Prenatal Fumonisin Exposure Impairs Bone Development via Disturbances in the OC/Leptin and RANKL/RANK/OPG Systems in Weaned Rat Offspring.

The goal of the current study was to examine the effects of prenatal exposure to fumonisins (FBs) on bone properties and metabolism in weaned rat offspring divided into groups intoxicated with FBs at either 0 (the 0 FB group), 60 (the 60 FB group), or 90 mg/kg b.w. 0 (the 90 FB group). Female and male offspring exposed to FBs at a dose of 60 mg/kg b.w. had heavier femora. Mechanical bone parameters changed in a sex and FBs dose-dependent manner. Growth hormone and osteoprotegerin decreased in both sexes, regardless of FBs dose. In males osteocalcin decreased, while receptor activator for nuclear factor kappa-Β ligand increased regardless of FBs dose; while in females changes were dose dependent. Leptin decreased in both male FBs-intoxicated groups, bone alkaline phosphatase decreased only in the 60 FB group. Matrix metalloproteinase-8 protein expression increased in both female FBs-intoxicated groups and decreased in male 90 FB group. Osteoprotegerin and tissue inhibitor of metalloproteinases 2 protein expression decreased in males, regardless of FBs dose, while nuclear factor kappa-Β ligand expression increased only in the 90 FB group. The disturbances in bone metabolic processes seemed to result from imbalances in the RANKL/RANK/OPG and the OC/leptin systems.

Streptococcus sobrinus as a Predominant Oral Bacteria Related to the Occurrence of Dental Caries in Polish Children at 12 Years Old.

Dental caries is listed by the WHO as one of the major non-communicable diseases that need to be prevented and treated. The aim of the study was to evaluate the prevalence and severity of caries expressed as the Decayed, Missing and Filled Permanent Teeth (DMFT) index in 12-year-old Polish children and to verify bacterial species related to the occurrence of dental caries. Quantitative real-time PCR analysis of DNA isolated from saliva samples was performed to detect 8 cariogenic and periopathogenic bacterial strains. A total of 118 Polish children were enrolled in the study. They had low mean DMFT scores of 1.58 ± 1.98. The prevalence of dental caries in the children tested was low (53.4%), with a tendency to decrease compared to previous oral surveys. Bacterial abundance of other species in the dental caries and caries-free groups did not differ; however, periopathogenic Prevotella pallens, Fusobacterium nucleatum along with cariogenic Streptococcus mutans and Lactobacillus fermentum were significantly strongly correlated in the caries-active subjects. The prevalence of S. sobrinus was significantly higher in children with dental caries (p = 0.023) and correlated with higher DMFT. It may temporarily play an important role in the initiation of the cariogenic process or in its enhancement due to an ecological imbalance in dental microbiota.

Trabecular Bone Parameters, TIMP-2, MMP-8, MMP-13, VEGF Expression and Immunolocalization in Bone and Cartilage in Newborn Offspring Prenatally Exposed to Fumonisins.

Fumonisins are protein serine/threonine phosphatase inhibitors and potent inhibitors of sphingosine N-acyltransferase (ceramide synthase) disrupting de novo sphingolipid biosynthesis. The experiment was conducted to evaluate the effects of fumonisins (FB) exposure from the 7th day of pregnancy to parturition on offspring bone development. The rats were randomly allocated to either a control group (n = 6), not treated with FBs, or to one of the two groups intoxicated with FBs (either at 60 mg FB/kg b.w. or at 90 mg FB/kg b.w. Numerous negative, offspring sex-dependent effects of maternal FB exposure were observed with regards to the histomorphometry of trabecular bone. These effects were due to FB-inducted alterations in bone metabolism, as indicated by changes in the expression of selected proteins involved in bone development: tissue inhibitor of metalloproteinases 2 (TIMP-2), matrix metalloproteinase 8 (MMP-8), matrix metalloproteinase 13 (MMP-13), and vascular endothelial growth factor (VEGF). The immunolocalization of MMPs and TIMP-2 was performed in trabecular and compact bone, as well as articular and growth plate cartilages. Based on the results, it can be concluded that the exposure of pregnant dams to FB negatively affected the expression of certain proteins responsible for bone matrix degradation in newborns prenatally exposed to FB in a dose- and sex-dependent manner.

The Effects of Prenatal Supplementation with ß-Hydroxy-ß-Methylbutyrate and/or Alpha-Ketoglutaric Acid on the Development and Maturation of Mink Intestines Are Dependent on the Number of Pregnancies and the Sex of the Offspring.

Prenatal and postnatal supplementation with ß-hydroxy-ß-methylbutyrate (HMB) and alpha-ketoglutaric acid (AKG) affects the development and maturation of offspring. Both substances have the potential to stimulate cell metabolism via different routes. However, parity affects development and may alter the effects of dietary supplementation. This study aimed to evaluate the effect of gestational supplementation with HMB and/or AKG to primiparous and multiparous minks on the structure and maturation of the offspring's small intestine. Primiparous and multiparous American minks (Neovison vison), of the standard dark brown type, were supplemented daily with HMB (0.02 g/kg b.w.) and/or AKG (0.4 g/kg b.w.) during gestation (n = 7 for each treatment). Supplementation stopped when the minks gave birth. Intestine samples were collected from 8-month-old male and female offspring during autopsy and histology and histomorphometry analysis was conducted (LAEC approval no 64/2015). Gestational supplementation had a long-term effect, improving the structure of the offspring's intestine toward facilitating absorption and passage of intestinal contents. AKG supplementation affected intestinal absorption (enterocytes, villi and absorptive surface), and HMB affected intestinal peristalsis and secretion (crypts and Goblet cells). These effects were strongly dependent on parity and offspring gender. Present findings have important nutritional implications and should be considered in feeding practices and supplementation plans in animal reproduction.

The Protective Role of Alpha-Ketoglutaric Acid on the Growth and Bone Development of Experimentally Induced Perinatal Growth-Retarded Piglets.

The effect of alpha-ketoglutaric acid (AKG) supplementation to experimentally-induced, perinatal growth-retarded piglets was examined. Sows were treated with a synthetic glucocorticoid (Gc) during the last 25 days of pregnancy, and after the birth, piglets were randomly divided into three groups depending on the treatment. The Gc/Gc + AKG and Gc/AKG groups born by Gc-treated sows after the birth were treated with Gc or Gc + AKG for 35 days. Significantly lower serum growth hormone, IGF-I, osteocalcin, leptin, and cortisol concentrations were observed in the Gc/Gc + AKG group, while the bone alkaline phosphatase activity was significantly higher. Serum insulin concentration was higher in the control group. Serum alanine, lysine, histidine, and tryptophan concentrations were higher in the Gc/Gc + AKG and Gc/AKG groups. The perinatal action of Gc significantly affects histomorphometry of articular cartilage and trabecular bone and bone mechanics. The results clearly showed that dietary AKG had positive effects with regards to the profile of free amino acids. Taking into account the function of AKG as an energy donor and stimulator of collagen synthesis, it can be concluded that the anabolic role of AKG may be the main mechanism responsible for its protective effect against the GC-induced perinatal intensified catabolic state.

Near-Surface Studies of the Changes to the Structure and Mechanical Properties of Human Enamel under the Action of Fluoride Varnish Containing CPP-ACP Compound.

Changes to the features of the enamel surface submitted to induced demineralisation and subsequent remineralisation were studied. The in vitro examination was conducted on polished slices of human molar teeth, divided in four groups: the untreated control (n = 20), challenged by a demineralisation with orthophosphoric acid (H3PO4) (n = 20), and challenged by a demineralisation following remineralisation with fluoride (F) varnish containing casein phosphopeptides (CPP) and amorphous calcium phosphate (ACP) compounds (n = 20). The specimens' enamel surfaces were subjected to analysis of structure, molecular arrangement, mechanical features, chemical composition, and crystalline organization of apatite crystals. Specimens treated with acid showed a significant decrease in crystallinity, calcium, and phosphorus levels as well as mechanical parameters, with an increase in enamel surface roughness and degree of carbonates when compared to the control group. Treatment with fluoride CPP-ACP varnish provided great improvements in enamel arrangement, as the destroyed hydroxyapatite structure was largely rebuilt and the resulting enamel surface was characterised by greater regularity, higher molecular and structural organisation, and a smoother surface compared to the demineralised one. In conclusion, this in vitro study showed that fluoride CPP-ACP varnish, by improving enamel hardness and initiating the deposition of a new crystal layer, can be an effective remineralising agent for the treatment of damaged enamel.

Chronic dietary supplementation with kynurenic acid, a neuroactive metabolite of tryptophan, decreased body weight without negative influence on densitometry and mandibular bone biomechanical endurance in young rats.

Kynurenic acid (KYNA) is a neuroactive metabolite of tryptophan. KYNA naturally occurs in breast milk and its content increases with lactation, indicating the role of neonatal nutrition in general growth with long-term health effects. KYNA is also an antagonist of ionotropic glutamate receptors expressed in bone cells. The aim of this study was to establish the effects of chronic KYNA supplementation on bone homeostasis in young rats, using mandible as a model bone. Female and male newborn Wistar rats were divided into control and KYNA-administered groups until 60 days of age (25x101 mg/L or 25x102 mg/L in drinking water). Hemimandibles were subjected to densitometry, computed tomography analysis and mechanical testing. Rats supplemented with KYNA at both doses showed a decrease in body weight. There were no effects of KYNA administration and mandible histomorphometry. In males, a significant quadratic effect (P < 0.001) was observed in the densitometry of the hemimandible, where BMD increased in the group supplemented with 2.5x101 mg/L of KYNA. Analysis of mechanical tests data showed that when fracture forces were corrected for bone geometry and rats body weight the improvement of bone material properties was observed in male and female rats supplemented with lower dose of KYNA. This study showed that chronic supplementation with KYNA may limit weight gain in the young, without adversely affecting the development of the skeleton.

Surface analysis of etched enamel modified during the prenatal period.

Structural changes in the enamel surface subjected to induced demineralization and assessment of the influence of prenatal administration of ß-hydroxy ß-methylbutyrate (HMB) on enamel resistance were investigated. The examination was conducted on five sets of teeth from one-day-old spiny mice (Acomys cahirinus), one from the control and four from the experimental groups. Surface structure, molecular arrangement and crystalline organization of offspring's enamel both before and after etching were studied. Obtained results revealed that the physical and molecular arrangements of enamel were altered after the prenatal supplementation, and significantly affected its final structure and resistance against acid action. The enamel of incisors from the offspring which mothers were supplemented with HMB in a high dose (0.2 g/kgbw) and in the late period of gestation (26th-39th day) showed the highest endurance against acid treatment demonstrating only vestigial changes in their surface structure after acid action. Comparing to the remaining experimental groups, it was characterized by a reduced roughness and fractal dimension, significantly lower degree of demineralization and simultaneous lack of notable differences in the Raman spectra before and after acid etching. The results suggest that an increased enamel resiliency was the effect of a relatively high degree of mineralization and higher organization of the surface.

Entamoeba gingivalis - prevalence and correlation with dental caries in children from rural and urban regions of Lublin Province, Eastern Poland.

INTRODUCTION: Entamoeba gingivalis, as the name implies. typically lives around the gumline of the teeth in the tartar and gingival pockets of the oral cavity. Pathogenicity of protozoa in the oral cavity is not completely understood. The occurrence in patients with a good state of the immune system usually does not cause any pathological changes. In the presentede survey, an increased incidence of Entamoeba gingivalis in conjunction with pathological changes in the oral cavity was found. OBJECTIVES: The aim of the study was to evaluate the prevalence of Entamoeba gingivalis in children treated in Department of Paediatric Dentistry of the Medical University in Lublin and its correlation with dental caries. MATERIAL AND METHODS: Diagnostic materials in the form of swabs were obtained from 154 children in the age 2-18 years old, treated in the Department of Paediatric Dentistry of the Medical University in Lublin. The main index for epidemiological surveys in oral health - DMFT (decayed, missed, and filled teeth) for permanent teeth and DMFT for deciduous teeth was calculated. RESULTS: The average number of Entamoeba gingivalis in urban children was 12.84. The DMFT number in the deciduous teeth was lower in urban patients (5.0) than from rural patients (5.4). The DMFT number in the permanent teeth was lower in urban patients (3.155) than rural patients (3.98). There was no statistically significant correlation between the DMFT value and the number of Entamoeba gingivalis. CONCLUSIONS: 1) Entamoeba gingivalis occurs in the oral cavity of children. 2) In the presented survey, both DMFT and dmft indexes were high which proves high activity of dental carious. 3) There was no significant statistical correlation observed between dental caries and the presence of Entamoeba gingivalis.

Problems with access to dental treatment for children with epilepsy.

INTRODUCTION: Epilepsy is a common medical disorder and due to a variety of barriers, people with epilepsy may not have access to needed healthcare services, particularly based on their place of residence. OBJECTIVES: The aim of the study was to assess access to dental treatment in children and adolescents with epilepsy in Lublin Voivodeship. MATERIAL AND METHODS: Clinical and questionnaire examinations were performed in 107 children and young people, of both sexes, in the ages between 6 and 18years old from the Lublin macroregion. RESULTS: The majority (77.57%) of respondents regularly visited a general practitioner. Most of the children did not undergo regular dental checkups. Children from the large cities significantly more often went to a dentist compared with examinees from a small town and from rural areas. According to the respondents 46.73% have encountered barriers to dental care of their child.

Evaluation of oral cavity condition with regard to decay in 18-year old from urban and rural areas in Podkarpackie Province, Poland.

INTRODUCTION: The studies have indicated the necessity to intensify dental health care in certain Polish provinces. The purpose of study was to evaluate dental condition and establish dental health needs in the population of 18-year old youth from urban and rural region in Podkarpackie Province, Poland. MATERIAL AND METHOD: Mean DMFT index (D-decayed, M-missing and F-filled teeth) was calculated as a key measure of dental decay and dental health needs identified. RESULTS: The results found the highest percentage of teeth affected by active decay (D) in the second molars, both upper and lower (>20%), the highest F score in the first and second maxillary and mandibular molars (>50% and >40% respectively), and the highest M score was observed in the first upper and lower molars. Mean DMFT score was 7.13. Higher scores were observed among the urban teenagers (DMFT=7.72 and D=2.86) compared to the teenagers from rural areas (DMFT=6.42 and D=1.37). The analysis of DMFT index with regard to gender found almost the same DMFT in males and females (males 7.15, females 7.12), and D, M and F scores differed slightly. No dental health needs were found in 36.67% examined, however 63.33% teenagers needed dental treatment. CONCLUSIONS: Professional prophylactic activities should be intensified in the group of children and teenagers living in Podkarpackie Province. A scheme of refunded fissure sealing of teeth should cover second molars as well. Professional dental health care should be extended in the group of teenagers attending vocational schools.

An Assessment of the Number of Cariogenic Bacteria in the Saliva of Children with Chemotherapy-Induced Neutropenia.

BACKGROUND: Anticancer therapy entails qualitative and quantitative changes in the physiological bacterial flora of the organism, including the oral microflora. OBJECTIVES: The aim of the study was to assess the number of cariogenic bacteria - Streptococcus mutans and Lactobacillus spp. - in the saliva of children with chemotherapy-induced neutropenia, and the relationship between the dynamics of neutrophils in the blood and the number of cariogenic bacteria in the saliva. MATERIAL AND METHODS: The study included 52 children aged 3-17.5 years, diagnosed with cancer and undergoing antineoplastic treatment. The control group comprised 52 generally healthy children matched for age and gender. Both groups underwent microbiological analysis of the saliva. The Dentocult SM Strip Mutans test (Orion Diagnostica, Espoo, Finland) was used to evaluate the number of Streptococcus mutans colonies in the saliva, while the Dentocult LB test (Orion Diagnostica) was used to assess the number of Lactobacillus spp. bacteria. The statistical analysis was carried out using STATISTICA 10 software (StatSoft Inc., Tulsa, USA). RESULTS: The statistical analysis using Kendall's tau test showed a significant inverse correlation between the number of neutrophils in the blood and the number of the Streptococcus mutans and Lactobacillus spp. colonies in the saliva of the children undergoing anticancer therapy. The highest titres of cariogenic bacteria in the saliva were observed during severe neutropenia, which was frequently observed between day 7 and day 21 of the chemotherapy course. CONCLUSIONS: A significant increase in the number of cariogenic bacteria in the saliva during episodes of chemotherapy-induced neutropenia suggests that the activity of dental caries increases in children undergoing antineoplastic treatment.

Life style and risk of development of dental caries in a population of adolescents.

INTRODUCTION: Oxygen is an essential element for sustaining the life of aerobes; however, in certain conditions it may be toxic for these organisms. This is due to so-called reactive oxygen species - ROS. Factors which cause the production of free radicals include ionizing radiation, UV radiation, high temperature, and hazardous substances, such as phenols, carbon monoxide, e.g. in smokers, also air pollution and drugs. OBJECTIVE: The objective of the study was analysis of the total antioxidant status (TAS) in stimulated and unstimulated saliva, according to the number of active carious lesions in generally healthy non-smokers aged 15-17. MATERIALS AND METHOD: The study covered 113 adolescents aged 15-17 in whom the state of dentition was evaluated using the DMFT (Decayed-Missing-Filled) index, and oral hygiene assessed based on the OHI-S (Oral Hygiene Index-Simplified) index. TAS in saliva was determined by means of a Randox Labolatories Ltd. test kit, by the spectrophotometric method. RESULTS: Based on the results of the study, it was found that in the population examined an increase in the number of carious lesions was accompanied by a significant decrease in the TAS, both in stimulated and unstimulated saliva. CONCLUSIONS. A health-promoting life style, maintenance of basic principles of oral hygiene and care of general health through the elimination of harmful habits decrease the risk of dental caries.

Oral hygiene in children suffering from acute lymphoblastic leukemia living in rural and urban regions.

INTRODUCTION AND OBJECTIVE: During acute lymphoblastic leukemia treatment, oral mucositis is a hugely important dental problem. In order to lower the risk of such complications, patients should take special care of their oral hygiene. The aim of this study was to assess the oral hygiene status in children with ALL during anti-cancer treatment protocols. MATERIALS AND METHODS: 78 children with ALL who were examined in 3 stages, and 78 generally healthy children, who constituted the control group, participated in the study. In the group of patients were 55 children from the rural environment and 23 children living in towns. Oral hygiene status was assessed with the use of the Oral Hygiene Simplified Index, Plaque Index, and Gingival Index. RESULTS: The average value of OHI-S index in children with ALL before the chemotherapy was 0.64 ± 0.85, the value of the Pl.I index was 0.59 ± 0.74, GI index value was 0.08 ± 0.34. In the period from 0.5-1.5 years, the anti-cancer therapy value indicators of oral hygiene in children with ALL developed as follows: OHI-S--0.49 ± 0.69, Pl.I--0.49 ± 0.67, GI--0.02 ± 0.13. CONCLUSIONS: Oral hygiene was significantly better in children with ALL than in children in the control group. The better condition of oral hygiene in children with ALL than children in the control group is the result of the oral hygiene regime that the children were following during cancer treatment protocols. Significantly higher GI in children with ALL, compared to children from the control group, was observed despite the better oral hygiene.

Passive smoking as an environmental health risk factor.

Initially, tobacco was considered as a decorative plant and only later began to be treated as a herb with special therapeutic properties. With time, it was found that tobacco had strong insecticidal and addictive properties. There also occurred reports about the negative influence of tobacco on human health. The World Health Organization (WHO) classifies smoking as a chronic, progressive disease which is also 'contagious'. It is also considered to be a neurobiotic addiction. Nicotine addiction does not cause changes in the behaviour or functioning of a smoker; however, it adversely affects his or her general health status and the health status of people within their environment. Passive smoking (so-called ETS--Environmental Tobacco Smoke), which means accompanying smokers negatively influences the health of passive smokers. Environmental tobacco smoke, on the one hand, is the result of spontaneous cigarette burning and, on the other hand, the result of the side-stream of cigarette smoke, as well as the smoke exhaled by active smokers. Health personnel should clearly and convincingly present the data concerning the adverse results of smoking, as well as the dangers of exposure to environmental tobacco smoke, thereby making their patients aware that breaking their addiction will not only be beneficial for their own health, but will also protect non-smokers in their environment from the adverse effects of exposure to environmental tobacco smoke.

Smoking and the level of nicotine addiction in relation to the state of hard dental tissues in young adults.

Nowadays, smoking is considered to be one of the unhealthiest human behaviours. The aim of this study was to evaluate the potential influence of smoking, as well as the degree of the addiction, on the health status of hard dental tissues in young adults. The study involved 148 randomly selected young adults. Mean age of the study subjects was 20 years ± 4 months. Questionnaire survey (6-grade Fagerstrom Nicotine Tolerance Questionnaire) and clinical examination were performed and the obtained results statistically analyzed. The mean value of 6-grade Fagerstrom Nicotine Tolerance Questionnaire was 2.298 ± 1.992. Of the studied population, 88.06% had no features of biological dependency. Mean DMF and DMFs Indexes were 11.31 ± 5.06 and 16.91 ± 10.65, respectively. It was established that in the study population, over 45% of the subjects smoked. However, there was no correlation found between smoking and gender, and no cause-eff ect relationship between smoking and hard dental tissues status as defined by DMF, DMFs values and their components. It was observed that in the case of people who began smoking at an earlier age, the degree of nicotine dependency was higher. None of the study subjects demonstrated features of heavy or pharmacological nicotine dependency.

Duchenne muscular dystrophy--a dental healthcare program.

Duchenne muscular dystrophy (DMD) is a genetically determined disease. The chief characteristic of this clinical syndrome is a progressive degeneration of particular groups of muscles. Initially there is physical impairment, contractures, and muscular atrophy. Subsequently, the disease immobilizes the patient (ages 9 to 14 years) and severe respiratory failure occurs due to chest and vertebral column deformity. We present principles for the dental care of patients with DMD. It is important to introduce dental and prophylactic treatment at a very early age for children with DMD.

Distant consequences of traumatic injuries to deciduous teeth--a case report.

The ever increasing number of injuries to deciduous teeth in children constitutes a serious problem in paedodontics. Among many factors that facilitate tooth injuries are malocclusions, and most specifically protrusions of upper incisors of Class II/1 according to Angle. This is a case report of a 6-year-old girl with irregularities of upper permanent incisors due to traumatic injuries to deciduous teeth. In view of the ongoing child development processes, medical check-ups following injuries to deciduous teeth should be undertaken once every two or three months. Since such injuries have an impact on the development of the masticatory organ, children should undergo medical inspection and observation immediately upon the completion of relevant post-trauma treatment.

Evaluation of stomatological needs of 8-year-old children connected with premature loss of deciduous teeth.

The study covered 106 eight-year-old children attending different schools in Lublin that do not provide dental care. The study evaluated decay frequency, DEF value and its components D, E, F, def value and its components d, e, f as well as treatment index for deciduous and permanent teeth. Additionally, it assessed the needs for orthodontic and prosthetic provisions connected with premature loss of deciduous teeth. The study found low treatment index, especially for deciduous teeth. Premature loss of deciduous teeth is an indication for prosthetic provision in the form of space retainers or partial dentures. Without prompt treatment different acquired facio-occlusal defects may develop.

Evaluation of the masticatory system condition with respect to the need for prosthetic treatment in the population of 35-44-year-olds from the Lublin Region.

An epidemiological study was carried out on the population of 59 subjects aged 35-4 (30 women, 29 men) living in Lublin. An evaluation of dentition status and degree of provision for prosthetic needs was done. We observed a remarkable frequency of dental caries, a large percentage of subjects with missing or damaged teeth (76.27%), and inadequate advancement of prosthetic treatment in 62.71% of subjects. Greater care for prosthetic treatment was observed among women than among men. Gaps within the maxilla were more often protected than those within the mandible.