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Immunocytochemical and immunochemical detection of a 32 kDa nonamelogenin and related proteins in porcine tooth germs.

Porcine tooth germ was investigated immunochemically and immunocytochemically using antibodies against a synthetic N-terminal peptide fragment from a 32 kDa nonamelogenin found in the inner (old) secretory enamel. In immunochemical preparations, these antibodies reacted to many proteins of differing molecular weights, especially to 140 kDa, 89 kDa, 56 kDa, 45 kDa, and 32 kDa proteins. Analysis of the layers of enamel suggested that the 140 kDa and/or 89 kDa proteins, both of which were found in newly formed enamel, were the parental proteins secreted by the ameloblasts, and that they were degraded to produce 32 kDa and other low molecular-weight proteins associated with progressive mineralization. In immunohistochemical preparation, immunoreactivity at the differentiation stage was detected initially over the amorphous dense material or fine fibrils around calcified globules in predentin, while the stippled material was devoid of immunoreactivity. The amorphous dense material seemed to give rise to a continuous layer of initial enamel. At the matrix formation stage, the immunoreactivity of immature enamel just beneath the putative secretory face of the Tomes' processes was intense. From the surface of the enamel matrix to a depth of about 100 microns, immunoreactivity of prism sheaths was weaker than that of enamel prisms, producing a reverse honeycomb pattern. In the enamel matrix deeper than 100 microns, immunoreactivity was weak and homogeneously distributed. The Golgi apparatus and secretory granules of the secretory ameloblasts showed immunoreactivity. These results suggest that the likely parent proteins of the 32 kDa nonamelogenin protein, i.e., the 140 kDa and/or 89 kDa proteins, play a significant role in the calcification of the enamel matrix.

Ameloblasts↗

[Results of clinical and experimental studies in the diagnosis of periodontological function].

By means of clinical and experimental control studies in partly adjustable individual articulators, it was tested how exact an apparatus has to be in order to ensure a reliable clinical diagnosis of periodontal disease. In the clinical as well as the experimental part of the studies, it was possible to demonstrate that the intra-alveolar movement of the tooth plays the most important role in allfunctional disturbances of traumatized periodontal diseases.

Dental Occlusion↗

Unusual aspects of the venom apparatus of the blue coral snake, Maticora bivirgata.

Light and transmission electron microscopic observations of the venom gland of the blue coral snake revealed a main venom gland and a long duct. The main secretory cell showed characteristic features of a protein secreting cell, with small microvilli, and a cytoplasm containing vacuoles and vesicles. Another type of "dark cell" and a third type of "basal cell" were also seen. "Nerve terminals" supplying the gland showed pleomorphic vesicles. The compressor muscle surrounding the venom gland showed the A band, Z disc, and H zone. Satellite cells were seen among muscle fibres. The neuromuscular junctions supplying the muscle showed clear vesicles. Scanning electron microscopy of the fangs showed the entrance lumen, discharge orifice, suture and the dental ridge. These findings are compared with relevant structures in other snake species.

Animals↗

Effects of five thermal stressing regimens on the flexural and bond strengths of a hybrid resin composite.

UNLABELLED: Thermocycling is commonly employed in laboratory studies to simulate the in vivo aging of restorative materials. However, there is little consistency in the regimens used, and some researchers have questioned the clinical relevance and, hence, the necessity of including thermal stressing in in vitro protocols. This study examined the effects of five thermal stressing regimens on the flexural and dentin bond strengths of a hybrid resin composite. METHODS: For flexural strength tests, 95 rectangular specimens (15 mm x 2 mm x 2 mm) were fabricated using a stainless steel split mold, then light cured for 60 seconds. For bond strength tests, 75 caries-free molars were flattened occlusally to expose dentin, then polished through 600 grit SiC paper; dentin surfaces were etched, rinsed and blotted dry. A dentin adhesive was applied and light cured for 30 seconds; resin composite was condensed through a stainless steel split mold (4.3 mm diameter x 3.5 mm high), then light cured for 60 seconds. All specimens were stored in deionized water for 24 hours, then stressed for 100 hours according to one of five regimens: 1) cycled between 5 degrees C and 55 degrees C (9000 cycles; 20-second dwell time); 2) held at 5 degrees C constant; 3) held at 22 degrees C constant; 4) held at 55 degrees C constant; 5) held at 5 degrees C for 50 hours, then at 55 degrees C for 50 hours. Flexural strengths were measured using an Instron 5500R and three-point bending apparatus at a crosshead speed of 0.5 mm/minute. Shear bond strengths were measured using an MTS Bionix 200 at a crosshead speed of 0.5 mm/minute. RESULTS: ANOVA revealed no significant differences in either flexural strength or shear bond strength among the five thermal regimens.

Analysis of Variance↗

[Therapy and treatment results in functional disorders of the masticatory apparatus].

Thirty-three patients with the tentative diagnosis of a myofacial pain syndrome were treated symptomatically and causally after standardized diagnostic exmaination. Eleven months after the termination of therapy, twelve patients were without symptoms, seventeen showed improvements and the clinical picture of four patients had not changed at all. When supporting the therapeutic success by prosthetic measures the choice of the articulator system (Dentatus, Condylator) was irrelevant.

Dental Articulators↗

In vitro evaluation of the reliability of the Endex electronic apex locator.

A new generation of electronic apex locators (Endex) that operates in moistened canals has been developed lately. An experimental comparison of this apparatus with the real, tactile, and radiographic measurements of the root canal length has been conducted. Results show that tactile determination is highly inaccurate and that the Endex is as accurate as radiographic measurements. It also demonstrates that the nonreproducibility of radiographic measurements is statistically significant, whereas that of the Endex is not significant.

Dental Instruments↗

Endosseous implants in horizontal alveolar ridge distraction osteogenesis.

PURPOSE: This study evaluated horizontal distraction of the narrow alveolar ridge in dogs and the possibility of achieving osseointegration of implants placed into the distracted site during a consolidation period. MATERIALS AND METHODS: Six beagle dogs weighing approximately 9 to 10 kg were used in this experiment. Twelve weeks after extraction of the mandibular premolars, horizontal alveolar ridge distraction was performed using an originally designed lengthening apparatus. Twelve days after the completion of distraction, screw-type implants were placed into the distracted site. RESULTS: Twelve weeks after the placement of implants, thin lamellar bone rose horizontally from the transport segment toward the surface of the implant. Twenty-four weeks after their placement, the implants were fully embedded in mature lamellar bone, and direct bone contact with the implant surface could be seen. DISCUSSION: Horizontal alveolar ridge distraction was performed successfully by using a lengthening apparatus in the narrow alveolar models. Osseointegration was achieved even though the implants were placed into the distracted site during the consolidation period. CONCLUSION: Horizontal alveolar ridge distraction can be a beneficial technique in the placement of implants In the narrow alveolar ridge in the dog population.

Alveolar Ridge Augmentation↗

Dentition and dentigerous bones in juveniles and adults of Polypterus senegalus (Cladistia, Actinopterygii).

Tooth types, their arrangement and the mode of tooth replacement were studied in juvenile and adult specimens of Polypterus senegalus by means of scanning electron microscopy of cleared and stained specimens as well as sections. All the dermal bones of the oropharynx are almost completely covered with teeth except for the angulare. The same is true for the branchial apparatus where only the hyoid skeleton is toothless. The teeth are uniformly monocuspid and conical, but can be classified according to shape and size into three types. These types and the mode of tooth replacement are characteristic for each dermal bone. In some of the jaw bones each tooth possesses a lingually situated replacement tooth. This is true for the teeth of the premaxillary, the maxillary, and the dentary which are arranged in a single line, and those of the dermopalatine, the coronoids, and the vomer which are in several lines and graded in size. Replacement teeth of all the other dentigerous elements develop on top of existing pulpal openings, forming an anastomosing common pulpal complex only after resorption of the previous tooth. The tooth plates of the dermal bones of the branchial apparatus are connected by syndesmosis only to the perichondrally ossified and to the cartilaginous or connective tissue material of the elements of the gill-arches. The dentition and its association with the bones of the head in Polypterus senegalus bear resemblances to advanced actinopterygians on the one hand (e.g. differentiation of tooth-types, arrangement), but also some similarities to living Amphibia (anchoring material and mode of replacement) on the other. The accentuation of a single marginal line of large teeth in both, the outer and the inner dental arcade of the jaws is a peculiarity of Polypterus that in a way parallels the derived state of similar monolinear tooth arrangements in Actinopterygii and Tetrapoda.

Aging↗

The biologic concept for the use of enamel matrix protein: true periodontal regeneration.

Guided tissue regeneration procedures have been used successfully to reestablish periodontal attachment. However, this new attachment reportedly differs from the original attachment in strength and continuity. Enamel matrix proteins secreted by Hertwig's epithelial sheath play an important role in cementogenesis on roots and in the development of the periodontal attachment apparatus. Enamel matrix protein harvested from developing porcine teeth, or enamel matrix derivative (Emdogain), is reported to induce true periodontal regeneration (the attachment of new, acellular cementum to the underlying dentin surface). The results of experimental and clinical trials of Emdogain are reviewed, and the procedure for application of the material is described.

Alveolar Bone Loss↗

Surface modification of pure titanium by plasma exposure and its bonding to resin.

The purpose of this study was to investigate the effects on shear bond strength to resin after pure titanium (Ti) was exposed to plasma under different kinds of gas atmosphere. Polished Ti samples were treated using a plasma exposure apparatus in gas atmospheres of air, CO2, and C3F8. Surface analysis of Ti exposed to plasma was achieved through surface free energy and XPS measurements. The Ti sample was bonded with adhesive resin (4-META, MAC-10, HEMA, MDP, VBATDT) to a stainless steel piece. After which, shearing adhesion test was done. It was observed that plasma exposure in a specific gas atmosphere in regulated the bonding strength of titanium surface to resin. Based on the results of this study, we concluded that plasma exposure was a useful surface treatment method for dental practices.

Air↗

[Promoter effect of mercury chloride and methyl-mercury on human keratinocytes in culture].

Mercury has received considerable media focus because it is present in dental amalgams and seafood. There is potential exposure in gas meters, thermometers and fluorescent lamps workers. To evaluate its possible epigenetic carcinogen effect, cultures of human keratinocytes were treated with increasing doses of HgCl2 for 30 min, 24 h and of CH3HgCl for 24 h, respectively. The red neutral method was used to evaluate the doses of HgCl2 and CH3HgCl which had no cytotoxic effect. Then, the dye transfer method was used to investigate the gap junctions-mediated intercellular communication (GJIC). Cells were microinjected with Lucifer Yellow CH by using the Eppendorf Apparatus and the Leica inverted microscope. After 30 min incubation at the concentration of 10 microM, HgCl2 did not exert inhibition of GJIC. Conversely, after 24 h at the concentration of 10 nM, HgCl2 inhibited GJIC. Incubation with CH3HgCl at the concentration of 250 nM for 24 h reduced the number of fluorescent cells, thus denoting a inhibition of GJIC. Taken together our data demonstrated that: i) HgCl2 and CH3HgCl exerted an inhibitory effect upon GJIC; ii) HgCl2 resulted to inhibit GJIC at concentrations 25 folds lower than CH3HgCl. Further studies will be addressed to evaluate whether the reversal of GJIC inhibition could be obtained by withdrawal of toxic substance, or by the addition of a GJIC activator like the retinoic acid. Finally to shed light on the possible effect of mercury derivates at the transcriptional or translational levels, the expression profile of the connexin 43 gene after HgCl2 and CH3HgCl exposure of cultured human keratinocytes will be investigated.

Cell Communication↗

Direct composite bonding in conjunction with surgical tissue management.

This article discussed several issues associated with the intimate relationship between attachment apparatus and the restorative interface. First, it is essential that the restorative dentist have a clear understanding of crest position and its impact on the restorative outcome. Then, the restorative dentist must understand the importance of sequencing and timing when orthodontic therapy, tissue recontouring and restorative dentistry must be accomplished on the same patient.

Adolescent↗

[Rapid maxillary suture expansion].

Rapid maxillary expansion is a technique with an old but controversial history. Bio-mechanics and apparatus have largely involved over the years and the procedure is generally accepted. Discussion concerns only the patient age range on which the therapy is applicable. Fourteen to eighteen seems the accepted age limit. Three essential parameters determine the success of the expansion: degree of interlocking, synostosis and skeletal resistance from the surrounding osseous tissues.

Adolescent↗

Influence of selected variables on adhesion testing.

Three variables associated with adhesion testing were examined: (1) the test mode, shear and tension; (2) design of the tensile apparatus; and (3) tooth substrate, human and bovine. Findings revealed no significant differences in bond strength by one tensile test and a shear test. However, the shear test produced more true adhesive failures; thus it may be preferable to use a shear test for adhesion testing. Bond strengths with some adhesive systems differed significantly when tested by two different tensile apparatus. Design of the test apparatus appeared to affect values. Bond strength measurements obtained with human and bovine enamel were essentially comparable. Values with dentin varied. There appeared to be a trend for higher bond strength values with bovine than with human dentin.

Adhesiveness↗

Subtraction radiography of dentinal caries-like lesions induced in vitro by cariogenic bacteria.

PURPOSE: The objective of this project was to develop an in vitro model system for investigations of dentinal caries. METHODS: Five extracted primary molar teeth with circular cavity preparations to the depth of the dentinoenamel junction were mounted individually in cold-cure acrylic bases constructed to fit a positioning jig in a Schick-Technologies digital radiographic imaging apparatus. The mounted teeth (MT) were incubated with pure cultures of Streptococcus mutans for 7 days and Lactobacillus casei for 38 days. At baseline and on day 23 and 45, four digital radiographs of each MT were made. Subtraction radiography was performed and analyzed using custom interactive software. RESULTS: Lesions progressed roughly halfway through the dentin in all teeth at 23 days and approximated the pulp chambers at 45 days of incubation. Images resulting from subtraction procedures clearly revealed incremental caries progression which could be quantitated. CONCLUSION: The model may be useful for screening cariostatic dental materials or treatments and investigating microbial mechanisms in dentinal caries.

Cariostatic Agents↗

Critical factors in selecting removable prostheses.

Preservation of as many natural teeth as possible should be the goal of conscientious dentists. However, occasionally, the sacrifice of some sound natural teeth may be indicated for partially edentulous patients to provide them with the most functional and esthetic masticatory apparatus. Selection of the proper prosthetic service is one of the most critical value judgments made by dentists. No matter how skillfully the wrong treatment is accomplished, it is still the wrong treatment. It is important, therefore, that all relevant data be gathered so that the best clinical judgment can be brought to bear in the decision-making process.

Anodontia↗

Measurement of the midface symmetry in trauma and reconstructive surgery.

The pre- and intraoperative determination of the midface symmetry during the management of trauma or reconstructive surgery cases may be difficult due to swelling of the covering tissue. To handle these problems, a new apparatus, called "Zygometer", is introduced. This instrument is able to measure the position of the midface bones and enables a comparison with the controlateral side. The results of a study with 250 persons to get standard measurements for symmetry and asymmetry are presented and discussed. Indications and clinical application of the zygometer are demonstrated.

Adult↗

Evaluation of an articulated measuring apparatus for use in the oral cavity.

The aim of this study was to evaluate the trial Teaching Robot for the development of a contact-type measuring apparatus for using directly in the oral cavity. A standard model was used to mimic the dentition by placing an arrangement of three bearing balls. The diameters of the balls were measured. A practical dentition model was used. The coordinates were measured on the top of the buccal cusp of the right and left first premolars and the distal contact points of the right and left first molars and the mesial contact point of the right incisor. The arch width and length were calculated. The diameters of the bearing balls and the widths and lengths of the dental arches were not significantly different from the results of the XYZAX G-800D. Therefore, we suggest that the trial Teaching Robot has superior efficiency for measurements in oral cavity.

Bicuspid↗