Cell proliferation after flap surgery, root conditioning and fibronectin application

This study evaluated the effects of citric acid demineralization and autologous fibronectin application on cell proliferation after mucoperiosteal flap surgery. Three adult rhesus monkeys were used. After flaps were raised, the roots were surgically exposed and planed. Surfaces on the experimental sides were decalcified with citric acid, and after thorough rinsing, the inner aspect of the flaps and the roots were bathed with 1 ml of autologous plasma fibronectin in normal saline (400 micrograms m/ml) and the flaps sutured. Contralateral teeth, acting as controls, were treated only with the surgical procedure. One hour prior to sacrifice, the animals were injected with an intravenous injection of tritiated thymidine (1 microCi/gm body weight). Surgeries were staggered to produce the following time periods: 3, 7, 15, 21 and 28 days. After processing, autoradiographs were obtained for evaluation, and labeled cells were counted in five compartments at 400 x: (1) oral epithelium, (2) crevicular area, (3) supracrestal connective tissue, (4) coronal periodontal membrane and (5) coronal bone marrow. Forty tissue sections per procedure (20 slides per tooth) were counted and means obtained for the three monkeys. Differences between experimental and control values were statistically evaluated for each component, at each time interval, using pairwise t tests. Fibronectin-treated areas showed significantly increased cellular proliferation (P less than 0.01) during the first 2 weeks, affecting mainly all the supracrestal tissues. Histologically, the establishment of a well-organized fibrinous clot at 3 days was noted in these areas. Results show a faster healing after surgery with the use of citric acid and fibronectin. It was concluded that citric acid followed by fibronectin enhanced cellular proliferation.     

Occlusal contacts following orthodontic treatment. Measured by a photocclusion technique

Measurement of occlusal contacts on 12 orthodontically treated patients were measured by the photocclusion technique finds a mean increase of 56% in the number of contacts in the first year following treatment.     

Voltammetry and surface analysis of AISI 316 stainless steel in chloride-containing simulated concrete pore environment

The study of passive layers grown on AISI 316 stainless steel in solutions that simulate concrete pore environments contaminated with Cl^? is presented. Model solutions of saturated Ca(OH)₂ and cement extract (CE) with and without the addition of 5 g/L of NaCl are compared. Cyclic voltammetry (CV) shows different electrochemical responses of passive layers grown on samples immersed in these solutions under open circuit potential (ocp). A more resistive passive film was found on the samples exposed to the CE solution. The different voltammetric responses suggest differences in composition of the passive layers formed on each solution. XPS spectra confirm the dissimilarity in atomic composition. Optical microscope images and AFM images of the pits formed on the samples illustrate the differences of AISI 316 surface topography after exposure to model solutions. Because of these differences, it is recommended to use CE solution as a model solution and ocp passivation to simulate concrete environments.     

Impact of landmark reliability on the planar Procrustes analysis of tooth shape

In a recent study, the ideas of Procrustes analysis were introduced to the study of tooth shape for teeth represented as configurations of 'landmarks' from digital images. This study aimed to establish how well the method could be expected to perform (in its standard form) when used on surfaces from a variety of tooth types and, in particular, how much impact inconsistencies in the positioning of landmarks would have on investigations of shape.Using four different operators' images and landmarks from 10 different surfaces from each of 20 patients, the consequences of location inconsistency are evaluated by calculating its effect on the recorded variation in Procrustes fits, obtained for each set of multiple representations. The proportion of variation in shape attributable to actual differences between patients, rather than other sources of error, ranged from only 36 to 65% for the five buccal-surfaces considered and was no more than 30% for any of the five occlusal surfaces. Further examination of these results indicated that consistent orientation differences before imaging might be a particular source of error in obtaining any occlusal-landmark data, as might location ambiguities around the edges of the teeth. Orientation effects were also suggested for the buccal-surfaces of the molar teeth. In contrast, the relatively flatter buccal-surfaces of the incisors and canines produced the most reliable data.Methods of analysis need to accommodate these problems if landmark data are to be used to describe variations in tooth shape. Different surfaces each present their own particular difficulties and so a variety of solutions may be required.     

Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts: a 3- to 5-year follow-up clinical report

Forty three patients with severely resorbed maxillae who had been referred for implant treatment were assigned to 1 of 3 treatment options: bone grafting and implant placement (graft group), modified implant placement with no bone grafting (trial group), or optimized complete dentures (no-implant group). Sixteen, 20, and 7 patients, respectively, were assigned to the 3 groups. The patients have been examined annually, and at the time of this report they had been followed for 3 to 5 years after treatment. At the 1-year follow-up, 10% (22 of 221) of the implants had been lost, and at the 2-year follow-up, 18% of the implants had been lost (40 of 221; 25% in the graft and 13% in the trial group); after that time, no further losses occurred. Life table analysis showed cumulative success rates of 82% in the graft group and 96% in the trial group after 1 year, and 74% and 87%, respectively, at the final examination after 3 to 5 years. The failure rate was higher in smokers than in non-smokers. A substantial reduction of the grafted bone, especially of onlay grafts, occurred early after grafting surgery in many patients. Mean marginal peri-implant bone loss was 0.6 mm during the period from prosthesis connection to the 1-year follow-up, and from the 1-year to the 3-year follow-up, average peri-implant bone loss was 0.3 mm in the graft group and 0.5 mm in the trial group. The results corroborated previous findings that patients with severely resorbed maxillae have an increased risk of implant failure in comparison to patients with good bone quantity and quality. However, in this investigation, practically all implant losses occurred during the first 2 years, whereupon a steady state seemed to follow for up to 5 years after loading.