• 제목/요약/키워드: $\beta$-TCP

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정형외과 수술에서 골대체제로써 Beta-Tricalcium Phosphate 사용에 대한 방사선학적 결과 (Radiologic Outcome of Beta-Tricalcium Phosphate as a Bone Substitute in Orthopaedic Surgery)

  • 박형석;문정은;조용진
    • 보건의료산업학회지
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    • 제13권4호
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    • pp.133-144
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    • 2019
  • Objectieves: 본 논문의 목적은 정형외과 수술 중 골결손에 대하여 β-TCP를 이용하여 치료 받은 대상자의 방사선학적 결과를 평가하기 위함이다. Methods: 총 49명의 대상자 중 24명 (49.0%)는 남자 였으며, 25명 (51%)는 여자였다. 요인 분석을 위하여 의무 기록 검토가 시행되었다. 각 시기별로 골대체재의 흡수 정도는 Irwin 의 방사선학적 체계에 따라서 평가되었다. Results: 술 후 3개월 째, 세 가지 측정 변수인 골대체제 이식 견고성, 진단 당시 나이, 병변의 부피에 의한 회귀 모형의 설명력은 65.6% 였다. 술 후 6개월 째, 두 가지 측정 변수인 병변의 부피, 골대체제 이식 견고성에 의한 회귀 모형의 설명력은 32.9% 였다. 술 후 9개월 째, 두 가지 측정 변수인 병변의 장축 길이, 골대체제 이식 견고성에 의한 회귀 모형의 설명력은 30.8% 였다. Conclusions: 골대체제 이식 견고성, 병변의 부피, 진단 당시 나이 그리고 병변의 장측 길이가 골대체제의 흡수에 영향을 미치는 인자였다.

자연물의 미세구조를 활용한 다공성 인산칼슘 제조 (Fabrication of Porous Calcium Phosphate by Using a Pre-Form of Nature Material)

  • 이상진;이훈철
    • 한국세라믹학회지
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    • 제47권3호
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    • pp.244-248
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    • 2010
  • Porous calcium phosphates were successfully fabricated by using a cuttlefish bone. The cuttlefish bone, which is composed of $CaCO_3$, showed a special porous microstructure containing uniform-sized voids. In this study, the pre-forms infiltrated distilled phosphoric acid were sintered at $1200^{\circ}C$ in an air atmosphere. The porous microstructure of the pre-forms was kept their original pattern after sintering with a synthesis of calcium phosphate. The obtained porous calcium phosphate, sintered at $1200^{\circ}C$ for 3 h at 17% concentration of phosphoric acid, showed uniform open pores of 150 ${\mu}m$ in size and $\beta$-TCP phase in the XRD patterns. Above 16% concentration, CaO phase, derived from the decomposition of $CaCO_3$, decreased gradually in the sintered samples, and the measured Ca/P ratios of the samples prepared from 16% and 18% concentration were 1.67 and 1.43, which are close to stoichiometric HA (1.66) and $\beta$-TCP (1.50).

RP titanium cap과 rhBMP-2를 이용하여 형성된 신생골의 미세전산화단층촬영을 이용한 평가 (Evaluation of bone formation by recombinant human BMP-2 and rapid prototype titanium cap in rabbit calvaria using micro computed tomography)

  • 한만승;정승곤;김방신;양지웅;국민석;박홍주;유선열;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권6호
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    • pp.466-472
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    • 2010
  • Introduction: This study examined the effect of recombinant human bone morphogenetic protein (rhBMP)-2 and $\beta$-tricalcium phosphate ($\beta$-TCP) on new bone formation in a rabbit calvarium using a rapid prototype titanium cap (RP Ti cap). Materials and Methods: Eight New Zealand white rabbits were used in this study. Hemispherical RP Ti caps (10 mm in diameter) were implanted subperiosteally on the rabbit calvaria. $\beta$-TCP was filled in the RP Ti cap in the control group, and rhBMP-2 soaked $\beta$-TCP was used in experimental group. The rabbits were sacrificed 2 and 4 weeks after the operation. The volume and pattern of newly formed bone was analyzed by micro computed tomography (CT). Results: Macroscopically, there were no abnormal findings in any of the animals. The micro CT images revealed new bone from the calvaria that expanded gradually toward the top of the titanium cap, particularly along the inner surface of the titanium cap in the experimental group at 4 weeks after grafting. There was no significant difference in new bone volume ratio between the control and experimental groups at 2 weeks after grafting. There was a statistically significant difference in the new bone volume ratio between the experimental ($14.1{\pm}1.8\;%$) and control ($7.2{\pm}1.5\;%$) groups at 4 weeks after grafting (P<0.01). Conclusion: The RP Ti cap can effectively guide new bone formation and rhBMP-2 can induce the new bone formation.

3-Dimensional Micro-Computed Tomography Study on Bone Regeneration with Silk Fibroin, rh-Bone Morphogenetic Protein Loaded-Silk Fibroin and Tricalcium Phosphate Coated-Silk Fibroin in Rat Calvaria Defect

  • Pang, Eun-O;Park, Young-Ju;Park, Su-Hyun;Kang, Eung-Sun;Kweon, Hae-Yong;Kim, Soeng-Gon;Ko, Chang-Yong;Kim, Han-Sung;Nam, Jeong-Hun;Ahn, Jang-Hun;Chun, Ji-Hyun;Lee, Byeong-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권1호
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    • pp.1-11
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    • 2012
  • Purpose: The purpose of this study was to evaluate the bone regeneration capacity of silk fibroin (SF) when combined with beta tricalcium phosphate (${\beta}$-tricalcium phosphate [TCP]) and rh-bone morphogenetic protein (BMP) in vivo by micro-computed tomography (CT), soft x-ray, and histological analysis. Methods: A total of 56 critical size defects formed by a trephine bur made on 28 adult female Spague-Dawley rats were used for this study and the defect size was 5.0 mm in diameter. The defects were transplanted with (1) no graft material (raw defect), (2) autogenous bone, (3) SF ($10{\mu}g$), (4) SF-BMP ($10{\mu}g$, $0.8{\mu}g$ each), and (5) SF+${\beta}$-TCP ($10{\mu}g$). At 4 and 8 weeks after operation, the experimental animals were sacrificed. Samples were evaluated with soft x-ray, histological examinations and 3-dimensional micro-CT analysis. Results: In the 3-dimensional micro-CT evaluation, bone volume and bone surface data were higher in the SF-BMP ($12.8{\pm}1.5$, $138.6{\pm}45.0$ each) (P<0.05) and SF-TCP ($12.3{\pm}1.5$, $144.9{\pm}30.9$ each) group than in the SF group ($6.1{\pm}3.3$, $77.2{\pm}37.3$ each) (P<0.05), except for the autogenous group ($15.0{\pm}3.0$, $190.7{\pm}41.4$ each) at 4 weeks. At 8 weeks, SF-BMP ($16.8{\pm}3.5$, $173.9{\pm}34.2$ each) still revealed higher (P<0.05) bone volum and surface, but SF-TCP ($11.3{\pm}1.5$, $1132.9{\pm}52.1$ each) (P=0.5, P=0.2) revealed the same or lower amount compared with the SF group ($13.8{\pm}2.7$, $127.5{\pm}44.8$ each). The % of bone area determined by radiodensity was higher in the SF-TCP ($31.4{\pm}9.1%$) and SF-BMP ($36.2{\pm}16.2%$) groups than in the SF ($19.0{\pm}10.4$) group at the period of 4 weeks. Also, in the histological evaluation, the SF-BMP group revealed lower inflammation reaction, lower foreign body reaction and higher bone healing than the SF group at postoperative 4 weeks and 8 weeks. The SF-TCP group revealed lower inflammation at 4 weeks, but accordingly, as the TCP membrane was absorbed, inflammatory and foreign body reaction are increased at 8 weeks. Conclusion: The current study provides evidence that the silk fibrin can be used as an effective grafted material for tissue engineering bone generation through a combination of growth factor or surface treatment.

광명(GB37) 자침이 뇌파변화에 미치는 영향 (The Effect of Acupuncture Treatment at the GB37 on the Electroencephalogram(EEG))

  • 유익한;이상룡
    • Korean Journal of Acupuncture
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    • 제28권3호
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    • pp.85-98
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    • 2011
  • Objectives : The aim of this thesis is to examine the effect of acupuncture treatment at the GB37 on normal humans by using the power spectral analysis of the EEG. Methods : EEG (Electroencephalogram) power spectrum exhibits site-specific and state-related differences in specific frequency bands. In this thesis, the power spectrum was measured by the complexity. the 32 channels EEG study was carried out in the 13 subjects (12 males ; age=22.58 years old, 1 females ; 22 years old). Results : In the ${\alpha}$ (alpha) band, the power values at F7, F3, F4, F8, FTC2, C4, T4, CP1, CP2, TCP2, TT2, Pz, P4, Po1, Po2, O1, Oz, O2 channels (p<0.05) during the GB37-acupoint treatment were significantly changed. And in many channels were decreased. In the ${\beta}$ (beta) band, the power values at Cz, C4, T4, Tcp1, T6, Po1, O1, Oz, O2 channels (p<0.05) during the GB37-acupoint treatment were significantly changed. And in many channels were decreased. In the ${\delta}$(delta) band, the power values at Fp1, TT2 channels (p<0.05) during the GB37-acupoint treatment were significantly changed. And in many channels were decreased. In the $\theta$ (theta) band, the power values at Fp1, F8, FTC2, Pz channels (p<0.05) during the GB37-acupoint treatment were significantly changed. And in many channels were decreased. Conclusions : This results suggest that the acupuncture treatment at the GB37 significantly mostly change the power spectrum value on the alpha (18 channels), beta (9 channels) bands.

인산과 칼슘 이온을 함유한 수용액중에서의 타이타늄 표면처리 (A Study of Surface Treatments of Titanium in Aqueous solutions Containing Phosphate and Calcium Ions)

  • 신미정;김도균;김교환
    • 한국재료학회지
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    • 제8권9호
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    • pp.865-870
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    • 1998
  • 생체내에서 매식되는 타이타늄의 표면에 골의 형성과 성장을 촉진시키기 위해 칼슘이온과 인산이온을 함유하는 용액에서 타이타늄의 표면처리를 행하였다. 표면처리방법으로는 pH 5.8, 7.0, 8.0의 인산칼슘 완충용액에 10분간 침적시킨 후 유사체액에 30일간 침적시켰다. 침적시킨 후의 타이타늄 표면에 형성된 피막의 특성을 주사전자현미경, X-ray 회절장치, Fourier 변환강도계등으로 확인하고 유사체액에만 침적한 시편의 표면특성과 비교하였다. 실험결과 인산완충용액에서의 침적에 의해 타니타늄 표면에 인산칼슘 형성이 촉진됨을 알 수 있었다. 형성된 층은 입자형의 미세구조를 지닌 하이드록시아파타이트나 $\beta$-TCP의 인산칼슘 층으로 확인되었다. 형성된 층의두께는 pH 8.0, 7.0 그리고 pH 5.8의 인산완충액에서의 침적 순으로 증가하였고, 그 밀도는 pH 7.0, pH8.0그리고 pH5.8의 인산완충액에서의 침적 순으로 증가하였다.

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골결손부 재건을 위한 금속 이온 치환 이상인산칼슘 합성 및 생체 활성 평가 (Synthesis and bioactivity evaluation of metal ion-substitution biphasic calcium phosphate for bone defect reconstruction)

  • 김태완;김동현;진형호;이승호;박홍채;윤석영
    • 한국결정성장학회지
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    • 제22권6호
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    • pp.279-285
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    • 2012
  • BCP, Mg-BCP, Si-BCP 분말을 공침법(co-precipitation process)을 이용하여 합성하였다. 제조된 분말을 X-선 회절 분석(XRD), 적외선분광분석(FTIR)을 이용하여 특성을 분석하였다. Ca/P 몰 비율이 1.602인 칼슘 결손 아파타이트 공침물을 제조하여 $1000^{\circ}C$ 열처리 과정을 통하여 HAp와 ${\beta}$-TCP 상이 혼재된 BCP, Mg-BCP, Si-BCP을 합성할 수 있었다. 제조된 분말의 생체활성 거동을 평가하기 위하여 Hanks' Balanced Salt Solution(HBSS)에 침적시켜 시간에 따라 형상의 변화 및 결정상을 분석한 결과, BCP 분말에 비하여 금속 이온이 치환된 BCP 분말에서 빠른 생체활성을 관찰할 수 있었다. MTT assay를 통한 세포 성장률 평가에서모든 분말에서 시간 경과에 따라 독성을 나타내지 않았으며, 세포의 활성이 증가하였다.

Clinical Outcomes of Arthroscopic Rotator Cuff Repair Using Poly Lactic-co-glycolic Acid Plus β-tricalcium Phosphate Biocomposite Suture Anchors

  • Chung, Seok Won;Oh, Kyung-Soo;Kang, Sung Jin;Yoon, Jong Pil;Kim, Joon Yub
    • Clinics in Shoulder and Elbow
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    • 제21권1호
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    • pp.22-29
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    • 2018
  • Background: This study is performed to evaluate anchor-related outcomes and complications after arthroscopic rotator cuff repair using 30% ${\beta}$-tricalcium phosphate (${\beta}$-TCP) with 70% poly lactic-co-glycolic acid (PLGA) biocomposite suture anchors. Methods: A total of 78 patients (mean age, $61.3{\pm}6.9years$) who underwent arthroscopic medium-to-large full-thickness rotator cuff tear repair were enrolled. The technique employed 30% ${\beta}$-TCP with 70% PLGA biocomposite suture anchors at the medial row (38 patients, Healix $BR^{TM}$ anchor [Healix group]; 40 patients, Fixone anchor B [Fixone group]). The radiologic outcomes (including perianchor cyst formation or bone substitution) and anatomical outcomes of the healing failure rate were evaluated using magnetic resonance imaging at least 6 months after surgery, the pain visual analogue scale at 3, 6 months, and final follow-up visit, and American Shoulder and Elbow Surgeons scores at least 1 year postoperatively. Anchor-related complications were also evaluated. Results: The perianchor cyst formation incidence was similar for both groups (60.5%, Healix group; 60.0%, Fixone group; p=0.967), although severe perianchor cyst incidence was slightly lower in the Fixone group (15.0%) than in the Healix group (21.1%). There was no occurrence of anchor absorption and bone substitution. No differences were observed in the healing failure rate (13.2%, Healix group; 15.0%, Fixone group; p=0.815) and functional outcome between groups (all p>0.05). Anchor breakage occurred in 5 patients (2 Healix anchors and 3 Fixone anchors); however, there were no major anchor-related complications in either group. Conclusions: No differences were observed in the clinical outcomes of the Healix and Fixone groups, neither were there any accompanying major anchor-related complications.

Effects of various toothpastes on remineralization of white spot lesions

  • Jo, Su-Yeon;Chong, Hyun-Jeong;Lee, Eon-Hwa;Chang, Na-Young;Chae, Jong-Moon;Cho, Jin-Hyoung;Kim, Sang-Cheol;Kang, Kyung-Hwa
    • 대한치과교정학회지
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    • 제44권3호
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    • pp.113-118
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    • 2014
  • Objective: The purpose of this in vitro study was to examine the effects of fluoridated, casein phosphopeptide-amorphous calcium phosphate complex (CPP-ACP)-containing, and functionalized ${\beta}$-tricalcium phosphate (fTCP)-containing toothpastes on remineralization of white spot lesions (WSLs) by using Quantitative light-induced fluorescence (QLF-D) Biluminator$^{TM}$ 2. Methods: Forty-eight premolars, extracted for orthodontic reasons from 12 patients, with artificially induced WSLs were randomly and equally assigned to four treatment groups: fluoride (1,000 ppm), CPP-ACP, fTCP (with sodium fluoride), and control (deionized water) groups. Specimens were treated twice daily for 2 weeks and stored in saliva solution (1:1 mixture of artificial and human stimulated saliva) otherwise. QLF-D Biluminator$^{TM}$ 2 was used to measure changes in fluorescence, indicating alterations in the mineral contents of the WSLs, immediately before and after the 2 weeks of treatment. Results: Fluorescence greatly increased in the fTCP and CPP-ACP groups compared with the fluoride and control groups, which did not show significant differences. Conclusions: fTCP- and CPP-ACP-containing toothpastes seem to be more effective in reducing WSLs than 1,000-ppm fluoride-containing toothpastes.

대릉(大陵)(PC7) 침자가 뇌파에 미치는 영향 (The Effect of Acupuncture at PC7(Daereung) on EEG in Normal Human Subject)

  • 박철진;이상룡
    • Korean Journal of Acupuncture
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    • 제27권2호
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    • pp.141-157
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    • 2010
  • Objectives : The aim of this study is to examine the effects of acupuncture at PC7(Daereung) on normal human EEG using power spectral analysis. Methods : EEG power spectrum exhibits site-specific and state-related differences in specific frequency bands. In this study, power spectrum was used as a measure of complexity. 30 subjects (16 males and 14 females; averaged age = 23.4 years) were engaged with thirty channel EEG study. Results : In $\alpha$(alpha) band, the power values at Fp1, Fp2, F7, F8 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased. In $\beta$(beta) band, the power values at Fp1, Fp2 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased and at F8, TCP2 channels(p<0.05) during non-acupoint treatment were increased. In $\theta$(theta) band, the power values at Fp1, Fp2, F7, F8 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased. In $\delta$(delta) band, the power values at Fp1, Fp2, F7, Fz, F8 channels (p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel (p<0.05) during non-acupoint treatment was significantly decreased. $\alpha/\beta$ values during PC7 treatment were decreased. $\beta/\theta$ values during PC7 treatment were decreased. Conclusion : These results suggest that acupuncture at PC7 induce the change on $\alpha$(alpha), $\beta$(beta), $\theta$ (theta), $\delta$(delta) wave values being decreased and and bothe $\alpha/\beta$ and $\beta/\theta$ values being decreased respectively. This is considered that acupuncture at PC7 affects the activity of cerebral cortex and endocrine system.