동결 건조한 한국인 상하악골에 대한 실험적 연구;I. 단순냉동 및 냉동 건조된 동종골의 멸균에 관한 실험적 연구

AN EXPERIMENTAL STUDY ON THE FREEZE-DRIED BONE OF MAXILLA AND MANDIBLE IN KOREANS ;I. A microbiologic study of the sterility on the fresh-frozen and freeze-dried bone of human

  • 엄인웅 (원광대학교 치과대학 구강악안면외과학교실)
  • Um, In-Woong (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 발행 : 1991.12.31

초록

To determine the sterility of the prepared allogeneic bone of the human, culture of the allografts prior to implantation was performed on fresh-frozen and freeze-dried bone. Before the use of allografts to the patients, it must be confirmed about the sterility, cellular cytotoxicity, immune reaction, and osteoinductive potential as a biomaterials. Oral and maxillofacial surgeons demand for allograft bone will be increased in the future. Wonkwang Bone Bank attempted to meet this demand, has performed series of experimental study on the allograft bone of the Koreans to evaluate the physical and chemical suitability of the bone since the surgeons applications will have broadened from benign cystic lesions to fracture malunions and non-unions, large segmental defects, and whole-bone allorgrafts after tumor surgery. The results obtained were as follows: 1. Freeze-drying(FD) only shoed some bactericidal effects of the normal and osteo bone but in cases of performing EO gas sterilization, the FD effects was not clear. 2. The fact that FD has little effect than the EO gas sterilization on normal bone postulated that the presence of microbiota may be due to an operation and bone processing procedure. 3. FD and EO gas sterilization had a remarkable effect on the osteo bone. 4. The sterilization effect were EO gas, Freeze-drying, Fresh-Frozen with descending order. But all sterilization method were not complete to preserve and implant allograft bone. We are now performing further continuous study on the radiation and chemical sterilization procedure to make safe and complete allograft bone.

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