Clinical and microbiological effects of quadrant versus full-mouth root planing-A randomized study

Background/purpose: Periodontitis is a destructive inflammatory disease of the tooth-supporting tissues caused mainly by Gram-negative microorganisms. Disruption and removal of the subgingival biofilm are the primary objectives of cause-related initial periodontal therapy. The aim of this study was to compare the clinical and microbiological effects after single-visit full-mouth debridement and quadrantwise therapy. Materials and methods: Forty patients diagnosed with chronic periodontitis were randomly assigned to one of the following two treatment protocols: (1) scaling and root planing, quadrant by quadrant, at 1-week intervals and (2) full-mouth scaling and root planing performed in 2 consecutive days. Plaque index, gingival index (GI), papilla bleeding index, probing depth, and clinical attachment level were used to assess the periodontal status of the patients. Polymerase chain reaction was used to determine the presence of Porphyromonas gingivalis, Tannerella forsythia, Prevotella intermedia, and Aggregatibacter actinomycetemcomitans in subgingival plaque. Results: Both treatment modalities resulted in significant clinical improvement, without evident difference between the two groups. Likewise, no differences were detected for selected target bacteria, except for A. actinomycetemcomitans, the level of which was reduced significantly in the full-mouth root planing (FMRP) group (P = 0.007). Conclusion: Results of the present study indicate similar clinical outcomes following both treatment modalities. Although all four species responded more favorably to FMRP, the only statistically significant decrease was recorded in the case of A. actinomycetemcomitans after therapy in this group of patients

Association of TNF-R2 (676T>G) single nucleotide polymorphism with head and neck cancer risk in the Serbian population

Tumor necrosis factor (TNF) which exerts its effects through two different receptors known as TNF-R1 and TNF-R2, is a major proinflammatory cytokine involved in the pathogenesis of different types of tumors. We have investigated whether polymorphisms in TNF-alpha (-308G>A), TNF receptor 1 (36A>G) and TNF receptor 2 (676T>G) genes modulate the susceptibility for oral squamous cell carcinomas (OSCCs) and basal cell carcinomas (BCCs) of the skin, two frequent types of head and neck cancers. Genotyping was done on 50 OSCC patients, 50 BCC patients and 60 healthy individuals, using PCR/RFLP. A significant difference in genotype and allele frequencies was found between patients and controls for the TNF-R2 polymorphism, in both OSCC and BCC. There was no statistically significant difference between patients and controls for TNF-alpha and TNF-R1 polymorphisms. Carriers of G allele had an approximately 2.5- and 5-fold higher risk for OSCC and BCC, respectively, in the Serbian population

Svileni i polipropilenski materijal za šavove u oralnoj hirurgiji - kolonizacija mikroorganizmima i kliničke karakteristike

Introduction/Objective The purpose of this study was to compare polypropylene and silk suture materials in terms of bacterial adherence and clinical features including the impact on soft tissue healing. Methods Ten healthy patients were included in this study. Unilateral upper and lower wisdom teeth were extracted at the same time and wounds were sutured with different threads (one monofilament - polypropylene - and one multifilament - silk suture). Stitches were removed seven days postoperatively. Real-time polymerase chain reaction was used to analyze bacterial adherence. Intraoperative handling and ease of removal were assessed with the help of Visual Analogue Scale. Landry healing index was used for evaluation of soft tissue healing. Results Significantly more pronounced bacterial adherence was found on silk compared to polypropylene sutures (p = 0.005). Superior intraoperative handling properties were registered suturing with polypropylene compared to silk (p = 0.005). Soft tissue healing was significantly better around polypropylene sutures, both on the third and the seventh postoperative day (p = 0.016). Patient discomfort was slightly higher for polypropylene sutures, but without statistical significance. Conclusion Polypropylene suture material showed significantly lower bacterial adherence and superior clinical features compared to silk, including better soft tissue healing.Uvod/Cilj Cilj ove studije bio je poređenje svilenog (SK) i polipropilenskog konca (PPK) u pogledu prijemčivosti za bakterije i kliničkih karakteristika, uključujući uticaj na zarastanje mekog tkiva u usnoj duplji. Metode U studiju je uključeno deset zdravih ispitanika kod kojih su hirurški izvađeni gornji i donji umnjak sa jedne strane istovremeno, a rane su ušivene različitim koncima (jedan monofilamentni - PPK i jedan polifilamentni - SK). Kvantifikacija bakterija na uzorcima konaca koji su uklonjeni sedam dana posle operacije urađena je metodom lančane reakcije polimeraze u realnom vremenu. Oralni hirurg je uz pomoć Vizuelne analogne skale ocenjivao lakoću intraoperativnog rukovanja, kao i lakoću uklanjanja konaca. Za procenu kvaliteta zarastanja mekog tkiva korišćen je indeks po Landriju. Rezultati Statistički značajno više bakterija nađeno je na svim uzorcima SK u poređenju sa PPK (p = 0,005). PPK se pokazao značajno lakšim za intraoperativno rukovanje u odnosu na SK (p = 0,005). Takođe, zarastanje mekog tkiva, 3. i 7. dana postoperativno, bilo je značajno uspešnije oko PPK nego oko SK (p = 0,016). Neprijatnost zbog prisustva konaca bila je veća kod primene PPK u odnosu na SK, ali bez statistički značajne razlike. Zaključak Polipropilenski konac je u odnosu na svileni konac pokazao značajno manju prijemčivost za bakterije i bolje kliničke karakteristike, uključujući i bolje zarastanje mekog tkiva. PR Projekat Ministarstva nauke Republike Srbije, br. 175075

The effect of injectable platelet-rich fibrin use in the initial treatment of chronic periodontitis

Introduction/Objective. The objective of the study was to investigate whether there are differences in therapeutic effect between initial treatments of chronic periodontitis [scaling and root planning (SRP)] alone and SRP in conjunction with injectable platelet-rich fibrin (I-PRF) application, comparing clinical parameters after three months. Methods. Twenty-four patients with chronic periodontitis who had at least two sites with probing pocket depth (PPD) ≥ 5 mm on contralateral side participated in the study. Using a split-mouth design, the patients were treated with SRP + I-PRF (study group) or SRP only (control group). The clinical parameters, clinical attachment level (CAL), gingival margin level (GML), PPD, bleeding on probing, and plaque index, were recorded on both sides. Results. Compared to baseline, both treatment modalities demonstrated an improvement in investigated clinical parameters. The mean value of CAL was reduced from 1.97 ± 0.75 (0.25–3.31) to 1.07 ± 0.44 (0.12–1.78) in the study group, whereas it decreased from 1.81 ± 0.66 (0.42–2.96) to 1.48 ± 0.55 (0.22–2.30) in the control group. Similarly, the corresponding values for GML and PPD showed statistically significant difference between the groups (p = 0.040 and p = 0.006, respectively). Conclusion. Regardless the limited number of patients in the study, initial periodontal therapy in conjunction with injectable platelet-rich fibrin proved to display significant improvement in all clinical parameters compared to initial periodontal therapy alone

Raman microspectroscopy: toward a better distinction and profiling of different populations of dental stem cells

Aim To characterize stem cells originating from different dental tissues (apical papilla [SCAP], dental follicle [DFSC], and pulp [DPSC]) and test the capacity of Raman microspectroscopy to distinguish between the three dental stem cell types. Methods SCAR DFSC, and DPSC cultures were generated from three immature wisdom teeth originating from three patients. Cell stemness was confirmed by inducing neuro-, osteo-, chondro-, and adipo-differentiaton and by mesenchymal marker expression analysis by flow-cytometry and real-time polymerase chain reaction. Cellular components were then evaluated by Raman microspectroscopy. Results We found differences between SCAP, DFSC, and DPSC Raman spectra. The ratio between proteins and nucleic acids (748/770), a parameter for discriminating more differentiated from less differentiated cells, showed significant differences between the three cell types. All cells also displayed a fingerprint region in the 600-700 cm(-1) range, and characteristic lipid peaks at positions 1440 cm(-1) and 1650 cm(-1). Conclusion Although different dental stem cells exhibited similar Raman spectra, the method enabled us to make subtle distinction between them

Klinički i mikrobiološki efekti kauzalne terapije parodontopatije

Introduction Periodontitis is a destructive inflammatory disease of the tooth-supporting tissues, primarily caused by Gram-negative microorganisms. Thus, the primary objective of cause-related initial periodontal therapy is disruption and removal of the subgingival biofilm. Objective The aim of this study was to evaluate the clinical and microbiological effects of the initial therapy in patients diagnosed with chronic periodontitis. Methods Forty patients with chronic periodontitis were included in the study. As a part of the clinical assessment undertaken prior to the initial therapy, as well as one month and three months post-therapy, plaque index, gingival index, papilla bleeding index, probing pocket depth and clinical attachment level were recorded. Microbiological testing was performed prior to the initial therapy and three months after therapy. Polymerase chain reaction assays were used to determine the presence of Porphyromonas gingivalis, Tannerella forsythensis, Prevotella intermedia and Aggregatibacter actinomycetemcomitans. Results All clinical parameters were significantly reduced after therapy. The prevalence of Aggregatibacter actinomycetemcomitans was reduced by 22.5%, which was a statistically significant decrease compared to the baseline. The prevalence of Porphyromonas gingivalis, Tannerella forsythensis and Prevotella intermedia tended to decrease after therapy; however, the difference did not reach statistical significance. Conclusion The results of the present study demonstrated the beneficial effects of the initial periodontal therapy on both the clinical and microbiological parameters.Uvod Parodontopatija je inflamatorno, destruktivno oboljenje potpornog aparata zuba uzrokovano uglavnom Gram-negativnim mikroorganizmima. Dezorganizacija i uklanjanje subgingivalnog biofilma je primarni cilj kauzalne terapije parodontopatije. Cilj ovog rada bio je da se procene klinički i mikrobiološki efekti kauzalne terapije kod osoba s parodontopatijom. Metode rada U studiju je uključeno 40 ispitanika s hroničnom parodontopatijom kod kojih je primenjena kauzalna terapija. Klinički parametri (plak-indeks, gingivalni indeks, indeks krvarenja iz papile, dubina parodontalnih džepova i nivo pripojnog epitela) beleženi su na početku istraživanja, kao i mesec dana i tri meseca posle terapije, dok su uzorci subgingivalnog dentalnog plaka analizirani na početku i tri meseca posle terapije. Za izolovanje Porphyromonas gingivalis, Tannerella forsythensis, Prevotella intermedia i Aggregatibacter actinomycetemcomitans korišćena je multipleks tehnika reakcije lančanog umnožavanja DNK (engl. polymerase chain reaction - PCR). Rezultati Rezultati istraživanja pokazuju statistički značajno smanjenje svih ispitivanih kliničkih parametara posle terapije. Prevalencija A. actinomycetemcomitans statistički je značajno smanjena za 22,5% posle lečenja. Prevalencija P. gingivalis, T. forsythensis i P. intermedia takođe je smanjena nakon terapije, ali to smanjenje nije bilo statistički značajno. Zaključak Rezultati ove studije pokazuju da se kauzalnom terapijom parodontopatije postižu znatna klinička i mikrobiološka poboljšanja.

Prevalence of Apical Periodontitis and Conventional Nonsurgical Root Canal Treatment in General Adult Population: An Updated Systematic Review and Meta-analysis of Cross-sectional Studies Published between 2012 and 2020

Introduction This study aimed to summarize data on apical periodontitis (AP) and nonsurgical root canal treatment (NSRCT) prevalence and risk factors related to age, gender, and quality of restorative and endodontic treatment in the general population from cross-sectional studies published between 2012 and 2020. Methods An electronic search was performed in the following databases: Web of Science, Scopus, and PubMed. The conducted literature search covered studies published between 2012 and 2020, without restrictions on language. The STROBE and NOS tools were used for quality assessment of the included studies. Results Sixteen articles were included in the review. In total, 200,041 teeth were examined. On average, 6.3% of teeth had AP, and 7.4% had NSRCT. Forty-one percent of RCT teeth had AP, and 3.5% of untreated teeth had AP. Female patients were less prone to AP in endodontically treated teeth only, compared with male patients (P < .001). Variable stratification of age subgroups among included studies prevented us from conducting a meta-analysis. An increase in AP frequency was found in teeth with inadequate restorative and endodontic treatment (P < .001 and P < .001, respectively). Because of high heterogeneity, these results should be taken with caution. Conclusions There is an increased AP prevalence in the adult general population compared with data from 2012 (6.3% versus 5.4%) in both endodontically treated (41.3% versus 35.9%) and untreated teeth (3.5% versus 2.1%). In addition, AP developed less frequently in female patients with endodontically treated teeth and in teeth with inadequate compared with adequate restorative and endodontic treatment.This is the peer-reviewed version of the article: Jakovljevic A, Nikolic N, Jacimovic J, Pavlovic O, Milicic B, Beljic-Ivanovic K, Miletic M, Andric M, Milasin J. Prevalence of Apical Periodontitis and Conventional Nonsurgical Root Canal Treatment in General Adult Population: An Updated Systematic Review and Meta-analysis of Cross-sectional Studies Published between 2012–2020. Journal of Endodontics. 2020;46(10):1371-1386.e8. [https://doi.org/10.1016/j.joen.2020.07.007

The 42nd Symposium Chromatographic Methods of Investigating Organic Compounds : Book of abstracts

The 42nd Symposium Chromatographic Methods of Investigating Organic Compounds : Book of abstracts. June 4-7, 2019, Szczyrk, Polan

Distribution of freshwater sponges in Serbia

As data on the distribution of freshwater sponges (Porifera, Demospongiae, Spongillida) in Serbia are extremely scarce, we investigated the main Serbian rivers and lakes with respect to Porifera occurrence, for which 17 lotic and 11 lentic water bodies were selected. Sponges were found in 11 of 17 rivers (62 specimens in total) and in 3 of 11 lakes/reservoirs (seven specimens in total). Classical morphological spicule analysis was coupled with polymerase chain reaction (PCR) and gene sequencing for species identification. Among the 69 collected specimens, five sponge species of the family Spongillidae have been identified: Ephydana fluviatilis (Linnaeus, 1759), Spongilla lacustris (Linnaeus, 1759), Ephydatia muelleri (Lieberklihn, 1856), Trochospongilla horrida Weltner, 1893, and Eunapius fragilis (Leidy, 1851). The most frequently found sponge in Serbian rivers was E.fluviatilis (45 % of all specimens), while the least frequent was E. fragilis (6% of all specimens). The Tisa river has the highest sponge diversity (four species). In lentic water bodies, only E.fluviatilis (four specimens) and S. lacustris (three specimens) were found. In general, sponges were infrequent and their abundance was low in Serbian fresh waters. While sponges seem to tolerate significant variations of physical and chemical parameters, some optimal values can be established

Lack of association between glutathione S-transferase M1 and T1 gene polymorphisms and susceptibility to preeclampsia: An updated systematic review and meta-analysis

Insufficient response to oxidative stress in placenta is proposed as a contributing factor for preeclampsia (PE) development. Glutathione S-transferases (GST) have significant role in detoxification processes. Conflicting results were published by several research groups regarding GST T1 and GST M1 deletion polymorphism as risk factors for PE. The aim of the present meta-analysis was to get a better understanding of the impact of these polymorphisms in preeclampsia development. To identify relevant case-control studies, the author team searched Clarivate Analytics Web of Science, Scopus, PubMed, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, major subject journals, and gray literature. Pooled odds ratios and 95% confidence intervals for GST M1 and GST T1 deletion polymorphism and preeclampsia were derived from random effects models. This meta-analysis included 10 eligible studies. The pooled analyses showed no association between GST M1/GST T1 deletion polymorphisms and susceptibility to PE. Even though high heterogeneity was founded among results for GST M1 and double null genotypes, Egger's and Begg's tests (0.17 and 0.18, respectively) revealed no statistical evidence of publication bias among included studies. The present updated systematic review and meta-analysis found no association between GST M1 and GST T1 deletion polymorphism and PE risk