디지털 스캔을 이용하여 제작된 임플란트 수술가이드의 정확도
Accuracy assessment of implant placement using a stereolithographic surgical guide made with digital scan
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목적: 본 연구는 Tricalcium phosphate 입자를 사용한 모재분사 후 양극산화처리를 한 임플란트 표면의 특성을 분석하고, 골모유사세포의 반응을 평가하고자 하였다. 재료 및 방법: 직경 10 mm, 두께 3.0 mm 크기의 Grade IV 타이타늄 디스크를 시편으로 사용하였으며, 양극산화처리(ASD)군, 모재 분사 후 양극산화 (RBM/ASD)군, 대조군(machined surface)으로 나누어 표면처리하였다. 표면처리 후 FE-SEM, 에너지분산분광기와 주사전자현미경을 사용하여 표면특성을 평가하였다. 세포의 부착을 평가하기 위해 골모유사세포를 이용해 crystal violet assay를 통해 세포부착을 평가하고, 세포 형태는 공초점 레이저 현미경을 사용하여 관찰하였다. 세포증식을 평가하기 위해 XTT 시험을, 세포분화는 역전사 중합효소연쇄반응을 사용하였으며 침착된 칼슘의 양을 측정하기 위해 Alizarin red S stain 을 이용하였다. 비교분석은 one-way ANOVA (SPSS version 18.0)로 유의수준 5%에서 검정하였다. 결과: ASD군과 RBM/ASD군에서, 분화구 모양의 표면 형상이 나타났으며, 대조군과 비교하여 산소와 인산 이온이 관찰되었다. 단위면적당 거칠기는 대조군에서 0.08 ± 0.04 ㎛, ASD군에서 0.52 ± 0.14 ㎛, RBM/ASD군에서 1.45 ± 0.25 ㎛를 보였다. 세포반응실험에서, ASD군과 RBM/ASD군이 대조군에 비해 세포의 부착정도가 높았으며 대조군이 세포증식에서 가장 높은 값을 보였다(P<.05). RT-PCR 실험에서, RBM/ASD군이 다른 군들보다 높은 ALP를 보였다(P<.05). ASD군과 비교했을 때 RBM/ASD군은 세포부착과 증식 정도에서 큰 값을 보였다(P<.05). 결론: 본 연구의 한계내에서 모재분사 후 양극산화 처리한 티타늄 표면 처리 방식이 단순 양극산화 처리한 군이나 대조군보다 골모유사세포의 반응에 효과적인 방법임을 확인하였다.
Abstract
Purpose: The purpose of this study is to examine characteristics of implant surface with RBM and anodizing treatments, and to evaluate the responses of osteoblast-like cell (MG-63 cell). Materials and methods: Grade IV titanium disks were fabricated (Diameter 10 mm, thickness 3 mm). Anodizing treatment (ASD) group, RBM and anodizing treatment (RBM/ASD) group, control (machined surface) group were divided. In this study, osteoblast-like cell was used for experiments. The experiments consist of surface characteristics evaluation by FE-SEM images, energy dispersive spectroscopy and stereo-SEM. In order to evaluate cell adhesion evaluation by crystal violet assay and observe cells form by confocal laser microscopy. To assess cell proliferation by XTT assay, cell differentiation by RT-PCR and mineralization by Alizarin red S stain assay. ELISA analyzer was used for Quantitative evaluation. Comparative analysis was run by one-way ANOVA (SPSS version 18.0). Differences were considered statistically significant at P<.05. Results: In ASD group and RBM/ASD group, the surface shape of the crater was observed and components of oxygen and phosphate ions in comparison with the control group were detected. The surface average roughness was obtained 0.08 ± 0.04 ㎛ in the control group, 0.52 ± 0.14 ㎛ in ASD group and 1.45 ± 0.25 ㎛ in RBM/ASD group. In cell response experiments, ASD group and RBM/ASD group were significantly higher values than control group in cell adhesion and mineralization phase, control group was the highest values in the proliferative phase. In RT-PCR experiments, RBM/ASD group was showed higher ALP activity than other groups. RBM/ASD group incomparison with ASD group was significantly higher value for cell adhesion and proliferation phase. Conclusion: In the limitation of this study, we are concluded that the surface treatment with RBM/ASD seems more effective than ASD alone or machined surface on cellular response.
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