• 대한치과보철학회지
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• 제24권1호
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• pp.125-138
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• 1986

It is considered that etching solution or material itself of phosphoric ester cement will induce not a little pulpal irritation, if applied directly onto unsealed dentinal tubules. This study was designed to confirm above consideration by comparing two different conditions between $Ca(OH)_2$-based and non-$Ca(OH)_2$-based group. Posterior teeth of 15 male dogs were selected for this experiment. One experimental group was filled with cement after $Ca(OH)_2$-basing and enamel-etching, the other experimental group after enamel etching without $Ca(OH)_2$-basing. And both of two experimental groups were observed at 2 hours, 15 hours, 3 days, 1 week, 2 weeks, 4 weeks, and 6 weeks after filling. The findings reached to the following conclusions histologically. 1. In both groups, the damaged odontoblasts were atrophied and eventually disappeared. 2. In non-based group at early stage, odontoblasts were severely atrophied and defective areas were appeared between odontoblast cell layers. However, in based group, the odontoblasts were arranged slight irregularly. 3. In non-based group, a small number of undifferentiated cells below the odontoblast cell layers started to appear at 1 week after filling. However, in based group, the undifferentiated cells were appeared at 15 hours after filling. 4. In non-based group, formation of reparative dentin was not begun until late stage of experiment. However, in based group, formation of reparative dentin matrix was begun at 2 weeks after filling and very thickened reparative dentin was formed at 6 weeks after filling. 5. In odontoblast cell layers of both groups, dilated capillaries were observed. 6. Argyrophilic fibers were reticularly condensed in zone of Weil, and they were connected to the pulp tissue and dentin.

• 대한소아치과학회지
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• 제7권1호
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• pp.75-83
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• 1980

Rickets is not the deposite of minerals in the skeletal tissue and the retardation of skeletal growth in growing in growing animals. This study was undertaken to investigate the histologic effects of experimental rickets on the dental structure of the albino rats, and to show the relationship between the histological effects and the pulpal disease which induced premature loss of the primary teeth. This study was based on material obtained from 40 white rats that were placed on a rachitogenic diet for a period 1 to 56 days after weaning (at 24 days). In addition, a study was made of 25 litter mates, 24 to 80 days, that were fed a normal diet. The following results were obtained: 1. Enamel formation and calcification showed no significant changes and no hypoplasia. 2. Dentin formation and calcification was retarded and disturbed. In the experimental group, predentin/calcified dentin was remarkablly increased. 3. Newly formed dentin showed interglobular texture (less homogenous calcification) and the predentin was significantly wider and thicker, and there was an irregular wave in the basal portion of the rat's incisors. 4. In cementum, Matrix formed at almost a normal rate but calcification was defective. So cementoid tissue was increasesd. 5. The formation of the alveolar bone was at almost a normal rate but calcification was retarded. The trabecular bone was filled with osteoid tissue and thicker than in normal groups.

• Journal of Periodontal and Implant Science
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• 제33권3호
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• pp.359-372
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• 2003

Among objectives of periodontal therapy. the principal one is the morphological and functional reconstruction of lost periodontal supporting tissues. This includes de novo formation of connective tissue attachment and the regrowth of alveolar bone. The use of enamel matrix derivative(EMD) may be a suitable means of regeneration new periodontal attachment in the infrabony defects. Implant used to replace lost tooth but, implantitis occurred after installation. The purpose of this study was to investigate the effects of EMD on differentiation and growth of osteoblast in titanium disc. Twentyfive millimeter diameter and 1mm thick Ti disc which was coated 25, 50, 100, 200${\mu}g$/ml of EMD(Emdogain(R)) used as experimental group, 25, 50, 100, 200ng/d of rhBMP-2 as positive control group, and no coat as negative control group. A human osteosarcoma cell line Saos-2 was cultured in Ti disc and cell proliferation and Alkaline phosphatase (ALP) activity were measured at 1 and 6 days. PCR was performed at 2 and 8 hours. Semi-quantitative RT-PCR for mRNA expressions of various osteoblastic differentiation markers -type I collagen, ALP, osteopontin, and bone sialoprotein - were performed at appropriate concentrations based upon the results of MTT and ALP assay. Cultured cell-disc complexes were prepared for scanning electron microscopy (SEM) at 2 hour. Data were analyzed using Mann-Whitney and repeated- measures 1-way analysis of variance(SPSS software version 10,SPSS. Chicago. IL). After culture, there was more osteoblast in EMD100${\mu}g$/ml than in EMD50, 200${\mu}g$/ml on day 6. There was significant difference in experimental and positive control group compared control group, as times go by(1 and 6 days). Alkaline phosphatase activity was different significantly in EMD100, 200${\mu}g$/ml and BMP100, 200${\mu}g$/ml on day 6. The results of reverse transcriptase-polymerase chain reaction (RT-PCR) showed that expression of mRNA for ALPase, collagen type I, osteopontin. hone sialoprotein and BMP-2 was detected at 2 hour and 8 hour in EMI 200${\mu}g$/ml subgroup and BMP100ng/ml subgroup. The results of this study suggest that application of enamel matrix derivative on osteoblast attached to titanium surface facilitate the expression of bone specific protein and the differentiation and growth of osteoblast.

• 대한소아치과학회지
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• 제27권1호
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• pp.1-6
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• 2000

상아질 형성 부전증은 상아질 형성에 이상을 초래하는 유전성 질환으로, 주로 상염색체 우성의 양상으로 유전된다. 제1형의 상아질 형성 부전증은 골 형성 부전증 환자에서 나타난다. 제2형 상아질 형성 부전증은 골 형성 부전증과 연관되지 않고 단독으로 나타난다. 제3형 상아질 형성 부전증은 brandywine type이라고도 하는데, 이 유형은 매우 드물며 상염색체 우성에 의해 유전되고, Maryland 주에 사는 한정된 민족에서 관찰된다. 세가지 모든 유형에서 유치열과 영구치열 모두 다양한 임상 양상을 나타낸다. 치아는 유백색을 띠고, 청회색에서 황갈색까지 다양하게 변색되어 있다. 상아질은 비정상적으로 연하고, 상부의 법랑질을 기능적으로 지지하지 못한다. 비록 법랑질이 정상이고 해도, 쉽게 파절되어 떨어져나가, 교합면이나 절단면쪽 상아질이 노출된다. 노출된 유약 상아질은 쉽고, 빠르게 심한 교모를 일으킨다. 치아는 구형의 치관과 협소화된 백악-법랑 경계 그리고 가는 치근을 나타낸다. 치수강과 치근관은 다양한 정도의 폐쇄상을 나타낸다. 백악질, 치주인대, 그리고 치조골은 정상 소견을 나타낸다. 상아질 형성 부전증에서 법랑질은 정상이다. 법랑질은 직하방의 mantle dentin은 거의 정상적이나, 나머지 상아질은 심각한 정도의 이형성을 나타낸다. 상아세관은 방향성을 상실하여 불규칙적이며, 정상보다 더 크고 공간도 넓다.

• 한국축산식품학회지
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• 제40권6호
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• pp.1001-1013
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• 2020

The formation of biofilms on the enamel surface of teeth by Streptococcus mutans is an important step in dental plaque formation, demineralization, and early caries because the biofilm is where other bacteria involved in dental caries attach, grow, and proliferate. The objectives of this study were to determine the effect of phosvitin (PSV) on the biofilm formation, exopolysaccharides (EPS) production, adherence activity of S. mutans, and the expression of genes related to the compounds essential for biofilm formation (quorum-sensing inducers and components of biofilm matrix) by S. mutans. PSV significantly reduced the biofilm-forming activity of S. mutans and increased the degradation of preformed biofilms by S. mutans. PSV inhibited the adherence activity of S. mutans by 31.9%-33.6%, and the production of EPS by 62%-65% depending upon the strains and the amount of PSV added. The expressions of genes regulating the production of EPS and the quorum-sensing-inducers (gtfA, gtfD, ftf, relA, vicR, brpA, and comDE) in all S. mutans strains were down-regulated by PSV, but gtfB was down-regulated only in S. mutans KCTC 5316. Therefore, the anti-biofilm-forming activity of PSV was accomplished through the inhibition of biofilm formation, adherence activity, and the production of quorum-sensing inducers and EPS by S. mutans.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권4호
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• pp.281-286
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• 2009

Introduction: Enamel matrix derivative (EMD) is a protein which is secreted by Hertwig root sheath and plays a major role in the formation of cementum and attachment of peridontium. Several studies have shown that EMD promoted the proliferation and differentiation of preosteoblasts, osteoblasts and periodontal ligament cells in vitro: however, reports showing the inhibition of osteogenic differentiation by EMD also existed. This study was designed to simultaneously evaluate the effect of EMD on the two cell lines (human mesenchymal stem cells: hMSC, human periodontal ligament derived fibroblasts: hPDLCs) by means of quantitative analysis of some bone related matrices (Alkaline phosphatase : ALP, osteopontin ; OPN, osteocalcin ; OC). Materials and Methods: hMSCs and hPDLCs were expanded and cells in the 4${\sim}$6 passages were adopted to use. hMSc and hPDLCs were cultured during 1,2,7, and 14 days with 0, 50 and 100 ${\mu}g/ml$ of EMD, respectively. ALP activity was assessed by SensoLyte ALP kit and expressed as values of the relative optical density. Among the matrix proteins of the bony tissue, OC and OPN were assessed and quantification of these proteins was evaluated by means of human OC immunoassay kit and human OPN assay kit, respectively. Results: ALP activity maintained without EMD at $1,2^{nd}$ day. The activity increased at $7^{th}$ day but decreased at $14^{th}$ day. EMD increased the activity at $14^{th}$ day in the hPDLCs culture. In the hMSCs, rapid decrease was noted in $7^{th}$ and $14^{th}$ days without regard to EMD concentrations. Regarding the OPN synthesis in hPDLCs, marked decrease of OPN was noted after EMD application. Gradual decrease tendency of OPN was shown over time. In hMSCs, marked decrease of OPN was also noted after EMD application. Overall concentration of OPN was relatively consistent over time than that in hPDLCs. Regarding the OC synthesis, in both of hPDLCs and hMSCs, inhibition of OC formation was noted after EMD application in the early stages but EMD exerted minimal effect at the later stages. Conclusion: In this experimental condition, EMD seemed to play an inhibitory role during the differentiation of hMSCs and hPDLCs in the context of OC and OPN formation. In the periodontium, there are many kinds of cells contributing to the regeneration of oral tissue. EMD enhanced ALP activity in hPDLCs rather than in hMSCs and this may imply that EMD has a positive effect on the differentiation of cementoblasts compared with the effect on hMSCs. The result of our research was consistent with recent studies in which the authors showed the inhibitory effect of EMD in terms of the differentiation of mineral colony forming cells in vitro. This in vitro study may not stand for all the charateristics of EMD; thus, further studies involving many other bone matrices and cellular attachment will be necessary.

• Restorative Dentistry and Endodontics
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• 제32권6호
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• pp.498-513
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• 2007

법랑질 초기 우식이 회복된다는 것이 보고된 이래 법랑질에 대하여 불소를 첨가한 상태에서 행했던 이전의 연구들은 법랑질 인공우식의 재광화가 표면층의 증가와 함께 병소본체의 폭 감소가 일어난다는 정량적인 평가는 많이 하였으나 불소를 첨가하지 않은 상태에서는 재광화가 일어났다는 연구는 부족하였고, 또 수산화인회석 결정의 입자 변화에 대한 관찰도 미비하였다. 본 연구는 탈회나 균열이 없는 소구치 및 대구치를 대상으로 탈회 완충용액을 이용하여 법랑질을 2일간 탈회시키고, pH와 포화도가 상이 한 7가지 유산 완충용액으로 10일 동안 재광화를 유도한 후 치아를 파절시켜 수산회인회석 결정의 변화를 원자현미경과 주사전자현미경을 이용하여 정성적으로 비교 관찰하여 다음과 같은 결과를 얻었다. 1. 탈회된 부위에서 관찰된 수산화인회석 결정은 정상적인 수산화인회석 결정보다 크기가 작았으며 결정 사이의 공간이 증가하면서 결정들이 불규칙하게 존재하는 것이 관찰되었다. 2. 재광화된 부위에서는 탈회에 의하여 형성된 빈 공간에 작은 수산화인회석 결정이 새로 침착되는 양상과 결정들이 융합하여 다양한 모습을 갖는 더 커진 결정들을 관찰할 수 있었다. 3. 동일한 pH에서 포화도가 더 높은 3군, 4군은 1군, 2군에 비하여 표면층에서부터 병소본체까지 작은 결정들이 모여 큰 cluster를 형성하였으며 특히 4군에서는 병소본체까지 완전한 재광화가 일어났다. 비슷한 포화도에서는 pH가 더 낮은 5군, 6군은 7군에 비하여 병소본체까지 재광화가 일어났으며 3군, 4군처럼 결정들이 모여 cluster를 형성하기보다는 개개의 입자들이 뚜렷한 외형을 가지며 매우 치밀하게 분포되어 있었다.히고, 시간이 경과함에 따라 일렬로 배열된 섬모들로 대치되며, 그 후 섬모를 포함한 상부세포막이 부분적으로 돌출하고, 마지막으로 전형적인 후각소포로 발달한다. 나타내었다. 스폰지 케이크의 관능평가 결과 촉촉함이나 전체적인 기호도를 중심으로 평가할 때 증숙 마늘 분말 4% 첨가군의 선호도가 가장 높았다. 이상의 모든 분석결과를 종합하여 볼 때 증숙 마늘 분말 첨가시 케이크의 품질 및 기호도에 영향을 미치지 않으면서 첨가 가능한 범위는 8% 이내로 판단되며, 4% 첨가시 가장 우수한 품질을 얻을 수 있을 것으로 판단된다.할 것으로 보인다.. Sucrose, CCC 및 일장차이에 따른 AGPase 활성의 변화에 있어서 암처리에서는 sucrose 농도 3%보다 8%에서 양호하였고 sucrose 3%, 8%에서도 각각 CCC의 효과를 볼 수 있었다. 8시간 처리에서는 sucrose 농도 3%보다 8%에서 양호하였고 sucrose 3%, 8%에서는 CCC의 효과가 나타나지 않았다. 16시간 처리 sucrose 농도 3%보다는 8%에서 양호하였고 sucrose 3%에서는 CCC의 효과가 나타나지 않았으나 8%에서는 CCC의 효과를 볼 수 있었다. 결과적으로 sucrose의 농도가 높고, CCC와 암처리의 괴경형성의 촉진조건에서 AGPase의 활성이 양호함을 볼 때, AGPase가 starch 합성에 중요한 물질이라는 사실이 확인되었다. 평균 1.4/2.0점(70%)으로 가장 낮게 평가되었으며, '적정 검사시설 및 기구 구비' 항목은 공산품에서 평균 0.2점으로 평가되어 타품목에 비해 현저히 낮았고(p<0.01), 평가한 93개 항목 중 가장 불량한 상태로 관리되고 있음을

• Restorative Dentistry and Endodontics
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• 제18권2호
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• pp.277-290
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• 1993

Dental caries is considered to be caused by demineralization by organic acid produced by microorganism. But the formation of subsurface lesion in initial caries make it diffcult to explain by simple demineralization. This study is carried out on the basis of thermodynamic concept proposed by Margolis and Moreno. The purpose of this study is to evaluate the effects of acid concentration and pH of lactate buffer system on the artificial caries lesion progress. 160 teeth without any crack, defect or opaque enamel were used and coated with nail varnish except the window ($2{\times}3$ mm). Under the constant degree of saturation(D.S.). The teeth were divided into 8 groups according to acid concentration(10mM, 25mM, 50mM, 100mM) and pH(4.3, 5.0, 6.0). Each group was immersed in buffer solution for 3, 6, 9, 18 days under controlled temperature($25^{\circ}C$). After cutting through the window and grinding, the specimens, 100-150 um in thickness, were imbibed in water or air and examined using polarilizing microscope. The depth of the surface and subsurface surface lesion were measured. 1. In the constant pH and D. S. value, the subsurface lesion progresses more rapidly as the concentration of lactic acid increases. (0.01, 0.025, 0.05, 0.1) 2. In the constant acid concentration and DS value, the subsurface lesion progresses more slowly as the pH increases. (4.3, 5.0, 5.5, 6.0) 3. The width of surface lesion seems to be constant independant of pH and acid concentration.

• 대한치과의사협회지
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• 제53권12호
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• pp.935-948
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• 2015

목적: 법랑기질 유도체(EMD)가 사람 치주인대 줄기세포(hPDLSC)의 조직 형성능에 미치는 영향을 in vitro와 in vivo 분석 모델을 이용해 평가한다. 재료 및 방법: hPDLSC를 배양하여 운반체와 함께 면역 억제된 쥐 등에 이식하였다; (1)대조군: EMD 처치하지 않은 운반체에 심어진 hPDLSC군 ($EMD^-/hPDLSC^+$), (2)실험군: EMD 처치한 운반체에 심어진 hPDLSC군 ($EMD^+/hPDLSC^+$). 각 군당 5마리씩 시행하고 8주 후 희생하였다. 조직학적, 조직계측학적 분석을 통해 형성된 백악질의 면적과 백악세포의 수 그리고 샤피 섬유의 수를 계측하였으며 면역조직화학적 분석을 통해 백악질과 교원질 형성을 평가하였다. 또한 in vitro에서 hPDLSC의 수용성 교원질과 glycosaminoglycan 형성에 대한 EMD의 효과를 분석하였다. 결과: 조직학적 분석에서 교원질성 치주 인대 조직이 실험군에서 현저하게 많이 생성된 것을 관찰할 수 있었다. 형성된 백악질의 면적과 백악세포의 수는 군 간 차이가 없었으나, 새롭게 형성된 샤피 섬유의 수는 실험군에서 대조군보다 유의하게 많았다(p<0.05). 교원질 형성에 대한 면역조직 화학적 분석 결과, 실험군에서 I, III형 교원질과 hydroxyproline의 발현이 높았다. 또한 in vitro에서 hPDLSC에 의한 수용성 교원질과 glycosaminoglycan 형성이 EMD의 농도에 비례하여 증가하였다 (p<0.05). 결론: EMD는 hPDLSC에 의한 샤피 섬유 및 교원질 생성을 증가시키고, 이는 새로운 백악질의 기능적 부착과 치주조직 재생에 중요한 역할을 한다.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.322-331
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• 2022

Background: The combined use of biomaterials for regeneration may have great biological relevance. This study aimed to compare the regenerative potential of biphasic calcium phosphate (BCP) alone and with growth factor enamel matrix derivatives (EMDs) for the regeneration of intrabony defects at 1 year. Methods: This randomized controlled trial included 40 sites in 29 patients with stage II/III periodontitis and 2/3 wall intrabony defects that were treated with BCP alone (control group) or a combination of BCP and EMD (test group). BCP alloplastic bone grafts provide better bio-absorbability and accelerate bone formation. EMDs are commercially available amelogenins. Mean values and standard deviations were calculated for the following parameters: plaque index (PI), papillary bleeding index (PBI), vertical probing pocket depth (V-PPD), vertical clinical attachment level (V-CAL), and radiographic defect depth (RDD). Student paired and unpaired t-tests were used to compare the data from baseline to 12 months for each group and between the groups, respectively. The results were considered statistically significant at p<0.05. Results: At 12 months, the PI and PBI scores of the control and test groups were not significantly different (p>0.05). The mean V-PPD difference, V-CAL gain, and RDD difference were statistically significant in both groups at 12 months (p<0.001 for all parameters). Intergroup comparisons showed that the mean V-PPD reduction (2.13±1.35 mm), V-CAL gain (2.53±1.2 mm), and RDD fill (1.33±1.0 mm) were statistically significant between the groups at 12 months (p<0.001 for all parameters). Conclusion: BCP and EMDs combination is a promising modality for the regeneration of intrabony defects.