Perspectives on regeneration of alveolar bone defects

Bone atrophy of the alveolar process is an important parameter in patients undergoing dental implants. There are several methods for preserving the alveolar process, with the autologous bone graft as the gold standard. Other approaches include the use of allografts, xenografts and synthetic bone grafts. In recent years, the use of stem cells has increased in importance. Th e most common type of stem cells used are mesenchymal stem cells from various sources, including bone marrow, adipose tissue and dental pulp. The discovery of induced pluripotent stem cells and the continued research on embryonic stem cells open new possibilities in this field. However, further research is needed to optimise protocols for isolation, diff erentiation and transplantation of cells with or without appropriate scaff olds, and to determine the correct clinical and therapeutic implications

Sexual Dimorphism in the Dimensions of Teeth in a Serbian Population

The study of teeth is of great interest to anthropologists, biologists, orthodontists and forensic scientists. The existence of sexual dimorphism in permanent teeth is a known phenomenon. Aim of this study was to analyze the presence of sexual dimorphism in the mesiodistal and vestibulolingual diameter of permanent teeth in the sample of Serbian population. Measurements were taken on plaster casts of 201 individuals of both sexes, ages between 18-25 years, using a digital caliper with 0.01 mm precision. The mesiodistal and vestibulolingual diameter of each permanent tooth was determined. A Student’s t-test and a Mann-Whitney U test were used to statistically analyze the obtained results. There were no statistically significant differences in the teeth crown diameter between the right and left side of the same dental arch. Majority of the teeth examined were larger in male than in female patients. Statistically significant difference in the mesiodistal diameter of male and female maxillary and mandibular canines was found. The results of this study indicate that there are significant differences in teeth size between sexes in Serbian population. Males have larger diameters in teeth crowns than females. Canines show the greatest dimorphism

Investigation of p-chloroaniline formation in the reactions between different endodontic irrigants

The aim of this study was to determine whether p-chloroaniline (PCA) is formed in the reactions of sodium hypochlorite (NaOCl) with final rinse chlorhexidine (CHX), QMix (combination of ethylenediaminetetraacetic acid (EDTA), CHX and detergent) and EDTA/CHX solutions by thin-layer chromatography (TLC), proton nuclear magnetic resonance (1H NMR) and infrared (IR) spectroscopy. Commercially available 5.25% NaOCl solution was mixed with 2% CHX and QMix in 1:1 (v/v) ratio at room temperature. Furthermore, 2% CHX was associated with 17% EDTA under the same experimental conditions. The obtained solutions were evaluated qualitatively for color changing, precipitate and/or bubble formation and analyzed by TLC chromatography. The association products were investigated by spectroscopic (1H NMR and IR) methods in order to determine whether they contain PCA. It was found that interactions between NaOCl/CHX and CHX/EDTA led to forming of brown and white precipitate. When NaOCl was mixed with QMix, an orange-brown precipitate was formed. PCA was not detected as a product of the reactions between NaOCl and final rinse solutions of CHX, QMix and EDTA/CHX association.Publishe

Varijacija profila citokina u gingivalnoj zglobnoj tečnosti između različitih grupa parodontalno zdravih zuba

Profiling of biomarkers of physiological process represents an integrative part in optimisation of diagnostic markers in order to adjust the diagnostic ranges to the potential effects of the local factors such occlusal forces in case of periodontal tissues. The objective of this study was estimation of IL-1β, IL-2, IL-4, IL-5, IL- 6, IL-9, IL-10, IL-12, IL-13, IL-17, IL-22, TNFα and IFNγ concentrations in gingival crevicular fluid samples (GCF) between different groups of teeth. Two hundred fifty-nine systemically healthy non-smokers having at least one vital tooth without restorations, with healthy periodontal tissues, were clinically examined and the GCF sample was retrieved. The cytokine levels were estimated using flow cytometry and compared between central incisors (CI), lateral incisors, canines, first premolars, second premolars, first molars and second molars. Cytokine profiles varied between different groups of teeth with tendency of increase in proinflammatory cytokines from anterior teeth toward molars. Molars might be considered teeth with natural predisposition for faster bone resorption while the adjustment of diagnostic range of periodontal biomarkers for anterior or posterior teeth should be considered within diagnostic context. Cytokine profiles varied between different groups of teeth with tendency of increase in proinflammatory cytokines from anterior teeth toward molars. Molars might be considered teeth with natural predisposition for faster bone resorption while the adjustment of diagnostic range of periodontal biomarkers for anterior or posterior teeth should be considered within diagnostic context.Profilisanje biomarkera fiziološkog procesa predstavlja integrativni deo optimalizacije dijagnostičkih markera, kako bi se dijagnostički rasponi prilagodili potencijalnim uticajima lokalnih faktora poput okluzijskih sila u slučaju parodontalnih tkiva. Cilj ove studije bila je procena koncentracija IL-1b, IL-2, IL-4, IL-5, IL-6, IL-9, IL-10, IL-12, IL-13, IL-17, IL- 22, TNFα i IFNγ u uzorcima gingivalne tečnosti (GT) kod različitih grupa zuba. Klinički je pregledano dvesta pedeset devet sistemski zdravih nepušača sa najmanje jednim vitalnim zubom bez restauracija, sa zdravim parodontalnim tkivima, i uzet je GT uzorak. Nivoi citokina procenjeni su protočnom citometrijom i upoređeni između centralnih sekutića (CS), bočnih sekutića, očnjaka, prvih i drugih premolara, kao i prvih i drugih kutnjaka. Profil citokina varirao je između različitih grupa zuba sa tendencijom povećanja pro-upalnih citokina od prednjih zuba do kutnjaka. Molari se mogu smatrati zubima sa prirodnom predispozicijom za bržu resorpciju kosti, dok bi podešavanje dijagnostičkog raspona parodontalnih biomarkera za prednje ili zadnje zube trebalo razmotriti unutar dijagnostičkog konteksta

Variation of the cytokine profiles in gingival crevicular fluid between different groups of periodontally healthy teeth

© 2020, University of Kragujevac, Faculty of Science. All rights reserved. Profiling of biomarkers of physiological process represents an integrative part in optimisation of diagnostic markers in order to adjust the diagnostic ranges to the potential effects of the local factors such occlusal forces in case of periodontal tissues. The objective of this study was estimation of IL-1β, IL-2, IL-4, IL-5, IL6, IL-9, IL-10, IL-12, IL-13, IL-17, IL-22, TNFα and IFNγ concentrations in gingival crevicular fluid samples (GCF) between different groups of teeth. Two hundred fifty-nine systemically healthy non-smokers having at least one vital tooth without restorations, with healthy periodontal tissues, were clinically examined and the GCF sample was retrieved. The cytokine levels were estimated using flow cytometry and compared between central incisors (CI), lateral incisors, canines, first premolars, second premolars, first molars and second molars. Cytokine profiles varied between different groups of teeth with tendency of increase in proinflammatory cytokines from anterior teeth toward molars. Molars might be considered teeth with natural predisposition for faster bone resorption while the adjustment of diagnostic range of periodontal biomarkers for anterior or posterior teeth should be considered within diagnostic context. Cytokine profiles varied between different groups of teeth with tendency of increase in proinflammatory cytokines from anterior teeth toward molars. Molars might be considered teeth with natural predisposition for faster bone resorption while the adjustment of diagnostic range of periodontal biomarkers for anterior or posterior teeth should be considered within diagnostic context

Non-invasive treatment of multiple enamel hypoplasia: A case report

Objective. Enamel hypoplasia is a quantitative disorder of enamel deposition during the secretory phase and is characterised by a deficiency of the enamel, while hypomineralization is a qualitative disorder caused by incomplete mineralization and maturation of the enamel, followed by the porosity of the solid dental tissues and the opalescent tooth colour. Clinically, hypoplasia is a risk for caries, tooth sensitivity, erosion, and affects the aesthetic appearance of a patient with a psychological connotation. The aim of the paper is to present the case report, the possibility of preventive measures and restorative treatments with minimally invasive requirements in these patients. Methods. At the Faculty of Medical Sciences, University of Kragujevac, in March 2018, a thirteen-year-old boy was diagnosed with isolated hypoplastic enamel defects on teeth 24, 25, 26, 33 and 34. Results. Enamel hypoplasia was diagnosed by anamnesis, clinical and radiological examination. Preventive measures and conservative interventions were used to prevent progressive abrasion and early tooth loss due to caries and its complications. Conclusion. Early diagnosis, timely preventive methods and minimally invasive restorative treatment can correct anomalies and prevent possible complications.Publishe

Estimating the Effects of Dental Caries and Its Restorative Treatment on Periodontal Inflammatory and Oxidative Status: A Short Controlled Longitudinal Study

Dental caries and periodontitis are among the most common health conditions that are currently recognized as growing socio-economic problems relating to their increasing prevalence, negative socio-economic impact, and harmful effects on systemic health. So far, the exact effects of caries and standard restorative materials on periodontal inflammatory and oxidative status are not established. The present study aimed to investigate the effect of caries and its restoration using standard temporary and permanent filling materials on a panel of 16 inflammatory and oxidative markers in gingival crevicular fluid (GCF) of periodontally healthy individuals, 7 (D7) and 30 (D30) days post-restoration, while the intact teeth represented the control. One hundred ninety systemically and periodontally healthy patients with occlusal caries underwent standard cavity preparation and restorations with one of six standard temporary or permanent restorative material according to indication and randomization scheme. Interleukin (IL)-2, IFN- g, IL-12, IL-17A, IL-13, IL-9, IL-10, IL-6, IL-5, IL-4, IL-22, TNF-a, IL1- b, thiobarbituric acid reactive substances, superoxide dismutase, and reduced form of glutathione were measured in GCF samples by flowcytometry and spectrophotometry in aid of commercial diagnostic assays. Caries affected teeth exhibited significantly increased IL-1 b, IL-17, IL- 22, and TBARS and decreased IL-9 concentrations compared to healthy controls. Treatment generally resulted in an increased antioxidant capacity with exception of zinc-polycarboxylate cement showing distinctive inflammatory pattern. Comparison of inflammatory and oxidative profiles in temporary and permanent restorations showed material-specific patterning which was particularly expressed in temporary materials plausibly related to greater caries extension. Caries affected teeth exhibited a balanced inflammatory pattern in GCF, with a general tendency of homeostatic re-establishment following treatment. Restorative materials did not provide specific pathological effects, although some material groups did exhibit significantly elevated levels of inflammatory and oxidative markers compared to healthy controls, while the material-specific patterning was observed as well

Cytotoxicity of Glass Ionomer Cement on Human Exfoliated Deciduous Teeth Stem Cells Correlates with Released Fluoride, Strontium and Aluminum Ion Concentrations

Stem cells from human exfoliated deciduous teeth (SHED) can be used as a cell-based therapy in regenerative medicine and in immunomodulation. Pulp from human deciduous teeth can be stored as a source of SHED. Glass ionomer cements (GICs) are commonly used in restorative dentistry and in cavity lining. GICs have lower biocompatibility and are cytotoxic for dental pulp cells. In this study, seven commonly used GICs were tested for their cytotoxic effects on SHED, for their potential to arrest mitosis in cells and induce chromosome aberrations, and were compared with the effects of composite. Fuji II, Fuji VIII, Fuji IX, Fuji plus and Vitrebond had significantly higher cytotoxic effects on SHED than composite. Only SHEDs that have been treated with Fuji I, Fuji IX, Fuji plus and composite recovered the potential for proliferation, but no chromosome aberrations were found after treatment with GICs. The cytotoxic effects of GICs on SHEDs were in strong correlation with combined concentrations of released fluoride, aluminum and strontium ions. Fuji I exhibited the lowest activity towards SHEDs; it did not interrupt mitosis and did not induce chromosome aberrations, and was accompanied by the lowest levels of released F, Al and Sr ions

Potential preservation of dental pulp stem cells

Dental pulp stem cells (DPSCs) as postnatal stem cells have recently been described. They are clonogenic cells, capable for self-renewal with high proliferative potential. Their multilineage potential and plasticity enables their differentiation into different kind of cells, such as osteoblasts, chondrocytes, adipocytes, muscle cells, neural cells, odontoblasts, cementoblasts and ameloblasts. DPSCs are an important human stem cells source, especially in patients who lost their chance for umbilical cord blood isolation and preservation. As these cells became useful for tissue engineering and cell therapy, proper mode of their preservation also became important. The most important points in the cryopreservation and recovery procedure are: growth phase of harvested cells, number of cells, the proper cryopreservative concentration and serum concentration. The cryopreservation process includes the following general components: harvesting of the cells, addition of cryopreservative, the freezing procedure, the thawing procedure and assessment of the viability prior to transplantation. There is no single and perfect cryopreservation method. Further investigations should be regarding capability of DPSCs and their differentiated cells to recover and restart proliferation, differentiation and new tissue production for therapeutic use after cryopreservation