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PURPOSE: To investigate the influence of implant surface decontaminated and uncontaminated on osteoblast-like cell adhesion and proliferation MATERIALS AND METHODS: Commercially available implants of different brands and surface characteristics were selected: Biomet 3i® Nanotite (NT) and Osseotite (OT), Straumann® SLActive (SLA), and Neodent® Acqua Drive (ACQ) and Neoporos Drive CM (CM). Physical and chemical properties of the implants were investigated by scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS), and wettability analysis (WETT). Implants were previously contaminated with Aggregatibacter actinomycetemcomitans strains; after that, samples were decontaminated by different chemical methods. Decontaminated (test group; n = 15/type of implant) and uncontaminated (control group; n = 5/type of implant) samples were analyzed according to the number of human osteoblastic osteosarcoma cells (Saos-2) adhered on the implant surface after 24 h and 72 h in SEM images. RESULTS: ACQ was found to be highly hydrophilic, and NT was the most hydrophobic implant. Increased variation of Saos-2 cell adhesion and proliferation were observed on all test and control groups. Controversially, at the proliferation analysis in 72 h, CM implant was the only implant that showed no significant difference between test and group (p = 0.2833; Tukey's multiple comparisons test). NT implants showed the greater value of cell proliferation when compared with all types of implant surface (p = 0.0002; Tukey's multiple comparisons test). CONCLUSIONS: These findings suggest that decontaminated surfaces were able to impair the counting of osteoblast-like cell adhesion and proliferation.
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PURPOSE: The aim of this study was to investigate the response of osteogenic cell lineage and gingival fibroblastic cells to different surface treatments of grade IV commercially pure Titanium (cpTi) disks. MATERIAL AND METHODS: Grade IV cpTi disks with different surfaces were produced: machined (M), sandblasting (B), sandblasting and acid subtraction (NP), and hydrophilic treatment (ACQ). Surface microtopography characteristics and chemical composition were investigated by scanning electron microscopy (SEM) and energy dispersive x-ray spectrometry (EDS). Adhesion and proliferation of SC-EHAD (human surgically-created early healing alveolar defects) and HGF-1 (human gingival fibroblasts) on Ti disks were investigated at 24 and 48 h, and osteogenic differentiation and mineralization were evaluated by assessing alkaline phosphatase (ALP) activity and alizarin red staining, respectively. RESULTS: No significant differences were found among the various surface treatments for all surface roughness parameters, except for skewness of the assessed profile (Rsk) favoring M (p = 0.035 ANOVA). M disks showed a slightly higher (p > 0.05; Kruskal-Wallis/Dunn) adhesion of HGF-1 (89.43 ± 9.13%) than SC-EHAD cells (57.11 ± 17.72%). ACQ showed a significantly higher percentage of SC-EHAD (100%) than HGF-1 (69.67 ± 13.97%) cells adhered at 24 h. SC-EHAD cells expressed increased ALP activity in osteogenic medium at M (213%) and NP (235.04%) surfaces, but higher mineralization activity on ACQ (54.94 ± 4.80%) at 14 days. CONCLUSION: These findings suggest that surface treatment influences the chemical composition and the adhesion and differentiation of osteogenic cells in vitro. CLINICAL RELEVANCE: Hydrophilic surface treatment of grade IV cpTi disks influences osteogenic cell adhesion and differentiation, which might enhance osseointegration.
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The importance of surgical intervention for the maintenance of long-term results by root coverage of multiple gingival recessions in an esthetic area treated with a tissue substitute (acellular dermal matrix [ADM]-Alloderm®) is widely required. The present case report highlights the effectiveness of the ADM for the treatment of multiple recession defects in a female patient with Class I and II gingival recession in relation to maxillary anterior associated with esthetics and dentin hypersensitivity demands. The root coverage rate for the anterior area showed greater value with 70% of coverage; at 90 days and 2 and 12 years of follow-up, it showed 70.5%, 79%, and 77%, respectively. Conversely, for the posterior area, these rates were 68.5%, 63%, and 57% for the same follow-up periods. Results regarding gain of keratinized tissue demonstrated superior values for the anterior area, namely 3.92, 3.34 and 3.22 mm at 90 days and 2 and 12 years. These values for the posterior area were 0.54 mm, 2.41, and 1.87 mm, respectively. These findings suggest that the tissue substitute Alloderm® showed excellent long-term results for areas of multiple recessions, providing root coverage and stability of keratinized tissue gain. After this long period of evaluation, some local factors associated with recurrence of gingival recessions were detected, and a lack of proper periodontal maintenance care was observed. However, esthetic and functional outcomes achieved with surgical procedure were maintained.
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Nonsyndromic cleft lip with or without cleft palate (NSCL±P) compromises oral health, leading to missing or malformed teeth, and hampering oral hygiene. Apart from anatomic damages, NSCL±P also culminates in an impact on the routine quality of life with social privation and psychological embarrassment. OBJECTIVE: To evaluate the impact of NSCL±P on oral health-related quality of life. MATERIAL AND METHODS: The study was classified as exploratory and descriptive, with quantitative approach. Patients with NSCL±P treated between August 2013 and September 2014 at the Cleft Lip and Palate Integral Care Center (CAIF), Curitiba, Brazil, were invited to participate. Age and sex-related data were collected, as well as level of education, financial income, type of orofacial cleft, use of orthodontic and prosthetic appliances, and number of previous orofacial surgeries. Selected patients were asked to answer the Oral Impact on Daily Performance (OIDP) questionnaire designed to measure the impact of oral health on daily performances. RESULTS: The sample was composed of 103 (44.59%) women and 128 (55.41%) men, with mean age of 19.74 ± 10.20 (7-65) years. The OIDP values ranged from 1 to 175 in 114 (49.35%) patients (mean: 22.38), whereas 117 patients (50.65%) presented total OIDP value equal to zero. High negative impact of NSCL±P on daily performances was detected when associated with the female sex (p=0.037). Daily performances related to phonetics (OIDP2; 2.63) and aesthetics (OIDP5; 2.48) presented the highest average values when compared to other daily performances, except OIDP6. The main symptoms and reported oral problems comprised the aesthetic dissatisfaction. CONCLUSIONS: Almost half of the patients evaluated in this study showed negative impact of NSCL±P in the performance of daily activities.
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Fenda Labial/fisiopatologia , Fissura Palatina/fisiopatologia , Saúde Bucal , Qualidade de Vida , Atividades Cotidianas/psicologia , Adolescente , Adulto , Idoso , Criança , Fenda Labial/psicologia , Fissura Palatina/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Fatores Sexuais , Perfil de Impacto da Doença , Inquéritos e Questionários , Adulto JovemRESUMO
Abstract Nonsyndromic cleft lip with or without cleft palate (NSCL±P) compromises oral health, leading to missing or malformed teeth, and hampering oral hygiene. Apart from anatomic damages, NSCL±P also culminates in an impact on the routine quality of life with social privation and psychological embarrassment. Objective To evaluate the impact of NSCL±P on oral health-related quality of life. Material and Methods The study was classified as exploratory and descriptive, with quantitative approach. Patients with NSCL±P treated between August 2013 and September 2014 at the Cleft Lip and Palate Integral Care Center (CAIF), Curitiba, Brazil, were invited to participate. Age and sex-related data were collected, as well as level of education, financial income, type of orofacial cleft, use of orthodontic and prosthetic appliances, and number of previous orofacial surgeries. Selected patients were asked to answer the Oral Impact on Daily Performance (OIDP) questionnaire designed to measure the impact of oral health on daily performances. Results The sample was composed of 103 (44.59%) women and 128 (55.41%) men, with mean age of 19.74 ± 10.20 (7-65) years. The OIDP values ranged from 1 to 175 in 114 (49.35%) patients (mean: 22.38), whereas 117 patients (50.65%) presented total OIDP value equal to zero. High negative impact of NSCL±P on daily performances was detected when associated with the female sex (p=0.037). Daily performances related to phonetics (OIDP2; 2.63) and aesthetics (OIDP5; 2.48) presented the highest average values when compared to other daily performances, except OIDP6. The main symptoms and reported oral problems comprised the aesthetic dissatisfaction. Conclusions Almost half of the patients evaluated in this study showed negative impact of NSCL±P in the performance of daily activities.
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Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Idoso , Adulto Jovem , Qualidade de Vida/psicologia , Saúde Bucal , Fenda Labial/fisiopatologia , Fissura Palatina/fisiopatologia , Atividades Cotidianas/psicologia , Fatores Sexuais , Inquéritos e Questionários , Fenda Labial/psicologia , Fissura Palatina/psicologia , Perfil de Impacto da Doença , Pessoa de Meia-IdadeRESUMO
Psychological stress is related to Periodontology as one of the factors involved with the pathogenesis of the periodontal disease (PD), by means of its interaction with immunological neuroendocrine system. Biological markers measuring stress levels are cortisol, α-amylase and chromogranin A (CgA). The question of this literature review was: are salivary markers sufficient to correlate psychological stress and PD?. The literature search strategy used was the combination of the uniterms: "salivary psychological stress marker" with "periodontal disease" and "psychological stress markers" with "periodontal disease" using into four database (PudMed, Scielo, LILACS, MEDLINE). Sixteen articles were recovered and 6 were included according to the analysis of salivary markers in patients whose profile varied from healthy, with gingivitis, chronic periodontitis (CP), CP located and aggressive periodontitits (AP). The article that correlated CP with AP obtained two times higher levels of CgA in patients with AP in compared to CP, and the cortisol level was higher in AP. In another study, only in patients with CP the cortisol level was related significantly to periodontal parameters such as probing depth 5-7 mm, clinical attachment level (CAL) 5-7 mm, CAL>7mm. Another showed significant correlation of CgA, α-amylase and cortisol to tooth loss. It can be concluded that there is not sufficient evidence that salivary markers are correlated with periodontal disease due the limited number of studies with reliable methodology and to the lack of agreement to confirm this information. (AU)
O estresse psicológico está relacionado com a Periodontia como um dos fatores da etiopatogenia da doença periodontal (DP) através da interação com o sistema neuroendócrino imunológico. Entre os marcadores biológicos que medem níveis de estresse encontram-se cortisol, α-amilase e cromogranina A (CgA). Esta revisão de literatura baseou-se na pergunta: marcadores salivares são suficientes para correlacionar estresse psicológico e DP?. A estratégia de busca empregou o cruzamento das palavras-chave: "marcadores salivares no estresse psicológico" com "doença periodontal" e "marcadores do estresse psicológico" com "doença periodontal" em 4 bases de dados (PubMed, Scielo, LILACS, MEDLINE). Dezesseis artigos foram recuperados e 6 foram incluídos de acordo por abordarem análise de marcadores salivares em pacientes cujo perfil variou de saudável, com gengivite, periodontite crônica (PC), PC localizada e periodontite agressiva (PA). O artigo que correlacionou PC com PA, obteve resultado de PA duas vezes maior em nível de CgA em comparação com PC. Já o nível de cortisol mostrou-se maior em PA. A medida do cortisol em outro estudo somente em pacientes com PC relacionou-se significativamente com parâmetros clínicos periodontais como, profundidade de sondagem 5-7mm, nível de inserção clínica (NIC) 5-7 mm, NIC > 7 mm. Em outro estudo que avaliou CgA, α-amilase e cortisol, houve correlação significante com perda dentária. Pode-se concluir que não há suficiente evidência de que marcadores salivares estão correlacionados com DP devido ao limitado número de estudos com metodologia confiável e falta de concordância de resultados para confirmação dessa informação (AU)