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1.
Artigo em Inglês | MEDLINE | ID: mdl-39180655

RESUMO

PURPOSE: Understanding that a projectile entering the human body can cause damage or destruction to live tissues through a variety of wounding mechanisms - permanent cavity, temporary cavity, and fragmentation - is crucial for researching terminal ballistics and understand the patterns of gunshot wound configuration. METHODS: The present work tested four different types of ammunition in caliber 9 × 19 mm (Full Metal Jacketed, Gold Hex, Copper Bullet Tactical and Bonded), using ballistic gelatin at 10% as soft tissue surrogate. The tests were based on the Federal Bureau of Investigation Protocol and included shots through bare gelatin, heavy clothing, plywood, steel sheets and auto glass. As a comparison parameter, the American-made Federal™ HST, used by several law enforcement agencies in the USA, was also tested in the same conditions. RESULTS: The Full Metal Jacketed cartridge had a uniform performance throughout the experiment, showing high penetration levels and no expansion, as expected. Gold Hex demonstrated a strong tendency to fragment with low levels of penetration and weight retention. Copper Bullet Tactical did not achieve the 12" minimum penetration in the soft barrier phases but expanded aggressively. Finally, Bonded only failed to achieve the 12" mark of penetration in phase 5 (auto glass), the hardest barrier in the whole Protocol. Tested for comparison purposes, Federal HST showed aggressive expansion in the initial phases (over 100%), after surpassing the 12" threshold. CONCLUSION: The study concluded that heavier projectiles (CBC Bonded and Federal HST) performed better than lighter and faster bullets in terms of terminal ballistics.

2.
J Bone Miner Metab ; 39(3): 311-331, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33151416

RESUMO

Fractures have a great impact on health all around the world and with fracture healing optimization; this problem could be resolved partially. To make a practical contribution to this issue, the knowledge of bone tissue, cellularity, and metabolism is essential, especially cytoskeletal architecture and its transformations according to external pressures. Special physical and chemical characteristics of the extracellular matrix (ECM) allow the transmission of mechanical stimuli from outside the cell to the plasmatic membrane. The osteocyte cytoskeleton is conformed by a complex network of actin and microtubules combined with crosslinker proteins like vinculin and fimbrin, connecting and transmitting outside stimuli through EMC to cytoplasm. Herein, critical signaling pathways like Cx43-depending ones, MAPK/ERK, Wnt, YAP/TAZ, Rho-ROCK, and others are activated due to mechanical stimuli, resulting in osteocyte cytoskeletal changes and ECM remodeling, altering the tissue and, therefore, the bone. In recent years, the osteocyte has gained more interest and value in relation to bone homeostasis as a great coordinator of other cell populations, thanks to its unique functions. By integrating the latest advances in relation to intracellular signaling pathways, mechanotransmission system of the osteocyte and bone tissue engineering, there are promising experimental strategies, while some are ready for clinical trials. This work aims to show clearly and precisely the integration between cytoskeleton and main molecular pathways in relation to mechanotransmission mechanism in osteocytes, and the use of this theoretical knowledge in therapeutic tools for bone fracture healing.


Assuntos
Consolidação da Fratura , Fraturas Ósseas/genética , Fraturas Ósseas/patologia , Animais , Matriz Óssea/metabolismo , Proteínas do Citoesqueleto/metabolismo , Humanos , Mecanotransdução Celular , Osteócitos/metabolismo , Osteócitos/patologia
3.
Biofouling ; 36(2): 234-244, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32321306

RESUMO

This study evaluated adhesion and biofilm formation by Candida albicans, Pseudomonas aeruginosa and Staphylococcus epidermidis on surfaces of titanium (Ti) and titanium coated with F18 Bioactive Glass (BGF18). Biofilms were grown and the areas coated with biofilm were determined after 2, 4 and 8 h. Microscopy techniques were applied in order to visualize the structure of the mature biofilm and the extracellular matrix. On the BGF18 specimens, there was less biofilm formation by C. albicans and S. epidermidis after incubation for 8 h. For P. aeruginosa biofilm, a reduction was observed after incubation for 4 h, and it remained reduced after 8 h on BGF18 specimens. All biofilm matrices seemed to be thicker on BGF18 surface than on titanium surfaces. BGF18 showed significant anti-biofilm activity in comparison with Ti in the initial periods of biofilm formation; however, there was extensive biofilm after incubation for 48 h.


Assuntos
Materiais Biocompatíveis/química , Biofilmes/crescimento & desenvolvimento , Vidro/química , Próteses e Implantes/microbiologia , Titânio/química , Candida albicans/crescimento & desenvolvimento , Pseudomonas aeruginosa/crescimento & desenvolvimento , Staphylococcus epidermidis/crescimento & desenvolvimento , Propriedades de Superfície
4.
J Bone Miner Metab ; 36(3): 255-263, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28516218

RESUMO

A high-fat diet (HFD) can have a negative effect on bone quality in young and old people. Although bone healing in children is normally efficient, there is no evidence that children who have a diet rich in fat have compromised bone fracture regeneration compared with children with recommended dietary fat levels. The purpose of the present study was to evaluate the effects of an HFD on bone healing in growing female rats. Twenty-six postweaning female Wistar rats were divided into two groups (13 animals per group): a standard diet (SD) group and an HFD (with 60% of energy from fat) group. The rats received the assigned diets for 5 weeks, and in the third week they were submitted to an osteotomy procedure of the left tibia. Body mass and feed intake were recorded during the experiment. One day before euthanasia, an insulin tolerance test was performed. After euthanasia, the tibiae were removed and analyzed by densitometry, mechanical testing, histomorphometry, stereology and immunohistochemistry. An HFD caused an adaptive response to maintain energetic balance by decreasing feed intake and causing insulin insensitivity. There was no change in bone mineral density, collagen amount and immunostaining for bone formation, but maximal load and stiffness were decreased in the HFD group. In addition, bone volume had a tendency to be higher in the SD group than in the HFD group. Compared with rats receiving an SD, growing rats receiving an HFD for 5 weeks had similar bone mineral density but altered mechanical properties at the osteotomy defect site.


Assuntos
Dieta Hiperlipídica , Crescimento e Desenvolvimento , Tíbia/patologia , Cicatrização , Animais , Fenômenos Biomecânicos/efeitos dos fármacos , Peso Corporal , Densidade Óssea , Comportamento Alimentar , Feminino , Imuno-Histoquímica , Insulina/metabolismo , Masculino , Osteogênese , Osteotomia , Ratos Wistar , Tíbia/crescimento & desenvolvimento , Suporte de Carga
5.
Lasers Med Sci ; 32(6): 1269-1277, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28560473

RESUMO

Rheumatoid arthritis, an autoimmune inflammation, has a high prevalence in the population, and while therapy is available, it required often injection of drugs causing discomfort to patients. This study evaluates the clinical and histological effect of low-intensity laser therapy (LILT) as an alternative treatment, in a murine model of acute and chronic inflammation. FVB mice received either a Zymosan A injection into one knee joint inducing acute inflammation, followed after 15 min or 24 h by LILT or a collagen bovine type II injection emulsified in "Freund's Complete Adjuvant" to induce chronic arthritis, followed at 4 weeks with multiple LILT sessions. LILT mediated by either 660, 808, or 905 nm and tissue response was evaluated based on clinical symptoms and histological analysis of inflammatory infiltrate and damage to the articular surfaces. LILT can be effective in elevating clinical symptoms, so Kruskal-Wallis testing indicated no significant differences between knees affected by acute arthritis and treated once with LILT and an injured knee without treatment (p > 0.05) for 660 and 808 nm with some improvements for the 905-nm LILT. Mice receiving two treatments for acute arthritis showed exacerbation of inflammation and articular resorption following therapy with a 660-nm continuous laser (p < 0.05). For chronic inflammation, differences were not noted between LILT treated and untreated injured knee joints (p > 0.05). Among the lasers, the 905 nm tends to show better results for anti-inflammatory effect in acute arthritis, and the 660 nm showed better results in chronic arthritis. In conclusion, LILT wavelength selection depends on the arthritis condition and can demonstrate anti-inflammatory effects for chronic arthritis and reduced resorption area in this murine model.


Assuntos
Artrite Experimental/radioterapia , Terapia com Luz de Baixa Intensidade/métodos , Doença Aguda , Animais , Cartilagem Articular/patologia , Cartilagem Articular/efeitos da radiação , Bovinos , Doença Crônica , Colágeno Tipo II , Modelos Animais de Doenças , Adjuvante de Freund , Imuno-Histoquímica , Articulação do Joelho/patologia , Articulação do Joelho/efeitos da radiação , Masculino , Camundongos , Zimosan
6.
Lasers Med Sci ; 32(6): 1253-1260, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28508242

RESUMO

Photodynamic therapy (PDT) is a promising treatment for oral candidoses. Its use as an alternative to antifungals prevents several adverse effects, including microbial resistance. However, most PDT protocols do not employ devices and consumables commonly available in dental practice, thus influencing treatment affordability. This study aimed to determine the efficacy of a PDT method based on light curing units' blue LEDs combined to a plaque-disclosing composition (5% erythrosine) against C. albicans in culture and in a murine model of oral candidosis. Standard and resistant fungal strains were tested in vitro in planktonic and biofilm forms. PDT (pre-irradiation time periods: 30 and 60 s; irradiation time: 3 min) was compared to control conditions without light and/or erythrosine. Mice with induced oral candidosis (n = 40) randomly received PDT or similar control conditions with subsequent C. albicans count. These mice underwent histological analysis, as well as 12 healthy mice submitted to experimental treatments. PDT completely inactivated C. albicans planktonic cells and biofilm. Control conditions presented minor differences (ANOVA, p < 0.05), with mean values ranging from 5.2 to 6.8 log10 (UFC/mL). Infected mice presented no significant difference in C. albicans counts consequent to treatments (ANOVA, p = 0.721), although the PDT protocol was able to enhance the inflammatory infiltrate in healthy mice. It can be concluded that the tested PDT protocol can inactivate C. albicans but still needs further investigation in order to achieve efficacy and safety.


Assuntos
Candidíase Bucal/tratamento farmacológico , Candidíase Bucal/economia , Análise Custo-Benefício , Fotoquimioterapia/economia , Fotoquimioterapia/métodos , Animais , Antifúngicos/farmacologia , Biofilmes/efeitos dos fármacos , Biofilmes/efeitos da radiação , Candida albicans/efeitos dos fármacos , Candida albicans/crescimento & desenvolvimento , Candida albicans/efeitos da radiação , Candidíase Bucal/microbiologia , Eritrosina/farmacologia , Eritrosina/uso terapêutico , Inflamação/patologia , Masculino , Camundongos , Fármacos Fotossensibilizantes/farmacologia , Plâncton/efeitos dos fármacos , Plâncton/efeitos da radiação
7.
Lasers Med Sci ; 31(9): 1883-1890, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27576737

RESUMO

Photobiomodulation (PBM) is a therapy induced by a specific type of laser that affects biologic systems through non-thermal ways. The study of its basic mechanism has gained interest since little is known about the causes of the different effects of this treatment. In the present study, we investigated the action of the PBM application rate changes in the peri-implant tissues in rats subjected to tooth movement in different periods. Wistar rats (±250 g) received an apparatus in the region of the central incisors superiors tightly (70 g) or not, and they were also subjected to one or three PBM sessions. After 7 or 14 days, the rats were subjected to euthanasia and the jaws were dissected and processed for histology. For analysis, serial sections were made that were stained by Picrosirius Red for analysis of collagen fibers, Masson's trichrome for newly formed bone scan, and Hematoxylin-Eosin for quantification of osteoblasts. PBM applied in one or three sessions increased the population of osteoblasts. Still, the application of three sessions of PBM increased the density of collagen fibers and new bone formation compared to the controls. An increase was observed in the interincisal distance in irradiated groups with three PBM sessions and the application of force for both 7 or 14 days. These findings suggest that PBM can contribute positively to the orthodontic movement. So the laser therapy can be used as an adjunct procedure to be performed concurrently for orthodontic treatment in the dental clinic.


Assuntos
Remodelação Óssea/fisiologia , Terapia com Luz de Baixa Intensidade/métodos , Osteoblastos/patologia , Migração de Dente/radioterapia , Animais , Colágeno/metabolismo , Masculino , Osteoclastos/patologia , Ratos , Ratos Wistar
9.
Growth Factors ; 33(2): 139-48, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25798995

RESUMO

The aim of this research was to evaluate the fracture healing area in osteoporotic femur of female rats restrained by stainless steel wire by statin administration in two different doses (5 mg and 20 mg). Ninety female rats were divided into six groups (n = 15): SH, SH-5 mg, SH-20 mg, OVX, OVX-5 mg, and OVX-20 mg. The surgery consisted of the fracture of the left femur bone and stabilization by K-wire and the administration was restricted and weekly controlled in the drinking water. The euthanasia was conducted at three different moments, five animals per period: 7 d, 14 d, and 28 d. Densitometry, zymography, and histological analyses showed a significant difference between some groups. According to these findings, simvastatin promoted a positive action for bone repair, especially in the osteometabolic group treated with 20 mg of the drug.


Assuntos
Osso e Ossos/efeitos dos fármacos , Fraturas do Fêmur/tratamento farmacológico , Sinvastatina/administração & dosagem , Animais , Modelos Animais de Doenças , Feminino , Consolidação da Fratura/efeitos dos fármacos , Inibidores de Hidroximetilglutaril-CoA Redutases/administração & dosagem , Hipercolesterolemia/tratamento farmacológico , Imuno-Histoquímica , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Osteoporose/tratamento farmacológico , Ratos , Ratos Wistar , Aço Inoxidável
10.
Muscle Nerve ; 52(5): 869-75, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25677810

RESUMO

INTRODUCTION: In this study we evaluated the characteristics of the tibialis anterior muscle after sciatic nerve crush and treatment with low-level laser therapy (LLLT) or the protein from natural latex (P1). METHODS: We studied the following 6 groups of male Wistar rats: control (CG); exposed nerve (EG); injured nerve (IG); injured nerve with LLLT (LG); injured nerve with P1 (PG); and injured nerve with P1 and LLLT (LPG). RESULTS: After 4 weeks, muscle morphology showed improvement in the treated groups; after 8 weeks, the treated groups resembled controls, especially the PG. Morphometry revealed muscle fiber atrophy after nerve injury, with time-dependent recovery. Histochemical analysis revealed increased intermediate fiber area. The PG was more similar to controls with NADH staining, whereas the LPG more closely resembled controls with SDH staining. CONCLUSION: Treatment using only P1 proved most efficient, revealing a negative interaction between P1 and LLLT.


Assuntos
Hevea , Terapia a Laser/métodos , Látex/uso terapêutico , Compressão Nervosa , Neuropatia Ciática/terapia , Animais , Látex/isolamento & purificação , Terapia com Luz de Baixa Intensidade/métodos , Masculino , Ratos , Ratos Wistar , Neuropatia Ciática/patologia , Resultado do Tratamento
11.
ScientificWorldJournal ; 2015: 359152, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25874243

RESUMO

The aim of this triple-blind full-randomized clinical trial was to quantify analgesia in masticatory muscles and temporomandibular joints after occlusal splint therapy associated with the adjuvant administration of nonsteroidal anti-inflammatory drugs (NSAID) isolated or associated with other therapeutic agents. Pain relief was also recorded. Eighteen volunteers who had been suffering from chronic pain in masticatory muscles due to temporomandibular disorders were selected after anamnesis and assessment using RDC/TMD translated to Portuguese. The 3 proposed treatments were NSAID (sodium diclofenac), panacea (sodium diclofenac + carisoprodol + acetaminophen + caffeine), and a placebo. The total treatment duration was 10 days, preceded and succeeded by patients' pain assessment. A washout interval of 11 days was established between each therapy. All participants received all treatments in different moments, in a full randomized crossover methodology. The assessment of drug therapies was performed using visual analogue scale for pain on palpation followed by 11-point numerical scale to quantify pain during treatment. Statistical analysis has shown that, after 10 days of treatment, all therapies were effective for pain relief. NSAID therapy promoted analgesia on the third day, while placebo only promoted analgesia in the eighth day. It has been concluded that sodium diclofenac used as splint adjuvant therapy, promotes significant analgesia in a shorter time.


Assuntos
Analgesia/métodos , Anti-Inflamatórios não Esteroides/administração & dosagem , Dor Crônica/tratamento farmacológico , Manejo da Dor/métodos , Medição da Dor/métodos , Transtornos da Articulação Temporomandibular/tratamento farmacológico , Acetaminofen/administração & dosagem , Adulto , Idoso , Cafeína/administração & dosagem , Carisoprodol/administração & dosagem , Dor Crônica/diagnóstico , Dor Crônica/epidemiologia , Diclofenaco/administração & dosagem , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/efeitos dos fármacos , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/epidemiologia
12.
ScientificWorldJournal ; 2015: 712683, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25874255

RESUMO

Baccharis dracunculifolia DC (Asteraceae), popularly known as "alecrim-do-campo," is largely distributed in South America, is shown to exhibit protective actions against gastric ulcers, has anti-inflammatory properties, and is hepatoprotective. Several essential oils obtained from Baccharis species possess biological activities, such as antimicrobial and antivirus activities. This randomized controlled trial evaluated the efficacy of B. dracunculifolia in the reduction of dental biofilm, comparing this natural product with other mouthwashes already known in the dental market. In measuring the time after use of mouthwash (t = 1), there was no difference between products (P = 0.602); that is, subjects in the study had a similar PI after the first use. After one week (t = 2), there was no difference between the four products evaluated (P = 0.674), so, all research individuals completed the study with a similar reduction in dental biofilm between themselves but it was different from initial state (Friedman test). It is possible to conclude that B. dracunculifolia had the same efficiency of the materials used to oral hygiene in reduction of dental plaque and, consequently, prevention of dental caries. Thus, we can consider B. dracunculifolia as a good candidate for new material to be implemented in dental care.


Assuntos
Baccharis , Biofilmes/efeitos dos fármacos , Antissépticos Bucais/administração & dosagem , Óleos Voláteis/administração & dosagem , Extratos Vegetais/administração & dosagem , Preparações de Plantas/administração & dosagem , Adolescente , Adulto , Biofilmes/crescimento & desenvolvimento , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Masculino , Óleos Voláteis/isolamento & purificação , Extratos Vegetais/isolamento & purificação , Preparações de Plantas/isolamento & purificação , Adulto Jovem
13.
Growth Factors ; 32(5): 164-70, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25257251

RESUMO

Hyaluronic acid hydrogels (HAHs) have been used as a carrier of substances and factors in the repair of nervous tissue. Natural latex protein (Hevea brasiliensis, F1) has shown positive effects in treating various types of tissues, including peripheral nerves. This study evaluated the F1 associated with a HAH in a controlled crush injury (axonotmesis) of the sciatic nerve in Wistar rats. The samples were photomicrographed for morphometric and quantitative analyzes using ImageJ 1.47k software (NIH, Bethesda, MD). Morphological, quantitative (myelin area/nerve area ratio and capillary density) and morphometric (minimum nerve fiber diameter, G-Ratio) data revealed an improvement in the recovery of the sciatic nerve with the application of HAH and the combination of HAH and F1 after 4 and 8 weeks of nerve injury. The most efficacious results were observed with the combination of both substances, F1 and HAH, revealing the regenerative capacity of this new biomaterial, which was hardly tested on nerve tissue.


Assuntos
Materiais Biocompatíveis/química , Ácido Hialurônico/química , Hidrogéis/química , Látex/química , Nervo Isquiático/lesões , Nervo Isquiático/patologia , Engenharia Tecidual/métodos , Animais , Hevea/química , Bainha de Mielina/química , Compressão Nervosa , Regeneração Nervosa , Nervos Periféricos/patologia , Extratos Vegetais/química , Ratos , Ratos Wistar , Neuropatia Ciática , Temperatura , Cicatrização
14.
Lasers Med Sci ; 28(3): 777-83, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22797825

RESUMO

Low-level laser therapy (LLLT) has been widely used in the treatment of the stomatognathic system dysfunction; however, its biological effect remains poorly understood. This study evaluated the effect of LLLT (GaAlAs, 780 nm, 20 J/cm(2), 40 mW) on masseter muscle of HRS/J mice after different numbers of laser irradiations (three, six, and ten) for 20 s in alternate days. Three experimental groups were defined according to the number of laser irradiations and three control groups (n=5) were used. On the third day after the last irradiation, all animals were killed and the masseter muscle was removed and processed for the following analysis: (a) transmission electron microscopy, (b) zymography, (c) immunohistochemistry for vascular endothelial growth factor (VEGF) and VEGFR-2. The results showed: (a) with six laser applications, a dilation of T tubules, and sarcoplasmic reticulum cistern, increased pinocytosed vesicles in the endothelium; with ten laser applications, few pinocytic vesicles in the endothelium and condensed mitochondria. (b) Under the conditions of this study, the synthesis of other matrix metalloproteinases was not observed, only the MMP-2 and -9. (c) After ten laser irradiations, immunostaining was observed only for VEGFR-2. We conclude that after six laser applications, ultrastructural changes may facilitate the Ca(+2) transfer to cytosol and increase the fluid transport from one surface to another. The ultrastructural changes and no immunostaining for VEGF with ten applications may decrease the metabolic activity as well as damage the angiogenic process, suggesting that an effective number of laser applications may be less than ten, associating to this therapy a better cost-benefit.


Assuntos
Terapia com Luz de Baixa Intensidade , Músculo Masseter/efeitos da radiação , Animais , Humanos , Masculino , Músculo Masseter/metabolismo , Músculo Masseter/ultraestrutura , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Camundongos , Camundongos Pelados , Microscopia Eletrônica de Transmissão , Modelos Animais , Transtornos da Articulação Temporomandibular/radioterapia , Fator A de Crescimento do Endotélio Vascular/metabolismo , Receptor 2 de Fatores de Crescimento do Endotélio Vascular/metabolismo
15.
Lasers Med Sci ; 27(5): 971-7, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22095190

RESUMO

Low-level laser irradiation (LLLI) and recombinant human bone morphogenetic protein type 2 (rhBMP-2) have been used to stimulate bone formation. LLLI stimulates proliferation of osteoblast precursor cells and cell differentiation and rhBMP-2 recruits osteoprogenitor cells to the bone healing area. This in vivo study evaluated the effects of LLLI and rhBMP-2 on the bone healing process in rats. Critical bone defects were created in the parietal bone in 42 animals, and the animals were divided into six treatment groups: (1) laser, (2) 7 µg of rhBMP-2, (3) laser and 7 µg of rhBMP-2, (4) 7 µg of rhBMP-2/monoolein gel, (5) laser and 7 µg rhBMP-2/monoolein gel, and (6) critical bone defect controls. A gallium-aluminum-arsenide diode laser was used (wavelength 780 nm, output power 60 mW, beam area 0.04 cm(2), irradiation time 80 s, energy density 120 J/cm(2), irradiance 1.5 W/cm(2)). After 15 days, the calvarial tissues were removed for histomorphometric analysis. Group 3 defects showed higher amounts of newly formed bone (37.89%) than the defects of all the other groups (P < 0.05). The amounts of new bone in defects of groups 1 and 4 were not significantly different from each other (24.00% and 24.75%, respectively), but were significantly different from the amounts in the other groups (P < 0.05). The amounts of new bone in the defects of groups 2 and 5 were not significantly different from each other (31.42% and 31.96%, respectively), but were significantly different from the amounts in the other groups (P < 0.05). Group 6 defects had 14.10% new bone formation, and this was significantly different from the amounts in the other groups (P < 0.05). It can be concluded that LLLI administered during surgery effectively accelerated healing of critical bone defects filled with pure rhBMP-2, achieving a better result than LLLI alone or the use of rhBMP-2 alone.


Assuntos
Proteína Morfogenética Óssea 2/administração & dosagem , Regeneração Óssea/efeitos dos fármacos , Regeneração Óssea/efeitos da radiação , Terapia com Luz de Baixa Intensidade , Animais , Feminino , Humanos , Lasers Semicondutores/uso terapêutico , Ratos , Ratos Wistar , Proteínas Recombinantes/administração & dosagem , Crânio/efeitos dos fármacos , Crânio/lesões , Crânio/patologia , Crânio/efeitos da radiação
16.
Gerodontology ; 29(2): e1249-51, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22612842

RESUMO

BACKGROUND: Accelerating bone healing around dental implants can reduce the long-term period between the insertion of implants and functional rehabilitation. OBJECTIVE: This in vivo study evaluated the effect of a constant electromagnetic field (CEF) on bone healing around dental implants in dogs. MATERIALS AND METHODS: Eight dental implants were placed immediately after extraction of the first pre-molar and molar teeth on the mandible of two male dogs and divided into experimental (CEF) and control groups. A CEF at magnetic intensity of 0.8 mT with a pulse width of 25 µs and frequency of 1.5 MHz was applied on the implants for 20 min per day for 2 weeks. RESULT AND CONCLUSION: After qualitative histological analysis, a small quantity of newly formed bone was observed in the gap between the implant surface and alveolar bone in both groups.


Assuntos
Regeneração Óssea/fisiologia , Implantes Dentários , Campos Eletromagnéticos , Mandíbula/cirurgia , Processo Alveolar/patologia , Animais , Dente Pré-Molar/cirurgia , Corantes , Cães , Processamento de Imagem Assistida por Computador/métodos , Masculino , Mandíbula/patologia , Dente Molar/cirurgia , Osteócitos/patologia , Osteogênese/fisiologia , Osteotomia/métodos , Projetos Piloto , Retalhos Cirúrgicos , Fatores de Tempo , Cloreto de Tolônio , Extração Dentária , Alvéolo Dental/patologia , Alvéolo Dental/cirurgia , Torque
17.
Biomolecules ; 12(12)2022 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-36551166

RESUMO

Extensive bone defect healing is an important health issue not yet completely resolved. Different alternative treatments have been proposed but, in face of a critical bone defect, it is still very difficult to reach a complete regeneration, with the new-formed bone presenting all morphological and physiological characteristics of a normal, preinjury bone. Topical melatonin use has shown as a promising adjuvant for bone regeneration due to its positive effects on bone metabolism. Thus, to search for new, safe, biological techniques that promote bone repair and favor defect healing, we hypothesized that there is a synergistic effect of melatonin treatment associated with rhBMP-2 to guide bone regeneration. This study aimed to investigate bone repair effects of topical melatonin administration in different concentrations (1, 10, and 100 µg), associated or not with rhBMP-2. Surgical-induced bone defect healing was qualitatively evaluated through histopathological analysis by light microscopy. Additionally, quantitative stereology was performed in immunohistochemistry-prepared tissue to identify angiogenic, osteogenic, and osteoclastogenic factors. Quantification data were compared between groups by the ANOVA/Tukey test and differences were considered significant when p < 0.05. Our results showed that the presence of the scaffold in the bone defect hindered the process of bone repair because in the group treated with "blood clot + scaffold" the results of bone formation and immunolabeling were reduced in comparison with all other groups (treated with melatonin alone or in association with rhBMP-2). Statistical analysis revealed a significant difference between the control group (bone defect + blood clot), and groups treated with different concentrations of melatonin in association with rhBMP-2, indicating a positive effect of the association for bone repair. This treatment is promising once it becomes a new safe alternative technique for the clinical treatment of fractures, bone defects, and bone grafts. Our results support the hypothesis of the safe use of the association of melatonin and rhBMP-2 and have established a safe and effective dose for this experimental treatment.


Assuntos
Melatonina , Melatonina/farmacologia , Proteína Morfogenética Óssea 2/farmacologia , Colágeno/farmacologia , Regeneração Óssea , Cicatrização , Remodelação Óssea , Proteínas Recombinantes/farmacologia
18.
BMC Mol Cell Biol ; 23(1): 15, 2022 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-35331137

RESUMO

BACKGROUND: Besides controlling the expression of peripheral tissue antigens, the autoimmune regulator (AIRE) gene also regulates the expression of adhesion genes in medullary thymic epithelial cells (mTECs), an essential process for mTEC-thymocyte interaction for triggering the negative selection in the thymus. For these processes to occur, it is necessary that the medulla compartment forms an adequate three-dimensional (3D) architecture, preserving the thymic medulla. Previous studies have shown that AIRE knockout (KO) mice have a small and disorganized thymic medulla; however, whether AIRE influences the mTEC-mTEC interaction in the maintenance of the 3D structure has been little explored. Considering that AIRE controls cell adhesion genes, we hypothesized that this gene affects 3D mTEC-mTEC interaction. To test this, we constructed an in vitro model system for mTEC spheroid formation, in which cells adhere to each other, establishing a 3D structure. RESULTS: The comparisons between AIRE wild type (AIREWT) and AIRE KO (AIRE-/-) 3D mTEC spheroid formation showed that the absence of AIRE: i) disorganizes the 3D structure of mTEC spheroids, ii) increases the proportion of cells at the G0/G1 phase of the cell cycle, iii) increases the rate of mTEC apoptosis, iv) decreases the strength of mTEC-mTEC adhesion, v) promotes a differential regulation of mTEC classical surface markers, and vi) modulates genes encoding adhesion and other molecules. CONCLUSIONS: Overall, the results show that AIRE influences the 3D structuring of mTECs when these cells begin the spheroid formation through controlling cell adhesion genes.


Assuntos
Células Epiteliais , Genes Reguladores , Animais , Adesão Celular , Diferenciação Celular/genética , Células Epiteliais/metabolismo , Camundongos , Camundongos Knockout
19.
Polymers (Basel) ; 14(19)2022 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-36236116

RESUMO

In this preclinical protocol, an adjunct method is used in an attempt to overcome the limitations of conventional therapeutic approaches applied to bone repair of large bone defects filled with scaffolds. Thus, we evaluate the effects of photobiomodulation therapy (PBMT) on the bone repair process on defects filled with demineralized bovine bone (B) and fibrin sealant (T). The groups were BC (blood clot), BT (B + T), BCP (BC + PBMT), and BTP (B + T + PBMT). Microtomographically, BC and BCP presented a hypodense cavity with hyperdense regions adjacent to the border of the wound, with a slight increase at 42 days. BT and BTP presented discrete hyperdensing areas at the border and around the B particles. Quantitatively, BCP and BTP (16.96 ± 4.38; 17.37 ± 4.38) showed higher mean bone density volume in relation to BC and BT (14.42 ± 3.66; 13.44 ± 3.88). Histologically, BC and BCP presented deposition of immature bone at the periphery and at 42 days new bone tissue became lamellar with organized total collagen fibers. BT and BTP showed inflammatory infiltrate along the particles, but at 42 days, it was resolved, mainly in BTP. In the birefringence analysis, BT and BTP, the percentage of red birefringence increased (9.14% to 20.98% and 7.21% to 27.57%, respectively), but green birefringence was similar in relation to 14 days (3.3% to 3.5% and 3.5% to 4.2%, respectively). The number of osteocytes in the neoformed bone matrix proportionally reduced in all evaluated groups. Immunostaining of bone morphogenetic protein (BMP­2/4), osteocalcin (OCN), and vascular endothelial growth factor (VEGF) were higher in BCP and BTP when compared to the BC and BT groups (p < 0.05). An increased number of TRAP positive cells (tartrate resistant acid phosphatase) was observed in BT and BTP. We conclude that PBMT positively influenced the repair of bone defects filled with B and T.

20.
Gerodontology ; 28(3): 227-32, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20609008

RESUMO

INTRODUCTION: Millions of people around the world do not have access to the benefits of osseointegration. Treatments involving oral rehabilitation with overdentures have been widely used by specialists in the oral medicine field. This is an alternative therapy for retention and stability achievement in total prosthesis with conventional treatment, and two implants are enough to establish a satisfactory overdenture. OBJECTIVE: The objectives of the study were to evaluate 16 patients of both sexes, with an average age of 47.4±4 years, using electromyographic analysis of masseter and temporal muscles and analyse the increase of incisive and molar maximal bite force with their existing complete dentures and following mandibular implant overdenture therapy to assess the benefits of this treatment. MATERIALS AND METHODS: For these tests, the Myosystem-BR1 electromyograph and the IDDK Kratos dynamometer were used. Statistical analysis was performed using the repeated measures test (SPSS 17.0). RESULTS: A decrease in electromyographic activity during the rest, lateral and protrusion movements and increase of the maximal incisive and molar bite force after 15months with a mandibular implant overdenture was observed. CONCLUSION: All the patients in this study reported a considerable improvement in the masticatory function and prostheses stability following treatment. It is possible to propose that the use of mandibular implants overdenture should become the selected treatment for totally edentulous patients to facilitate oral function and quality of life.


Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Retenção de Dentadura/instrumentação , Prótese Total Inferior , Revestimento de Dentadura , Carga Imediata em Implante Dentário , Mandíbula/cirurgia , Adulto , Idoso , Força de Mordida , Oclusão Dentária , Eletromiografia , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Incisivo/fisiologia , Masculino , Músculo Masseter/fisiologia , Mastigação/fisiologia , Pessoa de Meia-Idade , Dente Molar/fisiologia , Contração Muscular/fisiologia , Amplitude de Movimento Articular/fisiologia , Fala/fisiologia , Músculo Temporal/fisiologia
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