Papers by Author: Kyoung Nam Kim

Abstract: In this study, the osteoconductive properties of novel cyanoacrylate-based filling materials for bone defect were evaluated. A new filling material was prepared by mixing Histoacryl® and acid-treated
-tricalcium phosphate (
-TCP). Mixing weight ratio of acid-treated
-TCP to Histoacryl® was 5:1. 12 male Spraque-Dawley rats were used in this study. The animals were divided into 4 groups. Critical-sized calvarial defects (8 mm) were created in 9 animals, and then the defects were treated with dense pellet specimen, porous cement-like specimen, and untreated defect for surgical control group. Augmentation treatments were carried out in 3 animals. Histological analysis revealed excellent ostgeoconductive properties of new filling materials. But, some of
-TCP particle in the cement-like group were encapsulated by fibrous connective tissue. For the dense pellet group and augmentation treatment group, shape and stability were better maintained during the implantation time than cement like group. These results indicate that our novel
-TCP/Histoacryl® composite have the potential to serve as filling materials for bone defects in the dental and plastic surgery.

Abstract: A numerous techniques have been applied to fabricate three-dimensional scaffolds of high porosity and surface area. And X-ray micro computed tomography can be used studying the architecture of scaffold. In this study, we fabricated three-dimensional macroporous scaffold by polymeric sponge method using calcium phosphate glass. Calcium phosphate glass slurry was prepared by dissolving the glass powder in water polyvinyl alcohol, polyethylene glycol and dimethyl formamide. Reticulated polyurethane sponges were used as a template and were coated with the prepared slurry by infiltration technique several times. Sintering at 950oC exhibited dense microstructure as well as entire elimination of organic additives. By repeating the coating and sintering process, it was possible to decrease the pore size and be thick the strut of the structure. The unique feature of the micro computed tomography is that the three dimensions computed reconstruction can be sliced along any direction to gain accurate information on the internal geometric properties and structural parameters of scaffold. Porosity, surface area per unit volume and mean thickness of strut were evaluated through imaging and computer software of scaffold scan data.

Abstract: The objective of this study was to produce a macroporous hydroxyapatite(HA) scaffold with high strength by controlling the size of HA particles as well as cooling rate from the sintering temperature. Macroporous polyurethane sponge was employed as template to manufacture the macroporous HA scaffolds. Particle sizes of HA powders selected in this study were 4 µm and 7 µm. They were dispersed in distilled water with organic additives and infiltrated into polyurethane sponge. After drying and sintering at 1300oC, cooled down to room temperature slowly to prevent microcracking either 1oC/min or 3oC/min. Density, porosity and compressive strength were measured with different particle size and cooling rate. Both density and compressive strength were increased with decreasing particle size or cooling rate, while porosity was not related to.

Abstract: Previous studies have shown that hydroxyapatite increases the bonding strength of dental luting cement with human teeth by forming bone-like apatite when it is added to cement. However, due to the low solubility of the hydroxyapatite, its ability to form bone-like apatite decreases in protein-free acellular simulated body fluid with ion concentrations nearly equal to those of the human blood plasma. The purpose of this experiment was to increase the formation of bone-like apatite by mixing hydroxyapatite with β-TCP of high solubility. RelyXTM glass ionomer cement(3M/ESPE, USA) was used as dental luting cement. Film thickness, setting time, and compressive strength was measured for each group of 15% hydroxyapatite, 15% β-TCP, and 15% mixed hydroxyapatite and β-TCP (85:15). Every specimen of each group was immersed in the simulated body fluid for four week before measuring bonding strength, and then their sectional surface was observed under SEM. The most noteworthy result was that the group containing β-TCP produced more amount of bone-like apatite compared with the group composed of only hydroxyapatite.

Abstract: The mineral phase of bone and teeth is mainly hydroxyapatite. Currently there are numerous researches being conducted on the effect of the addition of hydroxyapatite to dental materials. Among them, several studied were published stating that the addition of hydroxyapatite to composite resin or glass ionomer cement resulted in an improvement in bonding strength and physical properties Therefore, this study will investigate the effect that the addition of hydroxyapatite to light curing glass ionomer cement has on bonding strength. Two different light curing glass ionomer cement products were selected (FujiⅡLC, GC Cor, Japan and Vitremer™ , 3M/ESPE, USA) and hydroxyapatite was mixed into the light curing glass ionomer cement at various concentrations to create hydroxyapatite-light curing glass ionomer cement mixture. In order to confirm that hydroxyapatite-light curing glass ionomer cement met the basic requirements of dental materials, sensitivity to ambient light, depth of cure, and flexural strength were tested. From the results of the above mentioned tests, the hydroxyapatite-light curing glass ionomer cement with the most superior physical properties for each product (15% HA-Fuji Ⅱ LC, 20% HA-Vitremer™)was bonded to the teeth and then immersed in artificial saliva(36.5°C) for four weeks. Finally the sectioned surface was observed under SEM after measuring the bonding strength. As the hydroxyapatite concentration increased, the depth of cure decreased. However flexural strength increased and there was not much change in the sensitivity to ambient light. Bonding strength, which was the main focus of this study, increased with the addition of hydroxyapatie and scanning electron microscope findings show a more cohesive type of fracture in the material with bone like apatite material formation along the tooth-material interface.

Abstract: In preliminary ageing test, the cement using only calcium phosphate glass as power phase cracked with 1 day in simulated body fluid because of high dissolution rate of the cement. We added 30 wt% of either β-TCP or HA to 70 wt% calcium phosphate glass as powder phase to control the dissolution rate of the cement and performed in vitro ageing test in simulated body fluid by dynamic protocol as well as static protocol to confirm the possibility of controlling. Adding either β-TCP or HA to the cement increases the setting time and decreases the compressive strength. In dynamic assay, the pH of extract is maintained over 7. However, pH decreased to around 5 in static assay. Therefore, weight loss by static protocol continuously increased for 14 days, while weight loss by dynamic protocol almost saturated. In XRD patterns of ageing cements, CaO peaks appeared. CaO peak was maximized most lately in dynamic assay of the cement adding HA and within 7 days, the cement adding HA showed higher weight loss. It is indicated that CaO formed in surface of the cement hinder the dissolution of the cement. In addition, compressive strength increased when the CaO peak was maximized.

Abstract: The formation of titanium oxide layer with micro and nanotube arrays on titanium substrate was investigated by grit-blasting and anodic oxidation treatment. Micro rough surface can be formed by grit-blasting and nanotube arrays can be formed by anodic oxidation. The morphology of the hybrid surface(micro and nanotube arrays surface) can be affected by the mechanical conditions (grit size, grit material, blasting pressure, nozzle tip of blasting machine, distance nozzle tip and specimen, blasting time) and electrochemical conditions (applied potential, electrolyte concentration and anodizing time) used. Such micro pore and nanotube arrays of titanium oxide can be useful for well-adhered bioactive surface layer on Ti implant metals for orthopedic and dental implants, as well as for photo catalysts and other sensor applications.

Abstract: In tissue engineering, a scaffold helps determine 3-dimensional morphology, increases cell survival, provides initial mechanical stability, supports tissue ingrowth, aids in the formation of tissue structure. Chitosan is the partially deacetylated form of chitin that can be extracted from crustacean. It degrades in the body to non-harmful and non-toxic compounds and has been used in various fields such as nutrition, metal recovery and biomaterials. Hydroxyapatite, a major inorganic component of bone, has been used extensively for biomedical implant applications and bone regeneration due to its bioactive, biodegradable and osteoconductive properties. The application, however, of hydroxyapatite is limited due to own brittleness. Since the natural bone is a composite mainly consisted of organic collagen and inorganic hydroxyapatite, many efforts have been made to modify hydroxyapatite by polymers. In this study, organic/inorganic hybrids were fabricated solid-liquid phase separation and a subsequent freeze-drying process. The microstructure, mechanical properties, and bioactivity of the scaffolds with various contents of hydroxyapatite were studied. The structure of the scaffolds prepared was macroporous and interconnected. The compressive mechanical properties such as compressive modulus and yield strength were improved according to the increase of hydroxyapatite contents mixed with chitosan. After 7 days of sample immersion in a simulated body fluid, for scaffolds containing hydroxyapatite, numerous bonelike apatites were formed on the surfaces of the pore walls. This study suggests that desirable pore structure, mechanical properties, and bioactivity of the hybrid scaffolds might be achieved through controlling the ratio of hydroxyapatite and chitosan.

Abstract: The purpose of this study was to evaluate the cell affinity of calcium phosphate glass scaffold in the system of CaO-CaF2-P2O5-MgO-ZnO, which is already reported that promoted the bone-like tissue formation in vitro and formed new bone in Sprague-Dawley rats. We prepared calcium phosphate glass saffolds with three-dimensionally interconnected pores of 200~500 µm. Commercial HA scaffold was employed as a control in this study. Bone marrow cells were collected from the healthy human donors and cultured within the prepared scaffolds. After 2, 4, 6, and 8 weeks, hMSCs/scaffold were fixed and stained with hematoxylin and eosin. hMSCs were continuously proliferated both in the experimental and control groups at every incubation period. The number of cells was higher in the experimental group than that of the control group, however, there was no significant difference (p>0.05). Extracellular matrices could be observed at the 2nd and 4th days in the experimental and control groups, respectively. The extracellular matrices were more abundant in the experimental group at all periods. The prepared calcium phosphate glass scaffolds are expected effective in bone tissue engineering.

Abstract: The purpose of this study was to compare the bone regenerative effect of calcium phosphate glass and glass-ceramics in the system of CaO-CaF2-P2O5-MgO-ZnO, which is already reported that promoted the bone-like tissue formation in vitro and formed new bone in Sprague-Dawley rats. We prepared calcium phosphate glass and glass-ceramics with Ca/P ratio of 0.6 using the system CaO-CaF2-P2O5-MgO-ZnO and subsequently milled to 400 µm. 4×4 mm 1-wall intrabony defects of six beagle dogs were surgically created and used in this study. 8 weeks after transplantation of the prepared calcium phosphate glass and glass-ceramics in the experimental group 1 and 2, respectively, the animals were sacrificed. No root resorption or ankylosis were observed in all groups. It can be examined that the prepared glass-ceramics were more effective in alveolar bone regeneration with statistical signigicant difference. In cementum regeneration, both the prepared glass and glass-ceramics showed significantly different effect. However, there were no statistical significant difference neither in glass nor glass-ceramics in the amounts of junctional epithelium migration and connective tissue adhesion. Further study is required to control the flowability as well as reduce the absorption rate in vivo.