects who were non-pregnant, non-lactating, aged 20-50 and diagnosed as moderate to advanced adult periodontitis were enrolled. Subjects were excluded if they had a history of severe acute or chronic systemic disease, if they required antibiotic prophylaxis for dental treatment for any reason, or if they reported a history suggestive of hypersensitivity reactions to minocycline or tetracycline. 4quadrants that had several teeth with a 5-8mm probing pocket depth and radiographic evidence of alveolar bone loss for each patient were selected and divided into test sites and control sites according to the split-mouth design. Scaling and root planing was done for each site at baseline(0week). Test sites received the minocycline gel and strip and control sites had saline irrigation. The patients received both treatments simyltaneously. Subgingival irrigation of sterile saline was applied to the control sites for approximately 30 seconds. Minocycline strip and gel was applied into the periodontal pocket at 1, 2, 3, 4 weeks each after scaling and root planing in the test sites. The clinical and microbiological measurements were made at baseline and at the follow-up visits 6, 10, 14, 20 weeks. The results of this study were as follows; 1. The sulcular bleeding index, probing pocket depth and Periocheck test was significantly reduced and the relative proportions of spirochetes and motile rods were significantly reduced and the proportion of cocci was correspondingly increased, in locally delivered minocycline strip group compared to saline irrigation group. 2. In locally delivered minocycline gel group, The effect was the same with minocycline strip group as compared with saline irrigation therapy. 3. There was no significant differences between minocycline strip group and minocycline gelgroup. In conclusion, minocycline HCl local drug delivery combined with scaling and root planing may provide added improvement of clinical and microbiological responses by inhibiting bacterial recolonization of treated sites. It is suggested that the local administration of minocycline-HCl in the periodontal pocket is effective when combined with subgingival mechanical debridement.

• Journal of Periodontal and Implant Science
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• 제25권1호
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• pp.99-110
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• 1995

치주치료의 궁극적 목표인 치주조직 재생에 대한 관심이 높아지는 가운데 치주조직 재생에 주된 역할을 하는 치주인대세포와 치근면 탈회에 의한 신부착 효과에 관한 많은 연구가 시도되고 있다. 그러나 광범위한 연구에도 불구하고 어떤 치근면 처리가 신부착 형성에 가장 효과적인지는 아직 논란의 대상으로 남아있다. 이에 저자는 결합조직 부착에 의한 재생에 필수적인 치은 및 치주인대 섬유아세포의 부착 및 증식을 tetracycline-HCL(TC)과 citric acid(CA)로 각각 처리된 상아질 표면에서 비교관찰하여 치주조직 재생에의 기여도를 추정하기 위해 본 연구를 시행하였다. 교정치료를 위하여 본원에 내원한 환자의 제일 소구치의 건강한 치은조직을 채취하고, 발치 후 효소처리에 의한 치주인대세포를 얻은 후 각각 세포배양하였다. 상아질 절편은 $3{\times}3{\times}0.2mm^3$로 준비하고 TC과 CA처리군으로 나눈 후 각각 치은 및 치주인대 섬유아세포를 부착시키고 초기부착은 8시간까지, 증식은 7일까지 고나찰하여 다음의 결과를 얻었다. 1. 각 군의 세포 부착은 시간이 지남에 따라 증가되었다. 2. 모든 군에서 7일째 빠른 증식상을 보였다. 3. 초기 부착시 치은과 치주인대 섬유아세포의 반응에는 유의한 차이가 없었다. 4. 반면에 치은과 치주인대 섬유아세포는 증식속도에서 차이를 나타내었으며 치은 섬유아세포가 좀 더 빠른 성장을 보였다. 5. 치근면 탈회에 따라 초기부착과 증식상에서 모두 유의성 있는 증가를 보였다. 6. CA는 초기부착에서, TC는 증식장에서 더욱 효과적으로 작용했다.

• Journal of Periodontal and Implant Science
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• 제25권3호
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• pp.614-622
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• 1995

Root caries is very frequently developed on exposed root surface after periodontal surgical treatment. In order to determine the anti-caries effect of Nd : YAG laser irradiation on periodontally exposed root surface, 40 mandibular molar teeth that had been extracted due to excessive periodontal destruction were used as the experimental teeth. All teeth were treated by the same procedure as conventional periodontal root treatment, ie thorough scaling, root planing and root conditioning with tetracycline HCl(100mg/ml, 5min.). Within middle one third of root, mesial half surface(20) or distal half surface(20) was randomly irradiated at various power of 1.0W, 2.0W, 3.0W and 4.0W for 60 seconds by non-contact(5mm) delivery of a pulsed Nd : YAG laser(EN.EL.EN060, Italy). The microhardness was measured by Vikers microhardness tester(Wilson, USA) at 2mm/second of jog speed under 100gm load. The difference of microhardness between irradiated side and non-irradiated side was statistically analyzed ANOVA and Duncan's method. Following results were obtained ; 1. The microhardness(Knoop hardness number) was significantly higher in laser irradiated surface than non-irradiated surface(p<0.05). 2. There was no significant difference in microhardness between experimental groups classified by different laser power(p>0.1). The results suggest that Nd : YAG laser irradiation on exposed root suface after periodontal therapy may inhibit the root caries development by enhancing surface microhardness.

• Journal of Microbiology and Biotechnology
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• 제10권2호
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• pp.147-153
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• 2000

This study was conducted to compare probiotic activities and physiological functions of Bifidobacterium longum Mk-G7 with weveral commercial and type strains of bifidobacteria. bif. longum MK-G7 showed the highest acid tolerance against HCl and acetic acid, whereas bif. infantis Y-1 showed the lowest acid tolerance and more than 4 log cycles of viable cell count decreased due to acid injuty. Viable cell counts of bifidobacteria strains decreased more than 1.5 log cycles owing to oxygen toxicity, with the exception of Bif. longum MK-G7, Bif. infantis Y-2, Bif. longum Y-3, Bif. longum Y-6, and Bif. longum RD-13 showed the highest bile tolerance, whereas Bif. longum MK-G7 showed a medium level of bile tolerance. Only Bif. longum MK-G7 howed much higher antibiotic resistance against both tetracycline and penicillin-G in the MIC(minimum inhibitory concentration) level of 24.8 mg/I and 0.52mg/I, respectively. Bif longum Y-6, and Bif. bifidum ATCC 29539 showed more than 80% of anti-mutagenicity against NQO(4-nitroquinolinel-oxide). Since the production of cytokines such as $TNF(tumor necrosis factor)-{\alpha}$ and IL (interleukin)-6, and NO(nitric oxide) in the macrophage cell line Raw 264.7 cells increased as Bif. longum MK-G7 cell concentration increased, ti was suggested that Bif. longum MK-G7 is able to enhance immunopotentiating activity in vitro. When freeze-dred Bif. longum MK-G7 was administered to mice at the dose of 1,2,4, and 6 g/kg of body weight, all of the mice survived in all feeding groups, proving the GRAS(generally recognized as safe) status of Bif. longum MK-G7. When fermented milk containing Bif. longum MK-G7 was administered to human volunteers, viable cell count of total bifidobacteria and anaerobes in the feces increased up to 0.5 log cycles more than before the administration. In particular, Bif. logum MK-G7 ingibited the growth of Bacteroides at the level of 1.0-1.5 log cycles.