Publications by authors named "Bu Kyu Lee"

Article Synopsis
  • Temporomandibular joint osteoarthritis (TMJOA) is a degenerative disorder characterized by inflammation and damage to the temporomandibular joint, and current treatments only address symptoms.
  • Human umbilical cord mesenchymal stem cells (hUC-MSCs) may provide a new treatment option by modulating the immune response, especially when stimulated with inflammatory cytokines like interferon-gamma, which enhance their therapeutic effects.
  • Research indicates that these stimulated hUC-MSCs promote M2 macrophage polarization, reduce inflammation, and improve cartilage repair in a rat model of TMJOA, suggesting that they could be a promising therapeutic strategy for managing this condition.
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Article Synopsis
  • Temporomandibular joint osteoarthritis (TMJOA) is a degenerative condition causing pain and dysfunction, prompting the search for effective alternative treatments like mesenchymal stem cells (MSCs).
  • The study evaluates the best MSC cell line primed with interferon-gamma (IFN-γ) for treating TMJOA and tests its therapeutic effectiveness using a rat model.
  • Results showed that IFN-γ-primed MSCs enhanced anti-inflammatory factors and promoted cartilage regeneration, suggesting they could be a promising treatment approach for TMJOA by reducing inflammation.
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Background: The use of beta-tricalcium phosphate (beta-TCP) in dental surgery is limited owing to its rapid absorption compared to mixed formulations of hydroxyapatite. However, newly developed pure beta-TCP crystals have demonstrated slow absorption; hence, they last longer within the defect and act as a scaffold until new bone formation. The oral environment is unique and can prove unfavorable for bone grafts due to the high infection rate in the oral cavity and the fragile condition of the oral mucosa.

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Article Synopsis
  • The study outlines an animal model for osteoarthritis (OA) in rats that can be modified by adjusting the concentration of monosodium iodoacetate (MIA) to regulate OA progression and severity.
  • A specific injection technique using the zygomatic arch as a reference point was developed to ensure accurate MIA delivery to induce TMJOA (temporal mandibular joint osteoarthritis) more reliably.
  • Micro-CT scans and pain responses confirmed the presence of OA-like lesions and inflammation, with an 8 mg MIA concentration proving most effective for observing long-term changes in the rat model.
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Background: Magnesium alloys have been receiving much attention for use in biodegradable metal implants because of their excellent mechanical properties and biocompatibility. However, their rapid breakdown and low bioactivity can cause the implant to lose mechanical integrity before the bone is completely healed. Moreover, hydrogen gas released during degradation can significantly delay the tissue regeneration process.

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Background: Arthrocentesis of the temporomandibular joint (TMJ) is an easy, highly efficient, minimally invasive procedure for treating temporomandibular joint disorders (TMDs). However, in some cases of mouth opening limitation (MOL), routine arthrocentesis is ineffective due to severe fibrotic adhesion in the superior joint space of the TMJ. In this condition, mechanical lysis of the adhesions might be needed to resolve the MOL, as well as other symptoms, such as chronic pain.

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Recent Trends in Orthognathic Surgery in Asia.

Facial Plast Surg Clin North Am

November 2021

Anatomy and standards of beauty are different between Asians and Westerners. Unlike Westerners, Asians have a wide and prominent jaw shape but prefer a slim and soft face shape. To achieve this goal, maxillary setback and/or posterior impaction surgeries are popular among upper jaw surgery, and various adjuvant surgeries are performed simultaneously on the mandible to obtain the so-called oval shape or V-line face.

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Article Synopsis
  • Clear aligner technology is a popular choice for adults seeking orthodontic treatment due to its aesthetics and comfort, but it has limitations, especially with complex tooth movements.
  • This study investigates a new overhanging attachment design that aims to improve control over tooth movement compared to traditional attachments.
  • The results indicate that the overhanging attachment is more effective in reducing crown tipping and axial rotation of the central incisor, although neither attachment type can prevent the tooth from leaning inward (lingual inclination).
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Background: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a severe sequela caused by bisphosphonates (BPs), which are widely used to treat osteoporosis or other malignancies. However, the mechanism underlying BRONJ remains unclear. Recently, human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) have been studied for treatment of diverse diseases and injuries.

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The onlay-graft, one of the most difficult graft conditions, is used for diverse clinical conditions, including plastic and dental surgery. The graft should withstand continuous pressure from overlying tissues and have excellent bone formation capability in a limited bone contact situation. We recently developed a 3D printed Kagome-structured polycaprolactone (PCL) scaffold that has a stronger mechanical property.

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Background: Dental studies of precocious puberty have focused on examination of jaw and dentition growth. The aim of the study was to analyze the relationship between precocious puberty and maxillary dental developmental abnormalities (DDAs).

Methods: This retrospective study was conducted on the Korean patients in whom dental panoramic and hand-wrist radiographs had been taken before they were 15 years of age.

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Background: The purpose of this study is to introduce our modified disc plication technique using MITEK mini anchors and to evaluate the clinical outcome for patients with internal derangement (ID) of the temporomandibular joint (TMJ).

Patients And Methods: We evaluated 65 joints in 46 patients, comprised 32 women and 14 men, who first visited the Asan Medical Center from December 2012 to December 2016. The age of the patients ranged from 14 to 79 years, with a mean age of 36.

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Background: Osteoarthritis (OA) in the temporomandibular joint (TMJ) in the TMJ (TMJ-OA) is difficult to treat, and new alternative treatments are needed. Recently, adipose-derived stem cells (ASCs) have been introduced as a promising cell source because of their anti-inflammatory effects. However, the cost and availability of these cells limited broader applications of stem cell therapy.

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A Le Fort I osteotomy is a common procedure for correcting dental and facial deformities in orthognathic surgery. In rare cases, a delayed hemorrhage can occur as early as several hours or up to 12 weeks, postoperatively. The most frequently involved blood vessels in a delayed hemorrhage are the descending palatine artery, the internal maxillary artery, and the pterygoid venous plexus of veins.

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Article Synopsis
  • In 2007, rhBMP-2 was approved to augment bone tissue in dental procedures, but high doses and poor retention in carriers like collagen sponges can lead to side effects.
  • Demineralized dentin matrix (DDM), which has been used alongside rhBMP-2 since 1998, shows promise as a better carrier, offering sustained release and supporting bone growth over 30 days.
  • This review examines the histological results of using DDM with rhBMP-2, aiming to emphasize its effectiveness and biological benefits in dental implant applications.
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Background: The worldwide incidence of squamous cell carcinoma of the tongue (SCCOT) in young patients has been increasing. We investigated clinicopathologic features of this unique population and compared them with those of SCCOT in the elderly to delineate its pathogenesis.

Methods: We compared clinicopathological parameters between patients under and over 45 years old.

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Osteoarthritis (OA) is a degenerative condition of the temporomandibular joint (TMJ) characterised by chronic inflammation and damage to joint structures. Because of the complexity of TMJ-OA, only symptomatic treatments are currently available. Recent reports have shown that many of stem cells can exert anti-inflammatory and tissue-regenerating effects.

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[This corrects the article on p. 51 in vol. 45, PMID: 31106133.

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Demineralized dentin matrix (DDM) has been used as a recombinant human bone morphogenetic protein-2 (rhBMP-2) carrier in many clinical trials. To optimize the clinical safety and efficacy of rhBMP-2 with DDM, efforts have been made to improve the delivery of rhBMP-2 by 1) lowering the administered dose, 2) localizing the protein, and 3) prolonging its retention time at the action site as well as the bone forming capacity of the carrier itself. The release profile of rhBMP-2 that is associated with endogenous BMP in dentin has been postulated according to the type of incorporation, which is attributed to the loosened interfibrillar space and nanoporous dentinal tubule pores.

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As dental implant surgery and bone grafts were widely operated in Korean dentist, many bone substitutes are commercially available, currently. For commercially used in Korea, all bone substitutes are firstly evaluated by the Ministry of Health and Welfare (MOHW) for safety and efficacy of the product. After being priced, classified, and registration by the Health Insurance Review and Assessment Service (HIRA), the post-application management is obligatory for the manufacturer (or representative importer) to receive a certificate of Good Manufacturing Practice by Ministry of Food and Drug Safety.

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Treatment of extensive muscle loss due to traumatic injury, congenital defects, or tumor ablations is clinically challenging. The current treatment standard is grafting of autologous muscle flaps; however, significant donor site morbidity and graft tissue availability remain a problem. Alternatively, muscle fiber therapy has been attempted to treat muscle injury by transplanting single fibers into the defect site.

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In clinical conditions, the reconstructions performed in the complex and three-dimensional bone defects in the craniomaxillofacial (CMF) area are often limited in facial esthetics and jaw function. Furthermore, to regenerate a bone defect in the CMF area, the used scaffold should have unique features such as different mechanical strength or physical property suitable for complex shape and function of the CMF bones. Therefore, a three-dimensional synthetic scaffold with a patient-customized structure and mechanical properties is more suitable for the regeneration.

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Background: The fabrication of microchannels in hydrogel can facilitate the perfusion of nutrients and oxygen, which leads to guidance cues for vasculogenesis. Microchannel patterning in biomimetic hydrogels is a challenging issue for tissue regeneration because of the inherent low formability of hydrogels in a complex configuration. We fabricated microchannels using wire network molding and immobilized the angiogenic factors in the hydrogel and evaluated the vasculogenesis and .

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Purpose: This research evaluated clinical outcomes of two types of hydroxyapatite (HA)-coated implants: OT (Osstem TS III-HA, Osstem implant Co., Busan, Korea) and ZM (Zimmer TSV-HA, Zimmer dental, Carlsbad, USA).

Materials And Methods: The research was conducted on 303 implants (89 of OT, 214 of ZM), which were placed from January 16, 2010 to December 20, 2012.

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