Effects of nicotine administration in rats on MMP2 and VEGF levels in periodontal membrane.

BACKGROUND: Nicotine is associated with increased incidence of periodontal disease and poor response to therapy. This article aimed at identifying the expression of matrix metalloproteinases 2 (MMPs2) and vascular endothelial growth factor (VEGF) proteins on extracellular matrix, fibrous distribution and angiogenetic development in periodontitis caused by nicotine effects on periodontal membrane. MATERIALS AND METHODS: In this experimental study, rats were divided into nicotine and control groups. While the rats in the nicotine group (n = 6) were administered 2 mg/kg nicotine sulphate for 28 days, the animals in the control group (n = 6) were only administered 1.5 mL physiologic saline solution subcutaneously for 28 days. RESULTS: Histological sections were prepared and immunohistochemically stained for MMP2 and VEGF. The sections stained with Trichrome-Masson were observed under light microscope. VEGF and MMP2 immunoreactivity of periodontal gingiva and dentin was assessed by immunohistochemical staining. CONCLUSIONS: Nicotine reduces MMP production, disrupts collagen synthesis and causes periodontitis. We observed that nicotine increases periodontitis by disrupting periodontal membrane and prevents tooth to anchor in dental alveoli by disrupting epithelial structure.

Flexural properties of glass fibre reinforced acrylic resin polymers.

BACKGROUND: In recent years, glass fibres have been used to strengthen denture base resins. A major difficulty in using reinforcing fibres with multiphase acrylic resins, such as powder liquid resins, is inadequate impregnation of the fibres with the resin. METHODS: This investigation examined the reinforcing effect of glass fibres on the fracture resistance and flexural strength of acrylic denture base resins. Eighty identical specimens were formed in specially designed moulds in accordance with the manufacturer's recommendations. The four experimental groups were prepared and these consisted of conventional acrylic resin and the same resin reinforced with glass fibres. Ten specimens were fabricated in a standardized fashion for each experimental group. Flexural strength was tested using a 3-point universal testing machine. RESULTS: In this study, statistically significant differences were found in the flexural strength of the specimens (P < 0.05). The injection-moulded, fibre-reinforced group had significantly lower flexural strength than the injection-moulded group (P < 0.001), strength than the microwave-moulded, fibre-reinforced group (P < 0.001), and the microwave-moulded, fibre-reinforced group had lower flexural strength than the microwave-moulded group. The fracture resistance was significantly higher in the injection-moulded, fibre-reinforced group than in the injection-moulded group (P < 0.05), and the fracture resistance was significantly higher in the microwave-moulded, fibre-reinforced group than in the microwave-moulded group. CONCLUSION: Within the limitations of this study, the flexural strength of heat-polymerized PMMA denture resin was improved after reinforcement with glass fibres. It may be possible to apply these results to distal extension partial and complete denture bases.

Orthodontic and prosthetic rehabilitation of unilateral free-end edentulous space.

Most patients prefer fixed dentures, even in the presence of uni and bilateral free-end saddle. The most suitable treatment for this is an implant or implant-supported prosthetic restoration. A combined prosthetic and orthodontic treatment with distalization of a posterior tooth towards the edentulous region is an alternative approach. This study involved a 34.3 year old female patient who had a free-end edentulous space on the left mandibula and missing 1st and 3rd molars on the right mandibula. The patient was offered both a removable partial denture and implant treatment options. A detailed explanation of her situation and suitable treatments were given but she refused both options. Therefore, an alternative combined treatment involving prosthodontic and orthodontic disciplines was performed. The second premolar tooth was distalized orthodontically and used as a distal bridge abutment. After 65 months, prosthetic restoration was functional and abutment teeth and periodontium were pathology free, and the patient was satisfied with the results.