1
|
Avadhanam VS, Chervenkoff JV, Zarei-Ghanavati M, Liu C. Clinical study of laminar resorption: Part 2- outcomes, review and proposal for classification. Ocul Surf 2021; 22:123-132. [PMID: 34363977 DOI: 10.1016/j.jtos.2021.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 07/29/2021] [Accepted: 08/02/2021] [Indexed: 11/19/2022]
Abstract
PURPOSE To analyze and review the clinical features and main outcomes of laminar resorption from the UK osteo-odonto-keratoprosthesis (OOKP) cohort. METHODS A retrospective review of case records was undertaken for patients who underwent keratoprostheses between 1996 and 2014 at the Sussex Eye Hospital, Brighton, UK. The main clinical outcomes of resorption, including its clinical signs, complications, treatments, and laminar survival, were evaluated. RESULTS Sixty-four patients (25-females, 39-males) were included, and in total, 74 laminae (3-tibial, 11-allografts, 60-autografts) were implanted. The age of the patients ranged from 20 to 91 years. Focal laminar thinning was the first sign of detectable resorption in 50% of autografts and 27% of allografts. All the tibial grafts and 55% of allografts presented with complications of resorption like endophthalmitis and aqueous leakage as the first signs of resorption. The survival of first implanted autografts was 82.4%(±6.3%) at 18 years, which was enhanced to 91.5%(±5.0%) by prophylactic exchanges of critically resorbed laminae with new laminae. Visual acuity survival analysis did not reveal a statistically significant difference between grafts with and without resorption for all graft types (p = 0.825). Patients treated with Alendronic acid and acetazolamide demonstrated trends toward the slower progression of resorption, but this was not statistically significant. CONCLUSIONS Focal laminar thinning was the common presenting feature of resorption in autografts. Timely replacement of the resorbed laminae with new laminae should be considered to avoid complications. Alendronic acid supplementation may be considered in high-risk cases of resorption to reduce further progression.
Collapse
Affiliation(s)
| | - Jordan V Chervenkoff
- Sussex Eye Hospital, Brighton, UK; Brighton and Sussex Medical School, Brighton, UK
| | - Mehran Zarei-Ghanavati
- Eye Research Centre, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Christopher Liu
- Sussex Eye Hospital, Brighton, UK; Brighton and Sussex Medical School, Brighton, UK; Tongdean Eye Clinic, Brighton, UK.
| |
Collapse
|
2
|
Mori GG, Andrade BS, Araujo MB. Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report. Restor Dent Endod 2020; 45:e29. [PMID: 32839710 PMCID: PMC7431930 DOI: 10.5395/rde.2020.45.e29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 12/30/2019] [Accepted: 01/03/2020] [Indexed: 11/11/2022] Open
Abstract
This study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodontics. The tooth had remained in a dry environment for 20 minutes, and tooth replantation was performed at an emergency appointment. After clinical and radiographic examinations, root canal decontamination was performed, followed by several changes in intracanal calcium hydroxide medication. Blood clot formation was attempted, but bleeding within the root canal was insufficient; therefore, we opted for an intracanal medication change to stimulate mineralized tissue formation in the apical region. Root obturation was performed 45 days after the last change of intracanal medication, and clinical, radiographic, and tomographic follow-up examinations were performed at 3, 6, 18, and 40 months after the endodontic intervention. The increase in thickness and length of the root structure and the absence of root resorption were verified through follow-up examinations. Therefore, it was concluded that the procedures used were successful for tooth replantation.
Collapse
Affiliation(s)
- Graziela Garrido Mori
- Dental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, Brazil.,Graduate Program in Dentistry, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, Brazil
| | - Bruna Souza Andrade
- Dental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, Brazil
| | - Marina Bardelli Araujo
- Dental School of Presidente Prudente, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, Brazil
| |
Collapse
|
3
|
da Silva LAB, Longo DL, Stuani MBS, de Queiroz AM, da Silva RAB, Nelson-Filho P, Vieira HAO, Pucinelli CM, Paula-Silva FWG. Effect of root surface treatment with denusomab after delayed tooth replantation. Clin Oral Investig 2020; 25:1255-1264. [PMID: 32728940 DOI: 10.1007/s00784-020-03430-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 06/22/2020] [Indexed: 12/18/2022]
Abstract
OBJECTIVES To evaluate denosumab, a human monoclonal antibody that mimics the effects of osteoprotegerin in bone metabolism, as a topical treatment of root surface to be used prior to delayed tooth replantation. MATERIALS AND METHODS Thirty-six rats' right incisors were used. Teeth were extracted and divided into: delayed replantation without root surface treatment (control); delayed replantation with root surface treatment with denosumab 60 mg/mL and 30 mg/mL, respectively, for 10 min both experimentals groups. After that, the root canals were filled with calcium hydroxide and replanted. After 15 and 60 days, the animals were euthanized, and the samples were collected and processed for microscopic analysis. Histological sections were performed, and stained with HE to describe the dental characteristics, measure ankylosis, replacement resorption, and dental resorption by conventional microscopy. Also, was performed Brown & Brenn staining and immunohistochemistry for RANKL, OPG, and periostin. RESULTS Denosumab 60 mg/mL reducted ankylosis (p < 0.0001), replacement resorption (p < 0.0001), and tooth resorption, 60 days after replantation, compared to untreated replanted teeth (p < 0.005). Lower bacterial contamination in root surface in the denosumab treatment groups was found, regardless of the concentration used (p < 0.001). Also, denosumab treatment inhibited the expression of RANKL without modulating OPG. Periostin was observed in periodontal ligament of replanted tooth, although this labelling was absent in the ankylosis areas, in both experimental periods. CONCLUSION Treatment of the root surface with denosumab at 60 mg/mL of rat teeth before delayed replantation reduced dental root resorption compared with the untreated teeth after 60 days. CLINICAL RELEVANCE Survival of a replanted tooth has been a challenge in clinical practice. The use of a medication, such as denosumab, to limit dental root resorption represents an important therapeutical approach.
Collapse
Affiliation(s)
- Léa Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | | | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | - Alexandra Mussolino de Queiroz
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil.
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | - Heloisa Aparecida Orsini Vieira
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | - Carolina Maschietto Pucinelli
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| | - Francisco Wanderley Garcia Paula-Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, SP, 14040-904, Brazil
| |
Collapse
|
4
|
Machado NEDS, Banci HA, da Silva LD, Santinoni CDS, de Oliveira DL, Ervolino E, Prado RLD, Mori GG. Influence of anti-allergic drugs used systemically on the process of root resorption during delayed tooth replantation: A study in rats. Dent Traumatol 2019; 36:264-271. [PMID: 31845526 DOI: 10.1111/edt.12535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Revised: 12/07/2019] [Accepted: 12/11/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND/AIM Anti-allergic drugs can inhibit the hard tissue resorption process, and due to similarities between root resorption and bone mechanisms, it can be inferred that these drugs may also control root resorption. The aim of this study was to analyze the effects of anti-allergic drugs used systemically on the process of root resorption following delayed tooth replantation. MATERIALS AND METHODS Thirty-two maxillary right incisors of rats were extracted and subsequently replanted. Rats were divided into four groups according to the anti-allergic drug administered: the rats in groups DEX, Q, and MO were treated systemically with dexamethasone phosphate, quercetin, and montelukast, respectively, and no systemic medication was administered to rats in group C. After 60 days, the animals were euthanized, and the specimens were processed for histomorphometric and immunohistochemical analyses. Statistical significance was set at P < .05. RESULTS There were no significant differences between the groups in terms of inflammatory resorption, replacement resorption, or presence of tartrate-resistant acid phosphatase. In terms of events occurring in the periodontal ligament space, there was a difference between groups Q and MO due to the presence of dental ankylosis and inflammatory connective tissue (P < .05). A difference in inflammatory cells was also observed through CD45 immunolabeling between the DEX and Q groups when compared to the C group (P < .05). CONCLUSION The systemic administration of anti-allergic drugs did not have an effect on the process of root resorption following delayed tooth replantation.
Collapse
Affiliation(s)
- Nathália Evelyn da Silva Machado
- Graduate Program in Dentistry, University of Western São Paulo, Presidente Prudente, Brazil.,Department of Endodontics, Araçatuba Dental School, UNESP - University Estadual Paulista, Araçatuba, Brazil
| | - Henrique Augusto Banci
- Department of Endodontics, Araçatuba Dental School, UNESP - University Estadual Paulista, Araçatuba, Brazil.,Dental School of Presidente Prudente, University of Western São Paulo, Presidente Prudente, Brazil
| | - Lucas Deszo da Silva
- Dental School of Presidente Prudente, University of Western São Paulo, Presidente Prudente, Brazil
| | - Carolina Dos Santos Santinoni
- Graduate Program in Dentistry, University of Western São Paulo, Presidente Prudente, Brazil.,Dental School of Presidente Prudente, University of Western São Paulo, Presidente Prudente, Brazil
| | | | - Edilson Ervolino
- Department of Basic Science, Araçatuba Dental School, UNESP - University Estadual Paulista, Araçatuba, Brazil
| | - Rosana Leal do Prado
- Graduate Program in Dentistry, University of Western São Paulo, Presidente Prudente, Brazil.,Dental School of Presidente Prudente, University of Western São Paulo, Presidente Prudente, Brazil
| | - Graziela Garrido Mori
- Graduate Program in Dentistry, University of Western São Paulo, Presidente Prudente, Brazil.,Dental School of Presidente Prudente, University of Western São Paulo, Presidente Prudente, Brazil
| |
Collapse
|
5
|
Matos FDS, do Prado RF, Khoury RD, de Oliveira LD, Valera MC, Tomson PL, Carvalho CAT. Anti-inflammatory and anti-resorptive efficacy of adrenergic blockers on late replanted rat incisors. Dent Traumatol 2019; 36:253-263. [PMID: 31647601 DOI: 10.1111/edt.12523] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/22/2019] [Accepted: 10/23/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND/AIM In addition to their anti-inflammatory and anti-osteoclastogenesis properties, adrenergic blockers may also have promising anti-resorptive effects that can prevent root resorption when teeth are replanted because of avulsion. The aim of this study was to investigate the effects of phentolamine (Ph) and propranolol (Pr) in gels on the repair process of late replanted rat incisors. A further aim was to evaluate the biocompatibility of both drugs to human periodontal ligament fibroblasts (HPDLFs). MATERIALS AND METHODS Forty-eight maxillary right incisors were extracted from male Wistar rats, stored in paper napkins for 60 minutes, and randomly allocated to one of eight groups (n = 6). The root canal, root surface, and alveolus were treated with 0.75 µg/mL Ph gel (Ph0.75), 10 µg/mL Ph gel (Ph10), 100 µg/mL Ph gel (Ph100), 2.5 µg/mL Pr gel (Pr2.5), 10 µg/mL Pr gel (Pr10), 100 µg/mL Pr gel (Pr100), or sodium carboxymethylcellulose gel (CMC) before replantation. In the control group (CH), only the root canal was treated with calcium hydroxide paste. Thirty days following surgery, the animals were euthanized, and the right hemimaxilla was removed to perform micro-CT and histomorphometric analysis to determine osteoclastic activity. Ethanolic solutions of Ph10 and Pr10 were selected based on the in vivo study, and the viability of HPDLFs stimulated with lipopolysaccharide was determined by MTT assays. RESULTS The micro-CT and histomorphometric analysis revealed no significant differences among the treatments (P > .05). The presence of active osteoclasts was significantly decreased in the Ph10 and Pr10 groups (P < .05). Ph10 and Pr10 produced statistically similar cell survival rates compared to the control group (P > .05). CONCLUSIONS Ph10 and Pr10 significantly decreased osteoclastogenesis in delayed replanted rat teeth and were not cytotoxic toward HPDLFs.
Collapse
Affiliation(s)
- Felipe de Souza Matos
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| | - Renata Falchete do Prado
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| | - Rayana Duarte Khoury
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| | - Luciane Dias de Oliveira
- Department of Biosciences and Oral Diagnosis, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| | - Marcia Carneiro Valera
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| | - Phillip Leo Tomson
- Department of Oral Biology, Institute of Clinical Sciences, The University of Birmingham School of Dentistry, Birmingham, UK
| | - Cláudio Antonio Talge Carvalho
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, Brazil
| |
Collapse
|
6
|
Zare Jahromi M, Kalantar Motamedi MR. Effect of calcium hydroxide on inflammatory root resorption and ankylosis in replanted teeth compared with other intracanal materials: a review. Restor Dent Endod 2019; 44:e32. [PMID: 31485428 PMCID: PMC6713075 DOI: 10.5395/rde.2019.44.e32] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Revised: 05/25/2019] [Accepted: 06/13/2019] [Indexed: 11/11/2022] Open
Abstract
Calcium hydroxide (CH) is the gold-standard intracanal dressing for teeth subjected to traumatic avulsion. A common complication after the replantation of avulsed teeth is root resorption (RR). The current review was conducted to compare the effect of CH with that of other intracanal medications and filling materials on inflammatory RR and replacement RR (ankylosis) in replanted teeth. The PubMed and Scopus databases were searched through June 2018 using specific keywords related to the title of the present article. The materials that were compared to CH were in 2 categories: 1) mineral trioxide aggregate (MTA) and endodontic sealers as permanent filling materials for single-visit treatment, and 2) Ledermix, bisphosphonates, acetazolamide, indomethacin, gallium nitrate, and enamel matrix-derived protein (Emdogain) as intracanal medicaments for multiple-visit management of avulsed teeth prior to the final obturation. MTA can be used as a single-visit root filling material; however, there are limited data on its efficacy due to a lack of clinical trials. Ledermix and acetazolamide were comparable to CH in reducing RR. Emdogain seems to be an interesting material, but the data supporting its use as an intracanal medication remain very limited. The conclusions drawn in this study were limited by the insufficiency of clinical trials.
Collapse
Affiliation(s)
- Maryam Zare Jahromi
- Department of Endodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
| | | |
Collapse
|
7
|
PEREIRA FDM, SOUZA AAD, CARVALHO EDS, MELLO I, RALDI DP. Efeitos do laser de diodo de alta potência e da fotobiomodulação em dentes de ratos reimplantados tardiamente. REVISTA DE ODONTOLOGIA DA UNESP 2019. [DOI: 10.1590/1807-2577.14418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Introdução A busca por protocolos efetivos para reduzir a incidência de reabsorções radiculares e favorecer a reparação do ligamento periodontal perdido ainda representa um grande desafio, tendo em vista o prognóstico desfavorável dos reimplantes dentais tardios. Objetivo Avaliar, por meio da análise histológica, os efeitos do laser de alta potência e da fotobiomodulação na ocorrência de reabsorção radicular e no reparo periodontal, em dentes reimplantados tardiamente. Material e método Foram utilizados 50 incisivos centrais direitos de ratos Wistar. Após a extração, os espécimes foram divididos em cinco grupos (n = 10): G1 (controle positivo): reimplante imediato; G2 (controle negativo): reimplante tardio (RT): espécimes mantidos em ambiente seco por 60 minutos, sem tratamento adicional; G3: RT associado ao tratamento da superfície radicular com laser diodo de alta potência (810 nm, 1.5 W); G4: RT + superfícies radiculares e feridas alveolares tratadas com fotobiomodulação (laser diodo 660 nm, 30 mW e 780 nm, 40 mW, respectivamente); G5: RT + superfícies radiculares irradiadas com laser de alta e alvéolos com fotobiomodulação, nos mesmos parâmetros que G3 e G4, respectivamente. Após 60 dias, os animais foram eutanasiados. Os espécimes foram processados para análise histológica. Resultado G3 e G5 apresentaram as menores médias de scores com relação à ocorrência de reabsorções radiculares e anquilose, quando comparados a G2 e G4 (Teste Kruskall-Wallis, p<0,05). Com relação ao reparo periodontal, todos os grupos experimentais (G3, G4 e G5) apresentaram médias de escores inferiores (Teste Kruskall-Wallis, p<0,05) comparadas ao G1 e semelhantes ao G2 (Teste Kruskall-Wallis, p>0,05). Conclusão O laser de alta potência, associado ou não à fotobiomodulação, diminuiu a ocorrência das reabsorções radiculares e da anquilose, e a fotobiomodulação não favoreceu o controle das reabsorções radiculares nem o reparo periodontal.
Collapse
|
8
|
França MCM, da Silva TM, Silva GO, Valera MC, Camargo CHR. Effect of ethylenediaminetetraacetic acid and hyaluronic acid on the viability and cytokine expression of periodontal ligament fibroblasts. Dent Traumatol 2018; 34:271-277. [PMID: 29665275 DOI: 10.1111/edt.12404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2018] [Indexed: 12/31/2022]
Abstract
BACKGROUND/AIMS Dental root cell proliferation following tooth avulsion has not been well researched. Understanding the effects of dry time and dentin treatment influences on cell proliferation is essential to provide evidence-based guidelines for tooth replantation. The study evaluated the viability of periodontal ligament fibroblasts (PLF) in contact with roots, submitted to surface treatments with ethylenediaminetetraacetic acid (EDTA) and hyaluronic acid (HA) at different times, including to quantify inflammatory cytokines interleukin (IL)-6, IL-8, IL-1β and TNF-α expressed by PLF. The adhesion of fibroblasts to treated root surfaces was also evaluated. MATERIAL AND METHODS One hundred and eight cementum discs from bovine teeth were randomly divided into groups according to time periods of being dry (n = 12) as follows: (i) fresh discs that were not kept dry, (WD); (ii) dry for 1 hour (1 hd); and (iii) dry for 24 hours (24 hd). The discs were subdivided into 3 subgroups (n = 12) according to surface treatments: (iv) no treatment, (v) treatment with EDTA, (vi) treatment with HA. The discs were placed in 96-well plates, and PLF were seeded and kept in contact with the discs for 48 hours. Cell viability on the surface of the discs was assessed by XTT, and PLF adhesion was evaluated using scanning electron microscopy (SEM). Quantification of cytokines was performed using enzyme-linked immunosorbent assay (ELISA). Data were submitted to ANOVA and Tukey's test (α = .05). RESULTS Surface treatment had a statistically significant effect on the cell viability in groups WD (P = .03), 1 hd (P = .01) and 24 hd (P = .048). PLF in contact with dried root surfaces expressed more cytokines without treatment with IL-6 decreasing the expression when treated with HA for 24 hours. SEM also showed adhesion of PLF to the surface of all discs at all time periods. CONCLUSION EDTA + HA is an alternative treatment for cases of avulsed teeth as it promoted adhesion and increased viability of PLF.
Collapse
Affiliation(s)
- Monique Costa Moreira França
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University (Unesp), São Paulo, Brazil
| | - Tânia Mara da Silva
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University (Unesp), São Paulo, Brazil
| | | | - Márcia Carneiro Valera
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University (Unesp), São Paulo, Brazil
| | - Carlos Henrique Ribeiro Camargo
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University (Unesp), São Paulo, Brazil
| |
Collapse
|
9
|
Qian H, Ding Y, Wu Y, Li S. The effects of three modified Hank's balanced salt solutions on root resorption of late replanted teeth: A pilot study. J Craniomaxillofac Surg 2018; 46:808-814. [PMID: 29545029 DOI: 10.1016/j.jcms.2018.02.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 02/01/2018] [Accepted: 02/13/2018] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The purpose of this study was to evaluate the effects of replanted rats' teeth that had been soaked in one of three modified Hank's balanced salt solutions (HBSSs) before replantation and after extended extra-oral dry time. MATERIALS AND METHODS Maxillary right incisors were extracted from 55 Wistar rats and kept dry for 30 or 60 min (n = 5 each). Afterwards, the pulp was extirpated and both the papilla and enamel organ were removed with a scalpel. Each group of teeth was soaked in one of three modified HBSSs or HBSS alone. After 30 min of immersion in solutions, the root canals were dried and filled with calcium hydroxide paste, and the teeth were replanted. After 8 weeks, animals were euthanized; then, specimens were processed as 5 μm-thick serial sections for histological examination and morphometric assessments. RESULTS The percentages of root resorption for the groups were found to be in the following order: HBSS3 (the bFGF group) > the HBSS only group > HBSS2 (the GSH group) > no soaking (the positive control group) > HBSS1 (the ALN group) for 30 min and the positive control group > the HBSS only group > HBSS2 > HBSS3 > HBSS1 for 60 min. The lowest incidence of resorption was observed in immediately replanted teeth (negative control). CONCLUSIONS The findings of this study suggest that soaking for 30 min in HBSS containing 1 mM alendronate can significantly inhibit root resorption for avulsed teeth that have been dried for 60 min.
Collapse
Affiliation(s)
- Hanyu Qian
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China
| | - Yunpeng Ding
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China
| | - Yangou Wu
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China
| | - Shengjiao Li
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China.
| |
Collapse
|
10
|
Perin CP, Papalexiou V, Rodrigues Johann ACB, Ribeiro Mattos NH, Westphalen FH, Ditzel Westphalen VP. Evaluation of intracanal acetazolamide in late reimplanted rat teeth. Eur J Dent 2017; 11:417-421. [PMID: 29279664 PMCID: PMC5727723 DOI: 10.4103/ejd.ejd_191_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objective: The aim of this study was to evaluate the use of acetazolamide combined with different agents as intracanal medication in late reimplanted rat teeth. Materials and Methods: In 100 Wistar rats, divided into 5 groups of 20, one of the following medications was used: Acetazolamide liquid (AL); AL with calcium hydroxide powder (ALHC); acetazolamide powder with AL; acetazolamide powder with physiological solution; and calcium hydroxide with physiological solution (control). At 30 and 60 days after reimplantation, the animals were sacrificed, tissues were processed, and cuts were stained with hematoxylin and eosin. An optical microscope was used to determine the following: percentage of inflammatory root resorption (RRI); percentage of substitute root resorption (RRS); and presence of ankylosis. The data obtained was submitted for statistical analysis. Results: Group ALHC had a significantly higher RRS than the control group at 60 days (P = 0.01). Group AL showed significantly less ankylosis than the other groups, including the control, at 30 days. AL showed results similar to those of the control group with respect to RRS. Conclusion: Acetazolamide has the potential to be an effective intracanal medication.
Collapse
Affiliation(s)
- Camila Paiva Perin
- Departament of Endodontics Universidade Tuiuti do Paraná Curitiba, Paraná, Brazil
| | - Vula Papalexiou
- Departament of Endodontics Universidade Tuiuti do Paraná Curitiba, Paraná, Brazil
| | | | | | | | | |
Collapse
|