bluuebunny/crossref_metadata_2025 huggingface dataset:
Response of L-929 Fibroblasts, Human Gingival Fibroblasts, and Human Tissue Mast Cells to Various Metal Cations
Authors: Schedle A. , Samorapoompichit P. , Rausch-Fan X.H. , Franz A. , Füreder W. , Sperr W.R. , Sperr W. , Ellinger A. , Slavicek R. , Boltz-Nitulescu G. , Valent P.
Published: January 2009

Recent data suggest that under certain conditions, various metal cations are released from dental alloys. These ions may produce adverse effects in various cell types in vivo. In this study, the cytopathogenic effects of 13 metal cations on murine L-929 fibroblasts, human gingival fibroblasts, and human tissue mast cells were analyzed in vitro. Several metal cations (dose range, from 0.0033 to 1.0 mmol/L) were found to induce dose-dependent inhibition of 3H-thymidine incorporation into cultured fibroblasts. The rank order of potency (lowest observed effect level, LOEL) for L-929 fibroblasts was: Ag+ > Pt4+ > Co2+ > In3+ > Ga3+ > Au3+ > Cu 2+ > Ni2+ > Zn2+ > Pd2+ > Mo5+ > Sn2+ > Cr2+. A similar rank order of potency was obtained for primary human gingival fibroblasts: Pt4+ > Ag+ > Au3+ > In3+ > Ga3+ > Ni2+ > Co2+ > Zn 2+ > Cu2+ > Cr2+ > Pd2+ > Mo5+ > Sn2+. In primary human mast cells, Ag+ and Au3+ caused dose-dependent toxic histamine release, whereas the other metal cations were ineffective over the dose range tested. To investigate the mechanism of metal cation-induced effects, we performed DNA as well as electron microscopic analyses on cultured fibroblasts. Both the DNA pattern and the ultrastructure of L-929 cells and gingival fibroblasts after exposure to cytopathogenic metal cations revealed signs of necrosis but no signs of apoptosis. Together, our data provide evidence that various metal cations produce dose-dependent cytopathogenic effects in distinct cell types, including human gingival fibroblasts and human tissue mast cells. Further studies are required to assess whether these effects play a role in adverse reactions to dental alloys which release metal cations in vivo.
Cellular Response to Metallic Ions Released from Nickel-Chromium Dental Alloys
Authors: Bumgardner J.D. , Lucas L.C.
Published: January 2009

Concerns exist over the potential release of elevated levels of metal ions such as Ni and Be from Ni-Cr dental casting alloys, due to their susceptibility to accelerated corrosion. In this investigation, we evaluated the release of metal ions from four commercial Ni-Cr alloys, representing a range of compositions, in three-day cell culture tests. Metal ion release, as measured by atomic absorption spectroscopy, was correlated to changes in cellular morphology, viability, and proliferation. The results showed that the test alloys and their corrosion products did not affect cellular morphology or viabilities, but did decrease cellular proliferation. The types and amounts of metal ions released, which corresponded to the alloys' reported surface and corrosion properties, also correlated to observed decreases in cellular proliferation after 72 h. Neptune, which caused the smallest decrease in cellular proliferation as compared with control cells, released the lowest amount of corrosion products, due to its corrosion-resistant, high-Cr-Mo-containing, homogeneous surface oxide. The other test alloys, which were susceptible to accelerated corrosion processes, released higher levels of metal ions that correlated to larger decreases in thymidine incorporation. Metal ion levels increased with test time for all alloys but were not proportional to bulk alloy compositions. Ni ions were released at slightly higher than bulk alloy compositions, while Be was released at from four to six times that of bulk alloy compositions. The elevated release of Be ions was associated with reduced cellular proliferation. Other alloying elements were released at levels similar to or lower than bulk levels. Further research is needed to evaluate possible synergistic effects of released metal ions, especially Ni and Be ions, on cellular activities and functions.
EP-GP and the Lipocalin VEGh, Two Different Human Salivary 20-kDa Proteins
Authors: Schenkels Leon C.P.M. , Veerman Enno C.I. , Nieuw Amerongen Arie V.
Published: January 2009

Two salivary 20-kDa proteins [the human lipocalin Von Ebner's gland protein (VEGh) and extra-parotid glycoprotein (EP-GP)] show several remarkable similarities and differences. The latter is identical to secretory actin-binding protein (SABP), gross cystic disease fluid protein-15 (GCDFP-15), prolactin-induced protein (PIP), and 17-kDA CD4-binding glycoprotein (gpl7). Much is known about the distribution, localization, biochemical characteristics, and molecular biology of these two proteins, yet there are only few clues about their functions.
Biomechanical Analysis of Jaw-closing Movements
Authors: Koolstra J.H. , van Eijden T.M.G.J.
Published: January 2009

This study concerns the complex interaction between active muscle forces and passive guiding structures during jaw-closing movements. It is generally accepted that the ligaments of the joint play a major role in condylar guidance during these movements. While these ligaments permit a wide range of motions, it was assumed that they are not primarily involved in force transmission in the joints. Therefore, it was hypothesized that muscle forces and movement constraints caused by the articular surfaces imply a necessary and sufficient condition to generate ordinary jaw-closing movements. This hypothesis was tested by biomechanical analysis. A dynamic six-degrees-of-freedom mathematical model of the human masticatory system has been developed for qualitative analysis of the contributions of the different masticatory muscles to jaw-closing movement. In simulated symmetrical jaw-closing movements, it was found that the normally observed movement, which includes a swing-slide condylar movement along the articular eminence, can be generated by various separate pairs of masticatory muscles, among which the different parts of the masseter as well as the medial pterygoid muscle appeared to be the most suitable to complete this action.

The results seem to be in contrast to the general opinion that a muscle with a forward-directed force component may not be suitable for generating jaw movements in which the condyle moves backward. The results can be explained, however, by biomechanical analysis which includes not only muscle and joint forces as used in standard textbooks of anatomy, but also the torques generated by these forces.
A Longitudinal Evaluation of Fissure Sealants Applied in Dental Practices
Authors: Ismail A.I. , Gagnon P.
Published: January 2009

Sealants are highly effective in preventing dental caries in the pits and fissures of teeth when applied by trained operators in clinical trials and public health programs. The effectiveness of fissure sealants when applied in dental practices is still not known. The purpose of this longitudinal study was to evaluate the effectiveness of fissure sealants applied in dental practices in preventing dental caries on occlusal surfaces of first permanent molars. In 1990, on the Island of Montreal, 911 randomly selected children, from 6 to 9 years of age, were examined; out of those, 816 and 733 were re-examined in 1991 and 1992, respectively. Only the 733 children with complete examination records were included in this evaluation. Sealant applications were either personally paid for or were paid for by private dental insurers. All children were covered for diagnosis and restorative care by a publicly financed and universal insurance program. Dental treatment records were provided by Quebec's health insurance board. In the epidemiological examination, the occlusal surfaces of first permanent molars, which are the only surfaces included in this analysis, were classified into: sound, non-cavitated and cavitated status, restored, and sealed. Sealants were evaluated for full or partial coverage of the occlusal surface and presence of dental caries. During the first and second years, 11.6% and 17.5% of the students had new sealants. The number of new sealants placed during the two years was 507. Children with caries-free status and whose parents had high school education or higher were significantly more likely to receive sealants during the study. Of the sealants found in 1990, 73.5% were still fully sealed after two years. Compared with sound first permanent molars in 1990, fully sealed first permanent molars had 75% lower incidence of new restorations. This pragmatic evaluation of sealants shows that even when applied in dental practices under uncontrolled conditions, they were effective in preventing dental caries over a two-year period.
The Effects of Cross-linking Agents on Some Properties of HEMA-based Resins
Authors: Arima T. , Hamada T. , McCabe J.F.
Published: January 2009

The use of 2-hydroxyethyl methacrylate (HEMA)-based polymer as a biocompatible material has been well-established. HEMA-based resins containing cross-linking agents have several potential clinical applications. It is hypothesized that the incorporation of cross-linking agent will improve the mechanical properties of HEMA-based polymers while reducing water absorption and solubility. The purpose of the work reported here was to test this hypothesis and to determine the most effective cross-linking agent.

A relationship among flexural strength, modulus, water absorption and solubility, and concentration of cross-linking agent was demonstrated. Strength and modulus tend to increase as the cross-linking agent concentration is increased, up to about 50%, after which the values level out or begin to fall. Water absorption drops with increasing cross-linking agent over the whole range of concentrations. Solubility tends to show a small decrease initially (up to 40%), followed by a noticeable increase as cross-linking agent concentration is increased. The trends were similar for all cross-linking agents, although there were differences in the absolute values in all properties depending upon the type of cross-linking agent used.
The Effect of Fluorhydroxyapatite-derived Fluoride on Acid Production by Streptococci
Authors: Guha-Chowdhury N. , Iwami Y. , Yamada T. , Pearce E.I.F.
Published: January 2009

The effect of fluoride derived from fluorhydroxyapatite (FHAp) minerals on bacterial glycolysis under aerobic and strictly anaerobic conditions was studied to validate the claims that this mineral could be used as a reservoir of fluoride in plaque. To isolate the direct effect of fluoride on bacterial glycolysis from that of an indirect pH-buffering effect of hydroxyl or phosphate ions which are also dissolved from the mineral, we equalized the pH-fall time course of reactions by manually adding KOH or HCl. This ensured that pH effects on glycolysis were minimized. Under controlled pH-fall and strictly anaerobic conditions, fluoride derived from the dissolution of FHAp containing more than 30,100 ppm fluoride (i.e., when the substitution of OH by F in the mineral was greater than 80%) had a direct inhibitory effect on lactic acid production in Streptococcus mutans. Under free pH-fall and strictly anaerobic conditions, increasing amounts of fluoride in FHAp (starting as low as 2000 ppm fluoride), appeared to have a pronounced indirect inhibitory effect on lactic acid production. This was probably mediated through a reducing pH buffer effect of the mineral. Even in the presence of high-fluoride FHAp, only 0.01 to 0.025 mmol/L fluoride was found in the reaction mixtures, a probable result of non-stoichiometric dissolution of FHAp. In spite of such low levels of fluoride, marked inhibitory effects on bacterial glycolysis were demonstrated. The results of this study suggest that high-fluoride FHAp may serve as a reservoir of fluoride for the inhibition of anaerobic acid production by S. mutans.
The Kinematic Center: A Reference for Condylar Movements
Authors: Yatabe M. , Zwijnenburg A. , Megens C.C.E.J. , Naeije M.
Published: January 2009

The kinematic center of the temporomandibular condyle is that condylar point which follows as much as possible the same movement path during different types of mandibular movements. In this study, the location of the kinematic center with respect to the palpated lateral pole of the condyle was investigated. Also, the lengths of the condylar movement path reconstructed by means of the kinematic center and the palpated condyle were compared. Mandibular movements were recorded with 6 degrees of freedom in 20 healthy subjects. A software procedure calculated the location of the kinematic center as that mandibular point for which the protrusive and opening movement path showed a minimal difference. For each subject, its average location was calculated on the basis of 16 pairs of protrusive and opening movements. The kinematic center was located posteriorly and superiorly with respect to the palpated condylar point (p < 0.0001). The standard deviation in the anterior-posterior coordinate of the average kinematic center was smaller than that in the superior-inferior coordinate (p < 0.0001). During opening, the path length of the kinematic center is longer than that of the palpated lateral pole of the condyle (p < 0.0001). In contrast to left-right differences found in the path lengths of the lateral pole of the condyle, no left-right differences were found for the kinematic center.
Function-dependent Anatomical Parameters of Rabbit Masseter Motor Units
Authors: Kwa S.H.S. , Korfage J.A.M. , Weijs W.A.
Published: January 2009

Rabbit masseter motor units (22) were studied by stimulation of trigeminal motoneurons. We tested the hypotheses that masseter motor units facilitate fine motor control by concentrating fibers in small areas and that the distribution of motor unit fibers depends on the fiber type. The twitch contraction time and the isometric tetanic force were registered. The motor unit fibers were depleted of their glycogen by prolonged stimulation. Serial sections of the entire muscle were stained with the periodic acid Schiff (PAS) and monoclonal antibody stains. The muscle fibers of the motor unit were mapped and identified by four myosin heavy-chain (MHC) isoforms: I, IIA, IID, and cardiac-a. In the PAS-stained sections, anatomical parameters of the motor units, affecting the force output, were analyzed: the innervation ratio (IR), motor unit territory area (TA), and relative (R-DENS) and absolute (A-DENS) motor unit fiber densities. The fiber cross-sectional area (F-CSA) was measured for each MHC fiber type. The F-CSA sum of all motor unit fibers, the physiological cross-sectional area (P-CSA), was calculated. The IR ranged between 77 and 720 fibers (mean, 267). The mean TA was 8.71 mm2 (range, 4.45 to 19.58). The mean R-DENS was 10 fibers per 100; the A-DENS was 31 fibers per mm2. Linear correlations were found between the IR and the R-DENS and between the tetanic force and the IR. The F-CSAs showed a stepwise increase in value from type I- to IID-MHC fibers. The mean P-CSA was 0.90 mm2 (range, 0.09 to 2.97). A high linear correlation was noted between the P-CSA and the tetanic force. In conclusion, increase of motor unit size expressed in higher fiber counts and forces is accomplished by increase of the fiber density. Thus, forces can be exerted selectively in restricted regions of the masseter muscle. Differences in fiber orientation due to complex muscle pinnation emphasize the possibility of an accurate muscle performance.
Tensile Bond Strength and SEM Evaluation of Caries-affected Dentin Using Dentin Adhesives
Authors: Nakajima M. , Sano H. , Burrow M.F. , Tagami J. , Yoshiyama M. , Ebisu S. , Ciucchi B. , Russell C.M. , Pashley D.H.
Published: January 2009

Tensile bond strength measurements are commonly used for the evaluation of dentin adhesive systems. Most tests are performed using extracted non-carious human or bovine dentin. However, the adhesion of resins to caries-affected dentin is still unclear. The objectives of this study were to test the hypothesis that bonding to caries-affected dentin is inferior to bonding to normal dentin, and that the quality of the hybrid layer plays a major role in creating good adhesion. We used a micro-tensile bond strength test to compare test bond strengths made to either caries-affected dentin or normal dentin, using three commercial adhesive systems (All Bond 2, Scotchbond Multi-Purpose, and Clearfil Liner Bond II). For scanning electron microscopy, the polished interfaces between the adhesive bond and dentin were subjected to brief exposure to 10% phosphoric acid solution and 5% sodium hypochlorite, so that the quality of the hybrid layers could be observed. Bonding to normal dentin with either All Bond 2 (26.9 ± 8.8 MPa) or Clearfil Liner Bond II (29.5 ± 10.9 MPa) showed tensile bond strengths higher than those to caries-affected dentin (13.0 ± 3.6 MPa and 14.0 ± 4.3 MPa, respectively). The tensile bond strengths obtained with Scotchbond Multi-Purpose were similar in normal and caries-affected dentin (20.3 ± 5.5 MPa and 18.5 ± 4.0 MPa, respectively). The hybrid layers created by All Bond 2 in normal dentin and by Clearfil Liner Bond II in normal or caries-affected dentin showed phosphoric acid and sodium hypochlorite resistance, whereas the hybrid layers created by All Bond 2 in caries-affected dentin and those created by Scotchbond Multi-Purpose to normal and caries-affected dentin showed partial susceptibility to the acid and sodium hypochlorite treatment. The results indicate that the strength of adhesion to dentin depends upon both the adhesive system used and the type of dentin. Moreover, the quality of the hybrid layer may not always contribute significantly to tensile bond strength.
Lipoteichoic Acid Inhibits Remineralization of Artificial Subsurface Lesions and Surface-softened Enamel
Authors: Damen J.J.M. , Exterkate R.A.M. , ten Cate J.M.
Published: January 2009

Dental plaque produces not only acids by which underlying enamel is demineralized but also compounds which may inhibit repair of the lesions. The aim of this study was to determine how lipoteichoic acid, a bacterial compound that is abundant in dental plaque and inhibits calcium phosphate precipitation in vitro, affects the remineralization of incipient enamel lesions. Subsurface and surface-softened lesions were made in thin sections of bovine enamel, incubated with various amounts of lipoteichoic acid (isolated from Lactobacillus casei), and remineralized in 1.5 mmol/L CaCl2, 0.9 mmol/L KH 2PO4, 130 mmol/L KC1, and 20 mmol/L Hepes, pH 7.0. Remineralization was followed during several weeks by repeated microradiography of the sections, and characterized by the changes in the integrated mineral loss of the lesions and the differential mineral profiles. The results showed that: (1) the effects of lipoteichoic acid on lesion remineralization were dose-dependent; (2) in subsurface lesions only the highest dose of lipoteichoic acid affected remineralization, which was delayed throughout the lesions; and (3) in surface-softened enamel, lipoteichoic acid did not affect the remineralization of the deeper parts, but remineralization of a surface zone of from 25 to 30 um was increasingly inhibited with increasing doses. These effects were explained by different permeabilities of the surfaces of both types of lesions for the inhibitor: In subsurface lesions, lipoteichoic acid may have mainly clogged the porosities in the surface layer, whereas it could penetrate substantially into surface-softened enamel.
Tensile Strength of Thin Resin Composite Layers as a Function of Layer Thickness
Authors: Alster D. , Feilzer A.J. , De Gee A.J. , Davidson C.L.
Published: January 2009

As a rule, cast restorations do not allow for free curing contraction of the resin composite luting cement. In a rigid situation, the resulting contraction stress is inversely proportional to the resin layer thickness. Adhesive technology has demonstrated, however, that thin joints may be considerably stronger than thicker ones. To investigate the effects of layer thickness and contraction stress on the tensile strength of resin composite joints, we cured cylindrical samples of a chemically initiated resin composite (Clearfil F2) in restrained conditions and subsequently loaded them in tension. The samples had a diameter of 5.35 mm and thicknesses of 50, 100, 200, 300, 400, 500, 600, and 700 μm, 1.4 mm, or 2.7 mm. None of the samples fractured due to contraction stress prior to tensile loading. Tensile strength decreased gradually from 62 ± 2 MPa for the 50-μm layer to 31 ± 4 MPa for the 2.7-mm layer. The failures were exclusively cohesive in resin for layers between 50 and 400 um thick. Between 500 and 700 um, the failures were cohesive or mixed adhesive/cohesive, while the 1.4- and 2.7-mm layers always failed in a mixed adhesive/cohesive mode. For the resin composite tested, the contraction stress did not endanger the cohesive strength. It was concluded that if adhesion to tooth structure were improved, thinner adhesive joints might enhance the clinical success of luted restorations.
The Distribution of Fluoride in Carious Human Enamel
Authors: Pearce E.I.F. , Coote G.E. , Larsen M.J.
Published: January 2009

The proton probe has been used to map F concentration changes in the enamel of 15 teeth showing clinical evidence of caries. Thin sections through the lesions were microradiographed and measurements made of the surface zone (radiodense) and body (radiolucent) areas. Each section was then scanned with a focused beam of 2.5 MeV protons, 2000 spot analyses being performed over areas up to 2 x 3 mm. F was determined by detecting y rays from a nuclear reaction and the data used to construct 3-D surface plots. The maximum F concentration in the lesion surface zone was extremely variable, ranging from 1750 to 21,700 ppm, and rarely occurred over the deepest part of the lesion. F levels were elevated in the lesion body but usually to a small extent only. A large increase in F throughout the lesion body was found in 3 lesions only, and was associated with a surface zone that was thin or of low x-ray density. Relatively small F increases in the lesion body were associated with either a thick, x-ray dense surface layer having a greatly increased F level (> 10,000 ppm) or, conversely, with a surface layer having a relatively small F increase. Since F uptake can be regarded as a "marker" of past remineralization events, this study shows that remineralization can and does occur in the body of natural enamel caries lesions, especially when the surface layer is thin or lost. Fluoride availability that encourages the formation of an extremely dense surface layer may result in under-achievement of this natural repair process in the lesion body.
Collagen Biosynthesis in Human Oral Submucous Fibrosis Fibroblast Cultures
Authors: Kuo M.Y.P. , Chen H.M. , Hahn L.J. , Hsieh C.C. , Chiang C.P.
Published: January 2009

To investigate the mechanism of collagen accumulation in oral submucous fibrosis (OSF) tissues, we examined the biosynthesis of collagen in fibroblast cultures established from OSF lesions. Fibroblasts obtained from four of ten OSF specimens showed more than a 1.5-fold increase in the production of collagens compared with fibroblasts from age-, sex-, and passage-matched normal controls (p < 0.05). When the relative amounts of collagen synthesis were estimated by SDS polyacrylamide gel electrophoresis, it was found that both OSF and control cells produced about 85% type I collagen and 15% type III collagen. The ratio of α1(I) to a2(I) chains was about 3:1 in OSF cells instead of the 2:1 expected for type I collagen. The excess al(I) chains could mean that collagen type I trimer was synthesized by the fibroblasts. These findings suggest that collagen overproduction and a reduced degradation of the structure-stable collagen type I trimer synthesized by OSF fibroblasts might contribute to the accumulation of collagen in OSF lesions in vivo. The mechanism(s) of increased procollagen production were analyzed by Northern blot, slot blot, and Southern blot. The OSF fibroblast strains with elevated collagen production also contained higher-than-normal levels of procollagen mRNA, and the ratios of α1(I), a2(I), and α1(III) procollagen mRNAs were compatible with the results of corresponding procollagen a chains. The gene copy number of proa2(I) collagen gene in OSF fibroblasts was about 1.05. No gene amplification was found. These results indicate that expression of these procollagen genes in cultured fibroblasts is regulated at the transcriptional level.
A Pharmacokinetic and Pharmacodynamic Study of Intravenous Pilocarpine in Humans
Authors: Tanzer J.M. , Kramer P.A. , Schulman P. , Willard A.K.
Published: January 2009

Pilocarpine (P) is of potential utility in the treatment of xerostomia. Because optimal development of P dosage forms for humans requires that its pharmacokinetics and pharmacodynamics be defined, this intravenous study of its disposition and associated salivary responses was performed. In a hospital setting, two healthy female subjects were given a series of graded doses of intravenous P or placebo to stimulate salivary secretion. Plasma levels of P, heart rate, blood pressure, and respiratory rate were simultaneously monitored. Other objective and subjective physiological parameters were assessed. Plasma concentrations of P declined either mono- or bi-exponentially with time, and brisk initial salivation was followed by prolonged salivation at doses ≥ 1 mg. At doses between 0.5 and 3.5 mg, dose-independent pharmacokinetic parameters included a small steady-state volume of distribution (2.4 to 3.0 L/kg), a high plasma clearance (0.026 to 0.03 L/kg/min), and a mean residence time of approximately 100 min. The cumulative volume of whole saliva secreted during the first 3 h post-dose was linearly related to the area under the plasma concentration-time curve. Plasma concentrations from 1 to 42 ng/mL were associated with significant levels of salivation. The pharmacokinetic linearity of the system and proportionality between the area under plasma concentration-time curves and overall salivary response have important implications for the design and utilization of pilocarpine dosage forms.
Effect of Maturation on 31P Magnetic Resonance Spectroscopy of the Rabbit Masseter Muscle
Authors: Chang C. , Chew W. , Decrespigny A.J. , Alcantara M. , McNeill C. , Miller A.J.
Published: January 2009

This work studies the dynamic metabolic changes of the rabbit masseter muscle during post-natal development. The composition and proportion of oxidative and glycolytic muscle fibers alter during maturation. The masseter muscle, as most muscles of the craniofacial region, exhibits unusual development in composition of isoforms of myosin. The effect of this unusual composition on the dynamic metabolic properties of the masseter muscle have not been assessed. The metabolism of the rabbit masseter muscle was studied by means of 31P-nuclear magnetic resonance (NMR) spectroscopy. Contraction was elicited by electrical stimulation of the muscle in the anesthetized animal. Five animals were studied at 8 weeks and 24 weeks so that both the juvenile and adult stages could be evaluated. The dynamic biochemical changes in the masseter muscle were studied by the analysis of NMR spectra. A single-turn surface coil (copper) was used, and the original signal was treated with Fourier transforms to obtain 31P spectra. The low signal-to-noise ratio required averaging 16 acquisitions (acquisition time = 400 msec, repetition rate = 1.8 sec) in 30 sec and then obtaining continuous spectra for 27 min. Each averaged spectrum demonstrated five peaks: inorganic phosphate (Pi), creatine phosphate (PCr), and three peaks related to adenosine triphosphate (ATP). The protocol involved recording an initial three-minute rest period, stimulating the muscle at 5 Hz for 3 min twice, separated by three-minute rest periods, and stimulating the muscle at 50 Hz twice for 3 min separated by rest periods. The Pi/PCr ratio increased significantly in the adult masseter during both 5-Hz stimulations, evoking twitching, and the first 50-Hz stimulation, evoking tetany (repeated ANOVA, P < 0.05). The resting pH (6.96 ± 0.13) was significantly lowered during both twitching (6.85 ± 0.10; P < 0.0038) and tetany (6.55 ± 0.13; P < 0.0001), but only in the adult masseter muscle. These findings suggest that the adult masseter muscle possesses more glycolytic fibers as it modifies its metabolism during postnatal development.
Evidence that High-sucrose Diet Reduces Dentin Formation and Disturbs Mineralization in Rat Molars
Authors: Hietala E.-L. , Larmas M.
Published: January 2009

In addition to its caries-promoting effect, a high-sucrose diet reduces the apposition of mineralized dentin in young rats. This study was undertaken to test whether it has a similar effect on the width of the as-yet-uncalcified matrix, predentin. Female Wistar rats were weaned at the age of 3 weeks and fed for 7 weeks with either a high-sucrose diet, a non-cariogenic raw potato starch diet, or a non-cariogenic commercial powdered rat food (for reference). The sucrose diet induced the greatest number of caries lesions. Dentin formation was smaller and the predentin zone wider in rats fed a sucrose diet when compared with rats fed the reference diet. In rats fed a starch diet, dentin formation was smaller than in rats fed a reference diet, but no alterations in the areas of caries lesions or predentin width were observed. Widening of the predentin zone in rats fed a high-sucrose diet may reflect changes in odontoblast function, such as reduced matrix synthesis and possibly disturbed mineralization. Dentinal caries progression may thus be modulated by odontoblast function, not as much by matrix formation but rather by mineralization.
Xylitol Chewing Gums and Caries Rates: A 40-month Cohort Study
Authors: Makinen K.K. , Bennett C.A. , Hujoel P.P. , Isokangas P.J. , Isotupa K.P. , Pape H.R. , Makinen PL
Published: January 2009

Dental caries is a pandemic infectious disease which can affect the quality of life and consumes considerable health care resources. The chewing of xylitol, sorbitol, and even sugar gum has been suggested to reduce caries rates. No clinical study has simultaneously investigated the effectiveness of these gums when compared with a group receiving no chewing gum. A 40-month double-blind cohort study on the relationship between the use of chewing gum and dental caries was performed in 1989-1993 in Belize, Central America. One thousand two hundred and seventy-seven subjects (mean age, 10.2 years) were assigned to nine treatment groups: one control group (no supervised gum use), four xylitol groups (range of supervised xylitol consumption: 4.3 to 9.0 g/day), two xylitol-sorbitol groups (range of supervised consumption of total polyols: 8.0 to 9.7 g/day), one sorbitol group (supervised consumption: 9.0 g/day), and one sucrose group (9.0 g/day). The gum use during school hours was supervised. Four calibrated dentists performed the caries registrations by means of a modified WHO procedure. The primary endpoint was the development of an unequivocal caries lesion on a non-cavitated tooth surface. Compared with the no-gum group, sucrose gum usage resulted in a marginal increase in the caries rate (relative risk, 1.20; 95% confidence interval, 0.96 to 1.49; p = 0.1128). Sorbitol gum significantly reduced caries rates (relative risk, 0.74; 95% confidence interval, 0.6 to 0.92; p = 0.0074). The four xylitol gums were most effective in reducing caries rates, the most effective agent being a 100% xylitol pellet gum (relative risk, 0.27; 95% confidence interval, 0.20 to 0.36; p = 0.0001). This gum was superior to any other gum (p < 0.01). The xylitol-sorbitol mixtures were less effective than xylitol, but they still reduced caries rates significantly compared with the no-gum group. DMFS analyses were consistent with these conclusions. The results suggest that systematic usage of polyol-based chewing gums reduces caries rates in young subjects, with xylitol gums being more effective than sorbitol gums.
Protection of Gingival Epithelium against Complement-mediated Damage by Strong Expression of the Membrane Attack Complex Inhibitor Protectin (CD59)
Authors: Rautemaa R. , Meri S.
Published: January 2009

Adult periodontitis (AP) is a chronic inflammatory disease of the tooth-supporting apparatus. Activation products of the inflammation-inducing complement system have been detected in the gingival crevicular fluid at the site of gingival inflammation. In the present study, we examined whether evidence for ongoing complement activation in gingival tissues of patients with AP can be obtained. In light of the potential tissue-damaging effects of the complement system, we also examined how the gingival tissue is protected against the cytolytic activity of complement. Surgical and autopsy samples of AP (n = 18) and healthy (n = 11) gingiva were analyzed for the expression or deposition of the complement regulators protectin (CD59) and vitronectin (S-protein) and complement components C3d and C9 by indirect immunofluorescence microscopy with specific antibodies. In healthy gingiva, protectin was strongly expressed on the membranes of epithelial cells and on the vascular endothelia of the underlying connective tissue. In AP, protectin was also strongly expressed by endothelial cells, but in the epithelia the expression was granular and weaker than in the healthy gingiva. Coarse granular deposits of complement components were seen in the subepithelial tissues of 61% (C3d), 39% (C9), and 33% (vitronectin) of AP patients, compared with 9% (one case in 11) in healthy controls. In addition, deposits of C3d, C9, and vitronectin were observed on the basement membranes of both pocket and oral epithelium of healthy and AP gingiva but not at sites of protectin expression. The results suggest an increased turnover of the complement system in the gingival tissues of AP patients. The gingival epithelium and connective tissue endothelia are well-protected against damage by the membrane attack complex of complement (MAC). Protection of the underlying connective tissue is insufficient, however, and may allow for deposition of MAC and autologous tissue damage in AP.
Design and Development of Isocyanatoacrylates as Dental Adhesives
Authors: Chappelow C.C. , Byerley T.J. , Pinzino C.S. , Millich F. , Eick J.D.
Published: January 2009

During the last 12 years, significant progress has been made in the development of dental adhesive systems. Some of the more promising systems are based on multifunctional structures that contain polymerizable vinyl double bonds and reactive isocyanate groups. The utility of compounds with such structures as adhesives arises in part because their isocyanate functionality is available for reaction independently, without compromising the reactivity of the vinyl groups. The hypotheses tested in this investigation were: (1) that the monomer reactivity ratios (r1, r2) for the free-radical-initiated copolymerization of ethyl a-isocyanatoacrylate (a-EIA) and 2-isocyanatoethyl methacrylate (IEM) with selected vinyl monomers can be determined; (2) that these reactivity ratios can be used to establish Q (reactivity) and e (polarity) values for a-EIA and IEM; and (3) that these reactivity parameters can be useful in designing copolymers with controlled compositions for dental adhesive applications. The free-radical copolymerization characteristics of a-EIA and IEM were studied. The isocyanate monomers were copolymerized at seven comonomer ratios with n-butyl acrylate (NBA), methyl methacrylate (MMA), and styrene (STY). Reactivity ratios, r1 and r2, were calculated for each of the copolymer systems, giving: IEM (r1) = 0.38 and STY (r2) = 0.44; IEM (r1) = 1.19 and MMA (r2) = 0.84; IEM (r1) = 2.50 and NBA (r2) = 0.40; a-EIA (r1) = 2.20 and STY (r2) = 0.06; α-EIA (r1) = 7.00 and MMA (r2) = 0.10; and a-EIA (r1) = 23.50 and NBA (r2) = 0.04. The Q (reactivity) and e (polarity) values for IEM and a-EIA were calculated from r1 and r2 with use of the Alfrey-Price equations, giving, for IEM, Q = 0.89 and e = 0.60, and, for a-EIA, Q = 7.64 and e = 0.74. These reactivity parameters are useful for tailoring copolymers with controlled compositions and properties. Based on these calculated reactivity parameters, several copolymers of IEM [for example, IEM/2-hydroxyethyl methacrylate (HEMA)] are currently being prepared and evaluated as adhesives.
The Influence of dft Index on Sealant Success: A 48-month Survival Analysis
Authors: Bravo M. , Osorio E. , García-Anllo I. , Liodra J.C. , Baca P.
Published: January 2009

Early loss of pit and fissure sealants is considered to be primarily dependent on inadequate isolation of the tooth from salivary contamination during application. Gradual additional loss is considered to be caused by occlusal wear, shearing forces, and marginal failure. Our hypothesis is that the caries risk of the child may be an additional factor in sealant loss. The objective of this study was to analyze the influence of caries history in primary teeth (dft index) on the success of sealants. Delton light-polymerized sealant was applied in 104 six- to eight-year-old children, followed for four years on a six-month-visit basis. All sound permanent first molars were sealed during the study. A survival analysis was used to describe sealant success over time. A Cox proportional hazards regression model was built to test the influence on sealant success of the dft index and site of sealant application (mandibular occlusal surface, maxillary fossae, and maxillary disto-lingual fissure), controlling for some potential confounders. Sealant half-life was 46 months. Site and dft index were related to sealant survival. The maxillary fossae showed the best retention, followed by the mandibular occlusal site and the maxillary disto-lingual fissure. The higher the dft, the higher the risk of sealant failure. This study has implications for sealant study designs and public sealant programs.
Incidence of and Risk Factors for Tooth Loss in a Population of Older Canadians
Authors: Locker D. , Ford J. , Leake J.L.
Published: January 2009

Data on the incidence of tooth loss in community-dwelling older Canadians have not previously been reported. Since recent US studies of older adults were conducted in predominantly rural communities, their results may not be generalizable to Canada, where the majority of older adults live in major metropolitan or urban settings. This paper describes a study designed to estimate the incidence of tooth loss in older Canadians and to identify factors predictive of that loss. Using personal interviews and clinical examinations, we obtained baseline and three-year follow-up data from 491 dentate subjects. Overall, 23.2% lost one or more teeth between baseline and follow-up. Only six, or 1.2%, became edentulous. Twelve baseline factors were significantly associated with the probability of loss. However, in a logistic regression analysis, only five had significant independent effects. These were gender, marital status, self-rating of oral health status, the number of decayed root surfaces, and a mean periodontal attachment loss of 4 mm or more. The predictive ability of the model was poor, largely because tooth loss is a complex outcome which depends on decisions taken by dentists and patients. Since this decision-making process cannot be captured in epidemiological studies, observational studies are needed to cast further light on tooth loss in this population.
A Meta-analysis of Clinical Studies on the Caries-inhibiting Effect of Chlorhexidine Treatment
Authors: van Rijkom H.M. , Truin G.J. , van't Hof M.A.
Published: January 2009

A meta-analysis was performed on published data on the caries-inhibiting effect of chlorhexidine treatment. The results of the various studies are difficult to evaluate because of various treatment procedures, dissimilar features of participants, and different presentations of study results. A meta-analysis provides a more structured approach than the traditional review, due to systematic analysis and numerical processing of the available information. The objectives of this meta-analysis were: (1) to assess a more accurate estimate of the caries-inhibiting effect of chlorhexidine treatment than provided by individual studies, and (2) to explore factors potentially modifying the effect of chlorhexidine treatment in caries prevention, i.e., the application method, application frequency, target population, the fluoride regime, and caries criteria. Caries reduction was expressed by the prevented fraction, indicating the percentage reduction of caries incidence in the chlorhexidine group. For all prevented fractions, 95% confidence intervals were calculated. The overall caries-inhibiting effect of the chlorhexidine treatment studies was 46% (95% CI = 35% - 57%). Multiple-regression analysis showed no significant influence on the prevented fractions for the variables "application method", "application frequency", "caries risk", "fluoride regime", "caries diagnosis", and "tooth surface".
Co-adhesion of Oral Microbial Pairs under Flow in the Presence of Saliva and Lactose
Authors: Bos R. , van der Mei H.C. , Busscher H.J.
Published: January 2009

Co-aggregation (interactions between two suspended micro-organisms) between oral microbial pairs has been studied extensively and is believed to be an important factor in dental plaque formation. However, coadhesion (interactions between suspended and already-adhering micro-organisms) may well be equally important. The aim of this paper was to determine the influence of saliva and lactose on the co-adhesion of streptococci (S. oralis 34 and S. sanguis PK1889) to actinomyces (A. naeslundii T14V-J1 or 5951) adhering on glass under flow from buffer and saliva in the absence and presence of lactose. The kinetics of co-adhesion as well as co-adhesion in a stationary end-point of co-aggregating and non-co-aggregating pairs was studied in a parallel plate flow chamber by analysis of the spatial arrangement of co-adhering micro-organisms as a function of time. For co-aggregating pairs, initial deposition rates of streptococci in the immediate vicinity of adhering actinomyces (local initial deposition rates) were up to 5 to 10 times higher than the non-local initial deposition rates in buffer and in saliva, respectively. In a stationary end-point of co-adhesion, 5 to 6 times more streptococci co-adhered with the adhering actinomyces than averaged over the entire substratum surface. A non-co-aggregating pair showed only minor preferential (co-)adhesion near the adhering actinomyces. Co-adhesion in buffer was fully lost when lactose was added. However, addition of lactose to saliva did not inhibit co-adhesion, but co-adhesion became more reversible. Detachment of micro-organisms from the substratum due to the passage of an air-liquid interface, as occurs in the oral cavity during eating, drinking, and speaking, was minimal when deposition was carried out from buffer to bare glass. Major detachment of streptococci adhering to the substratum occurred when adhesion was mediated through a salivary conditioning film on the glass, while detachment of adhering actinomyces and streptococci co-adhering with them remained low. It is suggested that, in the development of dental plaque, adhering actinomyces may act as strongholds for other micro-organisms, like streptococci, to adhere.
Does an Incremental Filling Technique Reduce Polymerization Shrinkage Stresses?
Authors: Versluis A. , Douglas W.H. , Cross M. , Sakaguchi R.L.
Published: January 2009

It is widely accepted that volumetric contraction and solidification during the polymerization process of restorative composites in combination with bonding to the hard tissue result in stress transfer and inward deformation of the cavity walls of the restored tooth. Deformation of the walls decreases the size of the cavity during the filling process. This fact has a profound influence on the assumption-raised and discussed in this paper-that an incremental filling technique reduces the stress effect of composite shrinkage on the tooth. Developing stress fields for different incremental filling techniques are simulated in a numerical analysis. The analysis shows that, in a restoration with a well-established bond to the tooth-as is generally desired-incremental filling techniques increase the deformation of the restored tooth. The increase is caused by the incremental deformation of the preparation, which effectively decreases the total amount of composite needed to fill the cavity. This leads to a higher-stressed tooth-composite structure. The study also shows that the assessment of intercuspal distance measurements as well as simplifications based on generalization of the shrinkage stress state cannot be sufficient to characterize the effect of polymerization shrinkage in a tooth-restoration complex. Incremental filling methods may need to be retained for reasons such as densification, adaptation, thoroughness of cure, and bond formation. However, it is very difficult to prove that incrementalization needs to be retained because of the abatement of shrinkage effects.
Agents with Periodontal Regenerative Potential Regulate Cell-mediated Collagen Lattice Contraction in vitro
Authors: MacNeil R.L. , D'Errico J. , Strayhorn C. , Pickrum H. , Somennan M.J.
Published: January 2009

A variety of pharmaceutical agents has been proposed for use in periodontal therapy to inhibit loss of alveolar bone and to promote regeneration of tissues lost to disease. The purpose of this study was to determine the effects of such agents on periodontal cell-mediated gel contraction, an in vitro process considered representative of wound contraction and remodeling in vivo. Human gingival fibroblasts were cultured in a type I collagen lattice, and contraction was quantified by means of a computer-assisted video imaging system. Cell-gel combinations were prepared with cells both pre-exposed and non-exposed to agents; non-anchored cell-gels were then incubated with agents for various time periods. Agents tested included Demecolcine (an inhibitor of cytoskeletal contraction), growth factors (i.e., TGF-β1, PDGF, and IGF-1), and non-steroidal anti-inflammatory drugs (NSAIDs) (indomethacin, ibuprofen, naproxen, and flurbiprofen). While Demecolcine inhibited gel contraction, TGF-β1 (1-20 ng/mL), PDGF (100 ng/mL), IGF-1 (1000 ng/mL), and [PDGF + IGF], all of which have been reported to enhance wound healing in vivo, promoted lattice contraction in this system. In contrast, NSAIDs inhibited cell-gel contraction. Ethanol, used to solubilize two specific NSAIDs, also inhibited cell proliferation and gel contractile ability, even at very low concentrations. These findings indicate that periodontal cells respond differently to various agents in vitro and may be adversely affected by alcohol. Furthermore, the results of this study suggest that the cell-lattice contraction system holds potential as a method for screening agents for positive or negative effects on cell activity.