bluuebunny/crossref_metadata_2025 huggingface dataset:
Adjusting Estimates of Alveolar Bone Loss for Missing Observations: Developing and Testing a General Model
Authors: Schuller A.A. , Thomsen I.O. , Holst D.
Published: January 2009

The occurrence of missing teeth is a vexing and growing problem in epidemiological studies of dental disease. The number of units of measurement (i.e., teeth/tooth sites) varies between persons and may affect summary statistics in descriptive studies as well as in analytical studies. The purpose of the present study was to develop a general model to adjust summary statistics for missing teeth. The proposed method was applied to alveolar bone loss in current smokers, former smokers, and non-smokers, from 45 to 64 years of age (n = 812). Alveolar bone loss was measured on bitewing radiographs. The adjustment method was based on the assumption that the probability of losing a tooth was an increasing function of alveolar bone loss. The main finding of the present study was that mean alveolar bone loss increased after adjustment for the number of missing teeth. This increase was larger for current smokers than for non-smokers, indicating that the effects of smoking were slightly underestimated when missing sites were ignored. Further research is required for the model to be applied to other data, estimating different types of dental disease with various degrees of disease prevalence and various numbers of missing teeth, and for validating the adjustment method by means of longitudinal data.
Prenatal Development of the Alveolar Bone of Human Deciduous Incisors and Canines
Authors: Kjaer I. , Bagheri A.
Published: January 2009

The formation of the human alveolar process around the incisors and canines is a hitherto unreported aspect of fetal oral development. The question is how, where, and when the alveolar process is formed. The purpose of this study was to elucidate the questions where and when and hence to analyze the pattern of formation of the alveolar bone around developing human deciduous canine and incisor teeth. The study was conducted with material selected from a sample of 61 normal human fetuses, legally or spontaneously aborted. Fertilization ages ranged from 9 to 22 weeks, crown-rump Length from 25 to 205 mm, and foot length from 4 to 34 mm. From this material, 7 maxillae and 10 mandibles were selected for the study according to developmental stages of the canines and incisors and according to the orientation of the histological sections. The skeletal investigation consisted of macroscopic and microscopic analysis of the mandibles and maxillae. The investigations revealed the absence of bone between the central and lateral incisors in the mandibles and maxillae of fetuses below the ages of 21 and 22 weeks, respectively. In three specimens, alveolar bone between the central and lateral incisors was recorded (21, 21, and 22 weeks of fertilization). Absence of bone labial to the canine was recorded in all fetuses investigated. In all other regions, alveolar bone occurred as a regular finding. The present study has shown that alveolar bone formation is strictly coordinated with tooth formation. Alveolar bone occurs later in the area labial to the canine and in the region between the central and lateral incisors than it does in other areas associated with the incisor/canine regions. Knowledge of this pattern in the formation of the alveolar process seems to be of importance for a future elucidation of how the alveolar process is initially formed.
Temporal and Spatial Expression of c-jun and jun-B Proto-oncogenes in Pulp Cells Involved with Reparative Dentinogenesis after Cavity Preparation of Rat Molars
Authors: Kitamura C. , Kimura K. , Nakayama T. , Terashita M.
Published: January 2009

c-jun and jun-B are nuclear proto-oncogenes induced by growth factors such as bone morphogenetic proteins (BMPs). These gene products enhance the expression of many genes, including osteocalcin and collagen types, indicating that c-jun and jun-B play important roles in the cell differentiation process. It is also known that BMPs affect the differentiation of pulp cells to odontoblast-like cells during reparative dentinogenesis, but little is known about the transcriptional regulation of genes in cells associated with reparative dentinogenesis. In this study, we examined the expression of c-jun and jun-B in pulp cells during reparative dentinogenesis after cavity preparation of rat molars by in situ hybridization. In rat tooth germs, c-jun and jun-B were co-expressed in the odontoblastic lineage. In rat adult molars, c-jun was expressed in the odontoblast layer, but the jun-B expression was absent in all pulp cells. After cavity preparation, we found that c-jun and jun-B were co-expressed in pulp cells underneath cavities. During the early phase of reparative dentinogenesis, levels of c-jun and jun-B greatly increased in pulp cells within and around the reparative dentin matrix formed adjacent to the cavity floor. Fourteen days after cavity preparation, c-jun and jun-B were expressed only in pulp cells lining the irregular surface of the thick reparative dentin. These results suggest that c-jun and jun-B may play important roles both in physiological and in reparative dentinogenesis; in particular, the limited distribution of the jun-B expression suggests a specific role of jun-B only in cells involved with the active formation of the dentin matrix during primary and reparative dentinogenesis.
Production of Matrix-degrading Enzymes and Inhibition of Osteoclast-like Cell Differentiation by Fibroblast-like Cells from the Periodontal Ligament of Human Primary Teeth
Authors: Wu Y.-M. , Richards D.W. , Rowe D.J.
Published: January 2009

Clinically, the most apparent difference between the primary and permanent dentitions is the physiologic loss of the primary tooth by root resorption. Root resorption is associated with loss of integrity of the periodontal ligament (PDL), followed by recruitment of resorptive cells that remove root structure. We therefore cultured primary dentition PDL fibroblasts (PPDL cells) to investigate in vitro their production of matrix metalloproteinases (MMPs) and tissue inhibitors of MMP (TIMPs), and the effects of soluble factors produced by these cells on osteoclast-like cell differentiation. These studies demonstrate that PPDL cells in vitro have a heterogeneous morphology, and they constitutively synthesize 92-kDa gelatinase, 72-kDa gelatinase, and 53/57-kDa procollagenase as well as TIMP-1, -2, and a third inhibitor of matrix metalloproteinase, as determined by substrate gel zymography and immunoblot analysis. Compared with PDL cells from the permanent dentition, PPDL cells generally produced a greater amount of collagenase but similar amounts of the gelatinases and inhibitors. PPDL cells were treated with pro-inflammatory cytokines to determine their effect on the expression of matrix-degrading enzymes and inhibitors. Interleukin-la and tumor necrosis factor-a enhanced the constitutive expression of proteinases but not that of inhibitors in PPDL cells. Conditioned media from PPDL cell lines inhibited the differentiation of osteoclastlike cells in mouse bone marrow cultures. These findings indicate that PPDL cells may modulate the cascade of root resorption both by their regulated production of proteinases and inhibitors and by synthesis of unknown soluble factor(s) that may regulate osteoclast development.
Regional Measurement of Resin-Dentin Bonding as an Array
Authors: Shono Y. , Ogawa T. , Terashita M. , Carvalho R.M. , Pashley E.L. , Pashley D.H.
Published: January 2009

During the development of the microtensile bond-testing method, large variations in bond strengths were noted among serial sections. The reason for these variations is unknown. The purpose of this work was to determine the consistency of resin-dentin bond strengths across the occlusal surface of coronal dentin by dividing composite resin buildups into an array of 1 x 1 mm beams, the top half consisting of composite resin, and the bottom half consisting of dentin. Extracted human third molars had the occlusal enamel removed as a single section by means of a diamond saw. Resin composite buildups were made after the dentin was bonded with either One-Step or MacBond. After being stored in 37°C water for 1 day, the teeth were vertically sectioned at 1-mm increments into slabs of bonded teeth. Each slab was further subdivided by vertical sections into 1 x 1 x 8 mm beams. Each beam was assigned an x-y coordinate and tested for tensile bond strength. Two different clinicians (A and B) performed the same procedures using One-Step in a parallel study. Using One-Step, clinician A obtained a large number of zero bonds in superficial dentin but fewer in deep dentin. This resulted in a very large standard deviation in bond strengths (mean ± SD of 22 ± 20 MPa in superficial dentin and 27 ± 14 MPa in deep dentin). Clinician B obtained much higher (p < 0.001) and more uniform bond strengths with One-Step (56 ± 13 MPa in superficial dentin and 57 ± 12 MPa in deep dentin). With MacBond, there were no zero bonds and hence less variation, with a mean of 41 ± 13 MPa in superficial dentin and 27 ± 12 MPa (x ± SD) in deep dentin. When pairs of Z100 resin composite cylinders were bonded together with One-Step and then sectioned into an array, there was little variation in regional bond strength (37 ± 1 MPa). Dividing bonded resin composite buildups into an array of 20 to 30 1 x 1 x 8 mm beams allows for the evaluation of uniformity of resin-dentin bonds. The method used in this study detected local regional differences in resin-dentin bond strengths. The largest differences were shown to be related to technique rather than to material. The results indicate that resin-dentin bonds may not be as homogenous as was previously thought.
Possible Involvement of Histamine in Muscular Fatigue in Temporomandibular Disorders: Animal and Human Studies
Authors: Watanabe M. , Tabata T. , Huh J.-I. , Inai T. , Tsuboi A. , Sasaki K. , Endo Y.
Published: January 2009

As an approach to clarifying the molecular basis of pain and fatigue in muscles involved in temporomandibular disorders, we examined the activity of histidine decarboxylase (HDC), the enzyme which forms histamine, in the masseter muscles of mice. In the resting muscle, HDC activity was very low. Direct electrical stimulation of the muscle markedly elevated HDC activity. HDC activity rose within 3 hrs of the electrical stimulation, peaked at 6 to 8 hrs, and then gradually declined. Intraperitoneal injection of a small amount of interleukin-1 (IL-1) (from 1 to 10 μg/kg) produced a similar elevation of HDC activity in the masseter muscle. We also examined the effect of an antihistamine, chlorphenylamine (CP), on temporomandibular disorders in humans and compared it with that of an antiinflammatory analgesic, flurbiprofen (FB). Two groups received one or the other of the drugs daily for 7 days, and they were asked about their signs and symptoms before and after the treatment. A positive evaluation of their treatment was made by 74% of the CP group, but by only 48% of the FB group. Although the effects of CP on the limitation of mouth-opening and on joint noise were negligible, about 50% of the CP group answered positively concerning the drug's effect on spontaneous pain or pain induced by chewing or mouth-opening. The positive evaluation for CP (50%) in relieving associated symptoms (headache or shoulder stiffness) was significantly greater than for FB (13%). FB showed effectiveness similar to but sometimes weaker than that of CP on several symptoms. On the basis of these and previous results and the known actions of histamine, we propose that the histamine newly formed following the induction of HDC activity, which is itself mediated by IL-1, may be involved in inducing pain and, possibly, stiffness in muscles in temporomandibular disorders.
Origin of Sensory and Autonomic Innervation of the Rat Temporomandibular Joint: A Retrograde Axonal Tracing Study with the Fluorescent Dye Fast Blue
Authors: Casatti C.A. , Frigo L. , Bauer J.A.
Published: January 2009

Previous studies that have used retrograde axonal tracers (horseradish peroxidase alone or conjugated with wheat germ agglutinin) have shown that the temporomandibular joint (TMJ) is supplied with nerve fibers originating mainly from the trigeminal ganglion, in addition to other sensory and sympathetic ganglia. The existence of nerve fibers in the TMJ originating from the trigeminal mesencephalic nucleus is unclear, and the possible innervation by parasympathetic nerve fibers has not been determined. In the present work, the retrograde axonal tracer, fast blue, was used to elucidate these questions and re-evaluated the literature data. The tracer was deposited in the supradiscal articular space of the rat TMJ, and an extensive morphometric analysis was performed of the labeled perikaryal profiles located in sensory and autonomic ganglia. This methodology permitted us to observe labeled small perikaryal profiles in the trigeminal ganglion, clustered mainly in the posterior-lateral region of the dorsal, medial, and ventral thirds of horizontal sections, with some located in the anterior-lateral region of the ventral third. Sensory perikarya were also labeled in the dorsal root ganglia from C2 to C5. No labeled perikaryal profiles were found in the trigeminal mesencephalic nucleus. On the other hand, autonomic labeled perikaryal profiles were distributed in the sympathetic superior cervical and stellate ganglia, and parasympathetic otic ganglion. Our results confirmed those of previous studies and also demonstrated that: (i) there is a distribution pattern of labeled perikaryal profiles in the trigeminal ganglion; (ii) some perikaryal profiles located in the otic ganglion were labeled; and (iii) the trigeminal mesencephalic nucleus did not show any retrogradely labeled perikaryal profiles.
Smallest Detectable Difference in Outcome Variables Related to Painful Restriction of the Temporomandibular Joint
Authors: Kropmans Th.J.B. , Dijkstra P.U. , Stegenga B. , Stewart R. , de Bont L.G.M.
Published: January 2009

The smallest detectable difference is the smallest statistically significant change in measurement results. In the field of temporomandibular disorders, the smallest detectable difference is not a commonly used concept. Most outcome studies are based on comparisons of group means, although this does not provide information about individual changes or about the clinical relevance thereof. The smallest detectable difference for maximal mouth opening was calculated from previously published reliability coefficients and the standard deviations of different samples of healthy subjects and patients with complaints of the temporomandibular joint. The smallest detectable difference of pain intensity measured with different visual analogue scales was calculated from the reliability coefficients and standard deviations of a heterogeneous group of pain patients. The smallest detectable difference of function impairment was calculated for a group of patients with complaints of the temporomandibular joint. For maximal mouth opening in healthy subjects, the smallest detectable difference was 5 mm. Repeated measurements improved it to 3 mm. The smallest detectable difference on a visual analogue scale was 28 mm for actual pain intensity and 22 mm for minimal pain as well as for maximal pain intensity. For total function impairment of patients with complaints of the temporomandibular joint, the smallest detectable difference was 8 units on a 0 to 68 scale.
Contact Damage Resistance and Strength Degradation of Glass-infiltrated Alumina and Spinel Ceramics
Authors: Jung Y.-G. , Peterson I.M. , Pajares A. , Lawn B.R.
Published: January 2009

All-ceramic crowns are coming into widespread use because of their superior esthetics and chemical inertness. This study examines the hypothesis that glass-infiltrated alumina and spinel core ceramics are resistant to damage accumulation and strength degradation under representative oral contact conditions. Accordingly, Hertzian indentation testing with hard spheres is used to evaluate damage accumulation in alumina and spinel ceramics with different pre-form grain morphologies and porosities. Indentation stress-strain curves measured on fully infiltrated materials reveal a marked insensitivity to the starting pre-form state. The glass phase is shown to play a vital role in providing mechanical rigidity and strength to the ceramic structures. All the infiltrated ceramics show subsurface cone fracture and quasi-plastic deformation above critical loads Pc (cracking) and Py (yield), depending on sphere radius, with Py < Pc. Strength degradation from accumulation of damage in Hertzian contacts above these critical loads is conspicuously small, suggesting that the infiltrated materials should be highly damage-tolerant to the "blunt" contacts encountered during mastication. Failure in the strength tests originates from either cone cracks ("brittle mode") or yield zones ("quasi-plastic mode"), with the brittle mode more dominant in the spinels and the quasi-plastic mode more dominant in the aluminas. Multi-cycle contacts at lower loads, but still above loads typical of oral function, are found to be innocuous up to 105 cycles in air and water, although contacts at 106 cycles in water do cause significant strength degradation. By contrast, contacts with Vickers indenters produce substantial strength losses at low loads, suggesting that the mechanical integrity of these materials may be compromised by inadvertent "sharp" contacts.
Molecular Genetics of Tooth Morphogenesis and Patterning: The Right Shape in the Right Place
Authors: Tucker A.S. , Sharpe P.T.
Published: January 2009

Development of the mammalian tooth has for many years served as a useful model system for the study of cell-cell interactions in organogenesis. Early development of teeth (tooth buds) shows many morphological and molecular similarities with early development of other organs such as the lung, hair, kidney, etc. There has been much progress toward understanding epithelial/mesenchymal cell signaling in tooth germ formation. Advances in understanding the formation of different shapes of teeth (morphogenesis) at their correct positions in the jaws (patterning) has, until recently, been less forthcoming. We review here the latest ideas on the control of odontogenic patterning and morphogenesis. The stages of early tooth development are well-defined histologically and have been described in numerous textbooks. The progression from localized thickenings of oral epithelium to bud, cap, and bell stages provides an adequate description of the gross morphological changes seen in the epithelial cells of early developing tooth germs. Less obvious are the concomitant changes taking place in the dental (ecto)mesenchymal cells which originate from the cranial neural crest and which condense around the tooth bud epithelium. However, it is very clear that these mesenchymal cells are equal partners with epithelium during the early stages of tooth germ formation and undergo complex changes which, although not obvious histologically, are revealed with molecular (gene) probes. Genes identified as being important for the early communication between the epithelial and ectomesenchymal cells mainly comprise those which code for proteins which act as secreted signals between the cells (ligands) and those that code for nuclear proteins that act to control gene expression in response to the signals. Little is presently known about the changes in structural proteins such as cell adhesion molecules which are involved in mediating the physical interactions between cells and generating the morphological changes.
Quantification of Bacteria in Oral Samples by Competitive Polymerase Chain Reaction
Authors: Rupf S. , Merte K. , Eschrich K.
Published: January 2009

Information about the total amount of bacteria in oral samples contributes to assessment of an individual's risk of contracting dental caries or developing periodontitis and the prediction of that individual's clinical course. Since existing techniques are often time-consuming and expensive, it seemed attractive to look for alternative methods for the quantification of eubacteria. With their high specificity and sensitivity, polymerase chain-reaction (PCR) techniques have the potential of supplying fast and reliable results. We developed a method of competitive PCR for the quantification of eubacteria. We designed forward and reverse PCR primers which bind to highly conserved sequences of the bacterial 16S rRNA gene. A homologous competitor was synthesized with Escherichia coli 16S rDNA as a template, with the reverse primer and a hybrid primer which binds 67 bases downstream to the forward primer and carries the forward primer sequence at its 5' end. Specificity controls with 30 different bacterial species, 5 archaea, 3 fungi, human astrocytoma cells, and rat hepatoblastoma cells were carried out. Results were positive for all eubacteria and negative for all other cells tested. Calibration curves were obtained by co-amplification of known amounts of E. coli cells in the presence of the homologous competitor. The developed method was successfully applied to assessment of the accumulation of bacteria during an oral hygiene cessation experiment. The competitive PCR method proved to be a reliable and fast method for the quantification of bacterial DNA and cultured eubacteria, as well as of bacteria in biological samples. It may find further applications not only in periodontology and cariology but also in other fields of medical microbiology.
Natural Defenses against Candida Colonization Breakdown in the Oral Cavities of the Elderly
Authors: Lockhart S.R. , Joly S. , Vargas K. , Swails-Wenger J. , Enger L. , Soll D.R.
Published: January 2009

Candida colonization of the oral cavity increases in the elderly. A major predisposing condition is denture use, which also increases in the elderly. To test whether the increase in colonization is age-related in a fashion independent of denture use, we analyzed the frequency (incidence) of carriage, the intensity of carriage, the multiplicity of species, and the genetic relatedness of strains in the oral cavities of 93 test subjects separated into the three age groups: 60 to 69 yr, 70 to 79 yr, and ≥ 80 yr. Each age group was further subdivided into subjects with and without dentures, and into males and females. The results demonstrate that the frequency of carriage, the intensity of carriage, and multispecies carriage all increase as a function of age and differ according to gender, in both cases independent of denture use, suggesting that the natural suppression of yeast carriage in the oral cavity breaks down in the elderly. In addition, it is demonstrated that Candida glabrata colonizes the oral cavities of elderly individuals without dentures only after 80 yr of age, suggesting that there are age-related compromising conditions other than denture use in this most elderly age group.
Preventive Dental Behaviors and their Association with Oral Health Status in Older White Men
Authors: Boehmer U. , Kressin N.R. , Spiro A.
Published: January 2009

While prevention practices are widely encouraged, the link between the performance of preventive behaviors and oral health status has rarely been examined. This study investigates the association between preventive dental behaviors (recent and long-term) and oral health status and compares the strength of such associations. Longitudinal data over six time points on 649 dentate white men were obtained from the VA Dental Longitudinal Study (DLS). Participants' oral health was measured through dental examinations, and preventive dental behaviors-i.e., toothbrushing, flossing, using interdental devices, seeking dental prophylaxis, and undergoing dental treatment-were assessed by self-report. Oral health status was measured in terms of (1) functioning teeth, (2) sound-equivalent teeth, (3) decayed, missing, and filled teeth, and (4) decayed and filled root surfaces. Pearson correlation and linear regression analysis revealed significant positive associations between most preventive behaviors and measures of oral health status. Dental prophylaxis emerged as the strongest predictor of oral health status. Long-term preventive dental behavior measures explained more variance in oral health status than short-term preventive behaviors measured cross-sectionally.
Speed-dependent Control of Cyclic Open-Close Movements of the Human Jaw with an External Force Counteracting Closing
Authors: Abbink J.H. , van der Bilt A. , Bosman E. , van der Glas H.W.
Published: January 2009

Previous work with open-close movements of the jaw in which food resistance was simulated by an external force has shown that additional activity of the jaw-closing muscles to overcome the force is mainly of sensory origin. When the force was expected, a small anticipatory response was also observed, starting before the onset of the force. The movement rates in these experiments corresponded to natural chewing rates of about 60 cycles per minute. Our aim was to investigate how anticipatory and peripherally induced muscle activity change with movement speed. Peripheral feedback to the muscles may increase at higher movement speed, possibly resulting in stronger reflex activity. On the other hand, when the force is expected, more preprogrammed muscle activity may be generated with faster movements, in anticipation of the force. Three movement rates were studied: 30 cpm (slow), 60 cpm (normal speed), and 120 cpm (fast). The results show that muscle activity to move the jaw increases sharply with movement speed. Extra muscle activity needed to overcome the force also increases with movement speed. However, the contribution by peripherally triggered muscle activity does not increase. In contrast, preprogrammed extra muscle activity in anticipation of the force increases sharply with movement speed. It is concluded that the control strategy for these movements is speed-dependent, with a shift to relatively more anticipatory muscle activity at higher movement speeds, making the movement more ballistic.
A Randomized Clinical Trial of Triazolam in 3- to 5-year-olds
Authors: Raadall M. , Coldwell S.E. , Kaakko T. , Milgrom P. , Weinstein P. , Perkis V. , Karl H.W.
Published: January 2009

Triazolam has shown promise as a sedative agent for use in pediatric dentistry. However, the efficacy of triazolam has not been previously examined in a placebo-controlled study. The present clinical trial used a two-group, randomized, double-blind study design to compare the efficacy of oral triazolam with that of a placebo. The primary hypothesis tested was that triazolam would reduce negative behaviors of pediatric dental patients compared with a placebo. A secondary hypothesis was that triazolam would increase the efficiency of dental treatment by reducing the need for time-consuming behavior management by the pediatric dentist. The subjects were 54 3- to 5-year-old children, randomly assigned to the drug and placebo groups. The active drug, 0.03 mg/kg triazolam (Halcion®), or lactose placebo was given orally 30 min before dental treatment. Behavior management techniques commonly used in pediatric dentistry were used during dental treatment. A single pediatric dentist provided all of the dental treatment. The procedure included an inferior block anesthesia and careful attention to anesthesia effectiveness. All sessions were video-taped and the tapes coded for child and dentist behaviors by an independent observer. There were no statistically significant differences between the groups with respect to completion of dental treatment. There were no significant differences found in either the total time or the percent of time that the subjects exhibited disruptive movements, verbal or non-verbal distress. The total use of time in the dental chair was slightly higher in the placebo than in the drug group due to more time spent preparing the child. Contrary to preliminary reports in the literature, this investigation found little or no improvement in child behavior when triazolam was used as a sedative compared with a placebo. However, triazolam did shorten the length of dental treatment, primarily by reducing dentist time in preparing the child for the dental procedure (e.g., establishing rapport and shaping behavior).
Delayed Recruitment of Immunocompetent Cells in Denervated Rat Periodontal Ligament Following Experimental Tooth Movement
Authors: Vandevska-Radunovic V. , Kvinnsland S. , Jonsson R.
Published: January 2009

It has previously been shown that the number of mononuclear phagocytic cells in the periodontal ligament (PDL) of orthodontically moved rat molars is significantly increased (p ≤ 0.05) at 3, 7, and 14 days compared with the controls. Since these changes coincide with increased density of peptidergic nerve fibers, it was of particular interest to investigate a possible relation between the immunocompetent cells and sensory nerve fibers in the PDL of experimentally moved and denervated rat molars. Twenty-two young animals had the first right mandibular molar moved mesially, 7, 14, and 21 days after ipsilateral inferior alveolar nerve axotomy. The left side served as unoperated control. An immunohistochemical procedure was carried out on alternate, serial, cryostat sections with antibodies against CDllb (macrophages, dendritic cells) and class II major histocompatibility complex (MHC) molecules (RT1B). At 7 and 14 days, the number of CDllb+- and RTlB-expressing cells in the denervated PDL showed no significant difference compared with the contralateral side. However, at 21 days, when periodontal tissue re-innervation is established, the number of the investigated immunocompetent cells in the PDL of the denervated and experimentally moved mandibular molars demonstrated a significant difference compared with the contralateral and control molars (p ≤0.05). It can be concluded that axotomy of the inferior alveolar nerve delays the recruitment of macrophage-like and class II MHC molecule-expressing cells in the PDL of orthodontically moved rat molars. The results further indicate that sensory nerve fibers interact with immunocompetent cells and participate in their mobilization to locally inflamed tissues.
Anti-proliferative Capsular-like Polysaccharide Antigen from Actinobacillus actinomycetemcomitans Induces Apoptotic Cell Death in Mouse Osteoblastic MC3T3-E1 Cells
Authors: Yamamoto S. , Mogi M. , Kinpara K. , Ishihara Y. , Ueda N. , Amano K. , Nishihara T. , Noguchi T. , Togari A.
Published: January 2009

Actinobacillus actinomycetemcomitans (A. actinomycetemcomitans) has been implicated in the etiology of localized juvenile periodontitis (LJP), and produces a multiplicity of tissue-damaging products. Among those products, the capsular-like polysaccharide antigen (CPA) from A. actinomycetemcomitans is a potent mediator of bone resorption. In fact, this CPA (serotype b) is known to promote osteoclast-like cell formation via interleukin (IL)-1α production in mouse marrow cultures. Although osteoblasts complete bone formation, there are few reports focusing on the effect of CPA in bone-forming activity of osteoblasts in inflammatory disease sites. We hypothesized that CPA plays a mediating role in osteoblastic cells. Therefore, the purpose of this study was to examine the effect of CPA from A. actinomycetemcomitans on the mouse osteoblastic cell line MC3T3-E1 and human osteosarcoma SaOS-2 cells. A. actinomycetemcomitans serotype c resulted in a potent dose-dependent inhibition of cell proliferation of both cell lines. Characterization of the antiproliferative activity in the CPA demonstrated that it was not cytotoxic for MC3T3-El. A 20-hour incubation with CPA-c resulted in a significant increase in apoptotic cell death in the cells, as evaluated by both cellular DNA fragmentation ELISA and FACS analysis. In contrast to the results obtained with a cytokine mixture (tumor necrosis factor-α, IL-1β, and interferon-γ), no inducible nitric oxide (NO) synthase gene expression or NO release could be detected in MC3T3-E1 after incubation with CPA-c. Further, both CPA-b and -c caused potent induction of apoptosis-related modifiers, e.g., Fas mRNA, whereas bcl-2 mRNA levels were unchanged. Therefore, this study has shown that CPA from A. actinomycetemcomitans contains a potent antiproliferative polysaccharide whose activity is associated with apoptotic cell death in MC3T3-E1, and that CPA per se is an inducer of apoptosis mediated by the Fas system but not by NO.
Secretory Immunoglobulin A Heavy Chain Presents Galβ1-3GalNAc Binding Structures for Actinomyces naeslundii genospecies 1
Authors: Bratt P. , Boren D. , Boren T. , Stromberg N.
Published: January 2009

Adherence of Actinomyces naeslundii ATCC 12104 to hydroxyapatite beads coated with protein fractions of parotid saliva, obtained by gel filtration on S-200 HR columns, showed GalNAcβ1-3Galα-O-ethyl-inhibitable binding to high-molecular-weight proteins (Stromberg et al., 1992). The present study investigates the nature of these high-molecular-weight binding proteins and determines their specific ability to mediate adherence to representative strains of Actinomyces species. Strain ATCC 12104 bound specifically in a lactoseinhibitable manner to the heavy chain of secretory immunoglobulin A (S-IgA), contained within a high-molecular-weight parotid protein fraction separated on SDS-PAGE and transferred to a solid membrane support. Lactoseinhibitable binding to the heavy chain of S-IgA from human colostrum was also demonstrated. Peanut agglutinin bound to the heavy chain of parotid and colostrum S-IgAs contained on solid support membranes, confirming the presence of Galβ1-3GalNAc residues on these molecules. Both salivary and colostrum S-IgA aggregated with strain ATCC 12104 in a GalNAcβ1-3Galα-O-ethyl-inhibitable fashion. Further separation of high-molecular-weight salivary proteins on S-500 HR columns showed GalNAcβ1-3Galα-O-ethyl-inhibitable binding to both mucin- and S-IgA-containing fractions. The presence of S-IgA in salivary pellicles formed in vivo on teeth was demonstrated by Western blot analysis of pellicle extracts with anti-IgA antibodies. Among strains representing A. naeslundii genospecies 1 and 2 and A. odontolyticus, only those of genospecies 1 with a particular adherence profile showed efficient GalNAcβ1-3Galα-O-ethyl-inhibitable binding to S-IgA. Thus, oligosaccharides on S-IgA may promote bacterial aggregation (or adherence) and provide a mechanism by which S-IgA can interact with bacteria without prior immunological challenge.
The Effects of Histatin-derived Basic Antimicrobial Peptides on Oral Biofilms
Authors: Helmerhorst E.J. , Hodgson R. , van't Hof W. , Veerman E.C.I. , Allison C. , Nieuw Amerongen A.v.
Published: January 2009

Susceptibility of bacteria to antimicrobial agents is strongly reduced by the formation of complex biofilms. We investigated whether synthetic histatin analogs with broad-spectrum antibacterial activity in vitro were also active against these complex mixtures of bacteria, as present in saliva and plaque. In a simplified model system for dental plaque, hydroxyapatite discs were placed in a continuous culture system comprised of Streptococcus mutans, S. sanguis, S. salivarius, Actinomyces naeslundii, Veillonella parvula, Fusobacterium nucleatum, and Prevotella intermedia. Ex situ treatment of the biofilms formed on these discs with 100 μg/mL of peptide dhvar4 significantly reduced facultative anaerobic, total anaerobic, and obligate anaerobic Gram-negative counts with 0.8, 0.5, and 0.5 log units, respectively. Ex vivo treatment of salivary bacteria gave reductions of 0.4, 0.7, and 1.5 log units, respectively. For ex vivo treatment of plaque bacteria, reductions of 0.4, 0.4, and 1.4 log units, respectively, were found. In both saliva and plaque samples, obligate anaerobic Gram-negative bacteria were significantly more susceptible to dhvar4 than facultatively anaerobic or anaerobic bacteria as a whole (p = 0.013 and p = 0.018, for salivary bacteria, and p = 0.021 and p = 0.020 for plaque bacteria, respectively). Although the oral bacteria are protected by biofilm formation, the synthetic histatin analog caused a significant reduction of viable counts in a model for oral biofilm as well as in isolated oral biofilms.
Migration Inhibitory Factor Related Protein-8 (MRP-8) is an Autocrine Chemotactic Factor for Periodontal Ligament Cells
Authors: Nishimura F. , Terranova V.P. , Sawa T. , Murayama Y.
Published: January 2009

Previous studies have suggested that human periodontal ligament (PDL) cells secrete a chemotactic factor which stimulates motility in an autocrine manner. Here we report the partial amino acid sequence of a purified factor which shows 100% homology with human migration inhibitory factor related protein-8 (MRP-8). In addition, reverse-transcription polymerase chain-reaction (RT-PCR) analysis revealed that mRNA encoding MRP-8 was expressed in cultured human PDL cells. To confirm that MRP-8 is chemotactic for PDL cells, we synthesized 25 mer peptides overlapped by 5 amino acids covering the entire MRP-8 protein and tested them for their chemotactic activities. The data indicated that amino acid residues 21-45 showed chemotactic activity for cultured human PDL cells. The maximum chemotactic response was observed at the concentration of 10-15 mol/mL for human PDL cells. The chemotactic activity was estimated to be approximately 1000-fold higher than that of platelet-derived growth factor (PDGF), insulin-like growth factors-I and -II (IGF-I, -II), and epidermal growth factor (EGF) when compared on a molar basis. Since MRP-8 is reported to be produced mainly by neutrophils and monocytes, the result of the current study may suggest another important role of MRP-8 in human PDL cells.
Changes in Bcl-2 and Bax Expression in Rat Tongue during 4-Nitroquinoline 1-oxide-induced Carcinogenesis
Authors: Nishimura A.
Published: January 2009

Bax is considered as a main effector of apoptosis. Bax forms homodimers and also heterodimers with Bcl-2. The function of the Bax-Bax dimer in active cell death is antagonized by Bax-Bcl-2 heterodimers. Thus, the ratio of Bcl-2 and Bax should control the susceptibility of cells to those stimuli that induce apoptotic cell death. An increase in apoptotic change has been shown in many carcinomas. In the present study, the changes in Bcl-2 and Bax expression in the tissue during carcinogenic transformation were examined immunohistochemically by means of the 4-nitroquinoline 1-oxide (4NQO)-induced carcinoma model. Animals were divided into 7 groups of 10 rats each, and given 50 ppm 4NQO solution as drinking water for 4, 8, 12, 16, 20, or 24 weeks. Ten animals were used as controls. Gradual increases in the numbers of Bcl-2- and Bax-positive cells were shown corresponding to the progression of experimental carcinogenesis. Statistically significant differences in Bcl-2 and Bax expression were demonstrated between control and four-week treatment groups (p < 0.01), and between control and eight-week treatment groups (p < 0.05), respectively. Levels of both proteins remained high after the period of dysplastic change of the epithelium. In conclusion, Bcl-2 and Bax are involved in the progression of 4NQO-induced carcinoma.
Refinement of the Dentinogenesis Imperfecta Type II Locus to an Interval of Less Than 2 CentiMorgans at Chromosome 4q21 and the Creation of a Yeast Artificial Chromosome Contig of the Critical Region
Authors: Aplin H.M. , Hirst K.L. , Dixon M.J.
Published: January 2009

Dentinogenesis imperfecta type II is an autosomaldominant disorder of dentin formation which has been mapped to the 6.6 centiMorgan D4S2691-D4S2692 interval at human chromosome 4q21. In the current investigation, the use of four short tandem repeat polymorphisms has allowed the critical region to be refined to an interval of less than 2 centiMorgans defined by recombination events in unrelated, affected individuals from two families both of which show independent evidence for linkage to chromosome 4q21. The creation of a yeast artificial chromosome contig of this newly defined interval has allowed us to demonstrate that the critical region encompasses approximately 2 Mb of DNA and that the dentin-specific gene, dentin sialoprotein, maps to this interval within 300 kb of dentin matrix acidic phosphoprotein 1 and bone sialoprotein. Moreover, dentin sialoprotein shows no recombination with the dentinogenesis imperfecta type II phenotype. Dentin sialoprotein is therefore a candidate for the dentinogenesis imperfecta type II locus.
Tony Melcher's Contributions to the Regeneration of the Periodontium
Authors: McCulloch Christopher A.
Published: January 2009

The impact of Tony Melcher's scientific work on periodontal regeneration is discussed in light of his interests in cellular domains and bone healing, the physiology of the periodontal ligament, and his development of organ and cell culture methods. Collectively, his scientific accomplishments have pointed us in new directions for approaching periodontal regeneration and have helped to create new research opportunities, many of which were previously unrecognized. Tony's scientific ideas are insightful, numerous, and compelling; his ability to make these ideas come alive and relevant to clinical problems has been a major influence in shaping our current thinking on the biology of the periodontium and on periodontal regeneration.
Dental Composite Resins Containing Silica-fused Ceramic Single-crystalline Whiskers with Various Filler Levels
Authors: Xu H.H.K.
Published: January 2009

Currently available direct-filling composite resins are susceptible to fracture and hence are not recommended for use in large stress-bearing posterior restorations involving cusps. The glass fillers in composites provide only limited reinforcement because of the brittleness and low strength of glass. The aim of the present study was to use ceramic single-crystalline whiskers as fillers to reinforce composites, and to investigate the effect of whisker filler level on composite properties. Silica particles were fused onto the whiskers to facilitate silanization and to roughen the whiskers, thereby improving retention in the matrix. The composite flexural strength, elastic modulus, hardness, and degree of polymerization conversion were measured as a function of whisker filler mass fraction, which ranged from 0% to 70%. Selected composites were polished simulating clinical procedures, and the surface roughness was measured with profilometry. The whisker composite with a filler mass fraction of 55% had a flexural strength (mean ± SD; n = 6) of 196 ± 10 MPa, significantly higher than 83 ± 14 MPa of a microfill and 120 ± 16 MPa of a hybrid composite control (family confidence coefficient = 0.95; Tukey's multiple comparison). The composite modulus and hardness increased monotonically with filler level. The flexural strength first increased, then plateaued with increasing filler level. The degree of conversion decreased with increasing filler level. The whisker composite had a polished surface roughness similar to that of a conventional hybrid composite (p > 0.1; Student's t). To conclude, ceramic whisker reinforcement can significantly improve the mechanical properties of composite resins; the whisker filler level plays a key role in determining composite properties; and the reinforcement mechanisms appear to be crack pinning by whiskers and friction from whisker pullout resisting crack propagation.
Stoichiometry of the Leaching Process of Fluoride-containing Aluminosilicate Glass-ionomer Glasses
Authors: De Maeyer E.A.P. , Verbeeck R.M.H. , Vercruysse C.W.J.
Published: January 2009

Dental glass-ionomer cements (GIC) set by an acid-base reaction between a polyalkenoic acid and an ion-leachable glass. The exact relationship between the glass composition and the setting and final properties of GIC is not yet fully elucidated. As part of a systematic study of this relationship, we studied the leaching stoichiometry of glasses used in commercial formulations to correlate the glass composition with its leaching properties. The leaching experiments were performed in acetic acid solutions at pH = 3.4 by means of a pH-stat method. After predetermined time intervals, the suspension was filtered and the filtrate was analyzed for the glass constituents. The usefulness of the pH-stat method for the determination of glass reactivity was corroborated. The deviation of the leaching stoichiometry with respect to the pure glass stoichiometry decreased with increasing relative content of mono- and bivalent glass network dwellers and modifiers. Indications were found that the latter can be leached out independently and preferentially, while the leaching of network dwellers is coupled with the aluminum release. The F content as well as the reactivity of the glass affect the amount of fluoride available for release from a set GIC. It could be concluded that the leaching stoichiometry of GIC glasses can be correlated with their absolute and relative composition.
Influence of Clenching Intensity on Bite Force Balance, Occlusal Contact Area, and Average Bite Pressure
Authors: Hidaka O. , Iwasaki M. , Saito M. , Morimoto T.
Published: January 2009

It has been difficult for investigators to simultaneously and reliably evaluate bite force in the intercuspal position with the area and location of occlusal contacts. This study was designed to investigate the variations in these parameters with respect to two factors: three levels of clenching and the preferred chewing side. Human subjects with normal occlusion were examined with a recently developed system (Dental Prescale Occluzer, Fuji Film, Tokyo, Japan). The three levels of clenching intensity were assessed by masseteric EMG activity and included the maximum voluntary contraction, and 30% and 60% of the maximum. The results indicated that the bite force and occlusal contact area on the whole dental arch increased with clenching intensity. In contrast, the average bite pressure, obtained by dividing the bite force by the contact area, remained unchanged regardless of the clenching intensity. As the clenching intensity increased, the medio-lateral position of the bite force balancing point shifted significantly (P < 0.01) from the preferred chewing side toward the midline. The antero-posterior position remained stable in a range between the distal third of the first molar and the mesial third of the second molar. The bite force and occlusal contact area, which were mainly on the molars, increased with the clenching intensity, whereas the proportions of these two variables on each upper tooth usually did not change significantly. The exception was the second molar on the non-preferred chewing side. When comparisons were made between pairs of specific upper teeth of same name, usually no significant difference was found in bite force or occlusal contact area, regardless of the clenching level. Again, the exception to this observation was the second molar on the preferred chewing side, which had a larger area at the 30% clenching level. The results in normal subjects suggest that as the clenching intensity increases in the intercuspal position, the bite force adjusts to a position where it is well-balanced. This adjustment may prevent damage and overload to the teeth and temporomandibular joints.