Evaluation of tissue response to periodontal dressings: histological study in tooth sockets of rats

Although the use of periodontal dressings is currently limited, there are some indications for their use. Selection of any material that will have direct contact with live tissues, such as periodontal dressings, should be careful in order to allow surgical wound healing. The aim of this study was to evaluate the intensity of inflammatory response and bone formation in tooth sockets of rats after implantation of three periodontal dressings. After removal of the right maxillary incisors of 84 male rats, each tooth socket received implantation of a polyethylene tube, 63 of which were filled with non-eugenol periodontal dressing and the remaining 21 tubes remained empty (control group). Histological evaluation assessed the intensity of inflammatory response and presence and location of bone tissue formation at postoperative periods of 7, 14 and 28 days. Statistical analysis was performed by the Kruskal-Wallis test at 5% significance level. Regarding the inflammatory infiltrate, at 28 days, there was statistically significant difference between one of periodontal dressings and control group (

Análise da ação do laser em baixa intensidade sobre o processo de reparo após reimplante dentário: estudo histomorfométrico e imunoistoquímico

O sucesso do reimplante dentário, mesmo nos dias atuais, é limitado, pois grande parte dos dentes é perdida devido à reabsorção radicular progressiva, justificando a busca de novas estratégias que possam controlar esse problema. Assim, foi objetivo deste estudo, avaliar por meio de análise histomorfométrica e imunoistoquímica, a ação do laser em baixa intensidade (LLLT) sobre o processo de reparo após reimplante dentário em ratos. Sessenta ratos (Rattus norvegicus albinus, Wistar) tiveram seus incisivos superiores direitos extraídos e foram aleatoriamente divididos em seis grupos: C0, C30 e C45 considerados controles, onde o reimplante dentário foi realizado imediatamente, trinta e quarenta e cinco minutos após a exodontia respectivamente, sem nenhum tratamento do ligamento periodontal remanescente e L0, L30 e L45, onde o reimplante foi realizado nos mesmos tempos extra-alveolares dos controles, porém a superfície radicular e alvéolo, com remanescentes do ligamento periodontal, foram tratados com LLLT (Arseneto de Gálio e Alumínio) antes do reimplante. Os animais foram eutanasiados após 60 dias. Os resultados evidenciaram reabsorções radiculares externas por substituição e inflamatória em todos os grupos, não apresentando diferença significativa entre o grupo controle e tratado em cada período de tempo extra-alveolar (P>0,05). A anquilose, porém, foi maior no grupo L30 em comparação com o C30 (P0.05) between the treatment modalities when used for tooth replantation in each extra-alveolar period, but anchylosis was bigger in L30 (P<0.05) comparing to C30. Immunohistochemical analysis showed predominant expression of RANKL on RANK and OPG in the immediate replant (p<0.05). At 45 minutes extra-alveolar time, there was predominant expression of RANKL on RANK (p<0.05). TRAP protein showed predominant expression in the LLLT groups in immediate replant and 30 minutes extra-alveolar time (P<0.05). These results suggest that the treatment of root surface and dental sockets with LLLT, in this study specification, were not able to prevent root resorption in tooth... (Complete abstract click electronic access below

Avaliação da resposta tecidual a cimentos cirúrgicos: estudo histológico realizado em alvéolo dental de ratos

Os materiais odontológicos estão presentes em todas as especialidades. Na periodontia, aliado a uma técnica cirúrgica criteriosa, os cimentos cirúrgicos são materiais que ocupam posição importante. A proposta deste estudo foi avaliar a intensidade da resposta inflamatória e a deposição óssea em alvéolos de ratos após o implante dos cimentos cirúrgicos Coe-pak®, Perio Bond® e Voco pac®. Seguindo a remoção dos incisivos superiores direitos de 84 ratos machos (Rattus norvegicus albinus, Wistar), implantou-se em cada alvéolo um tubo de polietileno dos quais 63 estavam preenchidos com os cimentos e os restantes 21 tubos estavam vazios, compondo o grupo controle. A avaliação histológica considerou o número de células inflamatórias, a neoformação angioblástica, a densidade de fibroblastos e a presença e localização da deposição de tecido ósseo nos períodos pós-operatórios de 7, 14 e 28 dias. A análise estatística dos dados obtidos foi realizada utilizando-se Análise de Variância e teste de Krukal-Wallis. No critério infiltrado inflamatório, aos 28 dias, houve diferença estática significativa (p<0,01) entre o cimento Voco pac® e o grupo controle. Quanto à presença e localização da deposição de tecido ósseo houve diferença no grupo controle, comparando os períodos de 7 e 28 dias (p<0,01). Na associação de todos os critérios avaliados, o cimento Perio Bond® apresentou resultado menos favorável, significativamente diferente (p<0,01) do grupo controle. Respeitadas as condições experimentais deste estudo, pode-se concluir que o cimento Voco pac® evidenciou aos 28 dias maior número de células inflamatórias; enquanto cimentos Coe-pak® e Perio Bond® demonstraram comportamentos semelhantes ao grupo controle e considerando-se a associação dos resultados de todos os critérios nos períodos analisados neste estudo, o cimento Perio Bond®...The purpose of this investigation was to investigate the inflammatory tissue reaction and bone deposition in rat's dental sockets in the presence of three periodontal dressing (Coe-pak®, Perio Bond® e Voco pac®). After the exodontic removal of the right upper incisors of the eighty-four male rats, one polyethylene tube was implanted in each dental socket. Twenty one of these were empty and the other sixty-three tubes were fulfilled with periodontal dressings. The number of inflammatory cells, angioblastic neoformation, fibroblastic density and bone neoformation were evaluated after 7, 14 and 28 days. Significant differences (p<0.05) were observed in the number of inflammatory cells at 28 days, when Voco pac® was implanted. Considering bone neoformation, there was significant difference (p<0.01) between 7 and 28 days, in control group. When all events evaluated were associated, Perio Bond® showed the most severe response, which was staticcally different (p<0.01) from the control group. The following conclusions were obtained: after 28 days, Voco pac® presented at 28 days the greater number of inflammatory cells, while Coe-pak® and Perio Bond® periodontal dressings showed same number of the control group and when all events an periods of time were associated, Perio Bond® showed the most severe inflammatory response

Evaluation of tissue response to periodontal dressings: histological study in tooth sockets of rats

Although the use of periodontal dressings is currently limited, there are some indications for their use. Selection of any material that will have direct contact with live tissues, such as periodontal dressings, should be careful in order to allow surgical wound healing. The aim of this study was to evaluate the intensity of inflammatory response and bone formation in tooth sockets of rats after implantation of three periodontal dressings. After removal of the right maxillary incisors of 84 male rats, each tooth socket received implantation of a polyethylene tube, 63 of which were filled with non-eugenol periodontal dressing and the remaining 21 tubes remained empty (control group). Histological evaluation assessed the intensity of inflammatory response and presence and location of bone tissue formation at postoperative periods of 7, 14 and 28 days. Statistical analysis was performed by the Kruskal-Wallis test at 5% significance level. Regarding the inflammatory infiltrate, at 28 days, there was statistically significant difference between one of periodontal dressings and control group (p<0.05). Analysis of postoperative periods, showed that the control group presented statistically significant reduction in the inflammatory infiltrate comparing the 14- and 28-day periods (p<0.05). Regarding bone tissue formation, there was difference in control group between the 7- and 28-day periods (p<0.05). Within the experimental conditions, it may be concluded that no differences were found in the inflammatory response among the groups at 7 and 14 days and that Voco pacTM dressing induced a more intensive inflammatory reaction at 28 days

Overdenture as a restorative option for hypocalcified-hypoplastic amelogenesis imperfecta: a case report.

AIM: The aim of this report is to describe the restorative treatment of an 18-year-old patient diagnosed with autosomal recessive hypocalcified-hypoplastic amelogenesis imperfecta (AI). BACKGROUND: Esthetic and functional rehabilitations in AI cases are challenging and should consider individual aspects, such as age, socioeconomic status, AI type, and intraoral condition. REPORT: AI was diagnosed in an 18-year-old patient. SUMMARY: Considering the short length of crowns and roots, patient life expectancy, minimal invasiveness, amount of treatment time required, and lower costs, oral rehabilitation with overdentures provided an adequate functional and esthetic rehabilitation of the patient. CLINICAL SIGNIFICANCE: This report demonstrated overdentures to be a viable, relatively inexpensive, and non-invasive treatment choice of a patient with AI with concerns about treatment longevity, invasiveness, cost, esthetics, and long-term maintenance

Integrated clinical treatment of gingival recession secondary to root perforation: case report.

Among the factors that influence the success of treatment of a root perforation, its location and possibility of contamination are determinant because the interaction of these 2 factors may result in significant periodontal injury. The management of cases of hard-to-reach contaminated perforations depends on the choice of an adequate technique. In the case reported in this article, controlled orthodontic tooth extrusion was successfully performed to treat gingival recession secondary to root perforation. The outcomes showed that this technique preserves the zone of attached gingiva, maintains the crown height, and prevents the involvement of the supporting bone tissue. The favorable clinical and radio?graphic conditions after 7 years of follow-up demonstrate the viability of this treatment approach

Effect of the treatment of root surface-adhered necrotic periodontal ligament with propolis or fluoride in delayed rat tooth replantation

Objectives: The purpose of this study was to evaluate the application of 15 % propolis and 2 % acidulated-phosphate sodium fluoride solutions on the root surface-adhered necrotic cemental periodontal ligament in delayed tooth replantation. Materials and methods: Thirty Wistar rats (Rattus norvegicus, albinus) had their right upper incisor extracted and maintained in dry storage for 60 min. After this period, the dental papilla, enamel organ, and pulp tissue were removed, and the animals were randomly assigned to three groups: group I = immersion in saline for 10 min; group II = immersion in a 2 % acidulated-phosphate sodium fluoride solution for 10 min; and group III = immersion in a 15 % propolis and propylene glycol solution for 10 min. The root canals were filled with a calcium hydroxide paste and the teeth were replanted. Results: Inflammatory resorption, replacement resorption, and ankylosis were observed in all groups without a statistically significant difference (p > 0.05) among them. Conclusions: Under the tested conditions, the application of fluoride or propolis on root surface-adhered necrotic periodontal ligament did not favor the healing process in delayed tooth replantation. © 2013 Springer-Verlag Berlin Heidelberg