[Effect of inhibiting perivascular adhesion on intimal hyperplasia of the vein grafts in rabbits].

Objective: To investigate the effect of preventing perivascular adhesion with topical application of sodium hyaluronate on intimal hyperplasia of the vein grafts in rabbits. Methods: Twenty-four male New Zealand white rabbits, aged 5 months, were randomly divided into 2 groups: Group A and B (n=12 rabbits per group). Artery defect model was established by cutting about 1 cm artery from the middle part of the dissociated left common carotid artery. A section about 3 cm was cut from the right external jugular vein, and the harvested vein was inverted and end-to-end anastomosed to the artery defect. After anastomosis, the adventitia and two anastomosis of the grafted veins in group A was applied 0.2 ml sodium hyaluronate locally to, and corresponding site in Group B was served as a control, but with the sterile normal saline. The grafted veins were obtained 1, 2 and 4 weeks after operation, HE staining and Masson staining were preformed for histological changes of grafted vein wall, proliferating cell nuclear antigen (PCNA) and platelet-derived growth factor (PDGF) immunohistochemistry staining were conducted for proliferation and expression and distribution of PDGF of the grafted vein. Results: The macroscopic and histological observation showed that the perivascular adhesions in Group A were looser when compared with those in Group B. The thickness of the intima, the degree of intima hyperplasia of 2 groups at different time points were as follows: at 1 week after operation, group A[(25.5±3.9) µm, (1.2±0.1) ]and group B[(26.2±4.2)µm, (1.2±0.1)]; at 2 weeks after operation, group A[(44.3±2.5)µm, (1.2±0.1)]and group B[(51.0±3.8)µm, (1.4±0.0)]; at 4 weeks after operation, group A[(69.9±6.8)µm, (1.5±0.1)] and group B[(84.4±6.4)µm, (1.7±0.1)]. Group A was inferior to group B in terms of the above three parameters 2 and 4weeks after operation (P<0.05). Cell proliferation index of intima and that of media were as follows: at 1 week after operation, group A (7.4±2.2), (21.5±3.2) and group B (11.5±2.0), (28.6±4.5); at 2 weeks, group A (20.0±3.2), (35.8±3.4) and group B (26.8±4.1), ( 42.6±4.2); at 4 weeks, group A (11.4±2.0), (22.1±2.7) and group B (15.5±2.4, 28.6±3.9). Group A was inferior to group B in terms of cell proliferation index of intima and media 1, 2 and 4 weeks after operation (P<0.05). The percentage of PDGF-positive cells of intima, media and adventitia was as follows: at 1 week after operation, group A (7.7±1.6), (19.6±3.7), (2.5±1.5) and group B (7.6±2.4), (20.6±4.4), (10.3±2.3); at 2 weeks after operation, group A (11.4±2.6), (19.8±3.1), (12.9±3.3) and group B (19.5±3.5), ( 30.6±5.2), (30.5±5.8); at 4 weeks after operation, group A (6.2±1.9), ( 11.1±2.8), (10.2±2.4) and group B (10.5±2.0), (18.6±3.2), (26.5±3.8). Group A was inferior to group B in terms of the percentage of PDGF-positive cells of intima, media and adventitia 2 and 4 weeks after operation (P<0.05) and Group A was inferior to group B that of adventitia 1 week after operation (P<0.05). Conclusion: Preventing perivascular adhesion with topical application of sodium hyaluronate can inhibit intimal hyperplasia.

Fluoride redeposition and retention during bone turnover in lactating rats.

The ability of the adult skeleton to retain fluoride (F) during times of Ca stress was assessed in lactating rats. Rats incorporated F into their skeletons throughout growth by consumption of water containing 50 ppm F from weaning to 11 weeks of age. The rats were then changed to a low-F intake and mated. At delivery, nine dams were killed as a baseline group, and 20 dams were fed a low-F diet plus distilled water during lactation. Half of the rats were subjected to the additional stress of a low-Ca intake to stimulate bone resorption. F loss was determined during lactation. Bone turnover was measured by the loss of previously incorporated tritiated tetracycline (3H-TC), and changes in bone Ca and F contents were compared with changes in 3H-TC content. The extent of bone resorption ranged from 16.5% in the humerus of the adequate-Ca group to 77.1% in the vertebrae of Ca-deficient dams. Loss of bone F was greatest in animals with greatest loss of 3H-TC. Once F was resorbed from bone, only a relatively small portion was redeposited (0-31.4%). The low extent of F redeposition appears to be related to a low Ca deposition in lactating rats.

Effect of phosphate deficiency on pulp alkaline phosphatase and Ca2+-, Mg2+-ATPase activity in rats.

Phosphate deficiency imposed on weanling rats for two wk resulted in a 40% increase in alkaline phosphatase activity of incisor pulp, without a significant change in Ca2+-, Mg2+-ATPase activity. The results are consistent with a separate identity for the two enzymes, but their physiological roles remain obscure.

Reactions of powdered human enamel and fluoride solutions with and without intermediate CaHPO4 x 2H2O formation.

Powdered human enamel treated for three minutes each with a CaHPO4 x 2H2O forming solution and a fluoride solution, and then suspended in "synthetic saliva" for 72 hours acquired a large amount of apatitic fluoride. This apatitic fluoride appears to form after the fluoride treatment.

Comparison of fluoride uptake produced by tray and flossing methods in vitro.

The purposes of this study were to compare: (i) the fluoride (F) uptake by enamel in approximal areas of teeth when the F agent was applied in vitro via a tray or a flossing technique; and (ii) the effectiveness of two treatments--acidulated phosphate fluoride (APF) alone and CaHPO4.2H2O (DCPD)-forming pre-treatment followed by APF. Groups of three teeth (one premolar and two molars) were mounted in impression compounds simulating their oral configuration. In the tray group, teeth received one four-minute treatment by means of custom-formed trays. In the flossing group, the approximal areas of teeth were flossed for 40 sec twice daily for three days with an absorbent floss wetted with the treatment solution. All teeth were incubated in a saliva-like solution except during treatment. At the end of the three-day period, teeth were unmounted and washed in 1 mol/L KOH for 24 hours. The F uptake was calculated from biopsy data obtained before and after the treatment. The results showed that (i) DCPD-APF produced significantly greater F uptake than APF alone in both the tray and flossing methods, and (ii) the flossing technique produced significantly greater F uptake in the approximal areas than the tray method for either treatment.

An in vitro study on restoring bond strength of a GIC to saliva contaminated enamel under unrinse condition.

OBJECTIVES: This study attempted to find a method of restoring the tensile bond strength of glass ionomer cement (GIC) to saliva contaminated enamel under unrinse condition. METHODS: One hundred and thirty human non-carious permanent teeth were divided into two major groups. Either treatment with air drying, acetone, polyacrylic acid, maleic acid, tartaric acid, Scotchbond primer or no treatment at all was applied to both clean and saliva contaminated enamel surfaces prior to GIC placement. Samples were debonded in tension after 7 days of storage in water using a universal testing machine. Statistical analysis was performed using one-way ANOVA, Tukey's studentized range test and Wilcoxon's rank sums test to determine the significance of the difference of tensile bond strengths within and between the two major groups. RESULTS: Bond strength of GIC to clean enamel was 2.46+/-0.79 MPa while the bond strength of GIC to wet contaminated enamel was significantly reduced to 1.28+/-0.32 MPa (p<0.01). However, the bond strengths were restored when the contaminated enamel surfaces were air-dried (2.19+/-0.38 MPa) or applied with either maleic acid (2.80+/-0.63 MPa) or Scotchbond primer (2.13+/-0.65 MPa) before placing GIC over the enamels. CONCLUSIONS: Air drying, or application of maleic acid or Scotchbond primer to the contaminated enamel without rinsing prior to GIC placement can restore the tensile bond strength to a level similar to that of non-contaminated control.

Prevalence of mottled enamel after 12 years of water fluoridation in Chung-hsing New Village.

The prevalence of mottled enamel (dental fluorosis) was investigated among children, aged 6 to 15 years, in Chung-hsing New Village and in Tsao-tun Village. The drinking water in Chung-hsing New Village has been fluoridated for 12 years at a level of 0.6 ppm, while the drinking water in Tsao-tun contains a negligible level of 0.08 ppm. The degree of mottled enamel was assessed by using Dean's Index and the Community Fluorosis Index (CFI), the latter being derived from Dean's Index for the purpose of comparison. In Dean's Index, 6 classes based on the severity of the mottling, are identified: normal, questionable, very mild, mild, moderate, and severe. The results showed that children in Chung-hsing had whiter teeth than those in Tsao-tun Village. In the fluoridated group, 5.8% of children fell into the "very mild" mottling category, as compared to 0.9% in Taso-tun, the control area. For the "mild" class, the rate was 1.9% for Chung-hsing New Village and 0.4% for Tsao-tun. With only one exception in Tsao-tun, none of the children in the two groups showed mottling in the "moderate" or "severe" classes. The Community Fluorosis Index (CFI) was 0.15 for the Chung-hsing group, indicating that the occurrence of mottled enamel is very low when compared with data from fluoridation programs in other countries. It is concluded that in Taiwan, a 0.6 ppm fluoride concentration in drinking water, which has previously been reported to be effective in prevention of dental caries, is associated with only negligible mottling of enamel. Even when mottling does occur, the degree is very mild and only small chalky spots can be seen on the teeth.

Synergistic effect of Nd:YAG laser combined with fluoride varnish on inhibition of caries formation in dental pits and fissures in vitro.

BACKGROUND AND PURPOSE: Although the effectiveness of neodymium yttrium aluminum garnet (Nd:YAG) laser and fluoride anticaries treatment has been established, most previous studies focused on smooth tooth surfaces. We evaluated the anticaries effects of Nd:YAG laser combined with fluoride varnish (Duraphat) on caries-susceptible pit and fissure areas. METHODS: A total of 36 noncarious molars were treated with either a Nd:YAG laser (2.5 W, 6 sec) followed by fluoride varnish, Nd:YAG laser only, fluoride varnish only, or no treatment (control). Artificial carious lesions were created to assess the acid resistance of enamel after treatment. Undecalcified successive tooth slices were made. Percentage lesion formation, lesion length, and lesion depth were evaluated using polarized light microscopy. RESULTS: The Nd:YAG laser enhanced the resistance of dental enamel to acid challenge. However, Nd:YAG laser alone was not as effective as the Nd:YAG laser combined with fluoride varnish, especially for the treatment of pits and fissures. Nd:YAG laser treatment combined with fluoride varnish inhibited 43% of lesions at pits and fissures and 80% of lesions on smooth surfaces compared to no treatment. Carious lesions had shallower depth and shorter length. No carious lesion extended beyond the dentinoenamel junction in either laser-treatment group. CONCLUSIONS: A synergistic effect on dental caries prevention in pit and fissure areas and on the smooth surfaces of the tooth can be achieved by applying Nd:YAG laser followed by fluoride varnish.

Resting dental plaque pH values after repeated measurements at different sites in the oral cavity.

Plaque pH measurements can be used to detect individual's caries susceptibility and the cariogenic potential of ingested foods. However, repeated measurements with a touch electrode at a single site may affect the metabolic state of the dental plaque and result in changes of its inherent pH values. The purposes of this study were to evaluate the influence of repeated measurements of resting plaque pH values and to determine the pH values at different interdental sites. Eleven dental students participated in the study. The dental plaque was built up after thorough oral hygiene care. The subjects were then instructed to maintain a normal diet but to refrain from any oral hygiene care for the next 48 hours. Measurement of plaque pH was performed with an antimony electrode at 6 interproximal sites, including central spaces between the upper and between the lower central incisors, and the area between the second premolar and the first molar in each quadrant. At each tested site, measurements were taken 5 times at 0, 10, 30, 45 and 60 min. The results showed that the plaque pH became slightly alkaline at all the tested locations after repeated measurements. However, only the lower incisor area showed a significant change in pH values. Interdental plaque on the lower arch showed higher pH values than did that on the upper arch. There was no significant difference between the pH values on the right and left corresponding sites as determined using the Wilcoxon signed ranks test.

Changes of dentinal tubules following fluoride iontophoresis.

Fluoride(F) iontophoresis is preferred over topical application to provide long lasting dentin desensitization. The purpose of this study was to evaluate the changes in dentinal tubules following fluoride iontophoresis under SEM observation. Teeth were divided mainly into 3 groups: controls, NaF treated teeth with iontophoresis and those without inotophoresis. A battery operated device was used to apply electric current to teeth. All the teeth were prepared for scanning electron microscopy after treatments. Fluoride treatment, either non-iontophoretic or iontophoretic, produced granular precipitation in dentinal tubules and reduced tubular diameter. In 5-minute non-iontophoretic NaF treated teeth, the depth of precipitate penetration was 75 microns on average where the granules were small and sparse. In the 5-minute iontophoretic NaF treated teeth, the average penetration of precipitation reached 250 microns in one application whereas in three applications to teeth the average depth of penetration reached 830 microns. Fluoride iontophoresis resulted in obstruction of dentinal tubules. Both the frequency and duration od treatment under constant current and voltage affected the size of particles, the form of precipitation and the depth of penetration. Larger particle size and deeper fluoride penetration were observed in iontophoresis treated teeth compared to non-iontophoresis treated teeth. Therefore, repeated fluoride iontophoresis treatment is suggested to ensure long lasting densensitization effects.

Retention of skeletal fluoride during bone turnover in rats.

Deposition of fluoride (F) in the skeleton is a major factor in the metabolic regulation of F. The progressive increase in bone F levels with age suggests that F is rather firmly sequestered once it is deposited in bone. We have examined the extent to which F is resorbed and redeposited during bone turnover in growing rats. The skeleton was first preloaded with F by intake of water containing a high level of F (50 mg F/L) and simultaneously labeled with [3H]tetracycline (3H-TC) to provide a measure of subsequent bone turnover. Rats were then changed to a very low F intake, and bone F loss was compared with 3H-TC loss in animals undergoing normal bone turnover or turnover accelerated by a low calcium (Ca) intake. Approximately 60% of F mobilized during bone resorption was redeposited in the skeleton (humerus and vertebrae). The redeposition of F showed a positive correlation with mineral deposition. Thus the retention of F in the skeleton of growing rats results predominantly from redeposition of resorbed F rather than passive retention associated with low bone turnover.

[Age changes in location of mandibular foramen].

In order to understand the changes in location of the mandibular foramen with age in children, lateral cephalometric radiographs from 112 child and adult patients, including both males and females, were randomly selected according to age. The subjects were divided into 6 age-groups; 3, 5, 7, 9, 11 and adult. Certain lines and points were traced on the radiographs used. The location of the mandibular foramen was identified by two persons. The perpendicular distance from the center of the mandibular foramen to the occlusal plane and the location of the mandibular foramen relative to the ramus height (Ar-Kk), as well as to the ramus width (a-p), were measured. The mandibular foramen was located 4.12 mm below the occlusal plane at the age of 3. It subsequently moved upward with age. By the age of 9, it had reached approximately the same level as the occlusal plane. The foramen continued to move upward to 4.16 mm above the occlusal plane in the adult group. The height percentage averages ranged from the lower 1/3 of the ramus height in the 3 year-old group to the middle of the ramus height in adults. The depth percentage averages ranged from 67.8% in 3 year-old children to 61.7% in adults. For greater accuracy in anesthetic procedures, dentists should relate the locational changes in the mandibular foramen with age when performing block anesthesia for the inferior alveolar nerve.

Influence of water fluoridation on the eruption of permanent teeth in Chung-Hsing New Village, Taiwan.

Along with an evaluation of the effects of 12 years' water fluoridation in the prevention of caries, the present study was conducted to explore the influence of water fluoridation on the eruption of permanent teeth. The survey was carried out in fluoridated Chung-Hsing New Village and the control town of Tsao-Tun from October to December, 1984. Dental examinations were performed on 3,459 children Chung-Hsing New Village and 4,610 in Tsao-Tun, at ages ranging from 3 to 15 years. The results showed that in general, the mean tooth eruption time of girls was earlier than that of boys, and that teeth in the lower jaw emerge sooner than their homologues in the upper jaw, except for premolars. In both fluoridated and control areas the order of tooth eruption was very similar except for the teeth of girls in the upper jaw. The eruption sequence was first premolar, canine then second premolar in the girls of Chung-Hsing New Village, while first premolar, second premolar then canine in those of Tsao-Tun. By comparing the eruption time of permanent teeth in the children of fluoridated and control areas, it was found that they were very alike in general, the only difference being observed in the premolars of the sexes. The premolars of the children in the fluoridated area emerged in the oral cavity 2.5 to 4.5 months later than did their counterparts in the control area.(ABSTRACT TRUNCATED AT 250 WORDS)