Avaliação da Adesão, Sorção de Água e Solubilidade de Resinas Compostas Autoadesivas Experimentais para Capeamento Pulpar Direto

O objetivo foi analisar resinas compostas experimentais para capeamento pulpar direto em propriedades físico-químicas selecionadas, comparando com hidróxido de cálcio fotopolimerizável e MTA. Duas resinas compostas capeadoras foram preparadas, uma sem adição de partículas bioativas (controle) e a outra com 30% em peso (experimental) de nanopartículas de hidroxiapatita adsorvidas com sinvastatina (10%), com glutationa (10%) e de beta fosfato tricálcio (10%). Foram utilizados 36 terceiros molares hígidos extraídos, onde foi realizado preparo cavitário na região coronária até atingir a câmara pulpar para posterior restauração com um dos materiais. Os espécimes foram cortados em fatias (1mm) e essas foram submetidas ao teste de resistência de união ao push-out. Espécimes em forma de disco (n8) foram preparados e avaliados (ISO4049) quanto a sorção e solubilidade. A análise estatística  foi feita com ANOVA e teste de Tukey (a5%). Os resultados de resistência de união mostraram que o MTA e o hidróxido de cálcio apresentaram pior adesão do que as resinas, e os maiores valores foram obtidos com a resina experimental (p<0,05). Maior sorção de água foi observada com o hidróxido de cálcio e os demais materiais não apresentaram diferenças estatísticas. O hidróxido de cálcio obteve maior solubilidade que a resina controle e a experimental (p<0,05). Em conclusão, a resina experimental com partículas bioativas promove maior adesão à dentina e menor sorção e solubilidade que hidróxido de cálcio e MTA, esses materiais que são tradicionalmente usados para capeamento pulpar.Palavras-chave: Dental Pulp Capping. Simvastatin Calcium Hydroxide.

Immune cell profile of dental pulp tissue treated with zoledronic acid

AIM

To characterize the pulp immune cell profile in the teeth of rats treated with zoledronic acid (ZA).

METHODOLOGY

Male Wistar rats (n = 6 per group) received four intravenous infusions of ZA at doses of 0.04, 0.20 or 1.00 mg kg^-1 ZA or saline (control). On the 70th experimental day, they were euthanized. The first right molar was examined microscopically and submitted to toluidine blue reaction and immunohistochemical for CD68, tumour necrosis Factor (TNF)-α, interleukin (IL)-1β, inducible nitric oxide synthase (iNOS), nuclear factor kappa B (NF-kB) and IL-18 binding protein (IL-18 bp). The presence of ectasic/dilated vessels and inflammatory cells was analysed, and mast cells and mononuclear CD68-positive cells were counted along with the intensity of immunostaining (0-3) for inflammatory markers in odontoblasts and nonodontoblasts pulp cells. The Kruskal-Wallis/Dunn's test (scores or quantitative data) and the chi-squared test (categorical data) were used (GraphPad Prism 5.0, P < 0.05).

RESULTS

There was no differences in the number of animals exhibiting dilated/ectasic blood vessels (P = 0.242) and inflammatory cells (P = 0.489) or in the number of mast cells (P = 1.000). However, there was an increase in mononuclear CD68-positive cells (P = 0.026), immunostaining of TNF-α (P = 0.020), IL-1β (P = 0.027) and iNOS (P = 0.001) in odontoblasts, and IL-1β (P = 0.013) in nonodontoblast pulp cells dose-dependently. NFkB (nucleus and cytoplasm) and IL-18 bp did not differ between groups.

CONCLUSION

ZA modified the immune cell profile in the dental pulp, increasing the number of macrophages and expression of pro-inflammatory markers independent of NFkB.

Study of the relationship between mononuclear inflammatory infiltrate and Ki-67 and basement membrane and extracellular matrix protein expression in radicular cysts

AIM

To evaluate the relationship between mononuclear inflammatory infiltrate and the expression of a proliferative immunomarker (Ki-67) as well as to evaluate basement membrane and extracellular matrix proteins (laminin and collagen type IV) in radicular cysts and dentigerous cysts (DC).

METHODOLOGY

Immunohistochemical analyses were performed in heavily inflamed radicular cysts (HIRC), slightly inflamed radicular cysts (SIRC) and DC (n = 20) using Ki-67 (Dako(®) , 1 : 50), anticollagen type IV (DBS(®) , 1 : 40) and antilaminin (DBS(®) , 1 : 20). The data were analysed using anova/Tukey's test (Ki-67) and Kruskal-Wallis/Dunn's test (collagen type IV and laminin) (P < 0.05).

RESULTS

The immunoexpression of Ki-67 was significantly greater in the SIRC group compared with the HIRC and DC (P = 0.0040). Likewise, the immunoexpression of collagen type IV in the basement membrane of the SIRC group was significantly more continuous (P = 0.0475) than in the HIRC group. DC had significantly less collagen type IV in extracellular matrix immunoexpression than HIRC and SIRC (P = 0.0246). Laminin was absent in the basement membrane in the SIRC and DC groups, and the extracellular matrix of the HIRC was weak and punctate.

CONCLUSION

The presence of inflammatory factors in the radicular cyst wall modified the expression of proliferation factors in the epithelial lining and the expression of collagen type IV and laminin in the basement membrane, but did not modify extracellular matrix behaviour in radicular cysts.

Lectin of Pisum arvense seeds induces in-vivo and in-vitro neutrophil migration

PAL is a glucose/mannose-specific lectin isolated from Pisum arvense seeds. Previously, we demonstrated the capacity of other leguminous lectins to induce oedema formation and neutrophil stimulation. To investigate the potential pro-inflammatory activity of PAL, we have studied its ability to induce neutrophil migration into peritoneal cavities of rats and neutrophil chemotaxis in-vitro. The role of resident cells and sugar residues on PAL activity was analysed. PAL or saline (control) were administered intraperitoneally to rats, and total and differential leucocyte (macrophages, neutrophils and mast cells) counts were performed. The role of resident cells on the PAL effect was evaluated using three strategies: reducing the total resident cell population by lavage of rat cavities with saline; increasing macrophage population by treating animals with thioglycolate; and depleting mast cell population by subchronic treatment of rats with compound 48/80. PAL induced in-vitro and in-vivo neutrophil migration. In-vivo, PAL (50, 100, 200 and 300 μg) significantly (P &lt; 0.05) and dose-dependently increased neutrophil migration by 600, 740, 900 and 940%, respectively, showing maximal effect 4 h after injection. PAL induced mononuclear cell migration. The neutrophil stimulatory effect of PAL was potentiated in animals treated with both thioglycolate and compound 48/80. The indirect lectin chemotactic effect was shown in rats injected with supernatant from cultured macrophages stimulated by PAL. In conclusion, PAL was shown to exhibit in-vivo and in-vitro proinflammatory activity. The in-vivo effect seemed to occur by a dual mechanism that was independent, but also dependent, on resident cells.