• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.50.1-50.11
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• 2020

Objectives: In this study, we investigated the potential of amoxicillin-loaded polymeric microspheres to be delivered to tooth root infection sites via a bioactive reparative cement. Materials and Methods: Amoxicillin-loaded microspheres were synthesized by a spray-dray method and incorporated at 2.5% and 5% into a mineral trioxide aggregate cement clinically used to induce a mineralized barrier at the root tip of young permanent teeth with incomplete root development and necrotic pulp. The formulations were modified in liquid:powder ratios and in composition by the microspheres. The optimized formulations were evaluated in vitro for physical and mechanical eligibility. The morphology of microspheres was observed under scanning electron microscopy. Results: The optimized cement formulation containing microspheres at 5% exhibited a delayed-release response and maintained its fundamental functional properties. When mixed with amoxicillin-loaded microspheres, the setting times of both test materials significantly increased. The diametral tensile strength of cement containing microspheres at 5% was similar to control. However, phytic acid had no effect on this outcome (p > 0.05). When mixed with modified liquid:powder ratio, the setting time was significantly longer than that original liquid:powder ratio (p < 0.05). Conclusions: Lack of optimal concentrations of antibiotics at anatomical sites of the dental tissues is a hallmark of recurrent endodontic infections. Therefore, targeting the controlled release of broad-spectrum antibiotics may improve the therapeutic outcomes of current treatments. Overall, these results indicate that the carry of amoxicillin by microspheres could provide an alternative strategy for the local delivery of antibiotics for the management of tooth infections.

• 대한의용생체공학회:의공학회지
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• 제23권2호
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• pp.139-145
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• 2002

2.2-Bis[P-(2-hydroxy-3-methacryloyloxypropoxyl)phenol]propane (Bis-GMA)는 광중합형 치과용 고분자 복합레진의 다관능성 유기물로 널리 사용되고 있다. Bis-GMA는 두 개의 히드록시기를 가지고 있어서 구강내에서 광중합되는 복합레진의 물흡수를 야기시켜 장기간 점진적으로 심미성이 감소하고 결국엔 복합레진의 기계적 특성까지 저하시키게 된다. 본 연구에서는 최종제품의 내구성과 저장안정성을 향상시키기 위하여 복합레진에 광안정제와 산화방지제를 첨가제로 사용하였다. 먼저 Tinuvin P의 광안정제를 첨가하면 색변화가 큰 것을 볼 수 있었으나 Irganox 245의 산화방지제를 첨가하였을 때 색안정성이 향상됨을 알 수 있었다. 또한 Tinuvin P와 Irganox 245가 동시에 첨가되었을 때 색안 정성이 향상되며 시료의 가속화 실험 전과 가속화 후 간접인장강도와 같은 기계적 성질도 크게 감소되지 않았다. 따라서 치과용 복합레진의 제조에 있어서 첨가제인 Tinuvin P와 Irganox 245가 각각 0.5% 및 0.1% 첨가되었을 때 내구성 및 색안정성이 향상되었으며 나아가 저장 안정성도 향상됨을 확인할 수 있었다.