• Journal of the Korean Ceramic Society
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• v.36 no.12
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• pp.1342-1349
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• 1999

In order to improve the density and the mechanical strength without change in chemical composition the hardened pastes of hydroxyapatite cement were reinforced with powders and/or whiskers of hydroxyapatite. The powders behaved as a seed of hydroxyapatite formation rather than a filler while the whiskers were mrerly dispersed in matrix and capillary pores of the hardened bodies leading to increase in mechanical strength. But the increase in strength But the increase in strength was nnt enough owing to the lack of homogeneous dispersion of the fibers. The highest diametral tensile strength of 18.5 MPa was measured at the hardened hydroxyapatite body in which well-dispersed whisker phase formed uniformly during hydro-thermal curing of power-added and dry-formed hydroxyapatite cement.

• Journal of the Korea Institute of Building Construction
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• v.14 no.1
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• pp.68-75
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• 2014

In order to increase the integrity of the wellbore which is used to prevent the leakage of supercritical $CO_2$, it is necessary to develop a concrete that is strongly resistant to carbonation. In an environment where the concentration of $CO_2$ is exceptionally high, $Ca^{2+}$ ion concentration in pore solution of Portland cement concrete will drop significantly due to the rapid consumption of calcium hydroxide, which decreases the stability of the calcium silicate hydrate. In this research, calcium phosphates were used to modify Portland cement system in order to produce hydroxyapatite, a hydration product that is strongly resistant to carbonation under such an environment. According to the experimental results, calcium phosphates reacted with Portland cement to form hydroxyapatite. The formation of hydroxyapatite was verified using X-ray diffraction analyses with selective extraction techniques. When using dicalcium phosphate dihydrate and tricalcium phosphate, the 28-day compressive strength was lower than that of plain cement paste. However, the specimen with monocalcium phosphate monohydrate showed equivalent strength to that of plain cement paste.

• Archives of Plastic Surgery
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• v.35 no.2
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• pp.219-222
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• 2008

Purpose: The purpose of this study is to develop hydroxyapatite cement simplified procedures for reconstruction of craniofacial deformities. Due to its expense and characteristics of quick hardening time, it may be inappropriate for forehead reconstruction or augmentation. Therefore we hear by introduce a more precise, easy and cheap method. The authors report forehead reconstruction with hydroxyapatite cement for a patient who suffered from craniofacial deformity. Methods: Case report and literature review. Results: A 35 year old man came to us with forehead and temporal area depression. He had a history of brain operations due to traumatic epidural hematoma. A physical exam showed an evidence of right side forehead weakness sign. Authors made RP model of his skull and applied check framework with Kirschner's wires for measuring accurate volume and contour on the depressed right side forehead area on the RP model. After complete exposure of defect area by bicoronary insicion, absorbable plate which applied on skull area was removed. Using three Kirschner's wires, authors made check framework on the right forehead lively and fixed with 2-hole miniplates on the boundary of the defect. After checking asymmetry, hydroxyapatite was applied on check shape framework just above Kirschner's wire. After removing Kirschner's wire, we corrected minimal unbalance and contour with bur. Conclusion: Check framework with Kirschner's wire was very convenient and cost saving methods for forehead reconstruction with hydroxyapatite cement.

• Journal of the Korean Ceramic Society
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• v.56 no.1
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• pp.56-64
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• 2019

Calcium phosphate bone cement was prepared to contain antibiotics for release after setting using granulated ${\beta}$-tricalcium phosphate (${\beta}$-TCP) and hydroxyapatite (HA). Gentamicin sulfate (GS) solution was infiltrated within the interconnected pores of the granule to avoid affecting the setting reaction and for protection of GS during the setting. Consequently, the setting time and the temperature increase were not affected, regardless of the loading of GS. The release of the GS from the cement was estimated by measuring the concentration at regular intervals from the cement dipped solution. The ${\beta}$-TCP granule loaded with GS exhibited the saturation of accumulative concentration at 16 h. In contrast, the HA granule with GS exhibited steady increase in accumulative concentration of over $10{\mu}g/ml$ at 144 h. Thus, the granulated cement could release the GS greater than the minimum inhibitory concentration of staphylococcus during the prescription peroid of the oral antibiotics.

• Journal of the Korean Ceramic Society
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• v.42 no.11 s.282
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• pp.770-776
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• 2005

Hardening and hydroxyapatite(HAp) formation behavior of the bioactive cements in the system of $CaO-SiO_{2}-P_{2}O_{5}$ glasses and the corresponding glass-ceramics were studied. DCPD (Dicalcium Phosphate Dihydrate: $CaHPO_4{\cdot}2H_2O$) and DCPA (Dicalcium Phosphate Anhydrous: $CaHPO_4$) were developed when the prepared glass and glass-ceramic powders were mixed with three different solutions. The DCPD and DCPA transformed to HAp when the cement was soaked in Simulated Body Fluid (SBF), and this HAp formation strongly depended on the releasing capacity of $Ca^{2+}$ ions from the cements. The glass-ceramic containing apatite showed fast setting, but no HAp formation was observed because no $Ca^{2+}$ ions were released from this glass-ceramics. The compressive strength of the cements increased with reaction time in SBF until all DCPD and DCPA transformed to HAp.

• The Korean Journal of Ceramics
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• v.3 no.2
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• pp.129-133
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• 1997

Fine powder of $\alpha$-tricalcium phosphate, tetracalcium phosphate and dicalcium phosphate were mixed together to prepare self-setting cements which form hydroxyapatite, one of the well-known biocompatible materials, as the end of products of hydration. Hardening behaviour of the cements was examined at the temperature range of 37~$70^{\circ}C$ and 150~$250^{\circ}C$ under the normal and hydrothermal condition respectively. The conversion of cements into hydroxyapatite was significantly improved ast elevated temperature and the paste was strengtheed by interlocking of hydroxyapatite crystals, indicating that the strength is determined by microtexture rather the amount of conversion of cements into hydroxyapatite.

• Journal of the Korean Ceramic Society
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• v.48 no.1
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• pp.26-33
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• 2011

The glass in the system of CaO-$SiO_2-P_2O_5$ and the corresponding glass-ceramics are prepared for bone cements and the behaviors of the hardening and hydroxyapatite formation were studied for the glass and glass-ceramic powders. The glass crystallized into apatite, $\alpha$-wollastonite and $\beta$-wollastonite depending on the glass composition when they were heat-treated at $950^{\circ}C$ for 4 h. A DCPD (dicalcium phosphate dihydrate : $CaHPO_4{\cdot}2H_2O$) was developed when the prepared glass and glass-ceramic powders were mixed with 3M-$H_3PO_4$ solution. The DCPD (Ca/P=1.0) transformed to HAp (Ca/P=1.67) when the bone cement was soaked in simulated body fluid (SBF), and this HAp formation strongly depended on the releasing capacity of $Ca^{2+}$ ions from the glass and glass-ceramic cements. The glass-ceramic bone cement containing $\alpha$-wollastonite crystals showed faster transformation of DCPD to HAp than other glass-ceramics containing $\alpha$- and $\beta$-wollastonite crystals. No hydroxyapatite was observed when the glass-ceramic bone cement containing apatite crystals (36P6C) was soaked in SBF even for 1 month, because no $Ca^{2+}$ ion can be released from the stable apatite crystals.

• The Korean Journal of Ceramics
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• v.1 no.3
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• pp.131-136
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• 1995

It has been reported that the biocement obtained by mixing $CaO-SiO_2-P_2O_5$ glass powders with ammonium phosphate solution has biocompatibility as will as high strength. The hardening mechanism and hydroxyapatite forming mechanism were discussed when $53.6%CaO_1,\; 38.1%SiO_2,\; 7.7P_2O_6,\; 0.6%CaF_2$(mole %) glass powder was reacted with ammonium phosphate solution and reacted in tris-buffer solution, respectively. High strength hardened biocement was obtained for the specimen with $CaNH_4PO_4\;H_2O$ crystal when the glass powder was mixed with ammonium phosphate solution, and hydroxyapatite crystal was rapidly formed only in the sample with $CaNH_4PO_4\;H_2O$ crystal when it was reacted in tris-buffer solution.

• Journal of Korean Neurosurgical Society
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• v.64 no.4
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• pp.619-630
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• 2021

Objective : The skull base reconstruction step, which prevents cerebrospinal fluid (CSF) leakage, is one of the most challenging steps in endoscopic skull base surgery (ESS). The purpose of this study was to assess the outcomes and complications of a reconstruction technique for immediate CSF leakage repair using multiple onlay grafts following ESS. Methods : A total of 230 consecutive patients who underwent skull base reconstruction using multiple onlay grafts with fibrin sealant patch (FSP), hydroxyapatite cement (HAC), and pedicled nasoseptal flap (PNF) for high-flow CSF leakage following ESS at three institutions were enrolled. We retrospectively reviewed the medical and radiological records to analyze the preoperative features and postoperative results. Results : The diagnoses included craniopharyngioma (46.8%), meningioma (34.0%), pituitary adenoma (5.3%), chordoma (1.6%), Rathke's cleft cyst (1.1%) and others (n=21, 11.2%). The trans-planum/tuberculum approach (94.3%) was the most commonly adapted surgical method, followed by the trans-sellar and transclival approaches. The third ventricle was opened in 78 patients (41.5%). Lumbar CSF drainage was not performed postoperatively in any of the patients. Postoperative CSF leakage occurred in four patients (1.7%) due to technical mistakes and were repaired with the same technique. However, postoperative meningitis occurred in 13.5% (n=31) of the patients, but no microorganisms were identified. The median latency to the diagnosis of meningitis was 8 days (range, 2-38). CSF leakage was the unique risk factor for postoperative meningitis (p<0.001). Conclusion : The use of multiple onlay grafts with FSP, HAC, and PNF is a reliable reconstruction technique that provides immediate and complete CSF leakage repair and mucosal grafting on the skull base without the need to harvest autologous tissue or perform postoperative CSF diversion. However, postoperative meningitis should be monitored carefully.

• Journal of the Korean Ceramic Society
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• v.31 no.5
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• pp.505-512
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• 1994

It has been reported that a biocement obtained by mixing CaO-SiO2-P2O5 glass powder and ammonium phosphate solution has biocompatibility as well as high strength. However, the compositional dependence on its hardening and hydroxyapatite formation phenomena has not been studied. Therefore, the main objective of this work is to study the effects of P2O5, MgO in CaO-SiO2 system glass on the hardening and hydroxyapatite formation. When more than 50 mole% of CaO containing CaO-SiO2 glasses was reacted with ammonium phosphate solution, CaNH4PO4.H2O crystal was formed, but the glass with less than 50 mol% of CaO formed (NH4)2HPO4 and NH4H2PO4 crystals which are derived from ammonium phosphate solution without reacting with the glasses. As the amount of P2O5 in CaO-SiO2-P2O5 glass system was increased, the formation of CaNH4PO4.H2O crystal was enhanced. When those hardened samples were reacted with tris-buffer solution, hydroxyapatite was obtained only for the sample with CaNH4PO4.H2O. While the substitution of MgO for CaO decreased the formation of CaNH4PO4.H2O crystal. MgNH4PO4.H2O crystla was formed in high MgO containing glass, which did not react with tris-buffer solution.