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Silva WPPD, Santos JMFE, Souza MCD, Barbosa S, Santos AMDS, Ervolino E, Bassi APF, Sukotjo C, Faverani LP. Ozone therapy improves early stages of osseointegration in ovariectomized rats. J Appl Oral Sci 2024; 32:e20230172. [PMID: 38536992 PMCID: PMC11018298 DOI: 10.1590/1678-7757-2023-0172] [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: 05/16/2023] [Accepted: 01/24/2024] [Indexed: 04/17/2024] Open
Abstract
OBJECTIVE the aim of this study was to analyze the influence of ozone therapy (OZN) on peri-implant bone repair in critical bones by installing osseointegrated implants in the tibia of ovariectomized rats. METHODOLOGY ovariectomy was performed on 30 Wistar rats, aged six months (Rattus novergicus), and, after 90 days, osseointegrated implants were installed in each tibial metaphysis. The study groups were divided into the animals that received intraperitoneal ozone at a concentration of 700 mcg/kg - OZ Group (n=15) - and a control group that received an intraperitoneal saline solution and, for this reason, was named the SAL group (n=15). The applications for both groups occurred during the immediate post-operative period on the 2nd, 4th, 6th, 8th, 10th, and 12th day post-surgery. At various stages (14, 42, and 60 days), the animals were euthanized, and tests were performed on their tibiae. These tests include histomorphometric and immunohistochemical analyses, computerized microtomography, sampling in light-cured resin for calcified sections, and confocal microscopy. The obtained data were then analyzed using One-way ANOVA and the Shapiro-Wilk, Kruskal-Wallis, and student t-tests (P<0.05). RESULTS our findings indicate that the OZ group (3.26±0.20 mm) showed better cellular organization and bone neoformation at 14 days (SAL group, 0.90±1.42 mm) (P=0.001). Immunohistochemistry revealed that osteocalcin labeling was moderate in the OZ group and mild in the SAL group at 14 and 42 days post-surgery. The data from the analysis of calcified tissues (microtomography, histometric, and bone dynamism analysis) at 60 days showed no statistically significant differences between the groups (P=0.32). CONCLUSION it was concluded that ozone therapy anticipated the initial phases of the peri-implant bone repair process.
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Affiliation(s)
- William Phillip Pereira da Silva
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - João Matheus Fonseca E Santos
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - Mônica Caroline de Souza
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - Stéfany Barbosa
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - Anderson Maikon de Souza Santos
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - Edilson Ervolino
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Ciências Básicas, Araçatuba, Brasil
| | - Ana Paula Farnezi Bassi
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
| | - Cortino Sukotjo
- University of Illinois, College of Dentistry, Department of Restorative Dentistry, Chicago, USA
| | - Leonardo P Faverani
- Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Diagnóstico e Cirurgia, Araçatuba, Brasil
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Rios BR, Barbosa S, da Silva WPP, Quirino Louzada MJ, Ervolino E, Kalil EC, Shibli JA, Faverani LP. Polydioxanone Enhances Bone Regeneration After Resection and Reconstruction of Rat Femur with rhBMP2. Tissue Eng Part C Methods 2024; 30:102-112. [PMID: 38271574 DOI: 10.1089/ten.tec.2023.0304] [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] [Indexed: 01/27/2024] Open
Abstract
The aim of this study was to assess the bone regeneration potential of a polydioxanone (PDO) scaffold together with recombinant human bone morphogenetic protein-2 (rhBMP-2) for the reconstruction of large bone defect. In total, 24 male rats (6 months old) were subjected to bilateral femoral stabilization using titanium plates to create a 2 mm gap, and reconstruction using rhBMP-2 (Infuse®; 3.25 μg). The bone defects were covered with PDO (PDO group), or with titanium mesh (Ti group). Animals were euthanized on days 14 and 60. Simultaneously, 16 rats received PDO and Ti in their dorsum for the purpose of biocompatibility analysis at 3, 5, 7, and 10 days postoperatively. X-ray densitometry showed a higher density in the PDO group on day 14. On day 60, coverage of the bone defect with PDO showed a larger quantity of newly formed bone than that found for the Ti group, a lower inflammatory infiltrate value, and a more significant number of blood vessels on day 14. By immunohistochemical assessment, runt-related transcription factor 2 (RUNX2) and osteocalcin (OCN) showed higher labeling on day 14 in the PDO group. On day 60, bone morphogenetic protein-2 (BMP-2) showed higher labeling in the PDO group, whereas Ti showed higher labeling for osteoprotegerin, nuclear factor kappa B ligand-activating receptor, RUNX2, and OCN. Furthermore, biocompatibility analysis showed a higher inflammatory response in the Ti group. The PDO scaffold enhanced bone regeneration when associated with rhBMP-2 in rat femur reconstruction. Impact statement Regeneration of segmental bone defects is a difficult task, and several techniques and materials have been used. Recent advances in the production of synthetic polymers, such as polydioxanone (PDO), produced by three-dimensional printing, have shown distinct characteristics that could improve tissue regeneration even in an important bone defect. The present preclinical study showed that PDO membranes used as scaffolds to carry recombinant human bone morphogenetic protein-2 (rhBMP-2) improved bone tissue regeneration by more than 8-fold when compared with titanium mesh, suggesting that PDO membranes could be a feasible and useful material for use in guided bone regeneration. (In English, viable is only used for living creatures capable of sustaining life.
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Affiliation(s)
- Barbara Ribeiro Rios
- Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Stéfany Barbosa
- Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - William Phillip Pereira da Silva
- Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Edilson Ervolino
- Division of Histology, Department of Basic Sciences, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Eduardo C Kalil
- Dental Research Division, Department of Periodontology, Guarulhos University, Centro, Guarulhos, Brazil
| | - Jamil Awad Shibli
- Dental Research Division, Department of Periodontology, Guarulhos University, Centro, Guarulhos, Brazil
| | - Leonardo P Faverani
- Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
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Momesso GAC, de Almeida TL, da Silva WPP, Marão HF, Bassi APF, Garcia-Júnior IR, Faverani LP. What are the Consequences of Incorrect Handling in the Treatment of Blunt-Cut Lip Injuries? J Craniofac Surg 2023; 34:e537-e539. [PMID: 37470701 DOI: 10.1097/scs.0000000000009540] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 05/19/2023] [Indexed: 07/21/2023] Open
Abstract
This study aimed report two cases of blunt-cut lip injury which occurred in postoperatory dehiscence. Patients were referred to the emergence attendance and the clinical examination revealed extensive laceration on the upper and lower lips of both patients, highly contaminated with asphalt residue. The affected regions were properly cleaned with saline and antiseptic solution, and, under local anesthesia, suturing was performed in layers in the muscle and oral mucosa region with 4-0 resorbable thread and in the skin region with 6-0 non-absorbable thread. Patients presented different levels of dehiscence on post-operatory evaluation. Thus, it was prescribed antibiotic and healing ointments for decontamination and improvement of the healing process. Third days post-operatory one of the patients presented a great healing of external lips and vermilion lip. However, the other patient presented aesthetic sequelae in the vermilion region of the lip, with a line of fibrosis and misalignment in the region, but not function sequelae. Thus, it was concluded that blunt injuries on the lip must strictly follow the established treatment protocols and must begin aiming for favorable results in the first intervention. Moreover, the postoperative care of the patient and the surgeon are as important as the procedure itself.
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Affiliation(s)
| | | | | | - Heloísa Fonseca Marão
- Departament of implantology, University of Santo Amaro, Unisa, São Paulo, SP, Brazil
| | - Ana Paula Farnezi Bassi
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Idelmo Rangel Garcia-Júnior
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Leonardo Perez Faverani
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
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Polo TOB, Fonseca-Santos JM, Momesso GAC, da Silva WPP, Barbosa S, Santos AMDS, Silva MC, Garcia VG, Theodoro LH, Faverani LP. Single intraoperative infrared laser optimized bone repair in rat femoral osteotomies with experimentally induced osteoporosis. Lasers Med Sci 2023; 38:87. [PMID: 36935455 DOI: 10.1007/s10103-023-03746-w] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 03/06/2023] [Indexed: 03/21/2023]
Abstract
This study aimed to evaluate the effect of infrared laser (IRL) on bone repair in ovariectomized rats subjected to femoral osteotomies. Of 32 rats, half underwent bilateral ovariectomy (OVX) and the other half underwent sham ovariectomy (SHAM). A period of 3 months was defined to observe the presence of osteoporosis. The rats were subjected to osteotomies in the femurs and then fixed with a miniplate and 1.5-mm system screws. Thereafter, half of the rats from both SHAM and OVX groups were not irradiated, and the other half were irradiated by IRL using the following parameters: wavelength, 808 nm; power, 100 mW; 60 s for each point; 6 J/point; and a total of 5 points of bone gap. All animals were euthanized 60 days after surgery. The femur gap was scanned using micro-computed tomography (micro-CT). The samples were then examined under a confocal laser microscope to determine the amounts of calcein and alizarin red. The slides were stained with alizarin red and Stevenel's blue for histometric analysis. In the micro-CT analysis, the OVX groups had the lowest bone volume (P < 0.05). When the laser was applied to the OVX groups, bone turnover increased (P < 0.05). New bone formation (NBF) was comparable between SHAM and OVX/IR (P > 0.05) groups; however, it was less in the OVX groups (P < 0.05). In conclusion, the results encourage the use of IRL intraoperatively as it optimizes bone repair, mainly in animals with low bone mineral density.
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Affiliation(s)
- Tárik Ocon Braga Polo
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Gustavo Antonio Correa Momesso
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
- Department of Implantology, University of Santo Amaro, Unisa, São Paulo, SP, Brazil
| | | | - Stefany Barbosa
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Mirela Caroline Silva
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Valdir Gouveia Garcia
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil
| | - Letícia Helena Theodoro
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil
| | - Leonardo P Faverani
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil.
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Miranda FVD, Silva WPPD, Oliveira RVD, Momesso GAC, Polo TOB, Faverani LP. Mandibular fracture due to rare manifestation of Langerhans cell histiocytosis. Rev Bras Ter Intensiva 2019; 31:428-429. [PMID: 31618364 PMCID: PMC7005958 DOI: 10.5935/0103-507x.20190048] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 03/03/2019] [Indexed: 11/20/2022] Open
Affiliation(s)
- Fábio Vieira de Miranda
- Divisão de Cirurgia Oral e Maxilofacial, Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho - Araçatuba (SP), Brasil
| | - William Phillip Pereira da Silva
- Divisão de Cirurgia Oral e Maxilofacial, Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho - Araçatuba (SP), Brasil
| | | | - Gustavo Antônio Correia Momesso
- Divisão de Cirurgia Oral e Maxilofacial, Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho - Araçatuba (SP), Brasil
| | - Tárik Ocon Braga Polo
- Divisão de Cirurgia Oral e Maxilofacial, Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho - Araçatuba (SP), Brasil
| | - Leonardo Pérez Faverani
- Divisão de Cirurgia Oral e Maxilofacial, Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista Júlio de Mesquita Filho - Araçatuba (SP), Brasil
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Momesso GAC, Polo TOB, Cervantes LCC, Lima VND, Silva WPPD, Souza FÁ, Garcia-Júnior IR, Faverani LP. Importance of Oral and Maxillofacial Surgeons in the Emergency Attendance: Report of an Extensive Facial Cut-Blunt Injury. J Craniofac Surg 2019; 30:1614-1615. [PMID: 31299785 DOI: 10.1097/scs.0000000000005509] [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: 11/25/2022] Open
Affiliation(s)
- Gustavo Antonio Correa Momesso
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, University Estadual Paulista (UNESP), Araçatuba, Brazil
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Wastner BDF, Silva WPPD, Schussel JL, Stramandinoli-Zanicotti RT, Sassi LM. Simultaneous Occurrence of Central Giant Cell Granuloma and Odontogenic Keratocyst in Mandible. Bull Tokyo Dent Coll 2017; 58:171-175. [PMID: 28954952 DOI: 10.2209/tdcpublication.2016-0018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 11/06/2022]
Abstract
Odontogenic keratocysts and central giant cell granulomas are distinct entities of separate origin that may appear simultaneously in the jaw, making them difficult to differentiate. The objectives of this paper are to report a case of a 54-year-old man presenting with a large lesion in the right mandible and to describe the histological characteristics of that lesion. Imaging revealed tumefaction and multilobulation. The case was surgically managed. Histopathological examination revealed that the lesion was a hybrid of an odontogenic keratocyst and a central giant cell granuloma. It remains unclear as to whether this lesion represented a coincidental or related injury. Since both types of lesion involved have a high rate of recurrence, however, long-term follow-up is scheduled.
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Affiliation(s)
| | | | - Juliana Lucena Schussel
- Department of Oral and Maxillofacial Surgery, Erasto Gaertner Hospital.,Department of Stomatology, Universidade Federal do Paraná
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Patussi C, Sassi LM, Bixofix RB, Silva WPPD, Shussel JL. Non-familial Cherubism – Report of a case. BDS 2015. [DOI: 10.14295/bds.2015.v18i4.1137] [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: 11/23/2022] Open
Abstract
Introduction: The Cherubism is a rare disease that affects the middle and lower third of the face in individuals at the time of childhood. It is a rare hereditary benign bone disease with an autosomal dominant inheritance. The familial distribution may affect different generations and isolated non-familial cases have also been reported in literature. Lesions appear as cystic multilocular radiolucencies, histologically, resembles central giant cell granluloma and hyperparathyroidism brown tumor with numerous randomly distributed multinucleated giant cells and vascular spaces within a fibrous connective tissue stroma. Objectives: The aim of this study is to report the importance of the diagnosis of this pathology and the variety of treatments available in the literature, thus guiding to an individualized treatment. Case Report: Caucasian 8 years-old female, in good general condition, was referred to Service of Oral and Maxillofacial Surgery of Erasto Gaertner Hospital (EGH), Curitiba – PR, Brazil, complaining of bilateral swelling of the maxilla and mandible since 4 years-old. Apparently, the girl is the first one who developed the genetic pathology in at least 4 generation of her family. After biopsy, cherubism diagnosis was confirmed and the treatment of choice was periodic monitoring. Discussion: Cherubism studies with long-term follow-up with clinical and radiographic documentation indicate that the spontaneous resolution of bone lesions is rare. Treatment of cherubism is controversial and various modalities have been reported as the use of calcitonin, osseous plasty surgery, curettage, orthognathic surgery, liposuction and palliative treatments.
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