[Evaluation of the effect of the preparation, Pulpomixine, used for indirect covering of inflamed dental pulp in dogs].
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The irritating effect of amalgams, silicate cement, methyl methacrylate, composites, and glass ionomer cement on animal and human dental pulp was discussed. If the foundation is appropriate, pulpal alterations can be reduced or even eliminated.
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The dentin-pulp complex is a peripheral end-organ supplied by dense sensory nerve fibers. Substance P, a representative neuropeptide widely distributed in the dental pulp, has been reported to play roles in pain transmission and the amplification of inflammation. We analyzed here the expression of the neurokinin 1 (NK1) receptor, preferentially activated by substance P, using immunocytochemistry in rat dental pulp at both the light and electron microscopic levels. Conspicuous NK1 receptor immunoreactivity was found in the odontoblasts; immunolabelings were present at their plasma membrane and endosomal structures, especially in their cytoplasmic processes. Immunoreactions for NK1 receptor were also detectable in a part of the nerve terminals associated with the cytoplasmic processes of the odontoblasts. Furthermore, the endothelial cells of capillaries and post-capillary venules and the fibroblasts were labeled with the NK1 receptor in the subodontoblast layer. These findings suggest that pulpal cells and nerve fibers are targets for substance P that mediate multiple functions, including a vasoactive function and the regulation of vascular permeability as well as the modulation of pain transmission.
Autoradiography of axoplasmically transported proteins revealed that both dental pulp and periodontium receive sensory innervation from the trigeminal ganglion in the form of plexuses and free and organized sensory receptors, including apparent corpuscular ones. Corpuscular receptors in the pulp suggest this tissue may be responsive to modalities other than pain.
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Age estimation based on evidence found in teeth has received considerable attention within the field of forensic science. We determined the terminal restriction fragment (TRF) length, as telomere length, to estimate age. Using dental pulp DNA we found the average TRF length showed a tendency to shortening with aging. Our findings show that telomere shortening, based on dental pulp DNA is a new and useful approach to estimate age of the subject at the time of death.
Specific antibody against purified alkaline phosphatase from bovine dental pulp was raised in a rabbit. Immunological analyses by Ouchterlony double-gel diffusion and quantitative immunoprecipitation showed that there was neither a detectable antigenic difference between liver and pulp alkaline phosphatases nor a detectable cross-reaction with the intestinal enzyme.
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A simple colorimetric assay using MTT has been developed to monitor mammalian cell survival and proliferation in vitro. In this study we used a clonal fibroblastic cell line (RPC-C2A) from, rat incisal dental pulp to examine the effectiveness of the colorimetric assay to test for the toxicity of eugenol, which is frequently used to treat inflammed dental pulp. A technical problem encountered was the insolubility of MTT formazan, produced by the activity of mitochondria dehydrogenases. Dimethyl sulfoxide (DMSO) seemed to be the best solvent. Doses of eugenol causing a 50% inhibition in the colorimetric assay were calculated as 0.6 mM and 1 mM for cells in the growing phase and for cells at confluence, respectively. These values exist in the concentration range reported in the previous studies. Although the correlation between spectrophotometric absorbance and cell number was not completely linear, this method could be used effectively as a simple preliminary assay to test for the toxicity of dental drugs and materials.
Recent studies suggest an active participation of postcapillary venules in inflammatory plasma extravasation. Intravital microscopic studies of rats' incisors show that Evans blue allows the demonstration of plasma extravasation in the dental pulp. This process takes place in the postcapillary venules, as can be seen from the staining of the interstice. Rather than depending on hydrodynamic pressure mechanisms, inflammatory plasma extravasation seems to be subjected to a direct regulation of vascular permeability.
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Biogenic monoamines in the adrenergic nerve terminals of the human dental pulp are demonstrated by the fluorescence method of Falck and Owman. Unmyelinated nerve fibers from nerves along alveolar blood vessels may enter the pulp, although pulp nerves are composed largely of myelinated fibers. The existence of a few sympathetic fibers is demonstrated by the fluorescence method, and possible drug effects are considered.
The fatty acid profiles of purified phospholipids were similar in dental pulp from rabbit and bovine teeth. The characteristic fatty acid profile of each phospholipid was similar to that found in several other mammalian tissues. The ethanolamine phosphoglycerides had high levels of arachidonic acid and docosapolyenoic acids. Phosphatidylserine and phosphatidic acid contained high amounts of stearic acid and low levels of polyunsaturated fatty acids. Phosphatidylcholine and sphingomyelin contained high amounts of palmitic acid and low levels of C20 and C22 unsaturated fatty acids, and sphingomyelin contained C24 fatty acids. Phosphatidylinositol contained mainly stearic, oleic, and arachidonic acids. The fatty acid compositions of the purified pulp phospholipids are markedly different from those reported for dentin lipids which have been reported to contain little or no arachidonic acid and docosapolyenoic acids. The possible significance of the polyunsaturated fatty acids and phospholipids in tooth formation and maintenance is discussed.
Characteristics of cyclooxygenase-2 (COX-2) expressing cells in human dental pulp were immunohistologically studied. Extirpated pulpal tissues from extracted teeth were examined to elucidate the localization and distribution of COX-2. Pulpal tissues were examined by the labeled streptavidin biotin method using specific mouse monoclonal antibodies for COX-2. Cell types of the COX-2 expressing cells were also investigated by the double stain technique using both monoclonal antibodies for CD68/macrophage and anti-COX-2. COX-2 expressing cells could be found in all of the inflamed pulps, and these cells were mostly distributed close to the area of accumulation of inflammatory cells. COX-2 was mainly expressed in fibroblasts rather than macrophages. In contrast, COX-2 expressing cells were scarcely found in the normal pulps. These findings indicate that pulpal fibroblasts, as well as macrophages, may participate in the production of prostaglandin through COX-2 expression in pulpal inflammation, and might be involved in the pathogenesis of irreversible pulpitis.
Lysosomal granules of polymorphonuclear leukocytes (PMN's) contain proteolytic enzymes and other components important in the regulation of inflammation and the elimination of bacteria or debris associated with pulp disease. However, PMN lysosomal degranulation is nonspecific and can result in destruction of healthy connective tissue adjacent to the areas of damaged or infected tissue. For this study a modified enzyme-linked immunosorbent assay was used to detect the human PMN lysosomal granule products: elastase, cathepsin G, and lactoferrin. Evaluation of 55 pulp samples yielded a statistically significant difference (p less than 0.05) among the levels of elastase and lactoferrin in normal and moderate to severely inflamed pulps. Although cathepsin G levels were increased, there was no statistical significance (p greater than 0.05) among groups. The results indicate that a modified enzyme-linked immunosorbent assay technique can be used to measure PMN lysosomal granule components in dental pulp tissues. Additionally, elastase and lactoferrin levels appear to be valid diagnostic markers of advanced dental pulp disease.
The distribution in oral tissues of endothelin, a multifunctional peptide originally identified within endothelial cells, and subsequently in some epithelial cells, neurons and neuroendocrine cells, has not been investigated yet. We have studied the localization of endothelin-like immunoreactivity in human tooth germ and mature dental pulp by immunohistochemical techniques. Such immunoreactivity was detected only within endothelial cells in both mature dental pulp and developing tooth. Arteries and veins of various sizes as well as small thin vessels displayed endothelin-like immunoreactivity. In the tooth germ, the cells of the enamel organ or the precursors of the odontoblasts were found unreactive. In the mature pulp, no cells of the stroma or nerves displayed endothelin-like immunoreactivity. These findings suggest that vascular endothelium may be the only source of endothelin in human dental tissues. It is tentatively proposed that endothelin released in mature tooth pulp may participate in the regulation of the pulpal blood flow. Although the possible role of endothelin in developing tissues is far from being clear, the mitogenic effects and the proto-oncogenes expression induced by endothelin in some cells raise the possibility that this peptide might also play a role during tooth development.