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1.
J Cosmet Dermatol ; 19(6): 1361-1366, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31591822

RESUMO

BACKGROUND: Structural changes in collagen and elastin fiber density have been previously evaluated by qualitative histological studies; however, quantitative evaluations are lacking. AIM: To evaluate quantitative changes in collagen and elastin fibers in the vaginal wall in a porcine model after volumetric radiofrequency heating with an intravaginal applicator. METHODS: An animal model was used (domestic pig, multipara: 5.67 ± 0.94 deliveries, 3 years of age). Three pigs under general anesthesia were treated (8-minute, vaginal canal area) once per week for the course of three weeks. There were 2 follow-up evaluations at one and four weeks. Histology specimens were obtained via punch biopsy under ultrasound control. Ultrasound video measurements of the vaginal wall thickness were also obtained. Tissue samples were stained by H&E as well as stains for collagen and elastin fibers. RESULTS: Elastin (P < .001) and collagen (P < .01) fiber density increased after every treatment. The measured increase in fibers was highest at the one-week follow-up. Elastin accounted on average for 51.46 ± 16.86% of the tissue examined (increase of 36.8% points), while collagen accounted on average for 44.83 ± 18.92% (increase of 17.1% points). The number of synthetically active cells was increased by 16%. While vaginal wall thickness did show an increase of 1.66 mm (32%), this tendency was not statistically significant (P > .05). CONCLUSION: Results suggest that volumetric heating of vaginal tissue produced quantitative improvement in the connective tissue organization in a porcine study. Neocollagenesis and neoelastogenesis were observed with an increased number of synthetically active cells.


Assuntos
Colágeno , Elastina , Terapia por Radiofrequência , Vagina , Doenças Vaginais , Animais , Feminino , Colágeno/análise , Colágeno/biossíntese , Tecido Conjuntivo/patologia , Tecido Conjuntivo/efeitos da radiação , Modelos Animais de Doenças , Elastina/análise , Elastina/biossíntese , Terapia por Radiofrequência/instrumentação , Terapia por Radiofrequência/métodos , Sus scrofa , Vagina/patologia , Vagina/efeitos da radiação , Doenças Vaginais/patologia , Doenças Vaginais/terapia
2.
Photobiomodul Photomed Laser Surg ; 37(11): 715-721, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31580781

RESUMO

Objective: The purposes of this split-mouth pilot study were to investigate the efficacy of the Er:YAG laser use for the de-epithelialization of the palatal graft in the treatment of the multiple gingival recessions using the bilaminar procedure and also to evaluate the patient-reported esthetic outcomes after 6 months. Materials and methods: Five systemically healthy participants with total 28 bilateral-multiple adjacent maxillary Miller I recessions were included. The treatment was performed with the bilaminar technique [coronally advanced flap (CAF)+de-epithelialized free gingival graft]. De-epithelialization procedure was done with scalpel (control site) or Er:YAG laser (Versawave, Hoya ConBio, San Francisco, CA; 40 hz, 50 mJ/pulse), under water irrigation, noncontact mode (∼1 mm away from the target tissue) in sweeping motion with chisel-type laser (test site). Root coverage and patient-reported outcomes were evaluated at 6 months after the operations. Results: Clinical outcomes of the both treatment sites did not show any statistically significant differences except for the gingival thickness parameter. However, patient-reported outcomes regarding the esthetic appearance of the gingiva was detected in favor of the Er:YAG laser applied sites. Conclusions: Within the limits of the study, it can be concluded that both de-epithelialization techniques were highly effective at 6 months. However, Er:YAG laser-applied grafted sites revealed more uniform and esthetic gingival appearance compared with scalpel-used grafted sites.


Assuntos
Tecido Conjuntivo/efeitos da radiação , Epitélio/efeitos da radiação , Retração Gengival/cirurgia , Lasers de Estado Sólido , Retalhos Cirúrgicos , Adulto , Tecido Conjuntivo/cirurgia , Papila Dentária/cirurgia , Epitélio/cirurgia , Estética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Palato/cirurgia , Satisfação do Paciente , Projetos Piloto
3.
FEBS J ; 286(15): 2909-2920, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30958920

RESUMO

It is currently believed that stroma, the connective framework of biological tissues, plays a central role in normal wound healing and in cancer. In both these contexts, stromal cellular components such as activated fibroblasts interact with complex protein networks that include growth factors, structural protein or proteinases in order to initiate and sustain an extensive remodelling process. However, although this process is usually spatially and temporally self-limited, it is unregulated in the case of cancer and leads to uncontrolled cell proliferation and invasion within tissues, metastasis and therapeutic resistance. In this review, we outline the role of stroma in normal healing, cancer and post radiotherapy, with a particular focus on the crosstalk between normal or cancer cells and fibroblasts. Understanding these mechanisms is particularly important as several stromal components have been proposed as potential therapeutic targets.


Assuntos
Tecido Conjuntivo/metabolismo , Proteínas da Matriz Extracelular/metabolismo , Neoplasias/metabolismo , Lesões por Radiação/etiologia , Cicatrização , Animais , Tecido Conjuntivo/patologia , Tecido Conjuntivo/efeitos da radiação , Proteínas da Matriz Extracelular/genética , Humanos , Neoplasias/radioterapia , Lesões por Radiação/metabolismo , Radioterapia/efeitos adversos , Transdução de Sinais
4.
Lasers Med Sci ; 33(6): 1215-1223, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29623521

RESUMO

It is well established that laser phototherapy (LP) is contraindicated directly over cancer cells, due to its bio modulatory effects in cell and blood vessel proliferation. The aim of the present study was to analyze the influence of typical low-level laser therapy (LLLT) and high intensity laser therapy (HILT) and an in-between dose of 9 J on collagen fibers and blood vessels content in melanoma tumors (B16F10) implanted in mice. Melanoma tumor cells were injected in male Balb C mice which were distributed in four groups: control (no irradiated) or irradiated by 3, 9, or 21 J (150; 450, or 1050 J/cm2). LP was performed in daily sessions for 3 days with a InGaAlP-660 nm (mean output: 50 mW, spot size: 2 mm2). Tumor volume was analyzed using (1) picrosirius staining to quantify collagen fibers content and (2) Verhoeff's method to quantify blood vessels content. Tumor growth outcome measured in the 3-J group was not significantly different from controls. Nine and 21-J groups, presented significant and dose-dependent increases in tumor volume. Quantitative analysis of the intensity of collagen fibers and their organization in stroma and peri-tumoral microenvironment showed significant differences between irradiated and control group. Blood vessels count of 21-J group outnumbered the other groups. High doses (≥ 9 J) of LP showed a dose-dependent tumor growth, different collagen fibers characteristics, and eventually blood vessel growth, while a typical LLLT dose (3 J) appeared harmless on melanoma cell activity.


Assuntos
Tecido Conjuntivo/patologia , Tecido Conjuntivo/efeitos da radiação , Terapia com Luz de Baixa Intensidade/métodos , Melanoma Experimental/patologia , Animais , Proliferação de Células/efeitos da radiação , Colágeno Tipo I/metabolismo , Relação Dose-Resposta à Radiação , Colágenos Fibrilares/metabolismo , Masculino , Camundongos Endogâmicos BALB C , Coloração e Rotulagem , Células Estromais/patologia , Células Estromais/efeitos da radiação , Carga Tumoral/efeitos da radiação
5.
Lasers Med Sci ; 33(3): 513-521, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29181641

RESUMO

The purpose of this study was to evaluate the effects of low-level laser therapy (LLLT) on morphological aspects, IL-6 and IL-1ß expressions, as well as the distribution and organization of collagen in the tibialis anterior (TA) muscle of elderly rats submitted to cryoinjury. Histological photomicrographs were taken of TA muscles stained with HE and picrosirius red. Immunohistochemistry was used for the evaluation of IL-6 and IL-1ß. Male Wistar rats, aged 20 months, were distributed into three groups: (1) control animals not injured or treated with LLLT (n = 5), (2) cryoinjury without LLLT treatment (n = 15), and (3) cryoinjury treated with infrared LLLT (n = 15). LLLT was applied to the TA 2 h after of the injury induction and consisted of daily applications until the sacrifice (1, 3, and 7 days). The following parameters were used: λ = 780 nm, power density 1 W/cm2, output power 40 mW, 10 s per point, 8 points, and 3.2 J of total energy. In the histomorphological analysis, the treated group exhibited a significant decrease in inflammatory infiltrate (p < 0.001) as well as an increase immature fibers and new blood vessels at 7 days compared to the untreated group (p < 0.05). Furthermore, treatment induced a better collagen distribution and organization at 7 days in comparison to the untreated group (p < 0.05). In conclusion, LLLT demonstrated a modulatory effect on the muscle repair process in elderly animals with regard to the collagen remodeling and morphological aspects of muscle tissue.


Assuntos
Envelhecimento/fisiologia , Tecido Conjuntivo/efeitos da radiação , Terapia com Luz de Baixa Intensidade , Músculo Esquelético/fisiologia , Músculo Esquelético/efeitos da radiação , Regeneração/efeitos da radiação , Animais , Colágenos Fibrilares/metabolismo , Interleucina-1beta/metabolismo , Interleucina-6/metabolismo , Masculino , Músculo Esquelético/metabolismo , Ratos Wistar
6.
Einstein (Säo Paulo) ; 15(4): 445-451, Oct.-Dec. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-891418

RESUMO

ABSTRACT Objective: To evaluate the clinical response of patients with symptoms of genitourinary syndrome of menopause after application of microablative fractional radiofrequency in the vagina and vaginal introitus. Methods: Fourteen patients with symptoms of genitourinary syndrome of menopause underwent three applications of microablative fractional radiofrequency with a 30-day interval, using the Wavetronic 6000HF-FRAXX device and a fractional vaginal electrode. The questionnaires World Health Organization Quality of Life (for quality of life evaluation), Female Sexual Function Index and Quality of Life Adapted Questionnaire in the Domain of Sexual Satisfaction (for sexual function and satisfaction evaluation) were administered before and after the applications (30 to 60 days after the last procedure), in addition to the satisfaction questionnaire after procedure. Results: There was an increase in almost all dimensions on average in quality of life, with statistical significance only in the health domain. There was a significant improvement in the sexual domains in almost all dimensions. All patients stopped using lubricant during intercourse after treatment. In the satisfaction questionnaire after treatment, we observed that the vast majority felt cured or much better (29% and 64%, respectively, total of 92.6%) and were very satisfied or satisfied (43 and 57%, respectively, total of 100%). The only patient who reported little improvement had an 18-year postmenopausal history and was treatment naïve. Conclusion: Microablative fractional radiofrequency was effective in treating symptoms of vaginal dryness and dyspareunia, and eliminated the use of vaginal lubricant during the period observed. Since this is a pilot study with a small number of patients, further studies are required to corroborate our findings and evaluate the long-term effects of microablative fractional radiofrequency on the vaginal tissue.


RESUMO Objetivo: Avaliar resposta clínica de pacientes com sintomas da síndrome geniturinária da menopausa após aplicação de radiofrequência fracionada microablativa na vagina e no introito vaginal. Métodos: Quatorze pacientes com sintomas de síndrome geniturinária da menopausa foram submetidas a três aplicações de radiofrequência fracionada microablativa com intervalo de 30 dias, utilizando aparelho Wavetronic 6000HF-FRAXX e eletrodo vaginal fracionado. Foram aplicados os questionários World Health Organization Quality of Life (para avaliar qualidade de vida), Female Sexual Function Index e Quality of Life Adapted Questionnaire in the Domain of Sexual Satisfaction (para verificar função sexual e satisfação) antes e depois das aplicações (30 a 60 dias após último procedimento), além do questionário de satisfação após procedimento. Resultados: Na qualidade de vida, houve aumento na média em geral, com significância estatística apenas no quesito saúde. No domínio sexual, houve melhora significativa em quase todas as dimensões. Todas as pacientes cessaram o uso de lubrificante na relação sexual após o tratamento. No questionário de satisfação após tratamento, a maioria se sentiu curada ou muito melhor (29 e 64%, respectivamente; total de 92,6%) e estava muito satisfeita ou satisfeita (43 e 57%, respectivamente; total de 100%). A única paciente que relatou pouca melhora tinha história de 18 anos de pós-menopausa e era virgem de tratamento. Conclusão: Radiofrequência fracionada microablativa foi efetiva em tratar sintomas de ressecamento vaginal e dispareunia, e eliminou o uso de lubrificante vaginal durante o período observado. Por se tratar de estudo piloto com pequena quantidade de pacientes, mais estudos são necessários para corroborar estes achados e avaliar os efeitos a longo prazo da radiofrequência fracionada microablativa no tecido vaginal.


Assuntos
Humanos , Feminino , Doenças Vaginais/terapia , Menopausa , Dispareunia/terapia , Doenças Urogenitais Femininas/terapia , Lasers de Gás/uso terapêutico , Terapia por Radiofrequência , Qualidade de Vida , Atrofia , Síndrome , Vagina , Vagina/efeitos da radiação , Vulva/efeitos da radiação , Vulva/patologia , Projetos Piloto , Estudos Prospectivos , Resultado do Tratamento , Tecido Conjuntivo/efeitos da radiação
7.
J Contemp Dent Pract ; 18(2): 170-173, 2017 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-28174373

RESUMO

Since the invention of laser, various applications for lasers in endodontics have been proposed, such as disinfection of the root canal system, canal shaping, pulp diagnosis, and apico-ectomy. One of the major applications of laser in endodontics is apicoectomy. The aim of this article is to review the benefits and drawbacks of laser applications in apicoectomy, including effect on apical seal, effect on dentin permeability, effect on postsurgery pain, effect on crack formation, effect on root-end morphology, effect on treatment outcome, and connective tissue response to laser-treated dentin.


Assuntos
Apicectomia/instrumentação , Apicectomia/métodos , Terapia a Laser/métodos , Lasers , Tratamento do Canal Radicular/instrumentação , Tratamento do Canal Radicular/métodos , Tecido Conjuntivo/efeitos da radiação , Instrumentos Odontológicos , Polpa Dentária/efeitos da radiação , Capeamento da Polpa Dentária/instrumentação , Cavidade Pulpar/efeitos da radiação , Dentina/efeitos da radiação , Permeabilidade da Dentina/efeitos da radiação , Sensibilidade da Dentina , Humanos , Terapia a Laser/efeitos adversos , Materiais Restauradores do Canal Radicular , Preparo de Canal Radicular/instrumentação , Preparo de Canal Radicular/métodos , Segurança , Ápice Dentário/efeitos da radiação , Raiz Dentária/anatomia & histologia , Raiz Dentária/efeitos da radiação , Resultado do Tratamento
8.
Bratisl Lek Listy ; 118(12): 759-764, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29322809

RESUMO

PURPOSE: The use of mobile phones is widespread since the beginning of 1990s. A great debate exists about the possible damage that the Radio Frequency - RF radiation from mobile phones exerts on different organs. The objective of this study was to investigate the possible histopathological effects of 2100 MHz RF radiation on rat ductus epididymis tissue using a light microscopy and immunohistochemical method after one or two month exposure. MATERIALS AND METHODS: The study was performed on 36 adult Wistar albino rats. 2100 MHz RF radiation was used with a specific absorption rate (SAR) of 0.36 W/kg for 30 min/day, 6 days per week for one or two months. There were 3 groups (n = 6 for each group): one month RF exposed group, two months RF exposed group, and the control group. RESULTS: At the end of the study, the structural changes in ductus epididymis tissue were evaluated. In both 2100 MHz RF exposed groups, the rat ductus epididymis sperm were not observed in some channels, a reduction in sperm density in some of the channels drew an attention. The loss of connective tissue and edematous areas were observed in cross channel interstitial connective tissue. In addition, it was observed that vascularization was highly increased with respect to the control group in cross-channel interstitial connective tissue. CONCLUSION: 2100 MHz RF exposure resulted in some structural changes in the male genital ducts of rats (Tab. 1, Fig. 5, Ref 20).


Assuntos
Tecido Conjuntivo/efeitos da radiação , Epididimo/efeitos da radiação , Ondas de Rádio , Espermatozoides/efeitos da radiação , Animais , Telefone Celular , Tecido Conjuntivo/patologia , Epididimo/patologia , Masculino , Ratos , Ratos Wistar , Contagem de Espermatozoides
9.
Arch Oral Biol ; 75: 21-30, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28012366

RESUMO

OBJECTIVE: To analyze the influence of low-level laser therapy (LLLT) on the bone healing process of autogenous bone block grafts installed in nicotine systemically modified rats. METHODS: Seventy-two rats (Wistar) were randomly assigned into 4 groups (n=18). SS-BG: saline application+bone graft. SS-BG/LLLT: saline application+bone graft+LLLT. NIC-BG: nicotine application+bone graft. NIC-BG/LLLT: nicotine application+bone graft+LLLT. After 30days of application of solutions, all animals received autogenous bone block graft in the jaw, with the donation from the parietal bone's calvarial area. Treatment with LLLT was in bed-graft interface, after accommodation of the graft. The animals in each group were sacrificed at 7, 14, and 28days after graft surgery. RESULTS: The histologic analyses of NIC-BG group depicted a delay of osteogenic activity in the recipient bed-graft interface and the irradiation of tissue with LLLT provided better bone healing. The histometric analysis revealed that SS-BG/LLLT and NIC-BG/LLLT groups showed increased bone formation compared to BG-SS and NIC-BG groups, after 14days (SS-BG 24.94%±13.06% versus SS-BG/LLLT 27.53%±19.07% and NIC-BG 14.27%±2.22% versus NIC-BG/LLLT 24.37%±11.93%) and 28days (SS-BG 50.31%±2.69% versus SS-BG/LLLT 58 19%±12.32% and NIC-BG 36.89%±8.40% versus NIC-BG/LLLT 45.81%±6.03%). CONCLUSION: Nicotine harms bone formation in the bed-graft interface and LLLT action can mitigate this.


Assuntos
Transplante Ósseo , Terapia com Luz de Baixa Intensidade/métodos , Nicotina/efeitos adversos , Cicatrização/efeitos dos fármacos , Cicatrização/efeitos da radiação , Animais , Regeneração Óssea/efeitos dos fármacos , Regeneração Óssea/efeitos da radiação , Tecido Conjuntivo/efeitos dos fármacos , Tecido Conjuntivo/patologia , Tecido Conjuntivo/efeitos da radiação , Masculino , Mandíbula/efeitos dos fármacos , Mandíbula/patologia , Mandíbula/efeitos da radiação , Mandíbula/transplante , Osteogênese/efeitos dos fármacos , Osteogênese/efeitos da radiação , Ratos , Ratos Wistar , Fatores de Tempo
10.
J Cosmet Laser Ther ; 18(6): 323-9, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26985567

RESUMO

To date, there have been no objective measurements of subcutaneous volume loss following treatments with a noninvasive radiofrequency (RF)-based device. Twenty female patients were treated with a suction-coupled bipolar RF device using external RF energy combined with pulsed electromagnetic RF energy for subcutaneous fat reduction. Parameters followed included weight, Vectra measurements of abdominal circumference and torso volume, and high-definition ultrasound measurements of fat thickness. Measurements were taken before treatment and three times following treatment. Analysis of the measured parameters showed that mean circumference reduction of 2.30 cm was noted at three months post-treatment. Independent volumetric analysis showed a mean subcutaneous volume reduction of 428 cc three months following RF treatment. High-resolution ultrasound fat thickness was reduced by a mean of 39.6% three months following the final BodyFX treatment. Independent and paired-sample t-tests showed a p value of < 0.05. Repeated measures of analysis of covariance (ANCOVA) adjusted for differences in age, as well as height and weight (proxy for body mass index) to minimize individual differences and control for extraneous variables that may affect the pre- and post-treatment results were analyzed. No confounding variables were found. All analyses were conducted using IBM SPSS 21.0.


Assuntos
Obesidade Abdominal/radioterapia , Terapia por Radiofrequência , Gordura Subcutânea Abdominal/efeitos da radiação , Gordura Subcutânea/efeitos da radiação , Adulto , Tecido Conjuntivo/efeitos da radiação , Feminino , Seguimentos , Humanos , Obesidade Abdominal/terapia
11.
J Craniofac Surg ; 26(5): e396-400, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26167994

RESUMO

This study aims to compare the effect of low-level laser therapy (LLLT) and ozone therapy on the bone healing. Thirty-six adult male Wistar albino rats were used for this study. Monocortical defects were shaped in right femur of all rats. Defects were filled with nano-hydroxyapatite graft. The animals were divided into 3 groups and each group was than divided into 2 subgroups. Then, LLLT with a diode laser was applied to the first group (G1), ozone therapy was applied to the second group (G2), and no treatment was applied to the third group as a control group (G3). Animals were sacrificed after 4th and 8th weeks and the sections were examined to evaluate the density of the inflammation, the formation of connective tissue, the osteogenic potential, and osteocalcin activity. As a result, there were no significant differences among the groups of 4 weeks in terms of new bone formation. In the immunohistochemical assessment, the number of osteocalcin-positive cells was higher in the laser group compared to the other group of 4 weeks; this difference was statistically significant in the LLLT and ozone groups (P < 0.05). Histomorphometric assessment showed that the new bone areas were higher in the LLLT and ozone groups; furthermore, there was a statistically significant difference in the LLLT in comparison with the control group at 8th week (P < 0.05). At the same time immunohistochemical assessment showed that osteocalcin-positive cells were considerably higher in G2 than G1 at 8th week (P < 0.05). The findings of this study may be the result of differences in the number of treatment sessions. Further studies are therefore needed to determine the optimal treatment modality.


Assuntos
Lasers Semicondutores/uso terapêutico , Terapia com Luz de Baixa Intensidade/métodos , Ozônio/uso terapêutico , Animais , Doenças Ósseas/tratamento farmacológico , Doenças Ósseas/radioterapia , Doenças Ósseas/cirurgia , Substitutos Ósseos/uso terapêutico , Terapia Combinada , Tecido Conjuntivo/efeitos dos fármacos , Tecido Conjuntivo/efeitos da radiação , Durapatita/uso terapêutico , Fêmur/efeitos dos fármacos , Fêmur/efeitos da radiação , Fêmur/cirurgia , Inflamação , Terapia com Luz de Baixa Intensidade/instrumentação , Masculino , Osteoblastos/efeitos dos fármacos , Osteoblastos/efeitos da radiação , Osteocalcina/efeitos dos fármacos , Osteocalcina/efeitos da radiação , Osteogênese/efeitos dos fármacos , Osteogênese/efeitos da radiação , Ratos , Ratos Wistar , Fatores de Tempo , Cicatrização/efeitos dos fármacos , Cicatrização/efeitos da radiação
12.
Radiat Oncol ; 10: 129, 2015 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-26050968

RESUMO

BACKGROUND: Radiation technology focuses on delivering the radiation as precisely as possible to the tumor, nonetheless both acute and long-term damage to surrounding normal tissue may develop. Injuries to the surrounding normal tissue after radiotherapy of head and neck cancer are difficult to manage. An animal model is needed to elucidate good treatment modalities. The aim of this study was to establish a rat model where a certain radiation dose gives reproducible tissue reactions in the mandibular area corresponding to injuries obtained in humans. METHOD: The left mandible of male Sprague Dawley rats was irradiated by external radiotherapy (single fraction 15 Gy, total dose 75 Gy) every second week five times. Endpoint was six weeks after last radiation treatment, and the test group was compared to non-irradiated controls. Morphological alterations of the soft tissues, bone and tooth formation, as well as alterations of salivation, vascularity and collagen content were assessed. An unpaired, non-parametric Mann-Whitney test was used to compare the statistical differences between the groups. RESULTS: Analysis of the soft tissues and mandible within the radiation field revealed severe unilateral alopecia and dermatitis of the skin, extensive inflammation of the submandibular gland with loss of serous secretory cells, hyperkeratinization and dense connective fiber bundles of the gingival tissue, and disturbed tooth development with necrosis of the pulp. Production of saliva and the vascularity of the soft tissues were significantly reduced. Furthermore, the collagen fibril diameter was larger and the collagen network denser compared to non-irradiated control rats. CONCLUSION: We have established an animal model of radiation injury demonstrating physiological and histological changes corresponding to human radiation injuries, which can be used for future therapeutic evaluations.


Assuntos
Raios gama/efeitos adversos , Gengiva/efeitos da radiação , Mandíbula/efeitos da radiação , Músculos da Mastigação/efeitos da radiação , Órgãos em Risco/efeitos da radiação , Lesões Experimentais por Radiação/etiologia , Glândulas Salivares/efeitos da radiação , Dente/efeitos da radiação , Alopecia/etiologia , Animais , Bochecha/irrigação sanguínea , Bochecha/patologia , Bochecha/efeitos da radiação , Colágeno/efeitos da radiação , Tecido Conjuntivo/efeitos da radiação , Tecido Conjuntivo/ultraestrutura , Necrose da Polpa Dentária/etiologia , Necrose da Polpa Dentária/patologia , Gengiva/irrigação sanguínea , Gengiva/patologia , Masculino , Mandíbula/patologia , Músculos da Mastigação/patologia , Doses de Radiação , Radiodermite/etiologia , Radiodermite/patologia , Ratos , Ratos Sprague-Dawley , Glândulas Salivares/patologia , Salivação/efeitos da radiação , Fatores de Tempo , Xerostomia/etiologia , Xerostomia/patologia
13.
Int J Radiat Biol ; 91(3): 240-7, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25300691

RESUMO

PURPOSE: To evaluate the dose-time dependences of structural changes occurring in collagen within 24 hours to three months after gamma-irradiation at doses from 2-40 Gy in vivo. MATERIALS AND METHODS: Rat's tail tendon was chosen as in vivo model, with its highly ordered collagen structure allowing the changes to be interpreted unambiguously. Macromolecular level (I) was investigated by differential scanning calorimetry (DSC); fibers and bundles level (II) by laser scanning microscopy (LSM), and bulk tissue microstructural level (III) by cross-polarization optical coherence tomography (CP-OCT). RESULTS: For (I), the formation of molecular cross-links and breaks appeared to be a principal mechanism of collagen remodeling, with the cross-links number dependent on radiation dose. Changes on level (II) involved primary, secondary and tertiary bundles splitting in a day and a week after irradiation. Bulk collagen microstructure (III) demonstrated early widening of the interference fringes on CP-OCT images observed to occur in the tendon as result of this splitting. At all three levels, the observed collagen changes demonstrated complete remodeling within ∼ a month following irradiation. CONCLUSION: The time course and dose dependencies of the observed collagen changes at different levels of its hierarchy further contribute to elucidating the role of connective tissue in the radiotherapy process.


Assuntos
Colágeno/química , Colágeno/efeitos da radiação , Raios gama/efeitos adversos , Animais , Varredura Diferencial de Calorimetria , Colágeno/metabolismo , Tecido Conjuntivo/química , Tecido Conjuntivo/lesões , Tecido Conjuntivo/efeitos da radiação , Relação Dose-Resposta à Radiação , Masculino , Microscopia Confocal , Complexos Multiproteicos/química , Complexos Multiproteicos/efeitos da radiação , Lesões Experimentais por Radiação/metabolismo , Lesões Experimentais por Radiação/patologia , Ratos , Tendões/química , Tendões/patologia , Tendões/efeitos da radiação , Tomografia de Coerência Óptica
14.
Am J Orthod Dentofacial Orthop ; 146(5): 565-72, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25439206

RESUMO

INTRODUCTION: In this study, we compared the effectiveness of laser-aided circumferential supracrestal fiberotomy (CSF) and low-level laser therapy (LLLT) with conventional CSF in reducing relapse of corrected rotations. METHODS: The study included 24 patients who were at the finishing stage of orthodontic treatment and had at least 1 maxillary incisor with 30° to 70° of rotation before starting therapy. The subjects were divided into 4 groups by treatment: conventional CSF, Er:YAG laser-aided CSF, LLLT, and control. After alginate impressions were taken, the archwire was sectioned from the experimental incisors, and they were allowed to relapse. The second impression was taken 1 month later, and the degree and percentage of relapse were calculated in photographs taken from the dental models. Gingival recession, pocket depth, and pain were also measured in the CSF groups. RESULTS: The mean percentages of relapse were 9.7% in the conventional CSF, 12.7% in the Er:YAG laser-aided CSF, 11.7% in the LLLT, and 27.8% in the control groups. Relapse was significantly greater in the control than the experimental groups (P <0.05), which were not statistically different from each other. The changes in sulcus depth and gingival recession were small and not significantly different among the CSF groups (P >0.05), but pain intensity was greater in subjects who underwent conventional CSF (P = 0.003). CONCLUSIONS: Er:YAG laser-aided CSF proved to be an effective alternative to conventional CSF in reducing rotational relapse. LLLT with excessively high energy density was also as effective as the CSF procedures in alleviating relapse, at least in the short term.


Assuntos
Terapia a Laser/métodos , Lasers de Estado Sólido/uso terapêutico , Terapia com Luz de Baixa Intensidade/métodos , Má Oclusão/cirurgia , Ligamento Periodontal/cirurgia , Adolescente , Adulto , Tecido Conjuntivo/efeitos da radiação , Tecido Conjuntivo/cirurgia , Feminino , Retração Gengival/etiologia , Humanos , Processamento de Imagem Assistida por Computador/métodos , Incisivo/patologia , Lasers Semicondutores/uso terapêutico , Masculino , Má Oclusão/radioterapia , Maxila/patologia , Medição da Dor/métodos , Dor Pós-Operatória/etiologia , Ligamento Periodontal/efeitos da radiação , Bolsa Periodontal/etiologia , Fotografia Dentária/métodos , Recidiva , Rotação , Técnicas de Movimentação Dentária/métodos , Resultado do Tratamento , Escala Visual Analógica , Adulto Jovem
15.
Biomed Mater Eng ; 24(6): 2299-310, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25226930

RESUMO

Modeling of thermal-induced mechanical behaviors of soft tissues is of great importance for thermal ablation. This paper presents a method by integrating the heating process with thermal-induced mechanical deformations of soft tissues for simulation and analysis of the thermal ablation process. This method combines bio-heat transfer theories, constitutive elastic material law under thermal loads as well as non-rigid motion dynamics to predict and analyze thermal-mechanical deformations of soft tissues. The 3D governing equations of thermal-mechanical soft tissue deformation are discretized by using the finite difference scheme and are subsequently solved by numerical algorithms. Experimental results show that the proposed method can effectively predict the thermal-induced mechanical behaviors of soft tissues, and can be used for the thermal ablation therapy to effectively control the delivered heat energy for cancer treatment.


Assuntos
Temperatura Corporal/fisiologia , Temperatura Corporal/efeitos da radiação , Tecido Conjuntivo/fisiologia , Tecido Conjuntivo/efeitos da radiação , Transferência de Energia/fisiologia , Hipertermia Induzida/métodos , Modelos Biológicos , Animais , Simulação por Computador , Transferência de Energia/efeitos da radiação , Dureza/fisiologia , Dureza/efeitos da radiação , Humanos , Doses de Radiação , Condutividade Térmica
18.
J Craniomaxillofac Surg ; 42(7): 1196-202, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24657115

RESUMO

The aim of this study was to evaluate the effects of low-level laser therapy (LLLT) on the bone repair of critical size defects (CSDs) filled with autogenous bone in the calvaria of immunosuppressed rats. A 5 mm-diameter CSD was created in the calvaria of 30 rats. The animals were divided into 5 groups (n = 6): Control (C)--the defect was filled with a blood clot; Dexamethasone (D)--dexamethasone treatment, and the defect was filled with a blood clot; Autogenous bone (AB)--dexamethasone treatment, and the defect was filled with autogenous bone; LLLT--dexamethasone treatment, and the defect received LLLT (660 nm; 35 mW; 24.7 J/cm(2)); and AB + LLLT--dexamethasone treatment, and the defect was filled with autogenous bone and received LLLT. All animals were euthanized at 30 postoperative days. Histometric and histological analyses were performed. The new bone area (NBA) was calculated as the percentage of the total area of the original defect. Data were analysed statistically (an analysis of variance and Tukey's test; P < 0.05). The AB + LLLT group showed the largest NBA of all groups (P < 0.05). The use of LLLT with AB effectively stimulated bone formation in CSDs in the calvaria of immunosuppressed rats.


Assuntos
Autoenxertos/efeitos da radiação , Doenças Ósseas/cirurgia , Transplante Ósseo/métodos , Terapia de Imunossupressão/métodos , Terapia com Luz de Baixa Intensidade/métodos , Crânio/cirurgia , Animais , Anti-Inflamatórios/uso terapêutico , Autoenxertos/efeitos dos fármacos , Autoenxertos/transplante , Coagulação Sanguínea/fisiologia , Doenças Ósseas/patologia , Doenças Ósseas/radioterapia , Reabsorção Óssea/patologia , Colágeno/efeitos dos fármacos , Colágeno/efeitos da radiação , Tecido Conjuntivo/efeitos dos fármacos , Tecido Conjuntivo/efeitos da radiação , Dexametasona/uso terapêutico , Glucocorticoides/uso terapêutico , Hospedeiro Imunocomprometido/imunologia , Masculino , Osteogênese/efeitos dos fármacos , Osteogênese/efeitos da radiação , Distribuição Aleatória , Ratos , Ratos Wistar , Crânio/efeitos dos fármacos , Crânio/efeitos da radiação
19.
Biomech Model Mechanobiol ; 13(5): 1025-40, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24419559

RESUMO

Augmentation of the mechanical properties of connective tissue using ultraviolet (UV) radiation-by targeting collagen cross-linking in the tissue at predetermined UV exposure time [Formula: see text] and wavelength [Formula: see text]-has been proposed as a therapeutic method for supporting the treatment for structural-related injuries and pathologies. However, the effects of [Formula: see text] and [Formula: see text] on the tissue elasticity, namely elastic modulus [Formula: see text] and modulus of resilience [Formula: see text], are not entirely clear. We present a thermomechanical framework to reconcile the [Formula: see text]- and [Formula: see text]-related effects on [Formula: see text] and [Formula: see text]. The framework addresses (1) an energy transfer model to describe the dependence of the absorbed UV photon energy, [Formula: see text], per unit mass of the tissue on [Formula: see text] and [Formula: see text], (2) an intervening thermodynamic shear-related parameter, [Formula: see text], to quantify the extent of UV-induced cross-linking in the tissue, (3) a threshold model for the [Formula: see text] versus [Formula: see text] relationship, characterized by   [Formula: see text]-the critical [Formula: see text] underpinning the association of [Formula: see text] with [Formula: see text]-and (4) the role of [Formula: see text] in the tissue elasticity. We hypothesized that [Formula: see text] regulates [Formula: see text] (UV-stiffening hypothesis) and [Formula: see text] (UV-resilience hypothesis). The framework was evaluated with the support from data derived from tensile testing on isolated ligament fascicles, treated with two levels of [Formula: see text] (365 and 254 nm) and three levels of [Formula: see text] (15, 30 and 60 min). Predictions from the energy transfer model corroborated the findings from a two-factor analysis of variance of the effects of [Formula: see text] and [Formula: see text] treatments. Student's t test revealed positive change in [Formula: see text] and [Formula: see text] with increases in [Formula: see text]-the findings lend support to the hypotheses, implicating the implicit dependence of UV-induced cross-links on [Formula: see text] and [Formula: see text] for directing tissue stiffness and resilience. From a practical perspective, the study is a step in the direction to establish a UV irradiation treatment protocol for effective control of exogenous cross-linking in connective tissues.


Assuntos
Tecido Conjuntivo/fisiologia , Tecido Conjuntivo/efeitos da radiação , Módulo de Elasticidade/efeitos da radiação , Temperatura , Raios Ultravioleta , Animais , Fenômenos Biomecânicos , Colágeno/metabolismo , Matriz Extracelular/metabolismo , Matriz Extracelular/efeitos da radiação , Ligamentos/efeitos da radiação , Ligamentos/ultraestrutura , Modelos Biológicos , Reprodutibilidade dos Testes , Ovinos , Fatores de Tempo
20.
Rev. chil. dermatol ; 30(2): 151-157, 2014. ilus, graf
Artigo em Espanhol | LILACS | ID: biblio-835936

RESUMO

Diodos Emisores de la Luz- Light Emitting Diodes (LED) son fuentes de luz que están siendo introducidos en los tratamientos del envejecimiento. El objetivo del estudio fue evaluar los efectos del LED rojo en la dermis de ratones wistar. Se trata de un estudio experimental controlado y randomizado, fueron utilizados 20 ratones wistar divididos en cinco grupos. Los grupos fueron: G1 en donde se aplicó 10 sesiones de diez minutos de fototerapia por LED. El G2 con 20 sesiones de 10minutos, el G3 con 10 sesiones de 20 minutos, el G4 con 20 sesiones de 20 minutos y el G5 fue el grupo control. Después de las aplicaciones se recolectó el material biológico de la zona, siendo realizado el análisis histológico de las áreas que recibieron las aplicaciones, sometiéndolas a las coloraciones de HE, tricómico de Masson y Verhoeef. Fue observada la presencia de micro vasos dérmicos con resultados significativos entre el G2 y el G5. Con relación a la presencia de mastocitos hubo resultados significativos entre el G1 y el G3. El análisis de las fibras elásticas presentó resultados significativos en los grupos G1, G2, G3, G4 en comparación al grupo control (G5). La evaluación de los efectos del LED en las fibras colágenos, los grupos tratados comparados al grupo control no presentaron ninguna diferencia significativa.


The Light-Emitting Diodes Light Emitting Diodes (LED) are a source of light wich are being introduced into the treatment of aging process. This study evaluate the effect of application of red LED on the dermis of Wistar rats. Twenty Wistar rats were used in this randomized controlled experimental study. Those rats were divided randomly into five groups. The G1 group underwent ten sessions of phototherapy by LED lasting ten minutes each. The G-2, 20 sessions of 10 minutes, the G-3, 20 minutes, the fourth group, 20 sessions of 20 minutes and the G-5 group was the control group. After the application, the biological material was collected and the histological analysis of the areas that suffered application were done, being subjected to HE staining, and Masson trichrome & Verhoeff. It was observed the presence of dermal microvascular, with significant results among G2 and G5 groups. Regarding the presence of mast cells, significant results were observed among G1 and G3 groups, however, that was not the case with the G5. By analyzing the elastic fibers, significant results were observed among G1, G2, G3, G4 groups, but the same results weren’t observed in the fifth group. Regarding the assessment of the effects of LED on the collagen fibers, the treated groups, when compared to the control group, showed no significant difference.


Assuntos
Animais , Ratos , Fototerapia/métodos , Ondas de Rádio/uso terapêutico , Pele/efeitos da radiação , Derme/efeitos da radiação , Envelhecimento da Pele/efeitos da radiação , Modalidades de Fisioterapia , Ratos Wistar , Semicondutores , Tecido Conjuntivo/efeitos da radiação , Tecido Elástico/efeitos da radiação
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