• 대한치과의사협회지
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• 제47권9호
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• pp.596-606
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• 2009

Aim : The ultimate goal of periodontal treatment is regeneration of periodontium that have been lost due to inflammatory periodontal disease. Recently, Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate bone substitute have been introduced to achieve periodontal regeneration. The purpose of this study is to evaluate the effect of the Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate(BoneMedik-$DM^{(R)}$, Meta Biomed Co., Ltd. Oksan, Korea) on periodontal intrabony defects. Methods and materials : Clinical effects of Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate implantation in intrabony defects were evaluated 6 months after surgery in Sixty-one intrabony defects from Fourty-six patients with chronic periodontitis. Twenty-nine experimental defects in twenty-five patients received the Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate(test group), while Thirty-Three defects in twenty-one patients were treated with flap procedure only( control group). Comparative observation were done for preoperative and postoperative differences between control and experimental clinical parameters,-clinical attachment 10ss(CAL), probing depth(PD), bone probing depth(BPD), gingi val recession. Results : Postoperative improvements in CAL, PD, BPD were observed in both test and control groups(P<0.0l). However, the improvements in CAL, PD, BPD of the test group were significantly greater than control group. Conclusion : Healing of the both groups were uneventful during experimental periods. Use of Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate in a flap operation resulted in significantly greater improvements in CAL, PD, and BPD over flap operation alone. Silicon contained Coralline Hydroxyapatite and Beta Tricalcium Phosphate will be good bone substitute materials for treatment of intrabony defects.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권4호
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• pp.313-323
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• 2010

Purpose: This study was conducted to evaluate the effect of beta-tricalcium phosphate (Cerasorb$^{(R)}$, Germany) and deproteinized bovine bone (Bio-Oss$^{(R)}$, Switzerland) grafted to the defect of rat calvaria artificially created and the effect of use of absorbable membrane (BioMesh$^{(R)}$, Korea) on new bone formation. Materials and Methods: Transosseous circular calvarial defects with diameters of 5 mm were prepared in the both parietal bone of 30 rats. In the control group I, no specific treatment was done on the defects. In the control group II, the defects were covered with absorbable membrane. In the experimental group I, deproteinized bovine bone was grafted without absorbable membrane; in the experimental group II, deproteinized bovine bone was grafted with absorbable membrane; in the experimental group III, beta-tricalcium phosphate was grafted without absorbable membrane; in the experimental group IV, beta-tricalcium phosphate was grafted with absorbable membrane. The animals were sacrificed after 3 weeks and 6 weeks respectively, and histologic and histomorphometric evaluations were performed. Results: Compare to the control groups, the experimental groups showed more newly formed bone. Between the experimental groups, beta-tricalcium phosphate showed more resorption than deproteinized bovine bone. Stabilization of grafted material and interception of the soft tissue invasion was observed in the specimen treated with membrane. There was no statistical difference between the experimental group I, III and experimental group II, IV classified by graft material, but statistically significant increase in the amount of newly formed bone was observed in the experimental group I, II and II, IV classified by the use of membrane (P<0.05). Conclusion: Both beta-tricalcium phosphate and deproteinized bovine bone showed similar osteoconductibility, but beta-tricalcium phosphate is thought to be closer to ideal synthetic graft material because it showed higher resorption rate in vivo. Increased new bone formation can be expected in bone graft with use of membrane.

• 한국세라믹학회지
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• 제39권11호
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• pp.1103-1107
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• 2002

생체재료의 일환으로 사용되고 있는 ${\beta}$-TCP(${\beta}$-Tricalcium Phosphate)를 합성하기 위하여 주원료인 칼슘을 화학약품이 아닌 천연재료인 달걀껍질을 이용하여 실험을 하였고, 이를 인산(phosphoric acid)과 혼합하여 ${\beta}$-TCP를 합성하였다. 본 연구에서는 인산의 혼합 량, 하소온도의 변화 그리고 달걀껍질의 출발물질 상태 등의 변수를 두고 실험을 실시하였다. 실험 변수에 따른 결과는 XRD 분석에 의해 결정상을 관찰하고, SEM에 의해 미세구조를 관찰하여 특성분석을 하였다. $900{\circ}$에서 하소한 달걀껍질을 인산과 함께 습식으로 볼 밀링 한 후, 이를 건조시켜 $900{\circ}$에서 1시간 동안 열처리하여 비교적 좁은 입도분포의 ${\beta}$-TCP 분말을 얻을 수 있었다. 차후 합성된 분말의 소결체를 이용하여, 생체 친화성과 뼈 속으로 대체되는 속도 등을 실험할 예정이다.

• 한국세라믹학회지
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• 제29권1호
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• pp.74-82
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• 1992

Ultra-fine calcium phosphate powders were synthesized by the reaction of Ca(OH)2 suspension with various phosphoric aqueous solutions such as (NH4)2HPO4, H4P2O7 and H3PO4, and the characterization of powders was examined for each synthetic condition. When (NH4)2HPO4 and H3PO4 were used, hydroxyapatite powders with poor crystallinity were obtained. In the case of H4P2O7, amorphous calcium phosphate was obtained up to 0.3 mol/ι Ca(OH)2 suspension, but above the concentration, poor crystalline hydroxyapatite was produced. Crystalline phases of powders heat-treated at 80$0^{\circ}C$ were hydroxyapatite, $\beta$-tricalcium phosphate and $\beta$-tricalcium phosphate for the case of (NH4)2HPO4, H4P2O7 and H3PO4, respectively. SEM observation revealed that the shapes of synthesized powders were vigorously agglomerated spherical with the size below 100 nm, but TEM observation revealed that primary shapes of particles were rod for (NH4)2HPO4 and H3PO4 and were sphere for H4P2O7. There was no dependence of the concentration of Ca(OH)2 suspension. In the case that reaction temperature and pH of the suspension were raised, the inclination to the hydroxyapatite were remarkable. The amorphous calcium phosphate synthesized in this experiment contained water about 20% , and was crystallized to $\beta$-tricalcium phosphate at 69$0^{\circ}C$.

• 한국세라믹학회지
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• 제26권2호
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• pp.171-178
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• 1989

In order to develope hydroxyapatite ceramics which has mechanical strength as bio-implant materials and get the basic data for the study and application of biocompatibility, hydroxyapatite was synthesized at Ca/P=1.67~1.75, pH 7~11 by precipitation method. Using prepared powders, the sintered body, fluorine substituted body and the porous body was formed and their properties were investigated. The sample obtained in condition of Ca/P=1.67, pH 7 and sintering at 1,15$0^{\circ}C$ was decomposed to $\beta$-tricalcium phosphate, and co-existed with hydroxyapatite. Hydroxyapatite synthesized at pH 11 was not easily decomposed to $\beta$-tricalcium phosphate at sintering process. The substitution of a small amount of fluorine for hydroxyapatite prevented hydroxyapatite from being decompsed to $\beta$-tricalcium phosphate. Hydroxyapatite ceramics which substited of 10% fluorine was prepared at 1,15$0^{\circ}C$, and the valueof bending strength for this body were found to be 112MPa.

• 한국재료학회지
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• 제28권3호
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• pp.142-147
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• 2018

${\beta}-Tricalcium$ phosphate (TCP) was added to $Al_2O_3$ to make a biomaterial with good mechanical properties. Using a TCP powder synthesized by a polymer complexation method, $Al_2O_3$ composites containing 30 wt% TCP were fabricated and characterized for densification, phase, microstructure, strength, and fracture toughness. With optimizing the powder preparation conditions, a high densification of 97 % was obtained by sintering at $1350^{\circ}C$ for 2 h. No reaction between the two components occurred and there was no transition to ${\alpha}-TCP$. TCP grains with a size of $2-4{\mu}m$ were well surrounded by $Al_2O_3$ grains with a size of $1{\mu}m$ or less. Strength 61(Brazilian) or 187(3-p MOR) MPa, and fracture toughness 1.7 (notched beam) or 2.5 (indentation) $MPa{\cdot}m^{1/2}$ were obtained, which are large improvements over the strength of $TCP/Al_2O_3$ composites and toughness of TCP and hydroxyapatite in previous studies.

• 대한두개안면성형외과학회지
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• 제18권4호
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• pp.282-286
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• 2017

Beta tricalcium phosphate (${\beta}-TCP$) is one of allogenic bone substitute which is known to have interconnected pores that draws cell and nutrients for bone generation. It has been resulted in good outcomes for bone defect coverage or augmentation. However, several studies have also reported negative outcomes and associated complications including unexpected formation of cystic mass, continuous pain and secretion. We present the case of a 36-year-old man with a right cheek cystic mass who had a history of right zygomaticomaxillary (ZM) complex fracture and surgical correction with ${\beta}-TCP$ powder insertion to ZM bone defect. Excisional biopsy under local anesthesia revealed calcified mass in a sinus tract which was found to be connected to the ZM bone defect site in postoperative computed tomography image. Further excision under general anesthesia was performed to remove the sinus tract and fine granules which filled the original defect site. Pathologic report revealed bony spicules and calcification materials with chronic foreign body reaction. Postoperative complications and recurrence were not reported.

• 한국세라믹학회지
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• 제30권11호
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• pp.905-910
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• 1993

$\alpha$-tricalcium phosphate($\alpha$-TCP) powders were synthesized and their hydration properties were investigated in Tris. solution. Two kinds of $\alpha$-TCP powder samples were prepared; the one is reaction product of CaHPO4.2H2O and CaCO3, and another is that of hydroxyapatite(HAp) and $\beta$-Ca2P2O7. They were satisfied with Ca/P mole ratio 1.5 and were heated at 150$0^{\circ}C$ for 5 hours. In the hydration of $\alpha$-TCP samples the powder which was synthesized from HAp and $\beta$-Ca2P2O7 was hydrated faster than that from CaHPO4.2H2O and CaCO3. The hydration reaction of $\alpha$-TCP powder transformed rapidly into HAp accompanying setting and hardening. It was realized that the hydration reaction of $\alpha$-TCP was due to the solution-precipitation mechanism and the hydrates from the reaction were Ca-deficient HAp having funtional group HPO42-.

• Advanced Composite Materials
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• 제18권3호
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• pp.287-295
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• 2009

$\beta$-Tricalcium phosphate ($\beta$-TCP) particles reinforced bioresorbable plastics poly-L-lactide (PLLA) composites were prepared by injection molding. The nominal weight ratio of $\beta$-TCP was selected as 5, 10 and 15%. In order to clarify effects of the PLLA crystallinity on the mechanical properties, the specimens were heat treated isothermally. Results of differential scanning calorimetry indicated that the PLLA crystallinity increased with increasing heat treatment temperature. Bending and compressive tests were conducted on the specimen with different $\beta$-TCP contents and crystallinities. The results show that the bending and compressive moduli increased with increasing $\beta$-TCP contents and crystallinity. On the other hand, bending strength decreased with increasing $\beta$-TCP contents. Maximum bending strength was obtained at the heat treatment of $70^{\circ}C$ for 24 h, whereas compressive 0.2% proof strength increased with increasing heat treatment temperature. This difference is attributed to the difference in the microscopic damages.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권4호
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• pp.308-313
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• 2011

Purpose: Beta-tricalcium phosphate (${\beta}$-TCP) is a synthetic calcium phosphate ceramic that has widely been used as a bone material to repair bone defects. Despite many clinical studies, the molecular mechanism whereby this biomaterial alters the gene expression in osteoblasts to promote bone formation is poorly understood. Thus, we attempted to address this question by using microarray techniques to identify the genes that are differentially regulated in osteoblasts exposed to ${\beta}$-TCP. Methods: By using DNA microarrays, we identified several genes whose expression levels were significantly up- or down-regulated in osteoblast-likeMG-63cells cultured with ${\beta}$-TCP at a concentration of 100 mg/10 ml for 24 hours. Results: The differentially expressed genes covered a broad range of functional activities: signal transduction, transcription, cell cycle regulation, vesicular transport, apoptosis, immunity, cytoskeletal elements and cell proliferation and differentiation. Conclusion: The gene expression changes related to cell proliferation and differentiation, vesicle transport, immunity and defense could affect the osteogenic activities of osteoblasts for bone regeneration. However, further studies will be required to verify the relative importance of these genes in bone formation, their temporal and spatial expression patterns and their interactions with each other.