Screening the toxicity profile and genotoxicity mechanism of excess manganese confirmed by spectral shift

In this study, the toxicity induced by excessive doses of manganese (MnCl₂), which is one of the essential trace elements for the continuation of the metabolic activities of the organisms, was investigated with the help of the Allium test. Toxicity was investigated by using physiological (percent germination, root length, weight gain), cytogenetic [mitotic index (MI), micronucleus (MN), chromosomal abnormalities (CAs)], biochemical [malondialdehyde (MDA), superoxide dismutase (SOD) catalase (CAT)] and anatomical (root tip meristematic cell damage) parameters. Allium cepa L. bulbs were divided into four groups as one control and three treatments. The control group was germinated with tap water, and the treatment groups were germinated with 250, 500 and 1000 µM doses of MnCl₂. The germination process was continued for 72 h without interruption. At the end of the period, the root tips were collected, washed in distilled water and made ready for microscopic and spectrophotometric analyzes with the help of routine preparation techniques. As a result, the highest germination percentage, root length, weight gain and MI, and the lowest MN frequency, CAs numbers, MDA level, SOD and CAT enzyme activities were determined in the control group (group I). MnCl₂ exposure caused a decrease in physiological parameter values and an increase in cytogenetic (except MI) and biochemical parameter values, depending on the dose. MnCl₂ exposure induced MN and CAs such as fragment, sticky chromosome, vagrant chromosome, unequal distribution of chromatin and bridge. This genotoxic effect of MnCl₂ was associated with DNA-MnCl₂ interaction, and this interaction was also confirmed by bathochromic and hypochromic shifts in spectral analysis. Anatomical damages such as epidermis cell damage, flattened cell nucleus, cortex cell damage and cortex cell wall thickening were observed after MnCl₂ treatment. As a result, it has been determined that excessive doses of the trace element Mn cause physiological, cytogenetic, biochemical and anatomical toxicity and A. cepa test material is a reliable bio-indicator in determining this toxicity.

Hereditary gingival fibromatosis and sensorineural hearing loss in a 42-year-old man with Jones syndrome

Hereditary gingival fibromatosis and sensorineural hearing loss in a 42-year-old man with Jones syndrome: Gingival fibromatosis is a rare disease, which can be seen as an isolated condition or associated with some uncommon syndromes. This case report describes the evaluation and treatment of a 42-year-old male patient with hereditary gingival fibromatosis, sensorineural hearing loss, undescended testis and maxillary odontogenic cyst (Jones Syndrome). Six years follow up of the index patient after the surgery revealed no recurrence of the gingival fibromatosis. This report also describes the anamnestic data of the patient's family that showed progressive deafness and gingival enlargement in three generations.

Two male patients with nevoid basal cell carcinoma syndrome from Turkey

Nevoid basal cell carcinoma syndrome, also known as Gorlin's syndrome, is a familial autosomal dominant syndrome characterized by multiple basal cell carcinomas, multiple odontogenic keratocysts of the jaws, and skeletal anomalies. Both tumors and malformations of the central nervous system occur with nevoid basal cell carcinoma. Medulloblastoma is the primary brain tumor most frequently associated with this syndrome. The authors report in this article two male patients with nevoid basal cell carcinoma syndrome: a 22-year-old male patient with multiple odontogenic keratocysts, who had medulloblastoma at two years and multiple basal cell carcinoma at 10 years of age, and a 15-year-old male patient with skeletal abnormalities and multiple odontogenic keratocysts in the jaws.

The importance of data presentation regarding gingival crevicular fluid myeloperoxidase and elastase-like activity in periodontal disease and health status

BACKGROUND

The enzymatic profile of gingival crevicular fluid (GCF) is being analyzed with increasing interest, but related studies lack a general consensus on most methodological points, including the appropriate mode of data presentation.

METHODS

GCF myeloperoxidase (MPO) and elastase-like activity (ELA) levels were spectrophotometrically determined on a total of 60 subjects who were divided into three equal subgroups as early-onset periodontitis (EOP), adult periodontitis (AP), and healthy. GCF enzyme levels were calculated and evaluated both as total enzyme activity and enzyme concentration. The correlations between these GCF enzymes and clinical periodontal status were also analyzed.

RESULTS

With both modes of data presentation, the results regarding MPO activity were consistent. When presented either as total MPO activity or MPO concentration, the periodontally healthy group showed significantly lower MPO activity than the two patient groups (P<0.05). However, two modes of data presentation did not match when GCF ELA was concerned. When data were reported as total ELA, the healthy group exhibited lower enzyme activity (0.02 +/- 0.001 U) than EOP (0.04 +/- 0.01 U) and AP (0.06 +/- 0.02 U) groups; but when reported as concentration, the highest ELA levels were seen in the healthy group (221 +/- 31.53 nmol/min/ml), followed by AP (98.63 +/- 23.03 nmol/min/ml) and EOP (70.49 +/- 12.02 nmol/min/ml) (P<0.05). A strong-positive and significant correlation existed between GCF MPO and ELA. Correlations with clinical parameters were mostly observed with total activities.

CONCLUSIONS

The findings of the present study confirm the relationship between GCF ELA and MPO activity and periodontal disease and also support the functional relativity between the two enzymes. Furthermore, based on these findings, it can be suggested that data presentation by use of total activity seems to be more sensitive in both the reflection of the actual enzymatic profile of GCF and also the existing clinical periodontal status. For each GCF component, the validity of different modes of data presentation should be considered.

Cleidocranial dysplasia. Case report

A 29-year-old Caucasian woman who presented with short stature and multiple unerupted supernumerary teeth is described. Radiological investigations of her cranial and skeletal abnormalities revealed cleidocranial dysplasia. Because of the advanced age of the patient and contraindication for orthodontic treatment, only surgical and prosthetic treatment were performed. The characteristics and treatments of this rare autosomal dominant disorder are discussed.

Lymphangioma treatment with Nd-YAG laser

In the oral cavity, lymphangioma is a rare, non-odontogenic, benign neoplasm which originates from lymph vessels. This lesion is common in the first decade of life and mostly occurs on the dorsal surface and lateral border of the tongue and rarely arises on the palate, gingiva, buccal mucosa and lips. Treatment of the lesion is surgical excision, however in recent years Neodymium Yitrium Aluminum Garnet (Nd-YAG) laser surgery has become favorable due to its many advantages. This case report presents the treatment of a buccal lymphangioma in a 10-year-old girl by Nd-YAG laser.

Cervicofacial actinomycosis (a case report)

Actinomycosis is now a very uncommonly diagnosed human disease. Major medical centers report approximately one case a year. The pathogenesis of actinomycosis is unclear, but trauma provides a portal of entry. The cervicofacial form is the most common and usually appears as a chronic swelling with one or more draining sinus tracts. For treatment, penicillin in high doses is suggested. This case report presents a case of cervicofacial actinomycosis in a 14 year old boy which was misdiagnosed for a long time and the treatment of the disease with mezlocillin, a new antibiotic in the treatment of actinomycosis.