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BACKGROUND: Despite best medical and surgical practice, some cases of chronic rhinosinusitis (CRS) can remain recalcitrant. Bacterial biofilms have been associated with the recalcitrance of sinonasal inflammation. Biofilms are highly resistant to commonly prescribed antibiotics. Accordingly, more effective antimicrobial treatment options are needed to treat refractory CRS. The aim of this study was to determine the in vitro efficacy of neutral electrolysed water (NEW) and povidone-iodine (PVI) against CRS-associated Staphylococcus aureus biofilms. METHODS: Mature S. aureus biofilms were grown in a Centre for Disease Control (CDC) biofilm reactor. The antimicrobial activity of NEW, PVI and doxycycline was determined for both planktonic and biofilm cultures of a clinical S. aureus isolate using minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC) and minimum biofilm eradication concentration (MBEC) assays. RESULTS: MICs and MBCs were determined for all antimicrobials. MBC values were similar to MICs for both antiseptics, but doxycycline MBCs were significantly higher than the associated MICs. Biofilms were highly resistant to NEW and doxycycline. The MBEC for doxycycline was between 500 and 1000 Â#181;g/mL. NEW was ineffective against biofilms and no MBEC could be determined. In contrast, a concentration of 10% of the commercial PVI solution (10 mg/mL PVI) led to effective eradication of mature biofilms. CONCLUSION: In this study, only PVI showed promising antibiofilm activity at physiological concentrations. The in vivo efficacy of PVI warrants further investigation of its potential as a treatment for recalcitrant CRS.
Assuntos
Povidona-Iodo , Staphylococcus aureus , Antibacterianos/farmacologia , Biofilmes , Humanos , Testes de Sensibilidade Microbiana , Povidona-Iodo/farmacologia , Água/farmacologiaRESUMO
The purpose of this in vitro study was to evaluate the effect of enamel sealants on bleaching of natural teeth by use of 40 % hydrogen peroxide in a dental surgery. The color stability of the results from bleaching was, furthermore, determined 10 months after the bleaching procedure. In a standardized setting, four sealants (Pro Seal®, Light Bond™ Sealant, Protecto®, and Clinpro™ XT Varnish) were applied to and removed from human teeth in accordance with the manufacturer's instructions. Natural teeth served as medium; half of the teeth were sealed and the others served as controls. Hydrogen peroxide gel (40 %; Opalescence Boost; Ultradent Products, South Jordan, UT, USA) was used as bleaching agent. Color measurement was performed with a spectroradiometer (Photoresearch PR670) before the bleaching process (T1) and 24 h (T2) and 10 months (T3) after bleaching. The spectroradiometer results were expressed by use of the Commission Internationale de l'Éclairage (CIE) L*a*b* color notation. The L*, a*, and b* values of the sealed and the unsealed surfaces were not significantly different at any time during the study (p > 0.05), irrespective of the sealant used. Ten months after the bleaching process, mean L*, a*, and b* values were lower than at 1-day post-bleaching; the mean value of ΔE between 1-day post-bleaching and 10 months post-bleaching was 2.46 (±3.1). The results of the study suggest that the effectiveness of professional tooth whitening is not appreciably affected by the application of the four sealants tested.
Assuntos
Esmalte Dentário/efeitos dos fármacos , Selantes de Fossas e Fissuras/farmacologia , Clareamento Dental/métodos , Cor , Resinas Compostas , Peróxido de Hidrogênio , Técnicas In Vitro , Iridescência , Metacrilatos , Cimentos de Resina , SilicatosRESUMO
AIM: To evaluate the correlation between clinical and salivary microbial parameters during treatment with removable orthodontic appliances with or without use of fluoride mouth rinse. MATERIALS AND METHODS: A group of 48 patients completed this randomized, controlled, parallel-group, clinical pilot study. 24 patients of the test group (TG) rinsed after tooth brushing with a fluoride mouth rinse (100 ppm AmF/150 ppm NaF) while 21 patients of the control group (CG) did not. Clinical parameters [Approximal Plaque Index (API), Papillary Bleeding Index (PBI)] as well as levels of salivary mutans streptococci (MS) and lactobacilli (LB) were assessed at baseline and after 3, 6, 9 and 12 months. Compliance was documented by participants. Appliance wear-times were estimated retrospectively by the patients. All participants received the same brushing instructions and were supplied with the same toothbrush/toothpaste. RESULTS: A significant correlation of API values with MS levels (p=0.0003) or with LB levels (p=0.001) was observed. Furthermore, appliance wear-times were significantly associated with API values (p=0.02). The changes of MS or LB levels between beginning and end of the study did not differ significantly between study groups. The changes of the API scores showed slightly different median values (-3.5 in the TG vs. 0 in the CG), the difference, however, was not significant. CONCLUSIONS: The results emphasise the need for a careful monitoring of the oral hygiene status in patients with removable orthodontic appliances. Larger controlled clinical trials are necessary to investigate treatment options such as use of supplementary fluoride mouth rinse.
Assuntos
Cariostáticos/uso terapêutico , Fluoretos/uso terapêutico , Antissépticos Bucais/uso terapêutico , Aparelhos Ortodônticos Removíveis , Saliva/microbiologia , Carga Bacteriana/efeitos dos fármacos , Índice de Placa Dentária , Feminino , Fluoretos Tópicos/uso terapêutico , Seguimentos , Humanos , Lactobacillus/efeitos dos fármacos , Lactobacillus/isolamento & purificação , Masculino , Higiene Bucal/educação , Aparelhos Ortodônticos Removíveis/microbiologia , Cooperação do Paciente , Índice Periodontal , Projetos Piloto , Estudos Retrospectivos , Fluoreto de Sódio/uso terapêutico , Streptococcus mutans/efeitos dos fármacos , Streptococcus mutans/isolamento & purificação , Escovação Dentária/instrumentação , Escovação Dentária/métodosRESUMO
Photoelectron angular distributions (PADs) obtained from ionization of potassium atoms using moderately intense femtosecond IR fields (â¼10^{12} W cm^{-2}) of various polarization states are shown to provide a route to "complete" photoionization experiments. Ionization occurs by a net three-photon absorption process, driven via the 4sâ4p resonance at the one-photon level. A theoretical treatment incorporating the intrapulse electronic dynamics allows for a full set of ionization matrix elements to be extracted from 2D imaging data. 3D PADs generated from the extracted matrix elements are also compared to experimental, tomographically reconstructed, 3D photoelectron distributions, providing a sensitive test of their validity. Finally, application of the determined matrix elements to ionization via more complex, polarization-shaped, pulses is demonstrated, illustrating the utility of this methodology towards detailed understanding of complex ionization control schemes and suggesting the utility of such "multiplexed" intrapulse processes as powerful tools for measurement.
RESUMO
BACKGROUND: Although long known, infestations of the buccal mucosa by nematodes of the Gongylonema genus are rare, particularly in France. Herein we report a new case. PATIENTS AND METHODS: A 48-year old man consulted for itching in various parts of the buccal mucosa over the preceding weeks. The patient lived in a rural region in southern Alsace and had never visited Africa. His work comprised overseeing the unloading of flour at the port of Basel. The initial clinical examination was negative. However, the patient managed to photograph a filament previously present in his buccal mucosa, and to ultimately extract a worm. The latter was identified at the Strasbourg Institute of Parasitology by Pr Pesson as a nematode of the genus Gongylonema sp. pulchrum. No other treatment was considered necessary. DISCUSSION: It is important for dermatologists to be aware of this type of parasitosis. Its stereotyped clinical presentation allows ready diagnosis, but the possible absence of the parasite at the time of the visit may lead to a misdiagnosis of Ekbom syndrome (delusional parasitic infestation).
Assuntos
Doenças da Boca/parasitologia , Doenças Profissionais/parasitologia , Infecções por Spirurida/parasitologia , Spiruroidea/isolamento & purificação , Animais , Comércio , Delírio de Parasitose/diagnóstico , Grão Comestível/parasitologia , Manipulação de Alimentos , Parasitologia de Alimentos , Corpos Estranhos/diagnóstico , Humanos , Doenças Labiais/diagnóstico , Doenças Labiais/parasitologia , Masculino , Pessoa de Meia-Idade , Doenças da Boca/diagnóstico , Doenças Profissionais/diagnóstico , Fotografação , Sensação , Infecções por Spirurida/diagnóstico , Infecções por Spirurida/epidemiologiaRESUMO
PURPOSE: Identifying buccal and oral bone as an important supporting periodontal structure for teeth provides important information for treatment planning in periodontics and orthodontics. This study aims to add evidence to the knowledge of preciseness of cone beam computed tomography (CBCT) measurements of the vertical dimension of buccal and oral bone. The hypothesis is that CBCT is an accurate and reliable method to measure vertical vestibular and oral bone loss. METHODS: The amount of vertical buccal and oral bone loss (bl) of 260 sites of 10 human cadavers was investigated clinically and radiographically by CBCT. Radiographic measurements were rated by two blinded raters. Measurements and the corresponding differences between clinical and radiological findings are described by medians and quartiles (Q1-Q3). For statistical analysis, Lin's concordance correlation coefficient (CCC) and Bland-Altman plots were calculated. RESULTS: The CCC between the raters was 0.994 (95% confidence interval 0.992-0.995). The median bone loss (bl) distance from the cementoenamel junction (CEJ) to the bony defect (BD) was 3.5â¯mm (range 3-5â¯mm). The median bl measured in the CBCT was 3.8â¯mm (range 3.1-4.8â¯mm). The median difference of the 2 measurements for all sites included in the study (Nâ¯= 260) was -0.2â¯mm (-0.7 to 0.3â¯mm). CONCLUSIONS: CBCT seems to be an accurate and highly reliable method to detect and describe vertical buccal and oral bone loss. It could improve planning and prediction for successful combined periodontal and orthodontic therapies.
Assuntos
Perda do Osso Alveolar , Atrofia Periodontal , Tomografia Computadorizada de Feixe Cônico Espiral , Humanos , Tomografia Computadorizada de Feixe Cônico , Periodontite , Atrofia Periodontal/diagnóstico por imagem , Perda do Osso Alveolar/diagnóstico por imagemRESUMO
AIM: Parents of children with orofacial clefts take an active part in the rehabilitation of their children. Against this background, the aim of the present study was to determine the stress in parents of orthodontically treated children with and without orofacial clefts. METHOD: For assessing oral health-specific stress in orthodontic treatment, a questionnaire was developed (FMB). General parenting stress was assessed by the Parenting Stress Index (PSI)-German Short Form. Parents of 54 orthodontically treated children with an orofacial cleft were included in the study. Parents of 44 healthy children served as controls. The questions of the FMB were generated on the basis of clinical practice and were factor analysed. The reliability was calculated and compared with the PSI for validation. RESULTS: The FMB questionnaire presented four factors regarding personal stress, stress within family life, temporal stress and financial stress. The inner consistency of each factor reached satisfactory results with a value of 0.7. Moreover, oral health-specific stress was significantly higher in parents of children with clefts compared to children without clefts. There was no difference in general parenting stress between the two groups. Moreover, both groups showed significant correlations between oral health-specific stress and general parenting stress. CONCLUSION: Oral health-specific stress of children with orofacial clefts could be a hint on general parenting stress. Regarding parents in such stressful situations, the orthodontist should be trained in psychological counselling and should be able to cooperate with a clinical psychologist.
Assuntos
Fenda Labial/psicologia , Fenda Labial/reabilitação , Fissura Palatina/psicologia , Saúde Bucal , Ortodontia Corretiva/psicologia , Poder Familiar/psicologia , Pais/psicologia , Estresse Psicológico/complicações , Adaptação Psicológica , Criança , Transtornos do Comportamento Infantil/psicologia , Transtornos do Comportamento Infantil/reabilitação , Fissura Palatina/reabilitação , Comorbidade , Comportamento Cooperativo , Aconselhamento , Feminino , Alemanha , Humanos , Comunicação Interdisciplinar , Masculino , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e QuestionáriosRESUMO
The C-terminal domain (CTD) of mammalian RNA polymerase II consists of 52 repeats of the consensus hepta-peptide YSPTSPS, and links transcription to the processing of pre-mRNA. Although Pol II with a CTD shortened to five repeats (Pol II Delta5) is transcriptionally inactive on chromatin templates, it is not clear whether CTD is required for promoter recognition in vivo. Here, we demonstrate that in the context of chromatin, Pol II Delta5 can bind to the c-myc promoter with the same efficiency as wild type Pol II. However, Pol II Delta5 does not form a stable initiation complex, and does not transcribe promoter proximal sequences. Fluorescence recovery after photobleaching (FRAP) experiments with cells expressing enhanced green fluorescent protein (EGFP)-tagged Delta5 or wildtype Pol II revealed a single, highly mobile Pol II Delta5 fraction whereas wildtype Pol II yielded less mobile fractions. These data suggest that CTD is not required for promoter recognition, but rather for subsequent formation of a stable initiation complex and isomerization to an elongation competent complex.
Assuntos
Regiões Promotoras Genéticas , RNA Polimerase II/química , Transcrição Gênica , Sítios de Ligação , Linhagem Celular Tumoral , Núcleo Celular/enzimologia , Sequência Consenso , Recuperação de Fluorescência Após Fotodegradação , Genes myc , Proteínas de Fluorescência Verde/análise , Humanos , Estrutura Terciária de Proteína , RNA Polimerase II/genética , RNA Polimerase II/metabolismo , Sequências Repetitivas de Aminoácidos , Deleção de SequênciaRESUMO
Microbubble (MB) contrast agents have positively impacted the clinical ultrasound (US) community worldwide. Their use in molecular US imaging applications has been hindered by their limited distribution to the vascular space. Acoustic droplet vaporization (ADV) of nanoscale superheated perfluorocarbon nanodroplets (NDs) demonstrates potential as an extravascular contrast agent that could facilitate US-based molecular theranostic applications. However these agents are metastable and difficult to manufacture with high yields. Here, we report a new formulation technique that yields reliable, narrowly dispersed sub-300 nm decafluorobutane (DFB) or octafluoropropane (OFP)-filled phospholipid-coated NDs that are stable at body temperature, using small volume microfluidization. Final droplet concentration was high for DFB and lower for OFP (>1012vs. >1010 NDs per mL). Superheated ND stability was quantified using tunable resistive pulse sensing (TRPS) and dynamic light scattering (DLS). DFB NDs were stable for at least 2 hours at body temperature (37 °C) without spontaneous vaporization. These NDs are activatable in vitro when exposed to diagnostic US pressures delivered by a clinical system to become visible microbubbles. The DFB NDs were suficiently stable to allow their processing into functionalized NDs with anti-epithelial cell adhesion molecule (EpCAM) antibodies to target EpCAM positive cells.
RESUMO
Ephrin-A2-EphA2 and ephrin-B2-EphB4 interactions have been implicated in the regulation of bone remodeling. We previously demonstrated a potential role for members of the Eph-ephrin family of receptor tyrosine kinases for bone remodeling during orthodontic tooth movement: compression-dependent upregulation of ephrin-A2 in fibroblasts of the periodontal ligament (PDL) attenuated osteogenesis in osteoblasts of the alveolar bone. However, factors affecting the regulation of ephrin-A2 expression upon the application of compressive forces remained unclear. Here, we report a mechano-dependent pathway of ephrin-A2 induction in PDL fibroblasts (PDLFs) involving extracellular signal-regulated kinases (ERK) 1/2 and c-fos. PDLF subjected to compressive forces (30.3 g/cm(2)) upregulated c-fos and ephrin-A2 mRNA and protein expression and displayed increased ERK1/2 phosphorylation. Inhibition of the MAP kinase kinase (MEK)/ERK1/2 pathway using the specific MEK inhibitor U0126 significantly reduced ephrin-A2 messenger RNA upregulation upon compression. Silencing of c-fos using a small interfering RNA approach led to a significant inhibition of ephrin-A2 induction upon the application of compressive forces. Interestingly, ephrin-A2 stimulation of PDLF induced c-fos expression and led also to the induction of ephrin-A2 expression. Using a reporter gene construct in murine 3T3 cells, we found that ephrin-A2 was able to stimulate serum response element (SRE)-dependent luciferase activity. As the regulation of c-fos is SRE dependent, ephrin-A2 might induce c-fos via SRE activation. Taken together, we provide evidence for an ERK1/2- and c-fos-dependent regulation of ephrin-A2 in compressed PDLF and suggest a novel pathway for ephrin-A2 induction emanating from ephrin-A2 itself. We showed previously that ephrin-A2 at compression sites might contribute to tooth movement by inhibiting osteogenic differentiation. The regulatory pathway of ephrin-A2 induction during tooth movement identified in this study might be accessible for pharmacological interventions.
Assuntos
Efrina-A2/biossíntese , Fibroblastos/metabolismo , Ligamento Periodontal/citologia , Proteínas Proto-Oncogênicas c-fos/fisiologia , Células 3T3 , Adolescente , Animais , Fenômenos Biomecânicos , Butadienos/farmacologia , Técnicas de Cultura de Células , Células Cultivadas , Criança , Inativação Gênica , Humanos , Sistema de Sinalização das MAP Quinases/efeitos dos fármacos , Sistema de Sinalização das MAP Quinases/fisiologia , Camundongos , Proteína Quinase 1 Ativada por Mitógeno/antagonistas & inibidores , Proteína Quinase 1 Ativada por Mitógeno/fisiologia , Proteína Quinase 3 Ativada por Mitógeno/antagonistas & inibidores , Proteína Quinase 3 Ativada por Mitógeno/fisiologia , Nitrilas/farmacologia , Pressão , RNA Interferente Pequeno/administração & dosagem , Elemento de Resposta Sérica/fisiologia , Estresse Mecânico , Ativação Transcricional , Regulação para Cima , Adulto JovemRESUMO
OBJECTIVE: The objective of this in vitro study was an initial screening of the cytotoxic potential of widely used smooth enamel surface sealants. MATERIALS AND METHODS: A total of 20 products were allocated to four groups based on their chemical composition: (1) filled resin-based sealants, (2) unfilled resin-based sealants, (3) a resin-modified, glass ionomer-based sealant, and (4) silicone-based sealants. All materials were applied to human enamel slices both in accordance with manufacturers' instructions and in additional experiments applying 50% undercuring and 50% overcuring. An agar overlay assay was then used to test the specimens following ISO 10933. The cytotoxic potential of each material was interpreted based on a reaction index that summarized the decolorization and lysis scores obtained. RESULTS: The cytotoxic potential decreased as follows: unfilled resin-based sealants > filled resin-based sealants > resin-modified, glass ionomer-based sealant > silicone-based sealants. In 75% of the resin-based products, deliberate undercuring was associated with more extensive decolorization zones, leading to higher rates of cytotoxic potential in two of those products. Overcuring, by contrast, was associated with a tendency for smaller decolorization zones in 50% of the resin-based products. CONCLUSION: Surface sealants derived from resin monomers exhibited cytotoxic potential in the agar overlay assay. There is also evidence of a possible association with curing, as undercuring can increase the cytotoxic potential, whereas normal curing (as per manufacturers' instructions) or overcuring may help minimize such effects. More research into the biological implications of these materials is needed, especially with regard to their potential impact on the adjacent gingiva.
Assuntos
Materiais Dentários/toxicidade , Fibroblastos/efeitos dos fármacos , Fibroblastos/patologia , Selantes de Fossas e Fissuras/toxicidade , Animais , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Teste de Materiais/métodos , Camundongos , Selantes de Fossas e Fissuras/química , Testes de ToxicidadeRESUMO
To characterize the short-term effects of grain dusts on pulmonary function, mucosal inflammation, and systemic responses, four women and three men inhaled nebulized corn and soybean dust extracts, endotoxin diluted with Hanks' balanced salt solution (HBSS), and HBSS. Subjects were volunteers recruited via newspaper advertisement and were required to be healthy, nonasthmatic, nonatopic never-smokers. The mean age was 26.9 years (range, 19 to 36 years). Using a randomized, double-blind, crossover design, each subject was challenged with each of the 4 substances with at least 10 days between challenges. Serial spirometry, peripheral blood leukocyte and differential cell counts, and 24-h postchallenge nasal lavages were performed. Extracts were produced by mixing 3 g of the corn or soybean dust with 30 ml HBSS followed by shaking for 60 min, centrifugation, then filter sterilization. The endotoxin solution was produced by mixing lyophilized Escherichia coli endotoxin (serotype 0111:B4) with HBSS to attain a final concentration of 7 mg/L, which was the same as the concentration of endotoxin in both grain dust solutions. The pH of all solutions and unmixed HBSS was adjusted to 5.8, which was the native pH of the soybean dust extract. Subjects were challenged with 0.08 ml/kg of each substance, resulting in a range of endotoxin doses of 30 to 60 micrograms, similar to that which a worker might inhale over the course of one workshift. The lowest mean percentage baseline FEV1 (+/- SD) after inhalation challenge was 99.2 +/- 2.1 for HBSS, and it was significantly lower for endotoxin (90.1 +/- 8.5, p = 0.03), corn dust extract (93.1 +/- 4.3, p = 0.02), and soybean dust extract (96.2 +/- 3.7, p = 0.03). In addition, a peripheral blood leukocytosis developed after exposure to all three endotoxin-containing solutions (p < 0.05), yet a lower peripheral blood lymphocyte count was found only after inhalation of corn dust extract (p = 0.02). Interestingly, this was associated with a higher nasal lavage lymphocyte count after inhalation of corn dust extract (p = 0.03). Neither the decrease in peripheral blood lymphocytes nor the increase in nasal lymphocytes were found after inhalation of soybean dust extract or endotoxin. Our results indicate that extracts of grain dusts have physiologic effects similar to endotoxin. However, in spite of the same endotoxin levels, the effects of corn dust extract appear to have different biologic activity than either soybean dust extract or endotoxin.
Assuntos
Broncoconstrição , Poeira/efeitos adversos , Endotoxinas/efeitos adversos , Zea mays , Administração por Inalação , Adulto , Aerossóis , Broncoconstrição/efeitos dos fármacos , Método Duplo-Cego , Endotoxinas/administração & dosagem , Feminino , Volume Expiratório Forçado , Humanos , Soluções Isotônicas/administração & dosagem , Contagem de Leucócitos , Linfócitos/patologia , Masculino , Mucosa Nasal/patologia , Glycine max , Espirometria , Capacidade VitalRESUMO
STUDY OBJECTIVE: To use histamine bronchoprovocation and bioassay statistical procedures to evaluate the in vivo bioequivalence of a generic albuterol metered-dose inhaler (MDI). DESIGN: A randomized, double-blind, balanced, crossover design was used to determine the potency of each generic albuterol MDI actuation relative to Ventolin (Glaxo Wellcome; Research Triangle Park, NC) administration. One treatment was administered on each of 4 study days. A histamine bronchoprovocation procedure was initiated 1.25 h before and 15 min after administration of the study treatment. PATIENTS: Twenty-four nonsmoking subjects with mild-to-moderate asthma were studied (18 to 65 years of age; FEV(1), > 60% of predicted; and provocative concentration of histamine causing a 20% fall in FEV(1) [PC(20)], < or = 8 mg/mL at screening). INTERVENTIONS: One and four actuations (90 and 360 microg, respectively) of the generic MDI and of Ventolin MDI. Placebo inhalers were used to maintain blinding of inhaler and doses. MEASUREMENTS AND RESULTS: The primary outcome variable was histamine PC(20) measured after study treatment administration. A significant dose-effect relationship was present (p < 0.0001). Deviation from parallelism of the generic and Ventolin dose-response curves (p = 0.95) and differences in overall mean response between the two formulations (p = 0.68) were not significant. Using Finney 2 x 2 bioassay statistical procedures, we estimated that one actuation of the generic albuterol MDI was equivalent to 1.01 puffs of Ventolin (90% confidence interval, 0.69 to 1.50). CONCLUSION: The generic albuterol MDI delivers a quantity of albuterol to the beta(2)-receptor site in the lung that is the bioequivalent to Ventolin. Further, this study reinforces the validity of this statistical methodology for determining in vivo bioequivalence.
Assuntos
Albuterol/administração & dosagem , Asma/tratamento farmacológico , Equivalência Terapêutica , Adolescente , Adulto , Idoso , Albuterol/efeitos adversos , Albuterol/farmacocinética , Asma/sangue , Disponibilidade Biológica , Testes de Provocação Brônquica , Estudos Cross-Over , Relação Dose-Resposta a Droga , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nebulizadores e VaporizadoresRESUMO
The aim of the present longitudinal cephalometric study was to evaluate the dentofacial shape changes induced by activator treatment between 9.5 and 11.5 years in male Class II patients. For a rigorous morphometric analysis, a thin-plate spline analysis was performed to assess and visualize dental and skeletal craniofacial changes. Twenty male patients with a skeletal Class II malrelationship and increased overjet who had been treated at the University of Heidelberg with a modified Andresen-Häupl-type activator were compared with a control group of 15 untreated male subjects of the Belfast Growth Study. The shape changes for each group were visualized on thin-plate splines with one spline comprising all 13 landmarks to show all the craniofacial shape changes, including skeletal and dento-alveolar reactions, and a second spline based on 7 landmarks to visualize only the skeletal changes. In the activator group, the grid deformation of the total spline pointed to a strong activator-induced reduction of the overjet that was caused both by a tipping of the incisors and by a moderation of sagittal discrepancies, particularly a slight advancement of the mandible. In contrast with this, in the control group, only slight localized shape changes could be detected. Both in the 7- and 13-landmark configurations, the shape changes between the groups differed significantly at P < .001. In the present study, the morphometric approach of thin-plate spline analysis turned out to be a useful morphometric supplement to conventional cephalometrics because the complex patterns of shape change could be suggestively visualized.
Assuntos
Aparelhos Ativadores , Cefalometria/métodos , Má Oclusão Classe II de Angle/terapia , Processo Alveolar/patologia , Criança , Ossos Faciais/patologia , Seguimentos , Humanos , Incisivo/patologia , Estudos Longitudinais , Masculino , Má Oclusão Classe II de Angle/patologia , Mandíbula/patologia , Desenho de Aparelho Ortodôntico , Estatísticas não Paramétricas , Dente/patologia , Resultado do TratamentoRESUMO
Treponema in syphilis or non venereal treponematosis can be demonstrated in paraffin embedded tissues, with immunological techniques. Anti-C3 immunofluorescence shows treponemas in 6 of 12 biopsies from 8 patients suspected of treponematosis. This method is easier and quicker than silver impregnation in spite of weak sensitivity.
Assuntos
Dermatopatias/microbiologia , Treponema pallidum/isolamento & purificação , Adolescente , Adulto , Animais , Biópsia , Pré-Escolar , Complemento C3/imunologia , Feminino , Imunofluorescência , Cabras , Humanos , Masculino , Pessoa de Meia-Idade , Coelhos , Prata , Dermatopatias/patologia , Sífilis/microbiologia , Sífilis/patologia , Sorodiagnóstico da SífilisRESUMO
In the context of orthodontic treatment planning, the decisions to be made are often affected by the assumption of future growth patterns, especially the direction of mandibular rotation. Using longitudinally available lateral cephalograms from the Belfast Growth Study, it was examined whether, on the basis of the cephalometric variables at the ages of 7, 9 and 11, the direction of mandibular rotation can be predicted in the respective subsequent 4-year intervals. For statistical analysis of this problem, logistic regression models were applied to describe and quantify the influence of potential explanatory variables on the direction of mandibular rotation (dependent variable). In addition, graphical methods taken from the field of medical diagnostics were applied for prediction and for determination of predictive accuracy. The use of logistic regression models revealed no relations between the explanatory variables SN-MeGo and S-Go/N-Me and the subsequent mandibular growth pattern. Only the upper and lower parts of the gonial angle showed a minor predictive impact. A graphical evaluation of their prognostic impact by means of "receiver operating characteristics" (ROC) curves, complemented by determination of the areas under the curves, confirmed the relations discovered. Nevertheless the prognostic limits of the lateral cephalogram emerged clearly for all variables investigated.
Assuntos
Cefalometria/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Humanos , Modelos Logísticos , Estudos Longitudinais , Desenvolvimento Maxilofacial , Prognóstico , Curva ROC , Sensibilidade e EspecificidadeRESUMO
Planning of treatment in the field of orthodontics and maxillo-facial surgery is largely dependent on the individual growth of a patient. In the present work, the growth of 43 orthodontically untreated children was analysed by means of lateral cephalograms taken at the ages of 7 and 15. For the description of craniofacial skeletal changes, the concept of tensor analysis and related methods have been applied. Thus the geometric and analytical shortcomings of conventional cephalometric methods have been avoided. Through the use of an artificial neural network, namely self-organizing neural maps, the resultant growth data were classified and the relationships of the various growth patterns were monitored. As a result of self-organization, the 43 children were topologically ordered on the emerging map according to their craniofacial size and shape changes during growth. As a new patient can be allocated on the map, this type of network provides a frame of reference for classifying and analysing previously unknown cases with respect to their growth pattern. If landmarks are used for the determination of growth, the morphometric methods applied as well as the subsequent visualization of the growth data by means of neural networks can be employed for the analysis and classification of growth-related skeletal changes in general.
Assuntos
Desenvolvimento Maxilofacial/fisiologia , Redes Neurais de Computação , Adolescente , Criança , Humanos , Mandíbula/crescimento & desenvolvimentoRESUMO
Photodynamic therapy (PDT) uses the combination of a photosensitising (PS) agent and visible light. Historically, various injectable PS agents have been used with medical grade lasers to treat neoplasia. The objective of this in vitro study was to determine whether PDT using topical aminolevulinic acid (ALA) with a non-coherent light source would kill common wound infecting bacteria, namely, Staphylococcus intermedius, Streptococcus canis, Pseudomonas aeruginosa, and Escherichia coli. Bacterial strains were sensitised to light with ALA before exposing to the non-coherent light source. Colony counts were performed in triplicate and compared to controls. When compared with controls there was a significant decrease in bacterial survival following PDT for all organisms except E. coli. A single treatment required 2-3h of light exposure. These data suggest that PDT may be a possible treatment option for wound infections but repeated treatments or alterations in the PS or its carrier will be needed to decrease treatment times.
Assuntos
Ácido Aminolevulínico/farmacologia , Bactérias/efeitos da radiação , Fotoquimioterapia/veterinária , Fármacos Fotossensibilizantes/farmacologia , Infecção dos Ferimentos/tratamento farmacológico , Bactérias/efeitos dos fármacos , Infecção dos Ferimentos/microbiologiaRESUMO
Cementoblasts are cells that produce, secrete and direct the production of cementum. Resorption lacunae occur in over 90% of teeth at the compression side of the periodontal ligament and might result in an irreversible loss of the original root length. We isolated and cultivated human primary cementoblasts and investigated their expression pattern concerning markers of the osteoblastogenic differentiation (RUNX2, OCN, ALP, and BSP) and CEMP-1. Compared to osteoblasts, cementoblasts displayed an expression pattern comparable to osteoblasts in an early stage of osteoblastogenic differentiation. Next, the human primary cementoblasts were stimulated with IL-1ß (1 and 10ng/ml) for 24 and 96h and subsequently subjected to compressive forces (30.3g/cm(2)) for 1 and 6h. Our in vitro data demonstrated that BSP and CEMP-1 expression significantly decreased when stimulation was accompanied by compression, while compression or stimulation alone led to increased levels of BSP and decreased levels of CEMP-1. We concluded that human primary cementoblasts subjected to compression and IL-1ß stimulation impeded BSP and CEMP-1 expression, proteins that are associated with cementogenesis.