• 대한치과교정학회지
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• 제33권4호
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• pp.307-317
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• 2003

본 연구는 miniplate(Titanium C-tube, Martin Co., Germany)를 교정적 고정원으로 사용하여 교정력 및 악정형력을 즉시 가했을 때 miniplate의 안정성 및 주위 조직 반응을 관찰하여 고정원으로서의 유용성을 밝히고자 시행되었다. 네 마리의 비글 성견을 대상으로 하악의 좌우 협측 제3소구치와 제4소구치 사이에 두개의 titanium miniscrew(직경 2.0mm, 길이 7.0mm)에 의해 고정되는 miniplate를 식립하여 15주 동안 200-250gm의 힘을 가한 교정력 적용군과 8주 동안 400-450gm의 힘을 가한 악정형력 적용군으로 분류하였고 대조군은 제4소구치와 제1대구치사이에 식립하고 힘을 가하지 않았다. 동요도는 식립 직후와 희생 직전에 측정하여 비교하였고 희생 후 제작된 조직 절편을 방사선적으로 검사하여 주위 골의 흡수 여부를 관찰하였다. 실험 동물은 관류 고정하고 조직 절편은 레진 포매하여 비탈회 경조직 표본을 제작하였다 miniplate 제거 후의 조직의 치유와 연조직의 관찰을 위해 일부 조직편은 탈회 표본으로 제작하였다. 표본은 H&E 염색 후 광학 현미경하에서 검경하였고 위의 실험내용을 통해 다음과 같은 결과를 얻었다. 1. 교정력과 악정형력을 적용한 두 그룹 모두 miniscrew와 골간의 계면에는 직접적인 골유착이 일어났다. 힘의 크기에 따른 차이는 관찰되지 않았고, 힘의 적용기간이 증가함에 따라 골침착이 증가되었으며, 하중이 가해지지 않은 대조군이 실험군에 비해 골조직이 덜 침착되었다. 2. Miruplate와 miniscrew를 피개하고 있는 연조직은 염증소견 없이 모두 치유가 잘 일어났다. 3. 모든 실험군에서 동요도는 발생되지 않았고, 하중이 가해지지 않은 대조군의 경우 경미한 동요도를 보였으며, 교합력이 직접 가해진 대조군에서 고정원이 탈락될 정도의 동요도를 보였다. 4. Miniscrew 제거 후의 연조직 및 경조직은 정상조직의 형태와 구조로 치유되었다. 이상의 결과로 miniplate(Titanium C-tube, Martin Co., Germany)는 식립 즉시 악정형력 정도의 힘까지 수용할 수 있고, 인접 조직에 자극이 적은 골내 고정원으로서 충분한 가치가 있다고 판단되어 진다.

• Journal of Periodontal and Implant Science
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• 제29권1호
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• pp.31-40
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• 1999

Many factors may affect periodontal changes during the physiologic conditions of woman(e.g. puberty, menstrual cycle, pregnancy, menopause). Recently many research has focused on the immunological changes of host, but the exact mechanism is not clear. Collagen is a major constituent of periodontium, and collagenase specifically digests the collagen and plays a role in destruction of periodontal tissue. So, I suppose that it participates with the cytokines in the inflammation of gingiva and vascular response during the changes of female sex hormones. Because there are some evidences of the existence of the receptors of estrogen and progesterone in the gingiva, it may be a target tissue of female sex hormones. In this experiment, gingival fibroblast and periodontal ligament cell were cultured in the presence of various concentrations of estrogen or progesterone corresponding to the menstrual cycle and pregnancy. Collagenase activity of the supernatant of culture media was determined by Spectrophotometric collagenase assay. The enzyme activity was calculated by the % decrease of the coated collagen. 1. The estrogen at both concentrations had no effect on the activity of collagenase of the gingival fibroblast. 2. The progesterone had some effect on the collagenase activity of the gingival fibroblast at low and high concentration of menstrual cycle, and elevated the enzyme activity at all range of pregnancy concentrations. 3. In periodontal ligament cells, estrogen elevated the enzyme activity at the early pregnancy concentration and progesterone elevated at the concentration just before menstruation. In this experiment, pregesterone elevated the collagenase activity of gingival fibroblast and periodontal ligament cells. But the mechanism of the up-regulation of the enzyme activity was not confirmed. The more experiments of direct effect of progesterone on gingival at the molecular level(e.g. northern blot analysis) can reveal the exact mechanism.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권3호
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• pp.163-168
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• 2023

An oroantral fistula (OAF) or oroantral communication (OAC) is an opening between the oral cavity and the maxillary sinus. If left untreated, these openings may cause chronic maxillary sinusitis. Although small defects (diameter <5 mm) may close spontaneously, larger communications require surgical intervention. Various studies have been conducted on OAC closure using a platelet-rich fibrin (PRF) membrane; most of these prior studies have involved simple direct application of PRF clots. This study introduces a new "double-barrier technique" using PRF for closure of an OAF involving sinus mucosal lifting and closure. The PRF material is inserted into the prepared maxillary sinus space, and the buccal advancement flap covers the oral side. This technique was successfully used to treat two patients with chronic OAF in the posterior maxillary region after implant removal or tooth extraction. The use of a PRF membrane in a double-barrier technique may have advantages in soft-tissue healing and could enable easy closure of chronic OAF with minimal trauma.

• 한국전자통신학회논문지
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• 제7권2호
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• pp.447-455
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• 2012

본 연구는 물리치료사와 작업치료사의 환자 프라이버시 보호행동 실천도를 알아보기 위해 시도되었다. 전국에 소재한 종합병원 및 재활치료 전문병원의 물리치료사와 작업치료사 297명을 대상으로 2012년 1월 2일부터 1월 13일까지 설문조사를 실시하였다. 연구결과 총 실천도 평균은 $3.54{\pm}.733$으로 나타났으며, 각 영역별 평균은 의사소통 영역 $3.62{\pm}.766$ 직접접촉 영역 $3.57{\pm}1.013$, 유지 관리 영역 $3.53{\pm}.780$ 순으로 나타났다. 일반적 특성 중 각 영역별로 분석한 결과 연령이 증가 할수록, 근무경력이 많을수록 실천도가 높았다. 환자 의료정보의 프라이버시는 100% 보호되어져야 하는 것이며, 실천도는 매우 잘 하고 있음의 수준(5)에 근접해야 할 것이나 환자의 기능 개선의 중추적 전문가인 치료사로서 의료정보 보호에 관한 관심이 적고 그 내용에 대해 거의 인지하지 못하는 것으로 나타났다. 이에 지속적인 홍보와 교육을 통하여 환자 프라이버시 보호에 대한 인식을 고취시고, 윤리의식을 확고하게 심어주는 마인드에 대한 제고가 필요하다.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.93-98
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• 2007

Purpose: Many options are available for the incision and pocket selection in breast augmentation. Each method has its advantages and disadvantages. To leave an invisible operation scar and to achieve easier pocket dissection by the central location of the incision on the breast, we made a transareolar-perinipple incision. To overcome the disadvantages of the transareolar incision, originally advocated by Pitanguy in 1973, we modified the direction of incision line and dissection plane. Methods: To avoid the injury of 4th intercostal nerve responsible for nipple sensation, we made perinipple incision on the medial side of the nipple instead of trans-nipple incision and made the transareolar incision as 11-5 o'clock on the left side and 1-7 o'clock on the right side instead of 3-9 o'clock on both sides. To avoid the possible infection and breast feeding problem caused by the injury to the lactiferous duct, and the possible implant hernia caused by the incisions lying on a same plane of pocket dissection, we made a subcutaneous dissection just above the breast tissue medially down to the bottom of breast tissue and made a subglandular or subfascial pocket, which may avoid the injury of lactiferous duct and create different planes for skin incision and pocket dissection. Other advantages of the transareolar-perinipple incision include easier pocket dissection, less chance of hematoma, and as a result less postoperative pain because of the central location of the approach which allow finger dissection and meticulous bleeding control with direct vision, without any specialized instrument such as an endoscope or long mammary dissectors. As for pocket selection, we made dual pockets. We prefer subglandular or subfascial pocket. Also, we made a subpectoral pocket in the upper 1/4 of the pocket to add more volume on the upper part of the augmented breast, which can make aesthetically more desirable breasts in thin Asian women with small breasts. Possible disadvantages of our method are subclinical infection and scar widening, which could be overcome by meticulous operation techniques, antibiotic therapy, and intradermal tattooing. Results: From September, 2003 to August, 2005, 12 patients underwent breast augmentation using round smooth surface saline implants by our method. During the mean follow-up period of 13 months, there were no complications such as infection, hematoma, capsular contracture, and sensory change of nipple, and results were satisfactory. Conclusion: We suggest breast augmentation via transareolar-perinipple incision and dual pockets(subpectoral-subglandular or subfascial) as a valuable method in thin oriental women with small breasts.

• Journal of Periodontal and Implant Science
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• 제51권3호
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• pp.213-223
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• 2021

Purpose: The atmospheric pressure plasma jet (APPJ) has been introduced as an effective disinfection method for titanium surfaces due to their massive radical generation at low temperatures. Helium (He) has been widely applied as a discharge gas in APPJ due to its bactericidal effects and was proven to be effective in our previous study. This study aimed to evaluate the safety and effects of He-APPJ application at both the cell and tissue levels. Methods: Cellular-level responses were examined using human gingival fibroblasts and osteoblasts (MC3T3-E1 cells). He-APPJ was administered to the cells in the experimental group, while the control group received only He-gas treatment. Immediate cell responses and recovery after He-APPJ treatment were examined in both cell groups. The effect of He-APPJ on osteogenic differentiation was evaluated via an alkaline phosphatase activity assay. In vivo, He-APPJ treatment was administered to rat calvarial bone and the adjacent periosteum, and samples were harvested for histological examination. Results: He-APPJ treatment for 5 minutes induced irreversible effects in both human gingival fibroblasts and osteoblasts in vitro. Immediate cell detachment of human gingival fibroblasts and osteoblasts was shown regardless of treatment time. However, the detached areas in the groups treated for 1 or 3 minutes were completely repopulated within 7 days. Alkaline phosphatase activity was not influenced by 1 or 3 minutes of plasma treatment, but was significantly lower in the 5 minute-treated group (P=0.002). In vivo, He-APPJ treatment was administered to rat calvaria and periosteum for 1 or 3 minutes. No pathogenic changes occurred at 7 days after He-APPJ treatment in the He-APPJ-treated group compared to the control group (He gas only). Conclusions: Direct He-APPJ treatment for up to 3 minutes showed no harmful effects at either the cell or tissue level.

• Journal of Periodontal and Implant Science
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• 제32권1호
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• pp.89-112
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• 2002

The earliest reports of the use of electrical energy to directly stimulate bone healing seem to be in 1853 from England, the techniques involved the introduction of direct current into the non-united fracture site percutaneously via metallic needles, with subsequent healing of the defect. One endpoint of the periodontal therapy is to generate structure lost by periodontal diseases. Several procedural advances may support regeneration of attachment, however, regeneration of alveolar bone does not occur consistently. Therefore, factors which stimulate bone repair are areas for research in periodontal reconstructive therapy. Effects of cytokines or growth factors on bone repair are examples of such areas. Another one is electrical current which occurs in bone naturally, so that such bone may be particularly susceptible to electrical therapy. The purposes of this study were to observe the effects of electrical stimulation on the normal periodontium, to determine whether the electricity is the useful means for periodontal regeneration or not. Forty rats weighted about 100 gram were used and divided into 4 groups, the first group, there was no electrical stimulation with the connection of electrodes only. In the second group, there was stimulated by the 10 mA during 10 minutes per a day, in the third group was stimulated by the 25 mA , and the fourth by the 50 mA. At 3, 5, 10 and 15 days post-appliance , two rats in each group were serially sacrificed. and the maxillae and the mandible processed to paraffin, and the specimens were prepared with Hematoxylin-Eosin stain for the light microscopic evaluation. The results of this study were as follows : 1. There was the distinct reversal line on the lingual alveolar crest, whereas a little changes in the labial alveolarcrest to the duration and amount of currents. 2. In 50 mA group, the cells were highly concentrated at the apex of anterior teeth, and was observed the necrotic tissue. In posterior root apex, the hypercementosis was appeared, and newly formed cementum layer has been increased continuously with the time. 3. The periodontal ligament fiber and Sharpey's fiber were arranged in order, and the bone trabeculae were increased as the experiment proceeded by, relatively the bone marrows were decreased. 4. In the pulp tissue, the blood vessels were increased with blood congestion in the experimetal specimens remarkably, and the dentinal tubules were obstructed . 5. The osteoblasts in alveolar bone proper had been showed highly activity, and also observed the formation of bone trabeculea. In the conclusion, it was suggested that the electrical stimulation has influence on the periodontium and the pulp tissue. However, there might be the injurious effects.

• Journal of Periodontal and Implant Science
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• 제33권2호
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• pp.301-310
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• 2003

The purpose of this study is to evaluate the biocompatibility and the biorsorbability of several types of calcium polyphosphate made through change of manufacturing process for 12 month. To solve limitation of calcium phosphate, we developed a new ceramic, Calcium Polyphosphate(CPP), and report the biologic response to CPP in extraction sites of beagle dog. Porous CPP blocks were prepared by condensation of anhydrous $Ca(H_2PO_4)_2$ to form non-crystalline $Ca(PO_3)_2$ and then milled to produce CPP powder. CPP powder, CPP block, and CPP granules added with $Na_2O$ were implanted in extraction sockets and histologic observation were performed at 12 months later. Like 3 months results, histologic observation at 12 months revealed that CPP matrix were mingled with and directly apposed to new bone without any adverse tissue reaction, CPP powder show direct bony contact, but new bone formation and fibrous tissue encapsulation showed in CPP block. 10% $Na_2O$ CPP granules show more inflammatory cells infiltration around graft materials compared at 3 month, but 15% $Na_2O$ CPP granules show less. This result revealed that regardless of addition of $Na_2O$, CPP had a high affinity for bone and had been resorbed slowly. From this results, it was suggested that CPP is promising ceramic as a bone substitute and addition of $Na_2O$ help biodegradation but optimal concentration of $Na_2O$ and other additive component to increase degradation rate should be determined in further study.

• 대한치과보철학회지
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• 제46권5호
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• pp.490-499
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• 2008

생체 활성 재료는 생체 내에서 자가적으로 인회석 층 (apatite layer)을 형성하여, 골과의 생화학적 결합이 가능해야 한다. 알칼리와 열처리를 통하여 생체 활성 표면을 얻을 수 있는 것으로 보고되고 있다. 본 실험에서는 알칼리 및 열처리를 시행한 임플란트들의 안정성을 평가하고자 하였다. 실험군의 분류로 1군은 대조군인 선반 가공 임플란트군, 2, 3군은 $60^{\circ}C$, 5 M의 NaOH 용액에 24시간 처리한 후, 각각 대기 중 및 진공 상태 $600^{\circ}C$에서 1시간 동안 열처리하였다. 처리된 시편은 FESEM, XPS, TF-XRD 및 AFM을 이용하여 표면 특성을 관찰하고, 임플란트의 안정성을 위해 공진 주파수와 페리오테스트 및 역 토오크를 측정하고, 골유착 안정성에 관한 차이를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 표면 특성: 알칼리 및 열처리를 시행한 2, 3군은 비슷한 양상의 거친 표면을 보여주었다. 알칼리 처리를 시행한 2군과 3군에서 1군과는 달리 높은 함량의 나트륨 이온이 검출되었으며, 결정구조 분석 결과 2군에서 예추석 (antase)과 금홍석 (rutile)이 혼재된 상태로 금홍석이 우세한 양상을 보여주었다. 2. 공진 주파수 분석: 군간 비교에서 12주에 2군이 1, 3군에 비해 통계적으로 유의하게 높은 측정치를 보였다. 주간 비교시, 1, 2군은 4주 이후에 유의한 증가를 보여주었고, 3군은 2주와 4주에서 각각 유의한 증가를 보여주었다 (P < .05). 3. 페리오테스트 분석: 주간 비교에서 1, 2군은 4주 이후에 유의하게 감소를, 3군은 2주와 4주에서 각각 유의한 감소를 보여주었다 (P< .05). 4. 역 토오크 분석: 군간 비교에서는 2, 4, 8주에서는 2군이 1, 3군에 비해 유의하게 높은 측정값을 보여주었다. 주간 비교에서는 1, 3군은 4주, 12주에서 유의한 증가를 보여주었고, 2군은 4주부터 유의한 증가를 보여주었다 (P < .05). 이상의 결과로 볼 때, 알칼리 및 대기 중 열처리를 통해서 적절한 결정 구조의 산화막을 가진 생체 활성화된 무정형의 나트륨 티탄산염 층을 얻을 수 있었고, 알칼리 및 진공 상태 열처리만으로도 나트륨이 함유된 생체 활성화된 표면을 얻을 수 있었다고 사료된다. 또한 이런 처리 과정으로 형성된 표면층들은 임플란트의 초기 골유착에 도움을 줄 수 있는 유용한 방법 중 하나라고 사료된다.

• 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.