• 구강회복응용과학지
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• 제24권3호
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• pp.311-316
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• 2008

Calcium phosphate cement (CPC)는 우수한 생체 친화성을 바탕으로 치과 및 의과 쪽에서 성공적인 bone substitute로 사용되어 왔다. 긴 경화시간 및 washout tendency 등 CPC의 단점을 개선하기 위해 다양한 종류의 경화액 및 첨가제등에 대한 연구가 이루어졌다. 그러나 첨가제의 종류에 따른 CPC paste의 점탄성을 정량적으로 비교한 연구는 많지 않다. 이 연구에서는 2% hydroxyprophyl methylcellulose (HPMC)와 35% polyacrylic acid (PAA)의 두 가지 경화액과 혼합된 CPC의 유변학적 성질을 관찰하고 비교하고자 하였다. Dicalcium phosphate dihydrate (DCPD)를 2% HPMC 및 35% PAA와 각각 1:1의 분액비로 30초간 섞은 후 cone and plate geometry를 가지는 rheometer를 사용하여 frequency sweep test와 time sweep test를 통해 shear storage modulus (G'), shear loss modulus (G''), 그리고 complex viscosity (${\eta}^*$)를 측정하였다. 2% HPMC군과 35% PAA군의 complex viscostiy의 차이를 Mann-whitney test with Bonferroni's collection을 사용하여 분석하였다. 실험결과 2% HPMC 및 35% PAA 군 모두에서 shear thinning과 yield behavior등 pseudoplastic property를 보였으며 complex viscosity는 HPMC 군에서 PAA 군보다 통계적으로 유의성 있게 높았다. (p<0.05).

• Journal of Korean Neurosurgical Society
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• 제47권3호
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• pp.180-184
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• 2010

Objective : To prevent temporal depression after the pterional craniotomy, this study was designed to examine the safety and aesthetic efficacy of the brushite calcium phosphate cement (CPC) in the repair and augmentation of bone defects following the pterional craniotomy. Methods : The brushite CPC was used for the repair of surgically induced cranial defects, with or without augmentation, in 17 cases of pterional approach between March, 2005 and December, 2006. The average follow-up month was 20 with range of 12-36 months. In the first 5 cases, bone defects were repaired with only brushite CPC following the contour of the original bone. In the next 12 cases, bone defects were augmented with the brushite CPC rather than original bone contour. For a stability monitoring of the implanted brushite CPC, post-implantation evaluations including serial X-ray, repeated physical examination for aesthetic efficacy, and three-dimensional computed tomography (3D-CT) were taken 1 year after the implantation. Results : The brushite CPC paste provided precise and easy contouring in restoration of the bony defect site. No adverse effects such as infection or inflammation were noticed during the follow-up periods from all patients. 3D-CT was taken 1 year subsequent to implantation showed good preservation of the brushite CPC restoration material. In the cases of the augmentation group, aesthetic outcomes were superior compared to the simple repair group. Conclusion : The results of this clinical study indicate that the brushite CPC is a biocompatible alloplastic material, which is useful for prevention of temporal depression after pterional craniotomy. Additional study is required to determine the long-term stability and effectiveness of the brushite calcium phosphate cement for the replacement of bone.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제37권5호
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• pp.415-420
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• 2011

Purpose: Calcium phosphate cement (CPC) is one of many useful materials for restoring tooth defects, periodontium and maxillofacial area. Chitosan is a biodegradable material that has been shown to promote the growth and differentiation of osteoblasts in culture. This study examined the interaction between odontoblasts and bio-calcium phosphate cement reinforced with chitosan. Materials and Methods: $5{\times}10^3$ odontoblastic cells were seeded into each well. Various concentrations of bio-calcium phosphate cement reinforced with chitosan (10, 20, 50, 100, 200, 500 ${\mu}g$/ml, 1, 2, 4 mg/ml) were diluted and added to the wells. The well was incubated for 24 h, 48 h and 72 h. After incubation, the number of cells was assessed to determine the cell viability. A cytokinesis-block micronucleus assay and chromosomal aberration test were carried out to estimate the extent of chromosomal abnormalities. Microscopic photographs and RT-PCR were performed to examine the adhesion potential of bio-calcium phosphate cement reinforced with chitosan. Results: Bio-CPC-reinforced chitosan did not show significant cytotoxicity. The number of damaged chromosomes in the cells treated with Bio-CPC-reinforced chitosan was similar to that in the control cells. There was no significant increase in the number of chromosomal aberrations in the Bio-CPC reinforced chitosan exposed cells. Microscopic photographs and RT-PCR confirmed the adhesive potential of bio-CPC reinforced chitosan to odontoblasts. Conclusion: Bio-CPC-reinforced chitosan did not affect the odontoblastic cell viability, and had no significant cytotoxic effect. Bio-CPC-reinforced chitosan showed adhesive potential to odontoblasts. These results are expected form the basis of future studies on the effectiveness of dental restorative materials in Bio-CPC reinforced with chitosan.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2001년도 추계학술대회(제116회) 및 13회 Workshop 제3회 한ㆍ일 치과보존학회 공동학술대회 초록집
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• pp.567.1-567
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• 2001

A self-setting calcium phosphate cement (CPC), consisting of tetracalcium phosphate (TTCP) and dicalcium phosphate anhydrous (DCP A), reacts with water and hardens fast (30 min) to form hydroxyapatite (HA) under physiological conditions as the final product. Although this CPC is finding increasing use as a biomaterial, it is presently limited to low stress bearing applications because of its relatively low strength and highly brittle nature. Recently the mechanical properties of CPC reinforced with chopped carbon fiber have been reported.

• 대한의용생체공학회:의공학회지
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• 제43권1호
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• pp.61-70
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• 2022

Natural and synthetic forms of calcium phosphate cement (CPC) have been widely used in bone repair and augmentation. The major challenge of injectable CPC is to deliver the cells without cell death in order to regenerate new bone. The study objective was to investigate for the potential of stem cell-laden gelatin fibers containing injectable, nanocrystalline CPC to function as a delivery system. Gelatin noddle fiber method was developed to delivered cells into nCPC. Experimental groups were prepared by mixing cells with nCPC, mixing cell-laden gelatin fibers with nCPC and mixing cell-laden gelatin fibers containing BMP-2 with nCPC. Media diffusion test was conducted after dissolving the gelatin fibers. SEM examined the generated channels and delivered cell morphology. Fibers mixed with nCPC showed physical setting and hardening within 20 min after injection and showed good shape maintenances. The gelatin fibers mixed nCPC group had several vacant channels generated from the dissolved gelatin. Particularly, proliferation and attachment of the cells were observed inside of the channels. While live cells were not observed in the cell mixed nCPC group, cells delivered with the gelatin fibers into the nCPC showed good viability and increased DNA content with culture. Cell-laden gelatin fiber was a novel method for cell delivery into nCPC without cell damages. Results also indicated the osteogenic differentiation of gelatin fiber delivered cells. We suggest that the cell-laden gelatin fibers mixed with nCPC can be used as an injectable cell delivery vehicle and the addition of BMP-2 to enhances osteogenesis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권4호
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• pp.301-307
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• 2011

Purpose: If the tooth structure is damaged, then it is impossible to regenerate the tooth. The materials used to restore the tooth structure are not related to the composition of the tooth. The materials used to restore the structure can't replace the natural tooth because they just fill the defective structure. Calcium phosphate cement remineralizes the dentin and almost replaces the natural tooth, but there are some disadvantages. We conducted basic tests with Biomimetic CPC (Bio-CPC) to make sure of the possibility of the biomaterial to remineralize the defective tooth structure. Methods: In this study, the bioactivity and biocompatibility of Bio-CPC were evaluated for its potential value as the bio-material for regeneration of damaged tooth structure by conducting a cell toxicity assay (WST-1 assay), a cytokinesis-block micronucleus assay, a chromosomal aberration test, total RNA extraction and RT-PCR on MDPC-23 mouse odontoblast-like cells. Results: The in vitro cytotoxicity test showed that the Bio-CPC was fairly cytocompatible for the MDPC-23 mouse odontoblast-like cells. Conclusion: Bio-CPC has a possibility to be a new biomaterial and further study of Bio-CPC is needed.

• 한국세라믹학회지
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• 제50권4호
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• pp.275-279
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• 2013

The purpose of this study was to prepare calcium phosphate cement [CPC] for use in artificial bone. Nano-crystalline calcium phosphate [CaP] was precipitated at $37^{\circ}C$ using highly active $Ca(OH)_2$ in DI water and an aqueous solution of $H_3PO_4$. From the XRD measurements, the nano-CaP powder was close to apatitic TCP phase and the powders fired at $800^{\circ}C$ showed a critical ${\beta}$-TCP phase. A mixture of one mole $CaCO_3$ and two moles di-calcium phosphate was calcined at $1100^{\circ}C$ to make a reference ${\beta}$-TCP material. The nano-CaP powders were added to the normal ${\beta}$-TCP matrix and fired at $900^{\circ}C$ to make a ${\beta}$-TCP block. The sintered block showed improved mechanical strength, which was caused by the solid state interaction between nano-CaP and normal ${\beta}$-TCP.

• 구강회복응용과학지
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• 제25권1호
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• pp.73-82
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• 2009

인산칼슘시멘트(calcium phosphate cement)는 우수한 생체친화성 및 골전도성을 가지고 있어 골이식재로 많이 사용되어 왔다. 인산칼슘시멘트의 중요한 물성 중 하나인 흐름성은 유변학적 성질을 측정하여 확인할 수 있지만, 인산칼슘시멘트의 유변학적 성질에 관한 연구는 많이 진행되어 있지 않다. 이 실험의 목적은 인산칼슘시멘트를 hydroxyprophyl methylcellulose (HPMC) 수용액 및 polyacrylic acid (PAA) 수용액과 각각 혼합하여 주사용 인산칼슘시멘트를 만들고, 각각의 용액의 농도(35%와 17.5%의 HPMC, 2%와 1%의 PAA)와 온도($25^{\circ}C$ and $37^{\circ}C$)가 유변학적 성질에 미치는 영향을 연구하기 위한 것이다. 실험에 사용된 인산칼슘시멘트는 dicalcium phosphate dihydrate (DCPD)이며 유변학적 성질은 자동화된 rheometer를 사용하여 측정하였다. 통계분석은 Mann-whitney test를 사용하였다. 높은 농도의 경화액과 혼합된 인산칼슘시멘트는 (35% HPMC와 2% PAA)는 낮은 농도의 경화액과 혼합된 인산칼슘시멘트 (17.5% HPMC와 1% PAA)보다 각각 유의성 있게 높은 점도를 보였다. HPMC 수용액과 혼합된 인산칼슘시멘트는 $37^{\circ}C$에서 $25^{\circ}C$보다 유의성 있게 높은 점도를 보였다. PAA 수용액과 혼합된 인산칼슘시멘트는 $37^{\circ}C$에서 $25^{\circ}C$보다 낮은 점도를 보였으나 통계적 유의성은 없었다. 또한 실험에 사용된 모든 종류의 인산칼슘시멘트는 의사가소성(pseudoplastic)을 보였다.

• 한국재료학회:학술대회논문집
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• 한국재료학회 2009년도 추계학술발표대회
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• pp.42.1-42.1
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• 2009

In recent years, it has been tried to develop the efficacy and bioactivity of Calcium Phosphate cements(CPC) as injectable bone substitute (IBS) by reinforcing them through varying the amount in its compositions and relative concentrations or adding other additives. In this study, the biocompatibility of are inforced Calcium Phosphate-Calcium Sulfate injectable bone substitute (IBS)containing poly ($\varepsilon$-caprolactone)PCL microspheres was evaluated which consisted of solution chitosan and Na-citrate as liquid phase and tetra calcium phosphate (TTCP), dicalciumphosphate anhydrous (DCPA) powder as the solid phase. The in vitrobiocompatibility of the IBS was done using MTT assay and Cellular adhesion and spreading studies. The in vitro experiments with simulated body fluid (SBF) confirmed the formation of apatite on sample surface after 7 and 14 days of incubation in SBF. SEM images for one cell morphologies showed that the cellular attachment was good. MG-63 cells were found to maintain their phenotype on samples and SEM micrograph confirmed that cellular attachment was well. In vitro cytotoxicity tests by an extract dilution method showed that the IBS was cytocompatible for fibroblast L-929.