Association between Psychological Distress and Possible, Probable, and Definite Sleep Bruxism-A Comparison of Approved Diagnostic Procedures.

(1) Background: The relationship between sleep bruxism (SB) and psychological distress has been investigated in numerous studies and is heterogeneous. Different diagnostic procedures have been applied to determine SB. The aim of this study was to directly compare the association between psychological distress and SB diagnosed by different accepted methods. (2) Methods: Data of N = 45 subjects were analyzed, including group comparisons and correlation analyses. Following diagnostic methods for the determination of SB were used in one sample: self-report, clinical assessment, polysomnography with audio-video recording and a novel diagnostic sheet with analyzing software. Psychological distress was measured using the global severity index (GSI) of the Symptom Checklist-90-Standard (SCL-90-S). (3) Results: The GSI did not differ significantly between subjects with and without SB, regardless of the underlying diagnostic classification (p > 0.05). In-depth correlation analyses of self-report and clinical data revealed a weak-to-medium correlation with the GSI (r = 0.12-0.44). Due to non-normally distributed data, a test of statistical significance was not possible. Variables of instrumental methods such as the SB index (amount of SB activity per hour) of polysomnography (PSG) showed almost no correlation with psychological distress (r = -0.06-0.05). (4) Conclusions: Despite these limitations, the results provide an indication that the choice of diagnostic procedure may elucidate the variance in the correlation between SB and psychological distress.

Validation of a new diagnostic method for quantification of sleep bruxism activity.

OBJECTIVES: To validate a new diagnostic method (DIABRUX) for quantifying sleep bruxism (SB) activity using the current gold standard, polysomnography (PSG), as a criterion in an adequate sample size investigation. MATERIALS AND METHODS: For SB diagnosis, each participant received a two-night ambulatory PSG including audio-video recordings. The 0.5-mm-thick sheet is produced in a thermoforming process. After diagnosis via PSG, each subject wore the diagnostic sheet for five consecutive nights. The resulting total abrasion on the surface was automatically quantified in pixels by a software specially designed for this purpose. RESULTS: Forty-five participants (10 SB and 35 non-SB subjects) were included. The difference of the mean pixel score between the SB (M = 1,306, SD = 913) and the non-SB group (M = 381, SD = 483; 3.4 times higher for SB) was statistically significant (p < 0.001). The receiver operator characteristic (ROC) analysis revealed a value of 507 pixels as the most appropriate cut-off criterion with a sensitivity of 1.0, a specificity to 0.8, and an area under the curve (AUC) of 0.88. The positive and negative predictive value accounted for 0.59 and 1.0. CONCLUSIONS: The present data confirm that the new diagnostic method is valid and user-friendly that may be used for therapeutic evaluation, and for the acquisition of larger sample sizes within sophisticated study designs. CLINICAL RELEVANCE: The verified properties of the new diagnostic method allow estimating SB activity before damages occur due to long-standing bruxism activity. Therefore, it might be utilized for preventive dentistry. TRIAL REGISTRATION NUMBER: NC T03325920 (September 22, 2017).

Blood and saliva contamination on protective eyewear during dental treatment.

OBJECTIVES: Dental treatments are inherently associated with the appearance of potentially infective aerosols, blood and saliva splashes. The aim of the present study was to investigate the quantitative contamination of protective eyewear during different dental treatments and the efficacy of the subsequent disinfection. MATERIALS AND METHODS: Fifty-three standardized protective eyewear shields worn by students, dentists and dental assistants during different aerosol-producing dental treatment modalities (supragingival cleaning, subgingival periodontal instrumentation, trepanation and root canal treatment and carious cavity preparation; within all treatments, dental evacuation systems were used) were analysed, using common forensic techniques. For detection of blood contamination, luminol solution was applied onto the surface of safety shields. A special forensic test paper was used to visualize saliva contamination. Further analysis was conducted after standardized disinfection using the same techniques. Statistical analysis was performed using SPSS. RESULTS: Macroscopically detectable contamination was found on 60.4% of protective eyewear surfaces. A contamination with blood (median 330 pixels, equivalent to 0.3% of the total surface) was detected on all shields after dental treatment. Between various dental treatments, the contamination with blood tend to be statistically significant (p = 0.054). Highest amount of blood was observed after professional tooth cleaning (median 1,087 pixels). Significant differences of saliva contamination were detected between the different measurements (p < 0.001) with contamination only after dental treatment. Due to the low variance and right-skewed distribution for saliva contamination, no statistical analysis between different treatments could be performed. After disinfection, 0.02% blood contamination and no saliva contamination were detected. CONCLUSIONS: Disinfection is effective against blood and saliva contamination. Macroscopically, clean protective eyewear contains up to 12% surface contamination with blood. Based on the results, it may be concluded that protective eyewear is essential for each dental practitioner. CLINICAL RELEVANCE: As standard for infection prevention in the dental practice, disinfection of protective eyewear after each patient is necessary.

Resolving titin's lifecycle and the spatial organization of protein turnover in mouse cardiomyocytes.

Cardiac protein homeostasis, sarcomere assembly, and integration of titin as the sarcomeric backbone are tightly regulated to facilitate adaptation and repair. Very little is known on how the >3-MDa titin protein is synthesized, moved, inserted into sarcomeres, detached, and degraded. Here, we generated a bifluorescently labeled knockin mouse to simultaneously visualize both ends of the molecule and follow titin's life cycle in vivo. We find titin mRNA, protein synthesis and degradation compartmentalized toward the Z-disk in adult, but not embryonic cardiomyocytes. Originating at the Z-disk, titin contributes to a soluble protein pool (>15% of total titin) before it is integrated into the sarcomere lattice. Titin integration, disintegration, and reintegration are stochastic and do not proceed sequentially from Z-disk to M-band, as suggested previously. Exchange between soluble and integrated titin depends on titin protein composition and differs between individual cardiomyocytes. Thus, titin dynamics facilitate embryonic vs. adult sarcomere remodeling with implications for cardiac development and disease.

Retraction: On the enzymatic activity of catalase: an iron L-edge X-ray absorption study of the active centre.

Retraction of 'On the enzymatic activity of catalase: an iron L-edge X-ray absorption study of the active centre' by Nora Bergmann et al., Phys. Chem. Chem. Phys., 2010, 12, 4827-4832.

Erratum: Probing the Electronic Structure of the Hemoglobin Active Center in Physiological Solutions [Phys. Rev. Lett. 102, 068103 (2009)].

This corrects the article DOI: 10.1103/PhysRevLett.102.068103.

Bacterial viability and physical properties of antibacterially modified experimental dental resin composites.

PURPOSE: To investigate the antibacterial effect and the effect on the material properties of a novel delivery system with Irgasan as active agent and methacrylated polymerizable Irgasan when added to experimental dental resin composites. MATERIALS AND METHODS: A delivery system based on novel polymeric hollow beads, loaded with Irgasan and methacrylated polymerizable Irgasan as active agents were used to manufacture three commonly formulated experimental resin composites. The non-modified resin was used as standard (ST). Material A contained the delivery system providing 4 % (m/m) Irgasan, material B contained 4 % (m/m) methacrylated Irgasan and material C 8 % (m/m) methacrylated Irgasan. Flexural strength (FS), flexural modulus (FM), water sorption (WS), solubility (SL), surface roughness Ra, polymerization shrinkage, contact angle Θ, total surface free energy γS and its apolar γS (LW), polar γS (AB), Lewis acid γS (+)and base γS (-) term as well as bacterial viability were determined. Significance was p < 0.05. RESULTS: The materials A to C were not unacceptably influenced by the modifications and achieved the minimum values for FS, WS and SL as requested by EN ISO 4049 and did not differ from ST what was also found for Ra. Only A had lower FM than ST. Θ of A and C was higher and γS (AB) of A and B was lower than of ST. Materials A to C had higher γS (+) than ST. The antibacterial effect of materials A to C was significantly increased when compared with ST meaning that significantly less vital cells were found. CONCLUSION: Dental resin composites with small quantities of a novel antibacterially doped delivery system or with an antibacterial monomer provided acceptable physical properties and good antibacterial effectiveness. The sorption material being part of the delivery system can be used as a vehicle for any other active agent.

Bacterial viability on surface-modified resin-based dental restorative materials.

UNLABELLED: The purpose of the present investigation was to investigate the viability of early colonizers on the surfaces of resin-based dental restorative materials modified with low-surface tension active agents in comparison with the unmodified material. A novel polymeric sorption material, loaded with two low-surface tension γ(L) active agents (hydroxyfunctional polydimethylsiloxane and polydimethylsiloxane) or a polymerizable active agent (silicone polyether acrylate), was used to modify commonly formulated experimental dental resin composites. The non-modified resin was used as the standard (ST). The viability of Actinomyces naeslundii, Actinomyces viscosus, Streptococcus mitis, Streptococcus oralis, and Streptococcus sanguinis on water-stored, polished, and human saliva pellicle-coated specimens was determined using a fluorescence microscope after 8 and 24h. Total, vital, and non-vital cells were calculated from the microscopic images by counting pixels per colour. Means, standard deviations, univariate ANOVA and multiple comparisons with post hoc Scheffé's tests were calculated. t-Test was done to compare 8-h and 24-h bacteria counts. For all tests p<0.05 was chosen. NULL HYPOTHESIS: the test materials and the standard did not differ either in the total bacterial counts or in the respective bacterium's viability after 8 or 24h. The test materials modified with the silicone polyether acrylate showed lower total bacteria count after 8 or 24h than ST. But all test materials had significantly fewer vital cells after 8 or 24h compared to ST. The contact angle did not influence bacterial adhesion, but low total SFE and a low polar term of SFE resulted in fewer bacteria. The material's chemistry also affected the total and vital cell counts. Different bacteria viabilities needed to be explored to obtain relevant information regarding bacterial adhesion on dental composite resins. The novel sorption material loaded with low γ(L) active agents or with a low γ(L) polymerizable silicone polyether acrylate used to modify the chemistry of the test materials was appropriate to reduce bacterial adhesion or cell viability, respectively.

A new approach to influence contact angle and surface free energy of resin-based dental restorative materials.

The purpose of the present study was to identify novel delivery systems and active agents which increase the water contact angle and reduce the surface free energy when added to resin-based dental restorative materials. Two delivery systems based on zeolite or novel polymeric hollow beads (Poly-Pore), loaded with two low surface tension active agents (hydroxy functional polydimethylsiloxane and polydimethylsiloxane) or a polymerizable active agent (silicone polyether acrylate) were used to modify commonly formulated experimental dental resin composites. The non-modified resin was used as a standard (ST). Flexural strength, flexural modulus, water sorption, solubility, polymerization shrinkage, surface roughness Ra, contact angle θ, total surface free energy γS, and the apolar γSLW, polar γSAB, Lewis acid γS+ and base γS- components, and the active agents surface tensions γL were determined (P<0.05). The active agents did not differ in γL. The modified materials had significantly higher θ but significantly lower γS, γSAB and γS- than the ST. A Poly-Pore/polydimethyl siloxane delivery system yielded the highest θ (110.9±3.5°) acceptable physical properties and the lowest values for γSLW and γS-. Among the modified materials the polymerizable materials containing active agents had the lowest γAB and the highest γS+ and γS-. Although not significant, both of the zeolite delivery systems yielded higher γSLW, γS+ and γS- but lower γSAB than the Poly-Pore delivery systems. Poly-Pore based delivery systems highly loaded with low surface tension active agents were found not to influence the physical properties but to significantly increase the water contact angle and thus reduce surface free energy of dental resin composites.

On the enzymatic activity of catalase: an iron L-edge X-ray absorption study of the active centre.

Catalase and methaemoglobin have very similar haem groups, which are both ferric, yet catalase decomposes hydrogen peroxide to water and oxygen very efficiently, while methaemoglobin does not. Structural studies have attributed this behaviour to their different distal environments. Here we present Fe L(2,3)-edge X-ray absorption spectra of these proteins in physiological solutions, which reveal clear differences in their electronic structures, in that pi back-donation of the Fe atom occurs in catalase, which confers on it a partial ferryl (Fe(4+)) character, while this is not the case in methaemoglobin. The origin of the Fe(4+) character stems from the proximal tyrosine residue. We also find that both systems are in a high spin state. Temperature effects influence the spectra of catalase only weakly, in agreement with previous studies of its chemical activity. We conclude that the high activity of catalase is not only determined by its distal environment but also by its partial ferryl character.

Mycoplasma salivarium detected in a microbial community with Candida glabrata in the biofilm of an occluded biliary stent.

Mycoplasma salivarium, preferentially an inhabitant of the human oral cavity, has rarely been found in other locations associated with disease. We describe here, for what is believed to be the first time, the detection of M. salivarium, together with Candida glabrata, in an occluded biliary stent of an icteric, cholestatic patient.

Association between oral health-related and general health-related quality of life in subjects attending dental offices in Germany.

OBJECTIVES: To evaluate the GHRQoL and OHRQoL of patients attending dental offices in Germany and to determine correlation coefficients between SF (Short Form)-12 and OHIP (Oral Health Impact Profile)-14 scores. METHODS: A total of 10,342 dental offices were randomly selected. Each of the 1,113 that consented to participate received 20 questionnaires to be filled in by a convenience sample of the patients. The questionnaire included the OHIP-14-form for OHRQoL as well as the SF-12-form for GHRQoL. RESULTS: A total of 12,392 completed questionnaires were analyzed. The mean age of the participants (64.9 percent female, 35.1 percent male) was 44.25 years. The mean summary score of OHIP-14 was 6.30 (SD 7.46). The mean physical component summary scale (PCS) of the SF-12 was 51.15 (SD 7.23) and the mental component summary scale (MCS) was 50.17 (SD 8.55). The variance of PCS and MCS could be explained to 10 percent each by oral health-related quality of life (r2 = 0.095 and 0.101, P < 0.001). CONCLUSION: OHRQoL is considerably related to GHRQoL.

Enhancement of the endothelial NO synthase attenuates experimental diastolic heart failure.

BACKGROUND: Diastolic heart failure is a rising problem with a high incidence and similar mortality and morbidity compared to patients with systolic heart failure. Nevertheless, the underlying pathophysiology is still debated. AIM: We investigated the effect of pharmacological enhancement of endothelial nitric oxide synthase (eNOS) on experimental diastolic heart failure (DHF). METHODS: DHF was induced in 60 DAHL salt-sensitive rats by salt diet in 8-week-old animals. 30 were treated with the eNOS enhancer AVE3085 (DHFeNOS) and 30 with placebo (DHF). Rats with normal salt intake served as controls. RESULTS AND CONCLUSION: Diastolic dysfunction with increased diastolic stiffness constant and increased left ventricular (LV) pressure was analyzed by invasive pressure-volume loop measurements in the DHF group compared to controls. Cardiac hypertrophy as indicated by LV mass measurements by echocardiography, and increased cardiac collagen content as measured by immunohistochemistry were associated with an increased activation state of calcineurin, AKT, ERK(1/2), but not JNK and p38 kinases. Titin isoforms were not altered in this model of DHF. Treatment with AVE3085 significantly increased eNOS mRNA and protein levels in the cardiac tissue and decreases NAD(P)H oxidase subunits p22phox and gp91phox. Diastolic dysfunction was attenuated and cardiac hypertrophy and fibrosis were improved in comparison with untreated DHF animals. This was associated with a normalized activation state of calcineurin, AKT and ERK(1/2). Therefore, we suggest that targeting the NO system might yield a future therapeutic aim for the treatment of DHF.

Probing the electronic structure of the hemoglobin active center in physiological solutions.

Soft-x-ray absorption spectroscopy at the L_{2,3} edge of the iron center in bovine hemoglobin and hemin under physiological conditions is reported for the first time. Spectra of the same compounds in solid form are presented for comparison. Striking differences in the electronic structure of the metalloporphyrin are observed between the liquid and solid compounds. We unambiguously show that hemoglobin and hemin are in a high-spin ferric state in solution, and that the 2p spin-orbit coupling decreases for hemin compared to the hemoglobin, while this is not the case in solids. The spectra were simulated using ligand field multiplet theory, in good agreement with the experiment, allowing quantification of the amount of charge transfer between the porphyrin and Fe3+ ion in hemoglobin and in hemin.

M line-deficient titin causes cardiac lethality through impaired maturation of the sarcomere.

Titin, the largest protein known to date, has been linked to sarcomere assembly and function through its elastic adaptor and signaling domains. Titin's M-line region contains a unique kinase domain that has been proposed to regulate sarcomere assembly via its substrate titin cap (T-cap). In this study, we use a titin M line-deficient mouse to show that the initial assembly of the sarcomere does not depend on titin's M-line region or the phosphorylation of T-cap by the titin kinase. Rather, titin's M-line region is required to form a continuous titin filament and to provide mechanical stability of the embryonic sarcomere. Even without titin integrating into the M band, sarcomeres show proper spacing and alignment of Z discs and M bands but fail to grow laterally and ultimately disassemble. The comparison of disassembly in the developing and mature knockout sarcomere suggests diverse functions for titin's M line in embryonic development and the adult heart that not only involve the differential expression of titin isoforms but also of titin-binding proteins.