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Küchler EC, Kirschneck C, Marañón-Vásquez GA, Schroder ÂGD, Baratto-Filho F, Romano FL, Stuani MBS, Matsumoto MAN, de Araujo CM. Mandibular and dental measurements for sex determination using machine learning. Sci Rep 2024; 14:9587. [PMID: 38671054 PMCID: PMC11053013 DOI: 10.1038/s41598-024-59556-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 04/12/2024] [Indexed: 04/28/2024] Open
Abstract
The present study tested the combination of mandibular and dental dimensions for sex determination using machine learning. Lateral cephalograms and dental casts were used to obtain mandibular and mesio-distal permanent teeth dimensions, respectively. Univariate statistics was used for variables selection for the supervised machine learning model (alpha = 0.05). The following algorithms were trained: logistic regression, gradient boosting classifier, k-nearest neighbors, support vector machine, multilayer perceptron classifier, decision tree, and random forest classifier. A threefold cross-validation approach was adopted to validate each model. The areas under the curve (AUC) were computed, and ROC curves were constructed. Three mandibular-related measurements and eight dental size-related dimensions were used to train the machine learning models using data from 108 individuals. The mandibular ramus height and the lower first molar mesio-distal size exhibited the greatest predictive capability in most of the evaluated models. The accuracy of the models varied from 0.64 to 0.74 in the cross-validation stage, and from 0.58 to 0.79 when testing the data. The logistic regression model exhibited the highest performance (AUC = 0.84). Despite the limitations of this study, the results seem to show that the integration of mandibular and dental dimensions for sex prediction would be a promising approach, emphasizing the potential of machine learning techniques as valuable tools for this purpose.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Ângela Graciela Deliga Schroder
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- Department of Dentistry, University of the Region of Joinville (Univille), R. Paulo Malschitzki 10, Joinville, Santa Catarina, 89219-710, Brazil
| | - Fábio Lourenço Romano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
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Marañón-Vásquez GA, de Souza Araújo MT, de Oliveira Ruellas AC, Matsumoto MAN, Figueiredo M, Meyfarth SRS, Antunes LAA, Baratto-Filho F, Scariot R, Flores-Mir C, Kirschneck C, Santos Antunes L, Küchler EC. BMP2 rs1005464 is associated with mandibular condyle size variation. Sci Rep 2024; 14:5987. [PMID: 38472272 DOI: 10.1038/s41598-024-56530-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 03/07/2024] [Indexed: 03/14/2024] Open
Abstract
This study aimed to evaluate the association between single nucleotide polymorphisms (SNPs) in endochondral development-related genes and mandibular condyle shape, size, volume, and symmetry traits. Cone-beam Computed Tomographies and genomic DNA from 118 individuals were evaluated (age range: 15-66 years). Data from twelve 3D landmarks on mandibular condyles were submitted to morphometric analyses including Procrustes fit, principal component analysis, and estimation of centroid sizes and fluctuating asymmetry scores. Condylar volumes were additionally measured. Seven SNPs across BMP2, BMP4, RUNX2 and SMAD6 were genotyped. Linear models were fit to evaluate the effect of the SNPs on the mandibular condyles' quantitative traits. Only the association between BMP2 rs1005464 and centroid size remained significant after adjusting to account for the false discovery rate due to multiple testing. Individuals carrying at least one A allele for this SNP showed larger condylar size than common homozygotes GG (β = 0.043; 95% CI: 0.014-0.071; P value = 0.028). The model including BMP2 rs1005464, age and sex of the participants explained 17% of the variation in condylar size. Shape, volume, and symmetry were not associated with the evaluated SNPs. These results suggest that BMP2 rs1005464 might be associated with variation in the mandibular condyles size.
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Affiliation(s)
- Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Mônica Tirre de Souza Araújo
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Antônio Carlos de Oliveira Ruellas
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n., Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Marcio Figueiredo
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n., Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Sandra Regina Santos Meyfarth
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Lívia Azeredo Alves Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Flares Baratto-Filho
- Post-Graduation Program, Tuiuti University of Paraná, R. Padre Ladislau Kula, 395 - Santo Inácio, Curitiba, Brazil
- School of Dentistry, Univille - Univille - University of the Joinville Region, Rua Paulo Malschitzki, 10 - Zona Industrial Norte, Joinville, Santa Catarina, 89219-710, Brazil
| | - Rafaela Scariot
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Av. Prefeito Lothário Meissner, 632 - Jardim Botânico, Curitiba, PR, 80210-170, Brazil
| | - Carlos Flores-Mir
- Graduate Orthodontic Program, School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, 5-528 Edmonton Clinic Health Academy, 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Leonardo Santos Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
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Thuller KABR, Antunes LAA, Kublitski PMDO, Brancher JA, Baratto-Filho F, Küchler EC, Silva-Sousa AC, Sousa-Neto MD, Gabardo MCL, Antunes LS. Investigation of polymorphisms in BMP2, BMP4, SMAD6 and RUNX2 genes and pulp stones. AUST ENDOD J 2024. [PMID: 38462707 DOI: 10.1111/aej.12835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 02/11/2024] [Indexed: 03/12/2024]
Abstract
This study aimed to assess the association between genetic polymorphisms in BMP2 (rs1005464 and rs235768), BMP4 (rs17563), SMAD6 (rs2119261 and rs3934908) and RUNX2 (rs59983488 and rs1200425) and pulp stones (PS). A total of 117 participants, consisting of 63 individuals with PS and 54 without PS, were included. Digital radiographs and a demographic/clinical questionnaire were used. Genomic DNA from salivary cells was genotyped via real-time polymerase chain reaction. Statistical analyses, including Chi-Square, Fisher's exact tests, Poisson regression and dimensionality reduction, were conducted. The rs2119261 polymorphism in the SMAD6 gene showed an association with genotype distribution in the recessive model (p = 0.049). The T-T haplotype in the SMAD6 gene (rs2119261 and rs3934908) was more prevalent in the control group and significantly linked with PS (p = 0.029). No associations were found between PS risk and genetic polymorphisms in BMP2, BMP4 and RUNX2. Polymorphisms in the SMAD6 gene were associated with PS.
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Affiliation(s)
| | - Lívia Azeredo Alves Antunes
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
- Specific Formation Department, School of Dentistry of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
| | | | - João Armando Brancher
- Postgraduate Program in Dentistry, School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil
| | - Flares Baratto-Filho
- Department of Dentistry, Universidade da Região de Joinville, Joinville, Santa Catarina, Brazil
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
| | - Erika Calvano Küchler
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, Bonn, Germany
| | - Alice Corrêa Silva-Sousa
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | - Manoel Damião Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | | | - Leonardo Santos Antunes
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
- Specific Formation Department, School of Dentistry of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
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Locks MEN, Küchler EC, Antunes LS, Silva-Sousa AC, Mattos NHR, Perin CP, França PHC, Proff P, Kirschneck C, Baratto-Filho F. Exploring the sex-associated differences in molars fused roots. Ann Anat 2024; 254:152245. [PMID: 38460859 DOI: 10.1016/j.aanat.2024.152245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 02/19/2024] [Accepted: 03/05/2024] [Indexed: 03/11/2024]
Abstract
BACKGROUND Human sexual dimorphism is associated with many biological characteristics, including dental variables. OBJECTIVES To investigate if molars fused roots present sex-associated differences. METHODS Panoramic radiographs were used to investigate the frequency and distribution of permanent molars fused roots. Only patients with all first and second permanent molars were included. Third molars were not investigated. Any molar with roots fused apical to the usual furcal position were considered molar fused roots. Comparisons between males and females were performed using chi-square or Fisher's and Mann-Whitney tests and the established alpha was 5% (p<0.05). Sex-differential liability models were also proposed. RESULTS A total of 84 males and 86 females were included and 1360 molars were analyzed. Among them, 46 (26.06%) present at least one molar with fused root. Second maxillary molars were the most affected teeth. There was an association between sex and molars with fused roots. Females had a 3.4 higher chance to present fused roots than males (OR=3.4, CI 95% 1.6-6.8; p=0.0008). The female: male ratio of molars with fused roots was 2.5:1. The number of molars with fused roots ranged from 1 to 6 per patient, and the mean number of Females presented more molars with fused roots (mean = 1.01; standard deviation = 1.52) than males (mean = 0.31; standard deviation = 0.85) (p<0.05). CONCLUSIONS Molar fused root of permanent teeth presents sex-associated differences, in which females are more affected than males. Our results support sex-differential liability models for molars fused roots.
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Affiliation(s)
- Maria Eduarda Nunis Locks
- Department of Dentistry and Post-Graduate Program on Health and Environment, Univille- University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Erika Calvano Küchler
- Department of Orthodontics, University of Bonn, Bonn, Germany; School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil.
| | - Leonardo Santos Antunes
- Department of Specific Formation of the Health Institute of Nova Friburgo (FFE-ISNF) Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
| | - Alice Corrêa Silva-Sousa
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | | | - Camila Paiva Perin
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
| | - Paulo Henrique Condeixa França
- Department of Dentistry and Post-Graduate Program on Health and Environment, Univille- University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, Regensburg 93053, Germany
| | | | - Flares Baratto-Filho
- Department of Dentistry and Post-Graduate Program on Health and Environment, Univille- University from the Joinville Region, Joinville, Santa Catarina, Brazil; School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
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Küchler EC, de Melo Teixeira do Brasil J, Madalena IR, Proff P, Baratto-Filho F, Alam MK, Schroder AGD, Lepri CP, Kirschneck C, de Menezes-Oliveira MAH. Exploring the association between PITX2, third molars agenesis and sella turcica morphology : PITX2, third molars agenesis and sella turcica morphology. Head Face Med 2024; 20:14. [PMID: 38419062 PMCID: PMC10900691 DOI: 10.1186/s13005-024-00414-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 02/03/2024] [Indexed: 03/02/2024] Open
Abstract
OBJECTIVES PITX2 is required for mammalian development and single nucleotide polymorphisms (SNPs) in this gene could be involved in dental agenesis and sella turcica patterns. Thus, the present study evaluated the association between SNPs in PITX2, third molars agenesis and sella turcica phenotypes. MATERIALS AND METHODS The sample consisted of healthy orthodontic German patients with lateral cephalometric radiographs with clearly visualization of the sella turcica, and dental orthopantomograms. The morphological variations of the sella turcica were evaluated using the lateral cephalograms, while third molar agenesis was evaluated using orthopantomograms. DNA isolated from buccal cells was used for genotyping three SNPs in PITX2 (rs3796902, rs1947187, and rs2595110). The analyzes were performed using a significance of 5%. There was no association between third molar agenesis and sella turcica phenotypes (p > 0.05). SNPs in PITX2 were also not associated with third molars agenesis (p > 0.05). RESULTS SNPs in PITX2 were associated with sella turcica phenotypes. The rs3796902 was associated with hypertrophic posterior clinoid process (p = 0.013). The rs1947187 and rs2595110 were associated with sella turcica bridge type A (p = 0.013 and p = 0.011, respectively for genotype distribution). Patients that carry the genotypes GG-CC-AG (rs3796902- rs1947187- rs2595110) had 7.2 higher chance to present sella turcica bridge type A (p = 0.002; Odds ratio = 7.2, Confidence interval 95% 2.04-27.04). CONCLUSIONS Third molar agenesis was not associated with SNPs in PITX2 and sella turcica phenotypes. SNPs in PITX2 may have an important role in sella turcica pattern.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstraße 17, 53111, Bonn, Germany.
| | | | - Isabela Ribeiro Madalena
- Department of Biomaterials, University of Uberaba, Uberaba, Minas Gerais, Brazil, 38.055-500, Nenê Sabino, 1801
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Regensburg, Germany, Franz-Josef-Strauß-Allee, 11, 93053
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University from Parana, Curitiba, Paraná, Brazil, Padre Ladislau Kula, 395, 82010-210
- Department of Dentistry, University of Joinville Region, Joinville, Santa Catarina, Brazil, Paulo Malschitzki , 89219-710
| | | | | | - César Penazzo Lepri
- Department of Biomaterials, University of Uberaba, Uberaba, Minas Gerais, Brazil, 38.055-500, Nenê Sabino, 1801
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstraße 17, 53111, Bonn, Germany
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Heiden GS, Andrade RVS, de Mattos de Araujo BM, da Silva-Neto UX, Baratto-Filho F, Zeigelboim BS, de Castro Corrêa C, Taveira KVM, de Araujo CM. Prevalence of orofacial injuries resulting from trauma in individuals with cerebral palsy: A systematic review and meta-analysis. Dent Traumatol 2024; 40:111-120. [PMID: 37605544 DOI: 10.1111/edt.12879] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 07/23/2023] [Accepted: 07/25/2023] [Indexed: 08/23/2023]
Abstract
Individuals with cerebral palsy (CP) may have cognitive, sensitive, behavioral, communicative, and convulsive disorders. Because defensive reflexes are reduced by CP, the risk of orofacial trauma is greater in these individuals. This study aimed to evaluate the prevalence of orofacial injuries resulting from trauma in patients with CP. This review was reported according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) and registered in the International Prospective Register of Systematic Reviews (PROSPERO-CRD42022293570). The search was performed for articles published until January 2023 in Embase, Latin American and Caribbean Literature on Health Sciences (LILACS), PubMed/Medline, Scopus, and Web of Science databases. Gray literature was also consulted through Google Scholar, OpenGrey, ProQuest Dissertations, and Theses. Studies in which orofacial injuries due to trauma were prevalent in individuals with CP were included. The risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Additionally, a random-effects meta-analysis was conducted. Twelve studies were included in the synthesis, of which nine presented a low risk of bias and three presented a moderate risk. When considering the general prevalence of orofacial injuries in patients with CP, a prevalence of 34% [95% CI = 18%-52%; I2 = 98%] was observed, with enamel and dentin fractures being the most common orofacial injuries. Approximately one in three patients with CP showed at least one type of orofacial injury involving dental trauma. There is a lack of literature assessing the prevalence of these traumas in soft tissues and the evidence for this outcome remains uncertain.
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Affiliation(s)
| | | | | | | | - Flares Baratto-Filho
- Department of Endodontics, Tuiuti University of Paraná, Paraná, Brazil
- Undergraduate Department of Dentistry, University of the Region of Joinville (Univille), Santa Catarina, Brazil
| | | | - Camila de Castro Corrêa
- Department of Speech Therapy and Audiology, Centro Universitário Planalto do Distrito Federal, Brasília, Brazil
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Küchler EC, de Oliveira Stroparo JL, Bitencourt Reis CL, Ullrich N, Olsson B, Scariot R, Matsumoto MN, Ribeiro Mattos NH, Proff P, Baratto-Filho F, Kirschneck C. Oral Cleft Related-Genes may be Involved in Root Curvature of Maxillary Lateral Incisors. Cleft Palate Craniofac J 2024; 61:177-183. [PMID: 35979589 DOI: 10.1177/10556656221121062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The maxilla is formed by the medial nasal and maxillary processes fusion. The dental lamina develops from 2 origins connecting in the lateral incisor. The maxillary lateral incisor region is often affected by dental anomalies and clefting. It is possible that genes involved in oral cleft could also be associated with a variety of phenotypic variations in the maxillary lateral incisor. In this phenotype-genotype study, we explored the association between polymorphisms in the oral-cleft-related genes BMP2 and BMP4 and root curvature of maxillary lateral incisors. Cross-sectional study. Universities and private clinics. Panoramic radiographs and DNA from 231 patients were analyzed. Schneider method (1971) was applied to estimate the degree of root curvature of the maxillary lateral incisors and to classify the root as straight (5° or less) or curved (higher than 5°). Genetic polymorphisms in BMP2 (rs235768 and rs1005464) and BMP4 (rs17563) were genotyped. Statistical analysis was performed. A total of 401 teeth (199 left and 202 right) were evaluated. Genetic analysis demonstrated trends toward association for the rs1005464 in BMP2 (P = .025) in co-dominant model and in dominant model (P = .026) for left incisors. The rs235768 in BMP2 showed trends toward association with the degree of root curvature in left incisors in the recessive model (P = .031). rs17563 in BMP4 also showed trends toward association with the degree of the root curvature in left incisors (P = .019). BMP2 (rs235768 and rs1005464) and BMP4 (rs17563) might be involved in maxillary lateral incisor root curvature.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
| | - Jeferson Luis de Oliveira Stroparo
- Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
- Cesumar Curitiba Dental School, Paraná, Brazil
| | - Caio Luiz Bitencourt Reis
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Niklas Ullrich
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Bernardo Olsson
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Rafaela Scariot
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Mirian Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Peter Proff
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
- Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
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Lips A, Calvano Küchler E, Ribeiro Madalena I, Nivoloni Tannure P, Santos Antunes L, Azeredo Alves Antunes L, Castro Costa M, Proff P, Kirschneck C, Baratto-Filho F. Non-syndromic supernumerary teeth and association with a self-reported family history of cancer. J Orofac Orthop 2023:10.1007/s00056-023-00504-z. [PMID: 38051344 DOI: 10.1007/s00056-023-00504-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 10/09/2023] [Indexed: 12/07/2023]
Abstract
BACKGROUND Supernumerary teeth are an alteration of dental developmental and result in the formation of teeth above the usual number. Epidemiologic studies suggested that patients with dentofacial anomalies and their family members may present an increased risk of developing cancer, including female breast cancer and gynecologic cancers. These observations indicate that genetic alterations that result in dental anomalies may be related to cancer development. Thus, the aim of the present study was to evaluate the association between supernumerary teeth and a family history of female breast cancer and gynecologic cancers. METHODS The diagnosis of supernumerary teeth was based on clinical and radiographic examinations. For data collection, a questionnaire asking for information regarding ethnicity, age, gender, and self-reported family history of cancer up to the second generation was used. Statistical analysis was performed using the Χ2 test and Fisher's exact test with an established α of 5%. RESULTS A total of 344 patients were included; 47 of them had one or more non-syndromic supernumerary teeth (not associated with any syndrome or cleft lip and palate) and 297 were control patients. Age, ethnicity, and gender distribution were not statistically different between the group with supernumerary teeth and the control group (p > 0.05). The supernumerary teeth were most commonly observed in the incisors area. Breast cancer (n = 17) was the most commonly self-reported type of cancer, followed by uterine cervical (n = 10), endometrial (n = 2), and ovarian (n = 1) cancers. Endometrial cancer was significantly associated with the diagnosis of supernumerary teeth (p = 0.017). CONCLUSION This study suggests that patients with supernumerary teeth possess a higher risk of having family members with endometrial cancer.
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Affiliation(s)
- Andrea Lips
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
| | - Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
| | - Isabela Ribeiro Madalena
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
- School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei, MG, Brazil
| | | | - Leonardo Santos Antunes
- Postgraduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, RJ, Brazil
| | - Livia Azeredo Alves Antunes
- Postgraduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, RJ, Brazil
| | | | - Peter Proff
- Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro Federal University, Rio de Janeiro, RJ, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Flares Baratto-Filho
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
- School of Dentistry, Tuiuti University from Parana, Curitiba, PR, Brazil
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9
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Meyfarth SRS, Antunes LAA, da Silva Tavares J, Guimarães LDS, da Silva EAB, Baratto-Filho F, Küchler EC, Silva-Sousa AC, Sousa-Neto MD, Antunes LS. Single nucleotide polymorphisms in inducible nitric oxide synthase gene are not associated with persistent apical periodontitis. AUST ENDOD J 2023; 49:648-656. [PMID: 37724624 DOI: 10.1111/aej.12796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 09/04/2023] [Indexed: 09/21/2023]
Abstract
The aim of this study was to investigate whether there is an association between inducible in single nucleotide polymorphisms in nitric oxide synthase (rs2297518 and rs2779249) and persistent apical periodontitis. A total of 291 Brazilian subjects were included: 125 with signs/symptoms of persistent apical periodontitis and 166 with root canal-treated teeth exhibiting healthy perirradicular tissues. Endodontically treated patients were followed up after 1 year. The two single nucleotide polymorphisms in nitric oxide synthase were analysed using real-time polymerase chain reaction. Chi-square test and odds ratio with 95% confidence intervals were performed to compare genotype distributions between 'healed' and 'persistent apical periodontitis' groups (p < 0.05). Logistic regression analysis was used to evaluate SNP-SNP interactions. The allele and genotype distributions for the polymorphisms between the persistent apical periodontitis and healed groups were not statistically significant (p > 0.05). In the logistic regression analysis, the polymorphisms were not associated with persistent apical periodontitis and SNP-SNP interactions.
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Affiliation(s)
| | - Lívia Azeredo Alves Antunes
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, Brazil
- Clinical Research Unit, Fluminense Federal University, Niterói, Brazil
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Nova Friburgo, Brazil
- Specific Formation Department, School of Dentistry of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Brazil
| | | | | | | | | | | | - Alice Corrêa Silva-Sousa
- Restorative Dentistry Department, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Manoel Damião Sousa-Neto
- Restorative Dentistry Department, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Leonardo Santos Antunes
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, Brazil
- Clinical Research Unit, Fluminense Federal University, Niterói, Brazil
- Postgraduate Program, School of Dentistry, Fluminense Federal University, Nova Friburgo, Brazil
- Specific Formation Department, School of Dentistry of Nova Friburgo, Fluminense Federal University, Nova Friburgo, Brazil
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10
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Madalena IR, Reis CLB, Matsumoto MAN, Stuani MBS, Mattos NHR, Oliveira DSBD, Oliveira MAHDM, Roskamp L, Küchler EC, Baratto-Filho F. Investigating the association between dental age and polymorphisms in genes encoding estrogen receptors. J Appl Oral Sci 2023; 31:e20230184. [PMID: 37792810 PMCID: PMC10547381 DOI: 10.1590/1678-7757-2023-0184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 08/10/2023] [Accepted: 08/14/2023] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Genetic polymorphisms have been shown to influence several physiological traits, including dental and craniofacial characteristics. Understanding the clinical relevance of genetic polymorphisms in dental practice is crucial to personalize treatment plans and improve treatment outcomes. OBJECTIVE to evaluate the association between dental age and genetic polymorphisms in genes encoding estrogen receptors alpha and beta (ESR1 and ESR2, respectively) in a sample of Brazilian children. METHODOLOGY This retrospective cross-sectional study was performed with children undergoing orthodontic treatment. Patients with syndromes, congenital anomalies, craniofacial deformities, under hormonal or systemic treatment, and with a previous history of facial trauma were excluded. Panoramic radiographs were used to assess dental age according to the Demirjian, Goldstein, and Tanner method. A delta [dental age-chronological age (DA-CA)] was obtained, which shows whether the patient tends to have a normal, delayed (negative values), or advanced (positive values) dental age. DNA isolated from buccal cells was used to genotype four genetic polymorphisms: rs9340799 (A>G) and rs2234693 (C>T), located in ESR1; and rs1256049 (C>T) and rs4986938 (C>T), located in ESR2. A statistical analysis was performed and values of p<0.05 indicated statistical difference. RESULTS A total of 79 patients were included, 44 (55.70%) girls and 35 (44.30%) boys. The Demirjian, Goldstein, and Tanner method, in general, overestimated patients' age by 0.75 years. There was no difference in the delta of dental age between the sexes (p>0.05). Genetic polymorphisms in ESR1 and ESR2 were not associated with dental age (p>0.05). CONCLUSION The studied genetic polymorphisms in ESR1 and ESR2 were not associated with dental age in Brazilian children.
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Affiliation(s)
- Isabela Ribeiro Madalena
- Universidade da Região de Joinville - UNIVILLE, Departamento de Odontologia, Joinville, Santa Catarina, Brasil
- Universidade de Uberaba - UNIUBE, Departamento de Biomateriais, Uberaba, Minas Gerais, Brasil
- Centro Universitário Presidente Tancredo de Almeida Neves - UNIPTAN, Faculdade de Odontologia, São João del Rei, Minas Gerais, Brasil
| | - Caio Luiz Bitencourt Reis
- Universidade de São Paulo, Faculdade de Odontologia de Ribeirão Preto, Departamento de Clínica Infantil, Ribeirão Preto, São Paulo, Brasil
| | - Mirian Aiko Nakane Matsumoto
- Universidade de São Paulo, Faculdade de Odontologia de Ribeirão Preto, Departamento de Clínica Infantil, Ribeirão Preto, São Paulo, Brasil
| | - Maria Bernadete Sasso Stuani
- Universidade de São Paulo, Faculdade de Odontologia de Ribeirão Preto, Departamento de Clínica Infantil, Ribeirão Preto, São Paulo, Brasil
| | | | | | | | - Liliane Roskamp
- Universidade Tuiuti do Paraná - UTP, Curitiba, Paraná, Brasil
| | - Erika Calvano Küchler
- Universidade de Uberaba - UNIUBE, Departamento de Biomateriais, Uberaba, Minas Gerais, Brasil
- Universidade Tuiuti do Paraná - UTP, Curitiba, Paraná, Brasil
| | - Flares Baratto-Filho
- Universidade da Região de Joinville - UNIVILLE, Departamento de Odontologia, Joinville, Santa Catarina, Brasil
- Universidade Tuiuti do Paraná - UTP, Curitiba, Paraná, Brasil
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11
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Pasmadjian AC, Diógenes AN, Perin CP, Pierdoná J, Rezende LV, Madalena IR, Baratto-Filho F, da Cunha LF. The luminous transmittance of the quartz-glass fiber posts is superior to glass fiber posts. Acta Odontol Latinoam 2023; 36:106-111. [PMID: 37776507 PMCID: PMC10557082 DOI: 10.54589/aol.36/2/106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 07/01/2023] [Indexed: 10/02/2023]
Abstract
Fiber-reinforced prefabricated intraarticular posts have gained popularity due to several favorable characteristics for clinical use compared to metallic intraradicular posts. AIM To evaluate the light transmission capacity of two types of fiber posts, using two different methods. MATERIALS AND METHOD The posts were divided into two groups: experimental group - quartz-glass fiber posts (n=10) and control group - glass fiber posts (n=10). The light transmittance of the samples was compared by means of light intensity test by photographs and ultraviolet-visible spectrophotometer. This test was analyzed by thirds: coronal, middle, and apical. The spectophotometer tested the luminous transmittance along the length of the post. The statistical analysis was conducted with a significance level of 0.05. RESULTS Light transmission was 97% on the coronal third, 68% in the middle third, and 27.66% in the apical third in the posts of the experimental group. In the posts of the control group, the light transmission was 95.33% in the coronal third, 80.66% in the middle third, and 41.33% in the apical third. Light transmission was significantly higher in the middle third of the posts of the experimental group when compared to the control group (p<0.05). The luminous transmittance of the posts of the experimental group was 97.4% with wavelengths of 400 nm, 97% at 450 and 500 nm, and 96.9% at 550 nm. In the posts of the control group, the luminous transmittance was 72.3% with wavelengths of 400 nm, 68.6% at 450 nm; 64.6% at 500 nm and 61.5% at 550 nm. The posts of the experimental group demonstrated significantly higher light transmittance than the control group (p<0.001).
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Affiliation(s)
- Ana Cp Pasmadjian
- Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, Brasil
| | | | | | | | | | - Isabela R Madalena
- Universidade da Região de Joinville, Faculdade de Odontologia, Joinville, Brasil
- Centro Universitário Presidente Tancredo de Almeida Neves, Faculdade de Odontologia, São João del Rei, Brasil
- Universidade de Uberaba, Departamento de Biomateriais, Uberaba, Brasil
| | - Flares Baratto-Filho
- Universidade Tuiuti do Paraná, Curitiba, Brasil
- Universidade da Região de Joinville, Faculdade de Odontologia, Joinville, Brasil
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12
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Ramirez I, Kirschneck C, Corrêa Silva-Sousa A, Proff P, S. Antunes L, Gabbardo MCL, Silva Barroso de Oliveira D, Sousa-Neto MD, Baratto-Filho F, Küchler EC. The investigation of WNT6 and WNT10A single nucleotide polymorphisms as potential biomarkers for dental pulp calcification in orthodontic patients. PLoS One 2023; 18:e0288782. [PMID: 37566620 PMCID: PMC10420345 DOI: 10.1371/journal.pone.0288782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 07/04/2023] [Indexed: 08/13/2023] Open
Abstract
The aim of this study is to evaluate if single nucleotide polymorphisms (SNPs) in WNT6 and WNT10A are associated with the risk of dental pulp calcification in orthodontic patients. This cross-sectional study followed the "Strengthening the Reporting of Genetic Association Studies" (STREGA) guidelines. Panoramic radiographs (pre- and post-orthodontic treatment) and genomic DNA from 132 orthodontic patients were studied. Dental pulp calcification (pulp stones and/or pulp space narrowing) was recorded in upper and lower first molars. The SNPs in WNT6 and WNT10A (rs7349332, rs3806557, rs10177996, and rs6754599) were assessed through genotyping analysis using DNA extracted from buccal epithelial cells. The association between pulp calcification and SNPs were analyzed using allelic and genotypic distributions and haplotype frequencies (p<0.05). Prevalence of dental pulp calcification was 42.4% in the 490 studied molars. In the genotypic analysis, the SNPs in WNT10A showed a statistically significant value for molar calcification (p = 0.027 for rs1017799), upper molar calcification (p = 0.040 for rs1017799) (recessive model), and molar calcification (p = 0.046 for rs3806557) (recessive model). In the allelic distribution, the allele C of the SNP rs10177996 in WNT10A was associated with molar calcifications (p = 0.042) and with upper first molar calcification (p = 0.035). Nine combinations of haplotypes showed statistically significant value (p<0.05). The findings of this study indicates that SNPs in WNT10A and WNT6 are associated with dental pulp calcification in molars after orthodontic treatment and may be considered as biomarkers for dental pulp calcification.
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Affiliation(s)
- Iago Ramirez
- School of Dentistry, University of São Paulo (FORP-USP), Ribeirão Preto, Brazil
| | | | | | - Peter Proff
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Leonardo S. Antunes
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil
| | | | | | | | - Flares Baratto-Filho
- School of Dentistry, Federal University of Alfenas (UNIFAL-MG), Alfenas, Brazil
- Department of Dentistry, University of Joinville Region (Univille), Joinville, SC, Brazil
| | - Erika C. Küchler
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
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13
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Abuabara A, de Castro JP, Locks MEN, Pezzin APT, Mattos NHR, de Araújo CM, Kuchler EC, Baratto-Filho F. Evaluation of Endo 10 mobile application as diagnostic tool in endodontics. J Clin Exp Dent 2023; 15:e612-e620. [PMID: 37674608 PMCID: PMC10478192 DOI: 10.4317/jced.60342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 05/22/2023] [Indexed: 09/08/2023] Open
Abstract
Background Endodontic diagnosis can be compared to a puzzle, requiring the interpretation of a series of clinical and imaging data. Mobile health, especially mobile application (apps), can assist professionals in endodontic diagnosis. This work aims to evaluate an app - Endo 10 app, designed to assist pulpal and periapical diagnosis based on the patient's signs and symptoms and radiographic data. Material and Methods A total of 41 dental students and dentists with different levels of expertise (10 multi-specialty clinic professors, 17 residents in endodontics and 14 dental students) were included. The System Usability Scale (SUS) was used to evaluate usability and the Davis' technology acceptance model was used to evaluate usefulness of Endo 10 app. The Mann-Whitney test was performed to compare SUS scores between professors and undergraduate dental students and to compare questions 6 and 7 of the utility test and verify whether participants who understood that the technology was useful also better understood the concepts of endodontic diagnosis. The agreement between professor's diagnosis with the app and professor without the app, and between professor and residents in endodontics with the app were evaluated. Results The SUS score at the 50th percentile was 77.5, graded as acceptable. No significant difference was observed in the SUS scores when analyzing professors and dental students separately (p = 0.442). Usefulness test showed positive responses ranging between 72% - 100%. No statistically significant difference was observed between questions 6 and 7 of the utility test (p = 0.206), indicating that the group of participants who understood that the technology was useful in endodontic diagnosis was associated with the agreement that the application helped to better understand the concepts related. The diagnosis agreement between professor in the common diagnosis process and professor with app was 100% (31) of cases. The concordance between professor and residents in endodontics with the app was 71% (22) of cases. The differences were associated with resident's misinterpreting the patient's data. Conclusions The Endo 10 app reached the usability and usefulness requirements. It proved accurate in diagnosing pulpal and periapical pathologies. Key words:Dental education, endodontics, diagnosis, smartphone, dental informatics.
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Affiliation(s)
- Allan Abuabara
- University of the Region of Joinville (Univille), Joinville, Santa Catarina, Brazil
| | | | | | | | | | | | | | - Flares Baratto-Filho
- University of the Region of Joinville (Univille), Joinville, Santa Catarina, Brazil
- Tuiuti University of Paraná (UTP), Curitiba, Paraná, Brazil
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14
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Bitencourt Reis CL, Nakane Matsumoto MA, Baratto-Filho F, Scariot R, Sasso Stuani MB, Lourenço Romano F, Della Coletta R, Silva Barroso de Oliveira D, Proff P, Kirschneck C, Calvano Küchler E. Impact of genetic variations in the WNT family members and RUNX2 on dental and skeletal maturation: a cross-sectional study. Head Face Med 2023; 19:26. [PMID: 37400934 PMCID: PMC10316614 DOI: 10.1186/s13005-023-00372-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 06/19/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND This study evaluated if genetic variations in the WNT family members and RUNX2 are associated with craniofacial maturation, investigating dental and skeletal maturity in children and teenagers. METHODS Radiographs from pre-orthodontic treatment of Brazilian patients (7 to 17 years-old) were used to assess dental (panoramic radiographs) and skeletal maturity (cephalometric radiographs). The chronological age (CA) was calculated based on the date of birth and the time the radiographs were performed. For the dental maturity analysis, the Demirjian (1973) method was used and a delta [dental age - chronological age (DA-CA)] was calculated. For the skeletal maturity analysis, the Baccetti et al. (2005) method was used and the patients were classified as "delayed skeletal maturation", "advanced skeletal maturation" or "normal skeletal maturation". DNA isolated from buccal cells was used for genotyping of two genetic variations in WNT family genes: rs708111 (G > A) in WNT3A and rs1533767 (G > A) in WNT11; and two genetic variations in RUNX2: rs1200425 (G > A) and rs59983488 (G > T). A statistical analysis was performed and values of p < 0.05 indicated a significant difference. RESULTS There were no associations between dental maturity and genotypes (p > 0.05). In the skeletal maturity analysis, the allele A in the rs708111 (WNT3A) was statistically more frequent in patients with delayed skeletal maturation (Prevalence Ratio = 1.6; 95% Confidence Interval = 1.00 to 2.54; p-value = 0.042). CONCLUSIONS The rs708111 in the WNT3A gene impacts on skeletal maturation.
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Affiliation(s)
- Caio Luiz Bitencourt Reis
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Mirian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University of Paraná, Paraná, Brazil
- School of Dentistry, Univille University, Joinville, Brazil
| | - Rafaela Scariot
- Department of Stomatology, Federal University of Paraná, Paraná, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Fábio Lourenço Romano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Ricardo Della Coletta
- Department of Oral Diagnosis, School of Dentistry of Piracicaba, University of Campinas (UNICAMP), Campinas, SP Brazil
| | | | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
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15
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Henklein SD, Küchler EC, Proff P, Lepri CP, Baratto-Filho F, Mattos NHR, Hueb de Menezes FC, Kirschneck C, Madalena IR, Hueb de Menezes-Oliveira MA. Prevalence and local causes for retention of primary teeth and the associated delayed permanent tooth eruption. J Orofac Orthop 2023:10.1007/s00056-023-00479-x. [PMID: 37395766 DOI: 10.1007/s00056-023-00479-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 04/26/2023] [Indexed: 07/04/2023]
Abstract
BACKGROUND This study aimed to evaluate the prevalence of retained primary teeth (RPT) associated with delayed permanent tooth eruption and the factors associated with this condition in German children. METHODS This is a cross-sectional retrospective study that evaluated panoramic radiographs from orthodontic patients. The diagnosis of RPT was established according to Nolla developmental stage. The primary tooth was considered retained when its successor permanent tooth was in Nolla stage 8, 9, or 10. Statistical analysis was performed with an α of 5% (p < 0.05). RESULTS A total of 102 children (48 girls and 54 boys), and 574 primary teeth and their respective permanent successor teeth were evaluated. We classified 192 teeth as RPT. Sixty-one (59.8%) children presented one or more RPT. Gender was not significantly different between RPT and control teeth (p = 0.838; odds ratio 0.95, confidence interval 95% 0.44-2.16). In the majority of the RPT cases (68.7%), no clear cause to explain the prolonged retention was identified. The pathological problems most commonly observed with RPT were dental fillings (19.3%), followed by dental caries (4.6%), and ectopic tooth eruption (2.1%). CONCLUSIONS The incidence of RPT associated with delayed permanent tooth eruption in German children was high and the most common pathological condition associated with RPT was dental caries.
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Affiliation(s)
| | - Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
- University of Tuiuti of Paraná, Curitiba, PR, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - César Penazzo Lepri
- Department of Biomaterials, University of Uberaba, Uberaba, Minas Gerais, Brazil
| | - Flares Baratto-Filho
- University of Tuiuti of Paraná, Curitiba, PR, Brazil
- School of Dentistry, University of the Joinville Region, Joinville, SC, Brazil
| | | | | | | | - Isabela Ribeiro Madalena
- Department of Biomaterials, University of Uberaba, Uberaba, Minas Gerais, Brazil
- School of Dentistry, University of the Joinville Region, Joinville, SC, Brazil
- School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei, MG, Brazil
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16
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Küchler EC, Teodoro VB, Schröder A, Nazet U, Meger MN, Kunz PVM, Baratto-Filho F, Spanier G, Scariot R, Proff P, Kirschneck C. Effect of genetic polymorphisms rs2301113 and rs2057482 in the expression of HIF-1α protein in periodontal ligament fibroblasts subjected to compressive force. J Appl Oral Sci 2023; 31:e20220151. [PMID: 37255180 DOI: 10.1590/1678-7757-2022-0151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 04/06/2023] [Indexed: 06/01/2023] Open
Abstract
OBJECTIVE Many genes and signaling molecules are involved in orthodontic tooth movement, with mechanically and hypoxically stabilized HIF-1α having been shown to play a decisive role in periodontal ligament signaling during orthodontic tooth movement. Thus, this in vitro study aimed to investigate if genetic polymorphisms in HIF1A (Hypoxia-inducible factor α-subunits) influence the expression pattern of HIF-1α protein during simulated orthodontic compressive pressure. METHODOLOGY Samples from human periodontal ligament fibroblasts were used and their DNA was genotyped using real time Polymerase chain reaction for the genetic polymorphisms rs2301113 and rs2057482 in HIF1A . For cell culture and protein expression experiments, six human periodontal ligament fibroblast cell lines were selected based on the patients' genotype. To simulate orthodontic compressive pressure in fibroblasts, a 2 g/cm2 force was applied under cell culture conditions for 48 hours. Protein expression was evaluated by Western Blot. Paired t-tests were used to compare HIF-1α expression with and without compressive pressure application and unpaired t-tests were used to compare expression between the genotypes in rs2057482 and rs2301113 (p<0.05). RESULTS The expression of HIF-1α protein was significantly enhanced by compressive pressure application regardless of the genotype (p<0.0001). The genotypes in the genetic polymorphisms rs2301113 and rs2057482 were not associated with HIF-1α protein expression (p>0.05). CONCLUSIONS Our study confirms that compressive pressure application enhances HIF-1α protein expression. We could not prove that the genetic polymorphisms in HIF1A affect HIF-1α protein expression by periodontal ligament fibroblasts during simulated orthodontic compressive force.
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Affiliation(s)
| | | | - Agnes Schröder
- University of Regensburg, Department of Orthodontics, Germany
| | - Ute Nazet
- University of Regensburg, Department of Orthodontics, Germany
| | | | | | | | - Gerrit Spanier
- University of Regensburg, Department of Maxillofacial Surgery, Germany
| | - Rafaela Scariot
- Universidade Federal do Paraná, Departamento de Estomatologia, Curitiba, Brasil
| | - Peter Proff
- University of Regensburg, Department of Orthodontics, Germany
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17
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Fernandes da Cunha L, da Silva VBS, Garcia FCP, Roskamp L, de Matos TDP, Madalena IR, Baratto-Filho F. Treatment protocol of dental bleaching and resin infiltration for white spot lesions. Int J Esthet Dent 2023; 18:200-206. [PMID: 37166772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
White spot lesions are considered to be a major concern in esthetic dentistry. These lesions can be treated with noninvasive to less invasive procedures, which remain a challenge for many clinicians. The treatment of choice should be as minimally invasive as possible and should aim to minimize the color difference between the white spots and the healthy tooth enamel. Tooth whitening can be used initially to minimize this difference by rendering the extent of the white spot defects less visible, which permits a bevel effect. In addition, the microinvasive treatment option of resin infiltration, which does not involve trauma or require cavity preparation, can supplement the tooth whitening procedure to achieve excellent esthetic results, giving patients renewed confidence in their smiles. Therefore, the purpose of the present study was to illustrate the combination of dental bleaching and resin infiltration in a patient with white spot lesions caused by diffuse opacities (teeth that were undergoing enamel maturation at the time of occurrence of a systemic insult). The treatment aimed to improve the patient's esthetics, self-esteem, and quality of life.
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18
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Marañón-Vásquez G, Küchler EC, Hermann S, Paddenberg E, Schröder A, Baratto-Filho F, Flores-Mir C, Proff P, Kirschneck C. Association between genetic variants in key vitamin-D-pathway genes and external apical root resorption linked to orthodontic treatment. Eur J Oral Sci 2023; 131:e12916. [PMID: 36683003 DOI: 10.1111/eos.12916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 12/31/2022] [Indexed: 01/24/2023]
Abstract
This study evaluated the association between single-nucleotide polymorphisms (SNPs) in vitamin-D-related genes and the amount of external apical root resorption linked to orthodontic treatment. One hundred and forty-three individuals were assessed. The amount of external apical root resorption of upper central incisors (EARRinc ) and lower first molars (EARRmol ) were evaluated in radiographs. Seven SNPs were genotyped across four genes including the vitamin D receptor [VDR], group-specific component [GC], cytochrome P450 family 27 subfamily B member 1 [CYP27B1], and cytochrome P450 family 24 subfamily A member 1 [CYP24A1]. Linear regressions were implemented to determine allele-effects on external apical root resorption. Individuals carrying the AA genotype in VDR rs2228570 had a 21% higher EARRmol than those having AG and GG genotypes (95% CI: 1.03,1.40). EARRmol in heterozygous rs2228570, was 12% lower than for homozygotes (95%CI: 0.78,0.99). Participants with the CCG haplotype (rs1544410-rs7975232-rs731236) in VDR had an EARRmol 16% lower than those who did not carry this haplotype. Regarding CYP27B1 rs4646536, EARRinc in participants who had at least one G allele was 42% lower than for homozygotes AA (95%CI: 0.37,0.93). Although these results did not remain significant after multiple testing adjustment, potential associations may still be suggested. Further replication studies are needed to confirm or refute these findings.
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Affiliation(s)
- G Marañón-Vásquez
- Department of Pediatric Dentistry, and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - E C Küchler
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
| | - S Hermann
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
| | - E Paddenberg
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
| | - A Schröder
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
| | - F Baratto-Filho
- Department of Dentistry, School of Dentistry, Univille - University of the Joinville Region, Joinville, Santa Catarina, Brazil
| | - C Flores-Mir
- Division of Orthodontics, School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - P Proff
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
| | - C Kirschneck
- Department of Orthodontics, University Medical Centre of Regensburg, Regensburg, Germany
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19
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Mendes CDS, Santos KMD, Gerber JT, Petroni V, Cordeiro LDS, Kuchler EC, Baratto-Filho F, Deliberador TM, Sebastiani AM, Scariot R. Variation of Tooth Crown Size in Cleft Lip and Palate Patients. J Contemp Dent Pract 2023; 24:207-213. [PMID: 37469258 DOI: 10.5005/jp-journals-10024-3497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
AIM This study aims to compare the mesiodistal (MD) and buccolingual (BL) tooth crown size (TCS) of adult patients with cleft lip and palate (CL/P) and patients without CL/P. MATERIALS AND METHODS The sample of this study consisted of 146 adult patients, of both genders, of which 73 were included in the case group (with CL/P) and 73 were included in the control group (without CL/P). Data regarding gender and age and cleft type were collected. In addition, dental models were evaluated to obtain the TCS in the maximum distance of the MD and BL dimensions of all erupted permanent teeth (except third molars). The results were submitted to statistical analysis with a significance level of 0.05. RESULTS In the upper arch, the central incisors (CI) were smaller in the case group for the MD and BL dimensions (p < 0.05). The lateral incisors (LI) and canine (C) were smaller only in the BL width (p < 0.05) and the second molars (SM), were smaller only in the MD dimensions. In the lower arch, there were significant differences only in the BL width between groups, the CI and LI presented smaller measurements in CL/P patients, while the left first molar (FM) and right first premolar (FPM) were larger (p < 0.05) than in patients without CL/P. CONCLUSION Patients with CL/P have different sizes in certain teeth compared to patients without CL/P. CLINICAL RELEVANCE Cleft lip and palate patients usually present important dental anomalies; thereby, the knowledge about trends in tooth size variations in CL/P patients can aid in dental and orthodontic treatment planning to obtain a stable, functional, and esthetic occlusion.
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Affiliation(s)
- Caroline de Souza Mendes
- Department of Dentistry, Centro de Atendimento Integral Ao Fissurado Labio Palatal CAIF/ CHT, Curitiba, Brazil. Phone: +554198803 1468, e-mail: , Orcid: https://orcid.org/0009-0001-8345-4010
| | - Katheleen Miranda Dos Santos
- Department of Dentistry, Centro de Atendimento Integral Ao Fissurado Labio Palatal CAIF/ CHT, Curitiba, Brazil, Orcid: https://orcid.org/0000-0002-6527-2379
| | - Jennifer Tsi Gerber
- Department of Dentistry, Positivo University, Curitiba, Parana, Brazil, Orcid: https://orcid.org/0000-0003-3881-1434
| | - Vinicius Petroni
- Department of Dentistry, Centro de Atendimento Integral Ao Fissurado Labio Palatal CAIF/ CHT, Curitiba, Brazil, Orcid: https://orcid.org/0000-002-3264-1764
| | - Lidiana Dos Santos Cordeiro
- Department of Stomatology, Federal University of Paranaá, Curitiba, Parana, Brazil, Orcid: https://orcid.org/0009-0005-0033-5569
| | - Erika Calvano Kuchler
- Department of Orthodontics, University of Regensburg, Regensburg, Germany, Orcid: https://orcid.org/0000-0001-5351-2526
| | - Flares Baratto-Filho
- Department of Dentistry, University of the Joinville Region, Joinville, SC, Brazil, Orcid: https://orcid.org/0000-0002-5649-7234
| | - Tatiana Miranda Deliberador
- Department of Implantology, Postgraduate Program, Latin American Institute of Dental Research and Education - ILAPEO, Curitiba, Parana, Brazil, Orcid: https://orcid.org/0000-0003-4076-4905
| | - Aline Monise Sebastiani
- Department of Oral and Maxillofacial Surgery, Federal University of Parana, Curitiba, Parana, Brazil, Orcid: https://orcid.org/0000-0002-2904-5056
| | - Rafaela Scariot
- Department of Oral and Maxillofacial Surgery, Federal University of Parana, Curitiba, Parana, Brazil, Orcid: https://orcid.org/0000-0002-4911-6413
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20
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Roskamp L, Perin CP, Castro JPD, Mattos NHR, Campos MCBPD, Gabardo MCL, Ignácio SA, Locks MEN, Westphalen VPD, Baratto-Filho F. Retrospective analysis of survival of avulsed and replanted permanent teeth according to 2012 or 2020 IADT Guidelines. Braz Dent J 2023; 34:122-128. [PMID: 37194850 DOI: 10.1590/0103-6440202305255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 01/18/2023] [Indexed: 05/18/2023] Open
Abstract
This study aimed to compare the survival of replanted teeth that followed the 2012 or the 2020 International Association of Dental Traumatology (IADT) guidelines. Sixty-two permanent replanted teeth were retrospectively assessed (IADT 2012, n = 45; IADT 2020, n = 17). Five years after replantation (from January 2017 to December 2021), clinical and radiographic examinations were performed. A significance level of 95% was considered to evaluate the outcomes. Thirty-one teeth (50.0%) remained in their sockets and 31 (50.0%) were lost due to external root resorption. Of the 25 (40.3%) teeth replanted within one hour, 16 (64.0%) remained in their sockets, and 9 (36.0%) were lost. Twenty-two (71.0%) of all 31 lost teeth had an extra-alveolar time of more than one hour. Twelve teeth remained in their sockets without resorption: 8 (66.7%) were replanted within one hour, 2 (16.7%) followed the 2012 IADT, and 2 (16.7%) the 2020 IADT guidelines for late replantation. There was a significant difference (p <0.05) in the extra-alveolar time (< one hour), but without difference between the guidelines in late replantation (p > 0.05). Replanted teeth following both, 2012 or 2020 IADT guidelines, have similar clinical outcomes. The extra-alveolar time of less than one hour was demonstrated to be important to keep the permanent tooth in its socket.
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Affiliation(s)
- Liliane Roskamp
- Department of Dentistry. Universidade Tuituti do Paraná, Curitiba, PR, Brazil
| | - Camila Paiva Perin
- Department of Dentistry. Universidade Tuituti do Paraná, Curitiba, PR, Brazil
| | | | | | | | | | | | | | | | - Flares Baratto-Filho
- Department of Dentistry. Universidade da Região de Joinville, Joinville, SC, Brazil
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21
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Ramirez I, Alves DE, Kuchler PC, Madalena IR, de Lima DC, Barbosa MCF, Oliveira MAHDM, Thedei Júnior G, Baratto-Filho F, Küchler EC, de Oliveira DSB. Geographic Information Systems (GIS) to Assess Dental Caries, Overweight and Obesity in Schoolchildren in the City of Alfenas, Brazil. Int J Environ Res Public Health 2023; 20:ijerph20032443. [PMID: 36767807 PMCID: PMC9915223 DOI: 10.3390/ijerph20032443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 01/26/2023] [Accepted: 01/27/2023] [Indexed: 05/15/2023]
Abstract
Childhood-related obesity and overweight are increasing concerns for the health and well-being of children. Dental caries (decay) is the most prevalent oral disease during childhood, and several studies have suggested that nutritional status and dental caries are associated in children. Therefore, this study aimed to determine the geographic distribution of childhood overweight/obesity and dental caries in a medium-sized Brazilian city. This cross-sectional study was conducted with 269 children of both genders enrolled in four public schools in the city of Alfenas. The children were clinically examined to assess cavitated dental caries and nutritional status (overweight and obesity). In addition, the GIS was used for the geospatial clustering analyses. A heat map was created by the Kemel method to estimate the concentration of the outcomes. The cavitated dental caries and overweight/obesity were also pointed out by dots on the map. However, of the 269 children, 118 were boys (43.87%) and 151 were girls (56.13%). One hundred fifty-seven children (58.4%) were classified as having "non-cavitated caries," while 112 (41.6%) were classified as having "cavitied caries." In the nutritional status assessment, 204 children (75.84%) were classified as "eutrophic," while 65 children (24.16%) were classified as "overweight/obesity," A geographical correlation of dental caries with overweight/obesity may exist in the northeast and southwest areas. In conclusion, a geographical concordance between the dental caries and the occurrence of overweight/obesity among the schoolchildren from Alfenas may exist in some areas. Future studies are necessary.
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Affiliation(s)
- Iago Ramirez
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas 37130-001, Brazil
| | - Diego Escobar Alves
- Institute of Geography, Department of Physical Geography, Rio de Janeiro State University (UERJ/IGEOG/DGF), Rua São Francisco Xavier, 524, Maracanã, Rio de Janeiro 25550-013, Brazil
| | - Patrick Calvano Kuchler
- Institute of Geography, Department of Physical Geography, Rio de Janeiro State University (UERJ/IGEOG/DGF), Rua São Francisco Xavier, 524, Maracanã, Rio de Janeiro 25550-013, Brazil
| | - Isabela Ribeiro Madalena
- Department of Biomaterials, University of Uberaba, Uberaba 35430-026, Brazil
- Department of Dentistry, University of Joinville Region, Joinville 89219-710, Brazil
- School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei 66645-057, Brazil
| | - Daniela Coelho de Lima
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas 37130-001, Brazil
| | | | | | | | - Flares Baratto-Filho
- Department of Dentistry, University of Joinville Region, Joinville 89219-710, Brazil
- School of Dentistry, Tuiuti University from Parana, Curitiba 82010-210, Brazil
| | - Erika Calvano Küchler
- Department of Biomaterials, University of Uberaba, Uberaba 35430-026, Brazil
- School of Dentistry, Tuiuti University from Parana, Curitiba 82010-210, Brazil
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22
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Madalena IR, Marañón-Vásquez GA, Omori MA, de Sousa ET, da Silveira HA, León JE, Baratto-Filho F, Alves SYF, Stuani MBS, Nelson-Filho P, Kirschneck C, Küchler EC. Evaluation of tooth eruption rate of incisor teeth in rats with estrogen deficiency. Clin Oral Investig 2023; 27:345-352. [PMID: 36260168 DOI: 10.1007/s00784-022-04738-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 10/02/2022] [Indexed: 01/28/2023]
Abstract
OBJECTIVES To assess the influence of estrogen deficiency on tooth eruption rate (TER) and gene expression of estrogen receptor alpha and beta (ERα and ERβ) in the odontogenic region of teeth with continuous formation in a rat model. MATERIALS AND METHODS Ovariectomies (OVX; n = 25) and sham surgeries (SHAM; n = 25) were performed in female Wistar rats when animals were 25 days old. The TER of the lower incisors, both in impeded (hyperfunction condition) and unimpeded (trimmed incisal edge-hypofunction condition) conditions, was evaluated using standardized digital photographs acquired every 48-72 h for 3 weeks (35th-53rd day of life), using a camera coupled to a stereomicroscope. Quantitative real-time PCR was performed to evaluate the relative gene expression of ERα and ERβ in the odontogenic region. RESULTS The OVX group showed a significant reduction in TER when compared to the SHAM group, only in the impeded condition (p = 0.03). There was no statistically significant difference between the groups in ERα gene expression (p = 0.33). ERβ showed a significantly higher gene expression in the OVX group (p ≤ 0.05). CONCLUSIONS Estrogen deficiency decreases TER in teeth under impeded condition. Estrogen deficiency also increases ERβ gene expression in the odontogenic region of teeth with continuous formation. CLINICAL RELEVANCE Hormonal disturbances affecting estrogen levels can cause alterations in dental formation and teeth eruption.
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Affiliation(s)
- Isabela Ribeiro Madalena
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Cidade Universitária, Rua Prof. Rodolpho Paulo Rocco 325, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Emerson Tavares de Sousa
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Avenida Limeira 901, Areião, Piracicaba, SP, 13414-903, Brazil
| | - Heitor Albergoni da Silveira
- Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University, Rua Humaitá, Araraquara, CentroSP, 168014801-903, Brazil
| | - Jorge Esquiche León
- Department of Stomatology, Public Health and Forensic Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, University of the Joinville Region, Rua Paulo Malschitzki, s/n, Joinville, SC, 89219-710, Brazil
| | - Sandra Yasuyo Fukada Alves
- Department of Biomolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University Medical Centre of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany
| | - Erika Calvano Küchler
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida Do Café S/N, Campus da USP, Ribeirão Preto, SP, 14040-904, Brazil. .,Department of Orthodontics, University Medical Centre of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
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23
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Küchler EC, Henklein SD, Proff P, Lepri CP, Perin CP, Paddenberg E, Roskamp L, Baratto-Filho F, de Menezes-Oliveira MAH, Kirschneck C. Single Nucleotide Polymorphisms in COX2 Is Associated with Persistent Primary Tooth and Delayed Permanent Tooth Eruption. Int J Environ Res Public Health 2022; 19:10047. [PMID: 36011680 PMCID: PMC9408601 DOI: 10.3390/ijerph191610047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/10/2022] [Accepted: 08/12/2022] [Indexed: 06/15/2023]
Abstract
Persistent primary tooth (PPT) is a prevalent clinical condition that occurs when a primary tooth is over-retained beyond the established period of its normal exfoliation time, remaining in the oral cavity. Many factors could be involved in the risk of PPT; therefore, the aim of this study was to evaluate if single nucleotide polymorphisms (SNPs) in the COX2 gene are associated with PPT. Children undergoing orthodontic treatment were screened. Orthopantomographs were assessed to evaluate PPT according to the Nolla stage of its permanent successor. The primary tooth was considered retained when its successor permanent tooth was in Nolla stage 8 and below the alveolar crypt, Nolla stage 9, or Nolla stage 10. A saliva sample from each child was collected and used for DNA extraction. A real-time PCR of two SNPs, rs689466 (-1195 G/A) and rs5275 (+665 T/C), was performed. A chi-square test was used to compare the allele and genotype distribution. Haplotype analysis was also performed. A total of 100 children were included in the study. Fifty-one had at least one PPT, while 49 children were classified as a control. The number of teeth persistent in the oral cavity ranged from 1 to 8. The genotype distribution was associated with PPT in the co-dominant model (p = 0.006) for SNP rs5275. The individuals that carry two T alleles (TT) compared with the individuals that carry at least one C allele (C + TC) had an almost three times higher chance of presenting with PPT (p = 0.012; OR = 2.99, CI95% 1.28 to 6.95-recessive model). The haplotype C-A for the SNPs rs5275 and rs689466, respectively, was significantly associated (p = 0.042). In conclusion, single nucleotide polymorphisms in the gene encoding for COX2 are associated with persistent primary tooth and may delay permanent tooth eruption.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
- School of Dentistry, Tuiuti University of Paraná, Rua Sydnei Antonio Rangel Santos, 238-Santo Inacio, Curitiba 82010-330, PR, Brazil
| | | | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - César Penazzo Lepri
- Department of Biomaterials, University of Uberaba-UNIUBE, Uberaba 38010-200, MG, Brazil
| | - Camila Paiva Perin
- School of Dentistry, Tuiuti University of Paraná, Rua Sydnei Antonio Rangel Santos, 238-Santo Inacio, Curitiba 82010-330, PR, Brazil
| | - Eva Paddenberg
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - Liliane Roskamp
- School of Dentistry, Tuiuti University of Paraná, Rua Sydnei Antonio Rangel Santos, 238-Santo Inacio, Curitiba 82010-330, PR, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University of Paraná, Rua Sydnei Antonio Rangel Santos, 238-Santo Inacio, Curitiba 82010-330, PR, Brazil
- School of Dentistry, Univille University, Rua Paulo Malschitzki, 10, Zona Industrial Norte, Joinville 89219-710, SC, Brazil
| | | | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
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24
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Mattos NHR, Perin CP, Roskamp L, de Araújo CM, Gabardo MCL, Westphalen VPD, Fariniuk LF, Baratto-Filho F. Influence of Filling Material Remnants on the Diffusion of Hydroxyl Ions in Endodontically Retreated Teeth: An Ex Vivo Study. J Contemp Dent Pract 2022; 23:768-774. [PMID: 37283009 DOI: 10.5005/jp-journals-10024-3371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM To assess the influence of remnants of filling material on hydroxyl ion diffusion from calcium hydroxide (CH) paste, measured by the pH value, in retreated teeth. MATERIALS AND METHODS A total of 120 single-rooted extracted teeth were prepared up to a size 35 hand file and filled. For retreatment, the specimens were divided into four groups (n = 20): ProTaper Universal Retreatment (PUR), PUR with additional instrumentation (PURA), Mtwo Retreatment (MTWR), and MTWR with additional instrumentation (MTWRA). Negative (NEG) and positive (POS) control groups were composed by 20 specimens each one. The specimens, except NEG, were filled with CH paste. The retreated groups were scanned using cone-beam computed tomography (CBCT) for analysis of filling remnants. The pH assessment was performed at the baseline, after seven, 21, 45, and 60 days of immersion in saline. Data were analyzed using Shapiro-Wilk and Levene's test, followed by a two-way analysis of variance (ANOVA) and Tukey's test. RESULTS Additional instrumentation (PURA and MTWRA) were superior regarding removal of the filling material (p <0.05); however, without significant difference (p >0.05). The mean pH value in all groups increased (p <0.05). After 60 days, no statistical difference was observed among POS and PURA; and MTWR and MTWRA. There was less diffusion of hydroxyl ions when the amount of remnants was greater than 59%. CONCLUSION Additional instrumentation improved the ability to remove filling material in both systems. All groups presented increasing pH; however, the higher the amount of remnants, the lower the diffusion of hydroxyl ions. CLINICAL SIGNIFICANCE The amount of remnants allows less diffusion of calcium hydroxyl ions. Thus, additional instrumentation improves the ability to remove these materials.
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Affiliation(s)
| | - Camila Paiva Perin
- Department of Dentistry, Universidade Tuiuti do Paraná, Rua Sydnei Antonio Rangel Santos, Curitiba, Paraná, Brazil
| | - Liliane Roskamp
- Department of Dentistry, Universidade Tuiuti do Paraná, Rua Sydnei Antonio Rangel Santos, Curitiba, Paraná, Brazil
| | - Cristiano Miranda de Araújo
- Department of Dentistry, Universidade Tuiuti do Paraná, Rua Sydnei Antonio Rangel Santos, Curitiba, Paraná, Brazil
| | - Marilisa Carneiro Leão Gabardo
- School of Health Sciences, Universidade Positivo, Rua Professor Pedro Viriato Parigot de Souza, Curitiba, Paraná, Brazil, Phone: +55 41 3526-5121, e-mail:
| | | | - Luiz Fernando Fariniuk
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, Curitiba, Paraná, Brazil
| | - Flares Baratto-Filho
- Department of Dentistry, Universidade da Região de Joinville, Rua Paulo Malschitzki, Joinville, Santa Catarina, Brazil
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25
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Baratto SSP, Meger MN, Camargo V, Nolasco GMC, Mattos NHR, Roskamp L, Stechman-Neto J, Madalena IR, Küchler EC, Baratto-Filho F. Temporomandibular disorder in construction workers associated with ANKK1 and DRD2 genes. Braz Dent J 2022; 33:12-20. [PMID: 36043564 PMCID: PMC9645185 DOI: 10.1590/0103-6440202204963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 07/06/2022] [Indexed: 11/30/2022] Open
Abstract
The study aimed to explore the influence of genetic polymorphisms in ANKK1 and
DRD2 on the signs and symptoms of temporomandibular disorder (TMD) in
construction workers. This cross-sectional study included only male subjects.
All construction workers were healthy and over 18 years age. Illiterate workers
and functionally illiterate workers were excluded. The diagnosis of TMD was
established according to the Research Diagnostic Criteria for TMD (RDC/TMD).
Genomic DNA was used to evaluate the genetic polymorphisms ANKK1 (rs1800497) and
DRD2 (rs6275; rs6276) using Real-Time PCR. Chi-square or Fisher exact tests were
used to evaluate genotypes and allele distribution among the studied phenotypes.
The established alpha of this study was 5%. The sample included a total of 115
patients. The age of the patients ranged from 19 to 70 years (mean age 38.2;
standard deviation 11.7). Chronic pain (87.7%), disc displacement (38.2%), and
joint inflammation (26.9%) were the most frequently observed signs and symptoms.
The genetic polymorphism rs6276 in DRD2 was associated with chronic pain
(p=0.033). In conclusion, our study suggests that genetic polymorphisms in DRD2
and ANKK1 may influence TMD signs and symptoms in a group of male construction
workers.
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Affiliation(s)
| | | | - Vânia Camargo
- School of Health Sciences, Positivo University, Curitiba, Paraná, Brazil
| | | | | | - Liliane Roskamp
- School of Dentistry, University of Tuiuti of Paraná, Curitiba, Paraná, Brazil
| | - José Stechman-Neto
- School of Dentistry, University of Tuiuti of Paraná, Curitiba, Paraná, Brazil
| | - Isabela Ribeiro Madalena
- School of Dentistry, University of the Joinville Region, Joinville, Santa Catarina, Brazil.,School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei, Minas Gerais, Brazil.,Department of Restorative Dentistry, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
| | - Erika Calvano Küchler
- School of Dentistry, University of Tuiuti of Paraná, Curitiba, Paraná, Brazil.,Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Flares Baratto-Filho
- School of Dentistry, University of Tuiuti of Paraná, Curitiba, Paraná, Brazil.,School of Dentistry, University of the Joinville Region, Joinville, Santa Catarina, Brazil
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Küchler EC, Stroparo JLDO, Matsumoto MN, Scariot R, Perin CP, Roskamp L, Menezes-Oliveira MAHD, Proff P, Kirschneck C, Baratto-Filho F. Assessing the prevalence of S-shaped root canal and associated genes in humans. Ann Anat 2022; 244:151977. [PMID: 35787440 DOI: 10.1016/j.aanat.2022.151977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/15/2022] [Accepted: 06/15/2022] [Indexed: 10/17/2022]
Abstract
BACKGROUND Multiple signaling molecules have been shown to play crucial roles in dental root development. Therefore, we aimed to investigate the prevalence of S-shaped roots and also to investigate, if single nucleotide polymorphisms (SNPs) in BMP2, BMP4 and SMAD6 are associated with this phenotype in humans. METHODS This is a cross-sectional phenotype-genotype association study that used radiographs to determine the phenotypes and DNA to investigate SNPs in candidate genes. During the radiographic exam, teeth presenting root canal(s) doubly curved were considered S-shaped roots. SNPs in BMP2 (rs1005464 and rs235768), BMP4 (rs17563) and SMAD6 (rs2119261 and rs3934908) were blindly genotyped by real-time PCR using TaqMan assay. The relative and absolute frequency of S-shaped roots were calculated. Chi-square test was used to compare the genotype distributions between control and S-shaped groups. RESULTS Among the 578 subjects, 61 (10.6%) presented at least one tooth with an S-shaped root. The most commonly affected type of tooth was the premolar. rs1005464 in BMP2 was statistically associated with an S-shaped root (p=0.036). rs235768 in BMP2 was associated with an S-shaped root also in mandibular teeth (p=0.017). A statistical significance was observed for the rs3934908 in SMAD6 (p=0.049) for S-shaped root in the mandible. In the analysis stratified according to the type of tooth, rs235768 in BMP2 was associated with S-shaped roots in premolars (p=0.029). CONCLUSION The prevalence of S-shaped roots is 10.6% in permanent teeth. SNPs in BMP2 and SMAD6 could be involved in a higher chance to present S-shaped roots.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Jeferson Luis de Oliveira Stroparo
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Mirian Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Rafaela Scariot
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Camila Paiva Perin
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Liliane Roskamp
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Maria Angélica Hueb de Menezes-Oliveira
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil; Department Master's Program of Dentistry, School of Dentistry of Uberaba, Uberaba, Minas Gerais, Brazil.
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Botelho BA, Oliveira KVD, Antunes RG, Mattos NH, Perin CP, Gabardo MC, Baratto-Filho F. Intratubular Sealer Penetration: Scanning Electron Microscopy Associated with Cathodoluminescence Analysis. J Contemp Dent Pract 2022; 23:383-387. [PMID: 35945829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
AIM The aim of the study was to compare the ability of three endodontic sealers, Endofill (END), AH Plus (AHP), and Sealer Plus BC (SPB), to penetrate dentinal tubules. MATERIALS AND METHODS Forty-five human teeth, single-rooted and previously instrumented mandibular premolars, were randomly divided into three experimental groups (n = 15): END (n = 15), AHP (n = 15), and SPB (n = 15). After obturation, dental sections were performed horizontally, at 2 and 5 mm from the root apex. The samples were analyzed by scanning electron microscopy associated with cathodoluminescence. Percentage penetration (PP%) and maximum penetration depth (MPD) of the sealers were evaluated by the Kruskal-Wallis and Mann-Whitney tests, for general and paired data, respectively. The Wilcoxon test was applied to analyze the differences between the 5 and 2 mm distances. A 5% significance level was adopted. RESULTS As for PP%, AHP and SPB were similar (p = 0.127) and presented higher values than END (AHP, p = 0.024 and SPB, p <0.001); with regard to MPD, AHP and SPB did not differ either (p = 0.450), but were higher than END (p <0.001); in both analyses, penetration was greater at 5 mm than at 2 mm (p <0.001). CONCLUSION SPB showed satisfactory performance in penetrating dentinal tubules, being similar to AHP, and superior to END. CLINICAL SIGNIFICANCE Greater penetration of sealer into the dentinal tubules may increase the chance of successful endodontic treatment.
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Affiliation(s)
- Bruna A Botelho
- School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil
| | | | - Rebecca G Antunes
- Department of Dentistry, Universidade da Região de Joinville, Joinville, Santa Catarina, Brazil
| | - Natanael Hr Mattos
- Department of Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Camila P Perin
- Department of Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
| | - Marilisa Cl Gabardo
- School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil; Phone: +55 41 3526-5121, e-mail:
| | - Flares Baratto-Filho
- Department of Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil
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Roskamp L, Souza CM, Ignácio SA, Perin CP, Mattos NHR, Sunye IR, Santos LC, Westphalen VPD, Jacob CDS, Baratto-Filho F. Influence of clinical factors, IL4 and IL6 genes polymorphisms in functional healing in late replantation. Braz Dent J 2022; 33:13-21. [DOI: 10.1590/0103-6440202204683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 10/08/2021] [Indexed: 11/21/2022] Open
Abstract
Abstract To investigate the genetic association in a sample of replanted teeth, it is necessary to observe the extreme phenotypes, such as, teeth that underwent functional healing and those extracted due to severe external root resorption. Thus, this study aimed to investigate the association of age of the patients, root development, storage media, and polymorphisms in the interleukin 4 (IL4) and interleukin 6 (IL6) genes with teeth that presented extreme outcomes, as functional healing or extraction, in a group whose replantation techniques did not follow the International Association of Dental Traumatology (IADT) 2012 guidelines. Forty-three avulsed and replanted teeth that did not follow IADT 2012 guidelines and underwent functional healing or were extracted were included. Periapical radiographs employed for this study were taken soon after tooth replantation and after 1 year. For genotypic IL4 and IL6 genes analysis, DNA of oral mucosa cells was extracted. Real-time- PCR performed for genotyping polymorphisms in IL4 and IL6 genes. Clinical and genetic variables were analyzed by the Chi-square test and the “Z” test. P values < .05 were considered significant. The results showed that functional healing and extraction were associated with storage media and with the rs2243268 of IL- 4 gene polymorphisms. As conclusion, the C rs2243268 allele of IL4 gene may have a positive relationship with functional healing teeth that were replanted not following the 2012 IADT guidelines. Keeping the tooth dry is associated to a fast loss of avulsed and replanted teeth after 1-year follow-up.
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Affiliation(s)
- Liliane Roskamp
- Universidade Tuiuti do Paraná, Brazil; Pontifícia Universidade Católica do Paraná, Brazil
| | | | | | | | | | | | | | | | | | - Flares Baratto-Filho
- Universidade Tuiuti do Paraná, Brazil; Universidade da Região de Joinville, Brazil
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Madalena IR, Reis CLB, Oliveira DSBD, Pecharki GD, Trevilatto PC, Andrades KMR, Carelli J, Silva VLBD, Baratto-Filho F, Küchler EC, Brancher JA. Lack of association between delayed tooth emergence and single nucleotide polymorphisms in estrogen receptors. Braz Dent J 2022; 32:107-114. [PMID: 35019014 DOI: 10.1590/0103-6440202104103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 09/13/2021] [Indexed: 11/22/2022] Open
Abstract
The purpose of the study was to investigate the association between single nucleotide polymorphisms (SNPs) in genes encoding estrogen receptors (ESR1 and ESR2, respectively) and delayed tooth emergence (DTE). This cross-sectional study was composed of biological unrelated children of both sexes, age ranging from 11 to 13 years old. DTE was defined when the successor primary tooth was still present in the oral cavity after its exfoliation time or the absence of the permanent tooth emergence into the oral cavity. Children were diagnosed with DTE when they had at least one delayed permanent tooth, according to age of exfoliation of each tooth proposed by The American Dental Association. Genomic DNA from saliva was used to evaluate the SNPs in ESR1 (rs9340799 and rs2234693) and ESR2 (rs1256049 and rs4986938) using Real-Time PCR. Chi-square or Fisher exact tests and Logistic Regression adjusted by age and gender were performed. SNP-SNP interaction was accessed by multifactor dimensionality reduction (MDR) analysis also adjusted by gender and age. The established alpha of this study was 5%. Among 537 included children, 296 (55%) were in the "DTE" group and the 241 (45%) were in the "Control" group. Age and gender were not statistically different among the groups (p>0.05). Genotype distribution of the SNPs rs9340799, rs2234693, rs1256049 and rs4986938 were not associated with DTE (p> 0.05). The models elected by MDR were not statistically significant either. Conclusions: The studied SNPs in ESR1 and ESR2 were not associated with permanent DTE.
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Affiliation(s)
- Isabela Ribeiro Madalena
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Caio Luiz Bitencourt Reis
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Alfenas, MG, Brazil
| | | | | | | | | | - Julia Carelli
- School of Dentistry, Univille University, Joinville, SC, Brazil
| | | | | | - Erika Calvano Küchler
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - João Armando Brancher
- School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
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Bergamo AZN, Madalena IR, Omori MA, Ramazzotto LA, Nelson-Filho P, Baratto-Filho F, Proff P, Kirschneck C, Küchler EC. Estrogen deficiency during puberty affects the expression of microRNA30a and microRNA503 in the mandibular condyle. Ann Anat 2021; 240:151865. [PMID: 34813926 DOI: 10.1016/j.aanat.2021.151865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 10/18/2021] [Accepted: 11/11/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND The aim of this study was investigated if estrogen deficiency during puberty affects the expression of miRNA30a and miRNA503 in maxillary and mandibular growth centers, and also evaluated if ERα and ERβ are correlated with miRNA30a and miRNA503 expressions. METHODS Samples from 12 female Wistar rats randomized into experimental group (OVX) and control group (SHAM). At an age of 45 days animals were euthanized for miRNA expression analyses. RT-qPCR was performed to determine miRNA30a and miRNA503 expression in growth sites: midpalatal suture, condyle, mandibular angle, symphysis/parasymphysis and coronoid process. The data was carried out using the parametric tests at 5% of significance level. RESULTS miRNA 30a and miRNA503 presented higher levels in the condylar site in SHAM group when compared with OVX (p = 0.002 and p = 0.020, respectively). In the growth centers, a statistical significant difference was observed only for miRNA30a (p = 0.004), when compared mandibular angle with condyle the in OVX group (p = 0.001). A strong positive correlation between miRNA503 and ERα in the condyle of OVX group was observed (r = 0.90; p = 0.039 and it also between miRNA503 and ERβ in the coronoid process of the OVX group (r = 0.88; p = 0.05). CONCLUSION The results suggested that estrogen regulates specific miRNAs in maxillary and mandibular growth centers, which may participate in posttranscriptional regulation of estrogen-regulated genes.
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Affiliation(s)
- Ana Zilda Nazar Bergamo
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Isabela Ribeiro Madalena
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil; Department of Dentistry, University of the Region of Joinville, Joinville, SC, Brazil; Department of Restorative Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil
| | - Marjorie Ayumi Omori
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Lucas Alexandre Ramazzotto
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil; Biotechnology Graduation, Federal University of São Carlos, São Carlos, SP, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Flares Baratto-Filho
- Department of Dentistry, University of the Region of Joinville, Joinville, SC, Brazil
| | - Peter Proff
- Department of Orthodontics, University Medical Centre of Regensburg, Germany
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Reis CLB, Barbosa MCF, de Lima DC, Brancher JA, Lopes CMCF, Baratto-Filho F, Küchler EC, de Oliveira DSB. Risk factors for developmental defects of enamel in children from southeastern Brazil. Community Dent Health 2021; 38:178-181. [PMID: 33848406 DOI: 10.1922/cdh_00242reis04] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Developmental Defects of Enamel (DDEs) comprise qualitative and/or quantitative changes to the enamel during amelogenesis. The aetiology of DDE remains inconclusive. AIM To determine the association of pre, peri, and postnatal factors with the presence of DDE. DESIGN Cross-sectional study with 353 children (8 to 11 years-old) in a Brazilian town. METHODS One calibrated dentist assessed DDE using the Developmental Defects of Enamel Index and a questionnaire collected medical and sociodemographic data. MAIN OUTCOMES Children with at least one type of DDE were categorized into the DDE group. Subtypes of DDE were also recorded. RESULTS 63.1% of children had at least one type of DDE. Diffuse opacity was present in 36.7%, demarcated opacity in 14.8%, and hypoplasia in 5.83% of the children. In multivariate analysis, demarcated opacities and hypoplasia were associated with birth weight ⟨ 2500g (OR = 4.82; 95% CI 1.23-1.95). CONCLUSION Low birth weight predicted DDE.
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Affiliation(s)
- C L B Reis
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.,Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Brazil
| | - M C F Barbosa
- Department of Child and Adolescent Health, School of Dentistry, Federal University of Minas Gerais, Brazil
| | - D C de Lima
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Brazil
| | - J A Brancher
- School of Life Sciences, Pontificia Universidade Catolica do Parana, Brazil
| | - C M C F Lopes
- Department of Dentistry, University of the Region of Joinville - Univille, Joinville/SC, Brazil
| | - F Baratto-Filho
- Department of Dentistry, University of the Region of Joinville - Univille, Joinville/SC, Brazil
| | - E C Küchler
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - D S B de Oliveira
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Brazil
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Kublitski PMDO, Tomazinho FSF, Marques-da-Silva B, Santos VRD, Silva WJD, Baratto-Filho F, Gabardo MCL. Cleaning of long oval canals with WaveOne Gold system associated with different irrigant agitation protocols. Braz J Oral Sci 2021. [DOI: 10.20396/bjos.v21i00.8664013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: The aim of the study was to evaluate the cleaning of mandibular incisors with WaveOne Gold® (WO) under different preparation techniques. Methods: A total of 210 human mandibular incisors were selected and divided into seven groups (n = 30), prepared by WO single-files (Small 20/.07 – WOS; Primary 25/.07 – WOP; Medium 35/.06 – WOM; or Large 45/.05 - WOL) and sequential-file techniques (WOS to WOP; WOS to WOM; and WOS to WOL). Further subdivision was made according to irrigation protocol: control group (manual irrigation - CON), E1 Irrisonic® - EIR, and EDDY® - EDD. Debris removal and the smear layer were evaluated by scanning electron microscopy. Data were analyzed by using Spearman’s correlation test. The significance level was set at 5%. Results: For debris and smear layer removal, WOS and WOP, EIR differed from CON and EDD (p <0.05). Conclusion: Regardless of the instrumentation used, the agitation of the irrigant solution provided better cleanability. These findings reinforce the need for agitation techniques as adjuvants in cleaning root canal systems in mandibular incisors.
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Reis CLB, Barbosa MCF, de Lima DC, Madalena IR, Baratto-Filho F, Proff P, de Oliveira DSB, Paddenberg E, Küchler EC, Kirschneck C. Study of Dental Caries and PTH Gene. Front Dent Med 2021. [DOI: 10.3389/fdmed.2021.703549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Parathyroid hormone (PTH) is essential for calcium and phosphate homeostasis in odontogenesis-related cells. Therefore, the present study aimed to investigate the association between single nucleotide polymorphisms in the gene encoding PTH, and dental caries in Brazilian children. Three hundred and fifty-three children (170 boys and 183 girls, age ranging from 8 to 11 years old) were included in this study. The International System for Detection and Assessment of Carious Lesions (ICDAS) was used for diagnosis of dental caries. Visible biofilm was also evaluated during the clinical examination. Genomic DNA was extracted from saliva for real-time PCR to evaluate the single nucleotide polymorphisms rs6256, rs307247 and rs694 in PTH gene. Dental caries was classified in ICDAS0 vs. ICDAS1−6 or ICDAS1−2 vs. ICDAS3−6. Chi-square test, binary logistic regression adjusted by biofilm and haplotype analyses were performed (p < 0.05). Biofilm was associated with dental caries (p < 0.05). There were no associations between dental caries and rs6256, rs307247, rs694 in none of the analyses performed (p > 0.05). In conclusion, the present study supports that the single nucleotide polymorphisms rs6256, rs307247, and rs694 in the PTH-encoding gene are not associated with dental caries in Brazilian children.
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Marchiori M, Corrêa AMY, Tomazinho FSF, Gabardo MCL, Mattos NHR, Fariniuk LF, Baratto-Filho F. Influence of different reciprocating systems on the apical extrusion of debris in flat-oval canals. Braz J Oral Sci 2021. [DOI: 10.20396/bjos.v20i00.8663781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Aim: To evaluate the apical extrusion of debris in flat-oval canals, using three reciprocating systems at two different working lengths (WL), 0 mm and 1 mm from the apical foramen. Methods: Ninety mandibular incisors were randomly divided into three groups based on the systems: WaveOne Gold #25.07 (WOG), ProDesign R #25.06 (PDR), and X1 Blue #25.06 (X1B). Extruded debris were collected and dried in pre-weighed Eppendorf tubes. Three consecutive weighings were performed for each tube, and the mean was calculated. If the assumptions of normality and homogeneity of variance were not met, the Kruskal-Wallis test was used to analyze the amount of extruded debris between groups with the same WL, and the Mann-Whitney U test was used for comparison within groups for each WL. Results: All groups had extruded debris, with higher median values occurring at 1 mm. No significant difference regarding the amount of debris extrusion was observed at 0 mm (p>0.05) and 1 mm (p>0.05) between groups. However, within the groups, at different WL, there was greater extrusion at 1 mm (p<0.05), with PDR differing significantly from the other systems (p<0.05). Conclusion: The extrusion of debris occurred regardless of the group, with higher values at 1 mm. However, using PDR at 1 mm from the apical foramen showed the highest values of extrusion.
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Carelli J, Mattos C, Morais ND, Scariot R, Brancher JA, Baratto-Filho F, Kuchler EC, Moro A. Correlation between Insulin-Like Growth Factor I and Skeletal Maturity Indicators. Glob Pediatr Health 2021; 8:2333794X211011305. [PMID: 34017903 PMCID: PMC8114260 DOI: 10.1177/2333794x211011305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 04/20/2021] [Accepted: 03/29/2021] [Indexed: 11/17/2022] Open
Abstract
Objective: The purpose of this study was to evaluate the correlation between the growth maturity indicators in orthodontic patients. Design: This cross-sectional study was performed on 37 orthodontic patients (17 males and 20 females). An anamnesis, clinical and image examination, and blood sample collection were performed. The inclusion criteria were non-syndromic Class II patients of both gender, age ranging between 10 to 16 years. The lateral cephalometric radiographs were evaluated using 6-stage cervical vertebrae maturation (CVM) technique. The hand-wrist radiographs were staged using the 11-stage skeletal maturation indicator (SMI) technique. Blood was collected in the same week of the images to quantify IGF-1 levels in serum. Data were tested for normality by Shapiro–Wilk test. The Pearson test was used to determine the correlation strength between the variables (alpha of 5%). Results: A strong correlation was observed only between SMI stages and CVM stages in the total sample (r=0.864; p<0.0001) and according to the gender (r=0.793; p<0.0001 for females; and r=0.753; p<0.0001 for males). IGF-1 was only moderately correlated with SMI stages and CVM stages. Conclusion: Hand-wrist and cervical vertebral stages were strongly correlated among them, however, IGF-1 was only moderately correlated with both skeletal maturity indicators.
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Affiliation(s)
- Julia Carelli
- Positivo University, Curitiba, Paraná, Brazil.,Univille - Universidade de Joinville, Joinville, Santa Catarina, Brazil
| | | | | | | | | | - Flares Baratto-Filho
- Positivo University, Curitiba, Paraná, Brazil.,Univille - Universidade de Joinville, Joinville, Santa Catarina, Brazil
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Küchler EC, de Lara RM, Omori MA, Marañón-Vásquez G, Baratto-Filho F, Nelson-Filho P, Stuani MBS, Blanck-Lubarsch M, Schroeder A, Proff P, Kirschneck C. Effects of estrogen deficiency during puberty on maxillary and mandibular growth and associated gene expression - an μCT study on rats. Head Face Med 2021; 17:14. [PMID: 33888144 PMCID: PMC8061017 DOI: 10.1186/s13005-021-00265-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 04/12/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Estrogen is a well-known and important hormone involved in skeletal homeostasis, which regulates genes involved in bone biology. Some studies support that estrogen is important for craniofacial growth and development. Therefore this in vivo animal study aimed to investigate, whether and in which way low estrogen levels in the prepubertal period affect craniofacial development in the postpubertal stage and to quantify the gene expression of RANK, RANKL and OPG in cranial growth sites in ovariectomized estrogen-deficient rats during puberty. METHODS Control (sham-operated, n = 18) and ovariectomy (OVX, n = 18) surgeries were performed on 21-days-old female Wistar rats. Animals euthanized at an age of 45 days (pubertal stage) were used for gene expression analyses (n = 6 per group) and immunohistochemistry of RANK, RANKL and OPG. Animals euthanized at 63 days of age (post-pubertal stage) were used for craniofacial two-dimensional and three-dimensional craniofacial measurements using μCT imaging (n = 12 per group). RESULTS In the μCT analysis of the mandible and maxilla many statistically significant differences between sham-operated and OVX groups were observed, such as increased maxillary and mandibular bone length in OVX animals (p < 0.05). Condylar volume was also significantly different between groups (p < 0.05). The sham-operated group showed a higher level of RANK expression in the midpalatal suture (p = 0.036) and the RANKL:OPG ratio levels were higher in the OVX group (p = 0.015). CONCLUSIONS Our results suggest that estrogen deficiency during the prepubertal period is associated with alterations in the maxillary and mandibular bone length and condylar growth.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany. .,Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP, 14040-904, Brazil.
| | | | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP, 14040-904, Brazil
| | - Guido Marañón-Vásquez
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP, 14040-904, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Univille University, R. Paulo Malschitzki, Joinville, SC, 89219-710, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP, 14040-904, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP, 14040-904, Brazil
| | - Moritz Blanck-Lubarsch
- Department of Orthodontics, University of Muenster, Albert-Schweitzer-Campus 1, Building W30, 48149, Münster, Germany
| | - Agnes Schroeder
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
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Lima J, Caldarelli PG, Rocha JS, Fagundes Tomazinho FS, Fariniuk LF, Baratto-Filho F, Leão Gabardo MC. Educational approaches for assessing knowledge about and actions of educators in response to dental avulsion. J Indian Soc Pedod Prev Dent 2021; 39:138-146. [PMID: 34341232 DOI: 10.4103/jisppd.jisppd_186_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Dental trauma affects especially schoolchildren and adolescents. Educators, the responsible for the first appointment, have a fundamental role in the prognosis of dental avulsion that occurred in this environment. AIM To evaluate the educational approaches for assessing knowledge and actions in response to dental avulsion among educators. SETTINGS AND DESIGN This cross-sectional and quanti-qualitative study included 197 teachers and 24 pedagogical coordinators (PCs), from the public schools of Pato Branco, Paraná, Brazil. METHODS A questionnaire was initially administered regarding the knowledge about avulsion to all participants. Teachers just read a manual and answered the questionnaire after 30 days. PCs were divided into (n = 12): G1 - manual + fictitious scenario of avulsion and G2 - active methodology + fictitious scenario. The questionnaire was re-administered to all. STATISTICAL ANALYSIS Quantitative data were analyzed statistically. For the qualitative stage, two questions were proposed and the Bardin's analysis was performed. RESULTS For teachers, knowledge about avulsion increased after the intervention (P < 0.001), except as related to cleaning the tooth (P = 0.21). Activities involving G1 and G2 also led to an increase in knowledge, but no difference occurred in this increase between the approaches (P = 0.14). Qualitative analysis highlighted the need for calm and for performing actions that could favor a good prognosis in cases of avulsion. CONCLUSIONS The level of knowledge increased after interventions, but no significant differences between the educational approaches were found.
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Affiliation(s)
- Jacqueline Lima
- Department of Dentistry, Positivo University, Curitiba, Paraná, Brazil
| | | | - Juliana Schaia Rocha
- Department of Dentistry, Pontifical Catholic Universisty of Paraná, Curitiba, Paraná, Brazil
| | | | | | - Flares Baratto-Filho
- Department of Dentistry, University of the Region of Joinville, Joinville, Santa Catarina, Brazil
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Barbosa MCF, Reis CLB, Lopes CMCF, Madalena IR, Küchler EC, Baratto-Filho F, Storrer CLM, Lima DC, Oliveira DSB. Assessing the Association Between Nutritional Status, Caries, and Gingivitis in Schoolchildren: A Cross-Sectional Study. Glob Pediatr Health 2021; 8:2333794X211001237. [PMID: 33786340 PMCID: PMC7961701 DOI: 10.1177/2333794x211001237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 02/10/2021] [Accepted: 02/11/2021] [Indexed: 12/12/2022] Open
Abstract
Objective. To evaluate if nutritional status is associated with caries and gingivitis in Brazilian schoolchildren. Material and methods. Children of both genders, age ranging from 8 to 11 years old, were included in this study. Caries was diagnosed using ICDAS (International System for Detection and Assessment of Carious Lesions) and gingivitis was diagnosed using the Community Periodontal Index. The nutritional status of each child was defined by BMI Z-score calculation. Data on oral health behavior and dietary habit were collected through parent's questionnaires. Parametric analyzes were performed to compare the groups. The established alpha was 5%. Results. The sample consisted of 353 schoolchildren: 16 underweight children, 247 eutrophic children, 64 overweight children, and 26 were obese children. Overweight, Obese and Overweight + Obese children presented less cavitated caries lesion than Eutrophic children (P < .05). Gingivitis was not associated with nutritional status (P > .05). Conclusion. Caries was associated with overweight and obesity in Brazilian schoolchildren.
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Küchler EC, de Lara RM, Omori MA, Schröder A, Teodoro VB, Baratto-Filho F, Léon JE, Proff P, Madalena IR, Kirschneck C. Estrogen deficiency affects tooth formation and gene expression in the odontogenic region of female rats. Ann Anat 2021; 236:151702. [PMID: 33607226 DOI: 10.1016/j.aanat.2021.151702] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/13/2021] [Accepted: 01/25/2021] [Indexed: 12/13/2022]
Abstract
BACKGROUND There is some evidence that estrogen regulates the expression of several genes in different cells, including dental cells. Therefore, the aim of this study was to investigate the role of estrogen deficiency during tooth development regarding tooth structure morphology and its impact on the expression of odontogenesis-related genes. METHODS A total of 40 female Wistar rats was divided into OVX (estrogen deficiency) and Sham (control) groups. Bilateral ovariectomy was performed in the OVX group, while Sham surgery was performed in the control group at the age of 21 days. At an age of 56 days, 16 rats were euthanized for gene expression analyses of Bmp4, Smad6, Tgfb1 and Runx2. At the age of 63 days, the remaining rats were euthanized for histological and morphometric analyses of teeth. The mandibles of the rats were submitted to μCT analysis. Tooth structures (enamel, dentin and dental pulp) were analyzed. T test was used to compare the mean differences between groups (p<0.05). RESULTS In the μCT analysis, enamel and dentin thickness were significantly increased in the control group (p<0.0001). Pulp dimensions were significantly larger in the OVX group (p<0.0001). A reduction of tooth structures in the OVX group was confirmed in HE staining. Smad6 was differentially expressed in the OVX group (p=0.04). CONCLUSION Estrogen deficiency affects gene expression in the odontogenic region and tooth structure morphology.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | | | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | - Agnes Schröder
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | | | - Flares Baratto-Filho
- School of Dentistry, Univille University, R. Paulo Malschitzki, Joinville, SC 89219-710, Brazil
| | - Jorge Esquiche Léon
- Department of Pathology and Forensic Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - Isabela Ribeiro Madalena
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
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Demenech LS, Tomazinho FSF, Baratto-Filho F, Brancher JA, Pereira LF, Gabardo MCL. Biocompatibility of the 8.25% sodium hypochlorite irrigant solution in endodontics: An in vivo study. Microsc Res Tech 2021; 84:1506-1512. [PMID: 33462926 DOI: 10.1002/jemt.23706] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 10/08/2020] [Accepted: 01/04/2021] [Indexed: 01/05/2023]
Abstract
The biocompatibility of irrigant solutions, including 8.25% sodium hypochlorite (NaOCl), was analyzed in samples (n = 25) of chorioallantoic membranes (CAM) from embryos of the Gallus gallus, using the hen's egg test on chorioallantoic membrane (HET-CAM). The following irrigants were tested: saline (control), 2% chlorhexidine (2% CHX), and NaOCl (2.5%, 5.25%, and 8.25%), and morphological and microcirculatory changes were investigated. Images were selected and quantified with Image J®. The macroscopic data were submitted to ANOVA, followed by the Tukey's test (p < .05); non-parametric Kruskal-Wallis and Mann-Whitney tests were applied to histological data (p < .05). The frequency of hyperemia differed significantly in the 8.25% NaOCl compared to the other groups, with the exception of 5.25% NaOCl (p = .096). Coagulation was more frequent in the 2% CHX group, differing significantly from the 2.5% NaOCl group (p = .038). In mean values, NaOCl 8.25% caused the decrease (NaOCl = 2.60, and control = 5.00) of vessels in the microcirculation, as well as triggered the increase (NaOCl = 425.50, and control 44.50) of inflammatory cells in the observed areas. There was necrosis in all samples in the 5.25% NaOCl group and in 80% in the 2% CHX, 2.5% NaOCl, and 8.25% NaOCl groups. Fibroblasts were detected only in the control group. It was concluded that the 8.25% NaOCl solution showed significantly high toxicity on CAM. However, these results were comparable to the other concentrations of NaOCl and to 2% CHX. Thus, in this experimental protocol, 8.25% NaOCl proved to be viable as an irrigant solution.
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Affiliation(s)
| | | | | | - João A Brancher
- School of Health Sciences, Universidade Positivo, Curitiba, Brazil
| | - Luiz F Pereira
- School of Life Sciences, Pontificia Universidade Católica do Paraná, Brazil
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do Nascimento BMZ, Mazzi-Chaves JF, Sousa-Neto MD, Baratto-Filho F, Fagundes Tomazinho FS, Leonardi DP. Effect of Root Canal Preparation on Propagation of Dentinal Microcracks. Iran Endod J 2021; 16:90-96. [PMID: 36704217 PMCID: PMC9709900 DOI: 10.22037/iej.v16i2.26744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 02/09/2021] [Accepted: 03/06/2021] [Indexed: 01/28/2023]
Abstract
Introduction This study evaluated the propagation of dentinal microcracks and the root canal volume increase after being prepared with two endodontic instruments: ProTaper Next (PTN) and WaveOne Gold (WOG) by micro-computed tomography analysis. Methods and Materials We selected 48 maxillary molars randomly distributed in two groups: PTN and WOG. The samples were scanned before and after instrumentation, and then the image analysis was performed to detect the propagation of pre-existing dentinal micro-cracks and calculate the pre- and post-instrumentation volume. The statistical analysis was performed using Student's t-test, Fisher's exact test, and ANCOVA (P<0.05). Results Dentinal microcracks were observed in 95.8% of the samples, both PTN and WOG instruments propagated microcracks after instrumentation, but there was no significant difference between the instruments (P=0.538). In relation to the root canal volume there was no statistic difference between PTN and WOG systems for the mesiobuccal (P=0.426) and distobuccal root canals (P=0.523). Conclusion We can conclude that both ProTaper Next and WOG systems propagate dentinal microcracks after root canal preparation in this in vitro study, without statistical significance. The root canal volume prepared also showed no statistically significant difference between the two groups. This in vitro study requires further studies for more concrete conclusions.
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Affiliation(s)
| | | | - Manoel Damião Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil;
| | - Flares Baratto-Filho
- Department of Dentistry, Universidade da Região de Joinville, Joinville, Santa Catarina, Brazil
| | - Flávia Sens Fagundes Tomazinho
- School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil; ,Corresponding author: Flávia Sens Fagundes Tomazinho, Rua Professor Pedro Viriato Parigot de Souza, 5300 -Campo Comprido, Curitiba, Paraná, Brasil, CEP: 81280-330
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Madalena I, Fernandes GDO, Küchler E, Omori M, Marañón-Vasquez G, Teixeira L, Léon J, Lopes CCDF, Baratto-Filho F, Nelson-Filho P, Gerlach R. Estrogen-deficiency Effect on the Composition of Dental Enamel: A Pilot Study. Sci Dent J 2021. [DOI: 10.4103/sdj.sdj_61_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Küchler EC, Hannegraf ND, Lara RM, Reis CLB, Oliveira DSBD, Mazzi-Chaves JF, Ribeiro Andrades KM, Lima LFD, Salles AG, Antunes LAA, Sousa-Neto MD, Antunes LS, Baratto-Filho F. Investigation of Genetic Polymorphisms in BMP2, BMP4, SMAD6, and RUNX2 and Persistent Apical Periodontitis. J Endod 2020; 47:278-285. [PMID: 33245975 DOI: 10.1016/j.joen.2020.11.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 09/17/2020] [Accepted: 11/11/2020] [Indexed: 11/18/2022]
Abstract
INTRODUCTION This study aimed to evaluate the interplay among single-nucleotide polymorphisms (SNPs) in the encoding genes BMP2, BMP4, SMAD6, and RUNX2 in persistent apical periodontitis (PAP). METHODS In this multicentric study, 272 patients diagnosed with pulp necrosis with apical periodontitis before root canal therapy who attended regular follow-up visits for at least 1 year were screened. Periapical radiographs and clinical aspects were evaluated, and the participants were classified as PAP (n = 110) or repaired (n = 162). Genomic DNA was used for the genotyping of the following SNPs: rs1005464 and rs235768 in bone morphogenetic protein 2 (BMP2), rs17563 in bone morphogenetic protein 4 (BMP4), rs2119261 and rs3934908 in SMAD family member 6 (SMAD6), and rs59983488 and rs1200425 in runt-related transcription factor 2 (RUNX2). The chi-square test was used to compare genotype distributions between groups. The multifactor dimensionality reduction method was applied to identify SNP-SNP interactions. The alpha for all the analysis was 5%. RESULTS The multifactor dimensionality reduction suggested the rs235768 in BMP2 and rs59983488 in RUNX2 as the best SNP-SNP interaction model (cross-validation = 10/10, testing balanced accuracy = 0.584, P = .026) followed by rs17563 in BMP4 and rs2119261 in SMAD6 (cross validation = 10/10, testing balanced accuracy = 0.580, P = .031). In the rs235768 in BMP2 and rs59983488 in RUNX2 model, the high-risk genotype was TT + TT (odds ratio = 4.36; 95% confidence interval, 0.44-42.1). In model rs17563 in BMP4 and rs2119261 in SMAD6, GG + TT (odds ratio = 2.63; 95% confidence interval, 0.71-11.9) was the high-risk genotype. CONCLUSIONS The interactions between rs235768 in BMP2 and rs59983488 in RUNX2 and between rs17563 in BMP4 and rs2119261 in SMAD6 are associated with PAP, suggesting that an interplay of these SNPs is involved in the higher risk of developing PAP.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
| | | | - Rafaela Mariana Lara
- Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Caio Luiz Bitencourt Reis
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Minas, Gerais, Brazil
| | | | - Jardel Francisco Mazzi-Chaves
- Department of Restorative Dentistry Department, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Kesly Mary Ribeiro Andrades
- Department of Restorative Dentistry Department, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Lorena Ferreira de Lima
- Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Alessandro Guimarães Salles
- Postgraduate Program in Dentistry of Health Institute of Nova Friburgo from the Fluminense Federal University; and Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University from the Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
| | - Livia Azeredo Alves Antunes
- Postgraduate Program in Dentistry of Health Institute of Nova Friburgo from the Fluminense Federal University; and Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University from the Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
| | - Manoel Damião Sousa-Neto
- Department of Restorative Dentistry Department, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Leonardo Santos Antunes
- Postgraduate Program in Dentistry of Health Institute of Nova Friburgo from the Fluminense Federal University; and Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University from the Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil
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Baratto-Filho F, Vavassori de Freitas J, Fagundes Tomazinho FS, Leão Gabardo MC, Mazzi-Chaves JF, Damião Sousa-Neto M. Cone-Beam Computed Tomography Detection of Separated Endodontic Instruments. J Endod 2020; 46:1776-1781. [DOI: 10.1016/j.joen.2020.08.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 07/28/2020] [Accepted: 08/10/2020] [Indexed: 11/30/2022]
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Miró GB, Tomazinho FSF, Pelisser E, Borges MMB, Duarte MAH, Vivan RR, Baratto-Filho F. Comparison of Canal Transportation and Centering Ability of ProGlider and WaveOne Gold Glider in Curved Canals. Eur J Dent 2020; 14:639-643. [PMID: 32869224 PMCID: PMC7536097 DOI: 10.1055/s-0040-1715780] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
OBJECTIVES The aim of this study was to compare the volume variation and maintenance of the root canal position when using the ProGlider 16.02 (PG) and the WaveOne Gold Glider 15.02 (WOGG) file systems for glide path preparation. MATERIALS AND METHODS Twenty-four moderately curved mesiobuccal canals of maxil-lary first molars were selected and randomly divided into two groups: PG and WOGG. The selected teeth were scanned using microtomography before and after root canal preparation to assess centralization and linear transport at 1, 3, 5, and 7 mm from the apical foramen. STATISTICAL ANALYSIS The data were analyzed with the Mann-Whitney U test. The level of significance was 5%. RESULTS There were no significant differences in volume variation or root canal transport (p > 0.05). There was a significant difference in the centralization of the root canal at 3 mm from the foramen (p < 0.05). CONCLUSIONS WOGG and PG instruments presented similar results regarding the root canal volume increase and transport. WOGG caused higher decentralization at 3 mm from the apical foramen.
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Affiliation(s)
| | | | - Edson Pelisser
- School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil
| | - Mariana Maciel Batista Borges
- Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, Universidade de São Paulo, Bauru, São Paulo, Brazil
| | - Marco Antônio Hungaro Duarte
- Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, Universidade de São Paulo, Bauru, São Paulo, Brazil
| | - Rodrigo Ricci Vivan
- Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, Universidade de São Paulo, Bauru, São Paulo, Brazil
| | - Flares Baratto-Filho
- School of Health Sciences, Universidade Positivo, Curitiba, Paraná, Brazil.,Department of Dentistry, Universidade da Região de Joinville, Joinville, Santa Catarina, Brazil
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de Almeida Barbosa M, de Oliveira KV, dos Santos VR, da Silva WJ, Fagundes Tomazinho FS, Baratto-Filho F, Leão Gabardo MC. Effect of Vehicle and Agitation Methods on the Penetration of Calcium Hydroxide Paste in the Dentinal Tubules. J Endod 2020; 46:1340-1341. [DOI: 10.1016/j.joen.2020.07.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Alberton CS, Tomazinho FSF, Calefi PS, Duarte MAH, Vivan RR, Baratto-Filho F. Influence of the Preparation Order in Four-Canal Maxillary Molars with WaveOne Gold System. J Endod 2020; 46:1291-1296. [DOI: 10.1016/j.joen.2020.05.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 05/18/2020] [Accepted: 05/27/2020] [Indexed: 12/12/2022]
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Ritter AV, Sulaiman T, Altitinchi A, Baratto-Filho F, Gonzaga CC, Correr GM. Effect of Tribochemical Coating on Composite Repair Strength. Oper Dent 2020; 45:E334-E342. [DOI: 10.2341/19-145-l] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2020] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Tribochemical treatment of existing composite surfaces is highly effective for composite repair. When repairing an old composite restoration, the clinician should try to use the same composite originally used for the restoration. If the information about the original restoration is not known, a composite with strong mechanical properties should be used for the repair restoration.
SUMMARY
This study evaluated the effect of tribochemical coating on composite-to-composite repair interfacial fracture toughness (iFT). Sixty beam-shaped specimens (21×4×3 ± 0.2 mm) were prepared with a nanofill composite (Filtek Supreme Ultra [FSU]) and a nanohybrid composite (Clearfil Majesty ES-2 [CME]) and aged for 50,000 thermocycles (5°C-55°C, 20-second dwell time) and then sectioned in half. The resulting 120 hemispecimens (60 for each composite) were randomly assigned to different repair methods (n=10): universal adhesive (Clearfil Universal Bond Quick [CUB]), sand-blasting followed by CUB, or tribochemical coating (CoJet, CoJet sand, Espe-Sil, and Visio-Bond). The repair surface was prepared with a diamond bur (Midwest #471271), rinsed, and dried. Each aged composite brand (FSU, CME) was repaired with either the same composite or the opposite composite. All adhesives and composites were light cured with a high-irradiance LED curing light (Elipar DeepCure-S). After postrepair storage in 100% humidity and at 37°C for 24 hours, iFT was measured as KIc (MPa m½). Data were analyzed for statistical significance using two-way analysis of variance (ANOVA) and the Tukey honest significant difference post hoc test (α=0.05). Regardless of the substrate composite, ANOVA showed significant differences for surface treatment (p<0.0001) and repair composite (p<0.0001). Mean iFT values (SD) ranged from 0.91 (0.10) MPa·m½ to 2.68 (0.12) MPa·m½. Repairs made with FSU after CoJet resulted in significantly higher iFT (FSU: 2.68 MPa·m½; CME: 2.21 MPa·m½) when compared to the other experimental groups. The repair iFT was higher with CoJet treatment and when the nanofill composite FSU was used as the repair composite.
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Abbasoglu Z, Dalledone M, Wambier LM, Pecharki G, Baratto-Filho F, Andrades KMR, Scariot R, Trevilatto PC, Brancher JA, Küchler EC. Single nucleotide polymorphism rs4284505 in microRNA17 and risk of dental fluorosis. Acta Odontol Scand 2020; 78:463-466. [PMID: 32619376 DOI: 10.1080/00016357.2020.1786600] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES The aim of this study is to evaluate the association between the single nucleotide polymorphism (SNP) rs4284505 within the gene that codifies microRNA17 (miRNA17) and dental fluorosis (DF) in a group of children. METHODS Children living in a city with fluoridation of public water supplies were included. DF was assessed in erupted permanent teeth by Dean's modified index. The miR-SNP rs4284505 was selected in miRNA17 and genotyping was carried out by real-time PCR. Genotype and allelic distributions between DF and control, and between DF phenotypes (mild, moderate and severe) and control were analysed. RESULTS Among a total of 527 children enrolled for the study, 383 were DF free and 144 presented DF. In the dominant model analysis (AA + AG vs. GG) the miR-SNP rs4284505 was associated with moderate DF, with carriers of the GG genotype having an increased risk of more than two times for DF (p = 0.031; Odds Ratio = 2.26, Confidence Interval 95%= 1.04-4.73). Allelic distribution showed borderline statistical significance for moderate DF with the carriers of G allele having an increased risk for DF (p = .050; Odds Ratio = 1.75, Confidence Interval 95%= 1.00-3.12). CONCLUSION The miR-SNP rs4284505 in miRNA17 was associated with an increased risk of DF.
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Affiliation(s)
- Zerrin Abbasoglu
- Department of Pediatric Dentistry, Yeditepe University, Istanbul, Turkey
| | - Mariana Dalledone
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Letícia M. Wambier
- Department of Dentistry, School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Giovana Pecharki
- Department of Community Health, Federal University of Parana, Curitiba, Brazil
| | - Flares Baratto-Filho
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
- School of Dentistry, Univille University, Joinville, Brazil
| | | | - Rafaela Scariot
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Paula C. Trevilatto
- Dental School, Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, Brazil
| | - João A. Brancher
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Erika C. Küchler
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
- School of Dentistry, Univille University, Joinville, Brazil
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Coelho BS, Tomazinho FSF, Leonardi DP, Scaini F, Gabardo MCL, Lara RMD, Baratto-Filho F. Effects of 1-Ethyl-3-(3-Dimethylaminopropyl) Carbodiimide on Adhesion of Posts in Teeth Obturated With Different Sealers. Braz Dent J 2020; 31:417-422. [DOI: 10.1590/0103-6440202002897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 02/10/2020] [Indexed: 11/21/2022] Open
Abstract
Abstract The aim of this study was to evaluate the effect of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC) on bond strength of fiberglass posts in root canals obturated with different endodontic sealers. Seventy-eight mandibular premolars were obturated with three sealers (n=26): Endofill (END), AH Plus (AHP), and Endosequence BC Sealer (EBS). After preparation of the post space, two subgroups were formed according to the cementation of the posts (n=13): with EDC (EDC), and without EDC (control - CON). The specimens were submitted to a pull-out test, failure mode classification, and root canal surface evaluation by scanning electron microscopy after post displacement. Regarding the bond strength, a significant difference between the EDC and CON subgroups occurred only in the END (p=0.001). No difference was detected among the CON subgroups (p=0.339). However, among the EDC subgroups, AHP presented significantly higher values (END versus AHP: p=0.001; AHP versus EBS: p=0.016). Upon classification of failure modes, score 1 (≥ 50% of cement) was the most commonly observed, except for the END + EDC. Remains of endodontic sealers and resin cements were found in the cervical third, but without statistical difference (p=0.269), while in the middle third, difference occurred (p=0.004). In conclusion, EDC decreases bond strength when associated with END sealer, without changing the failure mode between the resin cement and fiberglass post. The best performance was observed when EDC was combined with AHP sealer.
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