Inhibition of Inflammatory Mediators by Neobavaisoflavone in Activated RAW264.7 Macrophages

Flavonoids and coumarins are the major bioactive constituents identified in Psoralea corylifolia. The active fraction isolated from fruits, seeds and roots possesses antibacterial, antioxidative and immunomodulatory properties. Neobavaisoflavone is one of the flavonoids found in Psoralea corylifolia. In the present study we investigated in vitro the anti-inflammatory activity of neobavaisoflavone. Macrophages play an important role in inflammation through the release of inflammatory mediators involved in the immune response. Inappropriate and prolonged macrophage activation is largely responsible for the pathology of acute and chronic inflammatory conditions. Neobavaisoflavone significantly inhibited the production of reactive oxygen species (ROS), reactive nitrogen species (RNS) and cytokines: IL-1β, IL-6, IL-12p40, IL-12p70, TNF-α in LPS+IFN-γ– or PMA– stimulated RAW264.7 macrophages

The spectrum of non-characteristic oral manifestations in COVID-19 – a scoping brief commentary

Virus-induced oral abnormalities, occurring especially in severe COVID-19 cases of hospitalized patients, have various characteristics and clinical features being, either directly or indirectly, related to SARS-CoV-2 infection. Deregulation of the immune system as a result of SARS-CoV-2 infection may lead to the impairment of the normal defense pathway in the SARS-CoV-2 positive patients. This scoping mini-review is aimed to critically appraise the existing evidence concerning the potential link between COVID-19 condition and abnormal manifestations within oral cavity, affecting oral mucosa, salivary glands and sensory elements. COVID-induced oral mucosa manifestations, with various clinical aspects, are likely to occur as coinfections and secondary symptoms, as immune system imbalance is per se a causative factor of secondary manifestations. Oral mucosal lesions related to SARS-CoV-2 infection do not seem to demonstrate gender predilection, with the average reported age around 50 years of age. They include mainly white and erythematous plaques, ulcers, blisters, petechiae. The affected intraoral areas were mainly: tongue, palate, lips, gingiva, and buccal mucosa. The “aggressive” therapies utilized to treat COVID-19, including drug interactions may aggravate or initiate OMLs pathologies. Neglected oral hygiene or partial or complete abandonment of oral hygiene during intensive hospitalization constitutes an independent factor promoting a wide range of oral pathologies. In addition, stress factor indirectly impairs functioning of the immune system. Oral mucosa lesions occurring in COVID-19 cases present with a wide variation of non-characteristic features. These intraoral, soft tissues abnormalities seem to be reversible and transient. A potential impact of severe oral pathologies to systemic health resulting from SARS-CoV-2 infection, along with associated poor oral hygiene should not be ignored, predominantly in seriously ill patients hospitalized in intensive care units

Assessment of Dental Arch Reproduction Quality by Using Traditional and Digital Methods

Background: There exists few scientific reports on the quality of digitally reproduced dental arches, even though digital devices have been used in dentistry for many years. This study assesses the accuracy of the standard dental arch model reproduction using both traditional and digital methods. Methods: The quality of the full upper dental arch standard model reproduction by physical models obtained through traditional and digital methods was compared: gypsum models (SGM) and models printed from data obtained using an intraoral scanner (TPM) (n = 20). All models were scanned with a reference scanner. Comparisons were made using Geomagic Control X program by measuring deviations of the models relative to the standard model and analyzing linear dimensions deviations. Results: The average error of reproduction accuracy of the standard model ranged from 0.0424 ± 0.0102 millimeters (mm) (SGM) to 0.1059 ± 0.0041 mm (TPM). In digital methods, all analyzed linear dimensions were shortened to a statistically significantly degree compared to traditional. The SGM method provided the smallest deviations to a significant degree of linear dimensions from the pattern, and TPM the largest. The intercanine dimension was reproduced with the lowest accuracy, and the intermolar the highest in each method. Conclusions: Traditional methods provided the highest reproduction trueness of the full dental arch and all analyzed linear dimensions. The intercanine dimension was reproduced with the lowest accuracy, and the intermolar the highest in each method, where digital methods shortened all analyzed linear dimensions

The Radiological Assessment of Root Features and Periodontal Structures in Endodontically Treated Teeth Subjected to Forces Generated by Fixed Orthodontic Appliances. A Prospective, Clinical Cohort Study

The various side effects of orthodontic treatment with fixed orthodontic appliances (FOAs) and their impact on apical and periodontal structures have been widely reported. However, the existing data is not yet conclusive. Aims and objectives: To investigate the status of roots and periodontium in endodontically treated teeth that have undergone orthodontic treatment with the use of FOAs and to evaluate their impact on apical/periodontal structures. Material and methods: The prospective clinical cohort study initially involved 69 participants aged 16–40, without underlying systemic conditions, who received orthodontic treatment with ligatureless FOA systems due to different types of mild and moderate malocclusions. To meet the required criteria, 88 teeth in 34 patients were assessed clinically and radiologically. Participants had at least one tooth treated endodontically while the corresponding tooth from the same anatomical group on the opposite side was vital and intact (a ‘split-mouth’ approach). Four cohorts were allocated: Group IA consisted of 15 teeth, treated utilising the principles of modern endodontics, that were subjected to orthodontic forces no less than six months after completing the root canal obturation. Group I consisted of 13 similarly endodontically treated teeth, which commenced orthodontic treatment at least six months after the completed endodontic therapy. Group II contained 16 teeth treated by conventional endodontic methods and the control group, Group III, contained 44 clinically and radiologically intact teeth (incisors and premolars) with vital and sound dental pulp. The response of apical and periodontal structures to FOAs was determined by data collected from intraoral periapical radiographs taken within the course of five consecutive appointments during the orthodontic treatment. Results: No statistically significant differences were observed in susceptibility to FOA-induced external apical root resorption (EARR) between combined Groups IA + IB and II. An association was, however, demonstrated, between the occurrence of EARR and the degree of expansion of the periodontal ligament (PDL) space, regardless the method of root canal treatment. Cumulative data revealed a positive correlation between the width of the PDL space and the stage of FOA treatment (the third and the fourth appointment). The subtle changes in radiological length of roots have been observed (min 0 mm/max 0.38 mm), particularly between the second and third appointment in Group II (p < 0.05). Conclusions: The standard orthodontic therapy with FOAs is a safe option with predictable outcome for persons who have recently received endodontic therapy. The anterior teeth, predominantly incisors, were more susceptible to minimal EARR than premolars, which suggests that the rate of EARR occurrence may depend upon the original morphology of the apical portion of the root. The use of additional orthodontic forces increases the risk of EARR and is associated with a higher incidence of radiologically detected PDL space widening

Transverse fracture of a tooth root as a consequence of long-term traumatic occlusion—A case report

AbstractThe purpose of this paper is to present treatment results of transverse root fracture in an adult patient caused by long-term traumatic occlusion resulting from use of a wrongly fitted upper-frame denture. A 44-year-old male patient had a transverse displaced fracture at one-third of the crown–root boundary area of tooth 42. The tooth was treated endodontically after prior positioning of fragments in 1 plane. The canal was filled, and a “Splint It” splint was applied for the period of 1 year. The patient returned for check-ups after 2 and 2.5 years, at which time X-rays were taken. Our goal was achieved through preservation of the patient’s own completely recovered and fully functional tooth

Assessment of Dental Arch Reproduction Quality by Using Traditional and Digital Methods

Background: There exists few scientific reports on the quality of digitally reproduced dental arches, even though digital devices have been used in dentistry for many years. This study assesses the accuracy of the standard dental arch model reproduction using both traditional and digital methods. Methods: The quality of the full upper dental arch standard model reproduction by physical models obtained through traditional and digital methods was compared: gypsum models (SGM) and models printed from data obtained using an intraoral scanner (TPM) (n = 20). All models were scanned with a reference scanner. Comparisons were made using Geomagic Control X program by measuring deviations of the models relative to the standard model and analyzing linear dimensions deviations. Results: The average error of reproduction accuracy of the standard model ranged from 0.0424 ± 0.0102 millimeters (mm) (SGM) to 0.1059 ± 0.0041 mm (TPM). In digital methods, all analyzed linear dimensions were shortened to a statistically significantly degree compared to traditional. The SGM method provided the smallest deviations to a significant degree of linear dimensions from the pattern, and TPM the largest. The intercanine dimension was reproduced with the lowest accuracy, and the intermolar the highest in each method. Conclusions: Traditional methods provided the highest reproduction trueness of the full dental arch and all analyzed linear dimensions. The intercanine dimension was reproduced with the lowest accuracy, and the intermolar the highest in each method, where digital methods shortened all analyzed linear dimensions

The efficacy of using ozone in dentistry – review

The aim of this article was to present the properties of ozone and its use in dentistry. Ozone is a chemical compound consisting of three atoms of oxygen with the molecular weight of 47.98 g/mol. It is an energy-rich and highly unstable form of oxygen. Ozone is a powerful oxidizer and it is strongly effective against bacteria, fungi, viruses and parasites. It has been used successfully in the field of medicine for more than a decade. There are several known actions of ozone on the human body, such as: immunostimulating and analgesic, antimicrobial, bioenergetic and biosynthetic. Based on its properties, ozone is being used in various fields in dentistry, such as caries prevention, endodontics, periodontology, prosthetics, orthodontics and oral surgery. Modern dentistry is moving towards the use of minimally invasive procedures. Ozone therapy is quite promising as it is less invasive, has a potent disinfectant property and has minimal adverse effects. Evidence based studies and clinical trials are still required.Celem niniejszej pracy jest zaprezentowanie właściwości, mechanizmu działania oraz skuteczności zastosowania ozonu we współczesnej stomatologii. Ozon jako alotropowa forma tlenu, o wzorze chemicznym O3, ma silne właściwości utleniające, co sprawia, że na jego działanie podatne są bakterie Gram-dodatnie, Gram-ujemne, wirusy, spory oraz komórki wegetatywne. Szerokie zastosowanie terapeutyczne w stomatologii ozon zawdzięcza właściwościom: przeciwdrobnoustrojowym, stymulującym układ odpornościowy, przeciwbólowym, detoksykacyjnym, antyhipoksyjnym, biosyntetycznym oraz biostymulującym. Ponadto znajduje zastosowanie w wielu dziedzinach stomatologii: w profilaktyce, stomatologii zachowawczej (wybielanie zębów, leczenie nadwrażliwości zębiny), endodoncji, stomatologii dziecięcej, ortodoncji, periodontologii i leczeniu chorób błony śluzowej jamy ustnej, protetyce oraz chirurgii stomatologicznej. Ozonoterapia, zarówno w postaci mieszaniny wodnej, jak i w formie gazowej, wspomaga efekty terapeutyczne, jednak dopracowania wymagają standardy jej zastosowania

Photobiomodulation Therapy in the Treatment of Oral Mucositis—A Case Report

In 2021, our group published a laboratory study on the impact of PBM on human gingival fibroblasts. The in vitro results confirmed the fact that the appropriately selected wavelength and properly selected parameters of the laser settings can increase cell proliferation, modulate inflammatory markers, and decrease the susceptibility of human gingival fibroblasts to apoptosis. Therefore, this case report was aimed at the clinical evaluation of the proposed settings and treatment regimen in a very difficult situation of an immunocompromised patient with extensive changes and stagnation of symptoms for many weeks. A 65-year-old man, during his oncological treatment, was diagnosed with oral mucositis grade 3 according to the World Health Organization and National Cancer Institute scales. Due to pain sensation, long-lasting and not healing oral lesions, and problems with solid food intake, he was qualified for laser photobiomodulation therapy. For the management of oral lesions, a diode laser 635 nm (SmartMPro, Lasotronix, Poland) was intraorally applied at an energy density of 4 J/cm2, the 20 s of irradiation, the output power of 100 mW, and in continuous wave mode. Seven treatment procedures were performed two times a week using the spot technique in contact and non-contact mode. Within 21 days of monotherapy, all ailments disappeared. The patient was also able to reuse dental dentures and return to a solid diet. The obtained results confirm the efficiency of at least 3 PBM protocols. Our case shows that the use of PMB therapy contributes to faster healing of painful oral lesions in oncological patients, and thus the treatment time and return to the appropriate quality of life is shorter

Neonatal DSP-4 Treatment Impairs 5-HT\u3csub\u3e1b\u3c/sub\u3e Receptor Reactivity in Adult Rats. Behavioral and Biochemical Studies

To examine the effect of a central noradrenergic lesion on the reactivity of the 5-HT1B receptor we compared intact male rats with rats in which noradrenergic nerve terminals were largely destroyed with the neurotoxin DSP-4 (50 mg/kg × 2, on the 1st and 3rd days of postnatal life). When rats attained 10 weeks of age, control and DSP-4 rats were divided into two subgroups receiving either saline or the serotonin (5-HT) synthesis inhibitor (p-chlorophenylalanine; p-CPA; 100 mg/kg). Employing an elevated plus maze test, we demonstrated that CP 94,253 (5-propoxy-3-(1,2,3,6-tetrahydro-4-pyridinyl)-1H-pyrrolo[3,2-b]pyridine hydrochloride)(4.0 mg/kg; 5-HT1B agonist) induced an anxiogenic-like action in control rats; however, it failed to elicit this effect in the DSP-4 group. Surprisingly, in p-CPApretreated rats anxiogenic-like activity was observed both in control and DSP-4 treated rats. CP 94,253 significantly attenuated 5-HT synthesis in the medial prefrontal cortex (mPFC) of control rats, and SB 216641 (N-{3-[3-(dimethylamino) ethoxy]-4-methoxyphenyl}-2\u27-methyl-4\u27-(5-methyl-1,2,4-oxadiazol-3-yl)-[1,1\u27-biphenyl]-4-carboxamide hydrochloride) (4.0 mg/kg; 5-HT1B antagonist) was able to antagonize this effect. Conversely, CP 94,253 failed to significantly inhibit the 5-HT synthesis rate in DSP-4-treated rats. In the microdialysis study CP 94,253 induced long-lasting attenuation of 5-HT release in the mPFC of control rats but had no effect in DSP-4 rats. These data lead to the proposal that presynaptic 5-HT1B autoreceptors underwent desensitization in DSP-4 treated rats