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Gomez-Sosa JF, Cardier JE, Wittig O, Díaz-Solano D, Lara E, Duque K, Ramos-González G. Allogeneic Bone Marrow Mesenchymal Stromal Cell Transplantation Induces Dentin Pulp Complex-like Formation in Immature Teeth with Pulp Necrosis and Apical Periodontitis. J Endod 2024; 50:483-492. [PMID: 38237659 DOI: 10.1016/j.joen.2024.01.002] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 01/08/2024] [Accepted: 01/09/2024] [Indexed: 02/12/2024]
Abstract
INTRODUCTION Dental pulp regeneration is challenging in endodontics. Cellular therapy is an alternative approach to induce dental pulp regeneration. Mesenchymal stromal cells (MSCs) have the capacity to induce dental pulp-like tissue formation. In this study, we evaluated the capacity of allogeneic bone marrow MSCs (BM-MSCs) to regenerate pulp following necrosis and apical periodontitis in children's permanent immature apex teeth. METHODS Patients aged 8 to 12 years with pulp necrosis and apical periodontitis were evaluated. The study included 15 teeth (13 incisors and 2 molars) from 14 patients (8 boys and 6 girls). Radiographic evaluation showed periapical radiolucency and immature apex teeth. There was no response to cold or electric pulp testing. The root canal of each tooth was cleaned, shaped, and Ca(OH)2 used as an interappointment medication. Cryopreserved allogeneic BM-MSCs were thawed, expanded, incorporated into preclotted platelet-rich plasma, and implanted into the tooth's pulp cavity. They were sealed with bioceramic cement and composite. Sensibility, apical foramen, calcium deposits within the root canal, and resolution of periapical lesions were evaluated in each tooth over the following 12 months. RESULTS Based on 9 variables established for dental pulp-like tissue regeneration, all MSC-treated teeth showed evidence of successful regeneration. Clinical and radiographic evaluation of the treated teeth showed periapical lesion healing, sensitivity to cold and electricity, decreased width of the apical foramen, and mineralization within the canal space. CONCLUSIONS Transplantation of allogeneic MSCs induces the formation of dental pulp-like tissue in permanent immature apex teeth with pulp necrosis and apical periodontitis. Implant of MSCs constitutes a potential therapy in regenerative endodontics in pediatric dentistry. Future studies incorporating a larger sample size may confirm these results.
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Affiliation(s)
- Jose Francisco Gomez-Sosa
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela.
| | - José E Cardier
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
| | - Olga Wittig
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
| | - Dylana Díaz-Solano
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
| | - Eloisa Lara
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
| | - Kharelys Duque
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
| | - Giselle Ramos-González
- Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela
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Ballester B, Pilliol V, Allaerd P, Jacquot B, Guivarc'h M. Evaluation of a new 3D-printed tooth model allowing preoperative ICDAS assessment and caries removal. Eur J Dent Educ 2024; 28:161-169. [PMID: 37350034 DOI: 10.1111/eje.12933] [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: 06/30/2022] [Revised: 06/06/2023] [Accepted: 06/10/2023] [Indexed: 06/24/2023]
Abstract
INTRODUCTION Teaching caries lesion management with operative care requires tooth models with highly realistic anatomical detail and caries lesions that can be assessed using ICDAS. This study aimed to develop and evaluate a new 3D-printed teeth model for ICDAS assessment and caries removal for pre-clinical hands-on education. METHODS Printable tooth with different layers for enamel, dentin and carious lesions was designed and tested by 31 dental students. They were asked to visually and radiologically assess the ICDAS severity of the simulated carious lesions, establish the therapeutic strategy according to CariesCare 4D, and perform a qualitative assessment of the models based on five-point Likert scale items. RESULTS Concerning carious lesions, the texture was realistic, and the shade was adequate for 94% and 97% of the participants. Ninety per cent of the participants found the model adequate to perform an ICDAS visual assessment. Seventy-four per cent of the students found the hardness adequate. Concerning the difference in shade and the noticeable hardness difference between enamel and dentin, participants have mixed agreement with a proportion of 61% and 55%, respectively. All the participants agreed these 3D-printed models provide a good caries simulation, are suitable for hands-on operative dentistry courses, and that learning outcomes better than the standard model. CONCLUSION The present work shows that rapid prototyping paves the way for customized educational models capable of supporting operative but also preoperative skills. 3D printing opens up new opportunities by reducing the gap between pre-clinical training and clinical reality in caries management, which can positively impact the quality of patient care.
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Affiliation(s)
- Benoit Ballester
- Pôle d'Odontologie, Assistance Publique des Hôpitaux de Marseille, Marseille, France
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France
| | - Virginie Pilliol
- Pôle d'Odontologie, Assistance Publique des Hôpitaux de Marseille, Marseille, France
- Aix-Marseille Univ., IRD, MEPHI, AP-HM, IHU Méditerranée Infection, Marseille, France
| | - Perrine Allaerd
- Pôle d'Odontologie, Assistance Publique des Hôpitaux de Marseille, Marseille, France
| | - Bruno Jacquot
- Pôle d'Odontologie, Assistance Publique des Hôpitaux de Marseille, Marseille, France
- LBN UR-UM104, Université de Montpellier, Montpellier, France
| | - Maud Guivarc'h
- Pôle d'Odontologie, Assistance Publique des Hôpitaux de Marseille, Marseille, France
- UMR 7268-ADES, Aix-Marseille Université-EFS-CNRS, Marseille, France
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Raad H, Shihab O. The impact of pediatric congenital heart disease on primary teeth structure: a histological study. Acta Biomed 2023; 94:e2023260. [PMID: 38054687 PMCID: PMC10734225 DOI: 10.23750/abm.v94i6.14567] [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] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 11/08/2023] [Indexed: 12/07/2023]
Abstract
Congenital heart disease (CHD) is an abnormality in the structure or function of the cardio-circulatory system present at birth and the ventricular septal defect (VSD) is the most common CHD in children. This study aimed to determine any differences in the histological structure of primary teeth between both healthy children and those children with ventricular septal defects in Erbil City. Methods enrolled children were divided into two groups. Group I (control) & group II (CHD) aged between 6-10 years old. A total of 44 children were collected, (22 children) in each group. Enamel, dentin, and odontoblast layers were examined histologically. Unpaired t-test used for statistical analysis. Results: The histopathological sections showed a significant difference in enamel, dentin, and odontoblast layer thickness (255.8 ± 41.68- 406.4 ±46.39), (1156 ± 116.0 - 1320 ± 117.4) and (29.74 ± 7.66 -41.38 ± 12.06) respectively, with p values (P < 0.0001) for enamel and dentin layer, and P < 0.0004 for odontoblast layer. A study of the images in the CHD group showed that the tooth tissue lost its integrity and cohesion in some places, and the thickness of the enamel and dentin layer in this group was significantly reduced compared to group I. Tissue loss in enamel, pulp, and dentin cell were observed. Also, connective tissue layers in the pulp were disrupted. Conclusions: CHD can alter the natural structure formation of primary teeth. Histologically, enamel, dentin, and odontoblasts layer thickness reduction are found in primary teeth in children with ventricular septal defects.
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Affiliation(s)
- Huda Raad
- hawler medical university-college of dentistry.
| | - Omed Shihab
- hawler medical university-college of dentistry.
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Camatta IB, Nobre-Dos-Santos M, Steiner-Oliveira C. Influence of the Salivary Acquired Pellicle on the Inhibition/Progression of In Vitro Carious Dentin Treated with Silver Diamine Fluoride. Pediatr Dent 2023; 45:524-530. [PMID: 38129757] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Purpose: To evaluate, in vitro, whether the presence of the acquired pellicle (AP) interferes with the effect of 38 percent silver diamine fluoride (SDF) on the inhibition or progression of carious dentin. Methods: Carious dentin specimens were divided into groups: C-no treatment control; FV-fluoride varnish; AP-acquired pellicle formation; SDF only, and APSDF-SDF plus acquired pellicle formation. After AP formation (AP and APSDF groups), all groups were subjected to pH cycling. Dentin mineral gain or loss was quantified using surface microhardness (SM). Concentrations of fluoride calcium (CaF₂) and fluorapatite (FAp) fluoride retained in dentin and fluoride concentrations in de- and remineralizing solutions were determined. Results: Groups AP, FV, SDF, and APSDF showed reduced demineralization compared with the C group, but the AP group showed greater surface loss than the fluoridated groups. Groups FV, SDF, and APSDF showed greater mineral recovery than C and AP groups (P<0.05), but no differences were observed between the FV, SDF, and APSDF groups (P>0.05). The retained CaF₂ and FAp were greater in the groups treated with fluoride, but there was no difference between the SDF and APSDF groups. Conclusion: The presence of the acquired pellicle reduced the progression of carious dentin lesion but did not influence its remineralization when associated with silver diamine fluoride.
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Affiliation(s)
| | - Marinês Nobre-Dos-Santos
- Department of Health Sciences and Pediatric Dentistry, at the Piracicaba Dental School, University of Campinas, Areião, Piracicaba, São Paulo, Brazil
| | - Carolina Steiner-Oliveira
- Department of Health Sciences and Pediatric Dentistry, at the Piracicaba Dental School, University of Campinas, Areião, Piracicaba, São Paulo, Brazil
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Schwendicke F, Badakhsh P, Marques MG, Demarchi KM, Brant ARR, Moreira CL, Ribeiro APD, Leal SC, Hilgert LA. Subjective versus objective, polymer bur-based selective carious tissue removal: 2-year randomized clinical trial. J Dent 2023; 138:104728. [PMID: 37783372 DOI: 10.1016/j.jdent.2023.104728] [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: 08/17/2023] [Revised: 09/25/2023] [Accepted: 09/26/2023] [Indexed: 10/04/2023] Open
Abstract
OBJECTIVES We aimed to compare subjective (S) selective carious tissue removal using hand instruments versus objective (O) removal using a self-limiting polymer bur in a single-blind cluster-randomized controlled superiority trial. METHODS 115 children (aged 7-8 years) with ≥1 vital primary molar with a deep dentin lesion (>1/2 dentin depth) were included and randomized (60 S/55 O); all eligible molars in a child were treated identically (91 S/86 O). Cavities were prepared and carious tissue on pulpal walls selectively removed using hand instruments (S) or a self-limiting polymer bur (Polybur P1, Komet), followed by restoration using a glass hybrid material (Equia Forte, GC). Treatment time and satisfaction data have been reported in a 1-year-interim report. We here report on 2 year survival (tooth retained with or without further retreatments being needed, or tooth exfoliated), analyzed using multi-level Cox-regression analysis, as well as success (ART criteria 0/1, no pulpal complications, no re-intervention needed, or tooth extraction). RESULTS 71 restorations in S and 65 in O were examined after a mean (SD, range) of 22 (11; 3-31) months, of which 50 S and 48 O restorations were successful and 70 S and 65 O survived. The majority of failures were restorative, not pulpal, and distribution of ART codes was not significant different between groups. Risk of failure was not significantly associated with the removal protocol (HR; 95 % CI: 0.95; 0.51-1.78), and also not age, sex or dental arch, while single surfaced restorations showed significantly lower hazard (0.14; 0.06-0.37). CONCLUSION There was no significant difference in success or survival between objective and subjective carious tissue removal. CLINICAL SIGNIFICANCE In primary teeth, subjective selective excavation had no disadvantage compared with objective excavation, which required a separate instrument (polymer-based bur) for carious tissue removal. Polymer-based burs may be particularly useful when standardized excavation is needed.
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Affiliation(s)
- Falk Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité- Universitätsmedizin, Aßmannshauser Str. 4-6, Berlin 14197, Germany.
| | - Puya Badakhsh
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité- Universitätsmedizin, Aßmannshauser Str. 4-6, Berlin 14197, Germany
| | - Marta Gomes Marques
- School of Health Sciences, Department of Dentistry, University of Brasília, Brasília, Brazil
| | | | | | - Cláudia Lúcia Moreira
- School of Health Sciences, Department of Dentistry, University of Brasília, Brasília, Brazil
| | - Ana Paula Dias Ribeiro
- School of Health Sciences, Department of Dentistry, University of Brasília, Brasília, Brazil; Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL, United States
| | - Soraya Coelho Leal
- School of Health Sciences, Department of Dentistry, University of Brasília, Brasília, Brazil
| | - Leandro Augusto Hilgert
- School of Health Sciences, Department of Dentistry, University of Brasília, Brasília, Brazil
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Barbosa CDB, Monici Silva I, de Cena JA, Stefani CM, Dame-Teixeira N. Presence of host and bacterial-derived collagenolytic proteases in carious dentin: a systematic review of ex vivo studies. Front Cell Infect Microbiol 2023; 13:1278754. [PMID: 38029242 PMCID: PMC10644316 DOI: 10.3389/fcimb.2023.1278754] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 10/09/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction and aim The presence of host collagenases in the degradation of the protein matrix at later stages of carious dentin lesions development, as well as the potential involvement of bacterial collagenases, have been suggested but lack conclusive evidence. This study aims to conduct a systematic review to comprehensively assess the profile of host and bacterial-derived collagenolytic proteases in both root and coronal dentin carious lesions. Methods The search was performed in eight databases and the grey literature. Studies evaluating ex vivo dentin, extracted teeth, or biofilms from natural caries lesions were included. The methodological quality of studies was assessed using the Joanna Briggs Institute tool. Synthesis of the results and the certainty of evidence were performed following the Synthesis without Meta-analysis (SWiM) checklist and GRADE approach for narrative synthesis, respectively. Results From 935 recovered articles, 18 were included. Although the evidence was very uncertain, it was possible to suggest that 1) MMP-2, MMP-9, MMP-13, and CT-B may be increased in carious dentin when compared to sound dentin; 2) there is no difference in MMP-2 presence, while MMP-13 may be increased in root when compared to coronal carious dentin; 3) there is no difference of MMP-2 and MMP-9 expression/activity before and after cavity sealing; 4) MMP-8 may be increased in the dentin before cavity sealing compared to dentin after cavity sealing; 5) there is no difference of MMP-20 in irradiated vs. non-irradiated carious dentin. MMP-20 probably reduces in carious outer dentin when compared to carious inner dentin (moderate certainty). Genes encoding bacterial collagenolytic proteases and protein-degrading bacteria were detected in coronal and root carious lesions. Conclusion Trends in the direction of the effect were observed for some collagenolytic proteases in carious dentin, which may represent a potential target for the development of new treatments. (Protocol register-PROSPERO: CRD42020213141).
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Affiliation(s)
| | | | | | | | - Naile Dame-Teixeira
- Department of Dentistry, School of Health Sciences, University of Brasília, Brasília, Brazil
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Laajala A, Pesonen P, Alaraudanjoki V, Anttonen V, Laitala ML. Genome-wide association study identifies novel caries-associated loci showing sex-specificity-A study on the Northern Finland Birth Cohort 1966. Eur J Oral Sci 2023; 131:e12953. [PMID: 37707347 DOI: 10.1111/eos.12953] [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: 10/04/2022] [Accepted: 08/31/2023] [Indexed: 09/15/2023]
Abstract
A genome-wide association study was performed in sex-stratified groups representing three different caries phenotypes among adults. The study sample consisted of 46-year-old participants of the Northern Finland Birth Cohort 1966 study (n = 1481). The phenotypes for analyses were the dentin caries phenotype (persons having at least one tooth with dentin caries lesion), and the enamel caries phenotype (those having teeth with more than 10 enamel caries lesions), while the control group had <10 enamel caries lesions and no teeth with dentin caries, respectively. A third phenotype dubbed the caries severity phenotype had a below-average number of teeth with initial lesions and at least one extensive dentin caries lesion; their controls had an above-average number of teeth with initial caries lesions and no teeth with extensive dentin caries lesions. All analyses were performed for the whole group and for sex-stratified subgroups. In females, loci in chromosomes 2, 5, and 15 showed a statistically significant association with caries severity. In males, there was a novel association between chromosome 5 and dentin caries. The results of this study may suggest a genetic background of caries among adults. In the future, the detection of genetic predisposing variants may allow the identification of patients at risk for caries, even in the absence of behavioral and environmental risk factors.
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Affiliation(s)
- Anne Laajala
- Faculty of Medicine, Research Unit of Population Health, University of Oulu, City of Oulu, Finland
- Medical Research Center and University Hospital of Oulu, City of Oulu, Finland
| | - Paula Pesonen
- Northern Finland Birth Cohorts, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, City of Oulu, Finland
| | - Viivi Alaraudanjoki
- Faculty of Medicine, Research Unit of Population Health, University of Oulu, City of Oulu, Finland
| | - Vuokko Anttonen
- Faculty of Medicine, Research Unit of Population Health, University of Oulu, City of Oulu, Finland
| | - Marja-Liisa Laitala
- Faculty of Medicine, Research Unit of Population Health, University of Oulu, City of Oulu, Finland
- Medical Research Center and University Hospital of Oulu, City of Oulu, Finland
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Marquezan PK, Alves LS, Comim LD, Zenkner JEDA. Underlying Dentin Shadows (ICDAS 4) in Occlusal Surface of Permanent Teeth Have Low Progression Rate after 1-2 Years. Caries Res 2023; 57:584-591. [PMID: 37562363 PMCID: PMC10733931 DOI: 10.1159/000533155] [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: 08/15/2022] [Accepted: 07/12/2023] [Indexed: 08/12/2023] Open
Abstract
The aim of this prospective cohort study was to assess the radiographic progression of underlying dentin shadows (UDS) on the occlusal surfaces of permanent posterior teeth of adolescents and young adults over 1-2 years and to identify possible risk factors. A total of 149 UDS lesions (from 101 individuals) were included at baseline. Each participant had to present at least one UDS to be considered eligible for the study. Data collection included the application of a questionnaire, clinical examination, and bilateral bitewing radiographs, performed at baseline and after 1-2 years. The association between possible predictors and UDS progression (defined radiographically as an increase in the radiographic score from baseline to follow-up) was assessed using Weibull regression models. Hazard ratios (HRs) and their 95% confidence intervals (CIs) were estimated. A total of 81 individuals (mean age: 24.0, standard deviation: 8.03) were reexamined after 1-2 years (742 occlusal surfaces, of which 118 were UDS). The overall progression rate was 8.6% after 1-2 years, being 12.6% for UDS without baseline radiolucency and 20% for UDS with baseline radiolucency. The risk analysis showed that UDS without radiolucency at baseline had a similar likelihood of progression (adjusted HR = 1.71, 95% CI = 0.68-4.32, p = 0.26) while UDS with radiolucency at baseline were more likely to progress (adjusted HR = 2.96, 95% CI = 1.06-8.26, p = 0.04) than the reference category (sound occlusal surfaces without radiolucency). These estimates were adjusted for caries prevalence, tooth type, and arch. This study showed low progression rates of UDS after 1-2 years. The presence of radiolucency at baseline was found to predict UDS progression.
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Affiliation(s)
| | - Luana Severo Alves
- School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
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Song YL, Bian Z. [Recognition on dentin dysplasia type Ⅱ]. Zhonghua Kou Qiang Yi Xue Za Zhi 2023; 58:766-771. [PMID: 37550036 DOI: 10.3760/cma.j.cn112144-20230410-00148] [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] [Subscribe] [Scholar Register] [Indexed: 08/09/2023]
Abstract
Dentin dysplasia type Ⅱ (DD-Ⅱ) is a subtype of hereditary dentin disorders. The dentin sialophosphoprotein (DSPP) gene has been revealed to be the causative gene, whose mutations could affect the normal tooth development process. The lesions involve both deciduous and permanent dentition, mainly manifested as tooth discoloration, attrition and even the subsequent malocclusion. If not treated in time, it will significantly affect the physical and psychological health of patients. The disease is difficult to be diagnosed in clinic accurately as its low incidence and hidden manifestations. The present article aims to discuss the clinical and radiographic characteristics, diagnosis, treatment of DD-Ⅱ, in order to improve the overall understanding on DD-Ⅱ for clinicians.
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Affiliation(s)
- Y L Song
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Z Bian
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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Arsiwala-Scheppach LT, Castner N, Rohrer C, Mertens S, Kasneci E, Cejudo Grano de Oro JE, Krois J, Schwendicke F. Gaze patterns of dentists while evaluating bitewing radiographs. J Dent 2023; 135:104585. [PMID: 37301462 DOI: 10.1016/j.jdent.2023.104585] [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: 02/07/2023] [Revised: 05/15/2023] [Accepted: 06/07/2023] [Indexed: 06/12/2023] Open
Abstract
OBJECTIVES Understanding dentists' gaze patterns on radiographs may allow to unravel sources of their limited accuracy and develop strategies to mitigate them. We conducted an eye tracking experiment to characterize dentists' scanpaths and thus their gaze patterns when assessing bitewing radiographs to detect primary proximal carious lesions. METHODS 22 dentists assessed a median of nine bitewing images each, resulting in 170 datasets after excluding data with poor quality of gaze recording. Fixation was defined as an area of attentional focus related to visual stimuli. We calculated time to first fixation, fixation count, average fixation duration, and fixation frequency. Analyses were performed for the entire image and stratified by (1) presence of carious lesions and/or restorations and (2) lesion depth (E1/2: outer/inner enamel; D1-3: outer-inner third of dentin). We also examined the transitional nature of the dentists' gaze. RESULTS Dentists had more fixations on teeth with lesions and/or restorations (median=138 [interquartile range=87, 204]) than teeth without them (32 [15, 66]), p<0.001. Notably, teeth with lesions had longer fixation durations (407 milliseconds [242, 591]) than those with restorations (289 milliseconds [216, 337]), p<0.001. Time to first fixation was longer for teeth with E1 lesions (17,128 milliseconds [8813, 21,540]) than lesions of other depths (p = 0.049). The highest number of fixations were on teeth with D2 lesions (43 [20, 51]) and lowest on teeth with E1 lesions (5 [1, 37]), p<0.001. Generally, a systematic tooth-by-tooth gaze pattern was observed. CONCLUSIONS As hypothesized, while visually inspecting bitewing radiographic images, dentists employed a heightened focus on certain image features/areas, relevant to the assigned task. Also, they generally examined the entire image in a systematic tooth-by-tooth pattern.
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Affiliation(s)
- Lubaina T Arsiwala-Scheppach
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany; ITU/WHO Focus Group AI on Health, Topic Group Dental Diagnostics and Digital Dentistry, Switzerland.
| | - Nora Castner
- Department of Computer Science, University of Tuebingen, Tuebingen, Germany
| | - Csaba Rohrer
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany
| | - Sarah Mertens
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany
| | - Enkelejda Kasneci
- Department of Computer Science, Technical University of Munich, Germany
| | - Jose Eduardo Cejudo Grano de Oro
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany
| | - Joachim Krois
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany; ITU/WHO Focus Group AI on Health, Topic Group Dental Diagnostics and Digital Dentistry, Switzerland
| | - Falk Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany; ITU/WHO Focus Group AI on Health, Topic Group Dental Diagnostics and Digital Dentistry, Switzerland
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Anani H, Elasser D, Niazy M, Jamil W, Elsharkawy D. Evaluation of the remineralization and antibacterial effect of natural versus synthetic materials on deep carious dentin: A randomized controlled trial. Dent Med Probl 2023; 60:87-97. [PMID: 37023336 DOI: 10.17219/dmp/147075] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 02/16/2022] [Accepted: 03/03/2022] [Indexed: 04/03/2023] Open
Abstract
BACKGROUND A variety of natural and synthetic agents have recently been used in clinical trials to arrest dentin caries. OBJECTIVES The aim of the present study was to explore the remineralization and antibacterial effect of natural (propolis, hesperidin) vs. synthetic (silver diamine fluoride (SDF)) agents on deep carious dentin. MATERIAL AND METHODS A total of 64 human molar teeth with Class I caries were randomly distributed into 4 groups: control group; propolis group; hesperidin group; and SDF group. The cavities were prepared using the stepwise caries removal technique, and then covered with the materials to be tested. The samples were taken from the carious lesions before and after treatment to evaluate the antibacterial effect. Then, the teeth were restored with a glass ionomer cement (GIC). Digital X-rays were taken to assess remineralization and the antibacterial effect after 6 and 12 weeks. RESULTS The highest value of radiodensity was observed in the propolis group (46.44 ±9.65 HU), while the lowest value was noted in the hesperidin group (12.62 ±5.86 HU). The bacterial count in the propolis group was 1,280.00 ±1,480.54 CFU/mL at baseline, which was not significantly higher than the value measured after 6 weeks (574.00 ±642.48 CFU/mL; p = 0.153), whereas in the hesperidin group, the mean value of the bacterial count at baseline (3,166.67 ±1,940.79) was not much higher as compared to the value obtained at 6 weeks (2,983.33 ±1,705.77) (p = 0.150). CONCLUSIONS In comparison with SDF, propolis and hesperidin agents showed promising effects in terms of remineralization of carious dental tissue and hindering the progression of caries.
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Affiliation(s)
- Haneya Anani
- Department of Medical Microbiology and Immunology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Badr University in Cairo, Badr City, Egypt
| | - Dalia Elasser
- Department of Operative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Maha Niazy
- Department of Operative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Wael Jamil
- Department of Operative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Doaa Elsharkawy
- Department of Operative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
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12
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Baraka MMAL, Cevidanes L, Tekeya M, Bakry N, Ruellas A, Botero T, Benavides E, Fontana M. Three-Dimensional Assessment of Radiographic Changes after Indirect Pulp Capping Using Silver Diamine Fluoride with or without Potassium Iodide in Young Permanent Teeth (12-Month RCT). Caries Res 2023; 57:177-188. [PMID: 36878216 DOI: 10.1159/000529893] [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: 09/14/2022] [Accepted: 02/20/2023] [Indexed: 03/08/2023] Open
Abstract
The aim of this study was to conduct a three-dimensional (3D) evaluation of radiographic changes after indirect pulp capping (IPC) with silver diamine fluoride (SDF) with or without potassium iodide (KI) and resin-modified glass ionomer cement (RMGIC) in deep carious young permanent molars using cone-beam computed tomography (CBCT). 108 first permanent molars with deep occlusal cavitated caries lesions, in forty-nine 6- to 9-year-old children, were randomly allocated to one of 3 groups (n = 36) and treated with SDF+KI, SDF, and RMGIC as IPC materials. CBCT scans were taken at 0 and 12 months to assess tertiary dentin formation (volume and grey level intensity), increase in root length, and pathological changes such as secondary caries, periapical radiolucency, internal resorption, and obliteration of the pulp. The 3D image analysis procedures were performed using ITK-SNAP and 3D Slicer CMF. Comparisons were made using analysis of variance with a fixed effect for treatment and random effects for patient and patient-by-treatment to account for within-patient correlations. A two-sided 5% significance level was used. There were no significant differences among the three groups regarding tertiary dentin volume (p = 0.712) and grey level intensity (p = 0.660), increase in root length (p = 0.365), prevention of secondary caries (p = 0.63), and periapical radiolucency (p = 0.80) in the analysed 69 CBCT scans. The study did not find differences among the groups regarding quality and quantity of tertiary dentin formed, increase in root length, absence of secondary caries, and other signs of failure as shown by CBCT. Clinical Significance: The results show no significant differences in radiographic outcomes (quality and quantity of tertiary dentin formed, increase in root length, absence of secondary caries, and other signs of failure) when using SDF+KI, SDF, and RMGIC in IPC. The results of this study can help guide treatment decision-making regarding use of SDF and SDF+KI as IPC materials in deep cavitated lesions.
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Affiliation(s)
| | - Lucia Cevidanes
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA
| | - Magda Tekeya
- Pediatric Dentistry Department, Alexandria University, Faculty of Dentistry, Alexandria, Egypt
| | - Niveen Bakry
- Pediatric Dentistry Department, Alexandria University, Faculty of Dentistry, Alexandria, Egypt
| | - Antonio Ruellas
- Department of Orthodontics, Federal University of Rio de Janeiro, Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Tatiana Botero
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA
| | - Erika Benavides
- Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA
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13
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Pires PM, Nunes Monteiro AS, Helena de Accioly Costa P, Silva AS, Lopes RT, Yoshihara K, Sauro S, de Almeida Neves A. Dentine mineral changes induced by polyalkenoate cements after different selective caries removal techniques: An in vitro study. Caries Res 2023; 57:21-31. [PMID: 36642070 DOI: 10.1159/000529101] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 01/08/2023] [Indexed: 01/17/2023] Open
Abstract
This study aimed at evaluating the mineral variation induced by polyalkenoate cements in residual dentine after different caries removal methods. Ten extracted sound molars were selected, and five cavities were prepared on the occlusal surface of each specimen. Carious lesions were generated using a microbial protocol, while the caries removal was performed using bur, hand excavator or two papain-based chemo-mechanical agents. One cavity was left unexcavated in each tooth. Cavities were restored using a zinc polycarboxylate cement (ZPC; n=25) or a glass ionomer was used (GIC; n=25). Subsequently, the specimens were stored under simulated pulpal pressure for 45 days. Micro-CT scanning was performed after caries formation, removal, and restoration. Cavity volumes (mm3) and mineral density (MD) changes were calculated. Remineralisation ability was investigated by scanning electron microscopy (SEM) and Fourier-transformed infrared spectroscopy (FTIR). Statistical analysis was performed (5% significance level). Baseline caries, cavity volume and MD increase after caries removal was similar for all excavation groups (p>0.05). MD was higher in ZPC compared to GIC (p<0.05). SEM revealed that the chemo-mechanical techniques produced a smoother dentine surface compared to mechanical methods. FTIR showed silicon-based minerals in GIC-treated dentine while ZPC-treated presented mineral deposits characterised by amorphous calcium phosphate. In both cases, the presence of carbonates was detected on dentine surfaces. All caries removal techniques performed similarly in terms of carious dentine excavation. ZPC can be used as dentine replacement material after caries removal as it may induce higher MD increase in residual dentine via deposition of calcium-phosphates, compared to GIC.
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Affiliation(s)
- Paula Maciel Pires
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil,
- Dental Biomaterials & Minimally Invasive Dentistry, Department of Dentistry, University CEU Cardenal Herrera, Valencia, Spain,
| | - Amanda Souza Nunes Monteiro
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Aline Saddock Silva
- Laboratory of Nuclear Instrumentation, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ricardo Tadeu Lopes
- Laboratory of Nuclear Instrumentation, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Kumiko Yoshihara
- National Institute of Advanced Industrial Science and Technology (AIST), Health Research Institute, Okayama, Japan
| | - Salvatore Sauro
- Dental Biomaterials & Minimally Invasive Dentistry, Department of Dentistry, University CEU Cardenal Herrera, Valencia, Spain
| | - Aline de Almeida Neves
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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14
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Chhay S, Nguyen C. Techniques for Preserving Pulp Vitality in an Asymptomatic Deep Carious Lesion: A Clinical Case Study. Compend Contin Educ Dent 2022; 43:508-512. [PMID: 36170631] [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] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
When complete caries removal will lead to pulp exposure, partial caries removal may be considered as an alternative treatment option. Various techniques can be used in such situations to preserve pulp vitality. Incomplete removal of carious dentin and subsequent carious dentin sealing has been found to result in the arrest of carious lesions in deciduous and permanent teeth. This case report documents the treatment a young patient who presented with a mandibular left first molar that exhibited active coronal caries that had reached the apical third of the dentin. With a high risk of pulp exposure, the case demonstrates the use of conservative procedures that produced effective results in preserving pulp vitality.
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Affiliation(s)
- Sue Chhay
- Clinical Assistant Professor, Department of Cariology and Comprehensive Care, New York University College of Dentistry, New York, New York; Private Practice, Grand Prairie, Texas; Test Constructor Committee Member, Integrated National Board Dental Examination, 2015-present, American Dental Association, Joint Commission on National Dental Examinations
| | - Christine Nguyen
- Second-Year Student, Texas A and M College of Dentistry, Dallas, Texas; Dental Assistant, Grand Prairie, Texas
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15
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Rodrigues JA, Arsiwala-Scheppach LT, Krois J, Schwendicke F. Augmented vision for dental students' education in detecting proximal carious lesions on bitewing radiographs: A randomized controlled trial. Caries Res 2022; 56:197-205. [PMID: 35835067 DOI: 10.1159/000525777] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 06/19/2022] [Indexed: 11/19/2022] Open
Abstract
This two-arm, parallel, randomized controlled trial aimed to assess the effect of augmented vision (AV, using interactive color-overlays) on the education of dental students in detecting proximal carious lesions on bitewing radiographs compared to black-and-white textbook-like illustrations. Forty-eight preclinical third-year dental students were randomized using a random number generator into two learning groups: test (AV, allowing interaction with color-highlighted carious lesions, n=24) and control (showing the native radiograph and a black-and-white illustration displaying the carious lesion, n=24). Firstly, students had 2 weeks to assess 50 bitewings (lesion prevalence on tooth level: 54.5%) in test or control. Due to the nature of the intervention participants could not be blinded towards the intervention. After that, they were asked to detect lesions on 10 independent bitewings and to assess lesion extent (outer/inner enamel; outer/middle/inner dentin). The reference test was constituted by two experienced dentists. No significant differences in accuracy (test 0.84 [95% CI 0.79, 0.88]; control 0.83 [0.78,0.87]), AUC (test 0.82 [0.81, 0.84]; control 0.81 [0.80,0.83]) and F1-score (test 0.79 [0.75, 0.82]; control 0.77 [0.72,0.81]) were observed between groups. Students of both groups showed difficulties in differentiating enamel from dentin carious lesions. While AV was reported to be motivating by students, it did not increase their accuracy.
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Affiliation(s)
- Jonas Almeida Rodrigues
- Federal University of Rio Grande do Sul, UFRGS, Porto Alegre, Brazil
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Lubaina T Arsiwala-Scheppach
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Joachim Krois
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Falk Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité - Universitätsmedizin Berlin, Berlin, Germany
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16
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Muñoz-Sandoval C, Gambetta-Tessini K, Botelho JN, Giacaman RA. Detection of cavitated proximal carious lesions in permanent teeth, a visual and radiographic assessment. Caries Res 2022; 56:171-178. [PMID: 35605576 DOI: 10.1159/000525193] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 05/01/2022] [Indexed: 11/19/2022] Open
Abstract
Detection of proximal carious lesion involves the combination of clinical and radiographic methods, both with inherent difficulties. The present cross-sectional study aimed at estimating the prevalence of cavitation in proximal carious lesions, based on a direct clinical assessment of previously detected radiographic lesions, in permanent molars and premolars. Proximal dental surfaces were radiographically evaluated using the ADA coding system and cavitation was determined through clinical visual examination of the surfaces after separation with elastomeric bands. One-hundred and twenty-six patients attending the dental clinics at the University of Talca were examined comprising 508 proximal surfaces with radiographic codes ranging from E1 to D3. Two examiners were trained and calibrated for radiographic and clinical detection of proximal lesions. Most participants were females (61.9%). The age mean of participants was 28.7 (0.8) years old. A total of 22.2% of the examined surfaces were cavitated. Only few lesions coded as E1 (n=4; 2.1%) and E2 (n=9; 9.8%) were cavitated. Fifty D1 (35.5%) and 22 D2 (41.5%) lesions were cavitated after separation. Most lesions coded as D3 (n=28; 84.8%) were cavitated. The multilevel binary regression model (p=0.003) demonstrated that sex, age, jaw, tooth type, surface and side were not associated with the likelihood of having proximal cavitation. Challenging conventional wisdom, most D1 and D2 lesions were not cavitated. Combining detection methods seems desirable to increase the accuracy in assessing approximal posterior lesions. The low proportion of cavitated lesions reinforces the idea of cautiously indicating invasive approaches for managing proximal carious lesions.
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Affiliation(s)
- Cecilia Muñoz-Sandoval
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Karla Gambetta-Tessini
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Juliana N Botelho
- Department of Pediatric Stomatology, Faculty of Dentistry, University of Talca, Talca, Chile
| | - Rodrigo A Giacaman
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Dentistry, University of Talca, Talca, Chile
- Interuniversity Center on Healthy Aging, Curico, Chile
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17
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Moreau AM, Pelletier SÈD, Ngoc CN, Rompré PH, Vu DD. Clinical Management of Interproximal and Occlusal Caries in Children and Adolescents by Canadian Dentists: A Survey. J Can Dent Assoc 2022; 88:m3. [PMID: 35881059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
PURPOSE Early restorative interventions may have important implications in young patients, and the International Caries Classification and Management System strongly recommends non-surgical strategies in the management of dental caries. We aimed to assess management of interproximal and occlusal caries in children and adolescents (≤18 years of age) by Canadian dentists. METHODS An electronic survey was created and sent to members of Canadian provincial regulatory dental bodies. The survey included 11 questions on demographic factors and 3 clinical situations on dental caries management. RESULTS The response rate was 4.6% (n = 702). To treat interproximal carious lesions limited to enamel, 442 dentists (63.0%) reported using surgical caries removal on a permanent molar and 502 dentists (71.5%) did the same for a primary tooth. For occlusal carious lesions, the corresponding numbers were 300 dentists (42.7%) for a permanent molar and 269 (38.3%) for a primary molar. Age, year of graduation and province of practice appear to have a significant impact on the restorative threshold. CONCLUSIONS According to the latest evidence-based recommendations for caries management, the presence of cavitated enamel should be the main indication to restore, and non-surgical interventions for non-cavitated lesions confined to enamel should be prioritized. Results show that a good proportion of respondents have a lower restorative threshold, particularly for interproximal lesions.
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18
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Hollanders AC, Ruben JL, Kuper NK, Huysmans MCD. In vitro effect of occlusal loading on cervical wall lesion development in a Class II composite restoration. Caries Res 2022; 56:91-97. [PMID: 35168234 PMCID: PMC9254291 DOI: 10.1159/000522589] [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] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 02/13/2022] [Indexed: 11/19/2022] Open
Abstract
The aim of this study was to determine the effect of simulated occlusal loading on wall lesion development in cervical gaps of class II composite restorations in vitro. Sixty-four extracted human molars received standardized (4.0 × 4.2 × 3.0 mm) box preparations. The teeth were randomly assigned to one of two restoration groups: restoration with a normal or a low E-modulus composite material (CLEARFIL AP-X: E-modulus 16.8 GPa or CLEARFIL MAJESTY ES Flow: E-modulus 6.6 GPa). A metal matrix was placed at the bottom of the box for each restoration, creating a cervical gap of about 100 μm wide. Samples were exposed to simulated caries lesion development in a lactic acid solution (pH 4.8) for 8 weeks in a Rub&Roll device. Half of the samples were subjected to 90 N cyclic loading. After demineralization, the teeth were sectioned. Wall lesion development was measured using microradiography (transversal wavelength-independent microradiography) in two different locations (location 1: 1,000 μm and location 2: 1,600 μm from the gap entrance) and recorded in lesion depth (LD) (μm) and mineral loss (μm × vol%). Linear regression modeling was used to estimate the effect of loading and material on wall lesion development. Mean wall LD in location 1 across all groups was 150.83 μm with a standard deviation (SD) of 61.83 μm. In location 2, mean overall wall LD was 102.98 μm with an SD of 64.92 μm. Linear regression showed no significant effect of either loading or material on wall lesion development. Occlusal loading had no significant effect on secondary caries lesion development in composite class II restoration in this in vitro study.
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19
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Abstract
Dentin Sialoprotein (DSP) and phosphophoryn (PP) are two most dominant non-collagenous proteins in dentin, which are the cleavage products of the DSPP (dentin sialophosphoprotein) precursor protein. The absence of the DSPP gene in DSPP knock-out (KO) mice results in characteristics that are consistent with dentinogenesis imperfecta type III in humans. Symptoms include thin dentin, bigger pulp chamber with frequent pulp exposure as well as abnormal epithelial-mesenchymal interactions, and the appearance of chondrocyte-like cells in dental pulp. To better understand how DSPP influences tooth development and dentin formation, we used a bacterial artificial chromosome transgene construct (BAC-DSPP) that contained the complete DSPP gene and promoter to generate BAC-DSPP transgenic mice directly in a mouse DSPP KO background. Two BAC-DSPP transgenic mouse strains were generated and characterized. DSPP mRNA expression in BAC-DSPP Strain A incisors was similar to that from wild-type (wt) mice. DSPP mRNA expression in BAC-DSPP Strain B animals was only 10% that of wt mice. PP protein content in Strain A incisors was 25% of that found in wt mice, which was sufficient to completely rescue the DSPP KO defect in mineral density, since microCT dentin mineral density analysis in 21-day postnatal animal molars showed essentially identical mineral density in both strain A and wt mice. Strain B mouse incisors, with 5% PP expression, only partially rescued the DSPP KO defect in mineral density, as microCT scans of 21-day postnatal animal molars indicated a reduced dentin mineral density compared to wt mice, though the mineral density was still increased over that of DSPP KO. Furthermore, our findings showed that DSPP dosage in Strain A was sufficient to rescue the DSPP KO defect in terms of epithelial-mesenchymal interactions, odontoblast lineage maintenance, along with normal dentin thickness and normal mineral density while DSPP gene dosage in Strain B only partially rescued the aforementioned DSPP KO defect.
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Affiliation(s)
- Dandrich Lim
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, United States of America
| | - Ko-Chien Wu
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, United States of America
| | - Arthur Lee
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, United States of America
| | - Thomas L. Saunders
- Division of Medical Medicine and Genetics, Department of Internal Medicine, Transgenic Animal Model Core, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
| | - Helena H. Ritchie
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, United States of America
- * E-mail:
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20
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Bassi JC, Tedesco TK, Raggio DP, Santos AMA, Bianchi RM, de Sant'Anna GR. Is it necessary to pre-treat Dentine before GIC Restorations? Evidence from an in Vitro Study. Acta Odontol Latinoam 2020; 33:27-32. [PMID: 32621596] [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] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Accepted: 03/01/2020] [Indexed: 06/11/2023]
Abstract
The aim of this study was to assess the influence of different pre-treatment approaches on glass ionomer cement (GIC) bond strength (BS) to dentine. Sixty bovine incisors were allocated into six groups according to substrate - sound or caries-affected dentine; and substrate pre-treatment approach - no conditioning (control), polyacrylic acid for 10 s and phosphoric acid for 7 s. Teeth in the caries-affected dentine group were previously submitted to cariogenic pH-cycling challenge. After dentine pre-treatment, according to experimental groups, polyethylene tubes were placed on flat dentine surfaces and filled with GIC. Teeth were stored in distilled water for 24 h at 37 °C and then submitted to microshear test (0.5 mm/min). Failure pattern analysis was performed under stereomicroscope (400x). Data were analysed using two-way ANOVA and Tukey's test (α=5%). Statistically significant differences were found for the pre-treatment approach, regardless of substrate (p<0.001). The polyacrylic acid group and control group had similar BS values, and were both better than the phosphoric acid group. In general, GIC had better bonding performance in sound dentine than in caries-affected dentine. In conclusion, dentine pre-treatment with polyacrylic acid did not improve the performance of GIC restoration on clinically relevant substrates.
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Affiliation(s)
- Julio C Bassi
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Odontopediatria, Santos, Brazil
| | - Tamara K Tedesco
- Universidade Ibirapuera, Faculdade de Odontologia, Programa de Pós-graduação em Odontologia, São Paulo, Brazil.
| | - Daniela P Raggio
- Universidade de São Paulo, Faculdade de Odontologia, Departamento de Ortodontia e Odontopediatria, São Paulo, Brazi
| | - Ana Maria A Santos
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Dentística, Santos, Brazil
| | - Renata Md Bianchi
- Universidade Santa Cecília, Faculdade de Odontologia, Disciplina de Odontopediatria, Santos, Brazil
- Universidade Ibirapuera, Faculdade de Odontologia, Programa de Pós-graduação em Odontologia, São Paulo, Brazil
| | - Giselle R de Sant'Anna
- Centro de Pesquisas Odontológicas São Leopoldo Mandic, Faculdade São Leopoldo Mandic, Programa de Pós-graduação em Odontopediatria, Campinas, Brazil
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21
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Luong MN, Shimada Y, Araki K, Yoshiyama M, Tagami J, Sadr A. Diagnosis of Occlusal Caries with Dynamic Slicing of 3D Optical Coherence Tomography Images. Sensors (Basel) 2020; 20:s20061659. [PMID: 32192069 PMCID: PMC7146590 DOI: 10.3390/s20061659] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 03/06/2020] [Accepted: 03/14/2020] [Indexed: 12/20/2022]
Abstract
Detecting the extent of occlusal caries is a clinically important but challenging task required for treatment decision making. The aim of this study was to assess the diagnostic power of 3D swept-source optical coherence tomography (OCT) for evaluation of occlusal caries in comparison with X-ray radiography. Extracted human molars not exhibiting American Dental Association (ADA) criteria advanced caries were mounted in a silicone block and digital dental radiographs were captured from the buccal side. Subsequently, occlusal surfaces were scanned with a prototype Yoshida Dental OCT. Thirteen examiners evaluated the presence and extent of caries on radiographs and dynamically sliced 3D OCT video images, using a 4 level scale—0: intact; 1: enamel demineralization without cavitation; 2: enamel caries with cavitation; 3: dentin caries with or without cavitation. Sensitivity, specificity and area under operating characteristic curves (Az) were statistically analyzed (α = 0.05). Reliability analysis showed an excellent agreement among the 13 examiners for both methods. The OCT presented a significantly higher sensitivity and Az value for the detection of caries compared to radiographs (p < 0.05). Radiography showed especially low sensitivity for dentin caries (0–2 versus 3). Dynamic slicing of 3D OCT volumes is a powerful adjunct tool to visual inspection to diagnose the dentin occlusal caries in vitro.
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Affiliation(s)
- Minh N. Luong
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA;
| | - Yasushi Shimada
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8525, Japan;
- Correspondence: (Y.S.); (A.S.)
| | - Kazuyuki Araki
- Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Tokyo 145-8515, Japan;
| | - Masahiro Yoshiyama
- Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8525, Japan;
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8549, Japan;
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA;
- Correspondence: (Y.S.); (A.S.)
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22
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Habib M, Chew HP. Methods of assessment of early dentine erosion: a review. J PAK MED ASSOC 2019; 69:1509-1513. [PMID: 31622307] [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: 06/10/2023]
Abstract
Dentine erosion is an increasingly recognised problem, especially in aging population, and various methods have been utilised for its assessment. This narrative review was planned to summarise the methods for the assessment of the early stages of dentine erosion. Relevant original articles published in the English language from 2013 to 2017 were reviewed. Laboratory techniques and methods with in vivo potential were separately studied. It is evident that the assessment of early dentine erosion is complex and requires a combination of methods. For clinical evaluation, chemical analysis and optical methods show great potential but are in need of more validation.
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Affiliation(s)
- Madiha Habib
- Department of Restorative Dentistry, University Malaya, Kuala Lumpur, Malaysia
| | - Hooi Pin Chew
- Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota, Minneapolis, USA
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Labib ME, Hassanein OE, Moussa M, Yassen A, Schwendicke F. Selective versus stepwise removal of deep carious lesions in permanent teeth: a randomised controlled trial from Egypt-an interim analysis. BMJ Open 2019; 9:e030957. [PMID: 31530615 PMCID: PMC6756573 DOI: 10.1136/bmjopen-2019-030957] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES To compare the success, survival and costs of selective versus stepwise carious tissue removal (SE/SW) in permanent teeth with deep (>2/3 dentine depth) carious lesions. DESIGN Randomised controlled, unicentre, clustered two-arm superiority trial. SETTING Outpatient clinic of a private university in Cairo, Egypt. PARTICIPANTS One hundred and fifteen participants (n=132 teeth), aged 18-47 years, from Cairo, Egypt, were enrolled. Premolars/molars with occlusal/occlusal-proximal deep lesions (radiographically >2/3 dentine), sensible pulps, without spontaneous pain, were included. INTERVENTIONS Peripheral carious tissue removal to hard dentine was performed. Pulpo-proximally, soft dentine was left. A glass ionomer (GI) restoration was placed. After 3-4 months, teeth were randomly allocated to SE (n=66), with reduction of the GI into a base and no further tissue removal, followed by a composite resin restoration, or SW (n=66), with full removal of the GI, additional excavation until firm dentine pulpo-proximally, followed by a GI-based composite restoration. Mean follow-up was 1 year. PRIMARY AND SECONDARY OUTCOME MEASURES Primary outcome was success (absence of endodontic/restorative complications). Secondary outcomes were tooth survival and initial and total treatment costs. RESULTS Zero/five pulp exposures occurred during SE/SW, and seven/five SE/SW teeth required endodontic therapy. Success after 12 months was 89.4% for SE and 84.9% for SW. The estimated mean time free of complications was 23 and 18 months for SE and SW, respectively, without significant differences between SE and SW (p>0.05/Cox). Initial treatment costs were significantly higher for SW (mean (SD): 507.5 (123.4) Egyptian pounds (EGP)) than SE (mean (SD): 456.6 (98.3) EGP), while total costs showed no significant difference (p>0.05). CONCLUSION Within the limitations of this interim analysis, and considering the depth of these lesions (>2/3 dentine), SE and SW showed similar risk of failure and overall costs after 1 year. TRIAL REGISTRATION NUMBER PACTR201603001396248.
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Affiliation(s)
- Mohamed E Labib
- Operative Dentistry, Misr International University (MIU), Cairo, Egypt
| | | | - Makeen Moussa
- Operative Dentistry, Misr International University (MIU), Cairo, Egypt
| | - Asmaa Yassen
- Conservative Dentistry, Cairo University, Giza, Egypt
- Restorative Dentistry, British University in Egypt, Cairo, Egypt
| | - Falk Schwendicke
- Operative and Preventive Dentistry, Charite Universitatsmedizin Berlin Campus Benjamin Franklin, Berlin, Germany
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Luque-Martinez IV, Muñoz MA, Hass V, Sutil E, Reis A, Loguercio AD. EDTA Conditioning Increases the Long-term Microtensile Bond Strength to Sclerotic Dentin Mediated by Self-etch Adhesives. J Adhes Dent 2019; 20:397-403. [PMID: 30417895 DOI: 10.3290/j.jad.a41358] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To evaluate the immediate and 12-month microtensile bond strength (μTBS) of two self-etch adhesives on sclerotic dentin with or without previous EDTA conditioning. The conditioning pattern and the relative area of open dentinal tubules were also evaluated. MATERIALS AND METHODS Twenty-eight bovine incisors with naturally exposed sclerotic dentin were used. For μTBS testing, 20 teeth were divided into 4 groups (n = 5) according to the combination of the main factors: 1. adhesive (Clearfil SE Bond [CSE, Kuraray] and Adper SE Plus [ADSE, 3M Oral Care]); 2. surface treatment (previous conditioning with EDTA and previous conditioning with distilled water [DW]). The sclerotic surfaces were conditioned with either 17% EDTA or DW for 2 min prior to adhesive application. Composite buildups were constructed. Specimens were sectioned to obtain composite-dentin sticks (0.8 mm2) to be tested immediately or after 12 months (distilled water at 37°C) in tensile mode (0.5 mm/min). The conditioning pattern and the relative area of open dentinal tubules (OT) were evaluated in the remaining eight teeth. After adhesive application, the surfaces were rinsed off with acetone and ethanol. Then the surface was evaluated by SEM with image software. Data from μTBS and OT were submitted to three-way repeated measures ANOVA and data from OT were submitted to one-way repeated measures ANOVA. After, for both tests, Tukey's post-hoc test was applied (α = 0.05). RESULTS For both adhesives, EDTA resulted in the highest mean immediate μTBS (p = 0.002), which remained stable after 12 months of water storage (p < 0.38). CSE showed higher μTBS when compared to ADSE (p = 0.001). Degradation of the mean μTBS was observed for both adhesives only in the DW groups. Adhesive application plus with EDTA conditioning increased the OT area in comparison with only adhesive application (p < 0.001). CONCLUSION EDTA conditioning increased the immediate microtensile bond strength in sclerotic dentin substrate and prevented degradation when associated with a self-etch adhesive.
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Liang T, Hu Y, Smith CE, Richardson AS, Zhang H, Yang J, Lin B, Wang S, Kim J, Chun Y, Simmer JP, Hu JC. AMBN mutations causing hypoplastic amelogenesis imperfecta and Ambn knockout-NLS-lacZ knockin mice exhibiting failed amelogenesis and Ambn tissue-specificity. Mol Genet Genomic Med 2019; 7:e929. [PMID: 31402633 PMCID: PMC6732285 DOI: 10.1002/mgg3.929] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 07/25/2019] [Accepted: 07/26/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Ameloblastin (AMBN) is a secreted matrix protein that is critical for the formation of dental enamel and is enamel-specific with respect to its essential functions. Biallelic AMBN defects cause non-syndromic autosomal recessive amelogenesis imperfecta. Homozygous Ambn mutant mice expressing an internally truncated AMBN protein deposit only a soft mineral crust on the surface of dentin. METHODS We characterized a family with hypoplastic amelogenesis imperfecta caused by AMBN compound heterozygous mutations (c.1061T>C; p.Leu354Pro/ c.1340C>T; p.Pro447Leu). We generated and characterized Ambn knockout/NLS-lacZ (AmbnlacZ/lacZ ) knockin mice. RESULTS No AMBN protein was detected using immunohistochemistry in null mice. ß-galactosidase activity was specific for ameloblasts in incisors and molars, and islands of cells along developing molar roots. AmbnlacZ/lacZ 7-week incisors and unerupted (D14) first molars showed extreme enamel surface roughness. No abnormalities were observed in dentin mineralization or in nondental tissues. Ameloblasts in the AmbnlacZ/lacZ mice were unable to initiate appositional growth and started to degenerate and deposit ectopic mineral. No layer of initial enamel ribbons formed in the AmbnlacZ/lacZ mice, but pockets of amelogenin accumulated on the dentin surface along the ameloblast distal membrane and within the enamel organ epithelia (EOE). NLS-lacZ signal was positive in the epididymis and nasal epithelium, but negative in ovary, oviduct, uterus, prostate, seminal vesicles, testis, submandibular salivary gland, kidney, liver, bladder, and bone, even after 15 hr of incubation with X-gal. CONCLUSIONS Ameloblastin is critical for the initiation of enamel ribbon formation, and its absence results in pathological mineralization within the enamel organ epithelia.
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Affiliation(s)
- Tian Liang
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
| | - Yuanyuan Hu
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
| | - Charles E. Smith
- Department of Anatomy and Cell Biology, Faculty of MedicineMcGill UniversityMontrealQuebecCanada
| | - Amelia S Richardson
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
| | - Hong Zhang
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
| | - Jie Yang
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
- Department of Pediatric Dentistry, School and Hospital of StomatologyPeking UniversityBeijingChina
| | - Brent Lin
- Department of Orofacial SciencesUCSF School of DentistrySan FranciscoCalifornia
| | - Shih‐Kai Wang
- Department of DentistryNational Taiwan University School of DentistryTaipei CityTaiwan R.O.C
| | - Jung‐Wook Kim
- Department of Molecular Genetics and Department of Pediatric Dentistry & Dental Research Institute, School of DentistrySeoul National UniversitySeoulKorea
| | - Yong‐Hee Chun
- Department of Periodontics and Department of Cell Systems & Anatomy, School of DentistryUniversity of Texas Health Science Center at San AntonioSan AntonioTexas
| | - James P. Simmer
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
| | - Jan C.‐C. Hu
- Department of Biologic and Materials SciencesUniversity of Michigan School of DentistryAnn ArborMichigan
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Schwendicke F, Splieth C, Breschi L, Banerjee A, Fontana M, Paris S, Burrow MF, Crombie F, Page LF, Gatón-Hernández P, Giacaman R, Gugnani N, Hickel R, Jordan RA, Leal S, Lo E, Tassery H, Thomson WM, Manton DJ. When to intervene in the caries process? An expert Delphi consensus statement. Clin Oral Investig 2019; 23:3691-3703. [PMID: 31444695 DOI: 10.1007/s00784-019-03058-w] [Citation(s) in RCA: 85] [Impact Index Per Article: 17.0] [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: 12/05/2018] [Accepted: 08/08/2019] [Indexed: 01/04/2023]
Abstract
OBJECTIVES To define an expert Delphi consensus on when to intervene in the caries process and on existing carious lesions using non- or micro-invasive, invasive/restorative or mixed interventions. METHODS Non-systematic literature synthesis, expert Delphi consensus process and expert panel conference. RESULTS Carious lesion activity, cavitation and cleansability determine intervention thresholds. Inactive lesions do not require treatment (in some cases, restorations will be placed for reasons of form, function and aesthetics); active lesions do. Non-cavitated carious lesions should be managed non- or micro-invasively, as should most cavitated carious lesions which are cleansable. Cavitated lesions which are not cleansable usually require invasive/restorative management, to restore form, function and aesthetics. In specific circumstances, mixed interventions may be applicable. On occlusal surfaces, cavitated lesions confined to enamel and non-cavitated lesions radiographically extending deep into dentine (middle or inner dentine third, D2/3) may be exceptions to that rule. On proximal surfaces, cavitation is hard to assess visually or by using tactile methods. Hence, radiographic lesion depth is used to determine the likelihood of cavitation. Most lesions radiographically extending into the middle or inner third of the dentine (D2/3) can be assumed to be cavitated, while those restricted to the enamel (E1/2) are not cavitated. For lesions radiographically extending into the outer third of the dentine (D1), cavitation is unlikely, and these lesions should be managed as if they were non-cavitated unless otherwise indicated. Individual decisions should consider factors modifying these thresholds. CONCLUSIONS Comprehensive diagnostics are the basis for systematic decision-making on when to intervene in the caries process and on existing carious lesions. CLINICAL RELEVANCE Carious lesion activity, cavitation and cleansability determine intervention thresholds. Invasive treatments should be applied restrictively and with these factors in mind.
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Affiliation(s)
- Falk Schwendicke
- Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
| | - Christian Splieth
- Preventive & Pediatric Dentistry, University of Greifswald, Greifswald, Germany
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Bologna, Italy
| | - Avijit Banerjee
- Conservative & MI Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's Health Partners, King's College London, London, UK
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - Sebastian Paris
- Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - Michael F Burrow
- Faculty of Dentistry, University of Hong Kong, Pokfulam, Hong Kong, SAR, China
| | - Felicity Crombie
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Lyndie Foster Page
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Patricia Gatón-Hernández
- Department of Dentistry, University of Barcelona, Barcelona, Spain
- Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Rodrigo Giacaman
- Cariology Unit, Department of Oral Rehabilitation, University of Talca, Talca, Chile
| | - Neeraj Gugnani
- Department of Pediatric and Preventive Dentistry, DAV (C) Dental College, Yamunanagar, Haryana, India
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany
| | | | - Soraya Leal
- Department of Dentistry, Faculty of Health Sciences, University of Brasília, Brasilia, Brazil
| | - Edward Lo
- Faculty of Dentistry, University of Hong Kong, Pokfulam, Hong Kong, SAR, China
| | - Hervé Tassery
- Faculty of Dentistry, AMU University, Marseille, France
| | - William Murray Thomson
- Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - David J Manton
- Melbourne Dental School, University of Melbourne, Melbourne, Australia
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Pineda-Higuita S, Saldarriaga-Bolívar V, González-Penagos C, Moreno-Callejas S, Murillo-Murillo AY. Characteristics and severity of tooth wear in 2 to 5-year-old kindergarten children in Medellin. Acta Odontol Latinoam 2019; 32:75-78. [PMID: 31664297] [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] [Subscribe] [Scholar Register] [Received: 01/01/2018] [Accepted: 04/01/2019] [Indexed: 06/10/2023]
Abstract
The aim of the present study was to identify the characteristics and severity of tooth wear in children aged 2 to 5 years attending a kindergarten in the city of Medellin. The study population comprised 92 children aged 2 to 5 years attending a kindergarten in Medellin; the final sample included 86 children selected using a non-probabilistic sampling method. All assessments were performed using the index devised by Hansson and Nilner (1989). Prevalence of tooth wear in the studied population was 100%. The observed results confirm previous findings showing that the severity of tooth wear is proportionally related with increase in age, and is mainly due to the physiological wear of teeth. No significant differences in tooth wear facets were observed among the different types of teeth (incisors, canines, molars). It is necessary to develop validated, precise, and comparable indices that allow establishing the etiology and orienting treatment of non-physiological tooth wear.
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Affiliation(s)
- Sonia Pineda-Higuita
- Fundación Universitaria Autónoma de las Américas. Facultad de Odontología, Medellín, Colombia.
| | | | | | - Sarah Moreno-Callejas
- Fundación Universitaria Autónoma de las Américas. Facultad de Odontología, Medellín, Colombia
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Zander V, Chan D, Sadr A. Microcomputed Tomography Evaluation of Root Dentin Caries Prevention by Topical Fluorides and Potassium Iodide. Sensors (Basel) 2019; 19:E874. [PMID: 30791530 PMCID: PMC6412410 DOI: 10.3390/s19040874] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 02/16/2019] [Accepted: 02/16/2019] [Indexed: 11/17/2022]
Abstract
The mineral content of dental hard tissues has traditionally been measured by destructive tests such as transverse microradiography. Microfocus X-ray computed tomography (micro CT) has enabled non-destructive 3D assessment of tooth demineralization. This study compared the preventive effects of silver diammine fluoride (SDF) and potassium iodide (KI) in comparison with fluoride varnish. SDF has been known to arrest caries but darkens the tooth. KI creates a precipitate with SDF that reduces the discoloration, but its effects on SDF efficacy in terms of preventing demineralization of at-risk root dentin surfaces is unknown. Bovine root dentin blocks were randomly distributed into four groups and subjected to a pretreatment in each group (n = 8); Control: deionized water (DIW); F-Varnish: 5% sodium fluoride varnish: 38% Saforide; SDF+KI: SDF followed by saturated solution of KI in DIW. The treated dentin was subjected to 8 cycles of demineralization (pH 5) for 14 h and remineralization in artificial saliva (pH 7) for 10 h. Specimens were then scanned for 12 min using micro CT at 73 KV and 1012 µA with 8.3 μm resolution. The 3D images were analyzed in Amira software to calculate lesion depth (LD), surface layer mineral density (SL) and mineral loss (ΔZ) for each specimen. One-way ANOVA with Bonferroni posthoc showed that there was a statistically significant difference between Control and all three other groups for all parameters (P < 0.001), however, there was no statistical difference among F-Varnish, SDF and SDF+KI (P > 0.05). Single application of F-Varnish, SDF and SDF+KI showed comparable preventive effects against root dentin demineralization. Application of KI did not affect anti-demineralization properties of SDF in this study. Micro CT is a quick and effective method for objective and high-resolution characterization of dentin caries lesions.
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Affiliation(s)
- Vernon Zander
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA.
| | - Daniel Chan
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA.
| | - Alireza Sadr
- Department of Restorative Dentistry, University of Washington, Seattle, WA 98195, USA.
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Vidovic-Zdrilic I, Vijaykumar A, Mina M. Activation of αSMA expressing perivascular cells during reactionary dentinogenesis. Int Endod J 2019; 52:68-76. [PMID: 29985533 PMCID: PMC6283699 DOI: 10.1111/iej.12983] [Citation(s) in RCA: 5] [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: 01/05/2018] [Accepted: 07/06/2018] [Indexed: 12/12/2022]
Abstract
AIM To examine the contribution of perivascular cells expressing αSMA to reactionary dentinogenesis. METHODOLOGY An inducible, Cre-loxP in vivo fate-mapping approach was used to examine the contribution of the descendants of cells expressing the αSMA-CreERT2 transgene to reactionary dentinogenesis in mice molars. Reactionary dentinogenesis was induced by experimental mild injury to dentine without pulp exposure. The Student's t test was used to determine statistical significance at *P ≤ 0.05. RESULTS The lineage tracing experiments revealed that mild injury to dentine first led to activation of αSMA-tdTomato+ cells in the entire pulp chamber. The percentage of areas occupied by αSMA-tdTomato+ in injured (7.5 ± 0.7%) teeth were significantly higher than in teeth without injury (2 ± 0.5%). After their activation, αSMA-tdTomato+ cells migrated towards the site of injury, gave rise to pulp cells and a few odontoblasts that became integrated into the existing odontoblast layer expressing Col2.3-GFP and Dspp. CONCLUSION Mild insult to dentine activated perivascular αSMA-tdTomato+ cells giving rise to pulp cells as well as a few odontoblasts that were integrated into the pre-existing odontoblast layer.
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Affiliation(s)
- I Vidovic-Zdrilic
- Departments of Craniofacial Sciences, Division of Pediatric Dentistry, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT, USA
| | - A Vijaykumar
- Departments of Craniofacial Sciences, Division of Pediatric Dentistry, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT, USA
| | - M Mina
- Departments of Craniofacial Sciences, Division of Pediatric Dentistry, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT, USA
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Moda MD, Fagundes TC, Briso ALF, dos Santos PH. Analysis of the bond interface between self-adhesive resin cement to eroded dentin in vitro. PLoS One 2018; 13:e0208024. [PMID: 30475892 PMCID: PMC6258132 DOI: 10.1371/journal.pone.0208024] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Accepted: 11/11/2018] [Indexed: 12/03/2022] Open
Abstract
The purpose of this study was to evaluate the bonding interface between a self-adhesive resin cement to in vitro eroded dentin. Seventy-two third molars were used and divided into two groups: sound dentin and in vitro eroded dentin. The in vitro erosion was performed following a demineralization protocol, in which the specimens were immersed in a demineralizing solution for 2 minutes per cycle and remineralizing solution for 10 minutes per cycle for 9 days. Both groups were submitted to four dentin surface treatments: control group (without any treatment), 2% chlorhexidine, 20% polyacrylic acid, and 0.1 M EDTA (n = 9). Blocks of resin-based composite were bonded with RelyX U200 self-adhesive resin cement applied on the pretreated dentin surfaces. The teeth were sectioned into beams (1mm2) and submitted to microtensile bond strength testing to evaluate the bond strength of self-adhesive resin cement to dentin after 24 hours and 8 months of immersion in artificial saliva. Three specimens of each group were longitudinally cut and evaluated using confocal laser scanning microscopy to analyze the dentin/cement interface. Eroded dentin showed higher bond strength values when compared to sound dentin for the 2% chlorhexidine group (p = 0.03), 24 hours after adhesion. When considering eroded dentin, the 0.1M EDTA group showed higher bond strength values with a statistically significant difference only for the control group (p = 0.002). After 8 months of storage, the present results showed that there was no statistically significant difference between the two substrates for all experimental groups (p>0.05). Analysis of the microscopy confocal showed different types of treatments performed on dentin generally increased tags formation when compared to the control group. The eroded dentin showed a significant increase in density and depth of resinous tags when compared to sound dentin. The storage of samples for 8 months seems to have not caused significant degradation of the adhesive interface.
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Affiliation(s)
- Mariana Dias Moda
- Department of Restorative Dentistry, Araçatuba Dental School, UNESP—São Paulo State University, Araçatuba, SP, Brazil
| | - Ticiane Cestari Fagundes
- Department of Restorative Dentistry, Araçatuba Dental School, UNESP—São Paulo State University, Araçatuba, SP, Brazil
| | - André Luiz Fraga Briso
- Department of Restorative Dentistry, Araçatuba Dental School, UNESP—São Paulo State University, Araçatuba, SP, Brazil
| | - Paulo Henrique dos Santos
- Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP–São Paulo State University, Araçatuba, SP, Brazil
- * E-mail:
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van der Vyver PJ, Paleker F, Vorster M, de Wet FA. Root Canal Shaping Using Nickel Titanium, M-Wire, and Gold Wire: A Micro-computed Tomographic Comparative Study of One Shape, ProTaper Next, and WaveOne Gold Instruments in Maxillary First Molars. J Endod 2018; 45:62-67. [PMID: 30446405 DOI: 10.1016/j.joen.2018.09.013] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [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: 06/14/2018] [Revised: 09/12/2018] [Accepted: 09/19/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the root canal shaping effect of instruments manufactured from nickel titanium, M-Wire, and Gold wire with different glide path preparation techniques. METHODS One hundred thirty-five mesiobuccal canals of extracted human maxillary molars were randomly divided into 3 equal groups (N = 45) for glide path preparation with K-files (KF) (Dentsply Sirona, Ballaigues, Switzerland), One G (OG) files (Micro-Mega, Besançon, France), and ProGlider (PG) files (Dentsply Sirona). Specimens of each glide path group were further divided equally into 3 groups for instrumentation with ProTaper Next (PTN, Dentsply Sirona), One Shape (OS, Micro-Mega), and WaveOne Gold (WOG, Dentsply Sirona) systems (n = 15). Micro-computed tomographic imaging was used to scan teeth before instrumentation and after shaping to compare centering ratio and canal transportation values at the apical, midroot, and coronal levels and the overall changes in canal volume. Data sets were statistically analyzed (analysis of variance and Kruskal-Wallis H tests). RESULTS The centering ratios for all groups were statistically similar at all levels. Apical canal transportation was significantly high for K/OS and K/PTN (P = .003). Midroot canal transportation was significantly high for K/PTN, K/OS, and OG/OS (P = .0003). Coronal canal transportation was significantly high for K/PTN and K/OS (P = .011). The highest change in canal volume was observed with all PTN groups and the lowest with PG/WOG (P = .06). CONCLUSIONS WOG manufactured from Gold wire combined with PG showed better root canal shaping ability and removed less dentin from the canal walls. The nickel-titanium (OS) and M-Wire (PTN) instruments used in combination with KF significantly transported more canals. PTN removed the most dentin from the canal walls regardless of the GPP technique.
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Affiliation(s)
- Peet J van der Vyver
- Department of Odontology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Farzana Paleker
- Department of Odontology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
| | - Martin Vorster
- Department of Odontology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Francois A de Wet
- Department of Odontology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
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Moon CY, Nam OH, Kim M, Lee HS, Kaushik SN, Cruz Walma DA, Jun HW, Cheon K, Choi SC. Effects of the nitric oxide releasing biomimetic nanomatrix gel on pulp-dentin regeneration: Pilot study. PLoS One 2018; 13:e0205534. [PMID: 30308037 PMCID: PMC6181396 DOI: 10.1371/journal.pone.0205534] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 09/26/2018] [Indexed: 12/26/2022] Open
Abstract
Successful disinfection alongside complete endodontic tissue regeneration and revascularization are the most desired clinical outcomes of regenerative endodontics. Despite reported clinical successes, significant limitations to the current regenerative endodontic procedure (REP) have been elucidated. To improve the current REP, an antibiotics and nitric oxide (NO) releasing biomimetic nanomatrix gel was developed. The study evaluates antibacterial effects of an antibiotics and NO releasing biomimetic nanomatrix gel on multispecies endodontic bacteria. Antibiotics, ciprofloxacin (CF) and metronidazole (MN) were mixed and encapsulated within the NO releasing biomimetic nanomatrix gel. The gel was synthesized and self-assembled from peptide amphiphiles containing various functional groups. Antibacterial effects of the antibiotics and NO releasing biomimetic nanomatrix gel were evaluated using bacterial viability assays involving endodontic microorganisms including clinical samples. Pulp-dentin regeneration was evaluated via animal-model experiments. The antibiotics and NO releasing biomimetic nanomatrix gel demonstrated a concentration dependent antibacterial effect. In addition, NO alone demonstrated a concentration dependent antibacterial effect on endodontic microorganism. An in vivo analysis demonstrated the antibiotics and NO releasing biomimetic nanomatrix gel promoted tooth revascularization with maturation of root canals. An optimal concentration of and NO releasing nanomatrix gel is suggested for its potential as a root treatment material for REP and an appropriate protocol for human trials. Further investigation is required to obtain a larger sample size and decide upon ideal growth factor incorporation.
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Affiliation(s)
- Chan-Yang Moon
- Department of Pediatric Dentistry, Kyung Hee University, Seoul, Korea
| | - Ok Hyung Nam
- Department of Pediatric Dentistry, Kyung Hee University, Seoul, Korea
| | - Misun Kim
- Department of Pediatric Dentistry, Kyung Hee University, Seoul, Korea
| | - Hyo-Seol Lee
- Department of Pediatric Dentistry, Kyung Hee University, Seoul, Korea
| | - Sagar N. Kaushik
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, United States of America
| | - David A. Cruz Walma
- Department of Pediatric Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, United States of America
| | - Ho-Wook Jun
- Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, United States of America
| | - Kyounga Cheon
- Department of Pediatric Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, United States of America
- * E-mail: (SCC); (KC)
| | - Sung Chul Choi
- Department of Pediatric Dentistry, Kyung Hee University, Seoul, Korea
- * E-mail: (SCC); (KC)
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Piperidou M, Sodhi RNS, Kolosowski KP, Basrani BR. Effects of Final Irrigation with SmearOFF on the Surface of Dentin Using Surface Analytical Methods. J Endod 2018; 44:1714-1719. [PMID: 30266468 DOI: 10.1016/j.joen.2018.07.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 05/24/2018] [Revised: 07/14/2018] [Accepted: 07/26/2018] [Indexed: 11/19/2022]
Abstract
INTRODUCTION SmearOFF (Vista Dental Products, Racine, WI) is an irrigation solution containing chlorhexidine (CHX), EDTA, and a surfactant. This study examined the chemical interaction of SmearOFF with sodium hypochlorite (NaOCl) on the dentin surface, specifically the formation of precipitate and/or parachloroanaline (PCA). METHODS Dentin blocks prepared from human maxillary molars were mounted in resin. Dentinal tubules were exposed in a perpendicular orientation using an ultracryomicrotome. The blocks were divided into 2 groups: the CHX group, irrigation with 6% NaOCl, 17% EDTA, 6% NaOCl, and 2% CHX, and the SmearOFF group, irrigation with 6% NaOCl and SmearOFF. The dentin surface was analyzed with time-of-flight secondary ion mass spectrometry and X-ray photoelectron spectroscopy to determine the formation of precipitate or/and PCA on the surface of dentin. RESULTS Precipitation with PCA and occlusion of the dentinal tubules were noted on the dentin surface in the CHX group. No precipitate and no PCA were detected on the surface of dentin in the SmearOFF group. CONCLUSIONS Interaction of SmearOFF with NaOCl on the dentin surface did not result in the formation of precipitate or PCA.
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Affiliation(s)
- Myrto Piperidou
- MSc Endodontic Program, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Rana N S Sodhi
- Department of Chemical Engineering and Applied Chemistry, University of Toronto, Toronto, Ontario, Canada
| | - Kamil P Kolosowski
- MSc Endodontic Program, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Bettina R Basrani
- MSc Endodontic Program, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
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Kalra A, Pajpani M, Webb R. Ameloblastic Fibro-Odontoma. J Dent Child (Chic) 2018; 85:143-146. [PMID: 30869592] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The ameloblastic fibro-odontoma (AFO) is a rare, mixed odontogenic tumor exhibiting the histological characters of the ameloblastic fibroma and complex odontoma. It is comprised of proliferating ectodermal and mesenchymal components of odontogenic tissue as well as enamel and dentin. AFO normally presents as an asymptomatic swelling of the posterior maxilla or mandible and is usually associated with developing teeth, occurring predominantly in children and adolescents. Such lesions are generally found upon radiographic examination of patients whose tooth eruption is delayed. This lesion often includes an unerupted permanent tooth, and extraction of this tooth is a common treatment. The purpose of this report is to describe an AFO in the posterior mandible of a nine-year-old girl for whom enucleation was performed under general anesthesia without extracting the displaced permanent mandibular left second molar. Two years later, the tooth erupted into occlusion without tumor recurrence.
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Affiliation(s)
- Aneesh Kalra
- Dental Core Trainee, in the Department of Oral Maxillofacial Surgery, Queen Mary's Hospital, Sidcup, U.K.;,
| | - Meera Pajpani
- Specialty doctor, in the Department of Oral Maxillofacial Surgery, Queen Mary's Hospital, Sidcup, U.K
| | - Roger Webb
- Consultant, in the Department of Oral Maxillofacial Surgery, Queen Mary's Hospital, Sidcup, U.K
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Puwanawiroj A, Trairatvorakul C, Dasanayake AP, Auychai P. Microtensile Bond Strength Between Glass Ionomer Cement and Silver Diamine Fluoride-Treated Carious Primary Dentin. Pediatr Dent 2018; 40:291-295. [PMID: 30345969] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Purpose: The study objectives were to investigate the effect of silver diamine fluoride (SDF) on the microtensile bond strength between glass ionomer cement and carious primary dentin and evaluate the mode of restoration failure. Methods: Forty carious primary molars were sectioned in half through the middle of the carious lesion and randomly allocated to test and control groups. The test specimens were treated with 38 percent SDF, and the control, deionized water. The samples were stored in artificial saliva for 14 days at 37 degrees Celsius, and the dentin surfaces were conditioned and restored with Fuji IX GP Extra. After 24 hours in artificial saliva, the specimens were prepared for microtensile bond strength testing and stressed in tension at one mm per minute until failure. Mean bond strengths were compared using the paired t test. The failure mode was assessed with a stereomicroscope under 40X magnification. Results: The mean microtensile strength for the test group was 7.4 MPa (SD=±5.1) and 6.3 (±4.6) for the control group (P>0.05). Most common failure mode was the mixed failure mode in both groups. Conclusion: Silver diamine fluoride does not adversely affect the bond strength between glass ionomer cement and carious primary dentin in vitro.
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Affiliation(s)
| | | | - Ananda P Dasanayake
- Department of Epidemiology, New York University College of Dentistry, New York, N.Y., USA
| | - Prim Auychai
- Department of Pediatric Dentistry, Chulalongkorn University, Bangkok, Thailand.
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Zeng L, Zhao N, Li F, Han D, Liu Y, Liu H, Sun S, Wang Y, Feng H. miR-675 promotes odontogenic differentiation of human dental pulp cells by epigenetic regulation of DLX3. Exp Cell Res 2018; 367:104-111. [PMID: 29604248 DOI: 10.1016/j.yexcr.2018.03.035] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [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: 01/09/2018] [Revised: 03/08/2018] [Accepted: 03/27/2018] [Indexed: 01/25/2023]
Abstract
In a previous study, we showed that microRNA-675 (miR-675) was significantly down-regulated in patients with tricho-dento-osseous (TDO) syndrome. One of the main features of TDO syndrome is dentin hypoplasia. Thus, we hypothesize that miR-675 plays a role in dentin development. In this study, we determined the role of miR-675 in the odontogenic differentiation of human dental pulp cells (hDPCs). Stable overexpression and knockdown of miR-675 in hDPCs were performed using recombinant lentiviruses containing U6 promoter-driven miR-675 and short hairpin-miR675 expression cassettes, respectively. Alkaline phosphatase (ALP) assay, Alizarin red staining assay, quantitative polymerase chain reaction (qPCR), Western blot analysis, and immunofluorescent staining revealed the promotive effects of miR-675 on the odontogenic differentiation of hDPCs. Further, we found that miR-675 facilitates the odontogenic differentiation process of hDPCs by epigenetic regulation of distal-less homeobox (DLX3). Thus, for the first time, we determined that miR-675 regulates the odontogenic differentiation of hDPCs by inhibiting the DNA methyltransferase 3 beta (DNMT3B)-mediated methylation of DLX3. Our findings uncover an unanticipated regulatory role for miR-675 in the odontogenic differentiation of hDPCs by epigenetic changes in DLX3 and provide novel insight into dentin hypoplasia feature in TDO patients.
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Affiliation(s)
- Li Zeng
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Na Zhao
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Fang Li
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Dong Han
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Yang Liu
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Haochen Liu
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Shichen Sun
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China
| | - Yixiang Wang
- Central Laboratory, Peking University School and Hospital of Stomatology, 22 Zhongguancun Avenue South, Haidian District, Beijing 100081, PR China.
| | - Hailan Feng
- Department Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, PR China.
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Abstract
Carious lesion dynamics are dependent predominantly on the availability of fermentable sugars, other environmental conditions, bacteria, and host factors. Our current understanding of the microorganisms involved in the initiation and progression of caries is still rather incomplete. The most relevant acidogenic-aciduric bacterial species known to date are Streptococcus mutans, bifidobacteria, and lactobacilli. Whereas mutans streptococci are initiators, bifidobacteria and lactobacilli are more enhancers for progression. Boosters for microbial activity are specific environmental conditions, such as the presence of fermentable dietary sugars and the absence of oxygen. Based on these conditions, the necrotic and/or contaminated zone fulfils all criteria for disease progression and has to be removed. For those deep lesions where the pulp vitality is not affected, a selective removal of the contaminated leathery dentine should take place as this approach lowers the risk of regrowth of the few embedded microbial cells here. In repelling the microbial attack and repairing damage, the host has developed several ingenious strategies. A major resistance to carious lesion progression is mounted by the dentine-pulp tissues. The signalling molecules and growth factors released upon dentine demineralisation upregulate the odontoblast activity and act as sensor cells. After carious stimulation, odontoblasts initiate an inflammatory reaction by producing chemokines and synthesise a protective tertiary dentine. After the destruction of these cells, the pulp still has a high capacity to synthesise this tertiary dentine thanks to the presence of adult stem cells within the pulp. Also, in addition to the systemic regulation, the pulp which is located within inextensible the confines of the dentine walls has a well-developed local regulation of its inflammation, regeneration, and vascularisation. This local regulation is due to the activity of different pulp cell types, mainly the fibroblasts, which secrete soluble molecules that regulate all these processes.
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Yu OY, Zhao IS, Mei ML, Lo ECM, Chu CH. Effect of Silver Nitrate and Sodium Fluoride with Tri-Calcium Phosphate on Streptococcus mutans and Demineralised Dentine. Int J Mol Sci 2018; 19:ijms19051288. [PMID: 29693627 PMCID: PMC5983598 DOI: 10.3390/ijms19051288] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Revised: 04/19/2018] [Accepted: 04/24/2018] [Indexed: 12/01/2022] Open
Abstract
This study investigated the effect of 25% silver nitrate (AgNO3) and 5% sodium fluoride (NaF) varnish with functionalized tri-calcium phosphate (fTCP) on a Streptococcus mutans (S. mutans) biofilm and dentine caries lesion. Demineralised dentine specimens were treated with 25% AgNO3 and 5% NaF + fTCP (Group 1), 25% AgNO3 and 5% NaF (Group 2), 25% AgNO3 (Group 3), or water (Group 4). The specimens were subjected to a S. mutans biofilm challenge after treatment. The biofilm was then studied via scanning electron microscopy (SEM), confocal laser scanning microscopy (CLSM), and colony forming units (CFU). The specimens were assessed by micro-computed tomography, X-ray diffraction (XRD), and Fourier transform infrared spectroscopy (FTIR). SEM and CLSM revealed less biofilm in Groups 1 to 3. The log10 CFU of Groups 1 to 4 were 4.5 ± 0.7, 4.4 ± 0.9, 4.4 ± 0.9, and 6.7 ± 1.0, respectively (Groups 1, 2, 3 < 4, p < 0.001). The lesion depths of Groups 1 to 4 were 212.6 ± 20.1 µm, 280.8 ± 51.6 µm, 402.5 ± 61.7 µm, and 497.4 ± 67.2 µm, respectively (Groups 1 < 2 < 3 < 4, p < 0.001). XRD demonstrated silver chloride formation in Groups 1, 2, and 3. FTIR found the amide I: HPO42− values of the four groups were 0.22 ± 0.05, 0.25 ± 0.05, 0.41 ± 0.12, and 0.64 ± 0.14, respectively (Groups 1, 2 < 3 < 4; p < 0.001). In conclusion, this study revealed that AgNO3 and NaF + fTCP reduced the damage of dentine caries by cariogenic biofilm.
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Affiliation(s)
- Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
| | | | - May Lei Mei
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
| | | | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
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Moura SK, Lopes CC, Trevelin LT, Matos AB, Martinez ÍVL, Estevam M, Bussadori SK. Effects of different treatments on chemical and morphological features of eroded dentin. Lasers Med Sci 2018; 33:1441-1446. [PMID: 29582261 DOI: 10.1007/s10103-018-2482-0] [Citation(s) in RCA: 2] [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: 11/23/2017] [Accepted: 03/09/2018] [Indexed: 10/17/2022]
Abstract
To evaluate the treatment of eroded dentin (Sensodyne Repair & Protect™, Er:YAG laser and combinations). The occlusal surfaces of 25 third molars were sectioned 1.5 mm in thickness. After an erosion cycle (5 min in demineralizing solution + 3 h in remineralizing solution; six cycles a day for 8 days), the samples were divided into five groups (n = 5): (E) erosion - control; (ES) erosion + Sensodyne Repair & Protect (NovaMin); (EL) erosion + Er:YAG laser (40 mJ, 10 Hz, 0.4 W, 50 μs, 3.1 J/cm2, 63 W/cm2); (ELS) erosion + Er:YAG laser + Sensodyne; and (ESL) erosion + Sensodyne + Er:YAG laser. Following storage in ultrapure water (37 °C/14 days), the Ca/P ratio was evaluated by EDXRF and the morphology surfaces examined in SEM. The percentage of exposed dentin tubules was calculated. One-way analysis of variance and Tukey's test at 5% were used to treat the data. The Ca/P ratio was higher in E and ES groups. More exposed dentin tubules were found in E group and less exposed tubules were found in the ES group (p < 0.0001). When the toothpaste and laser were combined, the number of occluded dentin tubules was higher when laser was performed first (ELS). A positive effect was found when the laser and toothpaste were combined.
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Affiliation(s)
- Sandra Kiss Moura
- Department of Dentistry, University North of Parana (UNOPAR), Rua Marselha 183, Londrina, 86010141, Brazil.
- Department of Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), Rua Vergueiro 245, São Paulo, 01504000, Brazil.
| | - Carolina Cury Lopes
- Department of Dentistry, University North of Parana (UNOPAR), Rua Marselha 183, Londrina, 86010141, Brazil
| | - Livia Tosi Trevelin
- Department of Dentistry, University of São Paulo (FOUSP), Av Prof Lineu Prestes 2227, São Paulo, 05508000, Brazil
| | - Adriana Bona Matos
- Department of Dentistry, University of São Paulo (FOUSP), Av Prof Lineu Prestes 2227, São Paulo, 05508000, Brazil
| | | | - Marcelo Estevam
- LPIS Health Research and Innovation Laboratory, Federal Institute of Parana (IFPR), Av João XXIII 600, Londrina, 86060370, Brazil
| | - Sandra Kalil Bussadori
- Department of Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), Rua Vergueiro 245, São Paulo, 01504000, Brazil
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Abstract
A histological study of 21 teeth from 9 patients who had received cytotoxic chemotherapy for malignant disease showed increased prominence of incremental lines in the dentine. The number and distribution of these lines corresponded to periods of intravenous therapy and vincristine appeared to be the most likely cause. This effect was probably due to temporary disturbance of microtubular function in the odontoblasts resulting in decreased secretion of collagenous dentine matrix. Calcification appeared to be unaffected.
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Tkachenko IM, Brailko NN, Kovalenko VV, Nazarenko ZJ, Sheshukova OV. [Morphological study of enamel and dentin teeth with carious process and non-carious lesions]. Wiad Lek 2018; 71:1002-1005. [PMID: 30176630] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Introduction: The condition of hard teeth tissues while choosing treatment method becomes particularly important due to the large development of adhesive technologies and the choice of filling materials. The quality of adhesion is one of the key factors that affects effectiveness of the entire range of therapeutic interventions, that determines the success of therapeutic treatment and the reliability of therapeutic restorations fixation. The aim of the work is to study the condition of hard teeth tissues in carious and non-carious pathology for further rationale of the choice of filling material and adhesive system. PATIENTS AND METHODS Materials and methods: A thorough examination included teeth that were removed according to the indications. The age of patients, whose teeth were examined, was 25-55 years old according to the classification of age periods adopted at the International Symposium on the Age Periodization (Moscow, 1965). We conducted a morphological study of enamel and dentin of teeth with carious and non-carious lesions (increased erasability, cuneal defects), by obtaining chips and microsections of teeth, followed by examination of the number of enamel prisms, dentinal tubules,their diameter, the thickness of the gaps between these structures. The studies were carried out using a scanning electron microscope (SEM) "Mira 3 LMU" ("Tescan", Czech Republic) with a maximum resolution of 1 nm and a maximum magnification of 1,000,000. Dentally removed teeth were washed in running water, cleaned of plaque, dried by filter paper and crushed by vice, that was followed by the selection of the wreckage for the study. Then, markings in the dentine and enamel zones were made to fix the sizes of enamel prisms and dentinal tubules. RESULTS Results: After the completion of the determination of enamel prisms and dentinal tubules diameter, counting of their number was carried out according to the method proposed by I.M. Tkachenko, by obtaining a series of digital images of the examined tooth's enamel and dentin with varying degrees of magnification. The number of prisms per unit area characterized the enamel density, on which permeability, hardness, tissue resistance to fracture, bending and modulus of elasticity depends. The number of dentinal tubules characterized the density of dentin and the peculiarities of trophic processes that occur in dentin. Also, in our opinion, the amount of dentinal tubules determines the damping properties of dentin and strength enamel values. CONCLUSION Conclusions: Thus, the structure of enamel and dentin has peculiarities of the morphological structure at various clinical conditions of hard teeth tissues. This peculiarity can be associated with a decrease of enamel density, that is associated with a decrease in the number of prisms in the non-carious teeth pathology and an increase of the gaps between them.
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Affiliation(s)
- Irina M Tkachenko
- The State Higher Educational Institution Of Ukraine, Ukrainian Medical Dental Academy, Poltava, Ukraine
| | - Natalia N Brailko
- The State Higher Educational Institution Of Ukraine, Ukrainian Medical Dental Academy, Poltava, Ukraine
| | - Victor V Kovalenko
- The State Higher Educational Institution Of Ukraine, Ukrainian Medical Dental Academy, Poltava, Ukraine
| | - Zoryana J Nazarenko
- The State Higher Educational Institution Of Ukraine, Ukrainian Medical Dental Academy, Poltava, Ukraine
| | - Olga V Sheshukova
- The State Higher Educational Institution Of Ukraine, Ukrainian Medical Dental Academy, Poltava, Ukraine
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Torres-da-Silva KR, Tessarin GWL, Dias CA, Guiati IZ, Ervolino E, Gonçalves A, Beneti IM, Lovejoy DA, Casatti CA. Teneurin-2 presence in rat and human odontoblasts. PLoS One 2017; 12:e0184794. [PMID: 28926618 PMCID: PMC5604987 DOI: 10.1371/journal.pone.0184794] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2017] [Accepted: 08/31/2017] [Indexed: 01/04/2023] Open
Abstract
Teneurins are transmembrane proteins consisting of four paralogues (Ten-1-4), notably expressed in the central nervous system during development. All teneurins contain a bioactive peptide in their carboxyl terminal named teneurin C-terminal associated peptide (TCAP). The present study analyzed the detailed distribution of teneurin-2-like immunoreactive (Ten-2-LI) cells in developing and mature rat molar teeth, as well as in mature human dental pulps. Ten-2 and TCAP-2 genic expressions were also evaluated in rat and human dental pulps. Finally, Ten-2-LI cells were analyzed during the repair process after dentin-pulp complex injury in rat lower molar teeth. For this, histological sections of rat molar teeth and human dental pulps were submitted to immunohistochemical techniques, while total RNA from developing rat teeth and mature human dental pulps were submitted to conventional RT-PCR. Ten-2-LI cells were evident in the initial bell stage of rat molar teeth development, especially in ectomesenchymal cells of the dental papilla. Ten-2-LI odontoblasts showed strong immunoreactivity in rat and human mature teeth. Ten-2 and TCAP-2 genic expressions were confirmed in rat and human dental pulps. Dentin-pulp complex injury resulted in a decrease of Ten-2-LI odontoblasts after traumatic injury. Interestingly, Ten-2-LI cells were also evident in the pulp cell-rich zone in all postoperative days. In conclusion, Ten-2-LI presence in rat and human odontoblasts was demonstrated for the first time and Ten-2/TCAP-2 genic expressions were confirmed in rat and human dental pulps. Furthermore, it was revealed that Ten-2-LI rat odontoblasts can be modulated during the regenerative process.
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Affiliation(s)
- K. R. Torres-da-Silva
- Institute of Biosciences of Botucatu, São Paulo State University, Botucatu, São Paulo, Brazil
| | - G. W. L. Tessarin
- Institute of Biosciences of Botucatu, São Paulo State University, Botucatu, São Paulo, Brazil
| | - C. A. Dias
- Basic Sciences Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
- Restorative Dentistry Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
| | - I. Z. Guiati
- Institute of Biosciences of Botucatu, São Paulo State University, Botucatu, São Paulo, Brazil
- Basic Sciences Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
| | - E. Ervolino
- Basic Sciences Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
| | - A. Gonçalves
- Basic Sciences Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
| | - I. M. Beneti
- Department of Surgery and Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
| | - D. A. Lovejoy
- Cell and Systems Biology Department, University of Toronto, Toronto, Ontario, Canada
| | - C. A. Casatti
- Institute of Biosciences of Botucatu, São Paulo State University, Botucatu, São Paulo, Brazil
- Basic Sciences Department, School of Dentistry of Araçatuba, São Paulo State University, Araçatuba, São Paulo, Brazil
- * E-mail:
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Bajpai M, Pardhe N, Aroroa M, Chandolia B. Ortho Keratinized Odontogenic Cyst with Dentinoid Formation. J Coll Physicians Surg Pak 2017; 27:S110-S111. [PMID: 28969743] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Accepted: 02/17/2017] [Indexed: 06/07/2023]
Abstract
Orthokeratinized odontogenic keratocyst (OOC) was first identified as orthokeratinized variant of odontogenic keratocyst in 1981 by Wright, due to its different histology and relatively low recurrence rate. Parakeratinized odontogenic cyst is now considered as keratocystic odontogenic tumor (KCOT) owing to its neoplastic nature. Although rare, calcification in the form of dystrophic calcification, dentinoid and cartilage has been reported in KCOT, but calcification in OOC is extremely rare and no case in English literature has been reported so far. Here, we report the first case of OOC with calcification located in the mandible of a 40-year female.
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Affiliation(s)
- Manas Bajpai
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Nilesh Pardhe
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Manika Aroroa
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Betina Chandolia
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
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Mantilla TF, Silva CVD, Ramos-Oliveira TM, Turssi CP, Ribeiro MS, Freitas PMD. TiF 4 gel effects on tubular occlusion of eroded/abraded human dentin. Microsc Res Tech 2017; 80:1182-1188. [PMID: 28758716 DOI: 10.1002/jemt.22915] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 04/06/2017] [Revised: 06/19/2017] [Accepted: 07/18/2017] [Indexed: 11/07/2022]
Abstract
This in situ study evaluated the tubular occlusion caused by 4% TiF4 gel on the surface of eroded/abraded dentin. Sixty human dentin samples were eroded in vitro and assigned into six groups (n = 10) according to the in situ surface treatment and number of cycling days: 4% TiF4 gel applied once (TiF4 1), twice (TiF4 2), or three times (TiF4 3) followed by 2, 4, and 6 days of erosive/abrasive in situ cycling, respectively. Control groups (no treatment) were subjected to 2 (C1), 4 (C2), and 6 (C3) days of erosive/abrasive in situ cycling only. A seventh group (n = 10) was comprised by in vitro uneroded samples (UN), subjected to 6 days of in situ erosive/abrasive cycling. Each cycling day consisted on six erosive (0.5% citric acid, pH 2.6) and one abrasive events. Environmental scanning electron microscopy micrographs were taken. For all groups, blinded examiners assessed dentin tubules occlusion using visual scores (0-unoccluded, 1-partially occluded by granular deposits, 2-partially occluded by reduction in tubular lumen into diamond shape, 3-completely occluded) on images captured prior and after the in situ phase. Scheirer-Ray-Hare test demonstrated that treatments significantly affected tubule occlusion (p < .001). Dunn's test showed that tubule occlusion in TiF4 3 was significantly higher than in C1. Tubule occlusion in remaining groups did not differ from that observed in groups TiF4 3 and C1. Tubule occlusion was significantly higher after in situ phase. It may be suggested that TiF4 , when applied three times, was able to positively change tubule occlusion of dentin samples.
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Affiliation(s)
| | | | | | - Cecilia Pedroso Turssi
- São Leopoldo Mandic Institute and Dental Research Center, Campinas, SP, 13045-755, Brazil
| | - Martha Simões Ribeiro
- Institute of Energy and Nuclear Research, University of São Paulo, São Paulo, SP, 05508-000, Brazil
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Lee RC, Darling CL, Staninec M, Ragadio A, Fried D. Activity assessment of root caries lesions with thermal and near-IR imaging methods. J Biophotonics 2017; 10:433-445. [PMID: 27060450 PMCID: PMC5053863 DOI: 10.1002/jbio.201500333] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [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: 12/17/2015] [Revised: 02/08/2016] [Accepted: 03/04/2016] [Indexed: 05/31/2023]
Abstract
The purpose of this study was to evaluate thermal and near-infrared (NIR) reflectance imaging methods for the assessment of the activity of root caries lesions. In addition, changes in the lesion structure were monitored with polarization sensitive optical coherence tomography (PS-OCT). Artificial bovine and natural root caries lesions were imaged with PS-OCT, and their dehydration rate was measured with thermal and NIR cameras. The lesion activity of the natural root caries samples was also assessed by two clinicians by conventional means according to ICDAS II guidelines. The thickness of the highly mineralized transparent surface layer measured using PS-OCT increased and the area enclosed by the time-temperature curve, ΔQ, measured with thermal imaging decreased significantly with longer periods of remineralization in simulated dentin lesions, but the NIR reflectance intensity differences, ΔI, failed to show any significant relationship with the degree of remineralization. The PS-OCT algorithm for the automated assessment of remineralization successfully detected the highly mineralized surface layer on both natural and simulated lesions. Thermal imaging provided the most accurate diagnosis of root caries lesion activity. These results demonstrate that thermal imaging and PS-OCT may be ideally suited for the nondestructive root caries lesion activity during a clinical examination.
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Affiliation(s)
- Robert C. Lee
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California 94143-0758
| | - Cynthia L. Darling
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California 94143-0758
| | - Michal Staninec
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California 94143-0758
| | - Antonio Ragadio
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California 94143-0758
| | - Daniel Fried
- Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California 94143-0758
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van der Weijden FN, van Loveren C, Slot DE, van der Weijden GA. [Preventive dentistry 3. Prevalence, aetiology and diagnosis of dentine (hyper)sensitivity]. Ned Tijdschr Tandheelkd 2017; 124:85-90. [PMID: 28186512 DOI: 10.5177/ntvt.2017.02.16235] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Many people sometimes experience pain when they inhale breath across the cingula, or sensitivity and/or pain when they eat ice cream, for example. In some cases, however, this can become seriously unpleasant. In those cases, one can speak of dentine hypersensitivity. In Europe, an average of 27% of the population suffers from this. Dentine hypersensitivity is characterised by a short, sharp pain reaction after a warm or cold sensation. The external sensation causes an accelerated or converse flow of fluid in the dentinal tubules that excites the extremities of the nerve cells, which results in the sensation pain. For the external sensation, it is necessary that the cingula are exposed and the dentinal tubules are open. Dentine hypersensitivity is diagnosed after other possibilities have been eliminated.
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Toledano M, Osorio R, Cabello I, Osorio E, Toledano-Osorio M, Aguilera FS. Oral Function Improves Interfacial Integrity and Sealing Ability Between Conventional Glass Ionomer Cements and Dentin. Microsc Microanal 2017; 23:131-144. [PMID: 28148310 DOI: 10.1017/s1431927617000010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of this study was to investigate if load cycling affects interfacial integrity of glass ionomer cements bonded to sound- or caries-affected dentin. A conventional glass ionomer, Ketac Bond, and a resin-modified glass ionomer (Vitrebond Plus), were applied to dentin. Half of the specimens were load cycled. The interfaces were submitted to dye-assisted confocal microscopy evaluation. The unloaded specimens of sound and carious dentin were deficiently hybridized when Ketac Bond was used. Ketac Bond samples showed an absorption layer and an adhesive layer that were scarcely affected by fluorescein penetration (nanoleakage), in sound dentin. Nevertheless, a higher degree of micropermeability was found in carious dentin. In Ketac Bond specimens, load cycling improves the sealing capability and remineralization at the cement-dentin interface as porosity and nanoleakage was reduced. In contrast, samples treated with Vitrebond Plus exhibited a Rhodamine B-labeled absorption layer with scarce nanoleakage in both sound and carious unloaded dentin. The adhesive layer was affected by dye sorption throughout the porous cement-dentin interface. Samples treated with Vitrebond Plus had significant increases in nanoleakage and cement-dye sorption after load cycling. Within the limitations of an in vitro study, it is expected that conventional glass ionomers will provide major clinical efficacy when applied to carious-affected or sound dentin.
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Affiliation(s)
- Manuel Toledano
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
| | - Raquel Osorio
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
| | - Inmaculada Cabello
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
| | - Estrella Osorio
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
| | - Manuel Toledano-Osorio
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
| | - Fátima S Aguilera
- Faculty of Dentistry,Dental Materials Section,University of Granada,Colegio Máximo de Cartuja s/n,18071 Granada,Spain
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MercuŢ V, Popescu SM, Scrieciu M, Amărăscu MO, Vătu M, Diaconu OA, Osiac E, Ghelase ŞM. Optical coherence tomography applications in tooth wear diagnosis. Rom J Morphol Embryol 2017; 58:99-106. [PMID: 28523304] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Dental wear represents an irreversible loss of dental hard tissue under the action of physical, chemical and mechanical factors, excluding dental caries and acute trauma. Four clinical forms of dental wear are described: erosion, attrition, abfraction, and abrasion. Most experts agree that in each clinical form multiple etiological factors are involved, one being predominant. Optical coherence tomography (OCT) is a non-invasive optical method characterized by a micronic resolution. The applications of this type of investigation are multiple in the medical field in recent years, and OCT is gaining a growing importance in dentistry. The study pointed out through OCT imaging for the erosive tooth wear lesion the existence of chemical aggression, with strong demineralization of enamel and dentin. For attrition lesion, OCT images showed the contribution of excessive force and friction movements specific to bruxism. In abfraction, OCT image revealed the importance of the mechanic factor in producing this form of tooth wear and abrasion damage studied may be considered physiological, according to patient age. OCT examination may reveal existing lesions in hard dental tissues for each clinical form and could bring evidence on the mechanisms involved.
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Affiliation(s)
- Veronica MercuŢ
- Department of Prosthetics and Oral Rehabilitation, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Romania;
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Alassaad SS. Early Diagnosis and Treatment of Asymptomatic Vertical Enamel and Dentin Cracks. Compend Contin Educ Dent 2017; 38:656-662. [PMID: 29140093] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Asymptomatic vertical enamel and dentin cracks can lead to multiple pathologic consequences ranging from caries to pulpal involvement, periodontal involvement, complete tooth fracture, and tooth loss if intervention is postponed. Early diagnosis, using magnification, tactile examination, transillumination, and dyes, and early restorative and occlusal treatments can be incorporated into daily practice to prevent further crack propagation before asymptomatic cracks become symptomatic and cause further damage to the dentition and surrounding tissues. This article reviews the rationales and presents a systematic approach for early diagnosis and treatment of asymptomatic vertical enamel and dentin cracks based on current evidence.
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Affiliation(s)
- Samer S Alassaad
- Private Practice, Davis, California; Fellow, Academy of General Dentistry
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Abstract
Parathyroid hormone related peptide (PTHrP) was discovered as a causative factor of humoral hypercalcemia of malignancy (HHM). The present study elucidates the histopathological characters of incisor lesions in the HHM rat model. Nude rats were implanted with PTHrP-expressing tumor (LC-6) cells, maintained for 12 weeks, after which the mandibular incisors were collected. Incisor fractures were observed grossly. Microscopically, hypercalcified dentin, dentin niche with osteodentin, and thinning of dentin were observed. Hypercalcified dentin was observed as a basophilic line of calcified dentin without associated odontoblastic changes, whereas dentin niche and thinning of dentin occurred with osteodentin and loss of cell height, respectively. In contrast with hypercalcified dentin, which was distributed throughout the dentin, dentin niche and thinning of dentin were localized to the labial area of the apical and middle region, and to the labial and lingual areas of the middle and incisal region, respectively. These results suggest that hypercalcemia affected the entire calcification process resulting in hypercalcified dentin, and that high PTHrP concentrations affected selective populations of odontoblasts resulting in formation of dentin niche and thinning of dentin. The localization of dentin niche and thinning of dentin also suggest that PTHrP may also be involved odontoblastic development in the rat.
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Affiliation(s)
- Atsuhiko Kato
- Toxicology Laboratory, Chugai Pharmaceutical Co, Ltd, 1-135 Komakado, Gotemba-shi, Shizuoka 412-8513, Japan.
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