• 제목/요약/키워드: barrier membrane

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흡연이 흡수성 차폐막을 이용한 조직유도재생술의 치유에 미치는 영향 (Influence of Smoking on Short-Term Clinical Results of Periodontal Bone Defects Treated with Regenerative Therapy Using Bioabsorbable Membranes)

  • 강태헌;설양조;이용무;계승범;김원경;정종평;한수부
    • Journal of Periodontal and Implant Science
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    • 제30권2호
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    • pp.305-324
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    • 2000
  • This study compared the short-term(4 months) clinical results of regenerative therapy with bioabsorbable membranes($BioMesh^{(R)}$) and bone allograft for the treatment of periodontal(intrabony and furcation) defects in smokers and nonsmokers.(16 smokers) 32 subjects with 92 defects participated in the study(46 in smokers and 46 in non-smokers). This study also evaluated a bioresorbable barrier with and without decalcified freeze-dried bone allograft(DFDBA). The 92 periodontal defects were randomly treated with either the resorbable barrier alone or resorbable barrier in combination with DFDBA following thorough defect debridement and root preparation with tetracycline. Each patient received both types of treatment modalities. Clinical examinations(probing depth, gingival recession, clinical attachment level, plaque index and gingival index) were carried out immediately before and 4 months after surgery. Significant(p<0.001) gains in mean attachment level were observed for both smokers(2.93mm) and non-smokers(3.30mm) but there were not significant difference between two groups. Similarly, significant reductions in mean probing depthshowed for smokers(4.52mm) and non-smokers(4.26mm). However, when comparing gingival recession, smokers were found to exhibit significantly poorer treatment results(1.59mm vs 0.96mm, p<0.05). Using the split-mouth-design, no statistically significant difference between the two modalities could be detected with regard to pocket depth reduction, gingival recession, or attachment gain. These results illustrate that the attachment gain is better in the non-smoker and the best in the non-smoker with the combination therapy of resorbable barrier and DFDBA than with resorbable barrier alone but smoking had no significant effect on clinical treatment outcome, even though smokers show more significant gingival recession. In addition, both treatments, either resorbable barrier plus DFDBA or resorbable barrier alone, promoted significant resolution of periodontal defects but the addition of DFDBA with a bioabsorbable membrane appears to add no extra benefit to the only membrane treatment.

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성견의 외과적 치근이개부 골결손에 차폐막과 골이식재를 이용한 조직유도재생술시 치유양상 (Guided Tissue Regeneration Using Barrier Membrane and Osseous Grafts in Surgically Created Furcation Defects in Dogs)

  • 정은희;정현주
    • Journal of Periodontal and Implant Science
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    • 제26권4호
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    • pp.967-987
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    • 1996
  • The present study was to evaluate the healing patterns of guided tissue regeneration( GTR) using resorbable $Vicryl^{(R)}$(polyglactin 910) mesh and nonresorbable expanded polytetrafluoroethylene(ePTFE) membrane with or without bone grafting using autogeneous bone and demineralized freeze-dried bone allograft(DFDBA) in the grade II furcation defects. Mucoperiosteal flaps were reflected buccally in the mandibular 2nd, 3rd and 4th premolar areas and furcation defects were created surgically by removing $5{\times}6mm$ alveolar bone in 4 dogs. Root surfaces were thoroughly debrided of periodontal ligament and cementum, and notches were placed on root surface at the most apical bone level. In the right and left mandibular quadrant, each tooth was received $Vicryl^{(R)}$ mesh(ACE Surgical Supply Co., USA) only, $Vicryl^{(R)}$ mesh with DFDBA, $Vicryl^{(R)}$ mesh with autogeneous bone grafts, ePTFE membrane($Core-tex^{(R)}$ membrane, W.L. Gore & Associates Inc., USA) only, ePTFE membrane with DFDBA or ePTFE membrane with autogeneous bone grafts. For the fluorescent microscopic examination, fluorescent agents were injected at 2, 4 and 8 weeks after surgery. Four weeks after surgery, 2 dogs were sacrificed and ePTFE membranes were removed from remaining 2 dogs, which were sacrificed at 12 weeks after surgery. Undecalcified tissues were embedded in methylmethacrylate and $10{\mu}m$ thick sections were cut in a buccolingual direction. These sections were stained with hematoxylin-eosin stain and Masson's trichrome stain, and evaluated by descriptive histology and linear measurements. The results were as follows : 1) $Vicryl^{(R)}$ mesh group showed less connective tissue attachment than ePTFE membrane group. 2) The combination of GTR using $Vicryl^{(R)}$ mesh and osseous grafts resulted in new attachment and new bone formation more than GTR using $Vicryl^{(R)}$ mesh only. 3) GTR using ePTFE membrane, with or without osseous grafts, enhanced periodontal regeneration. 4) Root resorption and dentoalveolar ankylosis were observed in the areas treated with the combination of GTR and DFDBA. It was suggested that the effect of adjunctive bone grafting in GTR procedure depends on the materials and the physical properties of barrier membranes. $Vicryl^{(R)}$ mesh performed a barrier function and the use of adjunctive bone grafting may enhance the periodontal regeneration.

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골내치주낭에 $Biomesh^{(R)}$ 차단막과 자가골이식의 치료효과에 대한 연구 (Clinical Study on Therapeutic Effects of Biodegradable membrane $Biomesh^{(R)}$ and autogenous bone grafts in infrabony defects)

  • 서종진;정예진;최병갑;최성호;조규성
    • Journal of Periodontal and Implant Science
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    • 제30권4호
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    • pp.779-793
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    • 2000
  • The ultimate goal of periodontal disease therapy is to promote the regeneration of lost periodontal tissue, there has been many attempts to develop a method to achieve this goal, but none of them was completely successful. This study was designed to compare the effects of treatment using resorbable barrier membrane($Biomesh^{?}$) in combination with autogenous bone graft material with control treated by only modified Widman flap. 22 infrabony defecs from 10 patients with chronic periodontitis were used for this study, 10 sites of them were treated with resorbable barrier membrane and autogenous bone graft material as experimental group and 12 site were treated by only modified Widman flap as control group. Clinical parameters including probing depth, gingival recession, bone probing depth and loss of attachment were recorded at 6-8 months later, and the significance of the changes was statistically analyzed. The results are as follows : 1. Probing depth of the two group was reduced with statistically significance(P<0.05), but this changes were not different between the two experiment, control group with statistically significance. 2. Gingival recession showed statistically significant increase in control group(P<0.05), but not in experimental group, and initial values of the two group were in statistically significant difference(P<0.05). 3. Bone probing depth showed statistically significant decrease in experimental group(P<0.05), but not in control group, and this changes were different between the two experiment, control group with statistically significance(P<0.05). 4. Loss of attachment showed statistically significant decrease in experimental group(P<0.05), but not in control group, and this changes were different between the two experiment, control group with statistically significance(P<0.05) On the basis of these results, treatment using resorbable barrier membrane in combination with autogenous bone graft material improve the probing depth, bone probing depth and loss of attachment in infrabony defects.

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올레핀/파라핀 분리를 위한 poly(ethylene oxide)/AgBF4/Al(NO3)3/Ag2O 복합체 분리막 (Poly(ethylene oxide)/AgBF4/Al(NO3)3/Ag2O Composite Membrane for Olefin/Paraffin Separation)

  • 정수영;강상욱
    • 멤브레인
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    • 제27권4호
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    • pp.313-318
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    • 2017
  • 올레핀/파라핀 분리를 위해 $Poly(ethylene oxide)(PEO)/AgBF_4/Al(NO_3)_3/Ag_2O$ 복합막이 제조되었으며, $Ag_2O$가 도입되었을 때, 복합체 분리막의 초기성능은 선택도 13.7과 투과도 21.7 GPU로 관찰되었다. $PEO/AgBF_4/Al(NO_3)_3$ 분리막의 성능(선택도 13와 투과도 7.5 GPU)에 비해서 초기성능이 증가한 이유는 $Ag_2O$의 첨가로 인한 Ag ion의 활성도 증가로 생각되었다. 하지만 시간에 따른 성능저하 현상이 관찰되었는데 이는 고분자 matrix인 PEO 때문인 것으로 생각되었다. PEO 고분자는 $Ag_2O$ 입자를 안정화 시킬 수 없기 때문에 용매가 증발하면서 $Ag_2O$ 입자끼리 뭉치게 되고, $Ag_2O$가 barrier 역할을 하게 돼서 시간이 지나면 투과도가 감소하는 것으로 분석되었다.

Degradation Properties of a Bi-layered Cross-linked Collagen Membrane for Localized Bone Regeneration: In Vitro and In Vivo Study

  • Park, Jin-Young;Lee, Jae-Hong;Cha, Jae-Kook;Lee, Jung-Seok;Jung, Ui-Won;Choi, Seong-Ho
    • Journal of Korean Dental Science
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    • 제14권1호
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    • pp.12-25
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    • 2021
  • Purpose: (i) To evaluate the biologic properties of a bi-layered 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide hydrochloride-cross-linked collagen membrane (CCM) in vitro. (ii) To assess the efficacy of CCM for localized bone regeneration in vivo. Materials and Methods: Biodegradation of CCM compared to a native collagen membrane (NCM) was assessed in vitro. In vivo, twelve male New Zealand White rabbits were used. Four calvarial, circular defects (diameter 8 mm) were created in each animal. The sites were randomly allocated to i) CCM+biphasic calcium phosphate (BCP) (CCM-BCP group), ii) CCM alone (CCM), iii) BCP alone (BCP) and, iv) negative control (control). Animals were sacrificed at 2 (n=6) and 8 weeks (n=6). Outcome measures included: micro-computed tomography (μCT) analysis (total augmented volume [TAV], new bone volume) and histomorphometry (total augmented area [TAA], newly formed bone, remaining membrane thickness [RMT]). Result: CCM was more resistant to degradation than NCM. μCT analysis showed CCM-BCP (196.43±25.30 mm3) and BCP (206.23±39.13 mm3) groups had significantly (P<0.01) larger TAV than the control (149.72±12.28 mm3) after 8 weeks. Histomorphometrically, CCM-BCP group (17.75±5.97 mm2) had significantly (P<0.01) greater TAA compared to the CCM group (7.74±2.25 mm2) and the control (8.13±1.81 mm2) after 8 weeks. After 8 weeks, RMT was reduced by 67%. Conclusion: CCM can be a favorable choice of barrier membrane when performing guided bone regeneration (GBR) in localized bone defects. CCM has better resistance to degradation than the natural collagen membrane, in vitro. In vivo, CCM provides an advantageous integration of prolonged barrier function and biocompatibility for GBR.

Preparation and Characterization of Nanofibrous Membranes of Poly(D,L-lactic acid)/Chitin Blend for Guided Tissue Regenerative Barrier

  • Kim, Hong-Sung;Kim, Jong-Tae;Jung, Young-Jin;Hwang, Dae-Youn;Son, Hong-Joo;Lee, Jae-Beom;Ryu, Su-Chak;Shin, Sang-Hun
    • Macromolecular Research
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    • 제17권9호
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    • pp.682-687
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    • 2009
  • Nanofibrous membranes of poly(D,L-lactic acid)/chitin blend were prepared by electro spinning for a barrier of guided tissue regeneration. A miscible solution was obtained by the blending chitin-salt complex into 1-methyl-2-pyrrolidone solution of poly(D,L-lactic acid). The properties of the blend were examined for nanofibrous fabrication. The viscosity of the blend solution was increased significantly due to chain entanglement despite the low ratio of chitin to poly(D,L-lactic acid). An interaction between two polymeric compositions was confirmed by Fourier transform infrared spectroscopy. X-ray diffraction detected an appreciably ordered microstructure in the nanofiber of the blend. A membrane of thinner nanofibers was fabricated by electro spinning the chitin blend. The permeability of the membranes was examined using bioactive model compounds.

Pontoon and Membrane Breakwater

  • 기성태
    • 한국해양공학회:학술대회논문집
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    • 한국해양공학회 2003년도 춘계학술대회 논문집
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    • pp.185-191
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    • 2003
  • A numerical study on the hydrodynamic properties of a floating flexible breakwater consisting of triple vertical porous membrane structures attached to a floating rigid pontoon restrained by moorings is carried out in the context of two-dimensional linear wave-flexible body interaction theory. The tensions in the triple membranes are achieved by hanging a clump weight from its lower ends. The clump weight is also restrained properly by moorings. The dynamic behavior of the breakwater was described through an appropriate Green function, and the fluid multi-domains are incorporated into the boundary integral equation. Numerical results are presented which illustrate the effects of the various wave and structural parameters on the efficiency of the breakwater as a barrier to wave action. It is found that the wave reflection and transmission properties of the structures depends strongly on the membrane length taking major fraction of water column, the magnitude of tensions on membrane achieving by the clump weight, proper mooring types and stiffness, the permeability on the membrane dissipating wave energy.

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Antimicrobial Agents That Inhibit the Outer Membrane Assembly Machines of Gram-Negative Bacteria

  • Choi, Umji;Lee, Chang-Ro
    • Journal of Microbiology and Biotechnology
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    • 제29권1호
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    • pp.1-10
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    • 2019
  • Gram-negative pathogens, such as Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter baumannii, pose a serious threat to public health worldwide, due to high rates of antibiotic resistance and the lack of development of novel antimicrobial agents targeting Gram-negative bacteria. The outer membrane (OM) of Gram-negative bacteria is a unique architecture that acts as a potent permeability barrier against toxic molecules, such as antibiotics. The OM is composed of phospholipids, lipopolysaccharide (LPS), outer membrane ${\beta}-barrel$ proteins (OMP), and lipoproteins. These components are synthesized in the cytoplasm or in the inner membrane, and are then selectively transported to the OM by the specific transport machines, including the Lol, BAM, and Lpt pathways. In this review, we summarize recent studies on the assembly systems of OM components and analyze studies for the development of inhibitors that target these systems. These analyses show that OM assembly machines have the potential to be a novel attractive drug target of Gram-negative bacteria.

성견의 Implant 주위에 $GUIDOR^{(R)}$ BARRIER MEMBRANE 사용후 골신생에 관한 실험적 연구 (AN EXPERIMENTAL STUDY OF $GUIDOR^{(R)}$ BARRIER MEMBRANE ABOUT BONE PROMOTION AROUND DENTAL IMPLANTS PLACED INTO EXTRACTION SOCKET IN DOGS)

  • 양명철;진우정;신효근;김오환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권1호
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    • pp.135-143
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    • 1996
  • 이 연구의 목적은 성견의 발치와에 식립된 implants에 새로운 골 형성을 유도할 목적으로 사용한 흡수성막의 골유도재생술을 평가하고자 하였다. 성견의 제 3소구치를 발거하고 cylindrial HA-coated implants를 식립하였다. 실험군에는 흡수성막인 $GUIDOR^{(R)}$ 를 덮어 보호를 하고, 대조군은 막으로 보호하지 않았다. 성견은 1, 2, 4개월에 차례로 희생하였으며, 치유과정 및 골형성 정도의 평가를 위해 임상적, 방사선학적, 그리고 조직학적 관찰을 통한 다음과 같은 결론을 얻었다. 1. 치유리간 동안에 실험군의 흡수성막의 안정성과 조직의 만족할 만한 치유능력을 볼 수 있었다. 2. 술후 4개월 정도에서 막이 완전한 흡수를 볼 수 있었다. 3. 미숙골이 정상적인 충판의 성숙골로 바뀌는데 약 4개월의 시간이 필요하였다. 4. 대조군에 비하여 실험군에서 더 많은 골형성을 관찰할 수 있었다. 5. 흡수성막이 implant 매식에 유용하게 이용될 수 있으리라 평가한다.

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Expression of lac and gal operons in Zymomonas mobilis

  • Cho, Dong-Wuk;Rogers, Peter L.;Delaney, Stephen F.
    • Journal of Microbiology and Biotechnology
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    • 제4권2호
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    • pp.155-159
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    • 1994
  • Two Zymomonas mobilis strains (ZM63 and ZM6307), containing both lactose and galactose operons, were constructed. $\beta$-Galactosidase and galactokinase assays indicated that both operons were expressed in both strains. The transport systems available for lactose uptake by Zymomonas mobilis were investigated using $^{14}C$-labelled lactose. After the outer membrane, which was considered to be a possible barrier to lactose uptake, was disrupted by treatment with EDTA and $Ca^{2+}$ ions, some increase in lactose uptake was observed in ZM6306 ($lac^+$) and ZM6307 ($lac^+\;gal^+$), but not in the parent, ZM6. This suggested that the outer membrane of Zymomonas mobilis acts as a barrier to lactose uptake to some degree, and also that the lactose permease is operational in Zymomonas mobilis.

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