1
|
Parirokh M, Manochehrifar H, Kakooei S, Nakhaei N, Abbott P. Variables That Affect the Ability to Find the Second Mesiobuccal Root Canals in Maxillary Molars. Iran Endod J 2023; 18:248-253. [PMID: 37829834 PMCID: PMC10565998 DOI: 10.22037/iej.v18i4.42260] [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] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 07/28/2023] [Accepted: 08/13/2023] [Indexed: 10/14/2023]
Abstract
Introduction The study aimed to investigate the influence of various factors on the localization of the second mesiobuccal (MB2) canal in maxillary molars, a commonly missed canal during endodontic treatment. Materials and Methods A comprehensive assessment of maxillary molars treated over three years with a dental operative microscope was conducted. Factors such as patient gender, age, tooth type, pulp status, pre-operative cone-beam computed tomography (CBCT), and treatment modality were examined. Statistical analyses included chi-square and multiple logistic regression. Results Among 333 treated maxillary molars, the MB2 canal was identified in 60.1%. The prevalence of MB2 canals was significantly higher in the first molars (72.3%) compared to the second molars (40.2%; P=0.001). Multiple logistic regression models showed that gender, tooth type, and treatment modality emerged as significant determinants of MB2 canal localization: males [odds ratio 3.01(CI 95%:1.71-5.32), P<0.001], first molar tooth [odds ratio 4.26 (CI 95%:2.53-7.18), P<0.001] and secondary endodontic treatment [odds ratio 0.06 (CI 95%: 0.004-0.890), P<0.04]. Conclusions Patient gender, tooth type, and treatment modality play pivotal roles in the identification of the MB2 canal. Additionally, the availability of pre-operative CBCT imaging was associated with a heightened ability to locate the MB2 canal.
Collapse
Affiliation(s)
- Masoud Parirokh
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran;
| | - Hamed Manochehrifar
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran;
| | - Sina Kakooei
- Dental & Oral Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran;
| | - Nouzar Nakhaei
- Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran;
| | - Paul Abbott
- School of Dentistry, University of Western Australia, Perth, Australia
| |
Collapse
|
2
|
Kakooei S. Application of queuing theory and simulation to reduce waiting time in dental hospitals. J Oral Health Oral Epidemiol 2022. [DOI: 10.34172/johoe.2022.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Sina Kakooei
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
3
|
Nekouei AH, Kakoei S, Najafipour H, Kakooei S, Mirzaee M. Determinants of oral-health-related quality of life among adult people in Iran. Dent Res J (Isfahan) 2022; 19:50. [PMID: 35923581 PMCID: PMC9341239] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 10/09/2021] [Accepted: 02/10/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Oral health-related quality of life (OHRQoL) assesses the subjective perception of oral health and its impact on the quality of life. The aim of this study is to measure the OHRQoL and its determinants among adult people living in Kerman, Iran. MATERIALS AND METHODS In this cross-sectional study, a total of 5657 adult people (18-64 years) residing in the Kerman district, both in the rural and urban areas, were enrolled in the study between September 2014 and April 2018. The Oral Health Impact Profile (OHIP-14) and the oral health indices, such as the total decayed, missing, filled teeth (DMFT), community periodontal index (CPI), gingival index (GI), and xerostomia, were measured by an experienced dentist. The demographic variables of gender, age, educational status, and marital status were also recorded. The impact of the studied variables on OHRQoL was evaluated with multiple logistic regression. RESULTS Participants were 2239 (39.58%) men, and average age was 45.39. The mean scores for OHRQoL, DMFT, CPI and GI were respectively: 24.07 (7.76), 10.7 (6.86), 0.76 (0.96), 0.63 (0.8). The frequency of people with xerostomia was 37.4. 301 (53.3%) of people had poor quality of life related to oral health. In multivariable analysis, there was a statistically significant increase in OHRQoL with an increase in the DMFT (P < 0.001), xerostomia (P < 0.001), CPI, (P < 0.001). Men had a significantly higher OHIP score than women (P < 0.001). CONCLUSION According to the results of this study, DMFT, xerostomia, and CPI scores are strongly related to OHIP scores. In addition, between CPI and GI scores, the CPI score is the better predictor.
Collapse
Affiliation(s)
- Amir Hossein Nekouei
- Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Shahla Kakoei
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran,Address for correspondence: Prof. Shahla Kakoei, Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran. E-mail:
| | - Hamid Najafipour
- Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Endodontology Research Center, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
| | - Moghaddameh Mirzaee
- Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
4
|
Kakoei S, Nekouei A, Najafipour H, Kakooei S, Mirzaee M. Determinants of oral-health-related quality of life among adult people in Iran. Dent Res J (Isfahan) 2022. [DOI: 10.4103/1735-3327.346408] [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
|
5
|
Kakooei S, Afarinesh MR, Parirokh M, Nikzad R, Mostafavi M, Nekouei A, Sabzalizadeh M, Sheibani V. Effect of Administration of Lidocaine at Body Temperature on Anesthesia Success in Rodent Model: A Behavior and Electrophysiology Study. Basic Clin Neurosci 2021; 13:305-314. [DOI: 10.32598/bcn.2022.1102.2] [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] [Received: 01/26/2021] [Revised: 07/25/2021] [Accepted: 10/11/2021] [Indexed: 11/20/2022] Open
Abstract
Introduction: Success in anesthesia administration relieves the perception of pain during surgery. Lidocaine is the most commonly used local anesthetic agent in clinical medicine. Moreover, anesthetic agents' temperature changes can influence cell membrane permeability. Here, the effectiveness of different temperatures of lidocaine (Lid.) on anesthesia success rate in rats has been investigated in rats. Methods: Wistar male rats were pretreated by fast lidocaine or saline injection into hind paw or intradermal cheek at room (RT) and body (BT) temperatures (22 and 37 °C, respectively), and rat behaviors were evaluated by formalin-induced hind paw pain and orofacial pain tests, respectively. Moreover, using a single-unit recording technique, the spontaneous activity of the marginal nerve was recorded at room temperature in RT-Lid. and BT-Lid. groups. Results: Data analysis revealed that lidocaine had significant anti-nociceptive effects in both the BT-Lid. and RT-Lid. groups compared to their control groups (p < 0.05). Also, the number of spikes in the BT-Lid. and RT-Lid. groups was significantly lower than their baselines (p < 0.05). However, lidocaine at body temperature decreased the total time spent licking the hind paw, the number of lip rubbings, and the number of spikes firing about 10–15% compared to room temperature. Conclusion: In both behavioral and neural levels of the study, our results showed that an increase in the temperature of lidocaine toward body temperature could increase anesthesia success rate compared to administration of lidocaine at room temperature. This finding can be considered in the treatment of patients.
Collapse
|
6
|
Mostafavi M, Sharifi I, Asadikaram G, Nakhaee N, Kakooei S, Aflatoonian MR, Bamorovat M, Oliaee RT, Karamoozian A. The impact of diabetes on cutaneous leishmaniasis: a case-control field assessment. Parasitol Res 2021; 120:3865-3874. [PMID: 34604933 DOI: 10.1007/s00436-021-07255-z] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 07/16/2021] [Indexed: 11/26/2022]
Abstract
This study aimed to assess the associated-risk determinants for cutaneous leishmaniasis (CL) in patients with diabetes mellitus (DM) compared to patients without DM. This case-control study was performed between 2017 and 2019 in southeastern Iran. Overall, 206 participants were selected from patients with DM without CL (11.2%), patients with CL without DM (6.2%), and DM patients concomitance with CL (27.6%) as case groups and healthy individuals as a control group 64 (76%). These cases were compared for parasitological, immunological, biochemical, and hematological parameters. The findings demonstrated that parasitological factors regarding the number, duration, and size of the lesion in CL patients showed a significant difference among patients with and without DM (p < 0.05). Data analysis showed that six major risk factors, including female (odds ratio (OR) = 3.47, confidence interval (CI) = 1.84-6.53, p < 0.001), total protein in CL group (OR = 4.9, CI = 2.3-10.44, p < 0.001), alanine aminotransferase (ALT) concentration in CL group (OR = 0.87, CI = 0.81-0.93, p < 0.001) and DM co-infected with CL group (OR = 0.8, CI = 0.72-0.88, p < 0.001) than healthy group, aspartate aminotransferase (AST) concentration in DM group (OR = 0.86, CI = 0.76-0.98, p = 0.02), transforming growth factor beta)TGF-β( level in the CL group (OR = 1.03, CI = 1.003-1.05, p = 0.02), and presence of diabetes disease (OR = 2.07, CI = 1.16-3.7, p < 0.05), were significantly linked with the induction of CL lesion. The findings demonstrated a significant relationship between DM and CL in distinct risk determinants. Also, the study revealed that DM enhanced the severity of active CL.
Collapse
Affiliation(s)
- Mahshid Mostafavi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Area Code 76169-14115, Kerman, Iran
| | - Iraj Sharifi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Area Code 76169-14115, Kerman, Iran.
| | - Gholamreza Asadikaram
- Department of Clinical Biochemistry, Kerman University of Medical Sciences, Kerman, Iran
| | - Nozar Nakhaee
- Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Reza Aflatoonian
- Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehdi Bamorovat
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Area Code 76169-14115, Kerman, Iran
| | - Razieh Tavakoli Oliaee
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Area Code 76169-14115, Kerman, Iran
| | - Ali Karamoozian
- Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
7
|
Nekouei AH, Kakooei S, Najafipour H, Kakoei S. Oral Health Determinants among Opium Users in Kerman, Iran. Addict Health 2021; 13:156-164. [PMID: 35140894 PMCID: PMC8730451 DOI: 10.22122/ahj.v13i3.307] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 05/03/2021] [Indexed: 11/27/2022]
Abstract
Background Promoting oral health is a complicated issue among drug abusers and opium is the most frequent drug abused in Iran. This study aims to find the oral health determinants of opium users in Kerman, Iran. Methods This cross-sectional study was a part of the second phase of Kerman coronary artery disease risk factors study (KERCADRS, 2014-2018). In this survey, the data of 1140 opium users were analyzed. The information about using a toothbrush, dental floss, number of dental visits at last year, age of first use of opium, duration, and opium consumption frequency was recorded. The total number of decayed, missing, and filled teeth (DMFT) index and Community Periodontal Index (CPI) was recorded by an oral examination. Poisson and logistic regressions analyses were used for assessing the relationship among variables. Findings The mean age of participants was 52 ± 12 years. 74.4% were men and 24.6% were women. The average DMFT index was 15.7 ± 7.6 and the prevalence of a healthy CPI score was 18.5%. Educational level (P < 0.001), brushing (P < 0.001), flossing (P < 0.001), dental visit (P < 0.001), first age of using opium (P < 0.001), frequency of consumption (P < 0.001), and age (P < 0.001) were associated with DMFT index. Only using floss (P < 0.001), dental visit [odds ratio (OR) = 1.80, P = 0.030], frequency of consumption (OR = 2.92, P < 0.001), and age (P = 0.001) were associated with CPI score. Conclusion The frequency of opium consumption has the same effect on caries incidence as oral hygiene habits. Moreover, using dental floss has a more significant effect on the periodontal health of participants.
Collapse
Affiliation(s)
- Amir Hossein Nekouei
- Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamid Najafipour
- Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| | - Shahla Kakoei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran,Correspondence to: Shahla Kakoei; Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman,
Iran;
| |
Collapse
|
8
|
Kakoei S, Nekouei AH, Kakooei S, Najafipour H. The effect of demographic characteristics on the relationship between smoking and dry mouth in Iran: a cross-sectional, case-control study. Epidemiol Health 2021; 43:e2021017. [PMID: 33677858 PMCID: PMC8062766 DOI: 10.4178/epih.e2021017] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Accepted: 02/28/2021] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES The effect of age, sex, and other demographic factors on the relationship between smoking and dry mouth remains unknown. The aim of this study was to investigate the effects of demographic characteristics on the relationship between dry mouth, also known as xerostomia, and smoking. METHODS This case-control study included 5,640 randomly-selected subjects from the second phase of the Kerman Coronary Artery Disease Risk Factors Study, which observed 10,000 participants from 2014 to 2018. A checklist was used to record the participants’ demographic characteristics and smoking frequency. Each participant completed a six-item Fox questionnaire to measure dry mouth as a dependent variable. The interaction terms of daily cigarette smoking with sex, age, educational level, and marital status were entered into the model. Non-significant terms were removed using hierarchical model selection. RESULTS Of the sample, 3,429 (60.8%) did not have dry mouth and were analyzed as controls, whereas 2,211 (39.2%) had xerostomia and were deemed to be cases. Smokers were more likely to have dry mouth in all ages and both sexes (p<0.001). As male became older, the chance of having dry mouth increased more rapidly than among female smokers (p<0.001). In addition, female smokers were more likely to have dry mouth than male smokers (p<0.001). CONCLUSIONS The likelihood of dry mouth among daily smokers depended on age and sex. Female smokers were more likely to have dry mouth, and its likelihood increased with age in daily smokers of both sexes, though more rapidly in males.
Collapse
Affiliation(s)
- Shahla Kakoei
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Amir Hossein Nekouei
- Social Determinants of Oral Health Research Center, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamid Najafipour
- Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
9
|
Kakooei S, Afzali S, Parirokh M, Kakooei S, Mostafavi M, Nekouei A. The Knowledge and Attitude of Diabetic Patients Regarding Oral and Dental Disorders in Kerman Diabetes Clinics. J Dent (Shiraz) 2020; 21:195-201. [PMID: 33062813 PMCID: PMC7519939 DOI: 10.30476/dentjods.2020.77878.0] [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] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
STATEMENT OF THE PROBLEM Diabetes mellitus is one of the most common endocrine disorders. This disease has devastating effects on many organs and tissues of the body including oral and dental tissues. PURPOSE The aim of this study was to evaluate the knowledge and attitude of diabetic patients about dental and oral diseases. MATERIALS AND METHOD In this cross-sectional study, 433 diabetic patients who referred to Kerman Diabetes Clinics were included. Data were collected using a questionnaire consisted of three parts of demographic characteristics, knowledge of oral and systemic complications of diabetes mellitus, and patients' attitude regarding their oral health. Data were analyzed using SPSS version 21 and employing t-test and multiple linear regression analysis. Statistically significant values were considered at p≤ 0.05. RESULTS The mean scores for the knowledge of systemic and oral complications were 0.80±0.21 and 0.39±0.23, respectively. The mean total knowledge of diabetic patients was 0.53±0.18, and the mean score for the patients' attitude was 0.63±0.11. It was revealed that people with a family history of diabetes did not have significantly greater overall knowledge (p= 0.082). Also, people with longer disease duration (p= 0.004) and female patients (p= 0.05) had significantly a better knowledge and attitude in terms of oral health. CONCLUSION The knowledge and attitude of patients regarding their oral and dental health and diseases were at moderate level, which should be promoted by constant planning and education according to the current needs of society.
Collapse
Affiliation(s)
- Shahla Kakooei
- Neuroscience Research Center, Dept. Oral Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Salimeh Afzali
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Masoud Parirokh
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahshid Mostafavi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Amir Nekouei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
10
|
Eskandarizadeh A, Mohammadzadeh I, Shahravan A, Bavafa M, Kakooei S, Torabi M. Prevention of secondary caries by a new antibacterial compound. Dent Res J (Isfahan) 2020; 17:40-47. [PMID: 32055292 PMCID: PMC7001570] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Since secondary caries is one of the main problems of dental composites. The creation of an antibacterial property in these composites is essential. The objective of this study was to synthesize 3-(2, 5-dimethylfuran-3-yl)-1H-pyrazole-5(4H)-one and check its biocompatibility and antibacterial properties in flowable dental composites. MATERIALS AND METHODS In this animal study, the antibacterial activity of flowable resin composites containing 0-5 wt% 3-(2,5-dimethylfuran-3-yl)-1H-pyrazole-5(4H)-one was investigated by using agar diffusion and direct contact tests on the cured resins. Statistical analysis was performed using one-way ANOVA test (P < 0.001). Thirty male albino Wistar rats were used, weighing 200-250 g. Animals were randomly divided into three groups of ten; each animal received three implants, 3-(2, 5-dimethylfuran-3-yl)-1H-pyrazole-5(4H)-one, penicillin V, and an empty polyethylene tube. A pathologist, without knowing the type of material tested and the timing of the test, examined the samples. Statistical analysis was performed using Kruskal-Wallis test (P < 0.001). RESULTS According to our findings, although the agar diffusion test reveals no significant difference between the groups, the direct contact test demonstrates that, by increasing the 3-(2,5-dimethylfuran-3-yl)-1H-pyrazole-5(4H)-one content, the bacterial growth was significantly diminished and the 3-(2,5-dimethylfuran-3-yl)-1H-pyrazole-5(4H)-one has a good biocompatibility (P < 0.05). CONCLUSION Incorporation of 3-(2,5-dimethylfuran-3-yl)-IH-pyrazole-5(4H)-one into flowable resin composites can be useful to prevent Streptococcus mutans activity.
Collapse
Affiliation(s)
- Ali Eskandarizadeh
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Iman Mohammadzadeh
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran,Address for correspondence: Dr. Iman Mohammadzadeh, Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran. E-mail:
| | - Arash Shahravan
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Bavafa
- Department of Engineering, Ayandegan Institute of Higher Education, Tonekabon, Iran
| | - Sina Kakooei
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Molouk Torabi
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
11
|
Mohammadzadeh I, Eskandarizadeh A, Shahravan A, Bavafa M, Kakooei S, Torabi M. Prevention of secondary caries by a new antibacterial compound. Dent Res J (Isfahan) 2020. [DOI: 10.4103/1735-3327.276234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
12
|
Mostafavi M, Sharifi I, Farajzadeh S, Khazaeli P, Sharifi H, Pourseyedi E, Kakooei S, Bamorovat M, Keyhani A, Parizi MH, Khosravi A, Khamesipour A. Niosomal formulation of amphotericin B alone and in combination with glucantime: In vitro and in vivo leishmanicidal effects. Biomed Pharmacother 2019; 116:108942. [PMID: 31152929 DOI: 10.1016/j.biopha.2019.108942] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [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: 03/30/2019] [Revised: 04/22/2019] [Accepted: 04/29/2019] [Indexed: 12/21/2022] Open
Abstract
This study aimed to evaluate the efficacy of glucantime and amphotericin B (AmB) encapsulated in niosome against cutaneous leishmaniasis (CL) using in vitro and in vivo models. The niosomal formulations of the drugs alone and in combination were prepared and characterized. Subsequent to the examination of their cytotoxicity, their efficacy was evaluated using an in vitro MTT assay, macrophage model, flow cytometry, and gene expression profiling. For evaluation of therapeutic effect of niosomal combination on the lesion induced by Leishmania major in inbred BALB/c mice, the size of lesions and number of parasites in spleen was assessed. The niosomal formulations demonstrated significantly greater inhibitory effects compared with the non-niosomal forms when the IC50 was considered. The niosomal combination showed an increase in the apoptotic values and gene expression levels of IL-12 and metacaspase and a decrease in the levels of IL-10 with a dose-response effect. The niosomal combination was also effective in reducing the lesion size and splenic parasite burden in mice. Our findings indicated that there is a synergistic effect between AmB and glucantime in niosomal form in the inhibition of intracellular and extracellular forms of L. tropica. Additionally, the in vivo results on L. major suggest that topical niosomal formulation could be useful in the treatment of CL.
Collapse
Affiliation(s)
- Mahshid Mostafavi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Iraj Sharifi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.
| | - Saeedeh Farajzadeh
- Department of Pediatric dermatology, Kerman University of Medical Sciences, Kerman, Iran
| | - Payam Khazaeli
- Department of Pharmaceutics, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamid Sharifi
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Elnaz Pourseyedi
- Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehdi Bamorovat
- Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran
| | - Alireza Keyhani
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Hakimi Parizi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Ahmad Khosravi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Ali Khamesipour
- Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
13
|
Mostafavi M, Khazaeli P, Sharifi I, Farajzadeh S, Sharifi H, Keyhani A, Parizi MH, Kakooei S. A Novel Niosomal Combination of Selenium Coupled with Glucantime against Leishmania tropica. Korean J Parasitol 2019; 57:1-8. [PMID: 30840792 PMCID: PMC6409218 DOI: 10.3347/kjp.2019.57.1.1] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Accepted: 01/22/2019] [Indexed: 11/23/2022]
Abstract
There is no effective treatment modality available against different forms of leishmaniasis. Therefore, the aim of this study was to improve the penetration and efficacy of selenium and glucantime coupled with niosomes and compared them with their simple forms alone on in vitro susceptibility assays. In this study, the niosomal formulations of selenium and in combination with glucantime were prepared. The size and morphology of the niosomal formulations were characterized and the effectivity of the new formulation was also evaluated using in vitro MTT assay, intra-macrophage model, and gene expression profile. From the results obtained, no cytotoxicity effect was observed for niosomal and simple forms of drugs, as alone or in combination. Niosomal formulations of the drugs significantly showed more inhibitory effects (P ≤ 0.001) than the simple drugs when the selectivity index was considered. The gene expression levels of Interleukin (IL-10) significantly decreased, while the level of IL-12 and metacaspase significantly increased (P ≤ 0.001). The results of the present study showed that selenium plus glucantime niosome possess a potent anti-leishmanial effect and enhanced their lethal activity as evidenced by the in vitro experiments.
Collapse
Affiliation(s)
- Mahshid Mostafavi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Payam Khazaeli
- Department of Pharmaceutics, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran
| | - Iraj Sharifi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Saeedeh Farajzadeh
- Department of Pediatric Dermatology, Kerman University of Medical Sciences, Kerman, Iran
| | - Hamid Sharifi
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Alireza Keyhani
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Hakimi Parizi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
14
|
Shahrestani S, Ismail MC, Kakooei S, Beheshti M, Zabihiazadboni M, Zavareh MA. Iridium Oxide pH Sensor Based on Stainless Steel Wire for pH Mapping on Metal Surface. ACTA ACUST UNITED AC 2018. [DOI: 10.1088/1757-899x/328/1/012014] [Citation(s) in RCA: 2] [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: 11/11/2022]
|
15
|
Kakooei S, Mostafavi M, Parirokh M, Asgary S. Indexing of Iranian Publications in Well-known Endodontic Textbooks: A Scientometric Analysis. Iran Endod J 2016; 11:157-63. [PMID: 27471523 PMCID: PMC4947836 DOI: 10.7508/iej.2016.03.002] [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: 01/21/2016] [Revised: 04/01/2016] [Accepted: 04/15/2016] [Indexed: 12/04/2022]
Abstract
Introduction: Quoting an article in well-known textbooks is held as a credit for that paper. The numbers of Iranian publications mentioned in endodontic textbooks have increased during recent years. The aim of this investigation was to evaluate the number of Iranian articles quoted in eminent endodontic textbooks. Methods and Materials: Three known textbooks (Ingle’s Endodontics, Seltzer and Bender’s Dental Pulp and Cohen’s Pathways of the Pulp) were chosen and all the editions of the textbooks since 2000 were investigated for quoted Iranian publications. Only Iranian authors with affiliations from a domestic university were chosen. All references at the end of each chapter were read by hand searching, and results were noted. The trend and percentage of Iranian publications in different editions of the textbooks were also calculated. The number of citations of these publications in Google Scholar and Scopus databases were also obtained. Results: The number of Iranian publications in all well-known textbooks have notably increased since 2000. The number and percentage of Iranian publications in the latest edition of Cohen’s Pathways of the Pulp was higher compared to other textbooks as well as the previous edition of the same text. Conclusion: Number and percentage of Iranian publications in the field of endodontics in all three textbooks have remarkably increased since 2000.
Collapse
Affiliation(s)
- Sina Kakooei
- Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahshid Mostafavi
- Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Masoud Parirokh
- Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Saeed Asgary
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
16
|
Kakoei S, Parirokh M, Nakhaee N, Jamshidshirazi F, Rad M, Kakooei S. Prevalence of toothache and associated factors: a population-based study in southeast iran. Iran Endod J 2013; 8:123-8. [PMID: 23922574 PMCID: PMC3734515] [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] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Revised: 05/08/2012] [Accepted: 05/28/2013] [Indexed: 11/23/2022]
Abstract
INTRODUCTION This study was carried out to estimate toothache prevalence among adult residents in Kerman. MATERIALS AND METHODS This cross-sectional, population-based study was conducted among individuals aged over 18 years (n=1800). The relevant data on the prevalence of toothache and associated factors were collected by interviewing the individuals in their homes and filling out a questionnaire designed by the examiners. Prevalence of toothache and associated factors that patients recalled previous to their interview were analyzed by chi-square test and multivariate logistic regression analysis. RESULTS Nine hundred ninety-one individuals (55.1%) reported toothache during the 6 months before the interview. The participants who flossed daily, had regular dental visits, and had higher education showed a significantly lower prevalence of toothache (P<0.05), whereas regular tooth brushing and economic level of residency had no significant effect on the prevalence of toothache. Individuals between the ages of 26 and 45 [odds ratio (OR)=2.0], with a family size of more than 4 (OR=1.5), not using dental floss (OR=1.5), or having a mental or psychological illness (OR=1.5) were more likely to have a history of toothache. CONCLUSION High prevalence of toothache (more than half) among residents of Kerman shows a serious and major public health problem. Toothache prevalence in middle aged adults, lower education, bigger family size, lower dental hygiene habit and/or those having mental or psychological illness were more common in the city of Kerman.
Collapse
Affiliation(s)
- Shahla Kakoei
- Oral and Dental Diseases Research center, Kerman University of Medical Sciences, Kerman, Iran
| | - Masoud Parirokh
- Oral and Dental Diseases Research center, Kerman University of Medical Sciences, Kerman, Iran
| | - Nouzar Nakhaee
- Neurosciences Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Forogh Jamshidshirazi
- Oral and Dental Diseases Research center, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Rad
- Oral and Dental Diseases Research center, Kerman University of Medical Sciences, Kerman, Iran
| | - Sina Kakooei
- Oral and Dental Diseases Research center, Kerman University of Medical Sciences, Kerman, Iran,Corresponding author: Sina Kakooei; Oral and Dental Diseases Research center, School of dentistry, Shafa Street, Jomhori Eslami Boulevard, Postal code: 7618759554, Kerman, Iran. Tel: +98-913 1976427, Fax: +98-341 2118073,
| |
Collapse
|
17
|
Parirokh M, Eghbal MJ, Ghoddusi J, Kakoei S, Haghdoost AA, Kakooei S. The frequency of medically compromised patients in endodontic offices in iran. Iran Endod J 2013; 8:48-51. [PMID: 23717328 PMCID: PMC3662035] [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: 08/01/2012] [Revised: 02/01/2013] [Accepted: 02/16/2013] [Indexed: 11/18/2022]
Abstract
INTRODUCTION As the result of epidemiological transition and aging of Iranian population, the frequencies of systemic diseases among patients in of need endodontic treatment has increased, especially within developed cities. However, there have been no concise reports of systemic diseases in Iranian patients. Based on this need, the present investigation was conducted to assess the frequency of systemic disease among patients referred to endodontic private practice in three main cities in Iran. MATERIALS AND METHODS In a retrospective study, the frequency of systematic diseases were abstracted from the health records of patients who were referred to three private practices limited to endodontics in Kerman, Mashhad, and Tehran between 1994 to 2011. RESULTS Overall, 15,413 records of patients were assessed. The patterns of systematic diseases among endodontic patients in these three cities were different. The overall frequency of systemic disease in Kerman was significantly higher than two other cities (Kerman: 55.03%, Mashhad: 24.32%, Tehran: 22.16%; P<0.001). The most commonly occurring diseases were cardiac disease, hypertension, allergy and neurological disorders. CONCLUSION Since the number of endodontic patients with systematic diseases is considerably significant and varied, special training and educations for treatment of medically compromised patient should be considered at both post- and undergraduate training.
Collapse
Affiliation(s)
- Masoud Parirokh
- Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Jafar Eghbal
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Jamileh Ghoddusi
- Department of Endodontic, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Shahla Kakoei
- Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Sina Kakooei
- Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran,Corresponding author: Sina Kakooei, Kerman Dental School, Shafa Ave., Jomhuri Eslami Blv., Kerman, Iran. Tel: +98-9131976427, Fax: +98-3412118073, E-mail:
| |
Collapse
|
18
|
Kakoei S, Baghaei F, Dabiri S, Parirokh M, Kakooei S. A comparative in vivo study of tissue reactions to four suturing materials. Iran Endod J 2010; 5:69-73. [PMID: 23130030 PMCID: PMC3487505] [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: 01/04/2010] [Revised: 02/27/2010] [Accepted: 03/18/2010] [Indexed: 11/22/2022]
Abstract
INTRODUCTION The purpose of this study was to compare the histopathologic reaction of four suturing materials: silk, polyvinylidene fluoride (PVDF), polyglycolic acid, and catgut in the oral mucosa of albino rabbits. MATERIALS AND METHODS The twenty-one male mature albino rabbits which were used in this study were randomly divided into three groups of seven each. Silk, PVDF, polyglycolic acid and catgut suture materials were tested in the oral mucosa of these animals. The animals were sacrificed 2, 4, and 7 days after suturing. Two pathologists evaluated the samples by determining the presence and level of inflammation, granulation tissue, and fibrosis formation. Data were statistically analyzed by Kruskal Wallis and Mann-Whitney U tests. RESULTS Histological features of the samples showed that PVDF and plain catgut suture materials produced more fibrous tissue (favorable response) on the fourth day in comparison with silk suture (P=0.02). Also, in the 7-day samples PVDF sutures produced the mildest inflammation when compared with the silk sutures (P=0.015). CONCLUSION According to the results of this study, it can be convey that PVDF suture materials created mild tissue reactions and can be a reasonable candidate for suturing oral tissues.
Collapse
Affiliation(s)
- Shahla Kakoei
- Department of Oral Medicine, Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran
| | - Fahimeh Baghaei
- Department of Pathology, Oral Pathology Department, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Shahriar Dabiri
- Department of Pathology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Masoud Parirokh
- Department of Endodontics, Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, and Iranian Center for Endodontic Research, Tehran, Iran.,Corresponding author at: Masoud Parirokh, Oral and Dental Diseases Research Center, Dental School, Shafa Ave, Jomhori Eslami Blvd, Kerman, Iran. Tel.: +98-9133431736, E-mail:
| | - Sina Kakooei
- Department of Veterinary Medicine, Veterinary School, Shahid Bahounar University, Kerman, Iran
| |
Collapse
|