• Journal of Periodontal and Implant Science
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• 제27권4호
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• pp.785-804
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• 1997

It was well known that calcium sulfate was biocompatible, resorbed rapidly in the body, had potential as a good barrier membrane. Platelet-derived growth factor(PDGF) was one of polypeptide growth factor that had been reported as a biological mediator which regulates activities of wound healing process including the cell proliferation, migration and metabolism. The purpose of this study was to evaluate the effects of a combination of calcium sulfate and PDGF on periodontal ligament cells in vitro to use as a regeneration promoting agent of periodontal tissue. Human periodontal ligament cells were prepared from the premolar tooth extracted for the orthodontic treatment. Cells were cultured in ${\alpha}-MEM$ contained with 20% FBS, at the $37^{\circ}C$, 100% of humidity, 5% $Co_2$ incubator. Cells were inoculated and cultured into 96 well culture plate with $1{\times}10^4cells/well$ of ${\alpha}-MEM$ for 1 day. After discarding the medium, those cells were cultured in ${\alpha}-MEM$ contained with 10% FBS alone(control group), in calcium sulfate(calcium sulfate group), in calcium sulfate treated with 15ng/ml of PDGF-BB(calcium sulfate+PDGF group), in ${\alpha}-MEM$ contained with 10% FBS treated with 15ng/ml of PDGF-BB(PDGF group) for 1, 2, 3 day respectively. And then each group was characterized by examining of the cell counting, MTT assay, collagen synthesis. The results were as follows. 1. In the analysis of cell proliferation by cell counting, both calcium sulfate group and calcium sulfate plus PDGF group showed no stastically significant difference compared to control group, but there was stastically significant difference between PDGF group and calcium sulfate group at 1, 2 day(P<0.05). 2. In the analysis of cell proliferation by MTT assay in calcium sulfate extracts, both calcium sulfate group and calcium sulfate plus PDGF group showed no stastically significant difference compared to control group, but there was stastically significant difference between PDGF group and calcium sulfate group at 2, 3 day, and between calcium sulfate plus PDGF group and calcium sulfate group at 2 day(P

• Journal of Periodontal and Implant Science
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• 제32권3호
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• pp.445-456
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• 2002

치주조직 재생을 위해서는 새로운 백악질과 치조골 그리고, 치주인대의 재생이 필요하며, 이러한 재생을 담당할 세포의 분화가 필수적이다. 이러한 분화를 담당하는 것은 치주인대세포이며, 이 중 골아세포의 분화가 중요하다. 본 실험의 목적은 치주조직 재생에 있어서 중요한 요소인 치주인대세포의 골아세포성 세포로의 분화를 관찰하며, Dex가 광물화에 미치는 영향과 농도에 따른 차이를 알아보고자 시행하였다. 또한, 광물화시 발현되는 여러 골기질 단백질 중 Matrix GlaProtein의 발현양상도 관찰하였다. 교정치료를 목적으로 내원한 환자의 제1소구치 부위의 정상치은을 절제하고, 건강한 제1소구치를 발거하여 치은섬유아세포와 치주인대세포를 분리, 배양하여, ascorbic acid와 ${\beta}$-glycerophosphate 투여군을 실험1군, ascorbic acid, ${\beta}$-glycerophosphate, Dex 100nM 투여군을 실험 2군, ascorbic acid, ${\beta}$-glycerophosphate, Dex $5{\mu}M$ 투여군을 실험3군, 그리고, 단순 배양만 시킨군을 대조군으로 하여 비교하였다. 시간경과에 따른 치주인대세포 형태의 변화 양상은 초기에 방추형 혹은 다각형의 단일층 형태에서 7일경에는 세포 크기와 수가 증가하여 복합층 형태로 변화했으며, 배양 14일 이후에는 세포들의 방향성이 없어지고, 더욱 치밀해 졌다. 골 결절형성은 치주인 대세포의 Dex 투여군에서만 21일째에 나타났으며, $5{\mu}M$ 투여군에서 100nM 투여군보다 더 많이 나타났다. ALP 활성도를 비교해보면 치주인대세포에서 0, 7일 경에는 활성도를 보이지 않았으며, 14일경에 높은 활성도롤 나타냈으며, 21일에도 비슷한 활성도를 유지하였다. MGP 유전자 발현 양상은 대조군과 실험군 모두에서 Matrix Gla Protein에 대한 유전자의 발현이 나타났으며，그 발현양상은 모든 시기에서 일정하였다. 이상의 결과로 보아 치주인대세포는 골아세포로의 분화가 가능하며, Dex는 농도의존적으로 광물화에 영향을 미치는 것으로 사료된다. 그리고, MGP는 치주인대세포에서 발현이 감지되었으며, 광물화에는 영향을 미치지 않는 것으로 사료된다.

• Journal of Periodontal and Implant Science
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• 제31권4호
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• pp.833-846
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• 2001

Recently, use of natural medicine is getting more attention, and some of them are believed to be effective in　the treatment of periodontitis. Among them, the seeds of safflower(Carthamus tinctrorius L.) have been proven to be effective through its use in bone diseases such as fracture and osteoporosis. During the last few years, studies using the seeds of safflower gown in Korea have been active, and it has been reported that safflower seed extract increase the proliferation and the alkaline phosphatase(ALP) activity of human periodontal ligament fibroblast(hPDLF), osteoblast, and that they promote the mineralization process. In animal studies, when safflower seed extract were administered orally new bone formation was promoted. Recently, in an effort to find out the most effective osteogenic components, among many components of the safflower seed, various safflower seed fraction extracts were obtained by multistep extraction of the safflower components using various solvents. Among these, saf-M-W fraction extracted by methanol and water was most effective in increasing osteogenic potential of osteoblasts. In this study, the effect of safflower seed fraction extract, saf-M-W, on the growth and differentiation of hPDLF and MC3T3-E1 cell was investigated. The toxicity of saf-M-W on both cells was measured using M'IT(3-(4,5dimethylthiazol-2-y1)-2,5-diphenyl tetrazolium bromide) test, and ALP activity was measured using the colorimetric assay of hPDLF. In addition, in MC3T3-El cells, the expression of ALP, bone sialoprotein(BSP) mRNA was observed using Northern blot, and the mineralized nodule formation Was observed using von Kossa stain and phase-contrast microscope. 1. In concentrations below $10{\mu}g/ml$, saf-M-W didn't show any toxicity on hPDLF and MC3T3-El cell. 2. The change in saf-M-W concentration had no effect on the ALP activity of hPDLF. 3. In MC3T-E1 cells, mRNA expressions of ALP and BSP were greater in the experimental group treated with $10{\mu}g/ml$ concentration of saf-M-W compared with the control group. 4. In MC3T3-El cells, abundance of mineralized nodules were formed in the experimental group treated with $10{\mu}g/ml$ Concentration of saf-M-W, while no mineralized nodule was formed in the control group. These results suggest that safflower seed fraction extract, saf-M-W. didn't show any toxicity on hPDLF and MC3T3-E1 cell at concentrations below $10{\mu}g/ml$ and effectively enhanced the differentiation and osteogenic potential of MC3T3-El cell.

• Journal of Periodontal and Implant Science
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• 제30권4호
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• pp.835-852
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• 2000

The ultimate goal of periodontal therapy is the regeneration of periodontal tissue and repair of function. For more than a decade there have been many efforts to develop materials and methods of treatment to promote periodontal wound healing. Recently many efforts are concentrated on the regeneration potential of material used in oriental medicine. In some in vitro and in vivo experiments, there have been many evidences that these materials have an effect on bone regeneration. The purpose of this study was to evaluate histologically and radiologically in Sprague-Dawley rats the effects of safflower seed extracts on the regeneration of the calvarial defects surgically produced. So in this study, the critical size defects were surgically produced in the calvarial bone of 30 Sprague-Dawley rats using the 8mm trephine bur. The safflower seed extract was applied into the defect of each rat in experimental group, whereas nothing was applied into the defect of each rat in control group. Rats were sacrificed at 2, 4, 8 weeks following operation and histomorphometric and radiodensitometric analysis were performed. 1. The newly formed bone length was $102.91{\pm}22.05$, $178.29{\pm}24.40$ at 2 week in the each control, experimental group, $130.95{\pm}39.24$, $242.62{\pm}50.33$ at 4 week and $181.53{\pm}76.35$, $240.36{\pm}22.00$ at 8 week($unit,{\mu}m$). In the 2, 4 week, there were statistically significant difference between control and experimental group(P<0.05). 2. The newly formed bone area was $2962.06{\pm}1284.48$, $10648.35{\pm}1284.48$ at 2 week, $5103.25{\pm}1375.88$, $9706.78{\pm}1481.81$ at 4 week, $8046.02{\pm}818.99$, $12057.06{\pm}740.47$ at 8 week($unit,{\mu}m^2$). In every week, there were statistically significant difference between control and experimental group(P<0.05). 3. The radiopacity was $14.26{\pm}.33$, $25.47{\pm}4.33$ at 2 week, $20.06{\pm}9.07$, $26.61{\pm}2.78$ at 4 week, $22.99{\pm}3.76$, $27.29{\pm}1.54$ at 8 week(unit, %). In the 2 week, there was statistically significant difference between control and experimental group(P<0.05). In conclusion, the results of the present study suggest that safflower seed extract initially has an effect on the newly formed bone area, length and radiopacity when it is applied to the calvarial defect of Sprague - Dawley rat. Then. the material has an effect on newly formed bone area and length.

• Journal of Periodontal and Implant Science
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• 제35권4호
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• pp.1019-1037
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• 2005

The major goals of periodontal therapy are the functional regeneration of periodontal supporting structures already destructed by periodontal disease as well as the reduction of signs and symptoms of progressive periodontal disease. There have been many efforts to develop materials and therapeutic methods to promote periodontal wound healing. There have been increasing interest on the chitosan made by chtin. Chitosan is a derivative of chitin made by deacetylation of side chains. Chitosan has been widely studied as bone substitution and membrane material in periodontology. Many experiments using chitosan in various animal models have proven its beneficial effects. Tetracycline has been considered for use in the treatment of chronic periodontal disease and gingivitis. The aim of this study is to evlauate the osteogenesis of tetracycline blended chitosan membranes on the calvarial critical size defect in Sprague Dawley rats. An 8mm surgical defect was produced with a trephine bur in the area of the midsagittal suture. The rats were divided into five groups: Untreated control group versus four experimental group. Four types of membranes were made and comparative study was been done. Two types of non-woven membranes were made by immersing non-woven chitosan into either the tetracycline solution or chitosan-tetracycline solution. Other two types of sponge membranes were fabricated by immersing chitosan sponge into the tetracycline solution, and subsequent freeze-drying. The animals were sacrificed at 2 and 8 weeks after surgical procedure. The specimens were examined by histologic analyses. The results are as follows: 1. Clinically the use of tetracycline blended chitosan membrane showed great healing capacity. 2. The new bone formations of all the experimental group, non-woven and sponge type membranes were greater than those of control group. But, there was no significant difference between the experimental groups. 3. Resorption of chitosan membranes were not shown in any groups at 2 weeks and 8 weeks. These results suggest that the use of tetracycline blended chitosan membrane on the calvarial defects in rats has significant effect on the regeneration of bone tissue in itself. And it implicate that tetracycline blended chitosan membrane might be useful for guided tissue regeneration.

• Journal of Periodontal and Implant Science
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• 제26권2호
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• pp.469-490
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• 1996

The initial events required for periodontal regeneration is the attachment, spreading, and proliferation of appropriated cells at the healing sites. These have been reported that minocycline stimulates the attachment of periodontal ligament cells, and also $TGF-{\beta}1$ enhances the proliferation of periodontal ligament cells. The purpose of the present study was to evaluate the effects of $TGF-{\beta}1$ on the cellular activity of minocycline treated human periodontal ligament cells. Periodontal ligament cells were obtained from the explants of healthy periodontal ligaments of extracted 3rd molars or premolar teeth extracted from the patients for orthodontic treatment. The cells were cultured in minimal essential medium(${\alpha}-MEM$) supplemented with 10.000units/ml penicillin, $10,000{\mu}g/ml$ streptomycin and 10% FBS(fetal bovine serum) at $37^{\circ}C$ in a humidified atmosphere of 5% carbon dioxide and the 5th to the 8th passages of the cells were used. To evaluate the effect of minocycline on cell attachment, the cells were seeded at a cell density of $1.5{\times}10^4$ cells/well in 24-well culture plates and treated with $20{\mu}g/ml$ and $100{\mu}g/ml$ of minocycline for 1.5 h. After trypsinization, the cells were counted with hemocytometer and were taken photographs for observation of cellular morphology. To evaluate the effect of $TGF-{\beta}1$ on minocycline-pretreated periodontal ligament cells, the cells were seeded at a cell density of $1{\times}10^4$ cells/ well in 24-well culture plates and treated with $20{\mu}g/ml$ and $100{\mu}g/ml$ of minocycline for 1.5 h. After incubation, 1 and 10ng/ml of $rh-TGF-{\beta}1$ were also added to the each well and incubated for 1 and 2 days, respectively. Then, MTT assay, DNA synthesis($^3H-thymidine\;assay$), and protein and collagen assay(3H-proline assay) were carried out. In the MIT assay, after 200ul MTT solutionlconeentration of 5mg/ml) were added to the each well of the 24-well plates and incubated for 3 hours, and 200 ul DMSO were added so as to dissolve insoluble blue formazan crystals which was formed in incubated period. Then it read plates on a ELISA reader. For mitogenic assay, 1 uCi/ml $^3H-thymidine$ was added to each well for the final 2 hours of the incubation periods. After labeling, the wells were washed 3 times with ice cold PBS and 4 times with 5% TCA to remove unincorporated label and precipitate the cellular DNA. DNA, with the incorporated $^3H-thymidine$, was solubilized with 500 ul of 0.1% NaOH/0.1% SDS. A 250 ul aliquot was removed from each well and placed in a scintillation vial with 4ml of scintillation cocktail. Using an liguid scintillation counter, counts per minute(CPM) were determined for each samples. 3 uCi/ml $^3H-proline$ was added to each well for the final 4 hours of the incubation periods and total protein and percent collagen synthesis were carried out. The results indicate that minocycline treated group with $100{\mu}g/ml$ concentration for 1.5 hours significantly increased than that of control in cell attachment, and cell process is also evident compared with that of control in cell morphology, and the cellular activity and DNA synthesis rate of cells treated minocycline and $TGF-{\beta}1$ significantly increased than that of control values, but were below to values of the $TGF-{\beta}1$ only treated group in MIT assay and $^3H-thymidine\;assay$, and the total protein synthesis of minocycline and $TGF-{\beta}1$ treated group also significantly increased than that of control values, but the percent collagen synthesis of tested group significantly decreased to compared with control. On the above the findings, the tested group of minocycline and $TGF-{\beta}1$ did not increase the effect on the cell activity than $TGF-{\beta}1$ only tested group and the tested group of minocycline inhibited cell activity. This results indicate that minocycline was effective on cell attachment in early stage, but it is harmful to cell activity, that inhibitory effect of minocycline was compensated with stimulatory effect of $TGF-{\beta}1$.

• Journal of Periodontal and Implant Science
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• 제38권2호
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• pp.237-246
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• 2008

Purpose: If bone grafts and guided tissue regeneration are effective individually in treating osseous defects, then the questionis, what would happen when they are combined. Bone grafts using Calcium Carbonate(Biocoral) and Guided Tissue Regeneration using Calcium Sulfate(CALMATRIX) will maximize their advantages and show the best clinical results in intrabony defects. This study was to compare the effects of a combination of CS and CC with control treated only with modified widman flap in a periodontal repair of intrabony defects. Materials and Methods: 30 patients with chronic periodontitis were used in this study. 10 patients were treated with a combination of CS and CC as the experimental group II and another 10 patients were treated with CC as the experimental group I, and the remaining 10 patients, the control group were treated only with modified widman flap. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded 6 months later. Results: The probing depth changes were $3.30{\pm}1.34\;mm$ in the control group, $4.2{\pm}1.55\;mm$ in the experimental group I(CC) and $5.00{\pm}1.33\;mm$ in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there were no significant difference(p<0.05) between the experimental group I and II. The gingival recession changes w $-1.30{\pm}1.25\;mm$ in the control group, This is a significant difference(p<0.01). However, there was a $-0.50{\pm}0.53\;mm$ change in the experimental group I(CC) and $-0.60{\pm}0.97\;mm$ in the experimental group II(CS+CC). In addition, in terms of gingival recession, there was a no significance difference(p<0.05) among the groups. The clinical attachment level changes were $2.00{\pm}1.33\;mm$ in the control group, $3.60{\pm}1.58\;mm$ in the experimental group I(CC) and $4.40{\pm}1.17\;mm$ in the experimental group II(CS+CC). They all showed a significant decrease 6 months after surgery(p<0.01). There was a significant difference(p<0.05) between the control and experimental group. However there was a no significance difference(p<0.05) between the experimental group I and II. The bone probing depth changes were $0.60{\pm}0.52\;mm$ in the control group, $3.20{\pm}1.48\;mm$ in the experimental group I(CC) and $4.60{\pm}1.43\;mm$ in the experimental group II(CS+CC). All of them showed a significant decrease 6 months after surgery(p<0.01), there was a significance difference(p<0.05) among the groups. Conclusion: Treatment using a combination of CS and CC have a potential to improve periodontal parameters in intrabony defects and More efficient clinical results can be expected in intrabony defects less than 2 walls grafted with CS and CC.

• Journal of Periodontal and Implant Science
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• 제27권3호
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• pp.603-619
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• 1997

레이저를 이용한 연조직 수술은 출혈이 없어 시야를 좋게 하고 시술시간이 단축되며, 술후 종창이 최소화 되고, 통증이 감소화 최소화된 반흔 형성, 그리고 레이저가 조사되는 일부 부위의 멸균효과등이 장점이 있어 최근에 의학분야 및 치의학분야에서 많이 사용되는 추세에 있다. 이에 본 연구에서는 $CO_2$레이저를 이용한 백서의 치은절제술시의 치유과정과 레이저 출력을 달리 하였을때의 치유과정을 관찰하기 위해, 백서의 상악전치의 치은조직에서 치은절제술 효과를 얻을 수 있는 최소 출력인 4watts를 이용한 부위를 대조군으로, 6watts를 이용한 부위를 실험군으로 하여, 술후 2일, 3일, 1주, 3주후에 각각 실험동물을 희생시켜 치유결과를 조직학적으로 비교 관찰하여 다음과 같은 결과를 얻었다. 대조군과 실험군 모두에서 2일째에서만 작은 크기의 혈병이 관찰되었고, 그 이후에서는 관찰되지 않았다. 2. 염증세포 침윤지역 크기는 대조군과 실험군 모두에게 2일째 가장 컸으며, 그 크기는 시간이 경과될수록 줄어들어 2주째는 거의 소실되었으며, 실험군의 경우 대조군에 비해 2,3째까지 크기가 더 컸으나, 1주째부터는 크기의 차이가 관찰되지 않았다. 3. 육아조직은 대조군, 실험군 모두 시간의 경과에 따라 점점 성숙되어, 2주째부터는 거의 정상 치은 결합조직으로 대체되는 소견을 보였고, 3주째에서는 완전한 치유양상을 보였다. 실험군의 경우 대조군보다 3일째까지는 그 크기가 더 컸으나 1주째부터는 크기의 차이가 없다. 4. 대조군과 실험군 모두에게 치은의 상피화하는 2일째에서 시작되는 소견을 보였고, 1주부터 상피돌기와 부분적인 접합상피의 재생이 관찰되었으며, 2주째부터는 구강열구상피의 각화가 시작되어 3주째에는 각화의 완성이 관찰되었다.

• 한국발생생물학회지:발생과생식
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• 제13권1호
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• pp.1-11
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• 2009

착상은 배아측과 모체측의 내분비적, 측분비적 및 자가분비적 인자들의 상호 작용에 의하여 조절된다. 착상의 적기는 $2{\sim}4$일로서 이 특수한 시간대 안에서 signaling, appositioning, attachment 및 invasion을 통하여 순차적으로 배아의 착상이 이루어지는데, 이는 자궁내막과 배아로부터 여러 사이토카인, 성장인자, 부착인자와 같은 다수의 생화학 인자의 생성과 분비를 포함하며 이로 인하여 수용적인 자궁내막이 형성된다. LIF, CSF-1, IL-1과 같은 사이토카인들은 착상을 이끄는 연속적인 사건에서 중요한 역할을 수행하며 integrin, L-selectin ligands, glycodelin, mucin-1, HB-EGF, pinopodes는 appositioning과 attachment에 관여한다. 배아 또한 사이토카인과 성장인자 및 LIF, CSF-1, IGF, HB-EGF에 대한 수용체들을 분비하여 능동적으로 대처한다. 자궁내막의 수용성을 평가하고 자연주기 또는 보조생식술을 이용한 임신의 예후를 예측하는데, 이와 같은 인자들이 유용한지는 앞으로 더 연구되어야 한다. 현재로서는 내막조직으로부터 채취한 integrins, pinopodes, glycodelin, LIF가, 자궁강내 세척액에서는 glycodelin과 LIF가 유망한 인자로 떠오르고 있다. 혈액내 마커로서는 VEGF, glycodelin, CSF가 약간의 연관성을 보여주고 있다. 이러한 인자들이 보조생식술 전후로 자궁내막의 기능과 임신의 예후를 평가하는 선별검사로 이용될 수 있는지를 증명하기 위해서는 향후 불임 여성과 대조군인 가임 여성을 대상으로 한 대규모의 연구가 필요할 것이다. 인간의 착상에서 이들 인자들의 기능을 충분히 이해해야 치료적 기법으로 연결되어 보조생식술에서도 더 높은 성공률을 이루어 낼 것으로 사료된다.

• Journal of Periodontal and Implant Science
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• 제24권3호
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• pp.581-596
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• 1994

치근활택술만 시행한 군과 치근활택술후 테트라사이클린 25, 50, 75, 100, 150mg/ml 농도로 5분간 처리한 군 사이에 치근면에서의 치주인대세포에 대한 증식 및 전개에 미치는 효과를 비교하기 위해 심한 치주질환으로 이환된 치아를 발치하여 철저한 치근활택술을 시행한 후 치주질환에 이환된 치근면만을 이용하여 치근절편을 제작하였다. 5분간 절편을 각 농도별로 침수시킨 후 세포증식률을 알아보기 위해 각 절편을 24 well 조직배양기에 넣고 $1{\times}10^5$개의 치주인대세포를 가진 배양액 1ml씩을 넣어 6시간동안 배양 후, 새로운 배양기에 옮기고 24, 48, 72시간동안 배양하여 0.05% trypsin/0.02% EDTA로 처리하고 세포를 분리하여 광학위상차현미경을 이용하여 세포수를 측정하고 단위치근면적당 세포수를 계산하였다, 세포증식률의 실험에서는 24, 48, 72시간 모두에서 치근활택술군, 테트라사이클린 25, 150, 50, 75, 100mg/ml 처리군 순으로 세포 수가 증가함을 보였으며 각 군 모두에서도 시간경과에 따라 부착세포수도 증가하는 경향을 보였다. 24시간에서는 치근활택술군과 테트라사이클린 75mg/ml, 100mg/ml 처리군 사이, 48시간에서는 치근활택술군과 테트라사이클린 100mg/ml 처리군 사이, 72시간에서는 치근활택술군과 테트라사이클린 50, 75, 100mg/ml와 테트라사이클린 25mg/ml와 100mg/ml 사이에 통계학적으로 유의성을 보였다(p<0.05). 전반적으로 치근활택술군보다 테트라사이클린으로 처리한 치근면 특히 농도 100mg/ml 처리군에서 좋은 세포증식률을 보였으며 150mg/ml에서는 100mg/ml 처리군에 비해 세포 증식률이 감소하는 경향을 보였다. 주사전자현미경 관찰에서는 세포배양 30분 후에는 치근활택술군에서는 세포외형이 전반적으로 구형을 보이면서 부착된 양상을 보였고 테트라사이클린 처리군에서는 세포질이 방사형으로 약간 확장되고 중간부는 소기포로 덮히고 둥글게 보였다. 세포수에 있어서도 테트라사이클린 처리군이 더 많이 부착되어 있는 양상을 나타내었고 상아세관의 노출도 관찰할 수 있었다. 세포배양 6시간이 경과한 후 세포는 치근활택술군에서는 세포질이 방사형으로 확장되어 보이고, 테트라사이클린 처리군에서는 세포의 변연일부가 함몰되어 극성을 나타내기 시작했다. 세포배양 24시간이 경과한 후 치근활택술군에서는 세포가 뚜렷한 극성을 보이고 테트라사이클린 처리군에서는 조금 더 신장된 방추형을 보였다. 이상의 연구 결과, 치주인대세포의 전개는 치근면을 테트라사이클린으로 처리시 테트라사이클린 l00mg/ml 처리군이 50mg/ml 처리군보다 초기에는 약간 더 진전된 양상을 보였으나 시간이 경과함에 따라 거의 유사하게 나타났으며, 치근활택술군보다는 우수하게 진행되었고, 세포증식률에서는 테트라사이클린 100mg/ml 처리군이 가장 많은 세포수를 보였으므로 임상적용시에는 테트라사이클린 100mg/ml가 적절할 것으로 사료된다.