Journal of Applied Oral Science最新文献

Objective: This study aimed to assess the risk of obstructive sleep apnea (OSA) in different types of cleft using the Pediatric Sleep Questionnaire (PSQ). The influence of sex, age, body mass index (BMI), and history of adenotonsillectomy surgery were also evaluated.

Methodology: Parents or legal guardians of 195 patients with nonsyndromic cleft lip, lip and palate, and isolated palate aged from 5 to 18 years (9.11±3.09 years) were invited to answer the PSQ. The sample included 94 individuals with unilateral or bilateral complete cleft lip and palate, 56 individuals with cleft lip, and 45 individuals with isolated cleft palate. The frequency of high and low risk was estimated for the complete sample. Multiple logistic regression analysis was used to assess the association between sex, age, cleft type, adenotonsillectomy surgery, and BMI with the occurrence of high-risk of OSA. Significance was considered at 5%.

Results: A high risk of OSA was observed in 51.3% of the sample. The high risk of OSA was present in 51.8%, 53.1%, and 46.6% of subjects with cleft lip, cleft lip and palate, and isolated cleft palate, respectively. History of adenotonsillectomy surgery was a predictor of high risk of OSA (OR=6.94). The other variables were not associated with OSA high risk.

Conclusion: Different cleft types had similar frequency of OSA high risk. Patients with history of adenotonsillectomy surgery still presented high risk of OSA.

Background: This work aimed to evaluate the effect of ibuprofen on amelogenesis using a model of continuously growing incisors in Wistar rats.

Methodology: A total of eight female Wistar rats at weaning age were assigned to one of two groups (IBU and control). They were administered an 80 mg/kg dose of ibuprofen or an equivalent volume of distilled water for three weeks, then euthanized on day 16 of the experiment. Right hemimandibles were used to assess the mineral density of enamel using microtomography. The left hemimandibles were decalcified and processed to obtain sections, stained with Hematoxylin Eosin or immunohistochemical detection of amelogenin. Based on photomicrographs of hemimandibles, ameloblast and papillary layer height of the enamel and enamel organic matrix width were determined. The percentage of positive amelogenin was determined in immunohistochemically processed sections. Results were analyzed using Student's t test.

Results: IBU-treated animals showed lower body weight gain throughout the experiment (p<0.05). Mineral density and enamel thickness showed no significant differences. No significant differences in the height of the papillary layer or the width of the organic matrix were observed. Amelogenin expression in the ameloblast layer was lower in the experimental group. No significant difference was found between groups.

Conclusion: The results obtained in this study model suggest that ibuprofen itself might not alter the amelogenesis process.

Objectives: This in vitro study evaluated implant-supported single crowns with external connections fabricated using different techniques (cast and CAD/CAM) and materials (metal-ceramic and translucent zirconia) regarding vertical and horizontal marginal fit and torque loss before and after mechanical cycling.

Methodology: A total of 50 specimens prepared using cast (lost wax) and CAD/CAM were divided into five groups-MC (metal-ceramic crowns), ZrB (Co-Cr base, coping milled in zirconia and feldspathic ceramic veneering), Zr (coping milled in zirconia and feldspathic ceramic veneering), MZrB (Co-Cr base and monolithic translucent zirconia crown), and MZr (monolithic translucent zirconia crown)-and subjected to 5×10⁶ mechanical cycles at a 30° angle at 37°C, and an applied load of 150N at 2Hz. All crowns were screwed with a 30Ncm torque. Vertical and horizontal marginal misfit (measured using a 3D optical microscope) and torque loss were assessed before and after mechanical cycling. Statistical analyses used a significance value of 0.05.

Results: Before cycling, MC (93.93±22.84µm) and MZrB (66.12±11.87µm) (p<0.05) crowns showed significantly higher vertical marginal misfit values than Zr (49.92±3µm) and MZr (49.76±3,9µm). ZrB (59.96±4.66µm) crowns exhibited no statistically significant difference when compared with the other groups. MC crowns presented the highest horizontal marginal misfit values before and after cycling in group comparisons (p<0.05). MZrB had the highest torque loss (10N), with a statically significant difference when compared with MZr and Zr (p<0.05). Comparison between all groups showed no significant difference regarding the effect of mechanical cycling (p>0.05).

Conclusion: CAD/CAM manufacturing resulted in lower vertical and horizontal marginal misfit values, especially for monolithic translucent zirconia crowns (MZr) before and after mechanical cycling. All groups presented torque loss before and after mechanical cycling.

Objective: To investigate the effects of concentrated platelet-rich fibrin (C-PRF), injectable platelet-rich fibrin (i-PRF), and platelet-rich plasma (PRP) on cellular activity of human primary osteoblasts.

Methodology: C-PRF, i-PRF, and PRP were prepared from five donors and pre-cultured in 5 mL of culture medium for three days. Human primary osteoblasts were seeded and cultured with 20% conditioned medium derived from the three platelet concentrates. Then, osteoblast viability was assessed at 24 h; proliferation at one, three, and five days; differentiation at seven days; mineralization at 14 days; and gene expression RUNX family transcription factor 2 (RUNX2), alkaline phosphatase, biomineralization associated (ALPL), collagen type I alpha 1 chain (COL1A1), and osteocalcin (OCN) at three and 14 days were investigated.

Results: Osteoblasts cultured with C-PRF, i-PRF, and PRP demonstrated excellent biocompatibility. Proliferation was significantly higher in all platelet concentrates compared to the controls at one, three, and five days, with no significant differences among them, except on day one. Alkaline phosphatase and Alizarin Red S staining were significantly higher in the C-PRF and i-PRF groups compared to the PRP and control groups. However, RUNX2, ALPL, COL1A1, and OCN mRNA levels did not differ significantly among the three platelet concentrates throughout the study period.

Conclusion: Our study indicates that the three liquid platelet concentrates enhance human osteoblast activity. C-PRF and i-PRF promoted greater differentiation and mineralization than PRP. These findings show that all liquid platelet concentrates positively influence human osteoblast proliferation and differentiation, making them suitable for clinical applications requiring bone regeneration.

Objectives: To investigate the effects of sodium fluoride (NaF), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and titanium tetrafluoride (TiF4) on the prevention of demineralization in irradiated bovine enamel and dentin in vitro.

Methodology: The enamel and dentin sample blocks were subjected to 50 Gy of radiation and divided into five groups (n=13): the deionized distilled water group, the NaF group, the CPP-ACP group, the NaF + CPP-ACP group, and the TiF4 group. After being treated with various materials for 30 minutes, the samples were remineralized for 12 hours and demineralized for 48 hours. The samples were then evaluated by scanning electron microscope (SEM), atomic force microscope (AFM), energy dispersive spectrometer (EDS), and transverse microradiography (TMR). Data were analyzed by ANOVA and the Kruskal-Wallis H test (α=0.05).

Results: SEM and TMR indicated that the TiF4 group promoted more mineral deposits on the enamel and dentin samples, showing the least mineral loss and the lowest lesion depth. AFM results showed that the NaF + CPP-ACP group had the lowest enamel roughness (p<0.05), whereas the TiF4 group showed the lowest roughness in dentin samples (p<0.05). EDS showed that titanium (Ti) was deposited on the surface of the TiF4 group samples, whereas the NaF + CPP-ACP group more greatly aggregated fluorine.

Conclusion: TiF4 significantly impacted the prevention of demineralization in irradiated dental hard tissues. Combining NaF and CPP-ACP more effectively prevented demineralization than either agent used alone.

Aim: This cross-sectional study investigated the salivary proteomic profile associated with generalized gingivitis in pregnant women with obesity.

Methodology: Pregnant women in the third trimester (≥27 weeks of gestation) were divided into two groups based on bleeding on probing (BOP): G1 (BOP>50%; n=9) and G2 (BOP 0-30%; n=9). Collected unstimulated saliva samples were individually analyzed using nano liquid chromatography electron spray ionization tandem mass spectrometry. Identified proteins were classified according to gene ontology for biological processes, molecular functions, immune system involvement, and cellular components. Differential protein expression was determined using thresholds of p<0.05 for downregulation and 1-p>0.95 for up-regulation proteins.

Results: Of the 183 identified proteins, 100 were shared between groups, totaling 57 up-regulated and 27 downregulated proteins in G1. Key biological processes included antimicrobial humoral response and hydrogen peroxide catabolism, with proteins linked to immune function and endopeptidase regulation. Functional analysis showed that Lactotransferrin (5-fold increase in G1), Haptoglobin (4-fold), and Immunoglobulin J chain (3-fold) were up-regulated, whereas Statherin (5-fold) and Protein S100-A8 (4-fold) were downregulated in G1.

Conclusions: Pregnant women with obesity and generalized gingivitis exhibited a distinct salivary proteomic profile characterized by the up-regulation of immune-related proteins and downregulation of tissue-protective proteins. These findings suggest potential salivary biomarkers for detection and targeted management of periodontal inflammation in this high-risk population.

Introduction: The nasopalatine duct cyst (NPDC) is the most common nonodontogenic jaw cyst, with a higher prevalence reported in males. Diagnosing jaw cysts remains challenging for general dentists due to their overlapping clinical and radiographic presentations. An updated case series and integrative literature review may assist in improving the accurate diagnosis of NPDC.

Objective: This study aimed to describe the clinicopathological and imaging characteristics of 63 NPDC cases and to review previously reported cases in the literature.

Methodology: An international, multicenter, retrospective NPDC case series was conducted. Demographic, radiographic, and histopathological data were collected from clinical records. Additionally, a PubMed/MEDLINE search was performed to identify articles on NPDC.

Results: A total of 63 NPDC cases were evaluated, with a mean patient age of 47 years and no significant sex predilection. Twenty-one cases were asymptomatic, while 34 presented with symptoms such as pain and swelling. Radiographically, NPDC appeared as a well-defined radiolucent lesion located between the upper central incisors, bordered by a radiopaque margin. The integrative literature review identified 67 studies, comprising 51 case reports, 12 retrospective studies, and four case series, totaling 1,003 reported NPDC cases. The clinicopathological and radiographic findings from the literature aligned with those in this case series.

Conclusion: The 63 cases analyzed in this study showed consistent findings across six international centers, with no sex predilection observed, contrasting with the male dominance reported in the literature. NPDC should be considered in the differential diagnosis of intraosseous lesions in the anterior maxilla. Accurate diagnosis requires a combination of radiographic and histopathological evaluations to prevent misdiagnosis and improper treatment.

The acquired enamel pellicle (AEP) consists of an organic, acellular, and bacteria-free film, formed in vivo as a result of biomolecules adsorption onto the tooth surface. It is composed of proteins, glycoproteins, lipids, phospholipids, and other macromolecules, such as carbohydrates. The AEP formation process is complex and can be divided into three stages: initiation, development, and maturation. The pellicle has two main layers: the globular and basal layers. The basal layer offers the most protection against demineralization, as the subsequent globular layer is weaker and less tenacious. The formation of the AEP can be influenced by various factors, such as the physicochemical properties of the teeth, location in the oral cavity, pathologies, and even the oral microbiota. With the advancement of "omics" techniques, it has been possible to observe the presence of acid-resistant proteins in the AEP, which allowed the development of the "acquired pellicle engineering" strategy. This strategy involves enriching and modifying the basal layer with acid-resistant proteins. Among these proteins, hemoglobin, statherin-derived peptide, and a protein derived from sugarcane stand out. The objective of this literature review is to provide a comprehensive overview of the AEP, detailing its composition, formation process, and protective functions. Additionally, the review aims to explore recent advances in the field of "acquired pellicle engineering," highlighting the acid-resistant proteins of the AEP and their potential applications in dentistry. Finally, the review intends to highlight the clinical implications of these findings and how they may contribute to the development of new strategies for the prevention and treatment of dental pathologies according to published studies.

Background: Pulpitis, which is often triggered by caries and trauma, is a significant clinical challenge due to its prevalence. This research aims to uncover potential metabolic biomarkers for pulpitis and map out the implicated metabolic pathways, thereby laying a foundation for enhanced diagnostic and preventive strategies.

Methodology: We analyzed pulp samples from 12 participants (six who had pulpitis and six who had healthy teeth) using serum metabolomics via ultra-high-performance liquid chromatography coupled with Orbitrap mass spectrometry. Important biomarkers were pinpointed via multivariate analysis and orthogonal partial least squares discriminant analysis. Additionally, correlation and biomarker pathway enrichment analyses were conducted to explore the relations between differentially expressed biomarkers and their associated biological pathways. Specific metabolites of interest were further examined via alkaline phosphatase (ALP) staining, Alizarin Red staining, and RT-qPCR analysis.

Results: We identified 22 significant biomarkers (13 increased, nine decreased) related to 18 metabolic pathways in pulpitis cases. Key biomarkers included ascorbic acid, inosine, allopurinol riboside, and L-asparagine, in which ascorbic acid and inosine showed the most substantial downregulation and strongest association with pulpitis. Notably, aminoacyl-tRNA biosynthesis and retrograde endocannabinoid signaling pathways were closely linked with pulpitis. Ascorbic acid enhanced the osteogenic differentiation, calcium deposition, as well as the expression of osteogenic genes of human dental pulp stem cells (DPSCs).Conclusions: The identified biomarkers and metabolic pathways offer insights into the pathogenesis of pulpitis and have potential applications in developing preventive treatments.

Objective: To evaluate the possible clinical association between dental fracture and the presence of amalgam restorations, including other restorative treatments in the control group. The potential association of fractures with dental wear facets and the restoration size was also assessed as a secondary objective.

Methodology: Patients with fractured teeth restored with silver amalgam or not were included as the case group (n=25). The control group, with non-fractured teeth, was selected after considering the case group aspects, with twice as many patients (n=50) with posterior teeth sound or restored (amalgam, composite resin, or another restorative material). For both groups, the type of restorative material, extension of the restorations, remaining tooth structure, and the presence or absence of wear facets were analyzed. The teeth were impressed with alginate, and from the plaster models, the extent of fractures or restorations was measured by two calibrated examiners with a digital caliper at the cervico-occlusal and bucco-lingual directions. The data were subjected to the Chi-square test (5%) and odds ratio.

Results: There was no statistical difference between the presence or absence of amalgam restorations regarding the risk of tooth fracture. Regarding fractures larger than 3.5mm, the chances of failure are 0.53 for amalgam restorations with no statistical differences (p=0.433), and, regarding the presence of wear facets, the odds ratio of failure is 1.357 for amalgam restorations (p=0.65).

Conclusion: It can be deduced that, within the conditions of the study, no discernible association exists between dental fractures and the presence of silver amalgam restorations.Clinical Trial Register: (ReBEC) UNT code U1111-1215-7255.