• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.363-367
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• 2016

Objective : To compare the fusion rate of a hydroxyapatite demineralized bone matrix (DBM) with post-laminectomy acquired autograft in lumbar interbody fusion surgery and to evaluate the correlation between fusion rate and clinical outcome. Methods : From January 2013 to April 2014, 98 patients underwent lumbar interbody fusion surgery with hydroxyapatite DBM (HA-DBM group) in our institute. Of those patients, 65 received complete CT scans for 12 months postoperatively in order to evaluate fusion status. For comparison with autograft, we selected another 65 patients who underwent lumbar interbody fusion surgery with post-laminectomy acquired autograft (Autograft group) during the same period. Both fusion material groups were matched in terms of age, sex, body mass index (BMI), and bone mineral density (BMD). To evaluate the clinical outcomes, we analyzed the results of visual analogue scale (VAS), Oswestry Disability Index (ODI), and Short Form Health Survey (SF-36). Results : We reviewed the CT scans of 149 fusion levels in 130 patients (HA-DBM group, 75 levels/65 patients; Autograft group, 74 levels/65 patients). Age, sex, BMI, and BMD were not significantly different between the groups (p=0.528, p=0.848, p=0.527, and p=0.610, respectively). The HA-DBM group showed 39 of 75 fused levels (52%), and the Autograft group showed 46 of 74 fused levels (62.2%). This difference was not statistically significant (p=0.21). In the HA-DBM group, older age and low BMD were significantly associated with non-fusion (61.24 vs. 66.68, p=0.027; -1.63 vs. -2.29, p=0.015, respectively). VAS and ODI showed significant improvement after surgery when fusion was successfully achieved in both groups (p=0.004, p=0.002, HA-DBM group; p=0.012, p=0.03, Autograft group). Conclusion : The fusion rates of the hydroxyapatite DBM and Autograft groups were not significantly different. In addition, clinical outcomes were similar between the groups. However, older age and low BMD are risk factors that might induce non-union after surgery with hydroxyapatite DBM.

• Macromolecular Research
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• 제9권5호
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• pp.267-276
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• 2001

In order to endow with new bioactive functionality from demineralized bone particle (DBP) as natural source to poly(L-lactide) (PLA) synthetic biodegradable polymer, porous DBP/PLA as natural/synthetic composite scaffolds were prepared and compared by means of the emulsion freeze drying and solvent casting/salt leaching methods for the possibility of the application of tissue engineered bone and cartilage. For the emulsion freeze drying method, it was observed that the pore size decreased in the order of 79$\mu\textrm{m}$ (PLA control) > 47$\mu\textrm{m}$ (20% of DBP) > 23 $\mu\textrm{m}$ (40% of DBP) > 15$\mu\textrm{m}$ (80% of DBP). Porosities as well as specific pore areas decreased with increasing the amount of DBR. It can be explained that DBP acts like emulsifier resulting in stabilizing water droplet in emulsion. For the solvent casting/salt leaching method, a uniform distribution of well interconnected pores from the surface to core region were observed the pore size of 80 ∼70 $\mu\textrm{m}$ independent with DBP amount. Porosities as well as specific pore areas also were almost same. For pore size distribution by the mercury intrusion porosimeter analysis between the two methods, the pore size distribution of the emulsion freeze drying method was broader than that of the solvent casting/salt leaching method due to the mechanism of emulsion formation. Scaffolds of PLA alone, DBP/PLA of 40 and 80%, and DBP powder were implanted on the back of athymic nude mouse to observe the effect of DBP on the induction of cells proliferation by hematoxylin and eosin staining for 8 weeks. It was observed that the effect of DBP/PLA scaffolds on bone induction are stronger than PLA scaffolds, even though the bone induction effect of DBP/PLA scaffold might be lowered than only DBP powder, that is to say, in the order of DBP only > DBP/PLA scaffolds of 40 and 80% DBP > PLA scaffolds only for osteoinduction activity. In conclusion, it seems that DBP plays an important role for bone induction in DBP/PLA scaffolds for the application of tissue engineering area.

• 대한소아치과학회지
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• 제38권4호
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• pp.317-326
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• 2011

저자는 DSLR(digital single-lens reflex) 카메라를 이용한 QLF-D 시스템을 고안하여, 사람의 유구치에 자연 발생된 법랑질 초기 우식증을 관찰하고, 유구치 법랑질 시편을 대상으로 2일부터 14일까지 인공 탈회시킨 후 탈회 기간에 따른 상관관계를 편광 현미경 소견과 비교 분석한 결과 다음과 같은 결과를 얻었다. 1. 탈회 기간에 따른 편광 현미경 상의 병소 깊이와 QLF-D 영상의 광밀도 값 비율 간의 피어슨 상관 계수는 0.969였다(p<0.01). 2. 편광현미경에서 측정된 병소 깊이의 탈회 기간에 대한 회귀분석 결과 y=8.67x-1.16의 회귀 방정식이 산출되었다(p<0.05). 3. QLF-D 영상에서 측정된 광도값 비율의 탈회 기간에 대한 회귀분석 결과 y=3.53x+6.42의 회귀 방정식이 산출되었다(p<0.05).

• Journal of Periodontal and Implant Science
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• 제37권2호
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• pp.237-249
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• 2007

This study was performed to evaluate the effect of membrane exposure on new bone formation when guided bone regeneration with perforated titanium membrane on atrophic alveolar ridge. The present study attempted to establish a GBR model for four adult beagle dog premolar. Intra-marrow penetration defects were created on the alveolar ridge(twelve weeks after extraction) on the mandibular premolar teeth in the beagle dogs. Space providing perforated titanium membrane with various graft material were implanted to provide for GBR. The graft material were demineralized bovine bone(DBB), Irradiated cancellous bone(ICB) and demineralized human bone powder(DFDB). The gingival flap were advanced to cover the membranes and sutured. Seven sites experienced wound failure within 2-3weeks postsurgery resulting in membrane exposure. The animals were euthanized at 4 weeks postsurgery for histologic and histometric analysis. The results of this study were as follows: 1. There was little new bone formation at 4 weeks postsurgery. irrespectively of membrane exposure. 2. There was significant relationship between membrane exposure and bone graft resorption(P<0.05), but no relation between membrane exposure and infiltrated connective tissue. 3. There was much bone graft resorption on DFDB than ICB and DBB. 4. The less exposure was on the perforated titanium membrane, the more dense infiltrated connective tissue was filled under the membrane when grafted with ICB and DBB. but there was no relationship between the rate of membrane exposure and the percentage of infiltrated connective tissue area and no relationship between the percentage of the area in the infiltrated connective tissue and in the residual bone graft. Within the above results, bone formation may be inhibited when membrane was exposed and ICB and DBB were more effective than DFDB as a bone graft material when guided bone regeneration.

• Restorative Dentistry and Endodontics
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• 제34권6호
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• pp.526-536
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• 2009

상아질의 재광화에 적당한 불소농도에 대하여는 서로 다른 주장이 존재하므로 불소가 병소 내 무기질의 분포와 수산화인회석 결정성장에 미치는 영향을 분석하기 위하여 이 연구를 시행하였다. 치아절편을 유산완충 탈회용액에 넣어 인공 치아우식을 형성한 후, 재광화 효과를 관찰하기 위해 불소농도가 각각 1, 2, 4 ppm인 유산완충 재광화용액에서 7일간 유지시켰다. 우식 진행과 재광화 양상을 관찰하기 위하여 탈회 2일, 재광화 7일 등 총 9일간 편광현미경으로 관찰하였으며 수산화인회석결정의 변화를 관찰하기 위하여서는 정상상아질, 탈회 2일군, 재광화 7일군의 파절시편을 주사전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 1. 모든 군에서 병소상부의 무기질침착과 병소하부의 무기질소실이 동시에 일어났다. 2. 불소농도가 증가하면 우식 병소의 무기질침착이 증가하였다. 3. 수산화인회석결정이 커졌다. 본실험의 결과에 의하면, 상아질의 우식과 재광화과정이 단순히 탈회 또는 재광화만이 독립적으로 일어나는 과정이 아니고 이 두 과정이 동시에 일어나는 동력학적인 과정이다. 또한 불소농도의 증가와 함께 재광화 양상도 증가하였고, 이러한 재광화는 유기기질망 주위의 수산화인회석결정을 중심으로 진행되었다.

• Restorative Dentistry and Endodontics
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• 제18권1호
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• pp.38-53
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• 1993

The purpose of this study was to observe the resin infiltration pattern into dentin by various dentin bonding agents. Freshley extracted 36 sound human molars were used in this study. They were stored at $4^{\circ}C$ physiologic saline solution before experiment. All the teeth were cross-sectioned to expose dentin below about 3.0mm at the cusp tip and above 2.0mm at the cemento-enamel junction with Crystal Cutter (MC411 D, Maruto Co., Japan), and were made into specimens for this study (Fig. 1). The specimen experimental groups were divided into 9 groups by dentin surface treatment as following procedures: Group I: Treated with Gluma Cleanser followed by Gluma Primer and Sealer Group 2. Treated with Gluma Cleanser followed by Scotch bond 2 Adhesive Group 3: Treated with Gluma Cleanser followed by Tenure Solution A, Band Visar Seal Group 4: Treated with Scotchprep followed by Scotch bond 2 Adhesive Group 5: Treated with Scotchprep followed by Gluma Primer and Sealer Group 6: Treated with Scotch prep followed by Tenure Solution A, Band Visar Seal Group 7: Treated with Tenure Conditioner followed by Tenure Solution A, Band Visar Seal Group 8: Treated with Tenure Conditioner followed by Scotchbond 2 Adhesive Group 9: Treated with Tenure Conditioner followed by Gluma Primer and Sealer 27 specimens of 36 specimens were divided into 9 groups (Group 1-9), and were used for observation of resin tags. Remaining 9 specimens were divided into 3 groups (Group 1,4 and 7), and were used for observation of fractured dentin surfaces. Specimens to observe the resin tag were demineralized with 20% HCl for 14 hours, specimens to observe the fractured dentin surfaces were demineralized with 10% HCl for 3 minutes. All the specimens were gold-coated with Eiko ion coater (Eiko-engineering Co.), and observed under Scanning electron microscope (Hitachi S-2300) at 20 KV. The following results were obtained: 1. In group 1 treated with Gluma Cleanser, Gluma Primer, and Sealer, most resin tags were more than $100{\mu}m$. 2. In group 4 treated with Scotch prep and Scotchbond 2 Adhesive, most resin tags were about $10{\mu}m$. 3. In group 7 treated with Tenure conditioner, Tenure Solution A, B, and Visar Seal, most resin tags were about $10{\mu}m$ but occasionally resin tags were more than $100{\mu}m$. 4. In groups 2,3,5,6,8 and 9, the lengths of resin tags were inconsistent and the amount of resin tags were reduced.

• Restorative Dentistry and Endodontics
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• 제33권5호
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• pp.481-492
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• 2008

초기 법랑질 우식의 경우 주위의 pH, 유기산의 종류 및 농도, 치아의 무기질 및 유기질의 화학적 조성, 불소의 농도, 용액의 포화도 등에 의해 영향을 받는다고 하였다. 본 연구에서는 lactic acid를 이용하여 법랑질을 인공 탈회시키고, pH 5.5인 포화도가 다른 세 가지 재광화 용액 (포화도: 0.25, 0.30, 0.35)으로 12일간 처리한 후, 편광 현미경에서 얻은 상에서 탈회 깊이의 변화, 우식 표면층 폭의 변화 무기질의 양적 변화를 Photoshop. Image pro plus, Scion Image, Excel을 이용하여 비교, 분석하였다. 1. pH 5.5에서 재광화 용액의 포화도가 증가할수록 우식 표면층의 폭은 증가하였다. 2. pH 5.5에서 1군의 경우 우식 부위에 전반적으로 재광화가 일어났으나, 3군의 경우 우식 표면층에서만 재광화의 양상이 뚜렷하게 나타났고, 3군에서는 1군과 3군의 중간적인 양상이 나타났다. 한편, 3군의 경우 1, 2군보다 우식 표면층의 폭이 유의하게 증가하였다. 결론적으로 본 실험의 조건에서 포화도가 가장 낮았던 군에서는 우식 표면층에서 우식 심부까지 전반적으로 재광화가 일어난 반면, 포화도가 높아질수록 우식 표면층의 폭은 증가하였으나 우식 심부에서는 큰 변화를 보이지 않는 양상이 나타났다.

• 폴리머
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• 제32권6호
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• pp.529-536
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• 2008

뇌 추출 신경성장인자(BDNF)의 서방성 전달체로써 락타이드-글리콜라이드 공중합체(PLGA) 용액에 탈미네랄화된 골분(DBP) 및 히알루론산(HA)를 균일하게 혼합하여 얼음입자추출법으로 다공성 지지체를 제조하였다. ELISA로 BDNF 방출량을 확인하였으며 SEM으로 방출에 따른 지지체의 다공 특성을 관찰하였다. PLGA지지체와 비교시 DBP/HA/PLGA 지지체에서 지속적으로 일정량이 방출됨을 확인하였으며 BDNF의 양이 증가할수록 빠르고 많은 양이 방출되는 패턴을 보였다. 얼음입자추출법으로 제조된 DBP/HH/PLGA 지지체는 BDNF 등의 수용성 사이토카인의 포접이 용이하고, 생분해성 고분자분해 특성에 의해서 방출이 조절되며, 신경손상부분에 이식시 BDNF가 서방화되어 신경재생에 도움을 줄 것으로 기대된다.

• 한국축산식품학회지
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• 제38권2호
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• pp.273-281
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• 2018

Preheating conditions (low-, medium-, and high heat-) did not significantly affect the buffering capacity (BC) of skim milk powder (SMP), whereas the level of demineralization significantly affected the BC of whey powders (WP). Heat treatment ($85^{\circ}C$ for 30 min) of both SMP and WP (90% demineralized) mixtures (88:12, 76:24, 64:36 and 52:48; SMP:WP) resulted in a reduced BC, and the extent of this reduction increased with the proportion of WP increased in the samples. High-buffering milk prepared by the addition of phosphate salts (40 mM $NaH_2PO_4$ and 60 mM $Na_2HPO_4$) delayed the rate of pH decline during yoghurt fermentation. The high-buffering yoghurt showed a significantly higher water holding capacity (WHC) than that of control yoghurt (p<0.05), as well as a more uniform and interconnected microstructure with small pore sizes than those of control yoghurt. No significant differences were found between high-buffering and control yoghurt regarding the viable bacterial counts of starter. The manipulation BC can potentially improve the quality characteristics of yoghurts, such as WHC and texture.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권4호
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• pp.366-371
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• 2007

Evaluation of the methods of processing allogenic bone must be considered in order to make an effective choice of graft materials in oral surgery. Allograft materials processed by the tissue banking industry have varying capacities of bone reconstruction. The biological function of processed bone can be affected by many factors, like particle size, processing parameters, and inclusion or exclusion of mineral and moisture. For example, freeze drying step offers a safe and economical means for packaging, shipping, storage, and preservation of homologous bone. Demineralization of cortical bone using hydrochloric acid can produce a uniform demineralized surface with a capacity for osteoinduction. The objectives of this review were to evaluate the processing methods for allogenic bone and to characterize processed materials for grafting. It is important to understand the biological, biomechanical healing of different types of allografts to make the right choice for allogenic bone on each clinical application and to achieve a successful outcome for alveolar bone reconstruction in oral surgery.