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At least 811 records · Page 45Linked to original sources
PubMed1983

Histological investigation of the effect of a controlled-released anti-inflammatory drug on exposed inflamed dog pulps.

The effect of controlled release of the antipholgistic benzydamine hydrochloride (Tantum), from two carriers, Cavit W and Durelon, on inflammatory and necrotic tissue changes was investigated on intentionally inflamed pulps of dogs. Statistical tests to detect differences in biocompatibility between Cavit and Durelon, both without drug, led to the conclusion of a similar biocompatibility as determined after 2 and 7 days. Benzydamine hydrochloride appeared to reduce necrosis during the period from 2-7 days slightly with Cavit as carrier and substantially with Durelon as carrier. However, in the latter case necrosis was enhanced after 2 days. During the same period inflammatory reaction was decreased at 10% level of significance by Durelon containing benzydamine hydrochloride. It was decreased significantly after 2 days with Cavit as carrier. Controlled release of benzydamine hydrochloride from Cavit or Durelon which was placed on an exposed inflamed pulp was effective in reducing inflammatory reaction and necrosis.

Animals↗
PubMed1990

Tooth pulp changes following Le Fort I maxillary osteotomy in a primate model.

Le Fort I maxillary 'down-fracture' osteotomy with 8 mm advancement was performed in 15 adult rhesus monkeys. Forty-five tooth pulps were examined histologically at intervals from 0 to 24 weeks after surgery. Cell degeneration occurred in 31% of pulps examined, necrosis in 16% of pulps and osteo-dentine was found in 7% of pulps. Almost half of the teeth examined (47%) showed marked cellular changes, more frequently found in posterior teeth. Other features noted were inflammation (13%) and reactive dentine in pulps (24%). Axons degenerated initially but recovered by 24 weeks. It is concluded that Le Fort I maxillary osteotomy caused pulpal disturbances in an animal model and the extent to which this occurs in patients needs to be carefully monitored.

Animals↗
PubMed1994

Symptoms from impacted wisdom teeth.

A study of patients referred for wisdom teeth removal was carried out, to investigate symptoms prior to consultation and during the period on the waiting list for surgery. The reasons for treatment of asymptomatic wisdom teeth were investigated. Pain was the main indication for surgery in 73.7% of patients waiting for consultation. 168 patients waiting for consultation consumed a total of 271 courses of antibiotics, averaging 1.6 courses of antibiotics per patient. The antibiotic consumption increased to an average of 2.5 courses per patient in 94 patients waiting for operation. 67 out of 423 patients had an average of three lost working days due to symptoms from wisdom teeth. The long waiting list for consultation and treatment added further to the discomfort. The extent of symptoms from wisdom teeth may be underestimated.

Absenteeism↗
PubMed1984

Applicability of the McGill Pain Questionnaire to the differentiation of 'toothache' pain.

The McGill Pain Questionnaire (MPQ) was administered to 102 'toothache' patients to determine whether it was sufficiently sensitive to distinguish between dental patients whose pain was clinically diagnosed as originating from a reversibly inflamed tooth pulp (group I) and those whose pain was diagnosed as originating from an irreversibly inflamed or necrotic pulp (group II). Scores for Total Pain Rank Index (PRI(T)), Sensory Pain Rank Index (PRI(S)), Evaluative Pain Rank Index (PRI(E)), Miscellaneous Pain Rank Index (PRI(M)), and Number of Words Chosen (NWC) were significantly higher (p less than 0.05) for group II patients. The PRI differences between both groups were attributed mainly to the more frequent selection by group II patients of 8 of the 20 subclasses of words and/or of words with higher rank values within the 8 subclasses. A significantly greater degree of sleep disturbance, nausea, headache, drowsiness and/or dizziness was also found in group II patients. Discriminant analysis using the 20 subclasses and 4 supplementary questions related to sleep disturbance, changes in food intake or activity levels, and accompanying symptoms, indicated that the MPQ, when used alone, correctly predicted diagnosis and treatment outcome in 73% of patients. Therefore, our findings indicate that the MPQ can distinguish between the two types of toothache and suggest that, especially when used along with other standard diagnostic tests, it may be a useful clinical adjunct in the diagnosis of dental pain.

Adolescent↗
PubMed2006

Comparative evaluation of neural tissue antigens--neurofilament protein (NF), peripherin (PRP), S100B protein (S100B), neuron-specific enolase (NSE) and chromogranin-A (CgA)--in both normal and inflamed human mature dental pulp.

The immunohistochemical detection of neurofilament protein (NF), peripherin (PRP), S100B protein (S100B), neuron-specific enolase (NSE) and chromogranin-A (CgA) has been studied in nerve fibres and bundles of human dental pulp. This was done in order to identify possible differences in the distribution pattern of the above markers between normal and inflamed pulp and, further, to evaluate their potential use as peripheral markers of dental innervation as well as objective markers for the determination of the extent of inflammation. Both normal and inflamed human dental pulp showed positive immunolabelling for NF, S100B and NSE and lack of labelling for PRP and CgA protein. An increased density of NF, S100B and NSE immunoreactive nerve fibres was observed in inflamed pulp samples compared to non-inflamed. The findings of this study suggest the possible application of NF, S100B and NSE as markers of dental innervation. Furthermore, they may be useful for the determination of the extent of pulpal inflammation, and might be utilized in alternative modalities of biological pulp therapy to reduce the inflammation process. The absence of CgA immunolabelling implies the presumptive absence of neuroendocrine antigens, while further research is required in order to clarify the involvement of PRP in dental pulp.

Adult↗
PubMed2004

Vascular and cellular responses to pro-inflammatory stimuli in rat dental pulp.

Dental pulp reactivity to various pro-inflammatory stimuli was independently evaluated in rats in terms of a vascular permeability increase and leukocyte recruitment. Substance P, calcitonin-gene related peptide (CGRP) and prostaglandin E(2) (in the picomol range) were applied to the exposed pulp from anesthetised animals and the plasma extravasation measured by the Evans blue content in the tissue following 10 min of administration. Leukocyte recruitment was evaluated morphometrically by counting the cell number present in serial sections of 1:3 4 microm pulp tissue 6 h after bacterial endotoxin (LPS; 0.06-1.2 microg/site) administration. Increase in pulp vascular permeability and cellular recruitment due to the injection of mentioned mediators in the skin or LPS in the peritoneal cavity were used as positive controls. Increase in vascular permeability in the pulp occurred in the same dose-range as observed in the skin, being CGRP the most active substance in both cases. However, it was necessary a higher dose of LPS (1.2 microg) to induce a similar cell recruitment in the pulp as that observed in the rat peritoneal cavity (0.3 microg). These data indicate that dental pulp reactivity presents the same pattern of increase in vascular permeability to other tissues in the rat, being CGRP the most potent mediator in this respect. In addition, they suggest the presence of CGRP receptors in the dental pulp. However, an adequate leukocyte recruitment response to bacterial endotoxin was not mounted, suggesting a deficiency in adhesion molecules in blood vessels in the rat dental pulp.

Analysis of Variance↗
PubMed2005

Scapholunate dislocation: a rare occupational hazard.

Dentists and their assistants are at risk of physical injuries during dental operations. The most common injuries are musculoskeletal. The need to work in a fixed working position using continuous repetitive movements can predispose dentists to wrist ache, lower backache, and neckache. We encountered a rare case of scapholunate dislocation with ligamentous injury, an unusual complication of extraction of teeth.

Accidents, Occupational↗
PubMed2005

Adverse effects of human pulps after direct pulp capping with the different components from a total-etch, three-step adhesive system.

OBJECTIVES: The objective was to evaluate the response of human pulps capped with different components from a total-etch three-step adhesive system. METHODS: Direct pulp capping was performed in 25 caries-free human premolars scheduled for extraction due to orthodontic treatment. The teeth were randomly divided in five groups, and capped with the following materials: Group 1-acid+primer+adhesive were used as recommended; Group 2-only primer was applied; Group 3-only bonding resin (light-cured for 10s); Group 4-only composite resin (light-cured for 40s); Group 5-calcium hydroxide. After capping, all teeth were restored with ScotchBond Multi Purpose Plus and Z-100 was placed incrementally. After 60 days, the teeth were extracted and processed for light microscopic examination (H/E) according to a histological score system. These were subjected to non-parametric tests (alpha<0.05). RESULTS: Overall, the histological features showed that groups 1-4 were quite similar and inferior to group 5. In groups 1-4 the pulp response varied from acute inflammatory cell infiltrate with varying degrees to necrosis. The groups 3 and 4 showed a trend towards better pulp response, since a normal connective tissue could be observed in more than half of the sample. All teeth from group 5 showed normal connective tissue below an amorphous dentin bridge. SIGNIFICANCE: Adhesive components (primer or adhesive) as well as a composite should be avoided for pulp capping. Ca(OH)(2) should be the first choice for pulp capping.

Acid Etching, Dental↗
PubMed2004

Effect of Carisolv on the human dental pulp: a histological study.

OBJECTIVES: The aim of this study was to investigate histopathologically after 1 week and 1 month the effect of Carisolv on exposed human pulp after a contact period of 10 min in comparison to sterile saline solution. METHODS: Class V cavities were prepared in 40 human first premolars, and the pulp chambers were perforated. The pulp tissue was either exposed to Carisolv or sterile saline solution for 10 min, covered with Teflon and restored with compomer filling material. After observation periods of 1 week and 1 month, the teeth were extracted and examined by light microscopy. RESULTS: Histological evaluation revealed similar pulpal response which consisted of a slight inflammation in both groups after 1 week. The only difference was localized haemorrhage in controls while no haemorrhage was observed in the test group which may show the haemostatic effect of Carisolv. After 1 month the test teeth displayed a very mild inflammation adjacent to the perforation area while haemorrhage disappeared in the controls. In general, pulps showed structural integrity in both groups. Statistical analysis showed no difference between the test and the control groups in both test periods. CONCLUSIONS: The results suggest that Carisolv is biocompatible with human pulp tissue and may have a haemostatic effect.

Adolescent↗
PubMed2005

Pulpal responses following direct pulp capping of healthy dog teeth with dentine adhesive systems.

OBJECTIVE: The aim of the present study was to evaluate the pulpal responses following direct pulp capping of mechanically exposed teeth with new dentine adhesive systems, in the preclinical model of dog teeth. METHODS: Class V cavities (approximately 2.50 mm wide, 3.00 mm long, 1.5-2.0 mm deep) were prepared on the buccal surface of permanent maxillary and mandibulary molars, two rooted premolars, canines and third incisors. The cavities were assigned to five experimental groups, representing one control group treated with a Ca(OH)2-based material and four experimental groups where the adhesive systems Clearfil SE Bond, Prompt-L-Pop, Etch & Prime 3.0 and Single Bond were tested. The pulpal tissue responses to dentine adhesives were assessed at post-operative periods of 7, 21, 65 days. RESULTS: Variable responses were recorded, which were characterized by moderate to severe inflammatory reactions, progressive extension of tissue necrosis with time and total absence of continuous hard tissue bridge formation after pulp capping with each of the four adhesive systems. Application of a Ca(OH)2-based material was characterized by inflammatory cell infiltration, limited tissue necrosis as well as partial to complete hard tissue bridging. CONCLUSIONS: It seems evident that application of dentine adhesive systems in direct contact with the mechanically exposed pulp of healthy dog teeth cannot lead to acceptable repair of the dentine-pulp complex e.g. wound healing with tertiary dentine bridge formation.

Animals↗
PubMed2006

Local opioids in the inflamed dental pulp.

We have looked for the presence of beta-endorphin and somatostatin in normal and inflamed pulps. In 25 adult rats, under anesthesia, small openings were made into the pulp on the mesial surface of both first molars on one side. One week later all four first molars were removed, half were processed for immunohistochemistry using specific antibodies to beta-endorphin, somatostatin, and CD3, a marker for T lymphocytes. The pulps of the remainder were removed, solubilized, and subjected to enzyme-linked immunosorbent assay for somatostatin and beta-endorphin. Many cells that labeled for beta-endorphin and somatostatin in the injured pulps also stained for CD3. The levels of both beta-endorphin and somatostatin, were higher in the exposed than in the uninjured pulps (t test, p < 0.05). beta-endorphin and somatostatin are both produced in increased amounts in the dental pulp during inflammation attributable, at least in part, to the presence of T lymphocytes producing these substances.

Animals↗
PubMed2006

Pulpal inflammation and incidence of coronary heart disease.

Pulpal inflammation is primarily caused by coronal caries, and leads to root canal therapy (RCT). Chronic inflammation has been associated with various cardiovascular diseases. This study evaluates the association between pulpal inflammation (using RCT as a surrogate) and incident coronary heart disease (CHD). We report results among males from the Health Professionals Follow-Up Study (HPFS), excluding participants with prior cardiovascular disease or diabetes. We obtained RCT data from the HPFS cohort (n = 34,683). Compared to men without RCT, those with >/=1 RCT had a multivariate RR of 1.21 (95% CI 1.05-1.40) for CHD. The association was limited to dentists (RR = 1.38; 95% CI 1.14-1.67). There was no association among nondentists (RR = 1.03). Dental caries was not associated with CHD. The results suggest a possible modest association between pulpal inflammation and CHD.

Age Distribution↗
PubMed2004

Diagnostic significance of carbamazepine and trigger zones in trigeminal neuralgia.

OBJECTIVE: To investigate the relationship between the efficacy of carbamazepine (CBZ) and the presence of the trigger zone for diagnosis of trigeminal neuralgia (TN). Study design CBZ was administered to 61 patients with suspected TN. All patients underwent intracranial examination by magnetic resonance imaging or computed tomography. The final diagnosis was established by oral and maxillofacial surgeon and neurosurgeon. RESULTS: Of the 61 patients, 50 were finally diagnosed as having TN and 6 as having atypical facial pain. CBZ was effective for pain relief in 45 of the 50 TN patients (90%), and in 5 of the 11 patients (45%) with other diseases (P <.005). However, CBZ also relieved pain in some patients other than TN. Thirty of the 31 patients (97%) with a distinct trigger zone and 20 of the 30 (67%) without a trigger zone were diagnosed as having TN (P<0.005). CONCLUSION: The efficacy of CBZ is an auxiliary indicator of TN and the presence of a distinct trigger zone is a strong indicator of TN.

Adolescent↗
PubMed2005

Induction of cyclooxygenase-2 expression in human pulp cells stimulated by dentin bonding agents.

OBJECTIVES: Histological investigations have demonstrated that dentin bonding agents can induce pulpal inflammation. However, there is little information on the precise mechanisms about dentin bonding agent-induced pulpal inflammation. Cyclooxygenase-2 (COX-2) is an inducible enzyme believed to be responsible for prostaglandin synthesis at the site of inflammation. The aim of this study was to investigate the effects of dentin bonding agents on the expression of COX-2 in human pulp cells. STUDY DESIGN: Human pulp cells were cultured from extracted impacted third molars using an explant technique. Patients gave informed consent. The reverse-transcriptase polymerase chain reaction and Western blot assays were used to investigate the effects of cultured human pulp cells exposed to dentin bonding agents. In addition, NS-398 (a selective COX-2 inhibitor) was added to test how it modulated the cytotoxic effects of dentin bonding agents. RESULTS: The exposure of quiescent human pulp cells to dentin bonding agents resulted in the induction of COX-2 mRNA and protein expression. The expression of COX-2 signals depended on the materials tested. In addition, NS-398 at noncytotoxic dose was not able to prevent dentin bonding agent-induced cytotoxicity (P > .05). CONCLUSION: The activation of COX-2 expression may be one of the pathogenesis of dentin bonding agent-induced pulpal inflammation. In addition, dentin bonding agent-induced cytotoxicity is not directly via the induction of COX-2 expression.

Acetone↗