Comparative assessment of bone regeneration by histometry and a histological scoring system / Evaluarea comparativă a regenerării osoase utilizând histometria și un scor de vindecare histologică

Obiective: Scopul studiului de față a constat în evaluarea valorii scorului de vindecare histologică, comparativ cu histometria în monitorizarea vindecării osose la nivelul calotei. Material și metodă: Am realizat un studiu cazcontrol cu un lot control și unul de studiu. La un număr de 60 de șoareci CD1 incluși în lotul de studiu am indus chirurgical un defect osos la nivelul calotei și am realizat reconstrucția defectului utilizând grefe obținute prin inginerie tisulară. Ingineria tisulară a grefonului osos s-a realizat utilizând celule stem embrionare poziționate pe suport matriceal -corn caduc de cerb, iar ca inductor al diferențierii am utilizat mediu osteogenetic bazal și complex. La cei 30 de șoareci CD1 incluși în lotul control am indus chirurgical același defect osos la nivelul calotei, dar nu am realizat reconstrucția osoasă a acestuia. Procesul de regenerare osoasă a fost evaluat la 2 și respectiv la 4 luni utilizând scorul de vindecare și histometria. Rezultate: Scorul de vindecare histologică s-a corelat statistic semnificativ cu dimeniunea defectului obtinută la histometrie (p<0.001). Evaluarea parametrilor în baza cărora s-a stabilit scorul de vindecare histologică indică regenerarea cea mai avansată la subiecții din lotul de studiu sacrificați la 4 luni, la care s-a utilizat pentru ingineria grefonului osos celule stem embrionare, suport matriceal corn caduc de cerb și mediu osteogenetic complex ca inductor. Concluzii: scorul de vindecare histologică este o metoda valoroasă de cuantificare a procesului de regenerare osoasă. Relevanță clinică: Acest studiu demonstrează că scorul de vindecare histologică prezentat este un instrument util pentru clinician în procesul de evaluare a regenerării osoase

Intrusion of Maxillary Posterior Teeth by Skeletal Anchorage: A Systematic Review and Case Report with Thin Alveolar Biotype

This study aimed to review the literature related to the intrusion of maxillary posterior teeth in subjects needing pre-prosthetic restoration or orthodontic treatment due to anterior open bite, and to report a thin alveolar biotype case needing a pre-prosthetic intrusion of maxillary teeth by introducing a novel, personalized method of intrusion measurement. An electronic search was conducted between February 2022 and March 2022 in the following databases: PubMed, Scopus, Embase, Web of Science, and Lilacs; the terms “tooth movement techniques”, “orthodontic anchorage procedures”, “tooth intrusion”, “intrusion”, “molar”, “premolar”, and “human” were surveyed. Eighteen articles were included in this review; the mean amount of intrusion ranged from between 2.1 ± 0.9 mm and 4.57 ± 0.98 mm (being mostly 2–3 mm). The intrusion force varied between 100 and 500 g; 10 articles reported miniscrews (MS), 7 reported zygomatic plates (ZP), and 1 publication reported both anchorage types. The average treatment time was 6.9 months for MS and 7.9 months for ZP. Levelling the occlusal plane by intrusion of the upper posterior teeth can be achieved by skeletal anchorage. The stability of the obtained results, shortening treatment time, and controlling treatment outcome are the main goals for a complex surgical and orthodontic treatment approach

Additional file 3: Figure S3. of Dental follicle stem cells in bone regeneration on titanium implants

Alamar Blue viability assay. For testing the viability and proliferation rate of DF stem cells cultivated on titanium implants, cells seeded at a cell density of 1.2 × 105 cells/well in 12-wells plates were stained with Alamar blue solution at different periods of time (24 h, 4 and 12 days). Briefly, 100 μl of Alamar blue solution (Invitrogen) was added in each well containing 900 μl stem cell medium or differentiation medium (OS and OC). Each sample was evaluated in triplicate. After 1 h of incubation in dark at 37 °C, the medium was transferred to another 12-well plates and the absorbance was read using a BioTek Synergy 2 plate reader at 570 nm (Winooski, VT, USA). Statistical analysis was performed using t test and two-way ANOVA, Bonferroni posttest. Results: No important differences were observed between titanium implants in terms of cell viability. Statistical differences were noticed only for the 24 h culture between cell cultured on control titanium implants (Ti ctrl) and implants infiltrated with HA (Ti HA) (Figure S3). Two-way ANOVA statistical analysis revealed differences regarding the time factor (24 h vs. 12 days and 4 vs. 12 days) Figure S3: Graphical aspect of optical density values (absorbance at 570 nm) of Alamar blue staining of DF stem cells cultivated with standard stem cell medium evaluated after 24 h, 4 and 12 days (Legend: TiCtrl- Ti6Al7Nb alloy porous titanium, TiHA-titanium infiltrated with hydroxyapatite, TiSiO2-titanium infiltrated with silicatitanate). (PNG 1002 kb

Additional file 2: Figure S2. of Dental follicle stem cells in bone regeneration on titanium implants

FDA (fluorescein diacetate) viability test. DF stem cell adhesion after 1 h as well the proliferation rate during 48 h and 7 days of cultivation on titanium implants surfaces were investigated using FDA assay. Images were captured in fluorescence microscopy at 488 nm with a Zeiss Axiovert microscope. Image acquisition was performed with an AxioCam MRC camera. Figure S2: Fluorescence images captured after FDA staining of DF stemm cells after 1, 48 h and 7 days of cultivation in standard stem cell medium. (Legend: TiCtrl- Ti6Al7Nb alloy porous titanium, TiHA-titanium infiltrated with hydroxyapatite, TiSiO2-titanium infiltrated with silicatitanate) (magnification ×100). (PNG 940 kb

Additional file 5: Figure S1. of Dental follicle stem cells in bone regeneration on titanium implants

Neuronal differentiation of Df stem cells. Protocol of neuronal differentiation. DF stem cells were seeded in 6 well plates at cell density of 20 × 105 cells/well. When cells reached confluence a two steps protocol was applied: cells were cultivated for 48 h in presence of neuronal differentiation medium 1 consisting of DMEM high glucose/F12-HAM (1:1 ratio), 10 % fetal bovine serum (FBS), 1 % antibiotics,2 mM glutamine, 1 % non-essential aminoacids (NEA), supplemented with 10 ng/ml Epidermal Growth Factor (EGF), 10 ng/ml basic Fibroblast Growth Factor (bFGF), 2 % B27 and 1 % N2 Supplement. Afterwards cells were exposed to the differentiation medium 2 for 3 weeks: DMEM high glucose/F12-HAM, 10 % FBS, 1 % antibiotics, 2 mM glutamine, 1 % NEA, 1 % N2 Supplement, 2 % B27 Supplement, 3 μM all-trans retinoic acid, 0.5 mM 3-isobutyl-1-methyl-xanthine (IBMX) (all reagents were purchased from Sigma Aldrich). At the end of 3 weeks of DF stem cultivation with neuronal differentiation medium, cells were fixed and immunocytochemical stained for neurofilaments and CD 133 expression. As shown in Figure S1, the stained cells expressed positivity only for neurofilaments. Figure S1: Fluorescence image of DF stem cells induced to differentiate into neuronal cells. Cells were stained with anti neurofilaments antibody conjugated with FITC green), anti CD 133 conjugated with Texas red (red) and nuclei were counterstained with DAPI (magnification ×100). (PNG 451 kb

Additional file 6: Figure S6. of Dental follicle stem cells in bone regeneration on titanium implants

The physical chemical characterization of titanium coatings. For proving that by used sol–gel method we obtain these nanocrystalline forms of HA and anatase, after heat treatments at quite low temperatures. Figure S6: XRD pattern of hydroxyapatite sample after 600 oC heat treatment. (PNG 7 kb