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Biomedical subjects

J Klooster

Publications and source records attributed to J Klooster.

At least 19 recordsLinked to original sources

Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry.

The committee screened several hundred articles, citing 518 published papers. Some are present quality in research, others provide clinical interest, and some are identified as misleading. New techniques in pulp physiology and pathology are reported. Laser use and techniques in prevention, restorative dentistry, and materials use are reported. Epidemiology of selected diseases and the results of various formulations for treatment are cited. Diagnosis of craniomandibular dysfunction is well represented as well as references to literature reviews and other sophisticated scientific investigation. Research on adhesives is presented in respect to bonding agents for dentin and enamel. Several clinical studies are included, along with customary laboratory reports on several materials.

Dental Materials

Ultrastructural identification of trigeminal nerve endings in the rat cornea and iris.

Trigeminal nerve terminals in the rat cornea and iris were ultrastructurally identified using anterograde tracing with Phaseolus vulgaris-leukoagglutinin (PHA-L). Electron microscopic immunohistochemistry was used to demonstrate the presence and localization of calcitonin gene-related peptide (CGRP) in cornea and iris. In the cornea and iris, nerve fibers were labelled with PHA-L throughout the stroma. Labelling was most obvious within varicosities, densely packed with mainly clear and a few granular vesicles and containing dark mitochondria. Numerous fibers in the stroma of cornea and iris were CGRP-positive. CGRP-positive staining was most intense within varicosities, containing mainly clear and incidentally granular vesicles and dark mitochondria, similar to the structures labelled with PHA-L. CGRP-positive varicosities packed with mainly clear and few granular vesicles also were demonstrated in fibers adjacent to the sphincter and dilator muscles of the iris. In the corneal epithelium, small terminals containing vesicles were CGRP-positive. Trigeminal nerve fibers innervating the rat cornea and iris contained numerous varicosities packed with vesicles. These areas are CGRP-positive, so it can be implied that CGRP is released from these varicosities as a response to triggering impulses. This agrees with the hypothesis that in addition to their afferent function, sensory fibers also exert an efferent modulating function.

Animals

Ultrastructural identification of trigeminal nerve terminals in the pterygopalatine ganglion of rats: an anterograde tracing and immunohistochemical study.

Trigeminal nerve terminals in the rat pterygopalatine ganglion (PPG) were ultrastructurally identified using anterograde tracing with Phaseolus vulgaris-leucoagglutinin (PHA-L). Electron microscopic immunohistochemistry was used to demonstrate the presence of substance P (SP) and calcitonin gene-related peptide (CGRP) in nerve terminals of the PPG. Adjacent to the rostral part of the PPG an additional minor area was described. Perikarya in this minor rostral part were more spherical and had irregular outlines. Ultrastructurally, the glial enwrapment of the nerve terminals seemed to be more loosely arranged in comparison to that in the major rostral part of the PPG. With PHA-L, numerous labelled nerve fibres and terminals were found in all parts of the PPG. The ultrastructure of these terminals was uniform, many of them showing synaptic contacts. Numerous terminals in the PPG were SP-positive, whereas only a few were CGRP-positive. Fibres stained positive for both neuropeptides. The PPG is shown to be synaptically innervated by sensory fibres arising in the trigeminal ganglion, with the strong suggestion of SP and CGRP acting as neurotransmitters. A modulatory interaction between the autonomic and sensory system, resembling an axon reflex mechanism in the peripheral nervous system is endorsed.

Animals

Elimination of immune precipitates from the rat corneal stroma: a histological study.

The pathogenesis of peripheral corneal lesions of immune aetiology, like Mooren's ulcer and catarrhal infiltrates, has been related to the formation or deposition of immune compkexes. The present investigation was undertaken to study the mechanisms involved in the elimination of immune precipitates from the cornea. Immune precipitates were induced by injecting human serum albumin (HSA) and rabbit anti-HSA serum into opposite sites of the rat corneal stroma. This resulted in a line-shaped opacity in the stroma, which remained visible by slit-lamp for 7 days, and disappeared without clinical signs of keratitis and uveitis. At the ultrastructural level, the immune precipitates were clearly visible. Keratocytes in the vicinity of the immune precipitates appeared activated, as suggested by their less flattened appearance and well-developed rough endoplasmic reticulum. The arrangement of the collagen fibrils was not affected. Cells with a macrophage-like morphology were also present and contained electron-dense material, closely resembling the precipitate, suggesting phagocytosis. Separate corneas were injected with latex beads, which is known to induce migration of Langerhans cells into the cornea. Immunohistochemical analysis revealed that both latex beads and immune precipitates induced migration of macrophages (ED1+) into the rat corneal stroma. However, differences were observed with regard to the expression of MHC class II antigens by these ED1+ cells and the presence of complement deposits in the corneal stroma. ED1+ cells in corneas injected with latex beads were all MHC class II positive (OX4+), whereas most of the ED1+ cells at the site of the immune precipitates were negative (OX4-).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Effects of strain rate on the behavior of elastomeric impression.

The effects of strain rate on the ultimate tensile strength, ultimate elongation at fracture, and elastic recovery of five commonly used elastomeric dental impression materials were studied. Each specimen was prepared by standard mixing techniques, placed for setting in a standard ASTM mold, removed, trimmed, and mounted in an Instron testing unit. Tensile load was applied and plotted on a load versus displacement curve as the specimen was stretched axially until rupture. Five specimens of each material were tested, respectively, at strain rates of 100, 200, and 500 mm/min crosshead speed. Specimens were then removed, reassembled, and measured with an electronic caliper to assess the elastic recovery; measurements were repeated after 1 minute, 30 minutes, 1 hour, and 24 hours. Findings of this study indicated that (1) polysulfide materials exhibited the greatest amount of deformation, and the lowest tensile strengths of the materials studied; (2) higher tensile strengths were observed with higher strain rates; and (3) polysulfide materials showed the greatest amount of elongation at rupture, with the highest values occurring at the higher strain rates.

Analysis of Variance

Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry.

Subjects of the past decade in the dental literature are reflected in this year's Committee report. We note the decrease in the prevalence of caries, the influence of dental implants, the advancements in dental materials, and the continued efforts to control adhesive events in the oral cavity. This year we included comments from and about many significant review articles published this past year. The Committee continues to be concerned about the quality of some of the work reported and the quality of the reporting. We have attempted to select the distinguished work, that which provides new information to our profession. The subjects covered include pulp biology, caries prevention, periodontics, implants, craniomandibular function and dysfunction, occlusion, and dental materials.

Dental Bonding

Pre- and post-ganglionic nerve fibres of the pterygopalatine ganglion and their allocation to the eyeball of rats.

The origin, course and distribution of pre- and postganglionic neurons of the pterygopalatine ganglion (PPG) in the rat were studied using acetylcholinesterase staining, wheat germ agglutinin coupled to horseradish peroxidase (WGA-HRP) histochemistry and autoradiography. These methods were used in a selected and planned fashion to reveal details concerning the innervation of the lacrimal gland and portions of the eye. The PPG in rats consists of a rostral triangular portion and additional perikarya surrounding the distal part of the major petrosal nerve. Fibres from the superior cervical ganglion (SCG) reach the PPG via the inferior petrosal sinus. Application of WGA-HRP was made after transections: (1) rostral to the PPG; and (2) caudal to the PPG. The first of these applications labelled mainly fibres in the PPG; the second application labelled preganglionic parasympathetic brainstem neurons dorsolateral to the facial nucleus (i.e. the lacrimal nucleus), rostral cells in the SCG and trigeminal sensory fibres. WGA-HRP injections of the lacrimal gland, the conjunctiva and the anterior chamber of the eye all labelled cells in different parts of the PPG. This means that the PPG contains sensory and sympathetic nerve fibres and that the PPG has a topographical organisation along the rostrocaudal axis. Isotope injections of the PPG anterogradely labelled fibres passing through the ciliary ganglion that innervated the conjunctiva, the limbus and parts of the choroid.

Acetylcholinesterase

Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry.

The growth in the dental literature continues to escalate, as evidenced by the publication of at least 326 new books in 1988 and 1989 and more than 20 new journals in 1989. There still appears to be undue emphasis on quantity instead of quality of research. This proliferation in the literature poses ever increasing difficulties to this Committee in filtering out the articles that are of particular interest to the members of the Academy and identifying those that are most likely to have a major impact on dental practice and service. The subjects covered include periodontics, caries and preventive dentistry, craniomandibular disorders, occlusion, pulp biology, ceramics, and restorative dental materials.

Dental Caries

The allocation of nerve fibres to the anterior eye segment and peripheral ganglia of rats. I. The sensory innervation.

The distribution of sensory trigeminal nerve fibres in the anterior eye segment and the autonomic eye related ganglia, i.e. the parasympathetic ciliary and pterygopalatine ganglia and the sympathetic superior cervical ganglion, was studied in rats. For this the trigeminal ganglion was injected with tritiated leucine and wheat germ agglutinin coupled to horseradish peroxidase (WGA-HRP). After injection of WGA-HRP into the trigeminal ganglion, ganglion cell somata in the superior cervical and the pterygopalatine ganglion were labelled. As labelling of these cell bodies with WGA-HRP is the result of retrograde transport it must be assumed that cell bodies in these ganglia project to the trigeminal ganglion. [3H]Leucine injection into the trigeminal ganglion revealed the presence of labelled nerve fibres in the pterygopalatine ganglion and the nodose ganglion i.e. the sensory ganglion of the vagus nerve. Labelled nerve fibres were absent in the ciliary and superior cervical ganglion. As [3H]leucine labelling of nerve fibres is the result of anterograde transport exclusively, it can be concluded that trigeminal nerve fibres project to the nodose ganglion and the pterygopalatine ganglion, but not to the ciliary and superior cervical ganglion. In the retrobulbar structures, sensory nerve fibres occurred between the inferior oblique and the lateral rectus muscle and were present medial to the medial rectus muscle. Within the anterior eye segment, sensory nerve fibres were found in the cornea epithelium, stroma and adjacent to the endothelium. In addition, labelled fibres were found in the anterior stroma of the ciliary body, throughout the iris up to the pupillary border and in the conjunctiva. Most sensory nerve fibres which innervate the cornea, the iris and the ciliary body traverse the ciliary cleft.

Animals

The allocation of nerve fibres to the anterior eye segment and peripheral ganglia of rats. II. The sympathetic innervation.

The sympathetic innervation of the peripheral ganglia related to the eye, i.e. the trigeminal ganglion, the ciliary ganglion and the pterygopalatine ganglion, and of the anterior eye segment was studied in rats. Selective labelling of sympathetic nerves was obtained by means of injection of [3H]leucine into the superior cervical ganglion. Bundles of sympathetic nerve fibres were found in the trigeminal ganglion and the pterygopalatine ganglion but were absent in the ciliary ganglion. In addition individual sympathetic nerve fibres, which may have contacts with trigeminal ganglion cells, were found between the ganglion cell bodies all over the trigeminal ganglion indicating a sympathetic innervation of this ganglion. In the anterior eye segment, there appeared to be a sympathetic innervation of the ciliary cleft, the ciliary body and the iris. Within the ciliary body sympathetic nerve fibres innervate the central stroma and the stroma of the ciliary processes. Labelled sympathetic nerve fibres were also observed in the stroma of the iris and were most abundant in its periphery. Most sympathetic fibres reach the iris and ciliary body by way of the base of the ciliary body. Only few sympathetic fibres are present in the ciliary cleft. No sympathetic innervation of the cornea was found.

Adrenergic Fibers

Satellite cells as blood-ganglion cell barrier in autonomic ganglia.

In a preliminary study a difference in the uptake and transport of wheat germ agglutinin-horseradish peroxidase (WGA-HRP) between the trigeminal ganglion and the superior cervical ganglion was observed. After injection of WGA-HRP and HRP into the trigeminal ganglion, peroxidase was found in the space between the satellite cell processes and the ganglion cells. The ganglion cells showed pinocytosis and uptake of WGA-HRP and HRP. In the superior cervical ganglion WGA-HRP and HRP were found alongside the satellite cells but were absent in the space between satellite cells and ganglion cells. Intravenous injection revealed the presence of HRP in the space between sensory ganglion cells and their satellite cells of the trigeminal and nodose ganglion whereas HRP was absent in the space between autonomic ganglion cells and their satellite cells of the superior cervical, medial cervical and pterygopalatine ganglion although HRP lined the satellite cell membranes. By means of electron microscopy, satellite cell processes in the superior cervical ganglion were found to enwrap ganglion cells very tightly with a marginal space between both cell types. Satellite cells and their processes were mutually anchored by numerous tight junctions. In the trigeminal ganglion the extracellular space between ganglion cells and satellite cells was larger and satellite cells were found to be more loosely arranged around the ganglion cells. Satellite cell processes were only occasionally linked by tight junctions. It is concluded that satellite cells in autonomic ganglia comprise an effective barrier for WGA-HRP and HRP and probably large molecules in general. This barrier is absent in sensory ganglia.

Animals

Report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry.

Dental research continued to grow during 1988. Unfortunately the quality does not always parallel the quantity of publications. This report obviously does not encompass all of the literature but focuses on studies that are related to trends and to matters that are considered controversial. Likewise the particular interests of the members of the American Academy of Restorative Dentistry were taken into consideration. The subjects covered include periodontics, preventive dentistry, bulp biology, craniomandibular disorders, ceramics, color in restorative dentistry, and dental materials.

Dental Materials

The innervation of the rabbit's anterior eye segment: a retrograde tracing study.

The differential innervation of the distinct elements of the anterior segment of the rabbit eye, i.e. cornea, conjunctiva, ciliary body, iris, and trabecular meshwork, was studied using horseradish peroxidase-wheatgerm agglutinin (HRP-WGA) as a tracer. HRP-WGA was injected into the anterior chamber, the conjunctiva, or the cornea, and the animals were killed after 6 to 96 hr. The HRP-WGA localization was studied at the light and electron microscopic level. Injection into the anterior chamber led to an ubiquitous spread of the tracer in all elements of the anterior segment, resulting in a consistent retrograde labelling of neurons in the trigeminal (sensory), superior cervical (sympathetic) and ciliary (parasympathetic) ganglion. Neurons in the proximal part of the pterygopalatine ganglion (parasympathetic) were labelled only when the injected tracer was present in the conjunctiva. Varying survival times after corneal injection were used to establish restricted corneal uptake. Up to 16 hr after corneal injection, HRP-WGA was limited to the cornea and led to the exclusive labelling of neurons in the trigeminal ganglion, indicating that the central cornea has an almost exclusive sensory innervation. The trigeminal sensory neurons projecting to the cornea were restricted to a small antero-medial part of the trigeminal ganglion. Electron microscopy revealed four different cell types in the trigeminal ganglion. However, distinct elements of the anterior segment did not project to specific cell types.

Animals

Faculty practice: advantages and disadvantages.

In considering the advantages and disadvantages of full-time dental faculty members involved in private practice, some suggestions for coping with problems represented by the disadvantages have been cited. Faculty members may find a more satisfactory climate for the patient service aspect of their professional activity in a system where several options are made available from which a teacher may select his preferred office environment and practice style.

Clinical Competence