Failing hollow implants examined by light microscopy and image processing.

The purpose of this study was to evaluate the radiologic, histologic, and histometric findings of three failing hollow implants. On periapical radiographs, these implants showed vertical bone loss up to the hollow portion around the implant. Examination of the histologic sections disclosed that the hollow portions of all the implants were almost filled with bone tissue, although slight bone resorption and presence of granulation tissue infiltrated with inflammatory cells was observed coronal to the hollow portion. Histometric analysis disclosed that the average percent bone contact was 93.1% in case 1, 90.9% in case 2, and 84.3% in case 3 and the average percent bone filling was 42.1%, 50.5%, and 33.8%, respectively. Consequently, there seems to be some potential for successful treatment of these implants because the destructive changes were limited to the coronal aspects of the implant.

Abscess formation around a hydroxyapatite-coated implant placed into the extraction socket with autogenous bone graft. A histological study using light microscopy, image processing, and confocal laser scanning microscopy.

The purpose of this study was to evaluate the radiologic, histologic, and histometric findings for a retrieved hydroxyapatite (HA)-coated implant which had been placed into a fresh extraction socket with autogenous bone graft 3 months previously. A periapical radiography disclosed a vertical bone loss around the implant cervix. Examination of histologic section disclosed that granulation tissue including bone chips around the cervix, and newly-formed bone tissue around the grafted bone tissue on the HA coated surface. In the confocal laser scanning microscopic findings toluidine blue-negative bone tissue showed autofluorescence. Histometric analysis indicated that the average percent bone contact was 29.2% (ranged 26.4% to 34.1%). Suspected reasons for failure were an early exposure of the barrier membrane, its early removal, the implant placement into an infected site, inadequate antibiotic premedication, and/or poor control of infections around teeth prior to implant surgery and around implants before and after placement of barrier membrane.

Histological comparison of early wound healing following dense hydroxyapatite granule grafting and barrier placement in surgically-created bone defects neighboring implants.

The purpose of this study was to examine early wound healing following grafting of dense hydroxyapatite granules (HA granules) and barrier placement in surgically-created bone defects surrounding implants. Eight healthy adult dogs with an average weight of 15 kg were used in this study. Thirty-two bone defects measuring 4 mm x 4 mm were removed with a surgical bur to form continuous bucco-lingual bone defects and 32 implants (16 titanium [Ti]) and 16 hydroxyapatite-coated [HA]) were then placed into the defects. Four implant groups were created: 1) grafting HA; 2) covering with an expanded polytetrafluoroethylene (ePTFE) membrane; 3) grafting HA and covering with ePTFE membrane; and 4) control (no treatment). Animals were sacrificed 28 days after surgery. Histological sections revealed large amounts of newly-formed bone in all bone defects surrounding the implants treated with ePTFE membranes alone. Fibrous encapsulation of HA granules was observed in the defects of the HA granules grafting group. In the group with grafting of HA granules and covering with ePTFE membranes, small amounts of bone tissue were observed among HA granules, but most HA granules were surrounded with fibrous tissue. Bone defects were completely filled with connective tissue in the control group. There were no differences in the histological findings between Ti and HA-coated implants in all cases. Histomorphometric data disclosed that the presence of HA granules in the bone defects significantly arrested bone formation. Our study suggests that the grafting of dense HA into bone defects surrounding implants will result in fibrous healing during the early healing stage.

Histologic study of failed hollow implants.

Nine hollow dental implants that were removed from patients were examined histologically to determine whether there was a common mechanism of failure with this implant design. When a hollow implant showed saucerized bone loss at the neck portion radiologically, the hollow portion was divided histologically into soft tissue and bone tissue. In advanced cases, stratified flattened epithelium that had invaded the hollow and the dead space at the top was observed. The condition of bone tissue located in the bottom of the basket can be adversely affected by an unfavorable crown-root ratio. The presence of an empty basket may cause fracture of the basket portion. The hollow portion can foster the growth of pathogenic bacteria. The hollow-type implant may not be suitable for immediate placement because surrounding soft tissues can invade the basket immediately.

Creation and use of a composite polyurethane-expanded polytetrafluoroethylene graft for hemodialysis access.

The Thoratec (Vectra) polyurethane vascular access graft (TPVA) is among the most recent additions to the list of materials used to construct prosthetic grafts for vascular access during hemodialysis. We give the TPVA very high marks, and recognize the utility of such a graft for use in hemodialysis. However, the strong elasticity of this graft can lead to unexpected complications after suturing. We devised a new surgical method using a TPVA-ePTFE (expanded polytetrafluoroethylene) composite graft, substituting the anastomosis section of the TPVA with a portion of ePTFE graft material, and have been able to overcome most of the TPVA's potential problems. We herein describe the technique.

Histologic investigation of hollow implants retrieved for psychological reasons.

OBJECTIVE: The purpose of this study was to radiologically, histologically, and histometrically evaluate bone in the hollow portion of three implants retrieved for psychological reasons. STUDY DESIGN: Three hollow implants retrieved from two patients were studied. We investigated the radiologic and histologic changes of these implants with the use of radiographs, light microscopy, image processing, and fluorescent microscopy. RESULTS: There were no radiologic and histologic degeneration around the implants. Histometric analysis of the hollow indicated that the average percentage of bone contact rate was 33.5% in case 1, 74.5% in case 2, and 18.4% in case 3; the average percentage of bone filling was 25.1%, 33.9%, and 6.6%, respectively. There was a great variation among the three cases in bone to implant contact and bone filling. CONCLUSION: The hollow portion in case 1 that penetrated into the maxillary sinus was encapsulated with fibrous tissue. The amount of bone tissue in the hollow portion seems to depend on the initial bone quality of the recipient sites.

Histological structure and distribution of carbonic anhydrase isozymes (CA-I, II, III and VI) in major salivary glands in koalas.

While the mandibular glands usually consist of only mucous acinar cells or a combination of mucous and serous cells in other species of mammals, those of koalas were serous glands. Rabbit mono-specific polyclonal anti-canine CA-I, II, III or VI antiserum showed cross-reactivity against corresponding koala carbonic anhydrase (CA) isozymes. Although immunohistochemical reactions to CA-I, II and VI in ductal cells were moderate to strong in the tested salivary glands, no reaction or only slight reactions were observed against CA-III. In the sublingual glands, moderate immunohistochemical reactions to CA-I, II and VI were also evident in serous acinar cells and serous demilunes. However, no reactions to the tested isozymes were observed in mucous acinar cells in these glands. With the exception of the histological structure of the mandibular glands, histological features and the distributional profile of CA isozymes of the salivary glands in koalas are relatively close to results obtained from horses.

Development of a novel systemic gene delivery system for cancer therapy with a tumor-specific cleavable PEG-lipid.

For successful cancer gene therapy via intravenous (i.v.) administration, it is essential to optimize the stability of carriers in the systemic circulation and the cellular association after the accumulation of the carrier in tumor tissue. However, a dilemma exists regarding the use of poly(ethylene glycol) (PEG), which is useful for conferring stability in the systemic circulation, but is undesirable for the cellular uptake and the following processes. We report the development of a PEG-peptide-lipid ternary conjugate (PEG-Peptide-DOPE conjugate (PPD)). In this strategy, the PEG is removed from the carriers via cleavage by a matrix metalloproteinase (MMP), which is specifically expressed in tumor tissues. An in vitro study revealed that the PPD-modified gene carrier (Multifunctional Envelope-type Nano Device: MEND) exhibited pDNA expression activity that was dependent on the MMP expression level in the host cells. In vivo studies further revealed that the PPD was potent in stabilizing MEND in the systemic circulation and facilitating tumor accumulation. Moreover, the i.v. administration of PPD or PEG/PPD dually-modified MEND resulted in the stimulation of pDNA expression in tumor tissue, as compared with a conventional PEG-modified MEND. Thus, MEND modified with PPD is a promising device, which has the potential to make in vivo cancer gene therapy achievable.

Differential cloning of genomic DNA: cloning of DNA with an altered primary structure by in-gel competitive reassociation.

A procedure was developed for cloning (anonymous) DNA sequences whose primary structures differ between two DNA samples. The procedure is based upon in-gel competitive DNA reassociation after electrophoresis of a mixture of restriction enzyme-digested target DNA (from which clones are to be isolated) and a large excess of unclonable reference DNA (competitor DNA). Inclusion of polyethylene glycol in the reassociation buffer greatly improved the in-gel reassociation efficiency, which was critical for the practical use of the procedure. Using this technique, we obtained several clones from rat brain (target) DNA, which may have been derived from tissue (brain)-specific altered DNA structures. The details of this procedure and its possible applications are discussed.

A procedure to introduce protein molecules into living mammalian cells.

Although several methods are now available by which to introduce macromolecules into cultured living mammalian cells, each has limitations on its adoption as a general means, for a variety of purposes. We describe here a simple procedure to introduce protein molecules into various living mammalian cells. This procedure is based upon the finding that mammalian cells, after exposure to a low concentration of a phospholipid (L-alpha-lysophosphatidylcholine) in the presence of high (hypertonic) concentrations of glycerol became permeable to protein molecules and that a significant portion of the exposed cells regain their viability following incubation in the appropriate growth medium. We have demonstrated that diphtheria toxin (A fragment), horseradish peroxidase and antibodies against SV40 T-antigens are incorporated into living mouse erythroleukemia (Friend) cells, baby hamster kidney (BHK) cells and mouse fibroblasts (C3H), respectively. The volume introduced into a single cell (mouse Friend cells) is approx. 3 X 10(-15) liter, which is comparable to those with other systems. Parameters affecting permeability to protein molecules and viability of the treated cells were also investigated with these and other cell lines.

Studies on the buckwheat allergose report 1: on the cases with the buckwheat allergose.

In this report 9 cases with the buckwheat allergose treated and observed in our allergy clinic are summarized. The following is to be specially mentioned as the most distinguishing traits of the buckwheat allergose. 1) Among such hypersensitive manifestations with buckwheat as asthmatic attacks, urticaria eruption, gastrointestinal disorders, nasal symptoms or congestion of conjunctiva, the boundary line cannot be drawn. 2) The manifestation develops both when the allergen substance invades into the body through mouth and when through air way. 3) Judging from the results of various kinds of allergic examination, the hypersensitive manifestations are attributed to the allergic mechanism based on the antigen-antibody reaction in the strict sense of the word. And the buckwheat allergose is considered to be the model of the type 1 allergy (that is immediate type allergy) proposed by Coombs and Gell. 4) The antigenity of buckwheat is extremely strong, and the hyposensitization treatment with buckwheat must not easily be applied for fear of a severe and dangerous reaction due to the injection of the buckwheat extract.