• Journal of Dental Rehabilitation and Applied Science
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• v.27 no.1
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• pp.25-39
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• 2011

In animal studies, Magnesium (Mg) - incorporated oxidized implants showed significant enhancement of the bone response. This prospective clinical trial was performed to investigate the success rate, implant stability and marginal bone loss of Mg oxidized clinical implant. The experimental protocol was approved by Institutional Review Board of the Gangneung-Wonju National University Dental Hospital. Fifty healthy patients had partial edentulism were included in this study. Mg oxidized clinical implants (Implant M, Shinhung, Korea) were installed and restored with conventional protocol. The patients were recalled at 1, 3, 6 months after functional loading. Implant stability quotient (ISQ) was measured and periapical radiographic images were obtained. Amount of marginal bone loss was calculated with calibrated images from periapical radiographs. Repeated measured analysis of variance and post hoc Tukey test were used to compare the mean ISQ and bone level. A total of 101 implants were analyzed. The mean ISQ values increased continuously with time lapse from 68.4 at fixture installation to 71.5 at 6 months after loading. Implant stability was correlated with gender, fixture diameter, bone quality and implant sites. The mean marginal bone loss during 6 months after loading was 0.26 mm. There was no failed implant and six-month success rate was 100%. Within the limitations of this study, the six-month success rate of Mg oxidized implant was satisfactory. The implant stability and marginal bone level were excellent. However, further longer clinical studies will be needed to confirm the success of Mg oxidized clinical implant.

• Ceramist
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• v.10 no.2
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• pp.18-27
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• 2007

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.4
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• pp.307-314
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• 2013

Purpose: The aim of this study was to evaluate the effect of immobilization of the recombinant human bone morphogenetic protein 2 (rhBMP-2) on anodized titaum implants coated with heparin to enhance the vertical alveolar ridge augmentation in the supraalveolar peri-implant defect region. Materials and methods: 18 pure titanium implants (7.0 mm in length, 3.5 mm in diameter) were manufactured for this study. All implants were anodized and designed insertion reference line marked with laser at the apical 2.5 mm from the fixture platform. Implantation of 6 noncoated anodized implants (Control group), 6 anodized implants physically adsorbed with rhBMP-2 by dip and dry method (BMP group) and 6 anodized implants chemically immobilized 3,4-dihydroxyphenylalanine (DOPA)-heparin/ rhBMP-2 (Hep-BMP group) was performed in the both mandibular of three male adult beagle dogs using split-mouth design. Radiologic examinations were performed immediately after implant placement and 4 and 8 weeks after implant placement. The amount of mesio-distal bone augmentation was evaluated by measuring the vertical distance from the platform to the marginal bone. Statistical analysis was performed using one-way analysis of variance (SPSS version 18.0) and multiple comparison analysis of The Kruskal-Wallis test and the Mann-Whitney U test. Statistical significance was established at the 5% significant level. Results: At the 4 weeks vertical alveolar ridge augmentation of Control group, BMP group and Hep-BMP group is $0.09{\pm}0.22mm$, $1.02{\pm}0.72mm$, and $1.29{\pm}0.51mm$, At the 8 weeks $0.11{\pm}1.26mm$, $1.11{\pm}0.58mm$, $1.59{\pm}0.79mm$ according to radiographic observations. The two experimental groups showed a significantly increasing in vertical bone height compared with the control group (P<.05). However, there is no significant difference between the BMP group and Hep-BMP group (P>.05). Conclusion: The rhBMP-2 coated implants were enhanced the vertical bone growth in the supraalveolar peri-implant defect area. However, there is no significant difference between chemically and physically coating method.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.2
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• pp.82-89
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• 2013

Purpose: The present study is aimed to evaluate the combined effect of recombinant human bone morphogenetic protein 2 (rhBMP-2) and recombinant human vascular endothelial growth factor (rhVEGF) coated onto anodized implants on osseointeration. Materials and methods: Six New Zealand white rabbit were used in this study. Each animal received 4 implants that were either coated with rhBMP-2 and rhVEGF (Study group) or anodized implant (Control group) in both tibia. This was performed using a randomized split-mouth design. A total 24 implants were used. The implant stability quotient (ISQ) value using resonance frequency analyser and removal torque (RTQ) measurement were investigated at 2 and 8 weeks. The t-test was used for statistical analysis (${\alpha}$=.05). Results: Control and study group showed good osseointegration at 8 weeks. The ISQ and RTQ values of study group were significant compared with the control group at 8 weeks (P<.05). However, No statistical significance was observed at 2 weeks (P>.05). Conclusion: It was concluded that rhBMP-2 with rhVEGF coated onto anodized implants can induce better osseointegration at late healing period.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2008.11a
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• pp.32-32
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• 2008

생체용 티타늄 합금은 높은 내식성 및 생체적합성을 갖는 특성으로 치과용 임플란트 및 인공 고관절 분야에서 널리 쓰이고 있다. 본 연구에서는 Ti에 Hf 원소를 10, 20, 30 및 40 % 첨가하여 합금 한 후, 양극산화 처리를 통해 다공성 산화피막을 형성하였다. 각각 다른 온도에서 열처리 한 후, 인가전압, Hf 원소 함량 및 열처리 온도에 따른 부식특성을 조사하였다.

• Proceedings of the Materials Research Society of Korea Conference
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• 2009.05a
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• pp.47.2-47.2
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• 2009

인체의 뼈와 같은 손상된 경조직을 치료 또는 대체하기위한 정형외과용 임플란트를 설계하는데 있어 뼈의 생체역학적 특성과 유사한 성질을 갖는 다공성 지지체에 대한 연구가 최근 관심을 끌고 있다. 다공성 지지체는 조직이 원활히 재생될 수 있어야 하며, 또한 주변 조직과도 생물학적인 고착이 잘 되도록 기공들이 상호 연결된 구조를 가져야 한다. 이와 같은 다공성 지지체용 소재를 제조하기 위하여 본 연구에서는 타이타늄 분말을 사용하여 3차원 적층조형공정으로 다공성 타이타늄 지지체를 제조하였다. 제조된 다공체의 물성 및 기계적 특성을 평가하기 위하여 압축시험과 변형해석을 수행하였으며, 아울러 제조된 지지체의 생체적합성 향상을 위하여 양극산화 공정 등의 표면처리를 수행하여 그에 대한 특성을 평가하였다. 분말야금 공정으로 제조된 지지체는 골조직의 성장에 적합한 약 $300\sim400{\mu}m$의 기공 크기를 갖도록 제어하였고, 기공도는 60~75%로 제어하였다. 아울러 다공성 타이타늄의 생체적합성을 부여하기 위하여 양극산화공정으로 지지체의 표면에 Ca 및 P을 포함하는 산화층을 형성시키는 표면처리를 수행하였다. 양극산화공정에 의하여 표면에 미세기공을 포함하는 산화층을 형성시킬 수 있었으나 이와 같은 표면구조는 조골세포의 부착과 영향에는 큰 영향을 미치지 않는 것으로 확인되었다.

• Journal of Dental Rehabilitation and Applied Science
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• v.24 no.4
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• pp.337-349
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• 2008

Despite an improved bone reactions of Mg-incorporated implants in the animals, little yet has been carried out by the experimental investigations in functional loading conditions. This study investigated the clinical and histologic parameters of osseointegrated Mg-incorporated implants in delayed loading conditions. A total of 36 solid screw implants (diameter 3.75 mm, length 10mm) were placed in the mandibles of 6 beagle dogs. Test groups included 18 Mg-incorporated implants. Turned titanium Implants served as control. Gold crowns were inserted 3 months. Radiographic assessments and stabilitytests were performed at the time of fixture installation, $2^{nd}$ stage surgery, 1 and 3 months after loading. Histological observations and morphometrical measurements were also performed. Of 36 implants, 32 displayed no discernible mobility, corresponding to successful clinical function. There was no statistically significant difference between test implants and controls in marginal bone levels (p=0.413) and RFA values. The mean BIC % in the Mg-implants was $54.4{\pm}20.2%$. The mean BIC % in the turned implant was $48.9{\pm}8.0%$. These differences between the Mg-implant and control implant were not statistically significant (P=0.264). In the limitation of this study, bone-to-implant contact (BIC) and bone area of Mg-incorporated oxidized implant were similar to machine-turned implant. The stability analysis showed no significantly different ISQ values and marginal bone loss between two groups. Considering time-dependent bone responses of Mg-implant, it seems that Mg-implants enhanced bone responses in early loading conditions and osseointegrated similarly to cp Ti implants in delayed loading conditions. However, further investigations are necessary to obtain long-term bone response of the Mg-implant in human.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2013.05a
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• pp.215-215
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• 2013

임플란트 소재로서 순 타이타늄은 높은 응력이 발생하는 부위에는 그 강도가 충분하지 않은 것으로 지적되었으며, 이러한 이유로 인해서 그의 대용합금에 대한 연구가 진행되고 있다. 본 연구에서 ${\beta}$형 타이타늄 합금 Ti-32Nb-5Zr 합금을 시험재료로 선택한 다음 양극산화와 석회화 순환처리에 의해서 표면을 개질한 결과, HAp 석출이 빠르게 가속되었을 뿐만 아니라 신생골 생성량과 골결합력이 크게 개선된 결과를 보여주었다.

• Proceedings of the Materials Research Society of Korea Conference
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• 2011.05a
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• pp.239.2-239.2
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• 2011

치과재료의 개발은 치과 치료 기술에 있어서 가장 중요한 요소이며, 현재 일반화되고 있는 치과 치료 기술 중 하나가 임플란트 시술이다. 임플란트의 기술 개발은 주로 임플란트 나사의 표면개질을 통한 기능개선에 초점을 ��추어 진행되어지고 있다. 본 연구에서는 Ti 임플란트 표면상에 양극산화법을 적용하여 다양한 지름 및 기공 크기를 갖는 $TiO_2$ 나노튜브를 제조하여 전자빔 조사를 통한 표면개질시 그 특성에 관한 연구를 수행하였다. 특히 전자빔 조사가 Ti/$TiO_2$ 나노튜브 표면상에 존재 가능한 조골세포의 성장 특성에 미치는 영향을 연구하였다. 양극산화법을 이용한 Ti/$TiO_2$ 나노튜브는 전해질로서 HF와 $NH_4F$를 사용하였으며, 20-80 V의 인가 전압하에서 내경 약 80 nm, 외경 약 124 nm 및 길이 약 280 nm-14 ${\mu}m$의 비교적 균질한 지름 및 분포를 갖는 Ti/$TiO_2$ 나노튜브를 제조하였다. 전자빔 조사는 EB-Tech (대전, 한국)의 electron-beam accelerator(Model ELV-4)를 이용하였으며, 1.0 MeV의 빔 에너지로 총 흡수선량이 50 kGy, 500 kGy 및 5,000 kGy로 조사하였다. 전자빔을 조사하기 전 후 Ti/$TiO_2$ 나노튜브 표면상에 조골세포주(Osteoblast cell)의 배양시간의 변화에 따른 효과를 연구한 결과 배양 전 후 전자빔 조사선량의 증가에 따라 조골세포의 흡착률이 증가함을 확인할 수 있었다. 특히 HF전해질을 이용한 $TiO_2$ 나노튜브의 경우 5,000 kGy 조사선량의 전자빔을 조사한 후 조골세포 흡착률이 약 160% 증가하는 결과를 얻을 수 있었다. 전자빔 조사 전 후 조골세포 흡착률의 변화원인은 전자빔 조사 유무에 따른 $Ti^{3+}$와 $Ti^{4+}$의 변화에 기인함을 규명하였다. 이러한 결과는 향후 임플란트용 Ti/$TiO_2$ 나노튜브의 표면 개질시 전자빔의 유용성을 제시한다고 할 수 있다.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.4
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• pp.376-384
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• 2009

Purpose: The purpose of this study was to evaluate the response of osteoblast-like cells to Ca-P coated surface obtained via Ion beam-assisted deposition (IBAD) method and Sol-Gel process on anodized surface by cellular proliferation and differentiation. Material and methods: The surface of a commercially pure titanium (Grade IV) discs with dimension of 10mm diameter and 2 mm thickness was modified by anodic oxidation under a constant voltage of 300 V. The experimental groups were coated with Ca-P by the IBAD method and Sol-Gel process on anodized surface. The surface roughness (Ra) of specimens was measured by optical interferometer and each surface was examined by SEM. To evaluate cell response, MG63 cells were cultured and cell proliferation, ALP activity and the ability of cell differentiation were examined. Also, cell morphology was examined by SEM. The significant of each group was verified by Kruskal-Wallis Test ($\alpha$=.05). Results: The Ra value of Ca-P coated surface by IBAD method was significantly higher than Ca-P coated surface by Sol-gel process (P < .05). The level of cell proliferation and ALP activity was higher in Ca-P coated surface by IBAD method (P<.05). The expression of ALP showed higher level expression in Ca-P coated surface by IBAD method. Cells grown on Ca-P coated surface by IBAD method were uniformly distributed and developed a very close layer. Conclusion: These experiments showed better performances of Ca-P coated surface by IBAD method with respect to Ca-P coated surface by Sol-gel process. Ca-P coated surface by IBAD method appear to give rise more mature osteoblast characteristics and might result in increased bone growth and bone-implant contact.