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D'Adamo E, Botondi V, Falconio L, Giardinelli G, Di Gregorio P, Caputi S, Sinjari B, Trubiani O, Traini T, Gazzolo F, Strozzi MC, Maconi A, Gazzolo D. Effect of temperature on presepsin pre-analytical stability in biological fluids of preterm and term newborns. Clin Chem Lab Med 2024; 62:1011-1016. [PMID: 38018456 DOI: 10.1515/cclm-2023-1282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 11/14/2023] [Indexed: 11/30/2023]
Abstract
OBJECTIVES Thermostability is one of the pre-requisites for the reliability of analytes in clinical practice and biomedical research. Although presepsin represents a promising new biomarker for the early diagnosis of sepsis in newborns, data on its stability under different storage conditions are lacking. We aimed to investigate presepsin thermostability in blood, urine and saliva samples after thawing at 4 predetermined monitoring time-points in a cohort of preterm and term infants. METHODS We conducted an observational study, where each case served as its own control, in 24 preterm and term infants. Blood, urine and saliva samples were stored at -80 °C for 18 months, and presepsin measured in different biological fluids at thawing (T0), 24 (T1), 48 (T2) and at 72 (T3) hours after thawing. RESULTS No significant differences (p>0.05, for all) in presepsin levels were observed at T0-T3 in the different biological fluids. Furthermore, no differences at T0-T3 were observed in presepsin levels between blood and saliva fluids, whilst urine levels were significantly higher (p<0.05, for all) than blood and saliva at T0-T3. CONCLUSIONS Results on presepsin pre-analytical thermo-stability in different biological fluids after long-term refrigeration support the reliability of this biomarker in the diagnosis and monitoring of perinatal sepsis.
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Affiliation(s)
- Ebe D'Adamo
- Neonatal Intensive Care Unit, G. d'Annunzio University, Chieti, Italy
| | - Valentina Botondi
- Neonatal Intensive Care Unit, G. d'Annunzio University, Chieti, Italy
| | - Luigi Falconio
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | | | - Patrizia Di Gregorio
- Immunohematology and Transfusional Medicine Service, "SS. Annunziata" Hospital, Chieti, Italy
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Oriana Trubiani
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Tonino Traini
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Francesca Gazzolo
- Pediatric Unit, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy
| | - Maria Chiara Strozzi
- Department of Maternal Fetal and Neonatal Medicine, C. Arrigo Children's Hospital Alessandria, Alessandria, Italy
| | - Antonio Maconi
- Department of Maternal Fetal and Neonatal Medicine, C. Arrigo Children's Hospital Alessandria, Alessandria, Italy
| | - Diego Gazzolo
- Neonatal Intensive Care Unit, G. d'Annunzio University, Chieti, Italy
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Belloni A, Argentieri G, Orilisi G, Notarstefano V, Giorgini E, D'Addazio G, Orsini G, Caputi S, Sinjari B. New insights on collagen structural organization and spatial distribution around dental implants: a comparison between machined and laser-treated surfaces. J Transl Med 2024; 22:120. [PMID: 38297308 PMCID: PMC10829267 DOI: 10.1186/s12967-024-04906-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 01/18/2024] [Indexed: 02/02/2024] Open
Abstract
BACKGROUND One of the main factors for the osseointegration of dental implants is the development of an adequate soft tissue barrier, mainly composed by collagen, which protects the implant from bacterial development. The structural features of the peri-implant collagen are influenced by the implant components and, in particular, by the type of the surface. In the clinical practice, healing abutments are characterized by smooth surfaces, named machined. Recently, a new laser technique, Synthegra, has been developed to obtain a topography-controlled surface with micrometric regular pores that seems reducing the risk of peri-implantitis. Based on this background, this study aims investigating the structural organization and spatial distribution of collagen surrounding healing abutments characterized by laser-treated and machined surfaces. METHODS Gingiva portions surrounding custom-made healing abutments (HA), characterized by alternated laser-treated and machined surfaces, were collected and analyzed by combining Fourier Transform InfraRed Imaging (FTIRI) spectroscopy, a non-invasive and high-resolution bidimensional analytical technique, with histological and multivariate analyses. RESULTS Masson's trichrome staining, specific for collagen, highlighted a massive presence of collagen in all the analyzed samples, evidencing a surface-related spatial distribution. The nature of collagen, investigated by the FTIRI spectroscopy, appeared more abundant close to the laser-treated surface, with a perpendicular disposition of the bundles respect to the HA; conversely, a parallel distribution was observed around the machined surface. A different secondary structure was also found, with a higher amount of triple helices and a lower quantity of random coils in collagen close to the laser treated surfaces. CONCLUSIONS FTIRI spectroscopy demonstrates that the use of a laser treated transmucosal surface can improve the morphological organization of the peri-implant collagen, which presents a distribution more similar to that of natural teeth. TRIAL REGISTRATION This trial is registered with ClinicalTrials.gov Identifier: (Registration Number: NCT05754970). Registered 06/03/2023, retrospectively registered, https://clinicaltrials.gov/show/NCT05754970 .
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Affiliation(s)
- Alessia Belloni
- Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Giulio Argentieri
- Electron Microscopy Laboratory, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Giulia Orilisi
- Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, Ancona, Italy
| | - Valentina Notarstefano
- Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Elisabetta Giorgini
- Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Gianmaria D'Addazio
- Electron Microscopy Laboratory, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Giovanna Orsini
- Department of Clinical Sciences and Stomatology, Polytechnic University of Marche, Ancona, Italy.
| | - Sergio Caputi
- Electron Microscopy Laboratory, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Bruna Sinjari
- Electron Microscopy Laboratory, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
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Tafuri G, Santilli M, Manciocchi E, Rexhepi I, D'Addazio G, Caputi S, Sinjari B. A systematic review on removal of osseointegrated implants: un update. BMC Oral Health 2023; 23:756. [PMID: 37833674 PMCID: PMC10576342 DOI: 10.1186/s12903-023-03438-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 09/21/2023] [Indexed: 10/15/2023] Open
Abstract
BACKGROUND Today dental implants represent an effective therapy in case of partial or total edentulism, with an excellent success rate. Despite the results obtained, there may be biological or mechanical complications during the therapy, which lead to the loss of the implant. This systematic review aims to evaluate the current state of the art in the literature on techniques used for the removal of dental implants. Various aspects will be analyzed, such as the success of the technique, any complications, and the advantages and disadvantages of their use. METHODS Two reviewers conducted a literature analysis (PubMed, Embase, Web of Science) of the last 20 years (2003-2023). The main criterion analyzed was the success of the technique, while secondary outcomes such as complications and risks of the technique were also analyzed. 258 articles were identified in the various search databases. 42 eligible articles were subsequently identified after an article screening. Only 18 full texts were subsequently included in the review. RESULTS A total of 18 articles were selected and 1142 implants and 595 patients were included. The main techniques used were the Counter-Torque Ratchet Technique (CTRT), Piezoelectric bone surgery (PBS), trephine drills, carbide burs, Erbium, Chromium, Yttrium, Scandium, Gallium, Garnett (Er:Cr:YSGG) laser and carbon dioxide (CO2) laser. Combined uses of techniques have been identified such as: PBS and trephine burs or carbide burs, trephine burs with the use of a 3d-printed guide, CTRT and trephine burs. The technique with the highest success rate, less morbidity for the patient, and less removal of bone appears to be the CTRT. CONCLUSIONS The use of conservative techniques, especially CTRT, in bone removal is useful to allow for immediate implant placement in the removal area. However, further studies with a high sample size are needed to be performed on all techniques, particularly new randomized controlled trials (RCTs) that allow for the analysis of the success of alternative techniques such as Laser and Piezosurgery, which appear to be very promising.
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Affiliation(s)
- Giuseppe Tafuri
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Manlio Santilli
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Eugenio Manciocchi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Imena Rexhepi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Gianmaria D'Addazio
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Sergio Caputi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Bruna Sinjari
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti- Pescara, 66100, Chieti, Italy.
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
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D’Addazio G, Manciocchi E, Tafuri G, Schiavone R, Murmura G, Mavriqi L, Sinjari B, Caputi S. Long-Term Efficacy of Chlorhexidine Gel in Single-Crown Implant Rehabilitation: A Five-Year Follow-Up Study. Dent J (Basel) 2023; 11:228. [PMID: 37886913 PMCID: PMC10605130 DOI: 10.3390/dj11100228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 09/07/2023] [Accepted: 09/21/2023] [Indexed: 10/28/2023] Open
Abstract
Chlorhexidine digluconate (CHX) has shown the ability to significantly reduce inflammation and marginal bone loss (MBL) at the 1-year follow-up but limited data exist regarding its long-term efficacy in peri-implant stability. The objective was to compare the long-term effects (5 years of follow-up) of a placebo gel (16 patients in Group A) or a 0.20% CHX gel (15 patients in Group B) used at each previous surgical and prosthetic stage. Control visits were conducted in 2022, investigating the long-term effects by biological, radiological, and clinical evaluation. The data were statistically analyzed. The research achieved a 96.7% implant success rate over five years, but 41.9% of patients did not attend annual oral hygiene check-ups. The average MBL was 1.04 ± 0.39 mm, with no significant differences between the two groups. Notably, patients who attended regular periodontal check-ups experienced significantly less MBL than those who did not (p < 0.05). At five years, direct effects of CHX were absent, with both groups showing moderate bone loss. However, the results suggest that early disinfection could enhance both short- and long-term outcomes. In fact, patients with initial minor MBL due to use of CHX, preserve this advantage also after 5 years of follow-up. Additionally, the data underscore the importance of annual check-ups in early detection and management of biological complications.
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Affiliation(s)
- Gianmaria D’Addazio
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Eugenio Manciocchi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Giuseppe Tafuri
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Ruggero Schiavone
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
| | - Giovanna Murmura
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Luan Mavriqi
- Department of Dentistry, Albanian University, 1001 Tirana, Albania;
| | - Bruna Sinjari
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Sergio Caputi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (E.M.); (G.T.); (R.S.); (G.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
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Rexhepi I, Santilli M, D’Addazio G, Tafuri G, Manciocchi E, Caputi S, Sinjari B. Clinical Applications and Mechanical Properties of CAD-CAM Materials in Restorative and Prosthetic Dentistry: A Systematic Review. J Funct Biomater 2023; 14:431. [PMID: 37623675 PMCID: PMC10455074 DOI: 10.3390/jfb14080431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/03/2023] [Accepted: 08/14/2023] [Indexed: 08/26/2023] Open
Abstract
Clinical outcomes of dental restorations depend primarily on the choice of materials used, and nowadays, dental CAD-CAM (Computer-Aided Design Computer-Aided Manufacturing) materials have strongly changed daily clinical practice. The aim of this systematic review is to analyze CAD-CAM dental materials according to their mechanical properties and in relation to their clinical applications. A literature review was performed on PubMed, Scopus, Web of Knowledge, and the Cochrane Library. Articles addressing at least one of the following topics regarding dental materials for CAD-CAM systems: manufacturers, mechanical features, materials' composition, optical properties, clinical indications, and/or outcomes were included in the review. A flowchart was performed as described in the PRISMA guidelines. Among the 564 articles found, 63 were analyzed and evaluated. Within the limitations of this systematic review, it can be concluded that CAD-CAM materials present a wide range of clinical applications due to their improved mechanical properties. Specifically, in addition to materials that have been in use for a long time (such as feldspathic ceramics), resin block composites can also be used for permanent restorations.
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Affiliation(s)
- Imena Rexhepi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Manlio Santilli
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Gianmaria D’Addazio
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Giuseppe Tafuri
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Eugenio Manciocchi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Sergio Caputi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Bruna Sinjari
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy; (I.R.); (M.S.); (G.D.); (G.T.); (E.M.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
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Gaggi G, Di Credico A, D'Addazio G, Ghinassi B, Argentieri G, Caputi S, Di Baldassarre A, Sinjari B. Impact on peri-implant connective tissue of laser treated versus traditional healing abutments: a human clinical trials. BMC Oral Health 2023; 23:425. [PMID: 37370064 DOI: 10.1186/s12903-023-03148-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 06/20/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND Dental implant is the principal treatment for edentulism and the healthiness of the peri-implant tissue has a pivotal role for its longterm success. In addition, it has been shown that also the topography of the healing abutment can influence the outcome of the restoration. The objective of this human clinical trial was to assess the impact of a novel laser-treated healing abutment on peri-implant connective tissue and extracellular matrix proteins compared to the conventional machined surface, which served as the control group. METHODS During second surgical stage a customized healing abutment were inserted on 30 single dental implants. Healing abutments were realized with two alternated different surface (two side laser-treated surfaces and two side machined surfaces) in order to be considered both as test and control on the same implant and reduce positioning bias. Following the soft tissue healing period (30 ± 7 days) a 5 mm circular biopsy was retrieved. Immuno-histochemical and quantitative real-time PCR (qPCR) analyses were performed on Collagen, Tenascin C, Fibrillin I, Metalloproteinases (MMPs) and their inhibitor (TIMPs). 15 were processed for qPCR, while the other 15 were processed for immunohistochemical analysis. Paired t-test between the two groups were performed. A value of p < 0.05 was considered statistically significant. RESULTS Results revealed that the connective tissue facing the laser-treated surface expressed statistically significant lower amount of MMPs (p < 0.05) and higher level of TIMPs 3 (p < 0.05), compared to the tissue surrounding the machined implant, which, in turn expressed also altered level of extracellular matrix protein (Tenascin C, Fibrillin I (p < 0.05)) and Collagen V, that are known to be altered also in peri-implantitis. CONCLUSIONS In conclusion, the laser-treated surface holds promise in positively influencing wound healing of peri-implant connective tissue. Results demonstrated that topographic nature of the healing abutments can positively influence mucosal wound healing and molecular expression. Previous studies have been demonstrated how laser treatment can rightly influence integrity and functionality of the gingiva epithelium and cell adhesion. Regarding connective tissue different molecular expression demonstrated a different inflammatory pattern between laser treated or machined surfaces where laser treated showed better response. Targeted interventions and preventive measures on peri- implant topography could effectively minimize the risk of peri-implant diseases contributing to the long-term success and durability of restoration. However, new studies are mandatory to better understand this phenomenon and the role of this surface in the peri-implantitis process. TRIAL REGISTRATION: This trial is registered with ClinicalTrials.gov Identifier: (Registration Number: NCT05754970 ). Registered 06/03/2023, retrospectively registered.
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Affiliation(s)
- Giulia Gaggi
- Human Anatomy and Cell Differentiation Lab, Department of Medicine and Aging Sciences, University "G.d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Andrea Di Credico
- Human Anatomy and Cell Differentiation Lab, Department of Medicine and Aging Sciences, University "G.d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Gianmaria D'Addazio
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Barbara Ghinassi
- Human Anatomy and Cell Differentiation Lab, Department of Medicine and Aging Sciences, University "G.d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Giulio Argentieri
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Sergio Caputi
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
| | - Angela Di Baldassarre
- Human Anatomy and Cell Differentiation Lab, Department of Medicine and Aging Sciences, University "G.d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy.
| | - Bruna Sinjari
- Unit of Prosthodontics, Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
- Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, 66100, Chieti, Italy
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Costantini E, Sinjari B, Di Giovanni P, Aielli L, Caputi S, Muraro R, Murmura G, Reale M. TNFα, IL-6, miR-103a-3p, miR-423-5p, miR-23a-3p, miR-15a-5p and miR-223-3p in the crevicular fluid of periodontopathic patients correlate with each other and at different stages of the disease. Sci Rep 2023; 13:126. [PMID: 36599866 DOI: 10.1038/s41598-022-26421-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 12/14/2022] [Indexed: 01/06/2023] Open
Abstract
Periodontitis is one of the main frequent intraoral diseases. Pathogenesis triggers are the immune responses with pro-inflammatory cytokines production and non-coding RNAs expression. The purpose of the present study was to evaluate the involvement of selected miRNAs in various stages of periodontitis and their relationship with the levels of inflammatory mediators in gingival crevicular fluid (GCF). For this study, 36 subjects (21 with periodontal disease, 15 healthy controls) were selected with an age mean of 59.1 ± 3.7 years. Clinical parameters included plaque index, gingival index, sulcus bleeding index, pocket depth, and clinical attachment level. The GCF samples were taken using capillary paper. The levels of miRNAs in GCF were estimated using a Real-Time PCR and TNFα and IL-6 levels were assessed by enzyme-linked immunosorbent assay (ELISA). The results indicated that the miRNA-103a-3p, miRNA-23a-3p, miRNA-15a-5p, and miRNA-223-3p were significantly upregulated with respect to healthy controls. Significant differences were observed for miRNA-23a-3p, miRNA-103a-3p and miRNA-423-5p levels in accord with the disease stages. Inflammatory mediators evaluated in GCF correlate well with the clinical parameters and the severity of the periodontal disease. miRNAs can represent biomarkers of disease stage and can be investigated as a possible therapeutic target, as well as levels of TNFα and IL-6 may drive the disease progression by acting as prognostic markers.
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Affiliation(s)
- Erica Costantini
- Department of Medicine and Science of Aging, University "G. d'Annunzio", 66100, Chieti, Italy.
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Pamela Di Giovanni
- Department of Pharmacy, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Lisa Aielli
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Raffaella Muraro
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Giovanna Murmura
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
| | - Marcella Reale
- Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio", 66100, Chieti, Italy
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Della Rocca Y, Fonticoli L, Rajan TS, Trubiani O, Caputi S, Diomede F, Pizzicannella J, Marconi GD. Hypoxia: molecular pathophysiological mechanisms in human diseases. J Physiol Biochem 2022; 78:739-752. [PMID: 35870078 PMCID: PMC9684243 DOI: 10.1007/s13105-022-00912-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 07/14/2022] [Indexed: 12/01/2022]
Abstract
Abstract
Hypoxia, a low O2 tension, is a fundamental feature that occurs in physiological events as well as pathophysiological conditions, especially mentioned for its role in the mechanism of angiogenesis, glucose metabolism, and cell proliferation/survival. The hypoxic state through the activation of specific mechanisms is an aggravating circumstance commonly noticed in multiple sclerosis, cancer, heart disease, kidney disease, liver disease, lung disease, and in inflammatory bowel disease. On the other hand, hypoxia could play a key role in tissue regeneration and repair of damaged tissues, especially by acting on specific tissue stem cells, but their features may result as a disadvantage when it is concerned for neoplastic stem cells. Furthermore, hypoxia could also have a potential role in tissue engineering and regenerative medicine due to its capacity to improve the performance of biomaterials. The current review aims to highlight the hypoxic molecular mechanisms reported in different pathological conditions to provide an overview of hypoxia as a therapeutic agent in regenerative and molecular therapy.
Graphical abstract
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Affiliation(s)
- Ylenia Della Rocca
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Luigia Fonticoli
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | | | - Oriana Trubiani
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Francesca Diomede
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy.
| | - Jacopo Pizzicannella
- Cardiology Intensive Care Unit, "Ss. Annunziata" Hospital, ASL02 Lanciano-Vasto-Chieti, Chieti, Italy
| | - Guya Diletta Marconi
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
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Di Lullo N, Rexhepi I, Sinjari B, Murmura G, Caputi S. Protesi parziale rimovibile a ritenzione funzionale (PPRaRF): presentazione della tecnica. Dental Cadmos 2022. [DOI: 10.19256/d.cadmos.04.2022.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mavriqi L, Valente F, Murmura G, Sinjari B, Macrì M, Trubiani O, Caputi S, Traini T. Lithium disilicate and ZLS glass-ceramics for CAD/CAM dental restorations. Biocompatibility, mechanical and microstructural properties after crystallization.: Microstructure and Properties of Glass Ceramics for CAD/CAM Applications. J Dent 2022; 119:104054. [PMID: 35122936 DOI: 10.1016/j.jdent.2022.104054] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/31/2021] [Accepted: 01/31/2022] [Indexed: 02/08/2023] Open
Abstract
OBJECTIVES The objective of this study was to define the impact of heating rate on the crystal growth, the mechanical properties, and the biocompatibility of three different kinds of CAD/CAM glass-ceramics treated with a conventional furnace. METHODS Lithium disilicate (IPS EMax-CAD, Ivoclar Vivadent) (LS2) and two zirconia reinforced lithium silicate (ZLS) ceramics (Vita Suprinity PC, VITA Zahnfabrik; Celtra Duo, Dentsply Sirona) (ZLSS; ZLSC) were used. The mechanical properties and the crystal growth were evaluated on 42 specimens (n=14 per group). The thermal treatments recommended by the manufacturers were carried out. All groups were tested for fracture toughness (Ft) and Vickers hardness (Hv). Scanning electron microscope (SEM) images were taken after a slight surface etching with hydrofluoric acid solution (1% for 20 sec). Differential Thermal Analysis (DTA) was performed and cellular adhesion with human periodontal ligament stem cells (hPDLSCs) culture was qualitatively assayed. Data were analysed with Repeated Measurements ANOVA and ANOVA followed by Tukey post hoc test. RESULTS The crystals' mean size (±SD) after heat treatment was 1650.0 (±340.0) nm for LS2, 854.5 (±155.0) nm for ZLSS and 759.9 (±118.4) nm for ZLSC (p<0.05 among the groups). As consequence of crystallization, the Hv was 6.1±0.3 GPa for LS2, 7.6±0.7 GPa for ZLSS and 7.1±0.5 GPa for ZLSC (p<0.05 for LS2 vs ZLSS and ZLSC), while the Ft was 2.2±0.1 MPa m1/2 for LS2, 4.7±0.8 MPa m1/2 for ZLSS and 3.8±0.6 MPa m1/2 for ZLSC (p<0.05 among the groups). The DTA curves showed a crystallization process for LS2, ZLSS and ZLSC at a temperature range 810°C to 840°C. The amount of adherent hPDLSCs was superior on LS2 than on ZLS. CONCLUSIONS All the CAD/CAM materials can be properly crystallized if heat treated following the manufacturers' instructions. The crystallization process highly depends on temperature. ZLS glass ceramics show significantly inferior crystals dimensions and higher fracture toughness and Vickers hardness than LS2 ceramic. hPDLSCs cultured on LS2 have a superior adhesion than those cultured on ZLS. CLINICAL SIGNIFICANCE The clinical interest of this study relies on the demonstration that a proper heat-treatment of CAD/CAM lithium disilicate and ZLS glass ceramics generates products that are suitable for clinical service. The differences highlightable in mechanical properties and biocompatibility behaviour do not affect their successful clinical application.
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Affiliation(s)
- Luan Mavriqi
- Department of Dentistry, Albanian University, 1001 Tirana, Albania
| | - Francesco Valente
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Giovanna Murmura
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Monica Macrì
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Oriana Trubiani
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
| | - Tonino Traini
- Department of Innovative Technologies in Medicine & Dentistry, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy; Electron Microscopy Laboratory, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy.
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11
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Di Lullo N, Rexhepi I, Sinjari B, Murmura G, Caputi S. Protesi parziale rimovibile a ritenzione funzionale (PPRaRF): presentazione della tecnica. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.2021.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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12
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Mavriqi L, Valente F, Sinjari B, Trubiani O, Caputi S, Traini T. Water-Airborne-Particle Abrasion as a Pre-Treatment to Improve Bioadhesion and Bond Strength of Glass-Ceramic Restorations: From In Vitro Study to 15-Year Survival Rate. Materials (Basel) 2021; 14:ma14174966. [PMID: 34501060 PMCID: PMC8433990 DOI: 10.3390/ma14174966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 08/22/2021] [Accepted: 08/27/2021] [Indexed: 11/16/2022]
Abstract
The purposes of this study were to evaluate the efficacy of water-airborne-particle abrasion (WAPA) as pre-etching procedure for tooth surfaces to increase bond strength, and to compare the survival rate of WAPA vs. non-WAPA glass-ceramic restorations with a 15-year follow-up. The occlusal surfaces of 20 human molars were sectioned and flattened. The prepared surfaces areas were subdivided into two parts: one received WAPA treatment (prophy jet handpiece with 50 µm aluminium oxide particles) followed by acid etching (37% phosphoric acid for 20 s/3-step etch-and-rinse); the other one was only acid-etched. In total, 108 specimens were obtained from the teeth, of which 80 were used to measure the micro-tensile bond strength (μTBS) in the WAPA (n = 40) and control (n = 40) groups, while the remaining specimens (n = 28) were investigated via SEM to evaluate the micromorphology and roughness (Ra) before and after the different treatment steps. The survival rate (SR) was performed on 465 glass-ceramic restorations (131 patients) comparing WAPA treatment (n = 183) versus non-WAPA treatment (n = 282). The bond strength was 63.9 ± 7.7 MPa for the WAPA group and 51.7 ± 10.8 MPa for the control group (p < 0.001). The Ra was 98 ± 24 µm for the enamel control group, 150 ± 35 µm for the enamel WAPA group, 102 ± 27 µm for the dentin control group and 160 ± 25 µm for the dentin WAPA group. The Ra increase from the WAPA procedure for enamel and dentin was statistically significant (p < 0.05). Under SEM, resin tags were present in both groups although in the WAPA they appeared to be extended in a 3D arrangement. The SR of the WAPA group (11.4 years) was 94%, while the SR of the non-WAPA group (12.3 years) was 87.6% (p < 0.05). The WAPA treatment using aluminium oxide particles followed by a 3-step etch-and-rinse adhesive system significantly improved bioadhesion with an increased bond strength of 23.6% and provided superior long-term clinical performance of glass-ceramic restorations.
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Affiliation(s)
- Luan Mavriqi
- Department of Dentistry, Albanian University, 1001 Tirana, Albania;
| | - Francesco Valente
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (B.S.); (O.T.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (B.S.); (O.T.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Oriana Trubiani
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (B.S.); (O.T.); (S.C.)
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (B.S.); (O.T.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Tonino Traini
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (B.S.); (O.T.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
- Correspondence: ; Tel.: +39-08713554143
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Valente F, Scarano A, Murmura G, Varvara G, Sinjari B, Mandelli F, Piattelli M, Caputi S, Traini T. Collagen Fibres Orientation in the Bone Matrix around Dental Implants: Does the Implant's Thread Design Play a Role? Int J Mol Sci 2021; 22:ijms22157860. [PMID: 34360630 PMCID: PMC8346163 DOI: 10.3390/ijms22157860] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/21/2021] [Accepted: 07/22/2021] [Indexed: 11/24/2022] Open
Abstract
The aim of this study was to analyse the influence of different thread shapes of titanium dental implant on the bone collagen fibre orientation (BCFO) around loaded implants. Twenty titanium dental implants, divided for thread shapes in six groups (A–F) were analysed in the present study. All implants were immediately loaded and left in function for 6 months before retrieval. The parameters evaluated under scanning electron microscope were the thread width, thread depth, top radius of curvature, flank angle, and the inter-thread straight section. Two undecalcified histological sections were prepared from each implant. Birefringence analysis using circularly polarized light microscopy was used to quantitively measure BCFO. For groups A–F, respectively, transverse BCFO was 32.7%, 24.1%, 22.3%, 18.2%, 32.4%, and 21.2%, longitudinal BCFO was 28.2%, 14.5%, 44.9%, 33.1%, 37.7%, and 40.2%. The percentage differences between transverse and longitudinal orientation were 4.50% (A), 9.60% (B), −22.60% (C), −14.90% (D), −5.30% (E), and −19.00% (F). Following loading, the amount of transverse and longitudinal BCFO were significantly influenced by the thread shape. The greater flank angles and narrower inter-thread sections of the “V” shaped and “concave” shaped implant threads of groups A and B, respectively, promoted the predominance of transverse BCFO, compared to groups C-F (p < 0.05). A narrow inter-thread straight section promotes transverse BCFO, as do “V” shaped and “concave” shaped threads, which can thus be considered desirable design for implant threads.
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Affiliation(s)
- Francesco Valente
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
| | - Giovanna Murmura
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Giuseppe Varvara
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | | | - Maurizio Piattelli
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Tonino Traini
- Department of Innovative Technologies in Medicine & Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (F.V.); (A.S.); (G.M.); (G.V.); (B.S.); (M.P.); (S.C.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
- Correspondence: ; Tel.: +39-08713554143
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D’Addazio G, Sinjari B, Arcuri L, Femminella B, Murmura G, Santilli M, Caputi S. Mechanical Pull-Out Test of a New Hybrid Fixture-Abutment Connection: An In Vitro Study. Materials (Basel) 2021; 14:ma14061555. [PMID: 33810040 PMCID: PMC8004755 DOI: 10.3390/ma14061555] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 03/06/2021] [Accepted: 03/18/2021] [Indexed: 11/16/2022]
Abstract
Implant abutment connection was described among the main causes of peri-implant bone resorption. The aim of this in vitro study was to test the coupling capacity, the surface modification of a new hybrid connection and the influence of repeated connection activations caused during the main clinical and laboratory phases. A total of 40 implant-abutment screw retained systems with 10°-conical and internal hexagon connection were tested. The connection was screwed, fixed to the universal test machine, removed the screw and a pull-out test was performed. Test was repeated five times in succession. Also Scanning Electron Microscopy (SEM) was used to detect microscopically surface modification. Analysis of variance and Tukey tests were used for the statistical analysis. Pull-out test reveals a mean value of 131.35 ± 16.52 Newton Centimeter (N·cm). For each single activation, results from first to fifth were: 113.9 ± 13.02, 126.1 ± 12.81, 138.11 ± 15.15, 138.8 ± 11.90 and 140 ± 12.99 N·cm. A statistically significant difference between the measurements and an increase in the removal force was shown. The collected data supports the use of this new type of connection, resulting in a very strong interface between implant and abutment. Also, repeated activation of connection can promote a better coupling of the implant-abutment interface.
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Affiliation(s)
- Gianmaria D’Addazio
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
| | - Bruna Sinjari
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
- Correspondence: ; Tel.: +393-922-7471479; Fax: +390-8713-554070
| | - Lorenzo Arcuri
- Department of Oral and Maxillo-Facial Sciences, “Sapienza”, University of Rome, 00185 Rome, Italy;
| | - Beatrice Femminella
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
| | - Giovanna Murmura
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
| | - Manlio Santilli
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
| | - Sergio Caputi
- Department of Innovative Technologies in Medicine and Dentistry, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (B.F.); (G.M.); (M.S.); (S.C.)
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Varvara G, Sinjari B, Bernardi S, Turkyilmaz I, Malvezzi V, Piattelli M, Caputi S. Comparative surface detail reproduction for elastomeric impression materials: Study on reproducibility performance. J BIOL REG HOMEOS AG 2021; 35:161-169. [PMID: 33435664 DOI: 10.23812/20-561-a] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
For dental impression of a prepared tooth, the goal is a void-free negative representation from which an accurate cast of a tooth and its surrounding tissue can be reproduced. This in-vitro study assessed and compared the reproduction accuracies of surface detail obtained with three different dental elastomeric impression materials: vinyl polysiloxane (VPS), vinyl polyether silicone (VPES), and polyether (PE). A stainless-steel model with two abutments was used, with impressions taken 10 times for each material, for 20 abutment impressions per group, using a two-phase, one-step technique (heavy body/light body). The impressions were removed and assessed for numbers of enclosed voids and open voids visible on the surface. The defect frequency was 95% for impressions with the VPS and VPES materials, and 30% for the PE material. No significant differences were seen for number of impressions with defects for VPS versus VPES. Significant differences were seen for VPS and VPES versus the PE material (P <.05). No significant differences were seen for the defect type distributions across these three impression materials. The PE impression material showed better accuracy for reproduction of surface detail of these dental impressions compared to the VPS and VPES impression materials.
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Affiliation(s)
- G Varvara
- Department of Medical, Oral and Biotechnological Sciences, Dental School, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy
| | - B Sinjari
- Department of Medical, Oral and Biotechnological Sciences, Dental School, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy
| | - S Bernardi
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - I Turkyilmaz
- Department of Prosthodontics, New York University College of Dentistry, New York, NY, USA
| | - V Malvezzi
- Department of Medical, Oral and Biotechnological Sciences, Dental School, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy
| | - M Piattelli
- Department of Medical, Oral and Biotechnological Sciences, Dental School, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, Dental School, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy
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Traini T, Vinci R, Sinjari B, Rexepi I, D’Addazio G, Santilli M, Di Giosia M, Caputi S, Traini T. SEM-EDX Analysis of a Submandibular Gland Salivary Calculus: A Case Report. Surg Case Rep 2021. [DOI: 10.31487/j.scr.2021.01.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Sialolithiasis or “salivary lithiasis” is a pathological condition that involves the formation of calcified
concrements within the gland parenchyma and its ductal system of the main salivary glands of the head and
neck area. Various theories of lithogenesis have been reported, but the etiology of sialoliths still remains
unclear. The aim of this case report was to evaluate the biochemical composition and the surface
morphology of a sialolith using energy dispersion X-ray spectroscopy (EDX) and scanning electron
microscopy (SEM). SEM images of the sialolith detected a concentric laminar architecture of the sialolith’s
core surrounded by radial structures that are arranged from the center to the periphery of the sialolith. EDX
analysis detected a high percentage of carbon in the central area of the sialolith, indicating the abundance
of organic materials. Structures corresponding to a foreign body or bacteria were not detected in any area.
Thus, the sialolith presented a mixed genesis, and the increased presence of organic substances over
inorganic ones suggests its phlogistic nature.
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D'Addazio G, Ghinassi B, Santilli M, Gaggi G, Rexhepi I, Caputi S, Sinjari B. Evaluation of peri‐implant soft tissue status through inflammatory biomarkers on laser treated healing abutments. A human study. Clin Oral Implants Res 2020. [DOI: 10.1111/clr.33_13643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Gianmaria D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Barbara Ghinassi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Manlio Santilli
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Giulia Gaggi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Imena Rexhepi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” of Chieti‐Pescara, Chieti, Italy
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18
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Caravatta L, Rosa C, Di Sciascio MB, Tavella Scaringi A, Di Pilla A, Ursini LA, Taraborrelli M, Vinciguerra A, Augurio A, Di Tommaso M, Trignani M, Nuzzo M, Falco MD, De Nicola A, Adorante N, Patani F, Centofanti G, Gasparini L, Fasciolo D, Di Guglielmo FC, Bonfiglio C, Borgia M, Caravaggio G, Marcucci S, Turchi C, Mancinelli D, Sartori S, Schael T, Muraglia A, Caputi S, D'Amario C, Verì N, Genovesi D. COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy. Radiat Oncol 2020; 15:226. [PMID: 32993690 PMCID: PMC7522911 DOI: 10.1186/s13014-020-01670-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 09/17/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II. METHODS The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. Due to the guidelines set out by the Ministry of Health, oncological follow-up visits were interrupted during the lockdown-phase I; consequently, we set about contacting patients by telephone, with laboratory and instrumental exams being viewed via telematics. During the post-lockdown-phase II, the oncological follow-up clinic reopened, with two shifts operating daily. RESULTS By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed. CONCLUSION During both phases of the COVID-19 emergency, the planned model used in our own experience guaranteed both continuity in radiotherapy treatments whilst neither reducing workload nor interrupting treatment and, as such, it ensured the safety of cancer patients, hospital environments and staff.
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Affiliation(s)
- Luciana Caravatta
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy.
| | - Consuelo Rosa
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy.,Department of Neuroscience, Imaging and Clinical Sciences, "G. D'Annunzio" University, Chieti, Italy
| | | | | | - Angelo Di Pilla
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Lucia Anna Ursini
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Maria Taraborrelli
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Annamaria Vinciguerra
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Antonietta Augurio
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Monica Di Tommaso
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Marianna Trignani
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Marianna Nuzzo
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Maria Daniela Falco
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Andrea De Nicola
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Nico Adorante
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Fabiola Patani
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Giuseppe Centofanti
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Lucrezia Gasparini
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - David Fasciolo
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Fiorella Cristina Di Guglielmo
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Cecilia Bonfiglio
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Marzia Borgia
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Gabriella Caravaggio
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Stefano Marcucci
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Consalvo Turchi
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Domenico Mancinelli
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | - Stephanie Sartori
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy
| | | | | | | | | | - Nicoletta Verì
- Abruzzo Region Health Policy Department, L'Aquila, Italy
| | - Domenico Genovesi
- Department of Radiation Oncology, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy.,Department of Neuroscience, Imaging and Clinical Sciences, "G. D'Annunzio" University, Chieti, Italy
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19
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Ghinassi B, Di Baldassarre A, D’Addazio G, Traini T, Andrisani M, Di Vincenzo G, Gaggi G, Piattelli M, Caputi S, Sinjari B. Gingival Response to Dental Implant: Comparison Study on the Effects of New Nanopored Laser-Treated vs. Traditional Healing Abutments. Int J Mol Sci 2020; 21:ijms21176056. [PMID: 32842709 PMCID: PMC7504205 DOI: 10.3390/ijms21176056] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 08/14/2020] [Accepted: 08/21/2020] [Indexed: 12/15/2022] Open
Abstract
The health of peri-implant soft tissues is important for the long-term success rate of dental implants and the surface topography is pivotal in influencing it. Thus, the aim of this study was to evaluate, in human patients, the inflammatory mucosal microenvironment in the tissue surrounding a new, nanoscale, laser-treated healing abutment characterized by engineered nanopores versus a standard machined-surface. Analyses of anti- and pro-inflammatory markers, cytokeratins, desmosomal proteins and scanning electron microscopy were performed in 30 soft-tissue biopsies retrieved during second-stage surgery. The results demonstrate that the soft tissue surrounding the laser-treated surface was characterized by a lower grade of inflammation than the one facing the machined-surface, which, in turn, showed a disrupted epithelium and altered desmosomes. Moreover, higher adhesion of the epithelial cells on the laser-treated surface was detected compared to the machined one. In conclusion, the laser-treated surface topography seems to play an important role not only in cell adhesion, but also on the inflammatory makers’ expression of the soft tissue microenvironment. Thus, from a clinical point of view, the use of this kind of topography may be of crucial importance not only on healing abutments but also on prosthetic ones.
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Affiliation(s)
- Barbara Ghinassi
- Human Anatomy and Cell Differentation Lab, Department of Medicine and Aging Sciences, University “G.d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy;
- Correspondence: (B.G.); (A.D.B.)
| | - Angela Di Baldassarre
- Human Anatomy and Cell Differentation Lab, Department of Medicine and Aging Sciences, University “G.d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy;
- Correspondence: (B.G.); (A.D.B.)
| | - Gianmaria D’Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Mauro Andrisani
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
| | - Giorgio Di Vincenzo
- Department of Periodontics & Implant Dentistry, New York University, E 40th St #508, New York, NY 10016, USA;
| | - Giulia Gaggi
- Human Anatomy and Cell Differentation Lab, Department of Medicine and Aging Sciences, University “G.d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy;
| | - Maurizio Piattelli
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (G.D.); (T.T.); (M.A.); (M.P.); (S.C.); (B.S.)
- Electron Microscopy Laboratory, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy
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20
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Sinjari B, Santilli M, D’Addazio G, Rexhepi I, Gigante A, Caputi S, Traini T. Influence of Dentine Pre-Treatment by Sandblasting with Aluminum Oxide in Adhesive Restorations. An In Vitro Study. Materials (Basel) 2020; 13:ma13133026. [PMID: 32645819 PMCID: PMC7372407 DOI: 10.3390/ma13133026] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 06/20/2020] [Accepted: 07/03/2020] [Indexed: 01/22/2023]
Abstract
Dentine pretreatment through sandblasting procedures has been widely studied but no curve test results are currently available. Thus, the aim herein was to in vitro compare the adhesive strength in sandblasted or not samples using a universal testing machine. Thirty -two bovine teeth were divided into two groups, namely test (n = 16 bars), sandblasting with aluminum oxide particles (50 µm) was performed before the adhesion procedures), and control (n = 16 bars), where no sandblasting procedure was performed. A bi-material curve test was used to evaluate the characteristics of the dentine pretreatment in terms of tensile stress and fracture strength. A scanning electron microscope (SEM) was used to analyze the fracture topography in the composite, bonding, dentin, and at the relative interfaces. The results demonstrated a statistically significant difference between the two groups in terms of tensile stress at maximum load showing values of 84.300 ± 51.342 MPa and 35.071 ± 16.609 MPa, respectively for test and control groups (p = 0.033). Moreover, a fracture strength test showed values of 18.543 ± 8.145 MPa for test and 8.186 ± 2.833 MPa for control group (p = 0.008). In conclusion, the sandblasting treatment of the dentine significantly influenced the mechanical resistance of the adhesion in this in vitro study.
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Affiliation(s)
- Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
- Correspondence: ; Tel.: +39-392-2747-1479; Fax: +39-0871-3554-070
| | - Manlio Santilli
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
| | - Gianmaria D’Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
| | - Imena Rexhepi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
| | - Alessia Gigante
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (M.S.); (G.D.); (I.R.); (A.G.); (S.C.); (T.T.)
- Electron Microscopy Laboratory, University G. d’Annunzio Chieti-Pescara, 66100 Chieti, Italy
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21
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Sinjari B, D’Addazio G, Santilli M, D’Avanzo B, Rexhepi I, Scarano A, Traini T, Piattelli M, Caputi S. A 4 Year Human, Randomized, Radiographic Study of Scalloped versus Non-Scalloped Cemented Implants. Materials (Basel) 2020; 13:ma13092190. [PMID: 32397597 PMCID: PMC7254311 DOI: 10.3390/ma13092190] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/03/2020] [Accepted: 05/06/2020] [Indexed: 12/13/2022]
Abstract
Marginal bone loss (MBL) is a key factor in long-term implant success rate. Among the different factors that influence MBL, it is the different implant shoulder designs, such as scalloped or non-scalloped, which have been widely studied on screw retained but not on cemented retained implants. Thus, the aim of the present study was to evaluate the MBL around scalloped and non-scalloped cemented retained dental implants after 4 years of loading, in humans. A total of 15 patients were enrolled in the present study. A radiographic and clinical examination was performed after implant placement (T0) and after 4 years from it (T1). The results demonstrated a differential MBL (T1-T0) of 2.436 ± 1.103 mm and 1.923 ± 1.021 mm, respectively for test (scalloped) and control (non-scalloped) groups with a statistically significant difference between them. On the other hand, no statistically significant differences were found between the groups in terms of prosthetic complication and abutment decementation, whilst ceramic crowns chipping was shown in both groups. In conclusion, the use of a scalloped platform did not provide better results on the maintenance of MBL after 4 years follow-up. In this study, this probably was determined by multiple factors, among which was the subcrestal insertion of scalloped implants.
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Affiliation(s)
- Bruna Sinjari
- Correspondence: ; Tel.: +39-392-27471479; Fax: +39-0871-3554070
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Sinjari B, D’Addazio G, Xhajanka E, Caputi S, Varvara G, Traini T. Penetration of Different Impression Materials into Exposed Dentinal Tubules during the Impression Procedure. Materials (Basel) 2020; 13:ma13061321. [PMID: 32183299 PMCID: PMC7143836 DOI: 10.3390/ma13061321] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 03/10/2020] [Accepted: 03/12/2020] [Indexed: 11/22/2022]
Abstract
Adhesive restorations have been shown to guarantee excellent performance and longevity, although this comes with some disadvantages. Among these, the vulnerability of dentine to different agents has been widely evaluated. The aim of this study was to evaluate the possible penetration of impression materials into freshly cut dentine. Dentine from 27 teeth was impressed with polyether (Impregum Penta L) (nine teeth) and with polyvinyl siloxane (Aquasil Ultra LV) (nine teeth). The surface of nine teeth after the impressions were used as the control. Specifically, the extroflections caused by the imprinting of the dentinal tubules on the impression material, the so-called impression tags, were measured. Furthermore, the presence of the material inside the tubules was examined. Scanning electron microscopy analysis showed material tags for all of the experimental groups. The mean lengths (±SD) were 22.6 (±11.0) µm for polyether, 21.8 (±12.8) µm for polyvinyl siloxane and 11.3 (±7.0) µm for the tooth control, with mean diameters (±SD) of 2.8 (±0.5), 2.4 (±0.7) and 3.1 (±0.7) µm, respectively. Fractal analysis showed fractal dimensions of 1.78 (±0.03), 1.77 (±0.03) and 1.71 (±0.03), respectively. These data demonstrated that the impression materials can remain inside the dentinal tubules, which can adversely affect the adhesive procedures.
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Affiliation(s)
- Bruna Sinjari
- Department of Medical Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy; (G.D.); (S.C.); (T.T.)
- Correspondence: (B.S.); (G.V.); Tel.: +39-392-7471479 (B.S.); +39-335-5353310 (G.V.); Fax: +39-0871-3554070 (B.S. & G.V.)
| | - Gianmaria D’Addazio
- Department of Medical Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy; (G.D.); (S.C.); (T.T.)
| | - Edit Xhajanka
- Department of Dental Medicine, Medical University of Tirana, Rruga e Dibrës, Tirana 1001, Albania;
| | - Sergio Caputi
- Department of Medical Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy; (G.D.); (S.C.); (T.T.)
| | - Giuseppe Varvara
- Department of Medical Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy; (G.D.); (S.C.); (T.T.)
- Correspondence: (B.S.); (G.V.); Tel.: +39-392-7471479 (B.S.); +39-335-5353310 (G.V.); Fax: +39-0871-3554070 (B.S. & G.V.)
| | - Tonino Traini
- Department of Medical Oral and Biotechnological Sciences, University “G. d’Annunzio” of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy; (G.D.); (S.C.); (T.T.)
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Varvara G, Sinjari B, Caputi S, Scarano A, Piattelli M. The Relationship Between Time of Retightening and Preload Loss of Abutment Screws for Two Different Implant Designs: An In Vitro Study. J ORAL IMPLANTOL 2020; 46:13-17. [PMID: 31580759 DOI: 10.1563/aaid-joi-d-18-00138] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The loosening of an abutment screw is one of the most frequent complications in implant-prosthetic rehabilitation, especially for single-crown cemented prostheses. This complication is due to several mechanical factors including type of connection, abutment-screw geometry, settling effects, and cyclical load. The purpose of the present in vitro study was to compare and associate different times of retightening with reductions in preload losses. We evaluated 40 internal hexagon dental implants and 40 external hexagon dental implants, with their related abutment screws. The implants were embedded in acrylic resin in cylindrical polyvinyl chloride tubes (26 mm diameter, 20 mm height). The abutments were fixed to the implants with screws to an initial torque of 35 Ncm using a digital torque meter with decimal precision. Two different types of connection were randomly divided in 4 subgroups of 10 samples each. One subgroup was used as control. The test groups underwent retightening to the same initial torque at increasing times from initial torque application for tightening of the abutment screws, to their retightening at 2 minutes, 5 minutes, and 10 minutes. The retightening time of 2 minutes shows significantly reduced preload loss. Randomized clinical trials are strongly required to provide clinicians with a beneficial standardized protocol of retightening that can be applied in routine clinical practice.
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Affiliation(s)
- Giuseppe Varvara
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Antonio Scarano
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
| | - Maurizio Piattelli
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy
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Khavinson V, Diomede F, Mironova E, Linkova N, Trofimova S, Trubiani O, Caputi S, Sinjari B. AEDG Peptide (Epitalon) Stimulates Gene Expression and Protein Synthesis during Neurogenesis: Possible Epigenetic Mechanism. Molecules 2020; 25:molecules25030609. [PMID: 32019204 PMCID: PMC7037223 DOI: 10.3390/molecules25030609] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Revised: 01/23/2020] [Accepted: 01/29/2020] [Indexed: 01/07/2023] Open
Abstract
It was shown that AEDG peptide (Ala-Glu-Asp-Gly, Epitalon) regulates the function of the pineal gland, the retina, and the brain. AEDG peptide increases longevity in animals and decreases experimental cancerogenesis. AEDG peptide induces neuronal cell differentiation in retinal and human periodontal ligament stem cells. The aim of the study was to investigate the influence of AEDG peptide on neurogenic differentiation gene expression and protein synthesis in human gingival mesenchymal stem cells, and to suggest the basis for the epigenetic mechanism of this process. AEDG peptide increased the synthesis of neurogenic differentiation markers: Nestin, GAP43, β Tubulin III, Doublecortin in hGMSCs. AEDG peptide increased Nestin, GAP43, β Tubulin III and Doublecortin mRNA expression by 1.6–1.8 times in hGMSCs. Molecular modelling method showed, that AEDG peptide preferably binds with H1/6 and H1/3 histones in His-Pro-Ser-Tyr-Met-Ala-His-Pro-Ala-Arg-Lys and Tyr-Arg-Lys-Thr-Gln sites, which interact with DNA. These results correspond to previous experimental data. AEDG peptide and histones H1/3, H1/6 binding may be one of the mechanisms which provides an increase of Nestin, GAP43, β Tubulin III, and Doublecortin neuronal differentiation gene transcription. AEDG peptide can epigenetically regulate neuronal differentiation gene expression and protein synthesis in human stem cells.
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Affiliation(s)
- Vladimir Khavinson
- Saint Petersburg Institute of Bioregulation and Gerontology, Dynamo Ave., 3, 197110 St. Petersburg, Russia; (V.K.); (E.M.); (S.T.)
- Pavlov Institute of Physiology Russian Academy of Sciences, Makarova Emb., 6, 199034 St. Petersburg, Russia
| | - Francesca Diomede
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy; (F.D.); (O.T.); (S.C.); (B.S.)
| | - Ekaterina Mironova
- Saint Petersburg Institute of Bioregulation and Gerontology, Dynamo Ave., 3, 197110 St. Petersburg, Russia; (V.K.); (E.M.); (S.T.)
| | - Natalia Linkova
- Saint Petersburg Institute of Bioregulation and Gerontology, Dynamo Ave., 3, 197110 St. Petersburg, Russia; (V.K.); (E.M.); (S.T.)
- Academy of postgraduate education under FSBU FSCC of FMBA of Russia, Volokolamskaya r., 91, 125371 Moscow, Russia
- Correspondence: ; Tel.: +7-921-311-4210
| | - Svetlana Trofimova
- Saint Petersburg Institute of Bioregulation and Gerontology, Dynamo Ave., 3, 197110 St. Petersburg, Russia; (V.K.); (E.M.); (S.T.)
- Academy of postgraduate education under FSBU FSCC of FMBA of Russia, Volokolamskaya r., 91, 125371 Moscow, Russia
| | - Oriana Trubiani
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy; (F.D.); (O.T.); (S.C.); (B.S.)
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy; (F.D.); (O.T.); (S.C.); (B.S.)
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d’Annunzio” Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy; (F.D.); (O.T.); (S.C.); (B.S.)
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Sinjari B, Diomede F, Khavinson V, Mironova E, Linkova N, Trofimova S, Trubiani O, Caputi S. Short Peptides Protect Oral Stem Cells from Ageing. Stem Cell Rev Rep 2019; 16:159-166. [DOI: 10.1007/s12015-019-09921-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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D'Addazio G, Santilli M, Traini T, Murmura G, Caputi S, Sinjari B. A 5‐year retrospective, human study on cemented implant abutment connections of single crown implant rehabilitations. Clin Oral Implants Res 2019. [DOI: 10.1111/clr.261_13509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Gianmaria D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
| | - Manlio Santilli
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
| | - Giovanna Murmura
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University ìG. d'Annunzioî Chieti-Pescara, Italy
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Sinjari B, Ghinassi B, D'Addazio G, Murmura G, Caputi S, Piattelli M. Preliminary results of human soft tissues adhesion around different treated healing abutments. Clin Oral Implants Res 2019. [DOI: 10.1111/clr.150_13509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti‐Pescara, Italy
| | | | - Gianmaria D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti‐Pescara, Italy
| | - Giovanna Murmura
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti‐Pescara, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti‐Pescara, Italy
| | - Maurizio Piattelli
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti‐Pescara, Italy
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Caputi S, Trubiani O, Sinjari B, Trofimova S, Diomede F, Linkova N, Diatlova A, Khavinson V. Effect of short peptides on neuronal differentiation of stem cells. Int J Immunopathol Pharmacol 2019; 33:2058738419828613. [PMID: 30791821 PMCID: PMC6376556 DOI: 10.1177/2058738419828613] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
It has been demonstrated that short peptides play an important role in the transmission of biological information, modulation of transcription, and restoring genetically conditioned alterations occurring with age. Peptidergic regulation of homeostasis occupies an important place in physiological processes, which lead to the aging of cells, tissues, and organs, consisting in the involution of major regulatory systems-the nervous, the endocrine, and the immune. The effect of AED (Ala-Glu-Asp), KED (Lys-Glu-Asp), KE (Lys-Glu), AEDG (Ala-Glu-Asp-Gly) peptides and their compound on neuronal differentiation of human periodontal ligament stem cells (hPDLSCs) was studied by immunofluorescence and western blot analysis. Growth-Associated Protein 43 (GAP43), which implements neurotransmission mechanisms and neuroplasticity, demonstrated an increased expression in hPDLSCs cultured with a compound of all studied peptides and with KED alone. The peptide compound and KED, increase the expression of Nestin (neurofilament protein), expressed in early neuronal precursors in hPDLSCs cultures. Thus, the compound of peptides AEDG, KE, AED, and KED could promote the neuronal differentiation of hPDLSCs and be a promising tool for the study of peptides as a modulator of neurogenesis in neurodegenerative diseases studied in animal models.
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Affiliation(s)
- Sergio Caputi
- 1 Laboratory of Stem Cells and Regenerative Medicine, Department of Medical, Oral and Biotechnological Sciences, School of Medicine and Health Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Oriana Trubiani
- 1 Laboratory of Stem Cells and Regenerative Medicine, Department of Medical, Oral and Biotechnological Sciences, School of Medicine and Health Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Bruna Sinjari
- 1 Laboratory of Stem Cells and Regenerative Medicine, Department of Medical, Oral and Biotechnological Sciences, School of Medicine and Health Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Svetlana Trofimova
- 2 Department of Biogerontology, Saint Petersburg Institute of Bioregulation and Gerontology, Saint Petersburg, Russia
| | - Francesca Diomede
- 1 Laboratory of Stem Cells and Regenerative Medicine, Department of Medical, Oral and Biotechnological Sciences, School of Medicine and Health Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Natalia Linkova
- 2 Department of Biogerontology, Saint Petersburg Institute of Bioregulation and Gerontology, Saint Petersburg, Russia.,3 Department of Medical Physic, Peter the Great St. Petersburg Polytechnic University, Saint Petersburg, Russia
| | - Anastasia Diatlova
- 2 Department of Biogerontology, Saint Petersburg Institute of Bioregulation and Gerontology, Saint Petersburg, Russia.,3 Department of Medical Physic, Peter the Great St. Petersburg Polytechnic University, Saint Petersburg, Russia
| | - Vladimir Khavinson
- 2 Department of Biogerontology, Saint Petersburg Institute of Bioregulation and Gerontology, Saint Petersburg, Russia.,4 Group of Peptide Regulation of Ageing, Pavlov Institute of Physiology of RAS, Saint Petersburg, Russia
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Trubiani O, Pizzicannella J, Caputi S, Marchisio M, Mazzon E, Paganelli R, Paganelli A, Diomede F. Periodontal Ligament Stem Cells: Current Knowledge and Future Perspectives. Stem Cells Dev 2019; 28:995-1003. [PMID: 31017047 DOI: 10.1089/scd.2019.0025] [Citation(s) in RCA: 117] [Impact Index Per Article: 23.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Teeth represent a fascinating area of study in regenerative medicine, because of their unique and complex developmental origin. Several types of mesenchymal stem cells (MSCs) have been characterized in the oral cavity, and those derived from the periodontal ligament (PDL) first isolated by our group in 2005, can be expanded in a xeno-free medium preserving morphological features and markers associated with pluripotency. These postnatal MSCs can be easily recovered by noninvasive procedures and cultured. This could facilitate the use of adult stem cells in human clinical regeneration therapy. In this review we summarize the results of our studies describing morphofunctional features, surface markers, and multilineage differentiation capacity in vitro of PDL MSCs obtained in our laboratories. In vivo characterization of PDL stem cell (PDLSC) location and heterogeneity are still lacking. However, we describe studies exploring the potential use of PDLSC to treat both periodontal diseases and regeneration of other tissues. These MSCs may have an advantage in possessing also angiogenetic, immunoregulatory, and anti-inflammatory properties. The secretome of such cells contains several interesting molecules mimicking the effects of the producer cells. We describe some recent studies from our group on the use of conditioned medium from PDL MSCs, and purified extracellular vesicles therein contained, in animal models of experimental autoimmune encephalomyelitis and their potential application to human disease.
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Affiliation(s)
- Oriana Trubiani
- 1Department of Medical, Oral and Biotechnological Sciences and Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Jacopo Pizzicannella
- 1Department of Medical, Oral and Biotechnological Sciences and Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy.,2ASL02, "Ss. Annunziata" Hospital, Chieti, Italy
| | - Sergio Caputi
- 1Department of Medical, Oral and Biotechnological Sciences and Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Marco Marchisio
- 3Department of Medicine and Aging Sciences, Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | | | - Roberto Paganelli
- 3Department of Medicine and Aging Sciences, Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
| | - Alessia Paganelli
- 5Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - Francesca Diomede
- 1Department of Medical, Oral and Biotechnological Sciences and Stem Tech Group, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy
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Sinjari B, D'Addazio G, Traini T, Varvara G, Scarano A, Murmura G, Caputi S. A 10-year retrospective comparative human study on screw-retained versus cemented dental implant abutments. J BIOL REG HOMEOS AG 2019; 33:787-797. [PMID: 31204452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The aim of this 10-year retrospective study was to evaluate the long-term reliability, survival rate and mechanical and biological complications of single-crown implant rehabilitations with two different types of fixture-abutment connections: screw-retained abutments (SRAs) with internal hexagonal connection, and cemented retained abutments (CRAs). A total of 300 single implant-supported crowns were analysed, which had been inserted between 2004 and 2007. Patients were classified according to two groups: the SRA group (n = 150) and the CRA group (n = 150). The primary outcome was marginal bone loss (MBL) on peri-apical radiographs. Bleeding on probing (BOP) and probing depth (PD) were also evaluated. Moreover, prosthetic complications were recorded. Analysis of variance (ANOVA) was used to evaluate the differences between the groups. The overall implant failure rate was 4.2%. The overall positive BOP index was 81.9% of the sites under investigation, as 83.4% for SRA and 80.4% for CRA. Moreover, >5 mm PD demonstrated a rate of 21.0% for CRA, and 13.8% for SRA. The primary outcome of mean MBL was 2.09±1.07 mm for SRA and 1.54±1.20 mm for CRA. Analysis of variance of MBL showed statistical significance for the difference between these two groups (P less than 0.001). For the mechanical aspects, an overall 12.5% of complications occurred. No implant or abutment fractures were recorded. Although complications occurred, the results from this 10-year retrospective study show that these two methods have positive long-term follow-up. With MBL significantly greater for the SRA group than the CRA group, the clinical use of CRA is encouraged in terms of the lower bone resorption rate.
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Affiliation(s)
- B Sinjari
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - G D'Addazio
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - T Traini
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - G Varvara
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - A Scarano
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - G Murmura
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
| | - S Caputi
- Department of Medical Oral and Biotechnological Sciences, University 'G. d'Annunzio' of Chieti-Pescara, Chieti, Italy
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Costantini E, Sinjari B, D'Angelo C, Murmura G, Reale M, Caputi S. Human Gingival Fibroblasts Exposed to Extremely Low-Frequency Electromagnetic Fields: In Vitro Model of Wound-Healing Improvement. Int J Mol Sci 2019; 20:ijms20092108. [PMID: 31035654 PMCID: PMC6540598 DOI: 10.3390/ijms20092108] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 03/23/2019] [Accepted: 04/25/2019] [Indexed: 01/24/2023] Open
Abstract
Several clinical studies have suggested the impact of sinusoidal and pulsed electromagnetic fields in quickening wound repair processes and tissue regeneration. The clinical use of extremely low-frequency electromagnetic fields could represent a novel frontier in tissue repair and oral health, with an interesting clinical perspective. The present study aimed to evaluate the effect of an extremely low-frequency sinusoidal electromagnetic field (SEMF) and an extremely low-frequency pulsed electromagnetic field (PEMF) with flux densities of 1 mT on a model of oral healing process using gingival fibroblasts. An in vitro mechanical injury was produced to evaluate wound healing, migration, viability, metabolism, and the expression of selected cytokines and protease genes in fibroblasts exposed to or not exposed to the SEMF and the PEMF. Interleukin 6 (IL-6), transforming growth factor beta 1 (TGF-β), metalloproteinase 2 (MMP-2), monocyte chemoattractant protein 1 (MCP-1), inducible nitric oxide synthase (iNOS), and heme oxygenase 1 (HO-1) are involved in wound healing and tissue regeneration, favoring fibroblast proliferation, chemotaxis, and activation. Our results show that the exposure to each type of electromagnetic field increases the early expression of IL-6, TGF-β, and iNOS, driving a shift from an inflammatory to a proliferative phase of wound repair. Additionally, a later induction of MMP-2, MCP-1, and HO-1 was observed after electromagnetic field exposure, which quickened the wound-healing process. Moreover, electromagnetic field exposure influenced the proliferation, migration, and metabolism of human gingival fibroblasts compared to sham-exposed cells. This study suggests that exposure to SEMF and PEMF could be an interesting new non-invasive treatment option for wound healing. However, additional studies are needed to elucidate the best exposure conditions to provide the desired in vivo treatment efficacy.
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Affiliation(s)
- Erica Costantini
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
| | - Chiara D'Angelo
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
| | - Giovanna Murmura
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
| | - Marcella Reale
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Science, University "G. d'Annunzio" Chieti-Pescara, 66100 Chieti, Italy.
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Sinjari B, D'Addazio G, Bozzi M, Celletti R, Traini T, Mavriqi L, Caputi S. Comparison of a Novel Ultrasonic Scaler Tip vs. Conventional Design on a Titanium Surface. Materials (Basel) 2018; 11:ma11122345. [PMID: 30469472 PMCID: PMC6316870 DOI: 10.3390/ma11122345] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 11/06/2018] [Accepted: 11/17/2018] [Indexed: 01/08/2023]
Abstract
The aim of this in vitro study was to evaluate the alterations of a titanium surface after treatment with two different types of ultrasonic tips: conventional steel versus an innovative copper alloy silver-plated one. Twenty smooth-surface, grade IV unalloyed titanium discs were divided into two groups. The discs were ultrasonically instrumented and the scaler was connected with a loading machine. The surface morphology was examined using scanning electron microscopy (SEM) and fractal analysis of lacunarity was calculated to highlight the alteration of the surface using the two different tips. The SEM analysis showed different degrees of surface roughness between the two types of scaler tips. Moreover, these observations demonstrated that the new tip showed fewer irregularities on the disc’s surface than the conventional steel tip. The statistical and fractal analysis showed a statistically significant difference between the two groups. Surface alterations of titanium induced by the conventional ultrasonic tips were much greater than those made by copper alloy silver plated tips. The presented results suggest that the use of this new ultrasonic tip may reduce the alterations on the implant surface during its use in dental practice.
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Affiliation(s)
- Bruna Sinjari
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
| | - Gianmaria D'Addazio
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
| | - Martina Bozzi
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
| | - Renato Celletti
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
| | - Tonino Traini
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
| | - Luan Mavriqi
- Department of Periodontology, Albanian University, Str. Durres, 1001 Tirana, Albanian.
| | - Sergio Caputi
- Department of Medical Oral and Biotechnological Sciences, University "G. d'Annunzio" of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti (CH), Italy.
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D'Addazio G, Traini T, Murmura G, Caputi S, Sinjari B. A 10-year retrospective study on cemented versus screw retained implant abutment connection. Clin Oral Implants Res 2018. [DOI: 10.1111/clr.213_13358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Gianmaria D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Giovanna Murmura
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
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Sinjari B, D'Addazio G, Traini T, Murmura G, Caputi S. Chlorhexidine gel versus peri-implant inflammation- a randomized double blind placebo control study. Clin Oral Implants Res 2018. [DOI: 10.1111/clr.32_13356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Bruna Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Gianmaria D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Giovanna Murmura
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University “G. d'Annunzio” Chieti-Pescara, Italy
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D'Addazio G, Artese L, Traini T, Rubini C, Caputi S, Sinjari B. Immunohistochemical study of osteopontin in oral squamous cell carcinoma allied to fractal dimension. J BIOL REG HOMEOS AG 2018; 32:1033-1038. [PMID: 30043590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of the study was to consider a possible correlation between the intensity of expression of osteopontin and grading established by the pathologist. Furthermore, a correlation was investigated between the increase of fractal dimension and osteopontin in order to use this marker as an early and reliable diagnostic tool for the degree of cell transformation in oral squamous carcinoma. Ten histologically healthy oral samples and sixty-four primary oral squamous cell carcinomas specimens were analysed by a single pathologist. Immunohistochemical analysis and Fulgen stain were performed in order to evaluate intensity of expression of osteopontin and fractal dimension. Data obtained were presented as mean and standard deviation and processed for the statistical analysis. Ostepontin expression revealed a statistical significance between groups (P less than 0.001). Fractal dimension in oral squamous cell carcinoma groups vs controls revealed statistically significant differences (P less than 0.001). The fractal dimension value and the osteopontin expression were compared, using two-dimensional scatter. The correlation was relevant in the G3 group. The results demonstrated a correlation between the growths of osteopontin expression and nuclear abnormality measured by fractal dimension. These results support the hypothesis that the level of osteopontin expression might be used as a marker for the evaluation of oral squamous cell carcinoma differentiation. Osteopontin and fractal dimension could support the histological grading to increase the predictability of the diagnosis, choices of treatment procedure and long-term prognosis.
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Affiliation(s)
- G D'Addazio
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio Chieti- Pescara, Chieti, Italy
| | - L Artese
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio Chieti- Pescara, Chieti, Italy
| | - T Traini
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio Chieti- Pescara, Chieti, Italy
| | - C Rubini
- Department of Pathology, Polytechnic University of the Marche, Ancona, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio Chieti- Pescara, Chieti, Italy
| | - B Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio Chieti- Pescara, Chieti, Italy
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Diomede F, Gugliandolo A, Cardelli P, Merciaro I, Ettorre V, Traini T, Bedini R, Scionti D, Bramanti A, Nanci A, Caputi S, Fontana A, Mazzon E, Trubiani O. Three-dimensional printed PLA scaffold and human gingival stem cell-derived extracellular vesicles: a new tool for bone defect repair. Stem Cell Res Ther 2018; 9:104. [PMID: 29653587 PMCID: PMC5899396 DOI: 10.1186/s13287-018-0850-0] [Citation(s) in RCA: 160] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 02/27/2018] [Accepted: 03/19/2018] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND The role of bone tissue engineering in the field of regenerative medicine has been a main research topic over the past few years. There has been much interest in the use of three-dimensional (3D) engineered scaffolds (PLA) complexed with human gingival mesenchymal stem cells (hGMSCs) as a new therapeutic strategy to improve bone tissue regeneration. These devices can mimic a more favorable endogenous microenvironment for cells in vivo by providing 3D substrates which are able to support cell survival, proliferation and differentiation. The present study evaluated the in vitro and in vivo capability of bone defect regeneration of 3D PLA, hGMSCs, extracellular vesicles (EVs), or polyethyleneimine (PEI)-engineered EVs (PEI-EVs) in the following experimental groups: 3D-PLA, 3D-PLA + hGMSCs, 3D-PLA + EVs, 3D-PLA + EVs + hGMSCs, 3D-PLA + PEI-EVs, 3D-PLA + PEI-EVs + hGMSCs. METHODS The structural parameters of the scaffold were evaluated using both scanning electron microscopy and nondestructive microcomputed tomography. Nanotopographic surface features were investigated by means of atomic force microscopy. Scaffolds showed a statistically significant mass loss along the 112-day evaluation. RESULTS Our in vitro results revealed that both 3D-PLA + EVs + hGMSCs and 3D-PLA + PEI-EVs + hGMSCs showed no cytotoxicity. However, 3D-PLA + PEI-EVs + hGMSCs exhibited greater osteogenic inductivity as revealed by morphological evaluation and transcriptomic analysis performed by next-generation sequencing (NGS). In addition, in vivo results showed that 3D-PLA + PEI-EVs + hGMSCs and 3D-PLA + PEI-EVs scaffolds implanted in rats subjected to cortical calvaria bone tissue damage were able to improve bone healing by showing better osteogenic properties. These results were supported also by computed tomography evaluation that revealed the repair of bone calvaria damage. CONCLUSION The re-establishing of the integrity of the bone lesions could be a promising strategy in the treatment of accidental or surgery trauma, especially for cranial bones.
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Affiliation(s)
- Francesca Diomede
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Chieti, Italy
| | | | - Paolo Cardelli
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Chieti, Italy
| | - Ilaria Merciaro
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Chieti, Italy
| | - Valeria Ettorre
- Department of Pharmacy, University "G. d'Annunzio", Chieti, Italy
| | - Tonino Traini
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Chieti, Italy
| | - Rossella Bedini
- National Centre of Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy
| | | | - Alessia Bramanti
- IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.,Institute of Applied Science and Intelligent Systems "ISASI Eduardo Caianiello", CNR, Messina, Italy
| | - Antonio Nanci
- Laboratory for the study of Calcified Tissues and Biomaterials, Department of Stomatology, Faculty of Dentistry, Université de Montréal, Montréal, Québec, Canada
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Chieti, Italy
| | | | | | - Oriana Trubiani
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio", Via dei Vestini, 66100, Chieti, Italy.
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Pizzicannella J, Diomede F, Merciaro I, Caputi S, Tartaro A, Guarnieri S, Trubiani O. Endothelial committed oral stem cells as modelling in the relationship between periodontal and cardiovascular disease. J Cell Physiol 2018; 233:6734-6747. [DOI: 10.1002/jcp.26515] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 01/30/2018] [Indexed: 12/29/2022]
Affiliation(s)
- Jacopo Pizzicannella
- Department of Medical, Oral and Biotechnological Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
- Institute of Cardiology ASL 02 Lanciano/Vasto/Chieti Chieti Italy
| | - Francesca Diomede
- Department of Medical, Oral and Biotechnological Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
| | - Ilaria Merciaro
- Department of Medical, Oral and Biotechnological Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
| | - Sergio Caputi
- Department of Medical, Oral and Biotechnological Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
| | - Armando Tartaro
- Department of Neuroscience, Imaging and Clinical Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
| | - Simone Guarnieri
- Department of Neuroscience, Imaging and Clinical Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
| | - Oriana Trubiani
- Department of Medical, Oral and Biotechnological Sciences University “G. d'Annunzio” Chieti and Pescara Chieti Italy
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Sinibaldi R, Conti A, Sinjari B, Spadone S, Pecci R, Palombo M, Komlev VS, Ortore MG, Tromba G, Capuani S, Guidotti R, De Luca F, Caputi S, Traini T, Della Penna S. Multimodal-3D imaging based on μMRI and μCT techniques bridges the gap with histology in visualization of the bone regeneration process. J Tissue Eng Regen Med 2017; 12:750-761. [PMID: 28593731 DOI: 10.1002/term.2494] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 04/23/2017] [Accepted: 06/05/2017] [Indexed: 01/05/2023]
Abstract
Bone repair/regeneration is usually investigated through X-ray computed microtomography (μCT) supported by histology of extracted samples, to analyse biomaterial structure and new bone formation processes. Magnetic resonance imaging (μMRI) shows a richer tissue contrast than μCT, despite at lower resolution, and could be combined with μCT in the perspective of conducting non-destructive 3D investigations of bone. A pipeline designed to combine μMRI and μCT images of bone samples is here described and applied on samples of extracted human jawbone core following bone graft. We optimized the coregistration procedure between μCT and μMRI images to avoid bias due to the different resolutions and contrasts. Furthermore, we used an Adaptive Multivariate Clustering, grouping homologous voxels in the coregistered images, to visualize different tissue types within a fused 3D metastructure. The tissue grouping matched the 2D histology applied only on 1 slice, thus extending the histology labelling in 3D. Specifically, in all samples, we could separate and map 2 types of regenerated bone, calcified tissue, soft tissues, and/or fat and marrow space. Remarkably, μMRI and μCT alone were not able to separate the 2 types of regenerated bone. Finally, we computed volumes of each tissue in the 3D metastructures, which might be exploited by quantitative simulation. The 3D metastructure obtained through our pipeline represents a first step to bridge the gap between the quality of information obtained from 2D optical microscopy and the 3D mapping of the bone tissue heterogeneity and could allow researchers and clinicians to non-destructively characterize and follow-up bone regeneration.
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Affiliation(s)
- R Sinibaldi
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
- Multimodal3D s.r.l., Rome, Italy
| | - A Conti
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - B Sinjari
- Department of Medical and Oral Sciences and Biotechnologies, G. D'Annunzio University of Chieti and Pescara, Chieti, Italy
| | - S Spadone
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - R Pecci
- Department of Technologies and Health, Istituto Superiore di Sanità, Rome, Italy
| | - M Palombo
- Department of Physics, Sapienza University of Rome, Rome, Italy
- CEA/DSV/I2BM, MIRCen, Fontenay-aux-Roses, France
| | - V S Komlev
- A.A. Baikov Institute of Metallurgy and Materials Science, Russian Academy of Sciences, Moscow, Russian Federation
| | - M G Ortore
- Department of Life and Environmental Science, Marche Polytechnic University, Ancona, Italy
| | - G Tromba
- Elettra Sincrotrone Trieste, Trieste, Italy
| | - S Capuani
- CNR (Institute for Complex Systems) c/o Physics Department Sapienza University of Rome, Rome, Italy
| | - R Guidotti
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - F De Luca
- Department of Physics, Sapienza University of Rome, Rome, Italy
| | - S Caputi
- Department of Medical and Oral Sciences and Biotechnologies, G. D'Annunzio University of Chieti and Pescara, Chieti, Italy
| | - T Traini
- Department of Medical and Oral Sciences and Biotechnologies, G. D'Annunzio University of Chieti and Pescara, Chieti, Italy
| | - S Della Penna
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
- Institute for Advanced Biomedical Technologies, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
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De Iuliis V, Dadorante V, Marino A, Griffo I, Pennelli A, Breda V, Robuffo I, Ursi S, Martinotti S, Caputi S, Toniato E. Cytokine expression profile and blood parameter evaluation of patients undergoing cardiac surgery. J BIOL REG HOMEOS AG 2017; 31:1109-1113. [PMID: 29254322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Cardiac surgery is accompanied by an important immune response that is poorly understood. This inflammatory response is caused by several stimuli: surgical trauma, cardiopulmonary bypass apparatus, aortic-cross clamping, reperfusion injury and hypothermia. The aim of the present study is to investigate the cytokine level profile involved in the inflammatory pathway of patients undergoing cardiac surgery. One hundred and two patients undergoing elective cardiac surgery utilizing cardiopulmonary bypass (CPB) apparatus were enrolled in the study. In the hematological and biochemical profiles investigated, we observed a significant increase of WBC and blood glucose concentration and a strong decrease of RBC, HB, HCT and PLT 24 h post-surgery compared to baseline and immediately after surgery groups. Furthermore, we found a modulation of cytokine levels mostly for IL-10 and an increase of IL-6, detected at 6 h post-surgery, IL-8 at 6 and 24 h, and TNFα only at 24 h post-surgery. In conclusion, these findings evidence a time course profile on cytokine levels and a balance between pro- and anti-inflammatory cytokine activation during and after cardiac surgery. In fact, IL-6 and IL-10, a pro- and an anti-inflammatory cytokine, respectively, increased immediately after surgery. The plasma level of TNF-α could be inhibited by the high concentration of IL-10 up to 6 h post-surgery. An IL-10 reduction at baseline level, after 24 h post-surgery, could explain a rise of TNF-α plasma concentration. On the other hand, considering the dual role of IL-6 on inflammation acting both as an activator of inflammatory cascade or an anti-inflammatory agent, the increased IL-6 levels 24 h after surgery could be related to the negative feedback action on TNFα activity.
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MESH Headings
- Aged
- Angina, Stable/blood
- Angina, Stable/genetics
- Angina, Stable/immunology
- Angina, Stable/surgery
- Angina, Unstable/blood
- Angina, Unstable/genetics
- Angina, Unstable/immunology
- Angina, Unstable/surgery
- Arrhythmias, Cardiac/blood
- Arrhythmias, Cardiac/genetics
- Arrhythmias, Cardiac/immunology
- Arrhythmias, Cardiac/surgery
- Blood Cell Count
- Blood Glucose/metabolism
- Cardiopulmonary Bypass
- Elective Surgical Procedures/methods
- Female
- Gene Expression
- Gene Expression Profiling
- Humans
- Immunity, Innate
- Interleukin-10/blood
- Interleukin-10/immunology
- Interleukin-6/blood
- Interleukin-6/immunology
- Interleukin-8/blood
- Interleukin-8/immunology
- Male
- Middle Aged
- Myocardial Infarction/blood
- Myocardial Infarction/genetics
- Myocardial Infarction/immunology
- Myocardial Infarction/surgery
- Th1-Th2 Balance/genetics
- Tumor Necrosis Factor-alpha/blood
- Tumor Necrosis Factor-alpha/immunology
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Affiliation(s)
- V De Iuliis
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - V Dadorante
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
| | - A Marino
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - I Griffo
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - A Pennelli
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - V Breda
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
| | - I Robuffo
- CNR, Institute of Molecular Genetics, Section of Chieti, Chieti, Italy
| | - S Ursi
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - S Martinotti
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
| | - E Toniato
- Department of Medical, Oral and Biotechnological Sciences, University G. dAnnunzio of Chieti, Italy
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Trubiani O, D'Arcangelo C, Di Iorio D, Di Nardo Di Maio F, Caputi S. Dental Pulp Stem Cells Bioadhesivity: Evaluation on Mineral-Trioxide-Aggregate. Int J Immunopathol Pharmacol 2017; 20:81-6. [PMID: 17897508 DOI: 10.1177/039463200702001s16] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Stem cells are undifferentiated cells that have the capacity to self-renew. They have been discovered in many adult tissues, including teeth. Dental Pulp Mesenchymal Stem Cells (DP-MSCs) are involved in dental repair by activation of growth factors, released after caries and have the ability to regenerate a dentin-pulp-like complex. The molecular/cellular research gives the possibility to grow new tissues and biological structures for clinical applications, providing cells for therapies including cell transplantation and tissue engineering. In this study DP-MSCs were derived from dental pulp of 10 donors. To evaluate material toxicity, after in vitro isolation, the cells were seeded on mineral trioxide aggregate (MTA). Initial light microscopy investigation of cells revealed no signs of cell death due to toxicity or infection, on the contrary the scaffolds supplied an excellent support for cell structures, the cells proliferated and adhered to substrate. Similar observation was seen in scanning electron microscopy, in particular the cells had proliferated and spread, covering a considerable part of the surface of the biomaterials investigated, with an elaborate form of attachment, in fact, the cells formed a continuous layer on the upper surface of the MTA. In conclusion, the aim of this study is to demonstrate that DP-MSCs combined with MTA could be a potential source for regenerative medicine, encouraging further study to evaluate the new dentin formation.
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Affiliation(s)
- O Trubiani
- Department of Stomatology and Oral Sciences, University of Chieti-Pescara, Chieti, Italy.
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41
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D'Arcangelo C, Di Nardo-Di Maio F, Patrono C, Caputi S. NOS Evaluations in Human Dental Pulp-Capping with MTA and Calcium-Hydroxide. Int J Immunopathol Pharmacol 2017; 20:27-32. [PMID: 17897498 DOI: 10.1177/039463200702001s07] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The aim of this study is to compare mineral trioxide aggregate (MTA) with calcium hydroxide when used as pulp-capping material in human teeth. 40 teeth were divided into groups based on clinical diagnosis: healthy and hyperaemic. The teeth were pulp capped with MTA and calcium hydroxide. We localized the eNOS and iNOS by immunohistochemistry, tested their mRNA expression by RT-PCR and protein levels by western blots. The evaluation of the samples was based on the cell inflammatory response and on the pulp tissue organization. In particular, evaluation of eNOS and iNOS differences between the various groups and the cellular evolution after the first 7 days from the treatment, and at a distance of 28 days. Our results suggest that there are differences in localization and expression between eNOS and iNOS in dental pulp. Our study has helped us to better understand the effects that calcium hydroxide and MTA have on pulp tissue.
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Affiliation(s)
- C D'Arcangelo
- Department of Stomatology and Oral Sciences, University of Chieti, Chieti, Italy.
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42
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Diomede F, Zingariello M, Cavalcanti MFXB, Merciaro I, Pizzicannella J, De Isla N, Caputi S, Ballerini P, Trubiani O. MyD88/ERK/NFkB pathways and pro-inflammatory cytokines release in periodontal ligament stem cells stimulated by Porphyromonas gingivalis. Eur J Histochem 2017; 61:2791. [PMID: 28735521 PMCID: PMC5452629 DOI: 10.4081/ejh.2017.2791] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 05/15/2017] [Accepted: 05/18/2017] [Indexed: 12/16/2022] Open
Abstract
The present study was aimed at investigating whether human Periodontal Ligament Stem Cells (hPDLSCs) were capable of sensing and reacting to lipopolysaccharide from Porphyromonas gingivalis (LPS-G) which is widely recognized as a major pathogen in the development and progression of periodontitis. At this purpose hPDLCs were stimulated with 5 μg/mL LPS-G at various times and the expression of toll-like receptor 4 (TLR4) was evaluated. Toll-like receptors (TLRs) play an essential role in innate immune signaling in response to microbial infections, and in particular TLR4, type-I transmembrane proteins, has been shown recognizing LPS-G. Our results put in evidence, in treated samples, an overexpression of TLR4 indicating that, hPDLSCs express a functional TLR4 receptor. In addition, LPS-G challenge induces a significant cell growth decrease starting from 24 h until 72 h of treatment. LPS-G leads the activation of the TLR4/MyD88 complex, triggering the secretion of proinflammatory cytokines cascade as: IL-1α, IL-8, TNF-α and β and EOTAXIN. Moreover, the upregulation of pERK/ERK signaling pathways and NFkB nuclear translocation was evident. On the basis of these observations, we conclude that hPDLSCs could represent an appropriate stem cells niche modeling leading to understand and evaluate the biological mechanisms of periodontal stem cells in response to LPS-G, mimicking in vitro an inflammatory process occurring in vivo in periodontal disease.
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Affiliation(s)
- Francesca Diomede
- University "G. d'Annunzio" Chieti-Pescara, Department of Medical, Oral and Biotechnological Sciences.
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Feragalli B, Rampado O, Abate C, Macrì M, Festa F, Stromei F, Caputi S, Guglielmi G. Cone beam computed tomography for dental and maxillofacial imaging: technique improvement and low-dose protocols. Radiol Med 2017; 122:581-588. [DOI: 10.1007/s11547-017-0758-2] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 03/21/2017] [Indexed: 12/01/2022]
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44
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Marinari S, De Iuliis V, Dadorante V, Colella S, Marino A, Nunziata A, Flati V, Caruso M, Pennelli A, De Benedetto F, Matera S, Capodifoglio S, Martinotti S, Caputi S, Toniato E. Cytokine modulation in patients with idiopathic pulmonary fibrosis undergoing treatment with steroids, immunosuppressants, and IFN-γ 1b. J BIOL REG HOMEOS AG 2017; 31:59-69. [PMID: 28337871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Idiopathic pulmonary fibrosis (IPF) is a chronic lung disease of unknown etiology and pathogenic mechanisms. From an etiopathogenic point of view, alveolar macrophages play a key role in accumulation of fibroblasts and deposition of collagen and extracellular matrix by releasing specific cytokines and inflammatory mediators. IPF seems to be also associated with circulating fibrocytes, which might be involved with an abnormal pulmonary vascular repair and remodeling. Based on its hypothesized pathologic mechanisms, anti-inflammatory, anti-fibrotic and immunosuppressive therapies are often used. For these reasons, Interferon-g (IFN-g) has been used to exploit its activity on macrophages and fibroblasts. The aim of this study was to investigate the response to corticosteroids and/or IFN-g 1b treatments based on pulmonary function tests and on inflammatory cytokine patterns of expression on bronchoalveolar lavage (BAL), at baseline and during and after the therapies. Unlike previous studies, we analyzed a period of therapy longer than 1 year. Our results demonstrated the effectiveness of IFN-γ in a group of IPF patients in whom the treatment was prolonged for over a year. These data suggest a positive role of IFN-γ; treatment in patients in the initial stage of the disease.
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Affiliation(s)
- S Marinari
- SS Annunziata University Hospital, Unit of Pneumology, Chieti, Italy
| | - V De Iuliis
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - V Dadorante
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti
| | - S Colella
- SS Annunziata University Hospital, Unit of Pneumology, Chieti, Italy
| | - A Marino
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - A Nunziata
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - V Flati
- Department of Biotechnological and Applied Clinical Sciences, University of LAquila, Italy
| | - M Caruso
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - A Pennelli
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti
| | - F De Benedetto
- AIMAR (Interdisciplinary Association for the study of Respiratory Diseases), Arona (NO), Italy
| | - S Matera
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - S Capodifoglio
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - S Martinotti
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
| | - E Toniato
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Italy
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45
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Diomede F, Merciaro I, Martinotti S, Cavalcanti MFXB, Caputi S, Mazzon E, Trubiani O. miR-2861 is involved in osteogenic commitment of human periodontal ligament stem cells grown onto 3D scaffold. J BIOL REG HOMEOS AG 2016; 30:1009-1018. [PMID: 28078846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
miR-2861 endorsing osteoblast differentiation through the overexpression of Runt-related transcription factor 2 (RUNX2) protein has been recently described. In this study we evaluated: the performance of living construct, composed by human Periodontal Ligament Stem Cells (hPDLSCs) and 3D scaffold (EXg), and the behaviour of miR-2861/RUNX2 expression pathway on the osteogenic commitment. Human PDLSCs were seeded with and without EXg scaffold and cultured under basal and osteogenic conditions. Morphological features, adhesiveness and differentiation abilities were analysed using scanning electron and confocal laser scanning microscopy. Time-course of RUNX2, ALP, OPN and miR-2861 were evaluated through RT-PCR analysis. Our results highlighted that the osteogenic differentiation was mostly obvious in the hPDLSCs, grown onto 3D scaffold in presence of osteoinductive medium. Moreover, the overexpression of miR-2861 and RUNX2 in hPDLSCs cultured in presence of EXg under osteogenic and standard conditions was demonstrated. In synthesis, the increased expression of miR-2861/RUNX2 provides new insights regarding miRNA signaling network in the presence of scaffold providing an additional method to evaluate the performance of biomaterial in bone regeneration.
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Affiliation(s)
- F Diomede
- Laboratory of Stem Cells and Regenerative Medicine, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - I Merciaro
- Laboratory of Stem Cells and Regenerative Medicine, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - S Martinotti
- Department of Pharmacy, University “G. d’Annunzio”; Chieti-Pescara, Chieti, Italy
| | - M F X B Cavalcanti
- UMR 7365 CNRS-UL IMoPA et FR UL-CNRS-INSERM, Faculté de Médecine, Lorraine University Vandoeuvre-les-Nancy, France
- Department of Medical, Oral and Biotechnological Sciences; University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences; University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
| | - E Mazzon
- IRCCS Centro Neurolesi “Bonino-Pulejo”, Messina, Italy
| | - O Trubiani
- Laboratory of Stem Cells and Regenerative Medicine, University “G. d’Annunzio”, Chieti-Pescara, Chieti, Italy
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46
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De Iuliis V, Ursi S, Di Tommaso LM, Caruso M, Marino A, D'Ercole S, Caputi S, Sinjari B, Festa F, Macri M, Martinotti S, Vitullo G, Toniato E. Comparative molecular analysis of bacterial species associated with periodontal disease. J BIOL REG HOMEOS AG 2016; 30:1209-1215. [PMID: 28078876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Periodontal disease is an inflammatory disorder affecting the supporting teeth structures, including gingiva, periodontal ligament and alveolar bone, causing loss of connective tissue, reabsorption of alveolar bone and formation of periodontal pockets. The aim of this study is to find a correlation between bacterial growth and periodontal disease. Fifty-seven patients aged between 21 and 65 years, median age 46 years, were enrolled. According to gingival pocket depth, ranging from 3 to 7 mm, patients were divided into two groups: the first (30 patients, 53%) with deep pockets ³ 5 mm and the second (27 patients, 47%) less than 5 mm. The samples taken were processed for microbiological analysis by absolute quantitative real-time Taq-Man technique. Patients affected by periodontal disease were 32 (56%) and patients with gingival bleeding were 35 (61%). This data showed that the presence, the type and the bacterial load in gingival pockets were strongly correlated with gingival depth, periodontal disease and gingival bleeding. Quantitative microbiological analysis is a key point to improve patient compliance, allowing to choose the specific antibiotic treatment. avoiding antibiotic resistance and ensuring the successful outcome of therapy for periodontal disease.
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Affiliation(s)
- V De Iuliis
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - S Ursi
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - L M Di Tommaso
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - M Caruso
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - A Marino
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - S D'Ercole
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - B Sinjari
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - F Festa
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - M Macri
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
| | - S Martinotti
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - G Vitullo
- SS Annunziata University Hospital, Unit of Clinical Molecular Biology and Predictive Medicine, University of Chieti, ASL Lanciano-Vasto-Chieti, Chieti, Italy
| | - E Toniato
- Department of Medical, Oral and Biotechnological Sciences, University of Chieti, Chieti, Italy
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47
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Diomede F, Zini N, Gatta V, Fulle S, Merciaro I, D'Aurora M, La Rovere RM, Traini T, Pizzicannella J, Ballerini P, Caputi S, Piattelli A, Trubiani O. Human periodontal ligament stem cells cultured onto cortico-cancellous scaffold drive bone regenerative process. Eur Cell Mater 2016; 32:181-201. [PMID: 27633707 DOI: 10.22203/ecm.v032a12] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
The purpose of this work was to test, in vitro and in vivo, a new tissue-engineered construct constituted by porcine cortico-cancellous scaffold (Osteobiol Dual Block) (DB) and xeno-free ex vivo culture of human Periodontal Ligament Stem Cells (hPDLSCs). hPDLSCs cultured in xeno-free media formulation preserved the stem cells' morphological features, the expression of stemness and pluripotency markers, and their ability to differentiate into mesenchymal lineage. Transmission electron microscopy analysis suggested that after one week of culture, both noninduced and osteogenic differentiation induced cells joined and grew on DB secreting extracellular matrix (ECM) that in osteogenic induced samples was hierarchically assembled in fibrils. Quantitative RT-PCR (qRT-PCR) showed the upregulation of key genes involved in the bone differentiation pathway in both differentiated and undifferentiated hPDLSCs cultured with DB (hPDLSCs/DB). Functional studies revealed a significant increased response of calcium transients in the presence of DB, both in undifferentiated and differentiated cells stimulated with calcitonin and parathormone, suggesting that the biomaterial could drive the osteogenic differentiation process of hPDLSCs. These data were confirmed by the increase of gene expression of L-type voltage-dependent Ca2+ (VDCCL), subunits α1C and α2D1 in undifferentiated cells in the presence of DB. In vivo implantation of the hPDLSCs/DB living construct in the mouse calvaria evidenced a precocious osteointegration and vascularisation process. Our results suggest consideration of DB as a biocompatible, osteoinductive and osteoconductive biomaterial, making it a promising tool to regulate cell activities in biological environments and for a potential use in the development of new custom-made tissue engineering.
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Affiliation(s)
- F Diomede
- Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio" Chieti-Pescara, Via dei Vestini 31, 66100 Chieti,
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48
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D'Arcangelo C, Di Nardo Di Maio F, Stracci N, Spoto G, Malagnino VA, Caputi S. Pulp-Dissolving Ability of Several Endodontic Irrigants: A Spectro-Photometry Evaluation. Int J Immunopathol Pharmacol 2016; 20:381-6. [PMID: 17624251 DOI: 10.1177/039463200702000219] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The aim of this study is to test the dissolving action of different concentrations of NaOCl (0.5%, 2.5% and 5%) and EDTA 17% on bovine pulp tissue, testing solutions at three different times (1, 5, 10 minutes). 100 mg. of dental pulp placed into a becher with 20 ml of solution was evaluated using a spectrophotometer. A solution of NaOCl 5% showed the highest solubility value. Samples treated with 2.5% NaOCl showed solubility values of 0.98 in one minute, 29.1 in five minutes and 57 in ten minutes. Groups treated with NaOCl 0.5% showed small dissolving modifications. 17% EDTA showed the lowest values of solubility. 5% NaOCl solution showed highest pulp dissolving ability, even a 2.5% solution showed high dissolving ability but in longer times.
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Affiliation(s)
- C D'Arcangelo
- Department of Oral Sciences, University of Chieti, Italy.
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49
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Trubiani O, Orsini G, Caputi S, Piatelli A. Adult Mesenchymal Stem Cells in Dental Research: A New Approach for Tissue Engineering. Int J Immunopathol Pharmacol 2016; 19:451-60. [PMID: 17026831 DOI: 10.1177/039463200601900301] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Many adult tissues contain a population of stem cells that have the ability to regenerate after trauma, disease or aging. Recently, there has been great interest in mesenchymal stem cells and their roles in maintaining the physiological structure of tissues. The studies on stem cells are thought to be very important and, in fact, it has been shown that this cell population can be expanded ex vivo to regenerate tissues not only of the mesenchymal lineage, such as intervertebral disc cartilage, bone and tooth-associated tissues, but also other types of tissues. Several studies have focused on the identification of odontogenic progenitors from oral tissues, and it has been shown that the mesenchymal stem cells obtained from periodontal ligament and dental pulp could have similar morphological and phenotypical features of the bone marrow mesenchymal cells. In fact a population of homogeneous human mesenchymal stem cells derived from periodontal ligament and dental pulp, and proliferating in culture with a well-spread morphology, can be recovered and characterized. Since these cells are considered as candidates for regenerative medicine, the knowledge of the cell differentiation mechanisms is imperative for the development of predictable techniques in implant dentistry, oral surgery and maxillo-facial reconstruction. Thus, future research efforts might be focused on the potential use of this cell population in tissue engineering. Further studies will be carried out to elucidate the molecular mechanisms involved in their maintenance and differentiation in vitro and in vivo.
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Affiliation(s)
- O Trubiani
- Department of Stomatology and Oral Science, Ce.SI. Foundation G. d'Annunzio, Chieti, Italy
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50
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Varvara G, Murmura G, Cardelli P, De Angelis D, Caputi S, Sinjari B, Piattelli M. Mandibular third molar displaced in the sublingual space: clinical management and medicolegal considerations. J BIOL REG HOMEOS AG 2016; 30:609-613. [PMID: 27358157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This paper describes the management of a failed mandibular third molar extraction, resulting in tooth displacement in the sublingual space, the discussion of the diagnosis, surgery and medico-legal considerations. A 28-year-old male patient underwent an unsuccessful attempt of the 4.8 tooth extraction. The clinician lost visual contact after luxation and the patient was not recalled for post-operative follow-up. After 24 hours, a severe trismus started. Ortopantomography and cone beam computer tomography revealed the displacement in the sublingual space. The tooth was removed under general anaesthesia with intraoral approach. The follow-up was uneventful and the paraesthetic area on the tongue did not enlarge after the retrieval. The displaced mandibular third molar is a rare but potentially serious complication of extraction. This event should be avoided with correct diagnosis and surgical technique. Cone beam computed tomography was useful to determine the three-dimensional position of the displaced tooth.
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Affiliation(s)
- G Varvara
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - G Murmura
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - P Cardelli
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - D De Angelis
- Department of Biomedical Sciences, University of Milan, Italy
| | - S Caputi
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - B Sinjari
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - M Piattelli
- Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
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