bluuebunny/crossref_metadata_2025 huggingface dataset:
Inhibition of Tooth Eruption in the Rat by a Bisphosphonate
Authors: Grier R.L. , Wise G.E.
Published: January 2009

Studies of osteopetrotic rodents suggest that localized alveolar bone resorption must occur if the tooth is to To test this hypothesis directly, we injected postnatal rats with pamidronate, a bisphosphonate that reduces bone resorption by osteoclasts, The results of these experiments demonstrate that this bisphosphonate inhibits the time of tooth of both rat molars and incisors. Pamidronate does not inhibit the gene expression of the putative tooth eruption molecules, colony-stimulating factor-1 and c-fos, both of which are expressed in the dental follicle, the tissue that is required for eruption to occur. Pamidronate does increase the size of the osteoclasts, including an increase in the number of nuclei, suggesting that the precursor mononuclear cells can still fuse to form osteoclasts despite the reduced ability of the osteoclasts to resorb bone, Thus, we report the discovery of an agent that inhibits tooth eruption and also show that tooth eruption requires alveolar bone resorption.
Agglutinin and Acidic Proline-rich Protein Receptor Patterns May Modulate Bacterial Adherence and Colonization on Tooth Surfaces
Authors: Carlén A. , Bratt P. , Stenudd C. , Olsson J. , Strömberg N.
Published: January 2009

Bacterial binding to salivary proteins may in part account for individual differences in the colonization of tooth surface. High-motecular-weight glycoproteins, agglutinins, mediate S. mutans adherence, whereas acidic proline-rich proteins mediate adherence of other early-colonizing streptococci and Actinemyces. The aim of the present study was to examine the composition of adherence-related salivary proteins and dental plaque micro-organisms in three individuals with a low, moderate, and high capacity to mediate S. mutans adherence. The S. mutans (strain Ingbritt) binding activity resided with 300-kDa agglutinin which was six-fold more prevalent in the high S. mutans binding saliva compared with the low one. Binding to all three salivas was completely by a monoclonal anti-agglutinin antibody. The moderate S. mutans binding saliva was found to contain adherence-inhibiting components. Furthermore, the low and moderate S. mutant binding salivas mediated binding of A. naeslundii strain LY7 to a greater extent the saliva with high S. mutans binding. The A. naeslundii binding activity resided with the acidic proline-rich proteins (APRPS) and paralleled the relative content of 106- and 150-residue A-PRPS. Low A. naeslundii binding coincided with an almost two-fold higher ratio of 106/150 APRPs compared the high A. naestundii binding saliva. During conventional gel filtration, a degradation of the acidic, basic, and glycosylated proline-rich proteins was evident in the saliva with high S. mutatis and low A. naeslundii binding. This saliva donor had a comparably high rate of dental plaque formation, high counts of S. mutans, and low counts of other streptococci and Actinomyces.
Natural Course of Untreated Symptomatic Temporomandibular Joint Disc Displacement without Reduction
Authors: Kurita K. , Westesson P.-L. , Yuasa H. , Toyama M. , Machida J. , Ogi N.
Published: January 2009

In some patients with disc displacement without reduction, the symptoms of pain and decreased range of motion have been observed to resolve spontaneously over time without treatment. The natural history of this condition, however, is not well-understood. Thus, to study the natural course of disc displacement without reduction, we followed 40 patients without treatment for a period of 2.5 years. The diagnosis was established by history and physical examination and confirmed with magnetic resonance (MR) imaging. After 2.5 years, 43% of the patients were asymptomatic, 33% had decreased symptoms, and 25% of the patients showed no improvement or had required treatment. MR evidence of osteoarthritis and advanced stages of internal derangement at the initial evaluation was associated with a poor prognosis. The result of this prospective cohort study indicated that approximately 40% of patients with symptomatic disc displacement without reduction will be free of symptoms within 2.5 years, one-third will improve, whereas one-quarter will continue to be symptomatic. This knowledge should be valuable for the treatment planning and evaluation of prognosis of patients with non-reducing symptomatic disc displacement.
Attachment Formation Following Replantation of Cultured Cells into Periodontal Defects—a Study in Minipigs
Authors: Lang H. , Schüler N. , Nolden R.
Published: January 2009

Regeneration processes in the periodontium occur by the interaction of different cell populations. It is known that these cells are also capable of forming new periodontal tissue after culture in vitro. The present study investigated whether replanted cultured cells from the periodontium could contribute to attachment formation. Primary cell cultures from alveolar bone and periodontal ligament were obtained from 11 minipigs. Experimentally induced furaction and interdental defects (n = 168) were treated in groups: (a) flap surgery, replantation of alveolar bone cells, and covering of the defects with Teflon membranes (ABC group); (b) flap surgery, replantation of periodontal ligament cells and membranes (PLC group); (c) flap surgery, bone gelatin (carrier material) and membranes (BG group); (d) flap surgery and membranes (NBG group); (e) flap surgery (FS group); and (f) no treatment (NT group). The defects were clinically and histologically (polyfluorochrome labeling) assessed after 10, 30, and 90 days. In the ABC group, initial calcified tissue formation at the roots was apparent after only 8 days. Marked new formation of cementum and alveolar bone and the development of a new attachment were observed after 90 days. In the BG and the NBG groups, wound healing varied depending on membrane healing and the morphology of the defects, which led to significantly poorer and variable results. Similar results were found in the PLC group, although some defects showed extensive cementum and bone formation. Defects in the FS and the NT groups healed largely by epithelialization. The study shows that replantation of cultured alveolar bone cells leads to formation of new cementum and bone, which, in turn, leads to formation of a new attachment. It is likely that the cells stabilize the tissue formation in the defect or on the root surface in the early phase of wound healing and prevent epithelial downgrowth. Results also show that regeneration in the periodontium is determined by the availability of (precursor) cells capable of forming calcified tissues.
Gingival Inflammation Induced by Food and Short-chain Carboxylic Acids
Authors: Kashket S. , Zhang J. , Niederman R.
Published: January 2009

Earlier studies in our laboratories demonstrated that particles of a number of snack foods that are retained on the dentition accumulate fermentable sugars and short-chain carboxylic acids (SCCA; acetic, formic, lactic, and propionic) to different degrees. The present study was undertaken to test the hypothesis that the accumulated SCCA can induce a gingival inflammatory response. Five periodontally and medically healthy subjects were given portions of plain doughnuts (high SCCA levels) or oatmeal cookie (low SCCA), or had the SCCA applied directly to the gingival margins of designated teeth. Subjects were given wax to chew, or nothing, as controls. Inflammation was assessed by measurements of subgingival temperature, flow rates of gingival crevicular fluid (GCF), and neutrophil emigration into GCF. Subgingival temperatures of the maxillary gingiva rose by 1.32 ± 0.30°C (mean ± SE) 5 min after the subjects consumed the doughnuts and remained elevated for at least 1 hr. These values were significantly higher than those obtained from subjects after ingestion of oatmeal cookies (0.63 ± 0.17°C; p < 0.01), consistent with the low levels of SCCA in the retained cookie particles. Wax chewing elicited a similar response, indicating a masticatory effect on the gingiva. Gingival temperatures in the unchallenged controls remained unchanged. Neutrophil emigration into the GCF was significantly elevated in subjects after doughnut consumption. Rinses with a solution of SCCA, or application of the SCCA to the gingiva, also brought about significant elevations in subgingival temperature and neutrophil emigration. The findings describe the inflammatory effects of food ingestion on the gingiva of healthy human subjects, and support the hypothesis that SCCA in the particles of retained food are at least partly responsible for the observed responses.
Effect of Heating Delay on Conversion and Strength of a Post-cured Resin Composite
Authors: Loza-Herrero M.A. , Rueggeberg EA , Caughman W.E. , Schuster G.S. , Lefebvre C.A. , Gardner EM
Published: January 2009

Physical property enhancement in light-cured resin composites from post-cure heating is attributed to free radicals created during initial photocuring, the number of which decreases following initial light-curing. Clinically, it is important to know when the number of remaining free radicals is too low to provide for additional conversion of monomer in post-cure-heated specimens. The hypothesis tested is that the potential for additional conversion in post-cure-heated resin composite restorations is dependent upon the time after initial light-curing at which the specimen is exposed to heat treatment. This research examined the effect of delay in post-cure heating after initial photo-activation on strength and monomer conversion of a commercial resin composite material. Discs (10 x 1 mm) of Herculite XRV (Kerr/Sybron, Orange, CA) were photocured at standardized conditions. One group was left unheated, and another was subjected to post-cure heating (Brilliant DI-500, Coltene AG, Altstatten, Switzerland) at the following times after being light-cured : 5 and 30 min, and 6, 24, 48, 72, 96, and 120 hrs. After the appropriate delay time, unheated and heated specimens (n = 10) were tested for biaxial flexural strength at a constant stressing rate. Recovered, fractured strength specimens (n = 10) were analyzed for cure by means of IR spectroscopy. Post-cure heating increased strength over that of the unheated specimens only for the shortest delay times: 5 or 30 min. Thereafter, strength values were statistically equivalent (p < 0.05). Delay in heating did not significantly enhance strength of post-cure-heated specimens, but delay in time did improve strength of the unheated groups. The greatest monomer conversion was obtained when post-cure heating was applied within 6 hrs following light-curing. The difference in cure between unheated and heated specimens remained significant up to 96 hrs of delay. Flexural strength of post-cure-heated specimens remained unchanged with time delay for heating specimens. Maximal monomer conversion of post-cured specimens is obtained only within 6 hrs of light-curing. The potential for additional conversion arising from post-cure heat treatment is dependent upon the time following initial curing at which heat is applied following initial light-curing. However, delay in heat application has no influence on flexural strength.
Dr. Robert S. Harris: Nutritionist, Oral Science Researcher, and Visionary MIT Educator
Authors: Navia Juan M.
Published: January 2009

Efforts in dental research and training have received the contribution of individuals who had no formal training in dentistry, yet they understood the dental field and the educational needs of those who would be engaged in dental research, teaching, and service in industry and academia. Dr. Robert S. Harris (1904-1983) was such a man. What follows is a personal remembrance of his character, his research accomplishments, and his successful educational endeavors in the dental field.
Long-term Survival of Extensive Amalgam Restorations
Authors: Plasmans P.J.J.M. , Creugers N.H.J. , Mulder J.
Published: January 2009

In cost-effectiveness analysis and contemporary treatment planning strategies, the postponement of placement of cast crowns plays an important role. Extensive amalgam restorations that involve the rebuilding of cusps and the provision of auxiliary retention are thought to make this postponement possible. This study reports the long-term survival (100 months) of extensive amalgam restorations in a randomized, controlled clinical trial. The operational hypothesis was that the type of retention and the operator have a long-term influence on the survival and clinical functioning of extensive amalgam restorations. Three hundred extensive amalgam restorations were placed by three operators in molar teeth in which one or more cusps were reconstructed. Five different auxiliary retention methods were used for retention of these restorations. Since the purpose of extensive amalgam restorations is considered to be two-fold (to restore a broken-down molar to function acceptably as an independent restoration and to create a substructure for subsequent crown construction), survival was assessed at different levels. The survival rate of extensive amalgam restorations as an independent restoration was 88 ± 2%. The functional survival rate (as an independent restoration or as a substructure) was 92 ± 2%. The influence of experimental variables ('retention method' and 'operator') and background variables ('tooth type', 'extension of extensive amalgam restorations', and 'age of patient') on the survival was analyzed by Log Rank and Breslow tests. The analyses revealed that there were no statistically significant influences on the survival rates except for the variable 'age of patient' (p ≤ 0.05). Extensive amalgam restorations were more prone to failure in the group of older patients than in the group of younger ones. It is concluded that the clinical survival of extensive amalgam restorations is independent from several clinical variables in the study.
RGD Peptides Regulate the Specific Adhesion Scheme of Osteoblasts to Hydroxyapatite but not to Titanium
Authors: Okamoto K. , Matsuura T. , Hosokawa R. , Akagawa Y.
Published: January 2009

Hydroxyapatite (HA) is a bioactive dental implant material which accelerates bone formation on its surface. The mechanism of this acceleration is not clear. The elucidation of the cell adhesion might be the key to the understanding of the bioactive mechanism of HA. In this study, we analyzed the adhesion of HOS human osteoblasts onto HA and titanium to find the particular adhesion to HA. In short-term cultures in fetal bovine serum-pre-coated materials, a significantly higher number of cells adhered to HA than to titanium. In addition, serum-free conditions with phosphate-buffered saline pre-coating or bovine serum albumin pre-coating materials were tested. The results were nearly the same among all pre-coating conditions, suggesting that the quantity of cell adhesion was not affected by serum components. However, in the morphological observations by SEM, the form of adhesion was found to differ among pre-coating conditions. The osteoblasts tightly adhered and spread onto both HA and titanium with serum pre-coating, whereas the cells loosely adhered and did not spread without serum. To evaluate the Arg-Gly-Asp (RGD) sequence-specific adhesion, we used synthetic RGD peptides for a competitive inhibition test. The results showed that RGD peptides remarkably inhibited the tight adhesion and spreading of osteoblasts onto HA, whereas they did not strongly inhibit adhesion and spreading onto titanium. These results demonstrate that the regulation of cell adhesion to HA is different from that to titanium. Our study suggests that the RGD-containing serum proteins might have a major role in regulating the specific adhesion of osteoblasts to HA, and in inducing enhanced cell growth and differentiation.
Alterations in Ultrastructural Localization of Growth-associated Protein-43 (GAP-43) in Periodontal Ruffini Endings of Rat Molars during Experimental Tooth Movement
Authors: Kobayashi H. , Ochi K. , Saito I. , Hanada K. , Maeda T.
Published: January 2009

It is known that orthodontic forces induce discomfort and/or abnormal sensation after application of an orthodontic appliance in patients, suggesting the adaptation of periodontal neural elements to environmental changes. However, no morphological data have been provided. The present study investigated, by immunoelectron microscopy, the localization of growth-associated protein-43 (GAP-43) in periodontal Ruffini endings in rat molars during experimental tooth movement. In the untreated control group, immunoelectron microscopy demonstrated that GAP-43-like immunoreactivity in the Ruffini endings was confined to the Schwann sheaths around the axon terminals, and was in neither the cell bodies of terminal Schwann cells nor the axon terminals themselves. Immunoelectron microscopic observation revealed alterations in the localization of GAP-43-like immunoreactivity in the periodontal Ruffini endings during experimental tooth movement. After 1 day of treatment, the cell bodies of the terminal Schwann cells associated with Ruffini endings appeared to contain immunoreaction products for GAP-43, and retained GAP-43-like immunoreactivity during tooth movement. From 5 to 7 days, a major population of the axoplasm of the periodontal Ruffini endings, which was immunonegative in control, filled the GAP-43 immunoreactions, showing a tendency to decrease in number later, and disappeared completely at 14 days. These findings suggest that orthodontic forces easily induce the remodeling of the mechanoreceptive Ruffini endings as well as the active tissue remodeling in a close relationship. Since the ultrastructural localization of GAP-43-like immunoreactivity was drastically changed in the Ruffini endings during tooth movement, GAP-43 functions as one of the key molecules in the remodeling of mechanoreceptive Ruffini endings during tooth movement.
Composition of Plaque and Saliva Following a Sucrose Challenge and Use of an a-tricalcium-phosphate-containing Chewing Gum
Authors: Vogel G.L. , Zhang Z. , Carey C.M. , Ly A. , Chow L.C. , Proskin H.M.
Published: January 2009

Calcium phosphate concentrations in plaque, plaque fluid, and saliva play an important role in caries prevention. In this study, we used a microanalytical technique to examine the anticaries potential of a 2.5% (mass fraction) a-tricalcium-phosphate-fortified experimental gum by measuring the pH, free and total calcium, and total phosphate in plaque fluid, whole plaque, and saliva, and centrifuged saliva from 14 subjects who (1) accumulated plaque for 48 hours, (2) fasted overnight, (3) rinsed for 1 min with sucrose, and (4) chewed a control or experimental gum for 15 min. From these data, the hydroxyapatite (HAp) ion activity products (IAPHAp) of saliva and plaque fluid were calculated as a measure of tooth mineral saturation. Results, compared with those of the control gum, show significant increases in pH and in free calcium and phosphate concentrations in plaque fluid and saliva when the experimental gum was chewed following sucrose ingestion. These increases result in a rise in fluid saturation with respect to tooth mineral that, for plaque fluid, nearly cancels the decrease seen with the control gum after the sucrose rinse. This suggests that the experimental gum may be more effective than a conventional gum in ameliorating the cariogenic effects of sucrose. Similar statistically significant increases were also seen in the total calcium content of the plaque fluid, centrifuged saliva, whole saliva, and whole plaque, and in the total phosphate of whole plaque and whole saliva. These results suggest that the deposition of a mineral reservoir in plaque and saliva by the experimental gum may help resist future cariogenic challenges.
Sleep Bruxism is a Disorder Related to Periodic Arousals During Sleep
Authors: Macaluso G.M. , Guerra P. , Di Giovanni G. , Boselli M. , Parrino L. , Terzano M.G.
Published: January 2009

There is evidence that sleep bruxism is an arousal-related phenomenon. In non-REM sleep, transient arousals recur at 20- to 40-second intervals and are organized according to a cyclic alternating pattern. Polysomnographic recordings from six subjects (two females and four males) affected by sleep bruxism (patients) and six healthy age-and gender-matched volunteers without complaints about sleep (controls) were analyzed to: (1) compare the sleep structure of bruxers with that of non-complaining subjects; and (2) investigate the relations between bruxism episodes and transient arousals. Patients and controls showed no significant differences in conventional sleep variables, but bruxers showed a significantly higher number of the transient arousals characterized by EEG desynchronization. Bruxism episodes were equally distributed between non-REM and REM sleep, but were more frequent in stages 1 and 2 (p < 0.0001) than in slow-wave sleep. The great majority of bruxism episodes detected in non-REM sleep (88%) were associated with the cyclic alternating pattern and always occurred during a transient arousal. Heart rate during the bruxism episodes (69.3 ± 18.2) was significantly higher (p < 0.0001) than that during the pre-bruxing period (58.1 ± 15.9). Almost 80% of all bruxism episodes were associated with jerks at the anterior tibial muscles. The framework of the cyclic alternating pattern offers a unified interpretation for sleep bruxism and arousal-related phenomena.
Food-holding and -biting Behavior in Human Subjects Lacking Periodontal Receptors
Authors: Trulsson M. , Gunne H.S.J.
Published: January 2009

Previous studies have suggested that information provided by periodontal mechanoreceptors is particularly important for the fine motor control of the mandible, i.e., when humans hold and carefully manipulate food particles between the teeth with low biting forces. In the present study, we further evaluated this hypothesis by comparing the performance of three age- and gender-matched groups of subjects for which the integrity of the periodontal sensory apparatus differed. Specifically, the subjects had either natural teeth (natural group), dental prostheses supported by oral mucosa (denture group), or dental prostheses supported by osseointegrated implants (implant group). Each subject was instructed to hold half a peanut between the upper and lower central incisors for ca. 3 sec, and then to split it. The force applied by the anterior teeth was continuously monitored by a transducer-equipped bar on which the morsel rested. While the peanut was held, the force generated by subjects in the denture and implant groups was more variable and averaged four times that generated by subjects in the natural group. The peanut was split by a distinct, rapid ramp-increase in force that was similar for all three groups. In subjects lacking periodontal receptors, the morsel frequently escaped from the incisal edges during both phases of the task. The results demonstrate a marked disturbance in the control of precisely directed, low biting forces in subjects lacking periodontal receptors and suggest that the receptors play a significant role in the specification of the level, direction, and point of attack of forces used to hold and manipulate food between the anterior teeth. Moreover, other types of mechanoreceptors can not fully compensate for the loss of periodontal receptors.
Effect of Ion Exchange on the Microstructure, Strength, and Thermal Expansion Behavior of a Leucite-reinforced Porcelain
Authors: Denry I.L. , Holloway J.A. , Rosenstiel S.F.
Published: January 2009

Leucite (KAlSi2O6) is used as a reinforcing agent in some porcelains for all-ceramic restorations; however, it increases their coefficients of thermal expansion, imposing constraints on the processing of the material. The potassium ions in leucite are exchangeable for rubidium or cesium ions, leading to rubidium leucite or cesium leucite (pollucite). Both rubidium leucite and pollucite exhibit a lower coefficient of thermal expansion and inversion temperature than leucite. The purpose of this study was to evaluate the effects of rubidium and cesium leucites on thermal expansion, microstructure, crack deflection patterns, and flexural strength of a leucite-reinforced porcelain. A dental porcelain powder was mixed with rubidium or cesium nitrate and heat-treated. Porcelain bars (n = 3) and discs (n = 15) were made with the exchanged powders. X-ray diffraction analyses were performed before and after bars were fired. Controls were made of untreated Optec HSP porcelain powder, formed into bars and disks, and baked following manufacturer's recommendations. The density of all specimens was determined by Archimedes' method. The thermal expansion behavior of the materials was measured by dilatometry. The microstructure and Vickers indentation crack patterns were investigated by scanning electron microscopy. X-ray diffraction showed that after ionexchange and firing, leucite transformed into either tetragonal rubidium leucite or cubic cesium leucite. The mean coefficient of thermal contraction (550 to 50°C) was significantly (p < 0.003) greater for the control material, followed by the rubidium-exchanged material, and lowest for the cesium-exchanged material. Crack pattern analyses revealed that the cesium-exchanged material exhibited a significantly lower number of crack deflections compared with those in the two other materials (p < 0.001). The microstructure of the two exchanged porcelain materials was dense, with well-dispersed small crystals as well as larger rubidium or cesium leucite crystals. The mean flexural strength of the rubidium-exchanged material was significantly higher than those of the other materials, which were not significantly different. It was concluded that the thermal expansion of leucite-reinforced porcelain can be lowered by ionexchange, which also modifies the microstructure, crack deflection patterns, and flexural strength of the material.
Mechanical Characterization of Dental Ceramics by Hertzian Contacts
Authors: Peterson I.M. , Pajares A. , Lawn B.R. , Thompson V.P. , Rekow E.D.
Published: January 2009

Hertzian indentation testing is proposed as a protocol for evaluating the role of microstructure in the mechanical response of dental ceramics. A major advantage of Hertzian indentation over more traditional fracture-testing methodologies is that it emulates the loading conditions experienced by dental restorations: Clinical variables (masticatory force and cuspal curvature) identify closely with Hertzian variables (contact load and sphere radius). In this paper, Hertzian responses on four generic dental ceramics systems-micaceous glass-ceramics, glass-infiltrated alumina, feldspathic porcelain, and transformable zirconia-are presented as case studies. Ceramographic sectioning by means of a "bonded-interface" technique provides new information on the contact damage modes. Two distinct modes are observed: "brittle" mode, classic macroscopic fracture outside the contact (ring, or cone cracks), driven by tensile stresses; and "quasi-plastic" mode, a relatively new kind of deformation below the contact (diffuse micro-damage), driven by shear stresses. A progressive transition from the first to the second mode with increasing microstructural heterogeneity is observed. The degree of quasi-plasticity is readily apparent as deviations from ideal linear elastic responses on indentation stress-strain curves. Plots of threshold loads for the initiation of both fracture and deformation modes as a function of indenter radius constitute "damage maps" for the evaluation of prospective restoration damage under typical masticatory conditions. The degree of damage in both modes evolves progressively with load above the thresholds. Strength tests on indented specimens quantify sustainable stress levels on restoration materials after damage. The most brittle responses are observed in the fine glass-ceramics and porcelain; conversely, the most quasi-plastic responses are observed in the coarse glass-ceramics and zirconia; the medium glass-ceramics and alumina exhibit intermediate responses. Implications of the results in relation to future materials characterization, selection, and design are considered in the clinical context.
Elements of Light-cured Epoxy-based Dental Polymer Systems
Authors: Millich F. , Jeang L. , Eick J.D. , Chappelow C.C. , Pinzino C.S.
Published: January 2009

The greatest problem with current dental composite systems is their polymerization shrinkage. Extensive work is being done by many investigators to alleviate this problem. Our approach has been to examine epoxy- and spiro-orthocarbonate (SOC)-based resins. The hypothesis to be tested in this study was that the cure characteristics of experimental visible-light-cured epoxy resin systems are governed by the types and concentrations of co-reactants and activators. Resin samples containing onium salt initiators and a thiozanthone sensitizer were successfully cured by means of either an experimental visible-light irradiation system or a commercially available dental lamp. Test resins consisted of di-epoxies alone or in combination, epoxy mixtures in combination with an SOC, or an epoxy in combination with a caprolactone-derived polyol. Significant findings were as follows: (a) Resins containing the SOC had longer cure times than their counterparts; (b) the optimum ratios of epoxy to polyol for most rapid cure were 50:50 or 60:40 under conditions tested; (c) resins containing TONE 305 polyol generally were faster to cure than those containing no polyol, or TONES 201 or 310; and (d) a resin mixture was found that had a cure time of 1 to 3 min when irradiated with a commercial dental lamp. Based on this exploratory study, it should be possible for clinically relevant cure times to be achieved for visible-light-cured epoxy-based resins by careful manipulation and optimization of key elements.
Localization of Estrogen-receptor-related Antigen in Human Odontoblasts
Authors: Hietala E.-L. , Larmas M. , Salo T.
Published: January 2009

Estrogen receptors have been demonstrated in many osteogenic cell lines. Recently, we showed that estrogen deficiency induced by ovariectomy caused enhanced dentin formation in adult rats, suggesting that estrogen receptors may be present in dental tissues. Nothing is known about estrogen receptors in human teeth. We used immunohistochemical staining and immuno-blotting to demonstrate the presence of estrogen receptors in human pulp and/or the pulpo-dentinal border. Unerupted human wisdom teeth were surgically removed, frozen in liquid nitrogen, and prepared for immunological studies. Western blot analysis with monoclonal antibodies specific for human estrogen-receptor-related antigens demonstrated an approximately 29-kDa clear double band in the material scraped from the predentin-odontoblast border and in the fluid that emerged into the pulpal chamber, evidently from the odontoblasts. A weaker double band was also present in pulpal tissue samples. By immunohistochemical staining, estrogen-receptor-related antigens were visualized in the predentinal-odontoblast region and in the pulpal blood vessels. Our results suggest the presence of estrogen receptors in human teeth, and thus the previously reported enhancement of the dentin formation in rats after ovariectomy may be mediated via these receptors.
CO2 Laser Inhibition of Artificial Caries-like Lesion Progression in Dental Enamel
Authors: Featherstone J.D.B. , Barrett-Vespone N.A. , Fried D. , Kantorowitz Z. , Seka W.
Published: January 2009

Several studies during the last 30 years have demonstrated the potential of laser pre-treatment of enamel or tooth roots to inhibit subsequent acid-induced dissolution or artificial caries-like challenge in the laboratory. The overall objective of ongoing studies in our laboratories is to determine, systematically, the optimum sets of parameters for carbon dioxide laser irradiation that will potentially effectively inhibit dental caries in enamel and tooth roots. The aim of the present study was to examine the roles of wavelength and fluence in the prevention of caries progression in vitro in enamel by means of a pH-cycling model. The hypothesis to be tested was that the highly absorbed 9.3- and 9.6-μm wavelengths would be efficiently converted to heat, creating a temperature sufficiently high to reduce the acid-reactivity of the mineral and inhibit caries-like lesion progression in dental enamel. One hundred and sixty caries-free tooth crowns were cleaned and varnished with acid-resistant varnish, leaving one exposed window of enamel. Twelve groups of 10 enamel samples were irradiated in their individual windows by one of the four wavelengths (9.3, 9.6, 10.3, or 10.6 μm) of a tunable CO2 laser. Energy per pulse was 25, 50, 100, 200, or 250 mj (25 pulses). Repetition rate was 10 Hz, and beam diameter was 1.6 mm. Fluence conditions of 1 to 12.5J/cm 2 per pulse were produced. All teeth, including 40 non-irradiated controls, were subjected to pH-cycling to produce artificial caries-like lesions. Results were assessed by cross-sectional microhardness testing. Inhibition of caries progression of from 40% to 85% was achieved over the range of laser conditions tested. At 9.3 and 9.6 μm, 25 pulses at absorbed fluences of 1 to 3 J/cm2 produced inhibition on the order of 70% with minimal subsurface temperature elevation (< 1°C at 2 mm depth), comparable with inhibition produced in this model with daily fluoride dentifrice treatments. Safety and efficacy studies will be required in animals and humans before these promising laboratory results can be applied in clinical practice.
Distortion Behavior of Heat-activated Acrylic Denture-base Resin in Conventional and Long, Low-temperature Processing Methods
Authors: Kawara M. , Komiyama O. , Kimoto S. , Kobayashi N. , Kobayashi K. , Nemoto K.
Published: January 2009

There have been many reports on fatal distortion of heat-activated acrylic denture-base resin which is still widely used in the field of removable prosthodontics. However, these reports have failed to report quantitatively on polymerization and thermal shrinkage factors. In the present study, we attempted to verify that the shrinkage of heat-activated acrylic denture-base resin was caused mainly by thermal contraction after processing. Furthermore, we examined the degree of distortion resulting from long, low-temperature processing, and compared the results with that of the conventional method. The strain gauge and thermocouple were embedded in a specimen at the time of resin packing. The measurement started from the beginning of processing and continued until the specimen was bench-cooled and immediately before and after it was de-flasked, as well as during seven-day immersion in water at 37°C. The resin expanded when processed by the conventional method. Meanwhile, mild shrinkage, possibly polymerization shrinkage, was observed when the resin was processed by the low-temperature method. This suggested that polymerization shrinkage was compensated for by thermal expansion during processing by the conventional method. Moreover, the shrinkage strains in the period from the completion of processing to immediately after de-flasking, in both the conventional and low-temperature methods, were identical to the theoretical value of thermal shrinkage which we obtained by multiplying the linear coefficients of thermal expansion by temperature differences. The shrinkage strain in the specimen processed by the low-temperature method, measured from the end of processing to immediately after de-flasking, averaged 64% of that in the specimen processed by the conventional method. The results revealed quantitatively that the shrinkage of heat-activated acrylic denture-base resin was mainly thermal shrinkage, and demonstrated the advantage of the low-temperature method in reducing thermal shrinkage.
Proteoglycan Expression in the Rat Temporomandibular Joint in Response to Unilateral Bite Raise
Authors: Mao J.J. , Rahemtulla F. , Scott P.G.
Published: January 2009

The vertebrate articular tissue consists of collagen fibers embedded in a ground substance. Collagen resists tensile forces, while proteoglycans in the ground substance provide resilience and resistance to compression. It was hypothesized that unilateral bite raise would induce increasing expression of proteoglycans in TMJ articular tissues. As a test of this hypothesis, six- and nine-week-old Sprague-Dawley rats received unilateral bite-raising appliances bonded to their right upper molars for 4 wks. A group of nine-week-old rats was housed for an additional 4 wks after removal of the appliances they had worn for 4 wks. Proteoglycans that carry abundant chondroitin sulfate and keratan sulfate side-chains, most likely aggrecans, were detected by safranin 0 in the fibrocartilaginous zone of the condyle in parasagittal sections. A monoclonal antibody against a large chondroitin sulfate proteoglycan related to versican reacted strongly in the surface fibrous layer of the mandibular condyle and moderately in the discs of the treated specimens. Computer quantification for safranin 0 and anti-versican antibody staining revealed that the average intensities of the treated specimens were significantly higher than those of their corresponding sham-operated controls, and the average intensities of the treatment-reversal specimens had no significant differences from their corresponding sham-operated controls. Thus, unilateral bite raise appeared to have induced an increase in the expression of aggrecan in the condylar cartilage and a proteoglycan related to versican in the TMJ disc and the articular surface of the condyle. The elevated proteoglycan expression is interpreted to suggest that unilateral bite raise leads to an increase in the magnitude of compressive forces in the rat temporomandibular joint.
Automatic On-line One-channel Recognition of Masseter Activity
Authors: Gallo L.M. , Guerra P.O. , Palla S.
Published: January 2009

The etiology of myoarthropathies of the masticatory system (MAP) is not fully understood. For the hypothetical association between the myogenous pain of MAP patients and masticatory muscle overuse to be proved, functional and parafunctional behavior of the masticatory muscles should be analyzed in normal and diseased subjects. The aim of this study was to test on-line the validity and reliability of an algorithm, applied to the electromyographic signal, to recognize various oral activities. The surface electromyogram of the masseter muscle was recorded in 12 subjects (seven females and five males, from 18 to 32 years old) who performed a series of functional and parafunctional activities (chewing soft food, chewing hard food, swallowing, laughing, speaking, and tooth grinding and clenching), as well as no activity. During the computer training phase, intra-individual classification functions of a multivariate discriminant analysis were calculated while each subject performed the described activities. During the test phase, each subject repeated the same activities, and the computer continuously classified them on-line. The percentage of correctly recognized activities was calculated for each activity and for each subject. No activity, chewing hard food, swallowing, laughing, grinding, and clenching were recognized correctly > 99% of the time. Chewing soft food was recognized correctly 97% and speaking 86% of the time. The sensitivity values for the recognition rates of the complete oral activities were, with one exception, > 0.82; the specificity values were > 0.95, and the K-values > 0.80. These results show that the algorithm had high sensitivity, specificity, and reliability in the classification of different oral activities under laboratory conditions.
Chemical Durability of Dicor and Fluorocanasite-based Glass-ceramics
Authors: Anusavice K.J. , Zhang N.-Z.
Published: January 2009

Fluorocanasite (Al2O3-CaO-F-K2O-Na 2O-SiO2) glass-ceramics exhibit fracture toughness values of up to 5.0 MPa·m1/2. However, their chemical durability is not adequate for dental applications. The objective of this study was to test the hypothesis that an increased concentration of Al2O3 can increase the chemical durability of fluorocanasite-based glass-ceramics. Glass frits containing 2 wt% (CAN2), 5 wt% (CAN5), and 10 wt% Al2O 3 (CAN10) were melted individually, poured into a graphite mold, and cut into 16-mm-diam. x 2-mm-thick disks. Each disk was crystallized at 850°C for 6 hrs. The disks were immersed in a solution of de-ionized-distilled water, 4% acetic acid, or a pH 1 buffer solution, and sealed in 90-mL Teflon containers. Corrosion testing was performed by means of vibrational motion at 60 cycles per min in a shaker-bath at 80°C for 15 days. Solution analyses were performed by means of a pH meter, an atomic absorption spectrophotometer, and an inductively coupled plasma spectrometer. Samples exposed to 4% acetic acid solution exhibited a mean weight loss rate (WLR) for the control group (Dicor) of 0.04 ± 0.01 mg/cm2·day, which was significantly lower (p ≤ 0.0001) than the mean WLR of the CAN2 (1.08 ± 0.02 mg/cm2.day), CAN5 (1.31 ± 0.02 mg/cm2·day), and CAN10 (1.51 ± 0.05 mg/cm2·day) groups. The reduced durability of fluorocanasite-based glass-ceramics with increasing Al2O3 concentration is most likely associated with a more uniform distribution of smaller crystals during heat treatment of the glass.
Mechanical Properties of Hydroxyapatite and OH-carbonated Hydroxyapatite Single Crystals
Authors: Teraoka K. , Ito A. , Maekawa K. , Onuma K. , Tateishi T. , Tsutsumi S.
Published: January 2009

Single-crystal hydroxyapatite and OH-carbonated hydroxyapatite have bending strength much higher than that of dense hydroxyapatite ceramic, indicating potential applicability to a load-bearing biomaterial. However, the effects of carbonate on the strength are less clear. The objective of the present study was to determine the bending strength and Young's modulus of these single crystals with carbonate contents from 0 to 0.62 in CO2 wt%. Three-point bending tests were performed by means of a modified ultramicrohardness tester with a span of 380 μm and a bending direction <210> of the single crystals. The crystals were broken in air, water, and air after immersion in a cell culture medium for 3 wks. The average Young's modulus of the single crystals was from 54 to 79 GPa. The average bending strength of the single crystals in air was 500 ± 184, 468 ± 205, 513 ± 151, and 450 ± 162 MPa for those with 0, 0.09, 0.37, and 0.62 wt% carbonate, respectively. No significant decrease in strength was found for hydroxyapatite single crystals both in water and after the immersion in the medium. However, the strength of OH-carbonated hydroxyapatite single crystals decreased significantly by 23 to 43% in water in proportion to the carbonate content. The strength of single crystals with 0.37 and 0.62 wt% carbonate decreased significantly, even after the immersion in the medium. Therefore, hydroxyapatite single crystals are superior to OH-carbonated hydroxyapatite single crystals as a biomaterial for a load-bearing purpose.
Enamelysin (Matrix Metalloproteinase-20): Localization in the Developing Tooth and Effects of pH and Calcium on Amelogenin Hydrolysis
Authors: Fukae M. , Tanabe T. , Uchida T. , Lee S.-K. , Ryu O.-H. , Murakami C. , Wakida K. , Simmer J.P. , Yamada Y. , Bartlett J.D.
Published: January 2009

The formation of dental enamel is a precisely regulated and dynamic developmental process. The forming enamel starts as a soft, protein-rich tissue and ends as a hard tissue that is is over 95% mineral by weight. Intact amelogenin and its proteolytic cleavage products are the most abundant proteins present within the developing enamel. Proteinases are also present within the enamel matrix and are thought to help regulate enamel development and to expedite the removal of proteins prior to enamel maturation. Recently, a novel matrix metalloproteinase named enamelysin was cloned from the porcine enamel organ. Enamelysin transcripts have previously been observed in the enamel organ and dental papillae of the developing tooth. Here, we show that the sources of the enamelysin transcripts are the ameloblasts of the enamel organ and the odontoblasts of the dental papilla. Furthermore, we show that enamelysin is present within the forming enamel and that it is transported in secretory vesicles prior to its secretion from the ameloblasts. We also characterize the ability of recombinant enamelysin (rMMP-20) to degrade amelogenin under conditions of various pHs and calcium ion concentrations. Enamelysin displayed the greatest activity at neutral pH (7.2) and high calcium ion concentration (10 mM). During the initial stages of enamel formation, the enamel matrix maintains a. neutral pH of between 7.0 and 7.4. Thus, enamelysin may play a role in enamel and dentin formation by cleaving proteins that are also present during these initial developmental stages.
Dual Regulatory Effects of Interferon-α, -β, and -γ on Interleukin-8 Gene Expression by Human Gingival Fibroblasts in Culture upon Stimulation with Lipopolysaccharide from Prevotella intermedia, Interleukin-1α, or Tumor Necrosis Factor-α
Authors: Sakuta T. , Tokuda M. , Tamura M. , Jimi E. , Ikebe T. , Koga T. , Nagaoka S. , Takada H.
Published: January 2009

In a previous study, we demonstrated that the amount of interleukin (IL)-8 mRNA expressed by human gingival fibroblasts stimulated with lipopolysaccharide (LPS) from Prevotella intermedia ATCC 25611 is increased by pre-treatment with beta or gamma interferon (IFN-β or --y). In the present study, we identified the regulatory effects of these IFNs on IL-8 mRNA expression and IL-8 production by human gingival fibroblasts. Priming with IFN-alpha (a), -β, or --y upregulated the IL-8 mRNA expression in response to P. intermedia LPS, whereas co-stimulation with these IFNs reduced the amount of mRNA expressed by the cells. The regulation of IL-8 mRNA expression induced by recombinant human tumor necrosis factor-a (rHuTNF-a) or rHuIL-1α was similar to that induced by LPS. The IL-8 mRNA expression in response to P. intermedia LPS was enhanced by IFN-γ independently of de novo protein synthesis, and was regulated, at least in part, at the transcriptional level. The IL-8 mRNA accumulation in response to P. intermedia LPS was inhibited by tosylphenyl-alanyl chloromethyl-ketone, an inhibitor of NF-KB activation, although the NF-KB activation itself was not altered by IFN-γ. These findings suggest that IFNs might be capable of both enhancing and inhibiting inflammatory responses in periodontal tissues through the dual regulation of IL-8 production by gingival fibroblasts in response to bacterial components and cytokines.