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Biomedical subjects

M B Guglielmotti

Publications and source records attributed to M B Guglielmotti.

At least 19 recordsLinked to original sources

A quantitative method to evaluate corrosion products in tissues.

The use of odontological or orthopedic metal implants requires the availability of techniques to estimate tissue response to the corrosion processes. In previous experimental studies we showed the deposition of corrosion products not only locally (Olmedo et al., Implant Dent 2003; 12: 75-80) but also systemically (Olmedo et al., J Mater Sci: Mater in Medic 2002; 13: 793-796) in organs such as liver, spleen and lung. The aim of the present study was to propose a method to quantitatively assess the tissue deposits of the corrosion products of the materials used to manufacture implants. The samples (liver and lung) were embedded in paraffin, and the histological sections were submitted to thickness standardization. The quantitative evaluation of the deposits was performed in an MPM-800 (Carl Zeiss)* microscope. The light microscopy images were digitalized and then analyzed employing the DNA-IBAS-Kontron software that allows for the identification and evaluation of cells loaded with corrosion products (objective 20x). The following end-points were assessed: total field area, number of deposits of corrosion products, partial and total area of the deposits, and the ratio between volume of the deposits and tissue volume. The method proposed serves to quantitatively evaluate, at light microscopy level, the deposition of corrosion products in tissues.

Animals↗

Effect of total body irradiation on peri-implant tissue reaction: an experimental study.

The aim of the present study was to evaluate the osseointegration process under total body irradiation conditions (LD 50/30). Twenty Wistar rats (mean body weight: 90 g) were used. Under ethyl urethane intraperitoneal anesthesia (1 g/kg body weight), the animals were irradiated with a single 700 cGy dose (linear accelerator 6 Mev photons). Four days post irradiation, a titanium laminar implant was placed in the left tibia of each rat. Antibiotic therapy (ceftriaxone) was administered daily post implantation, to prevent infection by radiation. Fourteen days post implantation, the animals were killed by ether overdose. The tibiae were resected, radiographed and processed for embedding in methyl methacrylate. The results showed impaired osteogenesis and absence of osseointegration in experimental tibiae. This could be due to a direct action of total body irradiation on osteogenesis precursor cells. This effect would impair bone formation involved in peri-implant osseointegration processes in this experimental model.

Animals↗

Growth deceleration and bone metabolism in nutritional dwarfing rats.

Nutritional status as well as energy and protein intake are critical regulators of IGF-1 and IGFBP-3 and contribute to the modulation of bone remodeling and formation. The purpose of this study was to investigate on an experimental model with nutritional dwarfing (ND), whether the alterations on body growth velocity, energy metabolism and body composition could affect serum concentrations of IGF-1 and IGFBP-3 and bone (tibiae and mandible) histology and histomorphometry. Twenty-one male weanling Wistar rats (body weight = 38.20 +/- 0.94 g) were randomized to three groups: seven of them were killed at day = 0 (CO, n = 7); control (C, n = 7); and experimental 80 (E80, n = 7). During 4 weeks, C was fed ad libitum with a 1:1 carbohydrate to fat diet. E80 was being underfed with the same diet by 80% and the following parameters were measured: weight (Wt) for length (L) ratio z-score; oxygen consumption (VO2); body composition (BC) by EM-SCAN SA 3000. At t = 28, E80 and C were killed. Serum IGF-1 and IGFBP-3 and bone histology and histomorphometry were performed on C0, E80 and C. E80 showed Wt for L z-score between lean and adequate, a decrease in VO2 according to body proportions, a BC of a delayed puberty individual, IGF-1 and IGFBP-3 decreased by 56 and 53%, respectively. Tibiae's hematopoyetic and adipose bone marrow areas were combined, with sealing trabeculae on metaphyseal areas. This study suggests that there is a relationship among growth deceleration in ND rats and structural alterations on tibiae.

Animals↗

Histomorphometric study of peri-implant bone healing in the case of nerve injury: an experimental model in rats.

Causes of dental implant failure are of more than passing interest. Within the group of failures caused by iatrogenic factors, injury to the epineurium has been reported to cause the formation of peri-implant fibrous tissue (fibrointegration). The aim of this study was to perform a histomorphometric evaluation of the percentage of osseointegration of implants in contact with the epineurium. Twenty Wistar rats were used. The first lower molars were extracted under xylazine-ketamine anesthesia. A titanium screw implant (diameter, 0.75 mm; length, 2.26 mm) was placed. In the control group (n = 10), apical anchorage of the implant was performed. In the experimental group (n = 10), the apical portion of the implant was placed in contact with the epineurium of the lower mandibular nerve. All animals were killed by ether overdose 30 days after implantation. Radiographs were taken, and the samples were processed for embedding in acrylic resin. Ground sections were obtained along the vestibulo-lingual axis of the mesial alveolus that contained the implant and were stained with toluidine blue. The histologic analysis revealed the presence of bone tissue in the apical portion of the control group samples. In the experimental group, the implant was in contact with the epineurium. There were no statistically significant differences in the percentage of osseointegration between both groups (control group, 39% +/- 9%; experimental group, 38% +/- 10%). The results obtained with this experimental model show that the contact of the implant with the epineurium would not impair the process of osseointegration.

Animals↗

Influence of age and gender on peri-implant osteogenesis. Age and gender on peri-implant osteogenesis.

Among the local and systemic factors affecting bone repair, great interest is focused on age and gender. The aim of this work was to perform a histomorphometric evaluation of peri-implant bone healing response in male and female rats aged 1 and 3 months. Forty Wistar rats were i.p. anesthetized with xylazine and ketamine. A c.p. Ti implant (Implant Vel, Buenos Aires-Argentina) was placed in the right tibia following the method described by Cabrini et al. (Implant Dent 1993; 2:264-267). Group I: (GI, n = 10) female rats aged 1 month; Group II: (GII, n = 10) female rats aged 3 months; Group III: (GIII, n = 10) male rats aged 1 month; Group IV: (GIV, n = 10) male rats aged 3 months. All the animals were killed by ether overdose 30 days post-implantation. The tibiae were resected, radiographed and embedded in methyl-methacrylate. Ground sections perpendicular to the longer axis of the tibia were obtained and stained with toluidine blue. Percentage of osseointegration and peri-implant bone tissue volume were evaluated. No differences in peri-implant bone tissue histology were observed among groups. No statistically significant differences in peri-implant bone volume and percentage of osseointegration were observed between GII (adult females) and GIV (adult males). Peri-implant bone volume and percentage of osseointegration were markedly greater in GIV (adult males) than in GIII (young males) (14 +/- 1 mm2 and 8 +/- 2 mm2) p < 0.01 and (49 +/- 6% and 24 +/- 9%) p < 0.01 respectively. Using this experimental model, differences in peri-implant osteogenesis (bone volume and percentage of osseointegration) associated to gender were only observed in the young rats, and differences associated to age were found between the groups of males.

Age Factors↗

Histomorphometric study of bone healing around laminar implants in experimental diabetes.

The aim of this study was to evaluate the effects of experimental diabetes on the healing period leading to osseointegration. Wistar rats were injected with a single dose of streptozotocin (STZ); body weight and food intake were assessed every 48 hours. On days 2, 12, 26, and 42 post-STZ, glucemia, plasma hemoglobin, and urea were determined. Twelve days post-STZ, a titanium laminar implant was placed in the right tibia of each rat. Two groups of 20 rats each were killed on days 14 and 30 postimplantation, respectively. Results (ANOVA test) showed STZ-treated rats to have 1) a significant decrease in body weight; 2) an increase in food intake; 3) normal hemoglobin and plasma urea values; 4) a significant increase in glucemia; and 5) a decrease in tibiae length. Microscopic evaluation 14 days postimplantation revealed the presence of woven bone, and, at 30 days, laminar bone was in contact with the implant. Our findings show that, in this model of periimplant bone repair and under the experimental conditions stated herein, STZ-induced diabetes retards periimplant bone healing.

Analysis of Variance↗

Bone healing under experimental anemia in rats.

The effects of anemia on different physiological parameters have been the object of permanent study. There are no studies in the literature on the effects of this disorder on the process on bone healing. The aim of the present study was to evaluate, histologically and histomorphometrically, the process of osteogenesis in the post-extraction alvcolus of the lower molar, and in the peri-implant environment of rats. Twenty male Wistar rats (body weight (b.w.): 60 +/- 7 g) were grouped into two experimental sets. The control group (n:10) was given 0.5 mL saline solution i.p. The anemic group (n:10) was injected with 6 mg/100 g of b.w. or 3 mg/100 g b.w. phenylhidrazine, a well known hemolytic agent. Under ketamine-xylazine anesthesia the rats were submitted to extraction of the first lower molars, and to implantation in the tibia in keeping with the "laminar test" procedure. Other parameters, i.e. body weight (b.w.), food intake (FI), hematocrit (Htc), and hemoglobinemia (Hb) were monitored every 48 hs. The results showed a reduction in b.w., FI, Htc and Hb in the experimental group. The histological and histomorphometrical data show that the condition of anemia affects osteogenesis quali-quantitatively in the post-extraction alveolus and peri-implant microenvironment. Both bone reparative situations showed that ostegenesis is "sensitive" to anemia and/or the associated conditions, causing a delay in bone healing.

Anemia↗

Evaluation of bone tissue on metallic implants by energy-dispersive x-ray analysis: an experimental study.

Osseointegration capacity of the different metallic implants depends on several variables. Osseointegration can be evaluated by using different methodologies, such as light microscopy and scanning or transmission electron microscopy. The aim of this study was to develop a qualitative and quantitative method to evaluate the presence of bone tissue on large metallic surfaces. A laminar implant was placed in each tibia of 10 Wistar rats. The animals were killed 30 days after surgery. Tibiae were resected, one for embedding in methyl methacrylate and the other for evaluation by energy-dispersive x-ray analysis. Light microscopy revealed osseointegration. Observation of the implant surface by scanning electron microscopy revealed the presence of a coating on the metallic surface that was rough in some areas and smooth in others. Analysis of the coating by energy-dispersive x-ray analysis showed the presence of Ca and P. Eighty percent (+/- 10%) of the metallic implant surface exhibited bone tissue. After confirmation of the occurrence of osseointegration capacity using light microscopy, the method described here allows qualitative and quantitative evaluation of the bone tissue found on large metallic surfaces.

Animals↗

An experimental model to study implant corrosion.

Corrosion phenomena would appear to play a decisive role in metallic implant long term behaviour. This study presents a method to correlate results obtained in "in vivo" and "in vitro" studies on materials used for metallic implants. Samples of titanium and copper immersed in saline solution (pH 7.4 and 5.2) were used for the "in vitro" study. Implants of these same materials were placed in rat tibiae following the method previously described by Cabrini et al. The animals were killed 14 days post-implantation, the tibiae were resected, radiographed and embedded in acrylic resin. Polarization curves revealed high corrosion in copper implants and low corrosion in titanium implants. It is important to point out that the titanium samples suffered slightly higher corrosion when immersed in a lower pH medium (pH 5.2), as in chronic inflammatory processes. A passive film was found on titanium samples as opposed to the strong corrosion observed in the copper implants. Microscopy revealed osseointegration around titanium implants and a severe inflammatory reaction with abscesses surrounding the copper implants. The method presented herein would allow to correlate "in vivo" and "in vitro" studies on corrosion in different implant materials and establish their relation with cell response.

Abscess↗

Chronodynamic evaluation of the stages of osseointegration in zirconium laminar implants.

Osteogenesis occurs throughout all stages in life, due to both bone turnover and reparative processes. Thus, osseointegration (OI) can be described as the final step in a cascade of processes involved in bone healing in relation to implants. Ten groups of 5 Wistar rats each (mean = 90 g b.w.) were used. Under ether anesthesia a zirconium laminar implant was placed in the tibia following the method previously described by our laboratory (Cabrini et al Imp Dent 2:264-7, 1993). The animals were killed at Ohs, and 1, 2, 3, 6, 7, 10, 12, 14, and 60 days post-implantation. Tibiae were resected, radiographed and processed for their embedding in methyl methacrylate. Three sections, perpendicular to the major axis of the tibia, were obtained per implant and histologic and histomorphometric studies were carried out. Volume occupied by blood clot, woven bone, percentage of OI and OI bone tissue thickness, were determined. Histologic and histomorphometric studies as function of time revealed: a) at 6 days the presence of non-osseointegrated woven bone around the device is evident increasing in volume from 7 to 10 days post-implantation, and disappearing from day 12 to 14., b) at 14 days after implantation lamellar bone formation on the surface of the zirconium implants (OI) is noticeable. Additional bone growth is observed after 60 days. This study enables quantification of peri-implant reparative process response in an unloaded, necrotic trabeculae free model showing, in the different phases of the osseointegration process, the role of the blood clot and of the appearance and disappearance of woven bone and the final stages of osseointegration. Further investigation will allow comparison of results obtained under the effect of local and/or systemic factors that might affect osseointegration.

Animals↗

Effect of dexamethasone on osseointegration: a preliminary experimental study.

The peri-implant reparative process is one of the factors involved in osseointegration. Local and systemic factors may contribute to the peri-implant micro-environment. The aim of this study was to assess the effect of dexamethasone (DXM) on the first stages of the post-implantation reparative process using a quantitative osseointegration experimental model previously developed at our laboratory. A titanium laminar implant was inserted into the right tibiae of nine male Wistar rats under ether anesthesia, following a technique we previously described. Six rats received 120 micrograms/kg/day i.p. doses of DXM (Decadron Sidus, Argentina) for 14 days pre-implantation and 14 days post-implantation. The remaining three (controls) were injected with an equivalent volume of saline. On day 14 post-implantation, all animals were killed, and their tibiae were resected, radiographed, and processed before being embedded in methylmethacrylate. Microscopic observation and histomorphometric studies were performed. Results show that, in this experimental model, the extension of osteogenic peri-implant response was greater in DXM-treated animals than in controls. Thus, our laminar implant test may prove useful to study the effects of corticosteroids on the osseointegration process.

Animals↗

Use of Zircalloy to induce bone regeneration. A 2-year follow-up study.

In a previous study we analyzed the behaviour of Zircalloy 4 particles employed in patients with significant loss of periodontal bone support which threatened the permanence in situ of the tooth. We herein present the results obtained after regular examination over a 2-year period of 6 patients submitted to this treatment. Our results reveal that all patients exhibited excellent gingivo-periodontal health with an increase in clinical insertion of 7 mm +/- 1 and a marked reduction in motility from 3 to 1. None of the cases featured added inflammation or expulsion of the implant material. In one of the cases it was possible to study the histology of the area by punch biopsy with a disposable needle (Sherwood-Medical). Analysis of the sample revealed the presence of bone tissue in intimate contact with implanted metallic particles of Zircalloy 4, producing osseointegration. This osseointegration would lead to filling of the periodontal bone defect. Macrophages loaded with metallic particles were found in the vicinity of particles which were not osseointegrated. These features may correspond to superficial areas related with soft tissue as observed in our study on alveolar filling in rats with the same type of particles.

Adult↗

A method for the quality control of osseointegration in endosseous implants.

Metallic dental and orthopedic implants are essential therapeutic tool. The biologic success of an implant involves intimate contact between the implant and vital bone tissue, an event which has been termed osseointegration. The aim of the present study was to study the biocompatibility and biomechanic properties of different implant materials. Zircalloy 4 metallic cones (1.8 mm base x 2 mm height) were implanted in the diaphysis of the tibiae of 6 Wistar rats (90 g body weight) under i.p. Ethyl Urethane anesthesia. The animals were killed 30 days postimplantation, the tibiae were resected, and radiographed. One side chosen at random was used for the biomechanical study; whereas the other implant of each animal was processed for embedding in methyl-methacrylate. The bond of the implanted material to bone tissue was monitored immediately after resecting the tibiae by applying an extraction force to the base of the cone via a device designed ad hoc connected to a testing machine. Histological and radiographic analyses revealed the presence of bone tissue in contact with the implant surface. A force of about 35 g was necessary to separate the implant from the bone tissue. The system proposed renders possible the study of biocompatibility in histologic terms and in terms capacity to bond to bone tissue and could be a valuable research tool and the basis for quality control of all types of material, metallic or otherwise, used in endosseous implants.

Animals↗

Histomorphometry of initial bone healing around zirconium implants in rats.

Histometric evaluations as a function of time were performed with zirconium implants during the healing period in 10 Wistar rats. The implants (7 mm x 1 mm x 0.1 mm) were placed in the right tibia of the animals. Five rats were killed after 14 days and the remainder were sacrificed 30 days after implantation. The tibiae were resected, radiographed, and embedded in poly(methyl methacrylate). Three cross-sections were obtained transverse to the major axis of each tibia. Osseointegrated tissue thickness, percentage of direct bone-to-implant contact, and osseointegrated tissue volume were evaluated for each specimen. Bone formation was observed on the surface of the implanted strip that was in contact with tibia marrow. This method is proposed for the evaluation of the first stage of healing of bone in contact with different implant materials subjected to various surface treatment.

Animals↗

Uranium inhibits bone formation in physiologic alveolar bone modeling and remodeling.

The toxic effect of uranium (U) on bone modeling and remodeling was studied by performing histomorphometric measurements in the periodontal cortical bone of rats. Two different single intraperitoneal doses of uranyl nitrate (238U) were administered to two sets of rats respectively (2 and 0.8 mg/kg body wt). Rats treated with the first dose were killed 14 days postinjection (PI) and those treated with the second were killed 14, 30, and 60 days PI. The results revealed a decrease in bone formation in rats treated with uranium. On the remodeling side the decrease in bone formation was coupled to an increase in bone resorption on the 14th day PI. On the modeling side no bone resorption was observed and the decrease in bone formation was linked to an increase in resting bone zones. Bone formation depression as a key event in U intoxication is stressed.

Animals↗

Effect of calcitonin on alveolar wound healing.

The effect of calcitonin (CT) on alveolar wound healing was studied with histomorphometric methods. Wistar rats weighing 80-90 g were submitted to extraction of the three mandibular molars. Half of them were injected intraperitoneally with daily therapeutic doses of CT. The control group received no further treatment. All the rats were killed 14 days after the onset of the experiment. Bone healing was impaired in CT treated animals and involved a more intense bone remodeling activity. Bone resorptive areas were present both on the profiles of the newly formed bone and on the alveolar ridge surface. These results suggest that CT would accelerate the process of bone healing.

Alveolar Process↗