• Title/Summary/Keyword: 골 흡수

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Treatment of Metacarpal Bone Fracture Using Biodegradable Plates and Screws (흡수성 고정판과 나사를 이용한 중수골 골절의 치료)

  • Cho, Jeong-Mok;Eun, Seok-Chan;Baek, Rong-Min
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.458-464
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    • 2011
  • Purpose: Metacarpal fractures are common hand injury that may require operative intervention to ensure adequate reduction and stabilization. Traditionally, titanium miniplate was used for rigid fixation of bone fractures. However, the use of permanent plate lends itself to multiple complications such as infection, exposure of the hardware, tendon adhesions, tendon rupture, prolonged pain, bony atrophy and osteoporosis (stress shielding), metal sensitization, and palpation under the skin. This study evaluated the usefulness and stability of biodegradable plates and screws for treatment of metacarpal bone fractures. Methods: There was 17 patients who had surgery for metacarpal bone fracture from April 2007 to June 2010. All patients had open reduction and internal fixation. We used absorbable plates and screws (Inion CPS$^{(R)}$) for internal fixation. Postoperative results were assessed with x-ray. Stability of plates and screws, healing process and its complications were observed by clinical and radiographic assessment. Results: All patients were successfully reduced of bone fracture, and fixations with absorbable plates and screws were stable. The mean follow up period was 7.1 months. 2 patients complained postoperative pain, but they were relieved with analgesics. All patients experienced transient stiffness, but they were relieved with active assistive range of motion after removal of splint. No patients suffered complications which could be occurred by using metallic plate. Conclusion: There was no critical complications such as re-fracture or nonunion among patients. No patients suffered side effects related with metallic implants. Biodegradable implants can offer clinically stable and attractive alternative to metallic implants to stabilize metacarpal bone fractures in the hand.

Co-sputtering법으로 제작된 화합물 반도체 박막형 태양전지에서 $CuInSe_2$(CIS) 광흡수층의 열처리 효과

  • Kim, Hae-Jin;Lee, Hye-Ji;Son, Seon-Yeong;Park, Seung-Hwan;Kim, Hwa-Min;Hong, Jae-Seok
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.269-269
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    • 2010
  • 현재 화석연료의 부족으로 인한 에너지 수급의 불균형, 자연환경의 파괴로 인해 대체에너지 개발이 절실히 요구되고 있다. 이러한 문제점을 극복하기 위한 방안으로 태양전지에 대한 관심이 높아지고 있다. 기존 결정형 실리콘 태양전지와 비교해 화합물 반도체를 기반으로 한 박막형 태양전지는 친환경적인 제품이면서 제조원가를 절감시킬 수 있고, 반영구적인 수명 및 값싼 기판을 활용할 수 있는 장점으로 인해 활발한 연구가 진행되고 있다. 본 실험에서는 Co-sputtering법으로 제작된 $CuInSe_2$(CIS)를 광활성층으로 한 박막형 태양전지에서 실온 ${\sim}550^{\circ}C$의 다양한 온도에서 후열 처리된 CIS 박막들의 전기적, 구조적, 광학적인 특성들을 분석하였다. 제작된 박막들 가운데 Hall Effect 측정결과 $550^{\circ}C$에서 후열 처리된 박막이 가장 높은 1.227E+22(/$cm^3$)의 캐리어 농도와 1.581(cm/$V{\cdot}s$)의 홀 이동도를 가지며, 3.092E-4(${\Omega}{\cdot}cm$)의 가장 낮은 비저항 값을 갖는 것으로 나타났다. EFM 측정결과 열처리 하지 않은 박막에 비해 후열처리된 CIS 박막의 전도성이 전체적으로 높아졌다. 특히, $550^{\circ}C$에서 후열 처리된 박막의 표면은 전체적으로 전기 전도성이 높은 결정립들이 골고루 분포하며 가장 높은 표면 포텐셜 에너지 값을 갖는 것으로 나타났다. 박막들의 구조적 특성을 분석하기 위해 SEM과 XRD를 측정한 결과, $350^{\circ}C$에서 후열 처리된 박막들은 열처리 되지 않은 박막과 비교해 표면형상 변화가 일어났으며, $550^{\circ}C$에서 후열 처리된 CIS 박막들은 $CuInSe_2$(112) 방향이 향상된 chalcopyrite-like 구조를 가지면서 박막 밀도가 높고 결정립의 크기가 증가된 것을 확인하였다. 이는 박막 성장시 기판온도의 상승으로 CIS 박막 내에서 셀레늄의 확산과 상호작용으로 3원 화합물이 재결정화되어 구조적인 특성향상에 기여하였기 때문이다. 결론적으로 본 연구는 CIS 광활성층에서 후열 처리의 효과들 뿐만아니라 박막 증착시 co-sputtering법을 이용함으로써 증착시간의 감소 및 대면적화와 대량생산으로도 적용 가능함을 제시하고자 한다.

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Effects of Angiopoietin-2 on the Proliferation and Activity of Ostoeblasts and Osteoclasts (Angiopoietin-2가 조골세포와 파골세포의 성장과 활성에 미치는 영향)

  • Ko, Seon-Yle
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.17-25
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    • 2006
  • The present study was undertaken to determine the possible cellular mechanism of action of angiopoietin-2 in bone metabolism. The effects on the osteoblasts were determined by measuring 1) cell viability, 2) alkaline phosphatase (ALP) activity, 3) gelatinase activity, and 4) nitric oxide production. The effects on the osteoclasts were investigated by measuring 1) tartrate-resistant acid phosphatase (TRAP)(+) multinucleated cells (MNCs) formation, and 2) resorption areas after culturing osteoclast precursors. Angiopoietin-2 treatment showed a significant increase in both the viability and ALP activity of osteoblasts. Angiopoietin-2 increased the activity of gelatinase and nitric oxide production. In addition, angiopoietin-2 decreased the osteoclast generation induced by macrophage-colony stimulating factor (M-CSF) and receptor activator of NF-kB ligand (RANKL), and inhibited osteoclastic activity in (M-CSF)-dependent bone marrow macrophage (MDBM) cell cultures. Taken these results, angiopoietin-2 may be a regulatory protein within the bone marrow microenvironment.

Effects of Pyrola japonica Extracts on Osteoclast Differentiation and Bone Resorption (녹제초 추출물이 파골세포 분화 및 골 흡수에 미치는 영향)

  • Park, Jung-Sik;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.2
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    • pp.135-147
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    • 2019
  • Objectives This study was performed to evaluate the effect of Pyrola japonica extract (NJ) and its principal constituent, homoarbutin (HA) on osteoclast differentiation and gene expression and bone resorption. The osteoclastogenesis and gene expression were determined in receptor activator of nuclear factor kappa B ligand (RANKL)-stimulated RAW264.7 cell. Methods In order to evaluate the effect of HA extracted from NJ on bone resorption, osteoclasts were used to be differentiated and formed by stimulating RAW264.7 cells with RANKL. Tartarate-resistant acid phosphatase (TRAP) (+) polynuclear osteoclast formation ability was evaluated, and differentiation control genes including cathepsin K, matrix metalloproteinases-9 (MMP-9), and TRAP in osteoclast differentiation were analyzed by real-time polymerase chain reaction (PCR). Immunoblotting was performed to measure the effect of mitogen-activated protein kinase (MAPK) factors on bone resorption, and the effect of osteoclasts on osteoclast differentiation was measured. Results Both NJ and high concentration of HA blocked RANKL-stimulated differentiation from RAW264.7 cell to TRAP-positive multinucleated cells. NJ reduced RANKL-induced expression of TRAP, cathepsin K. Both NJ and high concentration of HA inhibited RANKL-mediated expression of MMP-9, nuclear factor of activated T-cells, cytoplasmic 1, and cellular Jun-fos. NJ suppressed RANKL-stimulated expression of cyclooxygenase-2 (COX-2), inducible nitric oxide synthase, tumor necrosis factor-alpha, and levels of interleukins. Both NJ and HA decreased bone resorption in osteoclast-induced bone pit formation model. Conclusions These results suggest that NJ and HA blocked bone resorption by decreasing RANKL-mediated osteoclastogenesis through down-regulation of genes for osteoclast differentiation.

Forsythiae Fructus Extract Inhibits RANKL-Induced Osteoclast Differentiation and Prevent Bone Loss in OVX-Induced Osteoporosis Rat (연교의 파골세포 분화 및 골 흡수 억제 기전 연구)

  • Eom, Ji-Whan;Kim, Jae-Hyun;Kim, Minsun;Kim, Sangwoo;Shin, Hwajeong;Jung, Hyuk-Sang;Sohn, Youngjoo
    • Korean Journal of Acupuncture
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    • v.36 no.2
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    • pp.115-126
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    • 2019
  • Objectives : Osteoporosis is a condition characterized by low bone mass and increased bone fragility. It has become a major problem of senior citizens. The purpose of this study is to experiment the effect of water extract of Forsythiae Fructus (wFF) on osteoclast differentiation; and the other purpose is to examine the effect of wFF on osteoporosis in ovariectomized rat. Methods : To investigate the effect of wFF on osteoclast differentiation and activity, RAW 264.7 cells were used. The number of TRAP positive cell, TRAP activity, pit area, mRNA expression of makers (RANK, TRAP, CA II, CTK, MMP-9, NFATc1, c-Fos), protein expression of makers (NFATc1, c-Fos) were investigated. For in vivo study, 40 female Sprague-Dawley (SD) rats were induced osteoporosis by ovariectomy (OVX) and then tested for anti-osteoporosis effect by administration of wFF. Results : wFF suppressed osteoclatogenesis, TRAP activity and pit area formation. Moreover, wFF decreased the expression of master differentiation factors (NFATc1, c-Fos) and also reduced the osteoclastogenesis-related markers (TRAP, CA II, CTK, MMP-9). These suggest that wFF inhibit osteoclasts differentiation and bone resorption. In the OVX rat model, wFF inhibited decreasing of BMD and trabecular area. Conclusions : Forsythiae Fructus should be effective for osteoporosis prevention and treatment.

Guided tissue regeneration therapy after root canal therapy for long standing periodontal-endodontic combined lesion in the mandibular anterior area: case report (하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직 유도 재생술을 이용한 치료: 증례보고)

  • Kwon, Eun-Young;Jung, Kyoung-Hwa;Kim, So-Yeun;Jeon, Hye-Mi;Choi, Youn-Kyung;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.1
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    • pp.46-54
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    • 2019
  • When inflammatory products are found in both periodontal and pulpal tissues simultaneously, a periodontal-endodontic combined lesion is established. The treatment of periodontal-endodontic combined lesions includes root canal therapy and periodontal regenerative procedure for resolution of both the apical and marginal inflammatory lesions. The present study reports the treatment of periodontal-endodontic combined lesions in the mandibular anterior area with root canal therapy, followed by guided tissue regeneration therapy. Teeth with severe bone destruction in each case could be preserved, without extraction, over a 3-year period. Therefore, it appears that treatment of periodontal-endodontic combined lesions in the mandibular anterior area using guided tissue regeneration technique after root canal therapy may provide clinical advantages.

Full mouth rehabilitation in a patient with peri-implantitis: A case report (Peri-implantitis 환자에서의 전악 재수복 증례)

  • Choi, Nak-Hyun;Cho, Young-Eun;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.416-424
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    • 2019
  • Peri-implantitis appears in almost 20% of patients who received implant treatment, and increase in its number is inevitable as time goes by. Although it can be treated by both non-surgical and surgical procedures, in cases which include severe bone loss, explantation and rehabilitation may be necessary. Careful treatment planning and considerations to prevent recurrent peri-implantitis should be taken into account. In the following case presented, a patient with chronic periodontitis and peri-implantitis was successfully rehabilitated after removal of several implants. Extraction and explantation of multiple teeth and implants were followed by full mouth reconstruction with fixed implant prostheses on the mandible and implant retained overdenture on the maxilla. Surgical and prosthetic measures to prevent recurrent peri-implantitis were taken into consideration.

Detachable zirconia prosthesis using Milled bar and ADD-TOC attachment in partial edentulous mandible: A case report (하악 부분 무치악 환자에서 Milled-bar와 ADD-TOC 부착 장치를 이용한 탈착 가능한 지르코니아 보철물 수복 증례)

  • Min-Sung Sohn;Jung-Bo Huh
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.90-99
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    • 2023
  • Implant overdentures are widely used as a treatment method to restore oral function in completely edentulous or partially edentulous patients with severe bone resorption. Using a milled bar, it is mechanically advantageous as the implant fixtures are splinted. Applying additional attachments to the bar has the advantage of dispersing the stress applied to the implant. In this case, a patient who used implant overdentures using 4 implants wanted to fabricate a new prosthesis due to repeated fractures of the denture and weakened retention. Milled bar with ADD-TOC attachment and zirconia prosthesis were fabricated by CAD-CAM method and mechanically and aesthetically satisfactory results were obtained.

Full mouth rehabilitation on the patient with maxillary anterior diastema and posterior bite collapse with orthodontic treatment (상악 전치부 치간 이개와 구치부 교합지지 상실을 가진 환자에서 교정치료를 동반한 완전 구강회복 증례)

  • Lee, Seon-Ki
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.60-68
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    • 2022
  • A patient with severe periodontitis has causative factors that cause pathological tooth movement, the occlusion is disintegrated, and the vicious cycle of worsening periodontitis is repeated. In particular, when pathological tooth movement occurs in the maxillary anterior region, the patient has an aesthetic sense of atrophy, and the quality of life was reduced. Therefore, when orthodontic treatment was added to patients with severe periodontitis, it promotes the formation of new bone, reduces periodontal cysts, and obtains clinical attachment, which leads to favorable results in prosthetic restoration, thereby enabling ideal occlusion, function and aesthetics. Periodontal treatment, orthodontic treatment, natural tooth restoration, and implant prosthesis were planned for patients with pathological tooth movement in the anterior region due to loss of occlusal support in the posterior region. As a result, an ideal restoration space was secured, a stable restoration of occlusal contact was formed, and the maxillary anterior teeth were aesthetically improved.

Prosthetic Treatment Strategies for Improving Denture Retention in Pediatric Patients with Hypohidrotic Ectodermal Dysplasia: a Report of Two Cases (저한성 외배엽 이형성증을 가진 소아 환자에서 의치 유지력 향상을 위한 보철 치료 전략: 두 가지 증례 보고)

  • Hongju Jeon;Seonmi Kim;Namki Choi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.483-494
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    • 2023
  • This report presents two cases concerning strategies for improving denture retention in pediatric patients with oligodontia caused by hypohidrotic ectodermal dysplasia (HED). Both patients presented with multiple missing teeth, conical canines, alveolar bone atrophy, and a skeletal Class III tendency. In the first case, a modified form of conical-crown-retained denture was used to cover the canines. This approach was carried out without tooth extraction or coping. In the second case of severe alveolar bone resorption and a distally tilted lower left canine, the tooth was restored with a hybrid ceramic crown. It was subsequently converted into a clasp-retained removable partial denture, utilizing a suction mechanism. Both patients are currently receiving regular check-ups for the maintenance of their prosthetic appliances and the evaluation of their growth patterns. This study presents innovative prosthetic treatment methods for pediatric patients with HED who have inadequate denture retention.